Annals of the Royal College of Surgeons of England
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Ann R Coll Surg Engl · Jan 2010
Case ReportsSmall flake, big problem: an unreported cause of extensor pollicis longus tendon rupture.
Fracture of the base of the third metacarpal with associated avulsion of the extensor carpi radialis brevis tendon is a rare injury. We report such a fracture and the unusual resulting complication of division of the extensor pollicis longus tendon by the avulsed bony fragment. Careful monitoring using lateral radiographs is needed to make the diagnosis and displacement of the avulsed fragment warrants open reduction and internal fixation.
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Ann R Coll Surg Engl · Jan 2010
Comparative StudyChanging management of suspected appendicitis in the laparoscopic era.
The aims of this study were to examine the trends in performance of open and laparoscopic appendicectomy at a district general hospital, and to compare the diagnostic outcomes in the two patient groups. ⋯ Laparoscopic appendicectomy is increasingly being performed. Laparoscopy is often used as a diagnostic tool in general surgical patients, particularly women, with lower abdominal pain. In effect, these patients are undergoing diagnostic laparoscopy, with or without appendicectomy. This has resulted in a lower positive appendicectomy rate, but a higher yield of diagnoses other than appendicitis, in the laparoscopic group. Overall appendicectomy rates, however, have remained unchanged.
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Ann R Coll Surg Engl · Jan 2010
Obesity and recovery from low back pain: a prospective study to investigate the effect of body mass index on recovery from low back pain.
We describe a prospective cohort study to investigate any association between recovery from low back pain and body mass index (BMI) in patients with low back pain undergoing physiotherapy. ⋯ This study demonstrates that BMI does not influence the overall recovery from low back pain in patients undergoing physiotherapy treatment.