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The management of secondary frozen shoulder after anterior shoulder dislocation e The results of manipulation under anaesthesia and injection

Introduction: Patients with secondary frozen shoulder following anterior dislocation were treated with manipulation under anaesthesia (MUA) and injection. Methods: Ten patients included in study. Oxford Shoulder Scores (OSS), range of motion (ROM) and need for any further treatment measured.

Results: Mean follow-up of 93 weeks. OSS and ROM improved in all patients. Three patients required repeat MUA.


The effect of platelet-rich plasma injection on lateral epicondylitis following failed conservative management

Objective: We assessed the effect PRP injection on pain and function in patients with lateral epicondylitis where conservative management had failed. Methods: We prospectively reviewed 34 patients. The mean follow-up was 26 weeks (range 6–114 weeks). We used the Oxford Elbow Score (OES) and progression to surgery to assess outcomes.

Results: 88.2% improved their OES.



Generally, in some universities of medicine, orthopaedic training procedures represent a difficult task due to the inadequacies of the systems, the resources, and the use of technologies. This article explains the challenges and the needs for more research in the issue of orthopaedic simulation around the world. Copyright © 2015, Professor P K Surendran Memorial Education Foundation.


A national questionnaire survey on knee manipulation following total knee arthroplasty

Background: Adequate range of knee motion is critical for successful total knee arthroplasty. While aggressive physical therapy is an important component, manipulation may be a necessary supplement. There seems to be a lack of consensus with variable practices existing in managing stiff postoperative knees following arthroplasty. Hence we aim to determine the current practice and trend among knee surgeons throughout the United Kingdom.

(540) 533-0489


A motion segment is defined as the smallest segment of the spine exhibiting biomechanical characteristics similar to that of the entire spine.1 Each motion segment consists of two adjacent vertebral bodies and the interconnecting ligaments.2 A spinal motion segment can undergo two kinds of motion e translatory and rotatory.2 Segmental instability occurs when an applied force produces displacement of part of a motion segment exceeding that found in a normal spine.3 Several researchers have defined normal motion in the lumbar spine.


Direct-to-Implant Single-Stage Immediate Breast Reconstruction with Acellular Dermal Matrix: Predictors of Failure

Background: Direct-to-implant single-stage immediate breast reconstruction using acellular dermal matrix is a cost-effective alternative to two-stage expander-implant reconstruction. The purpose of this study was to identify predictors of direct-toimplant single-stage immediate breast reconstruction failure, defined as need for early (≤6 months) revision surgery.

Methods: The authors conducted a retrospective cohort study of all patients with direct-to-implant single-stage immediate breast reconstruction in 2010 and 2011 at three University of British Columbia hospitals.


Three-Dimensional Nipple-Areola Tattooing: A New Technique with Superior Results

Summary: Traditional coloring techniques for nipple-areola tattooing ignore the artistic principles of light and shadow to create depth on a two-dimensional surface. The method presented in this article is essentially the inverse of traditional technique and results in a more realistic and three-dimensional reconstruction that can appear better than surgical methods. The application of three-dimensional techniques or “realism” in tattoo artistry has significant potential to improve the aesthetic outcomes of reconstructive surgery.

(503) 778-2204

Treatment of Infantile Hemangiomas with Propranolol: Clinical Guidelines

Background: Infantile hemangioma is a vascular tumor and requires treatment in lesions manifested by potentially dangerous symptoms. Several publications have reported that involution of infantile hemangioma could be accelerated by propranolol but have used only invalidated subjective measures of assessment. The authors aimed to objectively validate the aesthetic results after propranolol treatment for infantile hemangioma,


Population Analysis of the Perfect Breast: A Morphometric Analysis

Background: The authors previously identified key objective parameters that define the aesthetic ideal of the breast in a study of 100 models with natural breasts. In this follow-up article, the opinion of the general public on ideal breast proportions was surveyed.

Methods: One thousand three hundred fifteen respondents were asked to rank the attractiveness of images of four women with varying breast sizes.


The Role of Stem Cells in Aesthetic Surgery: Fact or Fiction?

Background: Stem cells are attractive candidates for the development of novel therapies, targeting indications that involve functional restoration of defective tissue. Although most stem cell therapies are new and highly experimental, there are clinics around the world that exploit vulnerable patients with the hope of offering supposed stem cell therapies, many of which operate without credible scientific merit,