OBJECTIVE To retrospectively assess the early results of the NexGen Legacy posterior-stabilised total knee prosthesis, which is a newer version of the Insall-Burstein II posterior-stabilised implant. METHODS 48 consecutive elderly patients had 60 NexGen Legacy posterior-stabilised total knees. The mean follow-up duration was 21 months. Clinical evaluation was performed according to the Knee S...

To cite: Hall JE. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013009928 DESCRIPTION The patient (figure 1) is a US Navy diver who developed left orbital swelling and eyelid closure during a diving exercise. The swelling occurred immediately after surfacing from a shallow, surfacesupplied helmet air dive. Two hours earlier, while performing flips off the side ...

Patients with necrotizing soft tissue infections often present initially to family physicians. These infections must be detected and treated rapidly to prevent loss of limb or a fatal outcome. Unfortunately, necrotizing soft tissue infections have no pathognomonic signs. Patients may present with some evidence of cellulitis, vesicles, bullae, edema, crepitus, erythema, and fever. They also may ...

Introduction: Temporomandibular joint disorders (TMD) are the most common disorders of the jaw, and despite their clinical importance, they are not completely understood. This study was aimed to evaluate the changes of temporomandibular joint (TMJ) on cone beam computed tomography (CBCT) images in disc displacement vs. osteoarthritis of the TMJ. Methods: In this study, 45 patients, including 37...

Corresponding author: Abhishek Bansal, MD Department of Anaesthesiology and Critical Care Medanta-The Medicity Sector 38 Gurgaon, Haryana, India e.mail: [email protected] Artefacts are quite common in chest radiographs and may lead to unnecessary imaging and interventions, if not recognized timely. A 70 year old male with triple vessel coronary artery disease underwent coronary artery by...

n engl j med 366;1 nejm.org january 5, 2012 74 A 40-year-old woman with asthma presented with a 2-day history of pleuritic pain of acute onset in the right side of the chest. She had been coughing markedly for 2 weeks and was treated in the community with antibiotics for a lower respiratory tract infection. There was no history of trauma. Her medical history also included hypertension, depressi...

We studied 40 patients exhibiting radiologic changes of either osteochondritis dissecans (OCD) or avascular necrosis (AVN) involving the mandibular condyle to evaluate the structural changes associated with these lesions when using high-field-strength MR imaging. Various clinical indications for imaging each patient with routine radiography, tomography, and surface-coil MR included headache, te...

CASE REPORT A 73 year old man presented with loss of mobility, anorexia, weight loss and pain in the left hip. Recent investigation of altered bowel habit had shown extensive diverticular disease of the sigmoid colon. On examination he was cachectic, dehydrated and pyrexic. There was redness, increased temperature, swelling and crepitus in the left groin with fixed flexion deformity and painful...

An 18-hour-old neonate was found to have absent movement of the left arm and a mildly edematous elbow following precipitous delivery with observed traction applied to the left arm. Radiographs (Figure 1) showed abnormal elbow alignment without osseous fracture and a moderate joint effusion. Magnetic resonance imaging (MRI) [Figure 2] revealed a transverse fracture through the distal left humera...

PURPOSE To evaluate the safety of simultaneous bilateral total knee replacement (TKR). METHODS 124 women and 26 men (mean age, 66 years) underwent simultaneous bilateral TKR for tricompartmental osteoarthritis using a posteriorstabilised, high-flexion implant. All patients underwent dobutamine stress echocardiography for detection of any silent cardiac comorbidity by a cardiologist. None had ...