Biomedical subjects

A A Halpern

Publications and source records attributed to A A Halpern.

23 records · Page 2Linked to original sources

PubMedDate not supplied

Septicemia following sinogram.

Contrast studies of draining sinus tracts can be of great assistance in defining the extent of an infection. Complications of this procedure must be quite rare. A 35-year-old paraplegic patient developed septicemia following a sinogram. An intraosseous venogram of the entire femoral shaft was visualized in addition to the sinus tract itself. The moderate pressure used to inject the dye may have contributed to the systemic spread of the infection and may be a hazard of sinography.

Adult↗

PubMedDate not supplied

Does persistent fetal femoral anteversion contribute to osteoarthritis?: a preliminary report.

Persistence of femoral anteversion into adulthood is a developmental abnormality which Somerville has postulated may predispose to the later development of osteoarthritis of the hip. To test this hypothesis, the femoral anteversion was measured in 20 adult patients with idiopathic osteoarthritis of the hip. The average anteversion in painful hips was found to be 24 degrees compared with 12.11 degrees in the uninvolved hip. None of the pain-free hips had an anteversion of greater than 22 degrees while 54% of those with pain had anteversion greater than this value. While these results are preliminary, they suggest that increased femoral anteversion may definitely contribute to the later development of osteoarthritis of hip.

Adult↗

PubMedDate not supplied

Allescheria boydii osteomyelitis following multiple steroid injections and surgery.

This is a report of a 46-year-old male who developed an Allescheria boydii infection secondary to excision of an interdigital neuroma. Previously reported cases of infection occurred in an immunosuppressed patient and in patients on systemic corticosteroid therapy, but not associated with a surgical wound. This patient received multiple local corticosteroid injections which may have produced local as well as systemic immunosuppression. Fungal cultures were not taken for many months and thus the true etiology of the infection was not discovered until late. The importance of obtaining fungal cultures particularly in patients receiving corticosteroid therapy, either local infiltration or systemic, cannot be overemphasized.

Cortisone↗

PubMedDate not supplied

Painful medial bipartite patellae: a case report.

Bipartite patellae, though not unusual as an incidental roentgenographic finding, are rarely painful. This is a report of bilateral medial bipartite patella in a 20-year-old woman, which seems not to have been previously described in the literature. The symptoms were significantly relieved by an excision of the accessory ossification center.

Adult↗

PubMedDate not supplied

Massive ankylosis following total hip anthroplasty.

A total hip arthroplasty was undertaken in a 49-year-old man who had previously spontaneously ankylosed both hips. In addition, the patient possessed hyperostosis of the spine and calf, not characteristic of any previously described spondylitic or hyperostotic syndrome. Nine months postoperatively the patient reankylosed the total hip arthroplasty. This case provides further evidence that total hip arthroplasty must be undertaken with caution in patients with hyperostotic tendencies.

Ankylosis↗