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in face-to-face consultations in a fully implemented VFC service. 16 Other literature shows 27–29% 11 , 19 of patients being referred on to sub-specialty clinics from the VFC, 38% to physio 19 and 6% 11 to nurse-led clinics. The
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protects research participants and specifically refers to individuals lacking capacity, either due to physical or mental impairment. 6 According to the declaration, the study of unconscious patients may be carried out ‘only if the physical or mental
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are detailed further in the MDR (Article 9). 2 A second important procedure has become known as the ‘scrutiny’ procedure, referred to as the ‘clinical evaluation consultation procedure’ in the MDR. This is a mandatory procedure which applies to
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aspects that are very important for knee and hip osteoarthritis patients. 22 These core set categories refer to the International Classification of Functioning, Disability and Health (ICF) core sets, which are short lists of ICF categories developed
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and sometimes further differentiated between ‘old’ and ‘very old’. Unless otherwise stated, the definition of elderly used in our current work refers to patients over the age of 65. Physiological changes in the elderly Ageing is characterised
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with possible STS and prompt referral to a sarcoma centre is essential in order to avoid unnecessary delays in diagnosis and to ensure optimal multidisciplinary treatment. 4 , 5 Contrary to most primary bone tumours, STSs mainly develop in the
IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy
Fondazione Livio Sciutto Onlus, Campus Savona – Università degli Studi di Genova, Savona, Italy
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Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands
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Fondazione Livio Sciutto Onlus, Campus Savona – Università degli Studi di Genova, Savona, Italy
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manage the wear and complications such as periprosthetic fractures due to severe bone reabsorption and/or gross loosening. If the THA failure presents symptomatically, the patient either self-refers (45%) or is referred by the general practitioner (19
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Introduction The term ‘floating joint’ refers to a fracture that occurs both above and below the joint ( 1 ). It can be either extra-articular or intra-articular. In 1992, Liebergall et al. first used the term ‘floating hip’ to refer to a
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more instable lesion. The SINS was developed to help the primary healthcare provider to decide whether the patient has to be referred to a spine surgeon or not. Consultation of a spine surgeon is advised for lesions with a SINS score of 7 or more
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, complete tearing of the origin of the flexor-pronator mass. Patient history Patients present with a full range of movement (ROM), tenderness just distal to the medial epicondyle and referred pain with activities that place stress on the origin of
