Wishaw General Hospital

About: Wishaw General Hospital is a healthcare organization based out in Wishaw, Scotland, United Kingdom. It is known for research contribution in the topics: Population & Survival rate. The organization has 256 authors who have published 222 publications receiving 4324 citations.

Arthroscopic repair of inferior glenoid labrum tears (Down Under lesions) produces similar outcomes to other glenoid tears.

Abstract: Inferior glenoid labral tears are an uncommon but distinct shoulder injury. Only a small number of studies have reported outcomes following arthroscopic repair. The aim of the current study was to report minimum 2-year outcomes following inferior labral repair and to compare outcomes and risk factors associated with the injury to non-inferior labral tears. Whether preoperative MRI or MRA identified inferior labral tears was also assessed. A prospective study of 162 consecutive patients undergoing arthroscopic glenoid labral repair, excluding isolated superior labral tears, was conducted. Of the 130 patients available for follow-up, 18 (13.7%) had an inferior labral tear (“Down Under lesion”), the remainder had anterior, posterior or mixed anterior/posterior lesions that did not include the inferior pole. Mean follow-up time for the Down Under group was 44 months (SD 10, range 27–57), and 30 months (SD 14, range 4–60) for the non-Down Under group. Postoperative outcomes included the Oxford Shoulder Instability Score and recurrent instability. Associations between Down Under lesions and injury mechanism, instability at presentation, recurrent instability and family history were assessed with multivariable logistic regression. Preoperative MRI or MRA reports by radiologists were examined to determine if Down Under lesions were identified. Oxford Shoulder Instability Scores indicated that most patients in both groups had little pain or shoulder problems postoperatively (average Oxford Score 41; 48 = no symptoms). Oxford Scores were not significantly different between the Down Under and non-Down Under groups. Four patients (22.2%) in the Down Under group had recurring symptoms (pain and instability) compared to 12 (10.6%) in the non-Down Under group; this difference was not statistically significant (adjusted OR 1.09, 95% CI 0.19,4.77). Family history of shoulder instability was positively associated with a Down Under lesion (adjusted OR 5.0, 95%CI 1.51,16.7). MRI or MRA identified 52.9% of Down Under lesions. Down Under lesions were an infrequent type of glenoid labral injury, yet postoperative outcomes were similar to other labral tears. Patients with Down Under lesions had a significant risk factor due to family history of shoulder instability. MRI and MRA could not reliably identify Down Under lesions. Level III.

Effectiveness of Sodium Hyaluronate and ADCON-T/N for the Prevention of Adhesions in Hand Flexor Tendon Surgery: A Systematic Review and Meta-Analysis

Abstract: Purpose A common complication after digital flexor tendon repair in the hand is postoperative adhesions that can cause loss of motion and compromise hand function. The aim of this review of relevant published literature was to assess the effectiveness of locally administered sodium hyaluronate or ADCON-T/N for the prevention of adhesions after hand flexor tendon repair. Methods A literature search was conducted in June 2020 in multiple databases for randomized controlled trials . Our primary outcome was measurement of active finger motion. Follow-up was defined as short-term ( 6 months). Mean differences (MD) and standardized mean differences (SMD) of total active motion (TAM) of the interphalangeal joints (IPJs) and active motion of the IPJs separately were calculated where results were meta-analyzed. Results Six randomized controlled trials were included. For ADCON-T/N, no benefits were detected for TAM of the IPJs (MD 1.71 [-21.54, 24.96]) or active motion of the IPJs separately (proximal: MD 4.77 [-4.47, 14]; distal: MD 1.17 [-10.33, 12.66]) in the short-/mid-term. The mid-term benefit in TAM of sodium hyaluronate over standard care (placebo/no treatment) did not reach statistical significance (SMD 0.31 [0, 0.63]); however, a subgroup comparison of repeated administration of sodium hyaluronate versus standard care was both statistically and clinically significant (SMD 0.55 [0.11, 0.98]). Conclusions Repeated administration of sodium hyaluronate at the tendon repair site may be effective in improving postoperative active finger motion after primary hand flexor tendon repair in the mid-term. Type of study/level of evidence Therapeutic II.

Talking glucose meter for the visually impaired diabetic patient: the effect of haematocrit on glucose measurement.

Abstract: (2012). Talking glucose meter for the visually impaired diabetic patient: the effect of haematocrit on glucose measurement. British Journal of Biomedical Science: Vol. 69, No. 1, pp. 41-42.

Klebsiella Pneumoniae CAUSING SPONDYLODISCITIS: AN UNUSUAL CAUSE OF BACK PAIN IN AN ELDERLY PATIENT

Abstract: Spondylodiscitis is a manifestation of a blood borne infection in the elderly. The diagnosis can be really challenging, especially in those patients with significant co-morbidities. Although Staphylococcus aureus has been incriminated as the most common causative microorganism, other rare pathogens have been described in literature. We present a rather unusual case of an octogenarian who presented with back pain and no obvious foci of infection anywhere else. Blood culture revealed Klebsiella Pneumoniae as the causative microorganism. This patient showed dramatic improvement on intravenous antibiotics and was asymptomatic on follow up with complete resolution of his back pain.

Strength in numbers: a step closer to standardising perinatal care for drug-misusing women and their infants.

Abstract: We read with great interest the recent paper by Isemann et al.1 In this retrospective review of 128 neonates the severity of neonatal abstinence syndrome (NAS) was mitigated by reducing maternal methadone dose during pregnancy and encouraging breastfeeding. We fully support these conclusions but believe there to be some shortcomings in the study including failure to document the incidence of NAS in the population studied. We caution against using length of stay as a proxy for NAS severity; these infants typically have complex social backgrounds and often require prolonged hospital stays simply to facilitate discharge planning.