1. High tibial osteotomy-above the tibial tubercle-gives good results in elderly patients disabled by arthritis of the knee. 2. A technique of operation is described in which fixation is secured by four pins gripped in compression clamps. 3. No other fixation is needed, and knee movements and walking are encouraged within a few days of operation. 4. The early results warrant further trial of the method.
1. Shin splints in five horses is described as a stress fracture of the second metacarpal bone. 2. The value of this finding in relation to stress fracture of the tibia in man is discussed.
1. Stress fractures of the femoral neck in twenty-five patients are described. 2. Two distinct radiological types, compression fractures and transverse fractures, are described. A clinical distinction cannot be made in the early stages. 3. The importance of the early differential diagnosis between the two types is emphasised because the transverse stress fracture of the femoral neck will become displaced. 4. The morbidity after a displaced transverse fracture of the femoral neck can be severe.
1. Stress fractures are described in children. The fibula and tibia are most often affected. 2. Stress fractures of the humerus are described in two boys aged fifteen. 3. Stress fractures are described in the pelvis in children.
1. Compression stress fractures are described. 2. These fractures have all been previously described in various bones but have not been associated as a clinical or radiological entity. 3. The greyhound suffers a compression stress fracture of the navicular bone. This is described with certain deductions therefrom.
Six patients with longitudinal stress fractures of the tibia and femur are described. The difficulties of diagnosis and its confirmation are emphasised.
Case histories are given of three patients, two of whom had stress fractures of the patella, and one had a similar condition due to stress.
1. A type of stress fracture of the tibia in runners is described. 2. This type of fracture, associated with "shin soreness," has not been recognised before. 3. The signs, symptoms and radiological appearances are discussed, and treatment is outlined.
1. Fifty cases of recurrent dislocation of the shoulder are reported, operated upon by Bankart and his colleagues from 1925 to 1954. 2. This is the first detailed survey of his patients, some of whom we were unable to trace. 3. It has been confirmed that the operation is successful, and that a full range of movement can be regained after operation, though not in every case. 4. Two cases treated unsuccessfully are described and discussed.
1. An account is given of fifty stress fractures of the fibula which occurred in athletes. 2. The characteristic symptoms, signs and radiological appearances are described, with details of treatment and prognosis. 3. The mechanism of the injury has been suggested on clinical grounds and supported by experimental methods.
1. Chondromalacia, sometimes a precursor of osteoarthritis, is present in the articular cartilage of the patella of most people by the age of thirty; it causes symptoms in only a few, and it gives rise to osteoarthritis in fewer still. It may progress slowly or quickly but there is no clinical method of assessing the prognosis at an early stage. 2. The earliest change is swelling of the cartilage associated with a decrease in the chondroitin sulphuric acid content of the matrix. Later the cartilage fissures and flakes off to expose the bone, and there are reactive changes in the cartilage, bone and synovial membrane. The process is described and the etiology discussed. 3. The symptoms, signs and treatment are discussed. Operation, which has been performed only when there are disabling symptoms, may consist in removing part or the whole of the articular cartilage, or in excision of the patella. The results in forty-six knees are given.
All the cup and replacement arthroplasties of the hip at the Middlesex Hospital performed two or more years agoâ110 casesâhave been reviewed. Cup arthroplasty was the more successful.
