Susan Peters, Michel Coppieters, Mark Ross, Venerina Johnston Work disability associated with non-traumatic work-related musculoskeletal disorders (MSDs) of the upper extremity (UE) is a significant and costly societal problem. Surgery is frequently offered to workers who have more severe symptoms or do not respond adequately to conservative management. Despite the high reported success of surgery [...]

Greg Couzens, Nick Daunt, Mark Ross, Ross Crawford MRI is being increasingly utilised to define pathology and guide treatment in patients presenting with wrist pain. The clinical relevance of MRI identified or confirmed pathology has not been established, and the prevalence of asymptomatic MRI pathology is not known. Twenty volunteers with no previous wrist injury [...]

Mark Ross, Greg Couzens Our technique involves ligament reconstruction utilising a portion of the flexor carpi radialis tendon re-routed via trans-osseous tunnels across the scaphoid, lunate and triquetrum. The tendon graft is secured with interference screw fixation into the triquetrum. The philosophy of this new technique is to clamp the lunate between the scaphoid and [...]

Greg Couzens, John Mills, Brad Gilpin Central screw placement within the proximal pole of the scaphoid in non-displaced and minimally displaced scaphoid fractures has been correlated to improved biomechanical and clinical outcomes. Achieving this is challenging due to the complex anatomical shape of the scaphoid and the limitations of conventional imaging modalities. The use of [...]

Mark Ross, Phillip Duke, Gregory Couzens, Susan Peters, Bhavana Jha, Wilma Walsh Arthritis at the base of the thumb is common in ageing adults. It can result in pain and impact on function and quality of life. There are many treatments available to help relieve pain and improve hand function. Currently, it is common practice [...]

Phillip Duke, Mark Ross, Kenneth Cutbush, Steve Andrews Total shoulder arthroplasty (TSA) has been established as an effective intervention for the management of degenerative and inflammatory arthropathies of the glenohumeral joint. There have been variable reports on the survivorship for metal-backed (MB) glenoids and some studies have shown that all-polyethylene glenoids seem to present fewer [...]

Mark Ross, Susan Peters Unilateral joint destruction in small joints of the hand presents a difficult challenge, particularly in younger patients. Many surgical techniques in an attempt to salvage motion whilst preserving the native joint following injury may be used and include: DIPJ to PIPJ transfer; hamate osteochondral graft; and, free vascularized toe joint transfer. [...]

Gregory Couzens, Mark Ross Traditionally our understanding of carpal kinematics relates to the orthogonal sagittal (flexion/extension) and coronal (radial/ulnar deviation) planes of wrist motion. Nevertheless, most activities involving tool use are performed in an oblique plane from radial deviation-extension to ulnar deviation-flexion. This movement has been called the dart-throwing motion (DTM). DTM also involves rotation [...]

Mark Ross, Kenneth Cutbush, Andrew Johnson, Steve McPhail, Susan Peters, Steve Frederiksen, Michael Bourke, Wendy Potts, Grace Lam Anterior shoulder dislocations are the most common type of joint dislocation, accounting for 50% of all joint dislocations presenting to Emergency Departments. Historically these patients were managed with a convention sling that holds the hand and arm [...]

Mark Ross, Benjamin Hope, Andy Stokes, Susan Peters, Iain MacLeod, Phillip Duke Treatment of proximal humeral fractures involves a number of options, both operatively and non-operatively. Within the literature there are virtually no well-constructed scientific trials which clearly demonstrate the best treatment options in displaced three and four part fractures of the proximal humerus. In [...]