Document Detail


Re-engineering Colles: form, function and fragility fractures.
MedLine Citation:
PMID:  16459499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Of the twenty nine anatomy professors in the Royal College of Surgeons in Ireland, primus inter pares is Abraham Colles. In his 1811 book A Treatise on Surgical Anatomy he revolutionised the subject by teaching it topographically, seeking "to describe the relative position of the parts and to point out the subservience of anatomical knowledge to surgical practice". Today we have extended this to 'clinical practice' and, in the Anatomy Room, students are guided through each region by clinically trained staff, from surface anatomy via three-dimensional dissection to radiological images. This is augmented by online histology and radiology courses and DVDs in which dissection footage, edited by a content analysis engine, is used to preview and review practical classes. In the same book, Colles also wrote that 'the fixed and immutable laws of mathematics are little applicable to the science of medicine'. Computer-aided learning argues against this. So does research which links fatigue microdamage to bone remodelling and the development of algorithms to predict, and thus prevent, osteoporotic fractures. Mechanical principles are being used to develop scaffolds for tissue engineering and to optimise the mechanical environment of seeded mesenchymal stem cells. While Colles' teaching approach holds true, in biomechanics, tissue engineering and computing, mathematical laws are now being successfully applied to medical science.
Authors:
T C Lee
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Publication Detail:
Type:  Historical Article; Lectures; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland     Volume:  4     ISSN:  1479-666X     ISO Abbreviation:  Surgeon     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-07     Completed Date:  2006-02-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101168329     Medline TA:  Surgeon     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  39-44     Citation Subset:  IM    
Affiliation:
Department of Anatomy, Royal College of Surgeons in Ireland, Dublin. tclee@rcsi.ie
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MeSH Terms
Descriptor/Qualifier:
Anatomy / trends*
Colles' Fracture / history,  physiopathology*,  prevention & control
Education, Medical, Undergraduate / trends*
History, 19th Century
Humans
Ireland
Mathematical Computing
Models, Biological*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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