View allAll Photos Tagged Orthopaedic

Shadow of a player.

 

Kabul, Afghanistan, June 2012.

 

The International Committee of the Red Cross (ICRC) is an impartial, neutral and independent organization whose exclusively humanitarian mission is to protect the lives and dignity of victims of armed conflict and other situations of violence and to provide them with assistance. The ICRC also endeavours to prevent suffering by promoting and strengthening humanitarian law and universal humanitarian principles. The ICRC is at the origin of the Geneva Conventions and the International Red Cross and Red Crescent Movement. It directs and coordinates the international activities conducted by the Movement in armed conflicts and other situations of violence.

 

THE ICRC has been permanently present in Afghanistan since 1987, and the orthopaedic programme was one of its first activities. The ICRC orthopaedic center opened in Kabul in 1988. More than 90,000 Afghan disabled have been assisted through it. Those are combatants and civilians caught up in fighting, hurt during bombardments, or struck by landmines. At present the ICRC directly manages six orthopaedic center in Afghanistan and supports four non-ICRC prosthetic workshops.

 

Of close to 200 employees running Kabul orthopaedic center, including a large hospital and workshops producing prostheses and wheelchairs, all are disabled themselves. The whole center is effectively run by people who had been affected by warfare, loosing limbs, but not losing their spirit.

 

Some of ICRC workers and patients have, under the leadership of Alberto Cairo, legendary head of the center, started a wheelchair basketball team, and practice almost every day after office hours. In June 2012 first wheelchair basketball tournament took place in Afghanistan. Kabul team did not win although they gave a tough fight.

 

It’s been a moving experience to see them practising and playing, an experience that cannot be forgotten.

 

More about the work of ICRC www.icrc.org

 

Texts partially quoted after ICRC.

Getting ready to join the game.

 

June 2012, Kabul, Afghanistan.

 

The International Committee of the Red Cross (ICRC) is an impartial, neutral and independent organization whose exclusively humanitarian mission is to protect the lives and dignity of victims of armed conflict and other situations of violence and to provide them with assistance. The ICRC also endeavours to prevent suffering by promoting and strengthening humanitarian law and universal humanitarian principles. The ICRC is at the origin of the Geneva Conventions and the International Red Cross and Red Crescent Movement. It directs and coordinates the international activities conducted by the Movement in armed conflicts and other situations of violence.

 

THE ICRC has been permanently present in Afghanistan since 1987, and the orthopaedic programme was one of its first activities. The ICRC orthopaedic center opened in Kabul in 1988. More than 90,000 Afghan disabled have been assisted through it. Those are combatants and civilians caught up in fighting, hurt during bombardments, or struck by landmines. At present the ICRC directly manages six orthopaedic center in Afghanistan and supports four non-ICRC prosthetic workshops.

 

Of close to 200 employees running Kabul orthopaedic center, including a large hospital and workshops producing prostheses and wheelchairs, all are disabled themselves. The whole center is effectively run by people who had been affected by warfare, loosing limbs, but not losing their spirit.

 

Some of ICRC workers and patients have, under the leadership of Alberto Cairo, legendary head of the center, started a wheelchair basketball team, and practice almost every day after office hours. In June 2012 first wheelchair basketball tournament took place in Afghanistan. Kabul team did not win although they gave a tough fight.

 

It’s been a moving experience to see them practising and playing, an experience that cannot be forgotten.

 

More about the work of ICRC – www.icrc.org

 

Texts quoted after ICRC.

The Mercer’s & Orthopaedic Hospital Bazaar was one of the major entertainment and fund-raising events in Dublin during the Edwardian era. This bazaar was organised by the Friend’s committee and governors of the Mercer and Incorporated Orthopaedic hospitals for the purpose of raising funds to help clear the £2,000+ debts incurred by the orthopaedic hospital as a result their second move to premises in Upper Merrion Street. This account in the Irish Independent of 3rd December 1908 has this to say “.....the orthopaedic hospital has had to move twice into larger premises. The adaptation of the fine house in Upr. Merrion Street to the needs of an hospital necessarily entailed great expense, and the Governors find themselves involved in a debt of over £2,000. It is to clear off this incumbrance that the governors of the orthopaedic hospital, joining with those of the Mercer’s, which is sadly in need of funds, have decided to organise a grand bazaar at Ballsbridge, next year”.

 

The plans for a bazaar were ambitious and with the patronage of Queen Alexandra, the main events would also be a focal point for high-society too. There were three separate fund-raising events organised. Firstly, there was a concert on February 9th 1909 in the Billiards Room of Pembroke House in Upper Mount Street with tickets costing 3 shillings each (1). Next, a Subscription Ball took place in the Pillar Room of the Rotunda Hospital on the 16th February 1909 and was deemed an “immense success” having had around 400 participants (2). The bazaar itself was a five-day event with numerous entertainments and stalls at the RDS Simmonscourt in Ballsbridge which took place during the final week of May 1909 (3). The Honorary Treasurer’s Report stated that an overall net profit of £5,896-2s-5d was made and this was distributed to both hospitals (4).

 

The opening event for the Ballsbridge bazaar at 3:30pm on Tuesday 25th May was presided over by the Lord Lieutenant (Earl of Aberdeen) and the Countess of Aberdeen (5). There were various musical theatre and music hall shows staged daily and the Dublin Metropolitan Police Band played there each afternoon. Numerous stalls representing every county of Ireland were selling a comprehensive range of goods from furniture, to pottery, to clothing, to confectionaries, etc. Catering was quite comprehensive too ranging from the famous Cafe Chantant, a dining hall, luncheon rooms, tea rooms and various light refreshments. Examples of additional entertainment and exhibits included the following (3):

 

• Fireworks displays arranged by Mark & Company.

• Championship sports events: cyclist races daily in the show-jumping enclosure, golf, croquette, rifle shooting, skittles.

• Physical Culture displays: Ju Jitsu, wrestling, Indian clubs, weight lifting.

• Helter Skelter, Toft’s Merry-go-Round, Zig-Zag slides.

• Palace Ballroom dances.

• Children’s fancy dress.

• Morris dancing.

• Puzzle garden (maze?)

• Pony and rickshaw rides.

• Flower shows, garden displays.

• Japanese city and Japanese gardens display in the Central Hall.

 

.

Nearly 50,000 people attended the bazaar according to turnstile tallies and a breakdown was given as follows (6):

Tuesday 25th - 6,447

Wednesday 26th - 7,989

Thursday 27th - 11,640

Friday 28th - 11,034

Saturday 29th - 12,275

 

.

