Hand Injuries—Still Poorly Managed

Why is gout so poorly managed?

G out has been recognised since ancient times, and we currently have a deep understanding of its pathophysiology. The disease results from a deposit of monosodium urate (MSU) crystals in joint structures and in other, generally periarticular, sites in the form of tophi. High serum uric acid (SUA) is required for the formation of these crystals. The most characteristic features of gout are acute...

Mirror Hand: An Uncommon Neglected Case Managed with Pollicisation

Pancreatogenic Type 3c Diabetes: Underestimated, Underappreciated and Poorly Managed

Type 3c diabetes, also known as pancreatogenic diabetes, refers to diabetes resulting from pancreatic disease, including pancreatitis, cystic fibrosis and pancreatic cancer. It is difficult to diagnose, and for many, management is challenging due to erratic swings from hypoglycemia to hyperglycemia caused by metabolic abnormalities due to pancreatic tissue damage. This review aims to describe t...

Mirror Hand: An Uncommon Neglected Case Managed with Pollicisation

Mirror hand or ulnar dimelia is a very rare congenital anomaly characterized by symmetric duplication of the upper limb in the midline. In most cases there is mirrored symmetry with a central digit and 3 digits on either side representing the middle ring and small fingers. The thumb is absent despite presence of seven digits. There is duplication of ulna and absence of radius. The preaxial ulna...

Does fesoterodine have a role in the treatment of poorly managed patients with overactive bladder?

Overactive bladder (OAB), a clinically defined symptom complex comprising urinary urgency, usually accompanied by urinary frequency and nocturia, with or without urgency incontinence, is common and has a markedly negative impact on the sufferer's quality of life. Following conservative and lifestyle management, the current pharmacological mainstay of treatment is antimuscarinic therapy. This re...