Abstract

Cases involving orthopaedic problems are many and varied. Whilst many will lead to argument, in nearly all, although there may be some divergence of opinion, agreement is usually probable. In some, however there is often more difficulty, probably due to lack of knowledge of the underlying pathology, which leads to diametrically opposed views. It may well be that in time, with further research, the causation will become clearer and as a result, agreement outside the court, rather than disagreement inside, will become the rule. The first two subjects I have chosen have been extensively investigated but the site of the pain still remains an enigma. All four conditions discussed are characterised by the subjective symptom of pain which is almost impossible to evaluate. Of necessity much of the opinion expressed is the result largely of research to be found in the literature, but coloured by the views of the author. The problems reviewed are:
  • Repetitive stress injury

  • Anterior knee pain

  • Whiplash injuries of the neck

  • Osteoarthritis and trauma

Keywords

Placebo Arthritis Osteoarthritis Synovitis Tenosynovitis 

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References

Repetitive Stress Injury

  1. 1.
    Caillet RD (1971) Shoulder Pain. FA Davis, PhiladelphiaGoogle Scholar
  2. 2.
    Dale WA, Lewis MR (1975) Management of thoracic outlet syndrome. Ann Surg 181: 575–585PubMedCrossRefGoogle Scholar
  3. 3.
    Ferguson D (1971) An Australian study of telegraphists cramp. Br J Ind Med 28: 280–285PubMedGoogle Scholar
  4. 4.
    Ferguson D (1987) R.S.I. Putting the epidemic to rest. Med J Aust 147: 213–216PubMedGoogle Scholar
  5. 5.
    Fineman S et al. (1963) Transformation of normal lordic pattern to linear pattern in normal posture. J Bone Jt Surg [Am] 45A: 1179Google Scholar
  6. 6.
    Fry AJH (1986) Overuse syndrome alias tenosynovitis/tendinitis: The terminological hoax. Plast Reconstr Surg 78: 414–416PubMedCrossRefGoogle Scholar
  7. 7.
    Graham G (1985) Job satisfaction and repetition strain injury (Dissertation), Adelaide; Elton-Mayo School of Management. South Australia Institute of Technology, 32 ppGoogle Scholar
  8. 8.
    General Municipal, Boilermakers and Allied Trade Unions (1986) Tackling Teno. GMU, LondonGoogle Scholar
  9. 9.
    Hadler NM (1985) Illness in the workplace: The challenge of musculoskeletal symptoms. J Hand Surg 10A: 451–456Google Scholar
  10. 10.
    Hocking B (1987) Epidemiological aspects of repetition strain injury in Telecom. Med J Aust 147: 218–222PubMedGoogle Scholar
  11. 11.
    Horal J (1969) The clinical appearance of low back disorders in the City of Gothenberg, Sweden. Comparison of incapacitated probands with matched controls. Acta Orthop Scand 188: 1–109Google Scholar
  12. 12.
    Howard NJ (1937) Peritendinitis crepitans. J Bone Jt Surg 19: 447Google Scholar
  13. 13.
    Ireland DCR (1988) Psychological and physical aspects of occupational arm pain. J Hand Surg 13B: 5–10Google Scholar
  14. 14.
    Kurpa K, Waris P, Rokkanen P et al. (1979) Peritendinitis and tenosynovitis: A review. Scand J Work Environ Health 5[Suppl 3]: 19–24CrossRefGoogle Scholar
  15. 15.
    Lawrence JS (1961) Rheumatism in cotton operatives. BrJ Ind Med 18: 270Google Scholar
  16. 16.
    Lucire Y (1986) Neurosis in the workplace. Med J Aust 145: 323–326PubMedGoogle Scholar
  17. 17.
    Magora A (1973) Investigation of the relation between low back pain and occupation v. psychological aspects. Scand J Rehab 5: 191–196Google Scholar
  18. 18.
    Telford ED, Mottershead S (1960) Pressure of the cervico-brachial junction; An operative and anatomical study. J Bone Jt Surg [Am] 42A: 392–407Google Scholar
  19. 19.
    Thompson AR, Plewes LW, Shaw EG et al. (1951) Peritendinitis crepitans and simple tenosynovitis: A clinical study of 544 cases in industry. Br J Ind Med 8: 150–158PubMedGoogle Scholar
  20. 20.
    Wallace M (1986) Factors associated with occupational pain in keyboard users In: Wallace M (ed) Occupational pain (R.S.I.). Melbourne Brain Behaviour Institute, La Trobe University, Melbourne, pp 15–18Google Scholar
  21. 21.
    Waris P, Kvorinka I, Kurppa K et al. (1979) Epidemiological screening of occupational neck and upper limb disorders. Scand J Work Environ Health 5[Suppl 3]: 25–38PubMedCrossRefGoogle Scholar
  22. 22.
    Waris P (1980) Occupational cervico-brachial symptoms. Scand J Work Environ Health 6[Suppl 3]: 3–14, 21Google Scholar
  23. 23.
    Wright IS (1945) The neurovascular syndrome produced by hyperabduction of the arm. Am Heart J 29: 1–19CrossRefGoogle Scholar

