Arthroscopy

This book covers a physical examination, imaging, differential diagnoses, and treatment of articular pathologies. For each diagnosis, the book sets out the typical presentation, options for non-operative and operative management, and expected outcomes. Practical and user-friendly, Arthroscopy is a useful resource for medical students and practitioners seeking fast facts on diagnosis and management. Its format makes it a perfect quick reference and its content breadth covers commonly encountered orthopedic problems in practice

Arthrokinematics of the Distal Radioulnar Joint in the Normal Wrist and Following Distal Radius Malunion

Contact patterns in the distal radioulnar joint (DRUJ) are not well understood for normal anatomy or with distal radius deformity. This thesis presents three studies which investigate the arthrokinematics of the DRUJ for these conditions. The first study compared casting and Tekscan, two standard methods for contact measurement, with a novel technique of proximity mapping termed Inter-cartilage Distance (ICD). The relative benefits, limitations and role for ICD in DRUJ contact assessment were examined and discussed. The second study used ICD to characterize contact patterns in the native DRUJ. Contact was found to be maximal in 10 degrees of supination and the contact centroid moved volar and proximal with supination. The third and final study evaluated the effect of dorsal angulation deformity on DRUJ arthrokinematics. The contact centroid moved volarly, while simulated TFCC rupture reduced DRUJ contact area and caused the centroid position to become more variable in its pathway

Osteoarthritis

Osteoarthritis is one of the most debilitating diseases affecting millions of people worldwide. However, there is no FDA approved disease modifying drug specifically for OA. Surgery remains an effective last resort to restore the function of the joints. As the aging populations increase worldwide, the number of OA patients increases dramatically in recent years and is expected to increase in many years to come. This is a book that summarizes recent advance in OA diagnosis, treatment, and surgery. It includes wide ranging topics from the cutting edge gene therapy to alternative medicine. Such multifaceted approaches are necessary to develop novel and effective therapy to cure OA in the future. In this book, different surgical methods are described to restore the function of the joints. In addition, various treatment options are presented, mainly to reduce the pain and enhance the life quality of the OA patients

Pediatric Fractures

This reprint contains original research and review chapters concerning the latest advancements in various topics related to pediatric fractures. Topics include fractures of the face, clavicle, shoulder, elbow, forearm, wrist, pelvis, femur, and tibia; special considerations focus on osteogenesis imperfecta patients; and consideration is also given to general pediatric fracture topics, such as the influence of the COVID-19 pandemic, mortality after pediatric trauma, the effects of NSAID and electronic cigarette use, and chapters on epidemiology and physical activity

Radiological perspective of the formation of pressure ulcers - a comparison of pressure and experience on two imaging surfaces

Introduction: Pressure ulcers are a high cost, high volume issue for health and medical care providers, affecting patients’ recovery and psychological wellbeing. The current research of pressure on support surfaces as a risk factor in the development of pressure ulcers is not relevant to the specialised, controlled environment of the radiological setting. Method: 38 healthy participants aged 19-51 were positioned supine on two different imaging surfaces (X-ray Table & Mattressed Table). Interface pressure data was acquired using the XSENSOR pressure mapping over a time of 2073 minutes, preceded by 6 minutes settling time to reduce measurement error. Qualitative data regarding participants’ opinion of pain and comfort was recorded using a questionnaire. Data analysis was performed using SPSS 22. Results: Data was collected from 30 participants aged 19 to 51 (mean 25.77, SD 7.72), BMI from 18.7 to 33.6 (mean 24.12, SD 3.29), for both imaging surfaces, following eight participant exclusions. Total average pressure, average pressure for jeopardy areas (head, sacrum & heels) and peak pressure for jeopardy areas were calculated as interface pressure in mmHg. Qualitative data showed that a significant difference (P<0.05) in experiences of pain and discomfort between the two surfaces. A significant difference is seen in average pressure between the two surfaces. Conclusion: Pain and comfort data also show a significant difference between the surfaces. All findings support the proposal for further investigation into the effects of radiological surfaces and overlays as a risk factor for the formation of pressure ulcers

UWOMJ Volume 64, Number 2, Spring 1995

Schulich School of Medicine & Dentistryhttps://ir.lib.uwo.ca/uwomj/1242/thumbnail.jp