This medallion would have been purchased originally as a pass ticket and allowed the wearer access to the bazaar’s events during all days at the RDS. The medallion shows the emblems of both hospitals: a hand for the Incorporated Orthopaedic and an allegory of the Good Samaritan with motto 'Fac Similiter' (Do Likewise) for the Mercer. Other text reads MERCER’S & ORTHOPAEDIC HOSPITALS BAZAAR and the reverse side carries the manufacturer’s imprint.

 

.

Size (including the bale): 1 7/32" x 1 13/16" (31mm x 46mm).

Material(s): Brass metal.

Finish: Gilt.

Fitting: Bale.

Imprint: JEWELLERS CO. 86 GRAFTON ST.

Weight: 11.22g

 

.

References:

 

(1) Evening Herald, Friday 29th January 1909, p4

(2) Irish Independent, Wednesday 17th February 1909

(3) Freemans Journal, Wednesday 26th May 1909, p5 (a very comprehensive account of the bazaar’s entertainment)

(4) Freemans Journal, Thursday 27th January 1910, p5

(5) Evening Herald, Saturday 22nd May 1909

(6) Evening Herald, Thursday 3rd June 1909, p3

 

The Hammersmith Hospital in London was built in the early years of the 20th century as the local workhouse; during the First World War it was used by the army, first being called the Military Orthopaedic Hospital and then Special Services Hospital.

 

The front of the hospital is perhaps little changes, though the fish air balconies have gone.

A moment of relax.

 

Kabul, Afghanistan, June 2012.

 

The International Committee of the Red Cross (ICRC) is an impartial, neutral and independent organization whose exclusively humanitarian mission is to protect the lives and dignity of victims of armed conflict and other situations of violence and to provide them with assistance. The ICRC also endeavours to prevent suffering by promoting and strengthening humanitarian law and universal humanitarian principles. The ICRC is at the origin of the Geneva Conventions and the International Red Cross and Red Crescent Movement. It directs and coordinates the international activities conducted by the Movement in armed conflicts and other situations of violence.

 

THE ICRC has been permanently present in Afghanistan since 1987, and the orthopaedic programme was one of its first activities. The ICRC orthopaedic center opened in Kabul in 1988. More than 90,000 Afghan disabled have been assisted through it. Those are combatants and civilians caught up in fighting, hurt during bombardments, or struck by landmines. At present the ICRC directly manages six orthopaedic center in Afghanistan and supports four non-ICRC prosthetic workshops.

 

Of close to 200 employees running Kabul orthopaedic center, including a large hospital and workshops producing prostheses and wheelchairs, all are disabled themselves. The whole center is effectively run by people who had been affected by warfare, loosing limbs, but not losing their spirit.

 

Some of ICRC workers and patients have, under the leadership of Alberto Cairo, legendary head of the center, started a wheelchair basketball team, and practice almost every day after office hours. In June 2012 first wheelchair basketball tournament took place in Afghanistan. Kabul team did not win although they gave a tough fight.

 

It’s been a moving experience to see them practising and playing, an experience that cannot be forgotten.

 

More about the work of ICRC www.icrc.org

 

Texts partially quoted after ICRC.

Orthopaedic Hospital Medical Magnet High School students Leslie Salgado, left and Vanessa Juarez practice using pipettes to handle small amounts of liquid at the Stem Cell Day of Discovery event held at the USC Health Sciences Campus in Los Angeles, CA. February 4th, 2017. The event encourages students to learn more about STEM opportunities, including stem cell study and biotech, and helps demystify the fields and encourage student engagement. Photo by David Sprague

As a baby and toddler I took some time to learn to walk, as a result of my dwarfism and many surgical procedures to straighten out my hips and feet….

When eventually I did get the hang of it (probably for the third time) one of the first pairs of 'proper' orthopaedic boots I had were these wonderful red affairs….

Leather uppers and leather soles, you can even see the original nails in the heels….amazing craftsmanship now 40 years old….wonderful aren't they?

IOH focuses on patient care ensuring the best possible post-procedure stay. The hospital hopes that patients feel comfortable and at home with the help of available amenities.

Dr Colin Walker, a consultant orthopaedic surgeon from Glasgow, observes an operation on a Nepalese man who was injured in the earthquake which struck Nepal on 25 April 2015. The operation is taking place in the Nepal Medical College and Teaching Hospital in Kathmandu, which itself was damaged in the earthquake.

 

Dr Walker is part of the UK's International Emergency Trauma Register, a volunteering scheme run by the NHS with funding from the Department for International Development. The register allows specially trained NHS medical professionals to be deployed from the UK to other countries in times of need, to help respond to humanitarian emergencies. The medics are deployed as part of the UK's Emergency Medical Team (UK EMT), which is also funded by the UK government through the Department for International Development.

 

The 30-person UK EMT was deployed to Nepal on 26 April 2015, after the government of Nepal requested international assistance to help it respond to the 7.8 magnitude earthquake which struck the country on 25 April. The team was deployed alongside the 60-person UK International Search and Rescue Team, which is comprised of specialist urban search and rescue firefighter teams from fire & rescue services around the UK.

 

Together, members of the UK EMT and ISAR teams have helped re-open 10 operating theatres and 400 beds at the NMC hospital in Kathmandu, meaning that many more injured Nepalese can be treated and cared for there.

 

Picture: Russell Watkins/DFID

26/08/2022. Epsom, United Kingdom. Prime Minister Boris Johnson visits a surgical hub at the South West London Elective Orthopaedic Centre in Epsom. Picture by Simon Dawson / No 10 Downing Street

It was Najmuddin, director of the ICRC's Orthopaedic Centre in Kabul, and himself a double amputee, who first suggested playing wheelchair basketball. It is now one of many activities going on there, and at other ICRC Ortho Centres in Afghanistan, that help people with disabilities to live a full and active life. Other projects include vocational training, micro-credit loans and home education for children. Almost all the technicians and physiotherapists working at the ICRC Ortho Centres are themselves former patients. They have all received internationally-recognized professional training.

 

© ICRC / Jessica Barry / www.icrc.org

I fear not! This is my left wrist, following my operation yesterday - forgive me Flickrfriends if I'm a little slow for a while.....but it's keeping me in stitches - many many stitches!!

