Thursday, June 13, 2013

Painful lump Thumb

Posted by Picasa

Thursday, August 04, 2011

Survey for Surgeons

We would be very grateful if you could complete this very small survey on the use of smart phone technology in our day to day surgical practice. This survey is extremely short, a mere 11 easy to complete questions and will take approximately 3-4 minutes to complete. Even if you do not use smart phone technology, your response (only 4 questions) will be greatly appreciated. The purpose of the survey is to help further develop the use of mobile technology to assist in the clinical and educational setting.

Please follow this link

Thank you.

be enlightened to enlighten

Wednesday, June 01, 2011

This 47 year old lady had carpal tunnel surgery 2 year prior and had excellent symptoms relief for 6 months after which she noted scar tenderness which was aggravated by contact. This has led her to avoiding exposing the scar and making work as a cashier difficult.
On examination the scar was exquisitely tender to touch and had a positive Tinel’s along the median but Phalens was negative. She has no residual numbness in the median nerve distribution. This is the findings on exploration of the carpal tunnel.

What is the clincial problem here?
Posted by Picasa

Saturday, March 05, 2011

Clicking little finger.swf

Saturday, May 01, 2010

[Hand surgery training]

Training and education
Do we want trained or educated surgeons
What is the difference?
Should it be different from what is being done now ?
What is the advantage of having a it as a different and independent speciality?

[Hand surgery training] [Chir Main. 2003] 

A New Curriculum for Education and Internet Reform

Sunday, October 25, 2009

Iatrogenic nerve palsy

18 year old inability to shrug shoulder after surgery in the neck



Scar showing previous surgery

Video of disability


Iatrogenic spinal accessory nerve palsy


Surgical exploration

Surgical findings at exploration


Complete division of spinal accessory nerve and scarring


Scar excised and XI nerve grafted with sural nerve graft.

Results after surgery – 10 weeks  post op

Article on SAN Palsy

Assessing Surgical Skills


How do you assess the competency of a surgeon skills transparently and objectively that is safe and reliable?


surgeonsworkingon ahand2 b&w

Hand Surgery - An Independent Speciality


Is the UK ready for hand surgery as an independent speciality?

There are a significant number of surgeons who believe that  this should not be so?

why not?


surgeonsworkingon ahand

Saturday, February 02, 2008