It is hard to think of a single legal decision in the last 60 years that has so much impact on medical practice. It was…
View More Montgomery -v- Lanarkshire Health Board 2015, Part 1Category: Uncategorised
What constitutes a Breach of Duty?
In a medical negligence claim, a Claimant must establish firstly that the Defendant breached his duty of care, and secondly that the breach caused or…
View More What constitutes a Breach of Duty?Bolam -v- Friern Hospital, 1957. The ‘Bolam test’.
This was a key decision in medical negligence law for over 40 years, and hasn’t been completely superseded yet. I’m not a lawyer, but I…
View More Bolam -v- Friern Hospital, 1957. The ‘Bolam test’.Bayley -v- George Eliot Hospital NHS Trust 2017. Consent, and the definition of reasonable alternative treatment.
I’m going to attach a link to the judgement in this medical negligence case. I recommend that UK clinicians read it. I think it is…
View More Bayley -v- George Eliot Hospital NHS Trust 2017. Consent, and the definition of reasonable alternative treatment.Prognosis of Hip Replacement after acetabular fracture
So what does the literature say about the outlook for THR after acetabular fracture? Romness & Lewallen, J Bone Joint Surg [Br] 1990; 72-B:761-4. These…
View More Prognosis of Hip Replacement after acetabular fracturePrognosticating: how to apply the literature to a particular individual
Example: Despite surgical reconstruction and internal fixation, a 30 year old male has a total hip replacement (THR) two years after severe acetabular fracture with…
View More Prognosticating: how to apply the literature to a particular individualMixing it up!
I have decided not to do this in strict topic order – I am going to post about diagnostic & prognostic examples that have recently…
View More Mixing it up!Dislocation of the hallux
A relatively rare injury. Usual mechanism is a hyper-dorsiflexion leading to to dorsal dislocation of the 1st MTPJ. Type 1: Sesamoids not disrupted, 1MT head…
View More Dislocation of the halluxTraumatic Dislocations of the lesser toes
Traumatic Dislocations of the Lesser ToesBrunet & Tubin, Foot & Ankle International, 1997; pp. 406–411https://doi.org/10.1177/107110079701800706 Abstract:‘Traumatic dislocations of lesser metatarsophalangeal joints (DLMTPJ) and lesser interphalangeal…
View More Traumatic Dislocations of the lesser toesHyper-plantarflexion injury of metatarsophalangeal joints: ‘sand-toe’, classically an injury of beach volleyball players.
Authors:Carol, FreyG. Douglas, AndersenKeith S., Feder Source:Foot & Ankle International. Sep 01, 1996 17(9):576-581. This is a retrospective study of 12 cases of hyperplantarflexion injuries…
View More Hyper-plantarflexion injury of metatarsophalangeal joints: ‘sand-toe’, classically an injury of beach volleyball players.