 

This was interesting - I was due to have this operation [partial wrist denervation] under general anaesthetic. Before the op, the anaesthetist came to talk to me [as they do] and asked me if I would consider having this done under local anaesthetic instead. I wasn't sure, but decided to go for it! I also had some sedation to relax me. He completely deadened my arm, neck downover, by giving me some shots in my neck, which was pretty weird! Then they placed a huge black rubber tourniquet on my upper arm to stop any blood flow, so that the surgeon could see what he was doing, and proceeded with the operation. I asked to watch, so I saw the whole thing as it happened!!!! Seeing an operation live would be an amazing experience at any time, but seeing it happen to yourself is incredible!

 

In short, and in layman's terms, a partial denervation is a procedure where the surgeon separates out the nerve branches to find the ones that perceive the pain, and then blocks them off. He did two operations, one on my upper wrist, and one on my lower wrist.

 

Hopefully my hand will function and feel much better after this! I should know pretty soon.....

 

With many and grateful thanks to Mr C Gibbons

www.northumbria.nhs.uk/page.asp?id=244168

consultant orthopaedic surgeon, and his team, and the staff of Ward 15, surgical ward, Wansbeck General Hospital, Ashington, Northumberland, UK.

Warm-up before a game.

 

Kabul, Afghanistan, June 2012.

 

The International Committee of the Red Cross (ICRC) is an impartial, neutral and independent organization whose exclusively humanitarian mission is to protect the lives and dignity of victims of armed conflict and other situations of violence and to provide them with assistance. The ICRC also endeavours to prevent suffering by promoting and strengthening humanitarian law and universal humanitarian principles. The ICRC is at the origin of the Geneva Conventions and the International Red Cross and Red Crescent Movement. It directs and coordinates the international activities conducted by the Movement in armed conflicts and other situations of violence.

 

THE ICRC has been permanently present in Afghanistan since 1987, and the orthopaedic programme was one of its first activities. The ICRC orthopaedic center opened in Kabul in 1988. More than 90,000 Afghan disabled have been assisted through it. Those are combatants and civilians caught up in fighting, hurt during bombardments, or struck by landmines. At present the ICRC directly manages six orthopaedic center in Afghanistan and supports four non-ICRC prosthetic workshops.

 

Of close to 200 employees running Kabul orthopaedic center, including a large hospital and workshops producing prostheses and wheelchairs, all are disabled themselves. The whole center is effectively run by people who had been affected by warfare, loosing limbs, but not losing their spirit.

 

Some of ICRC workers and patients have, under the leadership of Alberto Cairo, legendary head of the center, started a wheelchair basketball team, and practice almost every day after office hours. In June 2012 first wheelchair basketball tournament took place in Afghanistan. Kabul team did not win although they gave a tough fight.

 

It’s been a moving experience to see them practising and playing, an experience that cannot be forgotten.

 

More about the work of ICRC www.icrc.org

 

Texts partially quoted after ICRC.

Dr Colin Walker, a consultant orthopaedic surgeon from Glasgow, observes an operation on a Nepalese man who was injured in the earthquake which struck Nepal on 25 April 2015. The operation is taking place in the Nepal Medical College and Teaching Hospital in Kathmandu, which itself was damaged in the earthquake.

 

Dr Walker is part of the UK's International Emergency Trauma Register, a volunteering scheme run by the NHS with funding from the Department for International Development. The register allows specially trained NHS medical professionals to be deployed from the UK to other countries in times of need, to help respond to humanitarian emergencies. The medics are deployed as part of the UK's Emergency Medical Team (UK EMT), which is also funded by the UK government through the Department for International Development.

 

The 30-person UK EMT was deployed to Nepal on 26 April 2015, after the government of Nepal requested international assistance to help it respond to the 7.8 magnitude earthquake which struck the country on 25 April. The team was deployed alongside the 60-person UK International Search and Rescue Team, which is comprised of specialist urban search and rescue firefighter teams from fire & rescue services around the UK.

 

Together, members of the UK EMT and ISAR teams have helped re-open 10 operating theatres and 400 beds at the NMC hospital in Kathmandu, meaning that many more injured Nepalese can be treated and cared for there.

 

Picture: Russell Watkins/DFID

Carefully suturing a wound....

Every time I visit New West I'm amazed to see this old storefront is still there. Lobel & Son have been around since 1949.

Go to Page 368 in the Internet Archive

Title: Illustrated catalogue and price list of surgical instruments, spectacles, eyeglasses, optical goods, orthopaedical apparatus, trusses, supporters, etc. etc

Creator: Reynders, John, & Co., New York

Publisher: New York : Reynders

Sponsor: Open Knowledge Commons and Harvard Medical School

Contributor: Francis A. Countway Library of Medicine

Date: 1889

Language: eng

 

If you have questions concerning reproductions, please contact the Contributing Library.

 

Note: The colors, contrast and appearance of these illustrations are unlikely to be true to life. They are derived from scanned images that have been enhanced for machine interpretation and have been altered from their originals.

 

Read/Download from the Internet Archive

 

See all images from this book

See all MHL images published in the same year

See all images from Francis A. Countway Library of Medicine

26/08/2022. Epsom, United Kingdom. Prime Minister Boris Johnson visits a surgical hub at the South West London Elective Orthopaedic Centre in Epsom. Picture by Simon Dawson / No 10 Downing Street

26/08/2022. Epsom, United Kingdom. Prime Minister Boris Johnson visits a surgical hub at the South West London Elective Orthopaedic Centre in Epsom. Picture by Simon Dawson / No 10 Downing Street

Summer Scrubs at Alabama Orthopaedic Clinic. Summer 2009.

Orthopaedic implants inserted into polished Soap-stone mounted on top of solid Jarrah Timber.

Activity at 80 Broad Street, Birmingham. Formerly Old Orleans. It will be Georgie Porgies. Delayed by 2 years.

 

It was the Islington Glassworks of 1815. Three-bay, three-storey centrepiece built as the owner's house. Stone strings between the floors, Doric porch. The windows were heavy architraves and lintels are probably of 1863 by J J Bateman, who added the wings then, when it became the Lying-In Hospital. Railings with Gothic piers by Martin & Chamberlain, 1869.

 

From: Pevsner Architectural Guides: Birmingham by Andy Hunter

 

Grade II listed building.

