Study design characteristics should also be taken into account whenever a study on MRI assessing its diagnostic performance is designed or reviewed.

5In a prospective single-center longitudinal randomized controlled trial 116 patients were 6 allocated to the sub-vastus approach, and 115 to the medial parapatellar approach. At one 7 week follow-up, compared to baseline, range of motion, Knee Society (KS) global, KS 8 knee, and KS pain scores were significantly better in the sub-vastus group. At the one year 9 follow-up WOMAC global and pain scores, SF36 physical function and role-physical 10 scores, and EuroQol utility and pain score were significantly better in the sub-vastus 11 group. The ease of exposure in the sub-vastus approach was significantly worse. There 12 was no significant difference in length of stay or analgesia intake. The sub-vastus approach 13 to total knee arthroplasty was more effective than a medial parapatellar approach at both 14 one week and fifty-two weeks post-operatively, but surgeons reported a less easy exposure 15 in the sub-vastus group. 16[ISRCTN44544446] 17 18

ESE in athletic patients provide comparable clinical outcome compared to our previous results in non-athletic patients. ESE are a viable option for the management of AT in athletes, but, in our hands, only around 60% of our athletic patients benefited from an intensive, heavy load eccentric heel drop exercise regimen alone. If ESE fail to improve the symptoms, aprotinin and local anaesthetic injections should be considered. Surgery is indicated in recalcitrant cases after 3 to 6 months of non operative management.

In our setting, percutaneous repair and conservative management are viable alternatives to open surgery, which carries higher complications rates and was the most costly of the three. Individual patients will have different needs due to their age, occupation, or level of sporting activity.

We compared a minimally invasive surgical technique to the conventional (open approach) surgical technique used in fixation of hip fractures with the dynamic hip screw (DHS) device. Using a case-control design (44 cases and 44 controls), we tested the null hypothesis that there is no difference between the two techniques in the following outcome measures: duration of surgery, time to mobilisation and weight bearing postoperatively, length of hospital stay, mean difference of pre-and postoperative haemoglobin levels, position of the lag screw of the DHS device in the femoral head, and the tip-apex distance. The minimally invasive DHS technique had significantly shorter duration of surgery and length of hospital stay. There was also less blood loss in the minimally invasive DHS technique. The minimally invasive DHS technique produces better outcome measures in the operating time, length of hospital stay, and blood loss compared to the conventional approach while maintaining equal fixation stability.Résumé Ce travail a pour but de comparer les techniques de fixation de fractures de la hanche par voie mini-invasive ou par voie d'abord conventionnelle avec utilisation de matériel de type DHS. Nous avons pour cette étude regroupé les patients en deux groupes, 44 cas par voie mini-invasive et 44 cas contrôle. Nous avons voulu tester l'hypothèse suivante: existe-t-il une différence entre ces deux techniques, sur la durée d'intervention, de reprise de l'appui post-opératoire; de durée moyenne de séjour des pertes sanguines notamment et enfin, en ce qui concerne la position de la vis céphalique dans la tête fémorale et sa distance par rapport à l'interligne. La technique mini-invasive entraîne de façon significative un temps chirurgical diminué et une diminution de la durée moyenne de séjour. Ceci est également vrai pour les pertes sanguines. Cette technique est pour nous supérieure en ce qui concerne ces items si on la compare à l'abord de type conventionnel en sachant que les problèmes de stabilité du matériel sont identiques quelle que soit la technique utilisée.

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As fentanyl exacerbated postoperative nausea and vomiting without an improvement in postoperative pain and also had adverse cardiorespiratory effects, it appears to be an unnecessary and possibly detrimental supplement to sevoflurane in day surgery.