ABSTRACT
We assessed the feasibility of a store-and-forward email teleneurology service between a UK neurologist and a rehabilitation hospital in Bangladesh. Over 12 months, email advice was requested for 12 patients (mean age 43 years, range 15-57 years). Each patient generated an average of 5.2 email messages. Eight cases were considered complicated by the neurologist, who would have preferred a video-link consultation for these. The referring doctor found the neurologist's advice beneficial in 75% of the complex cases and in all of the more straightforward cases. Patient care was changed in 50% of the cases as a result of the specialist advice and one patient transfer out of the country was avoided. Store-and-forward teleneurology is effective for delivering expert neurological advice.
Subject(s)
Computer Communication Networks , Developing Countries , Nervous System Diseases/therapy , Remote Consultation/methods , Adolescent , Adult , Feasibility Studies , Humans , Magnetic Resonance Imaging , Middle Aged , Nervous System Diseases/diagnosis , Tomography, X-Ray ComputedSubject(s)
Bone Lengthening/methods , Femoral Fractures/surgery , Fractures, Malunited/surgery , Leg Length Inequality/surgery , Fracture Fixation, Intramedullary/adverse effects , Fractures, Malunited/etiology , Humans , Leg Length Inequality/etiology , Male , Osteotomy/methods , Reoperation , RotationSubject(s)
Femur , Naval Medicine , Pain/etiology , Patella , Female , Humans , Male , Pressure , SyndromeSubject(s)
Hallux Valgus/surgery , Osteotomy/methods , Adolescent , Adult , Aged , Female , Humans , Male , Metatarsus/surgery , Middle AgedSubject(s)
Carbon , Knee Joint/surgery , Ligaments, Articular/surgery , Prostheses and Implants , Carbon Fiber , Humans , Joint Instability/surgery , MaleABSTRACT
Ten patients are reported who had sustained a partial rupture of the anterior cruciate ligament in a twisting injury of the knee. Nine of the 10 patients presented with a small effusion and pseudo-locking of the knee which was thought to be due to muscular spasm to prevent further ligamentous injury. The patients were examined clinically, under anaesthesia and by arthroscopy and the signs were found to be remarkably similar to those in patients with a tear of the medial meniscus. The mechanism of injury leading to partial rupture of the anterior cruciate ligament is discussed.