Main Block to the Royal Orthopaedic Hospital, Birmingham

 

Built 1814 as Islington House for Rice Harris. Red brick and stucco; slate roof. Symmetrical building of 9 bays, the centre 3 of 2 1/2 storeys, the outer ones of 2 storeys and set back somewhat. The centre with central Tuscan porch with entablature with triglyph frieze and 2 sash windows each flanked by pilasters carrying a segmental arch. Broad band at first floor level. First floor with sash windows with cornices. Broad band at second floor level. Second floor with square casement windows within plain flat surrounds. Cornice and blocking course. The outer bays have, on the ground floor, windows with cornices and, on the first floor, windows with plain flat surrounds. All the windows of the outer bays altered to casements. The forecourt wall end railing built 'at the sole cost of 2 friends' apparently circa 1860.

Old Orleans on Broad Street is gone. But coming soon is Georgie Porgies Buffet World.

 

There is also a Premier Inn hotel here.

 

Georgie Porgies is at 80 Broad Street.

 

It was the Islington Glassworks of 1815. Three-bay, three-storey centrepiece built as the owner's house. Stone strings between the floors, Doric porch. The windows were heavy architraves and lintels are probably of 1863 by J J Bateman, who added the wings then, when it became the Lying-In Hospital. Railings with Gothic piers by Martin & Chamberlain, 1869.

 

From: Pevsner Architectural Guides: Birmingham by Andy Hunter

 

There is a possibility that this is the following (from Heritage Gateway), so it is probably a Grade II listed building.

 

Built 1814 as Islington House for Rice Harris. Red brick and stucco; slate roof. Symmetrical building of 9 bays, the centre 3 of 2 1/2 storeys, the outer ones of 2 storeys and set back somewhat. The centre with central Tuscan porch with entablature with triglyph frieze and 2 sash windows each flanked by pilasters carrying a segmental arch. Broad band at first floor level. First floor with sash windows with cornices. Broad band at second floor level. Second floor with square casement windows within plain flat surrounds. Cornice and blocking course. The outer bays have, on the ground floor, windows with cornices and, on the first floor, windows with plain flat surrounds. All the windows of the outer bays altered to casements. The forecourt wall end railing built 'at the sole cost of 2 friends' apparently circa 1860.

 

New link here MAIN BLOCK TO THE ROYAL ORTHOPAEDIC HOSPITAL - Heritage Gateway

 

Banners for Georgie Porgies.

 

A more broader view of the house with the sign.

View On Black

 

Concentrating on looking at the Image Intensifier.

 

John McFall, a former Paralympic athlete and orthopaedic surgeon, was selected as the first member of the European Space Agency's Astronaut Reserve with a physical disability in 2022. His selection marked a historic step in ESA’s Fly! initiative, which explores whether a professional astronaut with a physical disability could join a long-duration mission to the International Space Station as a fully integrated crew member.

 

The Feasibility Study phase of Fly! examines the challenges related to John’s lower limb amputation and aims to develop solutions for spaceflight adaptation, fitness, and prosthetic technology in microgravity. As part of this study, John took part in a fluid shift investigation at :envihab, a specialised research facility at the German Aerospace Agency’s (DLR) Institute of Aerospace Medicine.

 

In microgravity, body fluids shift headward, causing astronauts to experience a 5-10% reduction in lower leg volume within the first few hours in space — a change that persists throughout the mission. The study investigated similar volume shifts in an amputated limb and their potential impact on prosthesis fit and comfort during spaceflight.

 

To simulate the effects of microgravity, John first underwent tilt-table testing, transitioning from a 70° head-up position to a -20° head-down position, while 3D modelling cameras measured any volume changes in his stump. John performed moderate-intensity cycling in a -6° head-down position to assess how fluid shifts during exercise might influence the fit of his prosthesis.

 

Exercise in space is critical as it helps counteract the physiological changes caused by microgravity. Fluid redistribution and muscle atrophy can affect prosthetic fit and comfort. The test aimed to determine whether adjustments—such as extra socks or a modified socket— would be necessary for future missions. The results showed that no adjustments were required.

 

Fly! represents ESA’s commitment to increasing diversity in human spaceflight, expanding its astronaut talent pool, and pushing the boundaries of accessibility in space exploration. John’s expertise and direct involvement provide invaluable insights as ESA works towards making space missions accessible for all.

 

Credits: ESA / DLR

A sight familiar to many orthopaedic nurses,Balkan Beams,Thomas splints and traction with sand bags

Dr Graeme Groom, an orthopaedic surgeon from Kings College Hospital, London, pictured in surgery in Shifa Hospital, Gaza.

 

UK aid from the Department for International Development has funded teams of NHS doctors like Graeme to deploy to Gaza in conjunction with British charities Medical Aid for Palestinians (MAP) and IDEALS.

 

They're providing vital life-saving and life-improving surgery to some of the people who were most severely injured in the conflict last year. The doctors have been volunteering in their spare time to visit Gaza roughly once a month over the past eight months, helping to carry out complex operations and provide training to Palestinian colleagues.

 

Picture: Abbie Trayler-Smith/Panos for DFID

Activity at 80 Broad Street, Birmingham. Formerly Old Orleans. It will be Georgie Porgies. Delayed by 2 years.

 

It was the Islington Glassworks of 1815. Three-bay, three-storey centrepiece built as the owner's house. Stone strings between the floors, Doric porch. The windows were heavy architraves and lintels are probably of 1863 by J J Bateman, who added the wings then, when it became the Lying-In Hospital. Railings with Gothic piers by Martin & Chamberlain, 1869.

 

From: Pevsner Architectural Guides: Birmingham by Andy Hunter

 

Grade II listed building.

Main Block to the Royal Orthopaedic Hospital, Birmingham

 

Built 1814 as Islington House for Rice Harris. Red brick and stucco; slate roof. Symmetrical building of 9 bays, the centre 3 of 2 1/2 storeys, the outer ones of 2 storeys and set back somewhat. The centre with central Tuscan porch with entablature with triglyph frieze and 2 sash windows each flanked by pilasters carrying a segmental arch. Broad band at first floor level. First floor with sash windows with cornices. Broad band at second floor level. Second floor with square casement windows within plain flat surrounds. Cornice and blocking course. The outer bays have, on the ground floor, windows with cornices and, on the first floor, windows with plain flat surrounds. All the windows of the outer bays altered to casements. The forecourt wall end railing built 'at the sole cost of 2 friends' apparently circa 1860.

www.medilaw.tv - Shows a lateral view of a normal and a degenerate L4-5 facet joint during flexion-extension. Also shows a superior view of the L4 nerve root during the natural progress of L5 facet joint arthropathy leading to foraminal stenosis.

INTERVERTEBRAL FORAMEN

The intervertebral foramen is formed posteriorly by the superior articular process of the vertebra below and the inferior articular process of the vertebra above, anteriorly by the vertebral bodies and the intervening intervertebral disc, and superiorly and inferiorly by the respective vertebral pedicles.

