Jamie A Nicholson

Midshaft #clavicle nonunion prediction at 6 wks post-injury appears superior to time of injury. We found 3 simple clinical predictors can accurately predict #fracture healing in most cases. This months @jbjs / jbjs.org/issue.php from our unit @EdinburghTrauma

@SESOrtho @RobinsonOrth @JoeEslandOrtho Great stuff, well done all 🥳

FRCS success for this impressive trio of @SESOrtho trainees @RobinsonOrth Neil Wickramasinghe @JoeEslandOrtho Fantastic achievement

@orthobullets @docfarrow @DrFraneNicholas @eric_novack @stevemchale @FractureDoc @jamesablairMD @rkh_md @traumaticum I agree with @traumaticum. Wouldn’t call this radial styloid. Typical IA DR with sagittal split and coronal lunate facet. I’d likely fix as unstable pattern with metaph comminution. Low threshold to release BR from RS. I do routinely to help reduction.

Hope it helps! It was a simple paper but a nice concept to guide practical management for these rare injuries.

@DrBhavinJadav @OrthoM8 Great result. Believe the oxford group were the first the report on this technique journals.lww.com/jorthotrauma/a… @BoaHandley

How about a #FractureFriday case? This one is like an onion- multiple layers, many involve tears. F49. Fell in the kitchen. No past medical isssues. Not on any medication.

The Laterjet procedure seems to lead to successful outcomes but there are demographic predictors of poor outcome. The optimal patient selection criteria for many procedures remain opaque. #SportsTrauma #Ortho #BJJ @MakOrtho @OrthoNicholson @lzyapp boneandjoint.org.uk/Article/10.130…

@JaiRawal12 loves bones. What is your favourite? @traumaticum @InvictaOrtho Gotta love an adolescent clavicle. Get to sit back let Mother Nature do all the work. Watch it heal 3/12 Thanks @OrthoNicholson @EdinburghTrauma Helps to know all will be ok. boneandjoint.org.uk/article/10.130…

Join us this evening for a webinar focused on the 2023 portfolio system for CST applications. Learn about the changes to the CST portfolio, and discover what evidence to include in your application. Register here: ow.ly/kVVY50LH2JI

@WhelanGareth @PhysioDaveA @DickyShoulder @janeashbrook @SuegnetMeyer @King2980 @ChrisLittlew00d @KatyBPhysio We found a dose dependent response in our study with a higher volume being associated with a lower recurrence independent of capsule rupture pubmed.ncbi.nlm.nih.gov/32349602/

Clinicians managing frozen shoulder: how many mls of volume constitute a hydrodistension? What volumes do you use/ see used? Interested to see if lots of variation @PhysioDaveA @DickyShoulder @janeashbrook @SuegnetMeyer @King2980 @ChrisLittlew00d @KatyBPhysio

@traumaticum @InvictaOrtho @FractureDoc If you are keeping the plate at end of the case, is it perhaps worth changing the unicortical screws for bicortical ones directed around the nail at the end of the case? Would probably give better pull out strength to the construct.

@InvictaOrtho @FractureDoc this had excellent ST coverage, so opted to leave it in. also not an insignificant consideration: i can only reclaim cost of implants actually implanted. provisionally used and removed... ha! no one is going to pay for that.

Can't say my training ever involved provisional tibial plating whilst nailing, but you folks have made a convincing case @FractureDoc @InvictaOrtho. this one was open, and plated through the wound after debridement. uneasy feeling, but trust the literature. #orthotwitter

@karanshetty13 One of the few indications for a hook plate for the clavicle perhaps?

Ideberg type 3 glenoid fracture fixed with trans-coracoid screw. Got really lucky with this one. Wasn’t pleased with the overall fixation immediately post-op. But 25y/F has great shoulder function, complete pain-free ROM with union at 6 months follow-up. #orthotwitter #medtwitter

@Gnomelover1970 @sancleracot @drjuanroiz @drcarlosaprodri @DrBarreraochoa @JuanAguilar_COT @arauz_santiago @JSanchezSotelo @Enrique29478 Absolutely agree. We’ve just published on the results of modern delayed reconstruction pubmed.ncbi.nlm.nih.gov/35781084/ with one of our excellent junior doctors @PleasantHattie @EdinburghTrauma

@sancleracot @drjuanroiz @drcarlosaprodri @DrBarreraochoa @JuanAguilar_COT @arauz_santiago @JSanchezSotelo @Enrique29478 Masterful inactivity, reassure most will do well. Some won’t though… Inform Surgery though does not guarantee better outcome. Reconstruction can be done at any time point if you are one of the few that did not do well with non op.

Female 20yo, acute trauma. Which type of acromioclavicular dislocation do you think is it? I would say type III. Which treatment would you recommend? @drjuanroiz @drcarlosaprodri @DrBarreraochoa @JuanAguilar_COT @arauz_santiago @JSanchezSotelo @Enrique29478 #orthotwitter

@DuncanTennent @ShoulderElbowJ Or perhaps just coracoid anchor alone? Good results from @EdinburghTrauma on this pubmed.ncbi.nlm.nih.gov/31393423/

@ShoulderElbowJ Nice work. Another nail in the hook plate coffin?

Does locking plate and coracoid anchor augmentation for unstable lateral end clavicle fractures reduce the need for plate removal and improve patient reported outcome. journals.sagepub.com/doi/full/10.11…

Delighted to receive the Syme medal for my PhD work from @RCSEd . Thanks for all the support from @EdinOrthopaedic and for my thesis examiners @DuckworthOrthEd @benollivere

Congratulations to our Diplomates who celebrated at today's Diploma Ceremony! We hope you all had an amazing day.

3D reconstruction of sonographic callus may ⬆️ usability of #ultrasound to monitor #fracture #healing 🦴 3D bridging callus 78% sensitive & 100% specific in predicting union 6wks post tibial IMN, w/ excellent reviewer agreement (ICC 0.87) online.boneandjoint.org.uk/doi/full/10.13… #orthotwitter

Functional Outcome After Nonoperative Treatment of a Proximal Humeral Fracture in Adults ow.ly/gLyy50H09xk

Join the FST for this roundtable discussion with the Chair of the RCSEd Trainee Committee, President of ASiT and the President of BOTA as they discuss how to make surgery more attractive to future generations and more. Register now: ow.ly/GGVI50GT5Iz

Get this framed. 👏 @EwanAshman2

Rounding off our virtual presentations on the final day of #OTA2021 we have @DuckworthOrthEd -outcomes after scaphoid waist # fixation (11yr) @OrthoNicholson -acute plate fixation of clavicle # @MakOrtho -outcomes post ROMW after proximal humerus ORIF Thanks @otatrauma 🇺🇸

We are accepting abstracts for The Edinburgh School of Surgery Undergraduate Student Research Symposium. Submissions may include lab-based research projects or clinical audits, including any research submitted at previous symposium, submit by 20 October: ow.ly/gg1N50GdCKZ