Publications by authors named "Robert Bains"
Article Synopsis
- * Out of 112 respondents, which included both surgeons and hand therapists, the study found significant variability in surgical decision-making and imaging practices, with most centers favoring ligament reconstruction using a bone anchor.
- * Findings suggest that there is inconsistency in the treatment approaches for UCL ruptures and a strong interest among medical professionals for future clinical trials to standardize management practices.
A streamlined one-stop service for the excision of type B post-axial polydactyly.
J Plast Reconstr Aesthet Surg
September 2024
We evaluated the management of supracondylar paediatric fractures at our institution over a 10-year period in this retrospective cohort study. In total, 762 children with a supracondylar fracture were treated. The mean age of injury was 5.
View Article and Find Full Text PDFThe present study analyses the relationships between deprivation and obstetric brachial plexus palsy (OBPP). A retrospective observational study was conducted of infants with OBPP seen between 2008 and 2020 ( = 321). The index of multiple deprivation (IMD) was used to assign an IMD rank to patients based on birth postcode and the relationship with OBPP was analysed, including deprivation, gestational diabetes, age at referral and at first assessment.
View Article and Find Full Text PDFA Rare Case of Brachial Artery Aneurysm in a 9-Month-Old Infant.
Vasc Endovascular Surg
February 2024
Article Synopsis
- A 9-month-old infant was diagnosed with a true aneurysm in the left brachial artery, first noticed at 7 months of age.
- An ultrasound revealed a 2 cm × 2 cm aneurysm, confirmed by magnetic resonance angiography, and no signs of other aneurysms or vasculitis.
- The treatment involved surgical excision and reconstruction using a reversed cephalic vein graft, and the infant recovered well, highlighting the importance of a multi-disciplinary team in managing this rare condition.
Purpose: Restoration of elbow flexion is an important goal in the treatment of patients with traumatic brachial plexus injury. Numerous studies have described various nerve transfers for neurotization of the musculocutaneous nerve (or its motor branches); however, there is uncertainty over the effectiveness of each method. The aim of this study was to summarize the published evidence in adults with traumatic brachial plexus injury.
View Article and Find Full Text PDFThe incidence of brachial plexus injuries in anterior shoulder dislocation remains relatively uncommon. A retrospective study was conducted to observe the natural neurological recovery of patients following these injuries over a 2-year period. Muscle power according to the Medical Research Council scale and sensation were measured from presentation to discharge.
View Article and Find Full Text PDFArticle Synopsis
- The author discusses a severe case of a facial germ line tumor linked to neurological disorders that hasn't been documented before.
- A 33-year-old woman had a significant facial mass, and after surgical removal, it turned out to be a grade 3 immature teratoma.
- Unfortunately, the tumor recurred shortly after surgery, and the patient ultimately died from complications, highlighting the complexity and poor outlook of such conditions.
Article Synopsis
- The study examines the long-term effects of obstetrical brachial plexus palsy on children's active range of motion, particularly whether they lose movement ability over time.
- The analysis involved 139 patients, split between those who had surgery and those who did not, assessing their joint movements at various ages using the Active Movement Scale.
- Results showed no decrease in active movement scores at the 10-year follow-up, countering concerns about long-term loss of mobility.
Corneal anesthesia is a debilitating condition which can ultimately lead to blindness from repetitive corneal injury and scarring. We have developed a minimally invasive technique for corneal re-innervation that we have used with excellent results in ten eyes. This article and accompanying video describes the relevant anatomy and demonstrates the technique in detail.
View Article and Find Full Text PDFUnlabelled: Soft tissue sarcomas are a rare group of mesenchymal tumours the treatment of which poses oncological and reconstructive challenges. Limb-salvage surgery aims to balance adequate excision margins for disease control and preservation of important structures to retain function. Reported here is the review of the Hull Plastic surgery sarcoma service over a twelve year period.
View Article and Find Full Text PDFBackground: Thoracic outlet syndrome is rare in children but may have serious consequences. Compression of the neurovascular structures at the thoracic outlet by anomalous soft tissues or cervical ribs may cause neurological deficits in the upper limb and venous or arterial insufficiency.
Patients: The symptoms and signs of this condition are well documented, but we describe two patients with an atypical presentation.
Importance: Corneal anesthesia is recalcitrant to conventional treatment and can lead to permanent visual loss.
Objective: To assess the outcomes of a novel sensory reconstructive technique for the treatment of corneal anesthesia.
Design, Setting, And Participants: This prospective study evaluating a new technique was conducted at a tertiary referral center.
Background: The purpose of this article is to identify factors that make hands look youthful or old and to assess whether altering any of these factors could influence the perceived age of the patient.
Methods: A questionnaire showing digital images of female hands of different ages was administered. Some images were altered digitally to remove veins, blemishes, or wrinkles.