The intervertebral foramen provides a protective exit tunnel for the spinal nerve to leave the spinal canal.

FORAMINAL STENOSIS

Foraminal stenosis refers to narrowing of the intervertebral foramina. It is commonly caused by a degenerative articular process enlargement posteriorly, anteriorly by posterolateral intervertebral disc bulging and posterolateral vertebral body lipping (osteophytes), and superiorly by the vertebral pedicle that moves inferiorly with intervertebral disc dehydration and collapse during degenerative disc disease.

Less common causes of foraminal stenosis are spine tumours and infections, an expanding cervical synovial cyst and synovial chondromatosis.

RADICULOPATHY

Radiculopathy refers to the symptomatic dysfunction of the spinal nerve roots in the spinal canal or in the intervertebral foramen, usually originating from compression, traction, inflammation or impaired blood supply. Symptoms are felt in the region supplied by the nerve, as pain, paresthesia (pins and needles), numbness and / or weakness. Lumbar radiculopathy can cause buttock and leg symptoms.

Common causes of foraminal stenosis leading to radiculopathy are facet joint arthritis and degenerative disc disease.

FACET JOINT ARTHRITIS

Facet joint degeneration (arthritis, arthropathy) can be due to increased facet joint stress because of

previous damage to the joint

abnormal adjacent joints or intervertebral discs

prolonged incorrect posture

prolonged heavy loading ie lifting, obesity.

 

The stress leads to joint surface cartilage damage, joint instability and abnormal movements. These cause additional joint stresses that stimulate a reactive bony growth (hypertrophy) at the edges of the joint in an attempt to increase stability. The resultant articular process enlargement can encroach into the posterior intervertebral foramen (foraminal stenosis) and irritated the adjacent spinal nerve root, leading to a radiculopathy.

DEGENERATIVE DISC DISEASE

Intervertebral discs degenerate with age and stresses. Causes include

inherited make-up

decreased blood supply through the vertebral body endplates

poor disc health - worsened by smoking, poor nutrition, sedentary lifestyle, weak muscles, obesity

incorrect posture - while sitting, standing and lifting

heavy loads during home, work or sporting activities.

 

The inner nucleus pulposus loses it ability to hold water, dehydrates and shrinks. This loss of disc height causes the outer annulus fibrosus to bulge outwards and also increases stress on the annulus and its bony attachments. This bone reactively hypertrophies and forms vertebral body spurs (lipping, osteophytes). The bulging disc, and vertebral body spurs can encroach on the anterior intervertebral foramen (foraminal stenosis) and irritated the adjacent spinal nerve root, leading to a radiculopathy.

The collapsed, unstable intervertebral disc allows abnormal movements at the segment, which places additional stress on the facet joint, which can initiate or exacerbate facet joint arthritis.

The collapsed disc also brings the superior and inferior pedicles closer together, further narrowing the intervertebral foramen.

SYMPTOMS

Facet joint arthritis and degenerative disc disease can cause back pain.

Radiculopathy symptoms include pain, paresthesia (pins and needles), numbness and / or weakness in the area innervated by that nerve root.

TREATMENT

Treatments for foraminal stenosis include

Physical therapies - correct posture, activity modification, weight loss, low impact and flexibility, strength and endurance exercises, hydrotherapy, physical therapy modalities such as heat, ice, massage, and manipulation or mobilization

Medications - early aggressive use of medication to reduce pain, inflammation, muscle spasm and sleep disturbance

Other treatments - ie acupuncture, ultrasound, laser, short-wave diathermy

Joint and nerve injections - steroids and / or local anesthetic

Surgical procedures - ie medial branch neurolysis, foraminotomy. orthopaedic videos

Philipshill Hospital built in 1929, was originally called The Victoria Auxiliary Infirmary and at that time had two wards. Until 1948 it was a voluntary hospital and later another five wards were added. In 1948 it became a NHS Orthopaedic Hospital, which later included a spinal injuries unit. Phillipshill was an annexe to the Victoria infirmary Glasgow. The hospital closed in 1992 and was demolished.

I came back to Northfield, as I found out that there was a blue plaque on the building.

 

I knew that I couldn't take it right next to the building, so I tried from the crossing, but there was bushes in the way.

 

I then tried to get the plaque from the other side of the road. Had to go to digital zoom in one one (hard to get it in the centre).

 

ROH history

 

It is at a site called The Woodlands. George Cadbury gave the house and land to the hospital in 1907.

 

From the above link:

 

In 1907, Mr. George Cadbury gave a house and land known as The Woodlands in Northfield to the Crippled Children’s Union. In 1925, the Royal Orthopaedic and Spinal Hospital and the Birmingham Cripples Union amalgamated and King George V approved the title “The Royal Cripples Hospital, Birmingham” being bestowed upon the Hospital. In the 1920’s and 1930’s, the Hospital was able to invest in outpatient facilities at Broad Street, inpatient facilities at the Woodlands and other convalescent facilities.

 

The building is Grade II listed.

 

The Woodlands at the Royal Orthopaedic Hospital, Birmingham

 

BRISTOL ROAD

1.

5104 (east side)

Selly Oak B29

The Woodlands at

The Royal Orthopaedic

Hospital

SP 08 SW 11/11

II

2.

Circa 1840, altered and added to. Given by George Cadbury in 1909. stucco;

slate roof. Two storeys; 3 bays demarcated by coupled pilasters, those at

the left and right exceedingly thin, those of the first floor all with little

volutes. Ground floor with central double door giving on to a small transverse

oval ante-room to the staircase hall, and 2 windows. First floor with 3

square windows. All windows sashes in eared moulded surrounds. Eaves cornice

and blocking course. To the left, a later unexplained circular painted brick

structure with circular windows with leaded lights, dentilled brick frieze

and low conical roof. Another similar circular structure at the back of

the house near the former stable court, now aid out as a garden with fountain

in the centre. The right-hand return with a modern addition and a door perhaps

altered from a 3-light window.

   

Listing NGR: SP0274780355

 

Got these in between two rain showers - the second one was heavier (by the time I left Selly Oak).

Feature on the Royal National Orthopaedic Hospital (RNOH) in Stanmore ahead of the launch of their fundraising appeal. Professor Tim Briggs, Consultant Orthopaedic Surgeon and his team of surgeons remove a tumour from inside a patient's bone. Operating Theatre. February 13, 2012. Photo: Edmond Terakopian

   

Please make sure you watch my short documentary film vimeo.com/40163337 and if you're moved, please make a donation to their funding appeal. Thanks.

