Giles William Becker

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Scholarly Contributions

Chapters

• Breidenbach III, W. C., Becker, G. W., Kaplan, B., Turker, T., Muhlemann, C. A., & Schmahl, D. T. (2015). The Animal and Human Experimental Foundation of Vascularized Composite Tissue Allotransplantation. In Operative Microsurgery(pp 1023-1039). New York: McGraw-Hill Professional.

Journals/Publications

• Becker, G. W., & Ferguson, S. A. (2020). How to keep the mini c-arm laser positional crosshair lit throughout a procedure. Annals of the Royal College of Surgeons of England, 102(6), 470.
• Carr, M. P., Becker, G. W., Taljanovic, M. S., & McCurdy, W. E. (2019). Hypothenar hammer syndrome: Case report and literature review. Radiology case reports, 14(7), 868-871.
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  Hypothenar hammer syndrome is a rare but serious cause of digital ischemia and morbidity. Presented here is a case of a manual laborer who had symptoms of digital ischemia after acute hyperextension injury to the ring finger. Magnetic resonance imaging revealed thrombosed ulnar artery aneurysm. Etiology, presentation, and current treatments are reviewed.
• Taljanovic, M. S., Gimber, L. H., Becker, G. W., Latt, L. D., Klauser, A. S., Melville, D. M., Gao, L., & Witte, R. S. (2017). Shear-Wave Elastography: Basic Physics and Musculoskeletal Applications. Radiographics : a review publication of the Radiological Society of North America, Inc, 37(3), 855-870.
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  In the past 2 decades, sonoelastography has been progressively used as a tool to help evaluate soft-tissue elasticity and add to information obtained with conventional gray-scale and Doppler ultrasonographic techniques. Recently introduced on clinical scanners, shear-wave elastography (SWE) is considered to be more objective, quantitative, and reproducible than compression sonoelastography with increasing applications to the musculoskeletal system. SWE uses an acoustic radiation force pulse sequence to generate shear waves, which propagate perpendicular to the ultrasound beam, causing transient displacements. The distribution of shear-wave velocities at each pixel is directly related to the shear modulus, an absolute measure of the tissue's elastic properties. Shear-wave images are automatically coregistered with standard B-mode images to provide quantitative color elastograms with anatomic specificity. Shear waves propagate faster through stiffer contracted tissue, as well as along the long axis of tendon and muscle. SWE has a promising role in determining the severity of disease and treatment follow-up of various musculoskeletal tissues including tendons, muscles, nerves, and ligaments. This article describes the basic ultrasound physics of SWE and its applications in the evaluation of various traumatic and pathologic conditions of the musculoskeletal system. (©)RSNA, 2017.
• Breidenbach, W. C., Meister, E. A., Becker, G. W., Turker, T., Gorantla, V. S., Hassan, K., & Kaplan, B. (2016). A Statistical Comparative Assessment of Face and Hand Transplantation Outcomes to Determine Whether Either Meets the Standard of Care Threshold. Plastic and Reconstructive surgery, 137(1), 214e-22e. doi:10.1097/PRS.0000000000001893
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  Hand and face transplantation has established itself as a clinical option for certain reconstructive problems. The purpose of this study was to carry out a rigorous statistical analysis of all hand and face transplantations to determine whether hand and/or face transplantation is the standard of care.
• Breidenbach, W. C., Meister, E. A., Turker, T., Becker, G. W., Gorantla, V. S., & Levin, L. S. (2016). A Methodology for Determining Standard of Care Status for a New Surgical Procedure: Hand Transplantation. Plastic and Reconstructive surgery, 137(1), 367-73. doi:10.1097/PRS.0000000000001892
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  Hand allotransplantation was initially criticized as unethical and unlikely to succeed. The results proved to be better than anticipated, now raising the issue of whether hand transplantation is the standard of care. The purpose of this article is to outline a reasonable methodology for determining whether a surgical procedure is the standard of care, and then to apply that methodology to hand transplantation.
• Morin, M. L., & Becker, G. W. (2016). An unusual variant of perilunate fracture dislocations. Case Reports in Plastic Surgery and Hand Surgery, 3, 7-10. doi:10.3109/23320885.2016.1152902
• Rodrigues, J. N., Becker, G. W., Ball, C., Zhang, W., Giele, H. P., Hobby, J., Pratt, A. L., & Davis, T. R. (2015). Surgery for Dupuytren's contracture of the fingers. The Cochrane database of systematic reviews, 12, CD010143. doi:10.1002/14651858.CD010143.pub2
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  Dupuytren's disease is a benign fibroproliferative disorder that causes the fingers to be drawn into the palm via formation of new tissue under the glabrous skin of the hand. This disorder causes functional limitations, but it can be treated through a variety of surgical techniques. As a chronic condition, it tends to recur.
• Arnander, M., Tomarchio, A., & Becker, G. W. (2013). Symptomatic pan carpal coalition. The Journal of hand surgery, European volume, 38(5), 560-2.
• Becker, G. W., & Owers, K. L. (2012). Suboptimal positioning of fragment-specific palmar distal radius plates. The Journal of hand surgery, European volume, 37(4), 371-2.
• Dean, B. J., Becker, G. W., & Little, C. J. (2012). The management of the acute traumatic subungual haematoma: a systematic review. Hand Surg, 17(1), 151-4.
