Revision surgery of the lesser toes.

Surgery of the lesser toes is a difficult balancing act, and revision procedures are challenging. It is vastly preferable that the correct procedure be chosen for the correct patient and performed properly from the outset. The flow charts below (Figs.

Benign paroxysmal positional vertigo after use of noise-canceling headphones.

Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo. We describe a case of a woman presenting acutely with a severe episode of disabling positional vertigo. Although she had no known etiologic risk factors, this attack followed 12 hours of continuously wearing digital noise-canceling headphones.

Posterior vitreal detachment in decompression illness--case report and discussion.

We report a case of a healthy leisure diver presenting with simultaneous unilateral posterior vitreous detachment and decompression illness. The literature is reviewed for both conditions. There are no known publications associating these 2 entities and leads us to propose that nitrogen bubble formation could have contributed to the etiology of vitreal separation from the retina.

The prevalence and current opinion of treatment of allergic rhinitis in elite athletes.

Purpose: The aim of this review is to highlight the prevalence of allergic rhinitis in athletes and the impact this condition may have on their athletic performance. Furthermore, the optimal management of medical conditions in the elite athlete forms an important part of protecting the health of the athlete.

Recent Findings: The use of pharmacological intervention in the treatment of allergic rhinitis in elite athletes requires careful planning.

Bone-mineral density and other features of the female athlete triad in elite endurance runners: a longitudinal and cross-sectional observational study.

Low bone-mineral density (BMD) is associated with menstrual dysfunction and negative energy balance in the female athlete triad. This study determines BMD in elite female endurance runners and the associations between BMD, menstrual status, disordered eating, and training volume. Forty-four elite endurance runners participated in the cross-sectional study, and 7 provided longitudinal data.

Minimal incision techniques for acute Achilles repair.

This article reviews minimal incision techniques in the treatment of acutely ruptured Achilles tendon and the results that can be anticipated from these methods. However, lack of robust prospective randomized studies on the treatment of Achilles tendon rupture makes it impossible to draw conclusions on optimal treatment strategies. The bulk of the evidence available suggests that surgical repair reduces rerupture rates compared with non-operatively treated tendon ruptures.

Safety and efficacy of a rate control protocol for cardiac CT.

The clinical application of cardiac CT is increasing, but heart rate control is often required to prevent motion artefact. Here, we describe a protocol for heart rate control in patients undergoing outpatient CT coronary angiography (CTCA). Among 121 consecutive patients, 75 (61.

Management of insertional tendinopathy of the Achilles tendon.

Posterior heel pain is common and disabling. Most cases respond to nonoperative treatment. The literature is confusing about the treatment rationale because many papers treat a variety of pathologies in the same way on an empirical basis.

Lymphoedema in young patients with breast cancer.

Gross lymphoedema is a devastating complication in patients with breast cancer and more so in young women. These patients present with more advanced disease and suffer a higher incidence of loco-regional recurrence. Young women are also subject to more traumas to the lymphatics by virtue of their being more active.

A biomechanical comparison of single and double-row fixation in arthroscopic rotator cuff repair.

Background: The optimal method for arthroscopic rotator cuff repair is not yet known. The hypothesis of the present study was that a double-row repair would demonstrate superior static and cyclic mechanical behavior when compared with a single-row repair. The specific aims were to measure gap formation at the bone-tendon interface under static creep loading and the ultimate strength and mode of failure of both methods of repair under cyclic loading.