26/08/2022. Epsom, United Kingdom. Prime Minister Boris Johnson visits a surgical hub at the South West London Elective Orthopaedic Centre in Epsom. Picture by Simon Dawson / No 10 Downing Street

Old Orleans on Broad Street is gone. But coming soon is Georgie Porgies Buffet World.

 

There is also a Premier Inn hotel here.

 

Georgie Porgies is at 80 Broad Street.

 

It was the Islington Glassworks of 1815. Three-bay, three-storey centrepiece built as the owner's house. Stone strings between the floors, Doric porch. The windows were heavy architraves and lintels are probably of 1863 by J J Bateman, who added the wings then, when it became the Lying-In Hospital. Railings with Gothic piers by Martin & Chamberlain, 1869.

 

From: Pevsner Architectural Guides: Birmingham by Andy Hunter

 

There is a possibility that this is the following (from Heritage Gateway), so it is probably a Grade II listed building.

 

Built 1814 as Islington House for Rice Harris. Red brick and stucco; slate roof. Symmetrical building of 9 bays, the centre 3 of 2 1/2 storeys, the outer ones of 2 storeys and set back somewhat. The centre with central Tuscan porch with entablature with triglyph frieze and 2 sash windows each flanked by pilasters carrying a segmental arch. Broad band at first floor level. First floor with sash windows with cornices. Broad band at second floor level. Second floor with square casement windows within plain flat surrounds. Cornice and blocking course. The outer bays have, on the ground floor, windows with cornices and, on the first floor, windows with plain flat surrounds. All the windows of the outer bays altered to casements. The forecourt wall end railing built 'at the sole cost of 2 friends' apparently circa 1860.

 

New link here MAIN BLOCK TO THE ROYAL ORTHOPAEDIC HOSPITAL - Heritage Gateway

 

Banners for Georgie Porgies.

DATE:February 1 1956 D:The Queen talk with Sabityu Braimo,during her visit to the Orthopaedic Hospital in Lagos,Nigeria /original photo

I came back to Northfield, as I found out that there was a blue plaque on the building.

 

I knew that I couldn't take it right next to the building, so I tried from the crossing, but there was bushes in the way.

 

I then tried to get the plaque from the other side of the road. Had to go to digital zoom in one one (hard to get it in the centre).

 

ROH history

 

It is at a site called The Woodlands. George Cadbury gave the house and land to the hospital in 1907.

 

From the above link:

 

In 1907, Mr. George Cadbury gave a house and land known as The Woodlands in Northfield to the Crippled Children’s Union. In 1925, the Royal Orthopaedic and Spinal Hospital and the Birmingham Cripples Union amalgamated and King George V approved the title “The Royal Cripples Hospital, Birmingham” being bestowed upon the Hospital. In the 1920’s and 1930’s, the Hospital was able to invest in outpatient facilities at Broad Street, inpatient facilities at the Woodlands and other convalescent facilities.

 

U-turn sign for The Royal Orthopaedic.

 

Got these in between two rain showers - the second one was heavier (by the time I left Selly Oak).

Cmdr. Connor Garry (center) and Cmdr. Tom Douglas (right), Naval Medical Center Portsmouth orthopaedic surgeons and Simulation Training for Operational Medical Providers (STOMP) course proctors, inspect a demostration cast placed on the arm of Rear Adm. Bruce Gillingham, Surgeon General of the Navy, during a training segment as part of the STOMP course. STOMP is a standardized training curriculum designed to focus on honing General Medical Officer (GMO) procedural skills immediately prior to assuming duties in an operational environment. US Navy photo by Cmdr. Denver Applehans/Released.

 

www.dvidshub.net/news/399933/preparing-physicians-ensure-...

I came back to Northfield, as I found out that there was a blue plaque on the building.

 

I knew that I couldn't take it right next to the building, so I tried from the crossing, but there was bushes in the way.

 

I then tried to get the plaque from the other side of the road. Had to go to digital zoom in one one (hard to get it in the centre).

 

ROH history

 

It is at a site called The Woodlands. George Cadbury gave the house and land to the hospital in 1907.

 

From the above link:

 

In 1907, Mr. George Cadbury gave a house and land known as The Woodlands in Northfield to the Crippled Children’s Union. In 1925, the Royal Orthopaedic and Spinal Hospital and the Birmingham Cripples Union amalgamated and King George V approved the title “The Royal Cripples Hospital, Birmingham” being bestowed upon the Hospital. In the 1920’s and 1930’s, the Hospital was able to invest in outpatient facilities at Broad Street, inpatient facilities at the Woodlands and other convalescent facilities.

 

The building is Grade II listed.

 

The Woodlands at the Royal Orthopaedic Hospital, Birmingham

 

BRISTOL ROAD

1.

5104 (east side)

Selly Oak B29

The Woodlands at

The Royal Orthopaedic

Hospital

SP 08 SW 11/11

II

2.

Circa 1840, altered and added to. Given by George Cadbury in 1909. stucco;

slate roof. Two storeys; 3 bays demarcated by coupled pilasters, those at

the left and right exceedingly thin, those of the first floor all with little

volutes. Ground floor with central double door giving on to a small transverse

oval ante-room to the staircase hall, and 2 windows. First floor with 3

square windows. All windows sashes in eared moulded surrounds. Eaves cornice

and blocking course. To the left, a later unexplained circular painted brick

structure with circular windows with leaded lights, dentilled brick frieze

and low conical roof. Another similar circular structure at the back of

the house near the former stable court, now aid out as a garden with fountain

in the centre. The right-hand return with a modern addition and a door perhaps

altered from a 3-light window.

   

Listing NGR: SP0274780355

 

Got these in between two rain showers - the second one was heavier (by the time I left Selly Oak).

I came back to Northfield, as I found out that there was a blue plaque on the building.

 

I knew that I couldn't take it right next to the building, so I tried from the crossing, but there was bushes in the way.

 

I then tried to get the plaque from the other side of the road. Had to go to digital zoom in one one (hard to get it in the centre).

 

ROH history

 

It is at a site called The Woodlands. George Cadbury gave the house and land to the hospital in 1907.

