Despite the lack of validation, synovial aspiration remains a common practice during 2-stage septic revision total knee arthroplasty (TKA). The goal of this study was to investigate the diagnostic validity of synovial polymethylmethacrylate (PMMA) spacer aspiration of temporary knee arthrodesis to detect persistent periprosthetic joint infection before TKA reimplantation. This retrospective coh...

The case is presented of a 5 year old boy who attended after an inversion injury. He had persistent pain despite treatment and was subsequently diagnosed with acute myelogenous leukaemia. It is well recognised that acute leukaemia commonly presents as non-traumatic limb pain. This case highlights the need to consider acute leukaemia in the differential diagnosis of any persisting bone or joint ...

BACKGROUND Persistent complaints are very common after a lateral ankle sprain. AIM To investigate possible associations between structural abnormalities on radiography and MRI, and persistent complaints after a lateral ankle sprain. DESIGN AND SETTING Observational case control study on primary care patients in general practice. METHOD Patients were selected who had visited their GP with ...

This study used 'think aloud' to explore issues around using a standardised questionnaire to assess persistent pain after joint replacement. Twenty participants with moderate-extreme persistent pain in their replaced hip or knee completed the Chronic Pain Grade (CPG) while 'thinking aloud'. The interviews were audio-recorded, transcribed and analysed using thematic analysis. Completion of the C...

In 3-D analyses of rock slopes there’re can be numerous sliding paths a long a coplanar nonpersistent discontinuity with a known strike. This paper describes an approach for the determination of a most probable sliding path. For this particular study, several blocks of gypsum with the dimensions of 15×15×15 cm containing coplanar non-persistent open joints were fabricated. The models have vario...

The use of opioid analgesics for postoperative pain management has contributed to the global opioid epidemic. It was recently reported that prescription opioid analgesic use often continued after major joint replacement surgery even though patients were no longer experiencing joint pain. The use of epidural local analgesia for perioperative pain management was not found to be protective against...

Dislocation of the sternoclavicular joint is a rare injury and typically requires high-energy forces applied through the joint. Initial treatment is dependent on the direction of dislocation, with acute reduction indicated for posterior dislocations presenting with signs of tracheal, esophageal, or neurovascular compression. Although most patients do well with conservative treatment after the i...

We study graded response attractor neural networks with asymmetrically extremely dilute interactions and Langevin dynamics. We solve our model in the thermodynamic limit using generating functional analysis, and find (in contrast to the binary neurons case) that even in statics one cannot eliminate the non-persistent order parameters. The macroscopic dynamics is driven by the (non-trivial) join...

BACKGROUND Persistent whiplash associated disorders (WAD) have been associated with alterations in kinesthetic sense and motor control. The evidence is however inconclusive, particularly for differences between WAD patients and patients with chronic non-traumatic neck pain. The aim of this study was to investigate motor control deficits in WAD compared to chronic non-traumatic neck pain and hea...

Diagnosis and treatment of intra-articular hip problems in young patients present a challenge to hip surgeons. Previous studies have shown that non-invasive investigations such as radiography, computed tomography and magnetic resonance imaging provide limited help. Non-operative treatment is likely to result in persistent symptoms, and surgical options for intra-articular hip problems involve o...