Disorders of the skeletal system : diagnosis of staphylococcal bone disease.

London : University of London Audio-Visual Centre, 1976.

1 encoded moving image (36.13 min.) : sound, black and white.

00:36:13

University of London

Restricted

In English

Presented by Dr RO Murray, Senior Lecturer in Radiology, Institute of Orthopaedics, Consultant Radiologist, Royal National Orthopaedic Hospital and Dr AG Taylor, Lecturer in Pathology, Institute of Orthopaedics. Directed by Trevor A Scott. Made for British Postgraduate Medical Federation. Made by University of London Audio-Visual Centre.

This video is one of around 310 titles, originally broadcast on Channel 7 of the ILEA closed-circuit television network, given to Wellcome Trust from the University of London Audio-Visual Centre shortly after it closed in the late 1980s. Although some of these programmes might now seem rather out-dated, they probably represent the largest and most diversified body of medical video produced in any British university at this time, and give a comprehensive and fascinating view of the state of medical and surgical research and practice in the 1970s and 1980s, thus constituting a contemporary medical-historical archive of great interest. The lectures mostly take place in a small and intimate studio setting and are often face-to-face. The lecturers use a wide variety of resources to illustrate their points, including film clips, slides, graphs, animated diagrams, charts and tables as well as 3-dimensional models and display boards with movable pieces. Some of the lecturers are telegenic while some are clearly less comfortable about being recorded; all are experts in their field and show great enthusiasm to share both the latest research and the historical context of their specialist areas.

Segment 1 Murray opens the lecture by discussing the diagnosis of staphylococcal disease. He shows a series of X-rays which detail different types of bone disease, most of which were misdiagnosed. He talks through each case in depth. Time start: 00:00:00:00 Time end: 00:06:10:10 Length: 00:06:10:10

Segment 2 Murray continues to discuss the misdiagnosis of staphylococcal bone disease, referring in detail to case studies on X-rays. Time start: 00:06:10:10 Time end: 00:10:56:00 Length: 00:04:45:15

Segment 3 Murray continues to discuss the misdiagnosis of staphylococcal bone disease, referring in detail to case studies on X-rays. He sums up this part of the lecture by introducing serological methods of fine-tuning diagnoses made by visual appearance then he hands over to Dr Taylor. Time start: 00:10:56:00 Time end: 00:15:18:00 Length: 00:04:22:00

Segment 4 Taylor gives statistics for the prevalence of staphyloccocus infections of bone disease in adults and children in the UK. He also points out that it is a common complication following orthopaedic surgery. He refers to a table listing methods by which antibodies are estimated and a demographic illustrating showing levels of staphylococcal antibody in the general population compared to orthopaedic patients. Time start: 00:15:18:00 Time end: 00:21:07:00 Length: 00:05:49:00

Segment 5 Taylor discusses other tests which can show staphylococcal bone disease and compares the accuracy of their results. He also covers how to analyse the results in terms of diagnosing deep level or less serious infection. Time start: 00:21:07:00 Time end: 00:25:02:00 Length: 00:03:55:00

Segment 6 Taylor discusses tuberculous bone disease and compares their serology with that of patients with staphylococcal bone disease. He then discusses the diagnosis and treatment of a man who was diagnosed with a staphylococcal infection in his ankle; each stage of the case is illustrated by X-rays and graphs. Time start: 00:25:02:00 Time end: 00:30:11:00 Length: 00:05:09:00

Segment 7 Taylor talks about a case of chronic recurrent osteomyelitis in a man who fractured his right leg when he was 26 and a case of post-operative staphylococcal infection. He concludes by suggesting that early treatment of infection, particularly in patients who have recently undergone joint replacement surgery, might cut down the prevalence of staphylococcal bone infections. Time start: 00:30:11:00 Time end: 00:36:13:11 Length: 00:06:02:11