RESUMEN
The British Orthopaedic Association has endorsed a website, www.orthoconsent.com, allowing surgeons free access to a bank of pre-written consent forms. These are designed to improve the level of information received by the patient and lessen the risk of successful litigation against surgeons and Health Trusts.
Asunto(s)
Formularios de Consentimiento/normas , Internet , Ortopedia/legislación & jurisprudencia , Humanos , Reino UnidoRESUMEN
This report describes a fibular neck osteochondroma presenting as popliteal artery entrapment syndrome.
Asunto(s)
Neoplasias Óseas/diagnóstico , Peroné/patología , Osteocondroma/diagnóstico , Arteria Poplítea/patología , Adulto , Angiografía , Neoplasias Óseas/cirugía , Constricción Patológica/diagnóstico , Constricción Patológica/cirugía , Peroné/cirugía , Humanos , Masculino , Osteocondroma/cirugía , Arteria Poplítea/diagnóstico por imagen , Arteria Poplítea/cirugíaRESUMEN
Schuss radiographs are PA weight bearing views of the knee taken in 30 degrees of flexion. Several studies have shown them to be more sensitive detectors of osteoarthritic changes in the knee than standard extension AP views. We compared the plans of management proposed by eight consultant orthopaedic surgeons to two case presentations of each of a series of 50 patients with tibiofemoral osteoarthritis. The clinical and radiological information provided on each patient was identical in the two presentations except that on one occasion the surgeons were shown the extension AP radiograph while on the other it was replaced by the schuss view. The panel altered their management plan in over 40% of cases. This represented a reduction of almost 50% in arthroscopies in the schuss group with a move towards definitive surgery. The total number of procedures proposed was also reduced. The radiograph was useful determining the management of patients with predominantly lateral, as well as medial or generalised symptoms. We conclude that the schuss radiograph is a valuable tool in the assessment of knee osteoarthritis the use of which can alter clinical management. By reducing non-therapeutic arthroscopies it may significantly reduce total number of operations to be performed in this patient group.
Asunto(s)
Artrografía/métodos , Osteoartritis de la Rodilla/diagnóstico por imagen , Osteoartritis de la Rodilla/cirugía , Anciano , Artroscopía/estadística & datos numéricos , Estudios de Cohortes , Femenino , Humanos , Masculino , Persona de Mediana Edad , Procedimientos Ortopédicos , Planificación de Atención al Paciente , Postura , Valor Predictivo de las Pruebas , Estudios Prospectivos , Distribución Aleatoria , Derivación y Consulta , Procedimientos Innecesarios/estadística & datos numéricos , Soporte de PesoAsunto(s)
Artritis Infecciosa/etiología , Infecciones por Fusobacterium , Fusobacterium necrophorum/aislamiento & purificación , Articulación de la Rodilla , Adulto , Artritis Infecciosa/microbiología , Bacteroides/aislamiento & purificación , Diagnóstico Diferencial , Humanos , Masculino , Neumonía/diagnóstico por imagen , Neumonía/etiología , Radiografía , Síndrome de Dificultad Respiratoria/etiologíaRESUMEN
A deep right hemisphere AVM was demonstrated by angiography in an 8-year-old girl soon after her presentation with a subarachnoid haemorrhage. Eight years later the AVM was no longer visible on angiography. During the interval she had been completely asymptomatic and had received no treatment. There was no residual neurological deficit or epilepsy. A similar case has previously been described and is discussed briefly along with other cases of complete AVM regression.