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  There is no consensus regarding the optimal mode of managing the acute traumatic subungual haematoma in the hand. In this context the medical literature was searched systematically and the results analysed. The final dataset consisted of four articles. The complication rates of all forms of treatment were low. The outcome in terms of nail cosmesis was generally good, although the method of outcome measurement was variable in nature. There was no difference in cosmetic outcome when comparing nail bed repair with simple decompression. In conclusion the outcome in terms of nail cosmesis does not appear to be affected by the mode of treatment. The acutely painful subungual haematoma should be decompressed, whether this be done by trephining or nail removal. Future research includes the potential for a randomised controlled trial to compare nail bed repair with trephination.
• Scheker, L. R., & Becker, G. W. (2011). Distal finger replantation. The Journal of hand surgery, 36(3), 521-8.
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  Reconstruction of the fingertip distal to the flexor tendon insertion by replantation remains controversial and technically challenging, but the anatomy of the fingertip has been well described and provides help in surgical planning. The open-book surgical technique is described with potential complications and is illustrated with clinical cases.
• Becker, G. W., & Davis, T. R. (2010). The outcome of surgical treatments for primary Dupuytren's disease--a systematic review. The Journal of hand surgery, European volume, 35(8), 623-6.
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  There is no consensus on the most effective operation for primary Dupuytren's contracture. This systematic review evaluates the reported rates of recurrence and complications, as well as the strength of evidence, for individual procedures. The PubMed and EMBASE databases were searched for papers in English containing 'Dupuytren' in the citation. The initial search produced 2155 references, of which 69 papers met the study inclusion criteria. There was wide disparity in scoring systems, definition of recurrence and recording of complications. Follow-up ranged from 3 weeks to 13 years, and recurrence from 0 to 71%. There are only three Level I studies comparing surgical techniques for the treatment of primary Dupuytren's contracture, and the evidence does not support one procedure above another, other than to show a particularly high recurrence rate after needle fasciotomy. We propose a minimum data set for future studies.
• Ramoutar, D. N., Titchener, A. G., Gormley, C., & Becker, G. W. (2010). A reliable method of maintaining constant arthroscopy irrigation pressure. Injury, 41(7), 772-3. doi:20129607
• Becker, G. W., & Smith, K. (2006). Basic metabolism III: protein. Surgery (Oxford), 24, 115-120. doi:10.1383/surg.2006.24.4.115
• Becker, G. W., & Battersby, R. D. (2005). Spinal neurenteric cyst presenting as recurrent midline sebaceous cysts. Annals of the Royal College of Surgeons of England, 87(1), W1-4.
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  A 59-year-old patient had been treated by the general surgery department at her local hospital for a recurrent sebaceous cyst on the back of her neck. Cervical MRI showed a cystic structure, posterior to fused vertebral bodies, connected to the skin by a sinus passing through the middle of a split cord malformation. The lesion was excised via an anterior approach. Histology confirmed a benign neurenteric cyst. This rare developmental anomaly, mimicking a common acquired surgical condition, highlights the need for caution in the diagnosis of midline pathology.
• Becker, G. W., Talbot, N. J., & Loxdale, P. H. (2005). Maintaining arthroscopy irrigation pressure without a mechanical pump. Annals of the Royal College of Surgeons of England, 87(2), 141. doi:10.1308/147870805X28145
• Talbot, N. J., Annapureddy, S. R., Becker, G. W., & Rossiter, N. D. (2005). A simple method of dressing external fixator pin sites. Annals of the Royal College of Surgeons of England, 87(3), 206-7. doi:doi 10.1308/147870805X42608
• Becker, G. W., & Laundy, T. J. (2004). Lessons not learned from history – provision of medical care on the battlefield – Reply to Letter to The Editor. Journal of the Royal Army Medical Corps, 150(3), 227.
• Becker, G. W., & Laundy, T. J. (2003). A lesson not yet learned. Journal of the Royal Army Medical Corps, 149(4), 274-6.
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  Accounts of numerous military campaigns throughout history have shown that casualties from medical illness usually greatly outnumber combat injuries. We aimed to see whether this remained the case in a modern campaign where predominantly surgical facilities were deployed.
• Becker, G. W., Fear, H., & Lambert, A. W. (2002). Audit of the use of IV opiate analgesia in acute surgical admissions. J Clin Excellence, 4(4), 421-424.
• Matthews, J. J., Beck, G. W., Bowley, D. M., & Kingsnorth, A. N. (2001). Chilaiditi syndrome and recurrent colonic volvulus: a case report. Journal of the Royal Naval Medical Service, 111-2.
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  The case of a 31 year old male presenting as an emergency with a recurrent colonic volvulus is described. A chest X-ray on admission to hospital showed the presence of hepato-diaphragmatic interposition of the colon, Chilaiditi's Sign, which is known to be a risk factor for colonic volvulus. This is only the fourth reported case of colonic volvulus in association with Chilaiditi's Syndrome and the first with recurrent colonic volvulus. The optimal treatment for recurrent volvulus in patients with risk factors such as Chilaiditi's Syndrome or megacolon is also discussed.

