Orthopaedics and Trauma RSS feed: Current Issue. Orthopaedics and Trauma presents a unique collection of International review articles summarizing the current state of knowledge in orthopaedics. Each issue begins with a focus on a specific area of the orthopaedic knowledge syllabus, covering several related topics in a mini-symposium; other articles complement this to ensure that the breadth of orthopaedic learning is supplemented in a 4 year cycle. http://www.orthopaedicsandtraumajournal.co.uk/?rss=yesElsevier Inc.en © 2012 Published by Elsevier Inc. All rights reserved. Orthopaedics and Trauma1877-1327261February 2012 © 2012 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132712000206/abstract?rss=yesEditorial Board10.1016/S1877-1327(12)00020-6Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2iihttp://www.orthopaedicsandtraumajournal.co.uk/article/PIIS187713271200005X/abstract?rss=yesAbstract: Shoulder injuries are extremely prevalent in collision athletes and comprise up to 80% of injuries sustained in contact sports such as rugby. There presently exists no specific guidelines on return to play for shoulder injuries in contact and collision athletes. The diagnosis and management of these injuries therefore relies heavily on the clinical assessment and judgement of the treating surgeon. This review aims to outline the types of injuries sustained by contact and collision athletes and illustrates the means to assess, treat and manage the wide range of shoulder injuries that occur in this specific patient population, from sideline management by the team doctor through to orthopaedic surgical management.(i) The diagnosis and treatment of shoulder injuries in contact and collision athletesHans P. Van Lancker, Paul A. Martineau10.1016/j.mporth.2012.01.004Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2Mini-Symposium: Sports injuries111http://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132712000061/abstract?rss=yesAbstract: The steady increase in young athletes participating in sports combined with increased time and intensity of training, has led to a substantial rise in knee injuries. The unique physiology and anatomy of the growing athlete place them at risk of developing predictable injury patterns around the knee. We review the anatomy, pathophysiology, clinical evaluation, workup and treatment of common injuries affecting the knee of the growing athlete.(ii) Knee injuries in the growing athleteCharles A. Popkin, M. Lucas Murnaghan10.1016/j.mporth.2012.01.005Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2Mini-Symposium: Sports injuries1219http://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132712000048/abstract?rss=yesAbstract: Ankle sprains are the most common sports-related injury and are caused by forced plantar flexion and inversion. Most involve the lateral ligamentous complex and recover with conservative management, but 20% go on to develop biomechanical or functional instability. This article focuses on clinical symptoms, signs, conservative and surgical management of acute lateral ankle sprains and lateral ankle instability.(iii) Lateral ankle instabilityNicola Maffulli, Umile Giuseppe Longo, Stefano Petrillo, Vincenzo Denaro10.1016/j.mporth.2012.01.003Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2Mini-Symposium: Sports injuries2024http://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132712000036/abstract?rss=yesAbstract: Groin pain has a wide differential diagnosis, and its aetiology may be multifactorial. Common causes include hip joint pathology, sports hernia and snapping psoas, but rarer causes such as stress fracture, spinal pathology and intra-pelvic causes must be considered. Investigation is specific to the diagnosis postulated through a carefully taken history and examination. Femoroacetabular impingement is common and increasingly managed with hip arthroscopy, good short term results being reported.(iv) Groin pain in athletesRoger G. Hackney10.1016/j.mporth.2012.01.002Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2Mini-Symposium: Sports injuries2532http://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132711001047/abstract?rss=yesImaging quiz: tumours and tumour mimicsWinston J. Rennie, Robert U. Ashford10.1016/j.mporth.2011.07.012Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2Quiz3337http://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132711001448/abstract?rss=yesAbstract: Part one in our series covered the basic surgical anatomy and techniques used for hip arthroscopy. Part two covers the specific indications and complications of hip arthroscopy. Hip arthroscopy can be used to treat a diverse range of conditions affecting both the central and peripheral compartments of the hip, including loose bodies, femoroacetabular impingement, coxa sultans and septic arthritis. The body of evidence supporting these indications continues to expand; however, there is still much work to be done. Failure to follow the correct technique for patient positioning and portal placement significantly increases the risk of damaging important