NEUROLOGY OF BODY SYSTEMS
Neurology and orthopaedics
1 Centre for Neuromuscular Disease and Department of Molecular Neurosciences, The National Hospital for Neurology and Neurosurgery, London, UK
2 The National Hospital for Neurology and Neurosurgery, London, UK
3 Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK
Correspondence to:
Correspondence to:
Dr H Houlden
Centre for Neuromuscular disease and Department of Molecular Neurosciences, The National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK; h.houlden{at}ion.ucl.ac.uk
Neurology encompasses all aspects of medicine and surgery, but is closer to orthopaedic surgery than many other specialities. Both neurological deficits and bone disorders lead to locomotor system abnormalities, joint complications and limb problems. The main neurological conditions that require the attention of an orthopaedic surgeon are disorders that affect the lower motor neurones. The most common disorders in this group include neuromuscular disorders and traumatic peripheral nerve lesions. Upper motor neurone disorders such as cerebral palsy and stroke are also frequently seen and discussed, as are chronic conditions such as poliomyelitis. The management of these neurological problems is often coordinated in the neurology clinic, and this group, probably more than any other, requires a multidisciplinary team approach.
Abbreviations: BMD, Becker’s muscular dystrophy; CMT, Charcot–Marie–Tooth disease; DMD, Duchenne’s muscular dystrophy
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