Margaret McQueen

Margaret McQueen
The University of Edinburgh | UoE · Department of Orthopaedic Surgery

About

104
Publications
13,248
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
3,866
Citations
Introduction

Publications

Publications (104)
Article
Full-text available
Purpose Positive ulnar variance following a distal radius malunion can lead to ulnar-sided wrist pain, loss of grip strength, and distal radioulnar joint impingement. The primary aim of this study is to describe upper limb-specific functional outcomes following ulnar shortening osteotomy (USO) for ulnar-sided wrist pain associated with malunion of...
Article
Purpose To identify predictors of a true scaphoid fracture among patients with radial wrist pain following acute trauma, train 5 machine learning (ML) algorithms in predicting scaphoid fracture probability, and design a decision rule to initiate advanced imaging in high-risk patients. Methods Two prospective cohorts including 422 patients with rad...
Article
»: Suspected scaphoid fractures are a diagnostic and therapeutic challenge despite the advances in knowledge regarding these injuries and imaging techniques. The risks and restrictions of routine immobilization as well as the restriction of activities in a young and active population must be weighed against the risks of nonunion that are associate...
Conference Paper
Full-text available
Purpose: There is a paucity of literature regarding the long-term outcomes of scaphoid fractures managed with acute percutaneous fixation. The aim of this study was to report the long-term functional outcomes and complication rates following early percutaneous fixation of acute fractures of the scaphoid. Methods: A trauma database was searched to...
Article
Full-text available
Background Acute carpal tunnel syndrome (ACTS) is a known complication of distal radius fractures. This study aimed to document the demographics, range of presenting symptoms and risk factors of patients who develop ACTS following a fracture of the distal radius. Methods A retrospective review of 1189 patients with an acute distal radius fracture...
Article
Purpose The aim of this study was to identify psychological factors associated with pain intensity and disability following distal radius fracture. Methods We prospectively followed 216 adult patients with distal radius fracture for 9 months. Demographics, injury and treatment details, and psychological measures (Hospital Anxiety and Depression Sc...
Article
Aims: The aim of this study was to compare the outcome in patients who did and did not undergo continuous compartment pressure monitoring (CCPM) following a tibial diaphyseal fracture. Patients and Methods: We performed a retrospective cohort study of 287 patients with an acute tibial diaphyseal fractures who presented to three centres over a two-y...
Article
The aim of this study was to report the long-term functional outcomes and complication rates following early percutaneous fixation of acute fractures of the scaphoid. A trauma database was searched to identify all skeletally-mature patients with an undisplaced or minimally-displaced scaphoid waist fracture managed with early percutaneous retrograde...
Article
Full-text available
Aims: Patient-reported outcomes after corrective osteotomy for a symptomatic malunion of the distal radius aims the primary aim of this study was to describe patient satisfaction and health-related quality of life (HrQoL) following corrective osteotomy for a symptomatic malunion of the distal radius. Methods: We retrospectively identified 122 adul...
Article
Full-text available
The aim of this study was to describe the mortality risk after calcaneal fractures which required internal fixation and evaluate predictors of survival. During the observed 11-year period (1995–2006), 178 consecutive patients underwent operative fixation for displaced intra-articular calcaneal fractures. Patient demographics, mechanism of injury, a...
Chapter
Full-text available
A delay in the diagnosis of acute compartment syndrome (ACS) is associated with a potentially devastating outcome for the patient. A key risk factor for ACS is youth, with more than two-thirds of cases associated with an underlying fracture. Pain is noted as the index or key sign associated with ACS. However, clinical assessment alone has been docu...
Article
Background: The evidence for treating acute, unreconstructable radial head fractures in unstable elbows with radial head replacement predominantly consists of short- to mid-term follow-up studies with a heterogenous mix of implants and operative techniques. Data on longer-term patient-reported outcomes after radial head replacement is lacking. Qu...
Article
There has been very limited analysis of the relationship between obesity and fractures in the orthopaedic literature. It has been established for some years that underweight individuals are at greater risk of proximal femoral fractures but recently there has been interest in the susceptibility of obese post-menopausal females to fracture. We have u...
Article
There is a concern that bisphosphonates may impair fracture healing because of their inhibitory effects on bone turnover. Here we evaluated the effects of early bisphosphonate therapy on fracture healing and functional outcome following a fracture of the distal radius. The fracture and bisphosphonates (FAB) trial was a double-blind, randomized, pla...
