OrthoQB

Evidence library

The trials, meta-analyses and guidelines that shape orthopaedic diagnosis and management, each summarised in one screen: what it asked, what it found, and how it changed practice. Every citation is checked against PubMed.

AllDiagnosisManagementPrognosisPrevention
All topicsShoulderElbowWristHandPeripheral nerveHip (young adult & sports)Hip arthroplastyKnee soft tissue & sportsKnee arthroplastyFoot & ankleSpineUpper limb traumaPelvis & acetabulumLower limb traumaMajor trauma & polytraumaFracture clinic & non-operative carePost-op care & complicationsOperative technique & equipmentInfectionPaediatricsTumoursRheumatology & metabolic boneBasic scienceResearch, statistics & guidelines
Robinson electrodiagnosis reviewMuscle & nerve 2000
Traumatic injury to peripheral nerves
Electrodiagnosis helps localise the lesion and quantify axon loss, but distal conduction persists for a period after transection, so studies are most informative once Wallerian degeneration has occurred; EMG evidence of reinnervation precedes clinical recovery.
OtherDiagnosisPeripheral nerve
Sunderland classificationBrain : a journal of neurology 1951
A classification of peripheral nerve injuries producing loss of function
First degree equates to neurapraxia and fifth degree to complete transection; second to fourth degrees subdivide axonotmesis by progressive loss of endoneurial and perineurial continuity, with prognosis worsening as more layers are lost and fourth/fifth degree injuries generally needing surgery.
OtherDiagnosisPeripheral nerve