Anterior Knee Pain

  1. 24.
    Abernethy PJ, Townsend PR, Rose RM, Radin EL (1978) Is chondromalacia patellae a separate clinical entity? J Bone Jt Surg [Br] 60B: 205–210Google Scholar
  2. 25.
    Bentley G (1978) The surgical treatment of chondromalacia patellae. J Bone Jt Surg [Br] 60B: 74–81Google Scholar
  3. 26.
    Bentley G, Dowd G (1984) Current concepts of etiology and treatment of chondromalacia patella. Clin Orthop 189: 209–228PubMedGoogle Scholar
  4. 27.
    Brav EA (1962) Traumatic dislocation of the hip. J Bone Jt Surg [Am] 44A: 1115Google Scholar
  5. 28.
    Epstein HC (1974) Posterior fracture dislocation of the hip. J Bone Jt Surg [Am] 56A: 1103–1127Google Scholar
  6. 29.
    Ficat RP, Philippe J, Hungerford DS (1979) Chondromalacia patellae. Clin Orthop 144: 55–62PubMedGoogle Scholar
  7. 30.
    Fulkerson JP, Tennant R, Jaivan JS, Grunnet M (1985) Histologic evidence of retinacular nerve injury associated with patello-femoral malaiignment. Clin Orthop 197: 196–204PubMedGoogle Scholar
  8. 31.
    Goodfellow J, Hungerford DS, Woods SC (1976) Patello-femoral joint mechanics and pathology: Chondromalacia patellae. J Bone Jt Surg [Br] 58B: 291–299Google Scholar
  9. 32.
    Hallisey MJ, Doherty N, Bennett WF, Fulkerson JP (1987) Anatomy of the junction of vastus lateralis tendon and the patella. J Bone Jt Surg [Am] 69A: 545–549Google Scholar
  10. 33.
    Insall J (1982) Current concepts review of patella pain. J Bone Jt Surg [Am] 64A: 147–151Google Scholar
  11. 34.
    Insall J, Falvo KA, Wise DW (1976) Chondromalacia patella. J Bone Jt Surg [Am] 58A: 1–8Google Scholar
  12. 35.
    Insall J, Bullough PG, Burstein GH (1979) Proximal tube realignment of the patella for chondromalacia patellae. Clin Orthop 144: 63–69PubMedGoogle Scholar
  13. 36.
    Karlson S (1940) Chondromalacia patellae. Acta Chir Scand 83: 347–381Google Scholar
  14. 37.
    Emery IH, Meachim G (1973) Surface morphology and topography of patello-femoral cartilage. Fibrillation in Liverpool necropsies. J Anat 116: 103–120PubMedGoogle Scholar
  15. 38.
    Meachim G (1963) Effect of scarification on articular cartilage in the rabbit. J Bone Jt Surg [Br] 45B: 150–161Google Scholar
  16. 39.
    Meachim G, Bentley G (1977) The effect of age on the thickness of patella articular cartilage. Ann Rheum Dis 36: 563PubMedCrossRefGoogle Scholar
  17. 40.
    Nicoll EA (1952) Traumatic dislocation of the hip joint. J Bone Jt Surg [Br] 34B: 503–504Google Scholar
  18. 41.
    Ogilvie-Harris DJ, Jackson RW (1984) The arthroscopic treatment of chondromalacia patellae. J Bone Jt Surg [Br] 66B: 660–665Google Scholar
  19. 42.
    Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Jt Surg [Br] 43B: 752–757Google Scholar
  20. 43.
    Radin E (1979) A rational approach to the treatment of patello-femoral pain. Clin Orthop 144: 107–109PubMedGoogle Scholar
  21. 44.
    Upadhay SS, Moulton A (1981) Long-term results of traumatic dislocation of the hip. J Bone Jt Surg [Br] 63B: 548–551Google Scholar
  22. 45.
    Wiberg GG (1960) Roentgenographic and anatomical studies on the femoro-patella joint. With special reference to chondromalacia patellae. Acta Orthop Scand 12: 319–410Google Scholar
  23. 46.
    Crowe HE (1928) Injuries to the cervical spine. Paper presented to the meeting of the Western Orthopaedic Association, San FranciscoGoogle Scholar
  24. 47.
    Fineman S, Borrelli FJ, Rubenstein B, Epstein H, Jacobson HG (1963) The cervical spine: Transformation of the normal lordotic pattern into a linear pattern in the neutral posture. J Bone Jt Surg [Am] 45A: 1179–1183Google Scholar
  25. 48.
    Frankel VH (1971) Whiplash injuries to the neck. In: Cervical pain symposium, 1971, Wenner-Gren Centre, Stockholm. Pergamon Press, Oxford, pp 97–112 (International symposium series 19)Google Scholar
  26. 49.
    Friedenberg ZB, Miller WT (1963) Degenerative disc disease of the cervical spine. J Bone Jt Surg [Am] 45A: 1171–1178Google Scholar
  27. 50.
    Gotten N (1956) Survey of 100 cases of whiplash injury after settlement of litigation. JAMA 162: 865–867Google Scholar
  28. 51.
    Hirsch SA, Hirsch PJ, Hiramoto H, Weiss A (1988) Whiplash syndrome: Fact or fiction. Orthop Clin North Am 19: 791–795PubMedGoogle Scholar
  29. 52.
    Hohl M (1974) Soft tissue injuries in the neck in automobile accidents. J Bone Jt Surg [Am] 56A: 1675–1682Google Scholar
  30. 53.
    Hult L (1971) Frequency of symptoms for different age groups and professions. In: Cervical pain symposium, 1971, Wenner-Gren Centre, Stockholm. Pergamon Press, Oxford, pp 17–20 (International symposium series 19)Google Scholar
  31. 54.
    MacNab I (1964) Acceleration injuries of the cervical spine. J Bone Jt Surg [Am] 46A: 1797–1799Google Scholar
  32. 55.
    MacNab I (1971) The whiplash syndrome. Orthop Clin North Am 2: 389–403PubMedGoogle Scholar
  33. 56.
    Norris SH, Watt I (1983) The prognosis of neck injuries resulting from rear-end vehicle collisions. J Bone Jt Surg [Br] 65B: 608–611Google Scholar
  34. 57.
    Severy DM, Mathewson DH, Bechtol CO (1955) Controlled automobile rear-end collisions: An investigation of related engineering and medical phenomena. Can Serv Med J 11: 727–759PubMedGoogle Scholar