Article
Introduction It is accepted that the incidence of fractures in patients aged ≥ 65 years is increasing but little is known about which fractures are becoming more common in this group of patients. Virtually all research has concentrated on the classic fragility fractures of the proximal femur, proximal humerus, pelvis, spine and distal radius but it...
Poster
Full-text available
Early percutaneous screw fixation is increasingly used to manage acute scaphoid fractures as it provides a quicker return to work and sports, but little is known about the long-term subjective outcomes following surgery. The aim of this study was to report the long-term outcomes and complication rates following early percutaneous fixation of acute...
Conference Paper
Full-text available
Hypothesis: Early percutaneous screw fixation is increasingly used to manage acute scaphoid fractures as it provides a quicker return to work and sports, but little is known about the long-term subjective outcomes following surgery. The aim of this study was to report the long-term outcomes and complication rates following early percutaneous fixati...
Article
Objective: To determine factors associated with nonunion of adult tibial fractures. Design: Retrospective review with data collection for logistic regression and survival analysis. Setting: Scottish Level I trauma centre, 1985 to 2007. Patients: During this period, 1,590 adult tibial fractures were treated by reamed nailing and 1,003 met all...
Article
Full-text available
Background: Symptom intensity and magnitude of limitations correlate with stress, distress, and less effective coping strategies. It is unclear if interventions to target these factors can be used to improve outcomes after distal radius fracture in either the short- or longer term. Questions/purposes: (1) Are there any factors (including the use...
Article
Full-text available
Purpose: The aim of this study in adult patients with a distal radial fracture was to determine whether socioeconomic status influenced the epidemiology, mechanism of injury, fracture severity, or the outcome according to function, radiographic assessment, and rate of associated complications. Methods: We identified 3983 distal radial fractures...
Article
Background: The aim of this single-center, single-blinded, prospective randomized trial was to compare the outcomes of tension-band wire (TBW) and plate fixation for simple isolated, displaced fractures of the olecranon. Methods: We performed a prospective randomized trial involving 67 patients who were ≥16 to <75 years of age and had an acute i...
Article
Aims: The aim of this prospective randomised controlled trial was to compare non-operative and operative management for acute isolated displaced fractures of the olecranon in patients aged ≥ 75 years. Patients and methods: Patients were randomised to either non-operative management or operative management with either tension-band wiring or fixat...
Article
There has been very little analysis of the epidemiology of adult fall-related fractures outwith the osteoporotic population. We have analysed all in-patient and out-patient fall-related fractures in a one-year period in a defined population and documented their epidemiology. The overall prevalence of non-spinal fall-related fractures is 63.1% with...
Article
Introduction: Major osteoporotic fractures are known to be associated with increased mortality in older individuals. It is less clear whether this also applies to younger patients. Methods: Date were gathered regarding patient demographics, fracture pattern, mechanism of injury, as well as smoking and alcohol intake at the time of injury in cons...
Article
Background: This study investigates the patterns and epidemiology of open finger fractures. There is little good data about these injuries. Methods: Data were collected prospectively in a single trauma unit serving a well-defined population. Results: Over a 15 year period 1090 open finger fractures were treated in 1014 patients. These made up the v...
Article
Aims: The fundamental concept of open reduction and internal fixation (ORIF) of ankle fractures has not changed appreciably since the 1960s and, whilst widely used, is associated with complications including wound dehiscence and infection, prominent hardware and failure. Closed reduction and intramedullary fixation (CRIF) using a fibular nail, wir...
Article
Fractures in the elderly are increasing in incidence and becoming a major health issue in many countries. With an increasing number of the elderly living to an older age, the problems associated with fractures will continue to increase. We describe the epidemiology of fractures in the elderly and identify six fracture patterns in the population of...
Article
Over the past few decades, there have been many advances in the physical treatment of musculoskeletal injury, with improved outcomes and shorter hospital stays. More sophisticated methods of assessment of outcome have been developed, with an emphasis on patient rather than surgeon-oriented outcomes. Orthopaedic trauma as a specialty has become more...
Article
This study addressed the following null hypotheses: 1) There are no demographic differences between patients with perilunate dislocation (PLD) or fracture-dislocation (PLFD); 2) There are no factors associated with the development of median nerve symptoms in the setting of a PLD or PLFD; and 3) There are no factors associated with carpal tunnel rel...
Article
The aim of our study was to identify the risk factors associated with the development of acute compartment syndrome (ACS) following a fracture of the tibia. Retrospective cohort study. Orthopaedic trauma unit, university teaching hospital. From our trauma database we identified all patients who sustained an acute tibial diaphyseal fracture over a 1...
