Pedal osteitis is a radiographic description of structural changes at the solar margin of the distal phalanx rather than a proven disease and cause of lameness. Little is known about the pathophysiologic mechanisms that cause the associated radiographic changes, and it is difficult to regard pedal osteitis as a primary disease. The radiographic changes leading to this descriptive designation ha...

OBJECTIVE At present little information is available to help define whether a certain degree of pelvic organ prolapse is clinically relevant. We performed a retrospective study to define cut-offs for significant pelvic organ descent on the basis of prolapse symptoms. METHODS At a tertiary urogynecological center, 735 women with symptoms of lower urinary tract dysfunction and prolapse were see...

OBJECTIVE Systems for categorizing hypospadias are based on the location of the external meatus. The presented proposal draws on the organogenesis of the urethra and its position against the bone structure of the pelvis. The aim of the study was to examine the position of the corpus spongiosum division relative to pelvic bone structures as an indicator of the true level of hypospadias. PATIEN...

We reviewed the records of 1,156 patients treated for acute staphylococcal osteitis or septic arthritis over a 12-year period; 38 had been critically ill with evidence of multiple-organ involvement and 30 (79%) had features of the toxic shock syndrome. The mortality rate of these 38 patients was 13% and the long-term orthopaedic complication rate was 39%. The diagnosis and management of patient...