Osteoarthritis and Trauma

  1. 58.
    Arnoldi CC, Lempry RK, Linderholm H (1975) Intraosseous hypertension and pain in the knee. J Bone Jt Surg [Br] 57B: 360–363Google Scholar
  2. 59.
    Bennet GA, Waine H, Bauer W (1942) Changes in the knee joint with particular reference to the nature and development of degeneration joint disease. Commonwealth Fund, New YorkGoogle Scholar
  3. 60.
    Daniellson LG, Hernborg J (1970) Clinical and roentgenologic study of knee joints and osteophytes. Clin Orthop 69: 302CrossRefGoogle Scholar
  4. 61.
    Durman DC (1955) Arthritis and injury. J Mich Med Soc 54: 301–303PubMedGoogle Scholar
  5. 62.
    Harris WH (1986) Etiology of osteoarthritis of the hip. Clin Orthop 213: 20–33PubMedGoogle Scholar
  6. 63.
    Jackson JP (1968) Degenerative changes in the knee after meniscectomy. Br Med J ii: 525–527CrossRefGoogle Scholar
  7. 64.
    Kellgren JH (1961) Osteoarthritis in patients and population. Br Med J ii: 1CrossRefGoogle Scholar
  8. 65.
    Kellgren JH, Lawrence JS, Bier F (1963) Genetic factors in generalised osteoarthritis. Ann Rheum Dis 22: 237PubMedCrossRefGoogle Scholar
  9. 66.
    Lioyd-Roberts GC (1955) Osteoarthritis of the hip. J Bone Jt Surg [Br] 37B: 8–47Google Scholar
  10. 67.
    Lowman EW (1955) Osteoarthritis. JAMA 157: 487Google Scholar
  11. 68.
    Peyron JG (1986) Osteoarthritis: The epidemiological viewpoint. Clin Orthop Rel Res 213: 13–19Google Scholar
  12. 69.
    Solomon L (1976) Patterns of osteoarthritis of the hip. J Bone Jt Surg [Br] 58B: 176–183Google Scholar

Copyright information

© Springer-Verlag London Limited 1991

Authors and Affiliations

  • J. P. Jackson

There are no affiliations available

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