Article
Full-text available
To identify factors that affect functional outcome one year after distal radial fracture treatment. 521 women and 121 men aged 16 to 92 (mean, 59) years with distal radial fractures underwent external fixation (n=123), open reduction and internal fixation (n=63), a combination of both (n=10), distal radial osteotomy for symptomatic malunion (n=90),...
Article
Open ankle fractures present a significant clinical challenge. The management and outcome of these injuries has been extensively reported, but there have been no reports of the epidemiology and how this has changed over time. We report 178 adult patients with open ankle fractures presenting to our unit over a twenty-three year period. The study cen...
Book
Go for the gold standard: the definitive, bestselling reference on adult and pediatric fractures, Rockwood, Green, and Wilkins' Fractures is now in its 8th edition. Written by the top orthopaedic surgeons from around the world, the three revised and updated volumes offer full coverage of all fracture types in both adults and children, presenting th...
Article
Background: There is evidence to support primary nonoperative management of isolated stable fractures of the radial head, although minimal data exist regarding long-term outcomes. The aim of this study was to report subjective long-term outcomes of isolated stable fractures of the radial head and neck following primary nonoperative management. Me...
Article
Full-text available
Superelderly patients (≥80 years old) account for 20% of all distal radial fractures and are at an increased risk of malunion. The primary aim of this study was to identify predictors of malunion and the degree of improvement in the fracture position offered by closed manipulation of displaced distal radial fractures in the superelderly. We retrosp...
Article
Fractures of the tibial shaft are common injuries, but there are no long-term outcome data in the era of increased surgical management. The aim of this prospective study was to assess the clinical and functional outcome of this injury at 12 to 22 years. Secondary aims were to determine the short- and long-term mortality, and if there were any predi...
Article
Delay in the diagnosis of acute compartment syndrome (ACS) has serious and sometimes catastrophic consequences for the outcome of injury, and has been recognised as one of the primary causes of a poor outcome. This article reviews the evidence for the use of clinical findings and intra-compartmental pressure (ICP) monitoring in making a prompt diag...
Article
Background: Vitamin C has been proposed to improve outcomes after a distal radial fracture by promotion of bone and soft-tissue healing and reduction of the prevalence of complex regional pain syndrome (CRPS). Our primary aim was to examine the effect of vitamin C on functional outcome after a distal radial fracture. Methods: A total of 336 adul...
Article
Background: The epidemiology of fractures of the distal humerus, proximal ulna and proximal radius has been individually studied. We sought to determine the epidemiological characteristics of all adult elbow fractures in our region, and look specifically for a relationship between their incidence and socioeconomic deprivation. Methods: We analyzed...
Article
Open fractures in the elderly are rare and there is little information about them. We have reviewed 484 open fractures in patients aged ≥65 years over a 15-year period and compared them with 1902 open fractures in patients <65 years treated in the same period. The incidence of open fractures increased significantly with age. The incidence of open f...
Article
This study describes the epidemiology and outcome of 637 proximal humeral fractures in 629 elderly (≥ 65 years old) patients. Most were either minimally displaced (n = 278, 44%) or two-part fractures (n = 250, 39%) that predominantly occurred in women (n = 525, 82%) after a simple fall (n = 604, 95%), who lived independently in their own home (n =...
Article
Epidemiological studies enhance clinical practice in a number of ways. However, there are many methodological difficulties that need to be addressed in designing a study aimed at the collection and analysis of data concerning fractures and other injuries. Most can be managed and errors minimised if careful attention is given to the design and imple...
Chapter
Fractures of the distal radius are commonly low-energy osteoporotic fractures, with an increasing number of elderly women affected. The functional demands of the patient along with the risk factors for instability and malunion are essential when considering the role of re-reduction for displaced distal radius fractures. The literature would suggest...
Article
Full-text available
Purpose. The management of unstable distal radial fractures in the superelderly (≥80 years old) remains controversial. The aim of this study was to compare the functional outcome of super-elderly patients with and without malunion after a distal radial fracture. Methods. We identified 51 superelderly patients living independently with displaced fra...
Article
Fractures in patients aged ≥ 65 years constitute an increasing burden on health and social care and are associated with a high morbidity and mortality. There is little accurate information about the epidemiology of fractures in the elderly. We have analysed prospectively collected data on 4786 in- and out-patients who presented with a fracture over...
Article
When treating complex radial head fractures, important goals include prevention of elbow or forearm instability, with restoration of radiocapitellar contact essential. When open reduction and internal fixation cannot achieve this, radial head replacement is routinely employed, but the frequency of and risk factors for prosthesis revision or removal...
