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The New Zealand Musculoskeletal Medicine Wiki
Nau mai, haere mai! This website is a learning resource that is primarily designed for Musculoskeletal Medicine training in New Zealand. It also aims to be useful for GPs, other doctors, and medical students. It is not written for patients but they are welcome to read the articles. Click on a body region on the skeleton or a portal below to get started.
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Category:Elbow and ForearmCategory:Elbow and ForearmCategory:Hand and WristCategory:Hand and WristCategory:Foot and AnkleCategory:Knee and LegCategory:Pelvis, Hip and ThighCategory:SpineCategory:ShoulderCategory:ShoulderCategory:Head and JawCategory:Chest WallCategory:Chest WallCategory:Abdominal WallCategory:Abdominal WallCategory:WidespreadPortal:ProceduresHuman skeleton front2.png
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Featured Wiki Article for 1 March 2023

Carpal Instability

There are eight carpal bones of the wrist ("carpus") which are held together by ligaments. With ligamentous injury the wrist can become unstable and lead to post-traumatic osteoarthritis. - Read More
Carpal intercalated rows.jpeg

Featured Open Access Journal Article for 1 March 2023

Complex Regional Pain Syndrome: Practical Diagnostic and Treatment Guidelines, 5th Edition

Pain Medicine

ABSTRACT - There have been some modest recent advancements in the research of Complex Regional Pain Syndrome, yet the amount and quality of the work in this complicated multifactorial disease remains low (with some notable exceptions; e.g., the recent work on the dorsal root ganglion stimulation). The semi-systematic (though in some cases narrative) approach to review is necessary so that we might treat our patients while waiting for “better research.” This semi-systematic review was conducted by experts in the field, (deliberately) some of whom are promising young researchers supplemented by the experience of “elder statesman” researchers, who all mention the system they have used to examine the literature. What we found is generally low- to medium-quality research with small numbers of subjects; however, there are some recent exceptions to this. The primary reason for this paucity of research is the fact that this is a rare disease, and it is very difficult to acquire a sufficient sample size for statistical significance using traditional statistical approaches. Several larger trials have failed, probably due to using the broad general diagnostic criteria (the “Budapest” criteria) in a multifactorial/multi-mechanism disease. Responsive subsets can often be identified in these larger trials, but not sufficient to achieve statistically significant results in the general diagnostic grouping. This being the case the authors have necessarily included data from less compelling protocols, including trials such as case series and even in some instances case reports/empirical information. In the humanitarian spirit of treating our often desperate patients with this rare syndrome, without great evidence, we must take what data we can find (as in this work) and tailor a treatment regime for each patient.

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I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.

— The Hippocratic Oath: Modern Version, Lasagna 1964