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J Neurol Neurosurg Psychiatry 2007;78:224-232 doi:10.1136/jnnp.2006.092072
  • Neurology of body systems

Neurology and orthopaedics

  1. Henry Houlden1,
  2. Paul Charlton2,
  3. Dishan Singh3
  1. 1Centre for Neuromuscular Disease and Department of Molecular Neurosciences, The National Hospital for Neurology and Neurosurgery, London, UK
  2. 2The National Hospital for Neurology and Neurosurgery, London, UK
  3. 3Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK
  1. 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
  • Received 9 March 2006
  • Accepted 2 November 2006
  • Revised 9 March 2006

Abstract

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.

Footnotes

  • Competing interests: None declared.

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