 

From the above link:

 

In 1907, Mr. George Cadbury gave a house and land known as The Woodlands in Northfield to the Crippled Children’s Union. In 1925, the Royal Orthopaedic and Spinal Hospital and the Birmingham Cripples Union amalgamated and King George V approved the title “The Royal Cripples Hospital, Birmingham” being bestowed upon the Hospital. In the 1920’s and 1930’s, the Hospital was able to invest in outpatient facilities at Broad Street, inpatient facilities at the Woodlands and other convalescent facilities.

 

The building is Grade II listed.

 

The Woodlands at the Royal Orthopaedic Hospital, Birmingham

 

BRISTOL ROAD

1.

5104 (east side)

Selly Oak B29

The Woodlands at

The Royal Orthopaedic

Hospital

SP 08 SW 11/11

II

2.

Circa 1840, altered and added to. Given by George Cadbury in 1909. stucco;

slate roof. Two storeys; 3 bays demarcated by coupled pilasters, those at

the left and right exceedingly thin, those of the first floor all with little

volutes. Ground floor with central double door giving on to a small transverse

oval ante-room to the staircase hall, and 2 windows. First floor with 3

square windows. All windows sashes in eared moulded surrounds. Eaves cornice

and blocking course. To the left, a later unexplained circular painted brick

structure with circular windows with leaded lights, dentilled brick frieze

and low conical roof. Another similar circular structure at the back of

the house near the former stable court, now aid out as a garden with fountain

in the centre. The right-hand return with a modern addition and a door perhaps

altered from a 3-light window.

   

Listing NGR: SP0274780355

 

Got these in between two rain showers - the second one was heavier (by the time I left Selly Oak).

LUMBAR ANATOMY - NERVOUS SYSTEM

Lumbar Spine Anatomy Central Nervous System orthopaedic surgery information

 

The nervous system can be divided into the central nervous system (brain and spinal nerves) and the peripheral nervous system (somatic, autonomic and enteric components). The somatic peripheral nerves carry messages between the spinal cord and body. The sensory nerves carry messages towards the brain, such as information about pain, pressure, temperature and joint positio n, orthopaedic surgery information. The motor nerves carry impulses to the muscles to control muscle contraction/relaxation.

 

The spinal nerves within the vertebral canal form the spinal cord. The spinal cord starts at the base of the brain, and passes down the vertebral canal.

 

The nerves leave the spinal cord through gaps between the vertebrae (intervertebral foramina), and travel to all parts of the trunk and limbs, orthopaedic surgery information.

 

The nerves that leave the neck, or cervical spine, go to the arms.

 

The nerves that leave the chest, or thoracic spine, go to the chest and belly.

 

The nerves that leave the lower back, or lumbar spine, go to the pelvis and legs.

 

The vertebrae provide protection and support for the spinal cord, in the same way that the skull provides protection and support for the brain, orthopaedic surgery information .

 

If a nerve is irritated by chemical inflammation or physical compression or traction, it may not transmit its messages correctly, or it may spontaneously generate new messages. An irritated motor nerve may not transmit its impulses to its muscle, leading to weakness or paralysis of that muscle. An irritated sensory nerve may not transmit its sensations, leading to a sensation of numbness. The irritated sensory nerve may generate its own impulses to the brain, which can be perceived as paresthesia (pins and needles) or pain in the region of the body that normally transmits along that nerve.

 

LUMBAR ANATOMY - NERVOUS SYSTEM

Lumbar Spine Anatomy Central Nervous System orthopaedic surgery information

This article was written with the assistance of the following surgeons.

 

Dr Paul Licina. Dr Licina is spinal orthopedic surgeon, and co-founder of Brisbane Orthopaedic Specialist Services in Brisbane, Queensland, Australia. www.brisbaneorthopaedics.com.au/paul_licina.html

 

Dr Matthew McDonald. Dr McDonald is a spinal neurosurgeon based at Wakefield Hospital, Adelaide, South Australia, Australia. www.wakefieldneurosurgery.com.au

 

Dr Richard Parkinson. Dr Parkinson is a spinal neurosurgeon based at St Vincent's Clinic, Sydney, New South Wales, Australia. www.svph.com.au/index.php?option=com_content&task=vie...

 

Dr Lali Sekhon. Dr Sekhon is a spinal neurosurgeon, and founder of Nevada Neurosurgery in Reno / Carson City, Nevada, USA. www.nevadaneurosurgery.com

Lumbar Spine Anatomy Central Nervous System orthopaedic surgery information

Old Orleans on Broad Street is gone. But coming soon is Georgie Porgies Buffet World.

 

There is also a Premier Inn hotel here.

 

The sign is missing the former Old Orleans sign since they moved out.

  

Georgie Porgies is at 80 Broad Street.

 

It was the Islington Glassworks of 1815. Three-bay, three-storey centrepiece built as the owner's house. Stone strings between the floors, Doric porch. The windows were heavy architraves and lintels are probably of 1863 by J J Bateman, who added the wings then, when it became the Lying-In Hospital. Railings with Gothic piers by Martin & Chamberlain, 1869.

 

From: Pevsner Architectural Guides: Birmingham by Andy Hunter

 

There is a possibility that this is the following (from Heritage Gateway), so it is probably a Grade II listed building.

 

Built 1814 as Islington House for Rice Harris. Red brick and stucco; slate roof. Symmetrical building of 9 bays, the centre 3 of 2 1/2 storeys, the outer ones of 2 storeys and set back somewhat. The centre with central Tuscan porch with entablature with triglyph frieze and 2 sash windows each flanked by pilasters carrying a segmental arch. Broad band at first floor level. First floor with sash windows with cornices. Broad band at second floor level. Second floor with square casement windows within plain flat surrounds. Cornice and blocking course. The outer bays have, on the ground floor, windows with cornices and, on the first floor, windows with plain flat surrounds. All the windows of the outer bays altered to casements. The forecourt wall end railing built 'at the sole cost of 2 friends' apparently circa 1860.

 

New link here MAIN BLOCK TO THE ROYAL ORTHOPAEDIC HOSPITAL - Heritage Gateway

I am now in a foam and plastic boot that resembles a biker's boot! This allows me to walk on the foot which will help it heal and reduce the swelling. The bone was smashed into 5 bits (two fractures across the bone and the "floating" middle section of the bone was smashed into 3 fragments lengthways). It's healing a little crookedly as one fragment has slipped, but is acceptable and shouldn't need pinning.

Dr Graeme Groom, a consultant orthopaedic surgeon from Kings College Hospital in London examines 9-year-old Weam in Gaza's Shifa Hospital.

 

Weam suffered major injuries to her legs after being caught in an explosion during the conflict in Gaza in the summer of 2014. Her left leg had to be amputated at the knee, and her right foot now needs another operation on her toes.