Proceedings Publications

• Penney, N. J., Phoenix, G., Ball, S., & Becker, G. W. (2012, 2016/01/25). Radiographic assessment of the thumb. In International Journal of Surgery, 10, S61.
• Becker, G. W., Parker, P. J., Clasper, J. C., & Sargeant, I. D. (2003, February). AFGHANISTAN 2001: FAR FORWARD SURGERY AND THE CASUALTY EVACUATION CHAIN. In Orthopaedic Proceedings, 85-B, 130.
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  Combined Services Orthopaedic Association Annual Meeting
• Becker, G. W., Parker, P. J., Clasper, J. C., & Sargeant, I. D. (2003, February). AFGHANISTAN 2001: FAR FORWARD SURGERY AND THE CASUALTY EVACUATION CHAIN. In Orthopaedic Proceedings, 85-B, 176.
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  British Orthopaedic Association Annual Meeting
• Edwards, T. J., Becker, G. W., Carr, A. s., & Lambert, A. W. (2003, November). A prospective, double-blind, randomised, controlled trial to determine the efficacy of local anaesthetic wound infiltration in reducing pain following appendicectomy in children. In Br J Surg, 34, 128.
• Talbot, N. J., Annapureddy, S. R., Becker, G. W., & Rossiter, N. D. (2003, November). A simple method of dressing external fixator pin sites. In Injury Extra, 34, 47-48.

Presentations

• Becker, G. W. (2015, July). The Late Treatment of Missed Wrist Injuries. Western Orthopaedic Association 79th Annual Meeting. Coeur D'Alene, Idaho, USA.
• Becker, G. W. (2015, June). Socialized Medicine in the United Kingdom. Tucson Citywide Musculoskeletal Radiology Meeting.

Poster Presentations

• Gimber, L. H., Krupinski, E. A., Turker, T., Becker, G. W., Sheppard, J. E., Chadaz, T., Desilva, G. L., & Taljanovic, M. (2018, March). Diffusion Tensor Imaging of the Median Nerve with Ultrasound Correlation in Patients with Carpal Tunnel Syndrome Before and After Flexor Retinacular Release. 41st Annual Meeting of the Society of Skeletal Radiology (SSR). Austin, TX.
• Gimber, L. H., Krupinski, E. A., Turker, T., Becker, G. W., Sheppard, J. E., Chadaz, T., Desilva, G. L., & Taljanovic, M. (2017, November). Diffusion Tensor Imaging of the Median Nerve with Ultrasound Correlation in Patients with Carpal Tunnel Syndrome Before and After Flexor Retinacular Release. Radiological Society of North America (RSNA). Chicago.
• Chadaz, T. S., Gimber, L. H., Becker, G. W., Morin, M., Klauser, A. S., & Taljanovic, M. (2016, November). Clinical Assessment and Imaging of Distal Radioulnar Joint Instability. Radiological Society of North America (RSNA) Annual Conference. Chicago.
• Rodrigues, J. N., Becker, G. W., Serack, B. J., & Christopher, M. (2015, April). Control Systems in Upper Limb Prosthetics: The State of the Field and Future Directions in 2015. British Society for Surgery of the Hand Spring Meeting. Bath, UK.
• Serack, B. J., Christopher, M., & Becker, G. W. (2015, July). Control Systems in Upper Limb Prosthetics: The State of the Field and Future Directions in 2015. Western Orthopaedic Association. Coeur D’Alene, Idaho, USA.