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3766 results in Surgery

Page 72 of 189

Pathology of Bone and Joint Disorders
  • With Clinical and Radiographic Correlation
  • 2nd edition
  • Edward F. McCarthy, Frank J. Frassica
  • Published online:
    09 October 2014
    Print publication:
    20 November 2014
  • This practical book covers all aspects of diseases of bones and joints in one easily readable volume. Richly illustrated in color with abundant photographs and diagrams, each disease category includes a short introduction, discussion of clinical, radiographic and pathologic features, and treatment suggestions. Fully updated throughout, this new edition discusses the molecular genetics of orthopedic diseases and new imaging modalities such as the PET scan. Newly clarified entities are included, such as failure of metal-on-metal hip prostheses, osteonecrosis of the jaw, atypical femoral fractures, and rapidly destructive hip arthrosis. Drawing on their extensive experience as clinicians and teachers, the authors' accessible narrative style enables easy comprehension. Written by a bone pathologist and an orthopedic surgeon, the book emphasizes a team approach to diagnosis and treatment. This is an essential resource for residents in pathology, orthopedic surgery and radiology, and also serves as a valuable handbook for senior practitioners in these specialties. The book is packaged with a password, giving the user online access to all the text and images.

Postgraduate Paediatric Orthopaedics
  • The Candidate's Guide to the FRCS (Tr and Orth) Examination
  • Edited by Sattar Alshryda, Stan Jones, Paul A. Banaszkiewicz
  • Published online:
    05 August 2014
    Print publication:
    31 July 2014
  • The latest book in the Postgraduate Orthopaedics series brings together the information that every trainee needs to know when faced with paediatric cases in their clinical practice and the FRCS (Tr and Orth) examination. The content is organised according to body regions, with step-by-step guides to common paediatric orthopaedic operations. Practice examination questions help readers test their own understanding, and many clinical photographs, charts and radiographs are included to explain important concepts. The concise, evidence-based chapters are written by practising paediatric orthopaedic surgeons to reflect the core knowledge expected of a newly appointed consultant - the set standard and reference criteria for passing the FRCS (Tr and Orth) - maximising the chances of examination success. This is the essential revision guide for the paediatric component of the FRCS (Tr and Orth), as well as the European Board of Orthopaedics and Traumatology, FRACS (Orth), FRCSC (Orth) and the American Board of Orthopaedic Surgery examinations.

  • Chapter 18 - MCQs and EMQs

  • Edited by Sattar Alshryda, Stan Jones, Paul A. Banaszkiewicz
  • Book:
    Postgraduate Paediatric Orthopaedics
    Published online:
    05 August 2014
    Print publication:
    31 July 2014, pp 263-277

  • Summary

    Children’s Orthopaedics multiple-choice questions

    Part 1 of the FRCS (Tr & Orth) is the written part of the exam and consists of two papers. The first paper is sat in the morning while the second paper takes place in the afternoon. The Joint Committee on Intercollegiate Examinations endeavours to provide a minimum of 30 minutes between each paper.

    It is considered the easiest part of the exam to pass, the clinicals and vivas being the difficult hurdles. This can lead to a false sense of security and some candidates may not apply themselves in their reading preparation as much as needed. The other issue is that candidates are not expected to fail this section, and this may increase expectations and pressures on candidates. The UK In-Training exam acts as a dress rehearsal and should be completed yearly by orthopaedic trainees. Your score should improve yearly and ideally peak the year before you sit the real exam. From 2013, the pass mark for the Part 1 exam has been increased by the Examination Board. This was unpredicted and means that candidates have to ‘up’ their exam preparation to avoid falling at this hurdle.

  • Chapter 3 - The hip

  • Edited by Sattar Alshryda, Stan Jones, Paul A. Banaszkiewicz
  • Book:
    Postgraduate Paediatric Orthopaedics
    Published online:
    05 August 2014
    Print publication:
    31 July 2014, pp 17-61

  • Summary

    Background

    Although a rare condition (2:100 000), slipped upper femoral epiphysis (SUFE) is one of the most common types of paediatric and adolescent hip disorder. The incidence of SUFE varies with:

    1. Sex: SUFE is more common in boys (75% of cases) with the peak incidence occurring at 12 to 15 years compared with 10 to 13 years in girls. Thus, boys tend to have their slip 2 years older than girls. SUFE is rarely reported after the age of 20 years [1].

    2. Race [2]: SUFE is more common in those of African and Polynesian descent.

    3. Laterality: SUFE is more common on the left side (as is developmental dysplasia of the hip (DDH)). The reason is unknown; it may be related to the sitting posture of right-handed children while writing. The incidence of bilaterality has been reported to be as high as 50%, although the generally accepted incidence is 20%. In children with bilateral involvement, 50–60% present with simultaneous SUFEs and those who present with a unilateral SUFE and subsequently develop a contralateral SUFE do so within 18 months. Younger patients and those with endocrine or metabolic abnormalities are at much higher risk of bilateral involvement.

    4. Seasonal variations: this is debatable; some studies have suggested that SUFE is more common in June and July.

    Aetiology

    Although, the cause is poorly understood, it is believed that increased shear forces or a weak growth plate (the physis) in adolescence predisposes to SUFE. This results in the head of the femur staying in the acetabulum and the neck slipping forward and outward.

Page 72 of 189