Article
Full-text available
Fracture epidemiology in adults is changing but there is very little information about the rate of change or whether the change affects males and females equally. We have compared fracture incidence in two similar populations 50-60 years apart. A study of fractures in Dundee, Scotland and Oxford, England, in 1954-1958, was compared with a similar c...
Article
The aim of this study was to document both the short and the long-term outcomes following primary nonoperative management of isolated displaced fractures of the olecranon. We identified, from our prospective trauma database, all patients who had been managed nonoperatively for a displaced olecranon fracture over a thirteen-year period. Inclusion cr...
Article
Introduction: We recommended that all patients at risk for acute compartment syndrome undergo continuous intracompartmental pressure monitoring. Step 1 patient consent: Provide thorough explanations so that the patient can give informed consent to undergo catheter placement and continuous compartment pressure monitoring. Step 2 position the pat...
Article
Objective: To Understand the Epidemiology of Cycling Fractures. Cycling injuries are increasing in incidence but there is, as yet, very little information about which fractures are associated with cycling. Methods: We have undertaken a prospective study of cycling fractures in adults over a one-year period in 2010- 11. All in-patient and out-patien...
Article
Introduction: Minimally invasive plate osteosynthesis (MIPO) is a relatively new surgical technique for the management of distal tibial fractures. Conventional open technique is unfavourable to the fracture biology because of excessive soft tissue stripping and can be associated with significant devastating complications. Objectives: The aim of thi...
Article
Techniques for fixation of fractures of the lateral malleolus have remained essentially unchanged since the 1960s, but are associated with complication rates of up to 30%. The fibular nail is an alternative method of fixation requiring a minimal incision and tissue dissection, and has the potential to reduce the incidence of complications. We revie...
Article
Full-text available
Various research methods have been used to obtain skeletal fracture data and report the incidence of fractures. A large number of British studies have used data collected in emergency departments, and not data derived from orthopaedic units. We hypothesised that fracture data will differ depending upon the methodology employed to capture it. Two co...
Article
In this review, we discuss the role of intramuscular pressure monitoring in the diagnosis of acute compartment syndrome. We present the problems associated with using the clinical signs of compartment syndrome alone, the benefits of using intramuscular pressure monitoring, the various methods and techniques available, and evidence regarding the dia...
Article
Effective methods of treating an unstable distal radial fracture are described in the literature, but there is no reliable method of identifying an unstable fracture in time to initiate appropriate treatment. The purposes of this study were to identify the predictors of fracture instability and to construct a method of prospectively predicting the...
Article
Nonbridging external fixation of the distal radius for metaphyseal unstable fractures is a simple, minimally invasive technique that allows the surgeon to obtain and maintain an excellent reduction. Functional results are generally satisfactory with a rapid return to function and good long-term function. Nonbridging external fixation has been shown...
Article
We present a retrospective study of 125 patients with an impacted valgus fracture (B1.1) of the proximal humerus. This fracture rarely occurs in young patients and is much more common in elderly fit subjects. All patients were documented prospectively and followed for one year. None was treated surgically. At one year, 80.6% of the patients had a g...
Article
Full-text available
The capacity for physiotherapy to improve the outcome after fracture of the distal radius is unproven. We carried out a randomised controlled trial on 96 patients, comparing conventional physiotherapy with a regime of home exercises. The function of the upper limb was assessed at the time of removal of the plaster cast and at three and six months a...
Article
Full-text available
We examined the recovery of power in the muscles of the lower limb after fracture of the tibial diaphysis, using a Biodex dynamometer. Recovery in all muscle groups was rapid for 15 to 20 weeks following fracture after which it slowed. Two weeks after fracture the knee flexors and extensors have about 40% of normal power, which rises to 75% to 85%...
Article
Full-text available
We have analysed associated factors in 164 patients with acute compartment syndrome whom we treated over an eight-year period. In 69% there was an associated fracture, about half of which were of the tibial shaft. Most patients were men, usually under 35 years of age. Acute compartment syndrome of the forearm, with associated fracture of the distal...
Article
Acute compartment syndrome is a serious complication of injury. It occurs when raised pressure within a closed osteofascial compartment compromises the circulation and function of tissues within the compartment. Most cases are caused by fracture. The largest group are tibial diaphyseal fractures, followed by soft tissue injury, crush syndrome, dist...
Article
A randomised, prospective study was carried out on 60 patients with unstable fractures of the distal radius to compare bridging with non-bridging external fixation using pins placed in the distal fragment of the radius. The radiological results showed significant improvement in the non-bridging group at all stages of review. In particular, normal v...