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Suggestions, ideas and questions can be posted in the comments section. If you would like feedback on one of your own interesting patient cases email them in similar format to email@example.com . Please ensure all case submissions are in alignment with HIPPA as they will be reviewed prior to posting by the blog committee. Additionally, your anonymity will be protected as well. Imaging and clinical photos are encouraged, but not necessary.
“Although the importance of sound statistical principles in the design and analysis of data has gained prominence in recent years, biostatistics, the application of statistics to the analysis of biological and medical data, is still a subject which is poorly understood and often mishandled. This review introduces, in the context of orthopaedic research, the terminology and the principles involved in simple data analysis, and outlines areas of medical statistics that have gained prominence in recent years. It also lists and provides an insight into some of the more common errors that occur in published orthopaedic journals and which are frequently encountered at the review stage in papers submitted to the Journal of Bone and Joint Surgery.”
Case Review #1
HPI: This is a case of a 72 year old male who presented for evaluation of a painful right first MPJ. This had been present for four years and has progressively worsened over time. He had a first MPJ implant arthroplasty performed from a different provider 4 years ago. His pain is located at the dorsal first MPJ and is described as aching in nature. His VAS is rated as a 7/10. His pain is aggravated with ROM of the first MPJ and with pressure over the dorsal first MPJ forcing him to wear shoes with a deeper and wider toe box.
PMHX: DM 2; HTN; Tuberculosis and Malaria
MEDs: Atorvastatin; Lisinopril; Metformin; Insulin; Hydrocholorothiazide
SURGHX: Coronary Artery Stent; Right first mpj implant arthroplasty 4 years ago
SOHX: Lives at home with wife and is currently retired. Denies current or previous tobacco use. Does not drink alcohol.