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Biomedical subjects

C J Hand

Publications and source records attributed to C J Hand.

8 recordsLinked to original sources
PubMed2004

Handheld ultrasound diagnosis of extremity fractures.

Hand portable ultrasound has been validated in trauma patients using the FAST technique. The machine's light and rugged design make it suitable for military deployment and they have been successfully used on deployments in Kosovo, Afghanistan and Iraq. Ultrasound is widely accepted in the diagnosis of abdominal and thoracic trauma, however, little work exists on its use in extremity trauma. Although the diagnosis of fractures usually relies on X-ray this may not be readily available at Role 1 or 2. We successfully identified long bone fractures in three patients using hand portable ultrasound during Operation Telic. The technique and ultrasound findings are described and the current literature on this technique is reviewed.

Adult↗
PubMed2004

Association between anatomical features and anterior knee pain in a "fit" service population.

Anterior knee pain and overuse sports type injuries have been associated with anatomical factors. Specific diagnosis in knee pain is difficult, most service patients are grouped together as "Patello-Femoral Stress Syndrome". Knee pain incidence within the service population is unknown, but thought to be greater than those presenting to General Practitioners. 293 active duty service men (100 Army and 193 Royal Navy) were interviewed and examined in relation to their knees. 138 measurements were made on each subject. 118 admitted to knee problems. Six had specific diagnoses, ranging from patellar tendonitis to ACL deficiency (with marked anterior instability). The remaining 112 individuals formed the study group and examination findings were compared with the 175 without Patello-Femoral Stress Syndrome. The results have been analysed to determine normal ranges and predictors of knee pain. Age, years in the military and results of patello-femoral compression tests were consistently significantly different between the groups. This survey provides useful information on normal values at examination. Q angle measurement was a poor predictor of knee pain. There was no clinically detectable anatomical variant that correlated with the Patello-Femoral Stress Syndrome. There was poor correlation between Tegner activity score and the perceived limitation on sport or work, as assessed on a visual analogue scale.

Arthralgia↗
PubMed2001

Three year review following bone anchor repair of acute biceps tendon insertion rupture.

Three patients with acute biceps brachii tendon insertion ruptures were treated (less than 7 days post injury) using bone anchor anatomical repair. Dynamometer assessment of strength in both limbs was performed after completion of rehabilitation and again at 3.3 years after surgery. All patients were male, age 34, 35 and 53 years. Early isokinetic assessment was performed at 6, 7 and 12 months post surgery and medium assessment at 3.3 years post surgery. A full range of movement was achieved at early assessment and maintained into medium term assessment. All patients returned to their full premorbid occupation and sporting activity. Dynamometer strength of a repaired dominant limb equated to two thirds of a normal non dominant limb at early assessment, equal power was found at medium term assessment and a measurable increase in strength in both affected and unaffected arms was seen.

Adult↗
PubMed1999

Middle-term results of a cementless threaded self-tapping acetabular cup.

Various designs of acetabular cup are available for cementless fixation in patients undergoing total hip arthroplasty. Conflicting results have been reported in the literature about the middle to long-term outcomes with the use of these cups. We present our experience of a design of self-tapping threaded acetabular cup with metal backing (the ACSYS acetabular cup). This is a study of 41 hips with average follow up of 6.43 years. Functional grading of the hips was very satisfactory and none of the patients needed revision for aseptic loosening. No case of significant cup migration or osteolysis was noted. The paper also reviews the literature.

Acetabulum↗
PubMed1995

Orthopaedic implant removal at Royal Naval Hospital Stonehouse: a three-year review.

A recent study stated that 11% of all elective orthopaedic procedures performed at a Regional Orthopaedic Unit involved removal of orthopaedic implants. Indications for certain orthopaedic implant removal remain unclear. As budgets are squeezed even tighter throughout all branches of the Royal Navy, we looked at each operation performed for orthopaedic implant removal at Royal Naval Hospital Stonehouse and questioned their effectiveness with respect to finance and working days lost for serving personnel.

Fracture Fixation↗