 

UK aid from the Department for International Development has funded teams of NHS doctors to deploy to Gaza through in conjunction with British charities Medical Aid for Palestinians (MAP) and IDEALS, to provide post-conflict surgery to some of the people who were most severely injured in the conflict last year. The doctors volunteer in their spare time to visit Gaza each month to work alongside their Palestinian colleagues.

 

Picture © Abbie Trayler-Smith/Panos for DFID

26/08/2022. Epsom, United Kingdom. Prime Minister Boris Johnson visits a surgical hub at the South West London Elective Orthopaedic Centre in Epsom. Picture by Simon Dawson / No 10 Downing Street

Old Orleans on Broad Street is gone. But coming soon is Georgie Porgies Buffet World.

 

There is also a Premier Inn hotel here.

 

Georgie Porgies is at 80 Broad Street.

 

It was the Islington Glassworks of 1815. Three-bay, three-storey centrepiece built as the owner's house. Stone strings between the floors, Doric porch. The windows were heavy architraves and lintels are probably of 1863 by J J Bateman, who added the wings then, when it became the Lying-In Hospital. Railings with Gothic piers by Martin & Chamberlain, 1869.

 

From: Pevsner Architectural Guides: Birmingham by Andy Hunter

 

There is a possibility that this is the following (from Heritage Gateway), so it is probably a Grade II listed building.

 

Built 1814 as Islington House for Rice Harris. Red brick and stucco; slate roof. Symmetrical building of 9 bays, the centre 3 of 2 1/2 storeys, the outer ones of 2 storeys and set back somewhat. The centre with central Tuscan porch with entablature with triglyph frieze and 2 sash windows each flanked by pilasters carrying a segmental arch. Broad band at first floor level. First floor with sash windows with cornices. Broad band at second floor level. Second floor with square casement windows within plain flat surrounds. Cornice and blocking course. The outer bays have, on the ground floor, windows with cornices and, on the first floor, windows with plain flat surrounds. All the windows of the outer bays altered to casements. The forecourt wall end railing built 'at the sole cost of 2 friends' apparently circa 1860.

 

New link here MAIN BLOCK TO THE ROYAL ORTHOPAEDIC HOSPITAL - Heritage Gateway

 

Banners for Georgie Porgies.

I came back to Northfield, as I found out that there was a blue plaque on the building.

 

I knew that I couldn't take it right next to the building, so I tried from the crossing, but there was bushes in the way.

 

I then tried to get the plaque from the other side of the road. Had to go to digital zoom in one one (hard to get it in the centre).

 

ROH history

 

It is at a site called The Woodlands. George Cadbury gave the house and land to the hospital in 1907.

 

From the above link:

 

In 1907, Mr. George Cadbury gave a house and land known as The Woodlands in Northfield to the Crippled Children’s Union. In 1925, the Royal Orthopaedic and Spinal Hospital and the Birmingham Cripples Union amalgamated and King George V approved the title “The Royal Cripples Hospital, Birmingham” being bestowed upon the Hospital. In the 1920’s and 1930’s, the Hospital was able to invest in outpatient facilities at Broad Street, inpatient facilities at the Woodlands and other convalescent facilities.

 

The building is Grade II listed.

 

The Woodlands at the Royal Orthopaedic Hospital, Birmingham

 

BRISTOL ROAD

1.

5104 (east side)

Selly Oak B29

The Woodlands at

The Royal Orthopaedic

Hospital

SP 08 SW 11/11

II

2.

Circa 1840, altered and added to. Given by George Cadbury in 1909. stucco;

slate roof. Two storeys; 3 bays demarcated by coupled pilasters, those at

the left and right exceedingly thin, those of the first floor all with little

volutes. Ground floor with central double door giving on to a small transverse

oval ante-room to the staircase hall, and 2 windows. First floor with 3

square windows. All windows sashes in eared moulded surrounds. Eaves cornice

and blocking course. To the left, a later unexplained circular painted brick

structure with circular windows with leaded lights, dentilled brick frieze

and low conical roof. Another similar circular structure at the back of

the house near the former stable court, now aid out as a garden with fountain

in the centre. The right-hand return with a modern addition and a door perhaps

altered from a 3-light window.

   

Listing NGR: SP0274780355

 

Got these in between two rain showers - the second one was heavier (by the time I left Selly Oak).

Originally the 'Edinburgh Hospital for Crippled Children', this orthopaedic centre underwent a few name changes. Over the years treatment shifted from TB to polio and more recently the hospital closed in 2000. For more history, see:-

www.lhsa.lib.ed.ac.uk/exhibits/hosp_hist/pmr.htm

26/08/2022. Epsom, United Kingdom. Prime Minister Boris Johnson visits a surgical hub at the South West London Elective Orthopaedic Centre in Epsom. Picture by Simon Dawson / No 10 Downing Street

Old Orleans on Broad Street is gone. But coming soon is Georgie Porgies Buffet World.

 

There is also a Premier Inn hotel here.

 

Georgie Porgies is at 80 Broad Street.

 

It was the Islington Glassworks of 1815. Three-bay, three-storey centrepiece built as the owner's house. Stone strings between the floors, Doric porch. The windows were heavy architraves and lintels are probably of 1863 by J J Bateman, who added the wings then, when it became the Lying-In Hospital. Railings with Gothic piers by Martin & Chamberlain, 1869.

 

From: Pevsner Architectural Guides: Birmingham by Andy Hunter

 

There is a possibility that this is the following (from Heritage Gateway), so it is probably a Grade II listed building.

 

Built 1814 as Islington House for Rice Harris. Red brick and stucco; slate roof. Symmetrical building of 9 bays, the centre 3 of 2 1/2 storeys, the outer ones of 2 storeys and set back somewhat. The centre with central Tuscan porch with entablature with triglyph frieze and 2 sash windows each flanked by pilasters carrying a segmental arch. Broad band at first floor level. First floor with sash windows with cornices. Broad band at second floor level. Second floor with square casement windows within plain flat surrounds. Cornice and blocking course. The outer bays have, on the ground floor, windows with cornices and, on the first floor, windows with plain flat surrounds. All the windows of the outer bays altered to casements. The forecourt wall end railing built 'at the sole cost of 2 friends' apparently circa 1860.

 

New link here MAIN BLOCK TO THE ROYAL ORTHOPAEDIC HOSPITAL - Heritage Gateway

 

Banners for Georgie Porgies.

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