Michael Elvey
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View article: Surgical management of Kienböck’s disease with non-negative ulnar variance: A systematic review
Surgical management of Kienböck’s disease with non-negative ulnar variance: A systematic review Open
The evidence base for managing Kienböck's disease in non-ulnar-negative wrists is limited and heterogeneous. Isolated capitate shortening osteotomy appears to offer reliable symptomatic relief in early and mid-stage disease, whereas combin…
View article: Paediatric forearm fractures: assessment and initial management
Paediatric forearm fractures: assessment and initial management Open
The forearm is the most common site of fracture in children. At the time of initial assessment, a thorough examination and neurovascular assessment of the limb is necessary. X-rays allow evaluation of the fracture location and type, in add…
View article: Functional outcomes of elbow injuries managed according to the Wrightington classification of elbow fracture-dislocations
Functional outcomes of elbow injuries managed according to the Wrightington classification of elbow fracture-dislocations Open
Background This study aims to review the functional outcomes of patients managed by the application of the Wrightington elbow fracture-dislocation classification system and its corresponding management algorithms. Methods This is a retrosp…
View article: Current perspectives on elbow dislocation and instability
Current perspectives on elbow dislocation and instability Open
Obtaining a successful outcome following a significant elbow injury can be challenging for even the most experienced specialist. What is clear is that suboptimal management has a high chance of a disappointing outcome with pain, stiffness,…
View article: The use of low-intensity pulsed ultrasound in hand and wrist nonunions
The use of low-intensity pulsed ultrasound in hand and wrist nonunions Open
The management of hand and wrist nonunions is challenging and alternatives or adjuncts to surgery to promote healing are an attractive prospect. Low-intensity pulsed ultrasound (LIPUS) is reported to improve bone healing and is supported f…
View article: Current concepts in elbow fracture dislocation
Current concepts in elbow fracture dislocation Open
Background Elbow fracture dislocations are complex injuries that can provide a challenge for experienced surgeons. Current classifications fail to provide a comprehensive system that encompasses all of the elements and patterns seen in elb…
View article: The outcome of bone graft surgery for nonunion of fractures of the scaphoid
The outcome of bone graft surgery for nonunion of fractures of the scaphoid Open
Data on 806 patients undergoing bone graft surgery for a scaphoid fracture nonunion were retrospectively collected at 19 centres in the United Kingdom. Each centre contributed at least 30 cases. Sufficient data were available in 462 cases …
View article: Defining occult injuries of the distal forearm and wrist in children
Defining occult injuries of the distal forearm and wrist in children Open
Purpose The nonspecific terms “wrist sprain” and “suspected occult bony injury” are frequently documented as diagnoses in occult paediatric wrist injuries. To date, however, no one has accurately defined their true underlying pathology. Th…