local neurovascular structures. Complications include neuropraxia secondary to traction or pressure from the perineal post, cartilage injury, infection, fluid extravasation and trochanteric bursitis.An introduction to hip arthroscopy. Part two: indications, outcomes and complicationsPeter D.H. Wall, Jamie S. Brown, Shanmugam Karthikeyan, Damian Griffin10.1016/j.mporth.2011.10.004Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2Hip3843http://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132711001254/abstract?rss=yesAbstract: The distal radio-ulnar joint can be a source of ulnar-sided wrist pain. The complex anatomy in this region of the wrist can make diagnosis of distal radio-ulnar joint problems challenging. An understanding of the anatomy can aid an accurate diagnosis. An overview of the anatomy, biomechanics and conditions of the distal radio-ulnar joint is provided, together with other common causes of ulnar-sided wrist pain.The distal radio-ulnar jointSam Dalal, S. Raj Murali10.1016/j.mporth.2011.09.004Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2Wrist4452http://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132711001667/abstract?rss=yesAbstract: Approaches to the management of the torn rotator cuff vary greatly between surgeons. In response, attempts have been made to define criteria for guiding treatment. However the failings of the literature upon which these recommendations are based are well recognized and, as a result, no consensus view exists. In this article we revise the anatomy of the rotator cuff and discuss the questions we should ask in deciding which tears to treat. The non-surgical and surgical options for management of the rotator cuff tear are considered, summarizing what experimental literature is available and highlighting areas of scientific paucity.Management of the non-traumatic full thickness rotator cuff tearStephen E. Gwilym, Jonathan L. Rees10.1016/j.mporth.2011.12.003Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2Shoulder5359http://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132712000024/abstract?rss=yesAbstract: The mucopolysaccaridoses are a collection of rare genetic conditions where there is a defect in lysosomal storage causing an accumulation of glycosaminoglycans. There are seven different forms of mucopolysaccaridosis (MPS), each with a different enzymatic mutation and thus each form has similar but separate clinical features. There are multiple effects of glycosaminoglycan deposition including musculoskeletal manifestations such as joint problems and growth arrests. Common treatments of the orthopaedic complications include hip arthroplasty, cervical spine surgery and epiphyseal stapling to correct genu valgum. Presently, the only curative treatment for MPS is haematopoietic stem cell transplantation. Enzyme replacement therapy is a future target for all forms of MPS and a range of therapies are currently in development.The mucopolysaccaridosesFrederick R.E. Quiney, Rouin Amirfeyz, Sarah Smithson, Martin Gargan, Fergal Monsell10.1016/j.mporth.2012.01.001Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2Syndrome6063http://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132712000085/abstract?rss=yesCME questions based on the Mini-Symposium on “Sports Injuries”10.1016/j.mporth.2012.01.007Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2CME Section6465http://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132711001382/abstract?rss=yesAnswers to CME questions based on the Mini-Symposium on “The Hand”10.1016/j.mporth.2011.10.001Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2CME Section6666http://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132711001485/abstract?rss=yesThis book is a comprehensive atlas of operative shoulder and elbow surgery and in this respect it trumps its competitors because is probably the most lavishly illustrated such atlas. It covers both open and arthroscopic techniques for both trauma and elective indications. It does not restrict itself to mainstream operations – conditions such as sternoclavicular reconstruction, superior scapular resection for snapping scapula (both open and arthroscopic) and muscle transfers for various types of scapular winging are treated in the same rigorous way as replacing a shoulder or fixing a clavicle fracture. Even the rarely performed operations are represented not only by line drawings and diagrams but also operative or cadaveric photographs.Operative techniques in shoulder and elbow surgery 2010David Limb10.1016/j.mporth.2011.11.003Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2Book Reviews6767http://www.orthopaedicsandtraumajournal.co.uk/article/PIIS1877132711001631/abstract?rss=yesKit Song and his team of authors, many of whom are well known in the field of paediatric orthopaedics, have provided an excellent overview and update in the form of this book.Orthopaedic knowledge update in paediatricsS. Jones10.1016/j.mporth.2011.11.007Orthopaedics and Trauma 26, 1 (2012)2012-02-01Orthopaedics and Trauma2012-02-01261S1877-1327(12)X0002-2Book Reviews6767