Abstract: Bell, SKristyn Mrs. HD, a 37yo female, right-handed massage therapist presented to her general practitioner, following a six-month history of worsening pain over her right lateral epicondyle. On examination, the patient had localised swelling over her right olecranon process, with no associated erythema or fever. She had localised pain on palpation over the lateral epicondyle, which was exacerbated with resisted wrist extension; radiation radially to her right wrist, forearm, and proximal radiation into her arm. A dorsal ganglion cyst was noted over the right wrist joint. The patient had associated reduced grip strength and positive Tinel's sign of the wrist. Treatment-to-date included eccentric exercises, which had proven unsuccessful and the patient was not interested in pharmacological (corticosteroid) treatment.
Abstract: Chin, Jason Pyomyositis is a bacterial infection of the muscle, which can form abscesses and spread locally. It is relatively uncommon in temperate climates, often has an insidious onset, and can be difficult to diagnose. It is even more challenging in the paediatric population where the history may not be clear, examination is inconsistent, and blood tests are non-specific.
Abstract: Mathur, Namit; Trauma, M; Sood, Bhumika; Sood, Bimal A retrospective study was conducted to determine the accuracy of shoulder MRI scans at detecting rotator cuff pathology. Shoulder arthroscopy is considered the 'gold standard' at diagnosing rotator cuff tears. A direct comparison was made between MRI reports and shoulder arthroscopy reports. Shoulder MRI was found to have a high sensitivity (87.9%) and moderate specificity (69.7%) at diagnosing cuff pathology. This is likely accounted by MRI scans detecting cuff tears that are not large enough to be noticed or managed during arthroscopy. We conclude that shoulder MRI is a good screening test in patients where a surgical referral is being considered.
Abstract: Holtzhausen, Lucy-May It is my pleasure as NZAMM Director of Training to report on the registrars currently participating in the NZAMM musculoskeletal specialist training program, the training activities and training placements that our registrars have attended over the past 14 months, the successes of this program and some areas were the program needs improvement. Congratulations on Dr Zaid Matti and Dr Zoe Quinn for passing their exams and completing their training programme.
Abstract: Stoltz, Deon "I am a 40 year old man that was always very active. I have a sedentary office job, but was playing a lot of golf and actively participating in triathlons. My back problems started in 2013. I had no injury and the back pain just started to affect my daily activities and exercise capabilities and slowly got worse to the effect that I stopped playing golf and was only able to swim and cycle short distances. I have not competed in a triathlon since.
Abstract: Lyons, Duncan During General Practice, I had a consultation with a 51y/o male, suffering from subacromial impingement syndrome. While he could not determine when it first began, it had certainly been a chronic issue.
Abstract: The study chosen to answer this question is entitled "Treatment of Lateral Epicondylitis With Platelet-Rich Plasma, Glucocorticoid, or Saline" and is a randomised, double blind placebo controlled trial including 60 participants with chronic Lateral Epicondylitis (LE). The study assigned the 60 participants into 3 even groups, each group to receive a blinded injection of either corticosteroid, platelet rich plasma (PRP) or normal saline (NS) and evaluated their pain at 3 months post injection using the Patient Rated Tennis Elbow Evaluation (PRTEE) questionnaire as the primary outcome. Main extensor tendon thickness and colour Doppler activity were evaluated as secondary outcomes.
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