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explained by our finding that when comparing the Fuhrman grade of the initial tumour, progression in the grade of metastases was found in 40%, downgrading in 30% and the same grade in 30%. This explains that the final outcome for the patient depends more on
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severity and the rate of progression will ultimately depend on the form of CMT, its causative gene and the type of mutation. 21 Typically, the deformity tends to appear at the beginning of the second decade of life, when the heel varus is initially
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potentially as a progression of an acute posterior shoulder subluxation or dislocation (A1 or A2) and structural PSI (B2) ( Fig. 2 ) ( 26 ). Figure 2 Progression from an acute posterior shoulder subluxation (type A1) to an acquired static PSI (type C2
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intraarticular FAI have a good clinical result without osteoarthritis progression and no total hip arthroplasty at 10-year follow-up. 76 One could count failure of the procedure and disease progression as complications, and several predictive factors for an
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, 29 Clinical evidence shows that in the short term, a significant number of tears progress in size and become symptomatic. Recently, Keener et al, 30 prospectively evaluated 56 patients with asymptomatic PTRCTs. They showed tear progression in
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untreated, progression to more generalised degeneration will occur. The current standard of care for the treatment of small chondral defects is microfracture. However, this technique is recognised to be an incomplete solution to deal with these lesions. 20
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the disease, but most will present with pain, swelling or acute synovitis. Serial radiographs, including oblique views, 14 will be necessary to monitor the progression of the disease. CT scans are useful to assess the areas of osteolysis and MRI
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any digit. 6 It usually starts in the palm of the hand and then presents a distal progression ( Fig. 1 ). 2 Skin changes might also be present, namely pitting and dimpling. 2 Fig. 1. Volar view of the hand showing a cord
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frequent finding and is not indicative of implant failure as long as there in no progression in bone loss. It has rather been thought of as the radiological appearance of fibrous membrane formation secondary to cement-bone interactions ( Fig. 4 ). 38
Hand Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
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Faculty of Life Sciences and Medicine, King’s College London, London, UK
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procedure that relieves pain but does not stop the progression of the disease; therefore, some of the reported additional surgical procedures may have been carried out due to the disease progression itself and not only due to a failure of the denervation
