Osteopoikilosis, known as ’spotted bone disease’, is a rare and usually asymptomatic bone disorder but can be associated with malignant bone tumours. We present a patient with type I diabetes and Frozen Shoulder that was diagnosed with osteopoikilosis as an incidental finding when assessed radiographically. The radiographic features of this pathology are highlighted and the investigations described to exclude more sinister pathology. One of the usual diagnostic criteria of Osteopoikilosis is normal alkaline phosphatase blood levels however this is the first report of a patient whose alkaline phosphatase levels were persistently raised. This was attributed to diabetes. Raised alkaline phosphatase levels of an unknown cause have been previously reported to be a common finding in this patient group.
Whilst there has been a plethora of books related to special tests in musculoskeletal examination, a compilation of the evaluation and testing procedures of other physiological systems of the body has been long overdue. O’Connell et al (2011) have recently published a handy volume on the special tests of the cardiopulmonary, vascular and gastrointestinal systems. [...]
Rehabilitation professions have evolved over the past century from being an adjunct to the medical services to an essential part of the multi disciplinary team. In the recent years, the Open Access movement has gained momentum through various publishers like Pubmed Central and Biomed Central, who provide immediate free open access to the users. This article looks into the Open Access Publication in Physiotherapy, the benefits and challenges it faces for its growth into the preferential publishing model.