Giant cell tumours of the proximal fibula.
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Biomedical subjects
Publications and source records attributed to A Biyani.
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A total of 34 children with ipsilateral supracondylar fractures of the humerus and forearm were studied over an 8-year period. Of these, 19 patients had fractures of the distal quarter of the forearm bones while eight patients had a distal radial epiphyseal injury. Five of the patients had undisplaced supracondylar fractures. One patient had an anterior supracondylar fracture. All forearm fractures were treated by closed reduction. Nine displaced supracondylar fractures which could not be reduced by closed manipulation were treated by olecranon pin traction in two cases and by percutaneous pinning in seven cases. Excellent or good results were found in 29 children after an average follow-up of 3.8 years.
A rare case of blocked reduction of the distal radio-ulnar joint in a Galeazzi fracture-dislocation is presented. In this case both the extensor carpi ulnaris and extensor digiti minimi tendons were displaced on either side of the ulnar head. After relocation of these tendons the distal radio-ulnar joint could be easily reduced.
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A rare panmetatarsophalangeal dislocation of the foot in a young male is described. Hyperflexion was instrumental in causing this injury. The dislocation was in the plantar direction.
This prospective study was undertaken on 42 children with septic arthritis of the hip diagnosed within 5 days of onset of symptoms. The mode of treatment used was continuous catheter suction and intermittent saline irrigation of the hip joint together with parenteral antibiotics. All but 4 children responded to this treatment; 2 of these were less than 3 years old. We conclude that continuous suction-irrigation is effective in children older than 3 years very early in the course of the disease; the majority need not undergo arthrotomy.
A new radiographic angle, the medial epicondylar epiphyseal (MEE) angle, was studied in 100 anteroposterior (AP) radiographs of normal children aged 3-12 years. The mean value was 38.2 degrees +/- 4.17 degrees (SD) (range 25 degrees-46 degrees), and the MEE angle could be drawn satisfactorily in 96 radiographs. The MEE angle did not vary significantly from this value in 25 Jones' view radiographs (paired t test, t = 0.06). The MEE angle was useful in assessing the accuracy of reduction of 20 supracondylar fractures of the humerus with satisfactory final results.
The Authors discuss their experience with the use of various flaps (radial artery, groin and abdomen) in the primary or delayed cover of skin defect in the hand, in a total number of 20 cases. All the three types of flaps took up well in 3-4 weeks with minimal complications. The Authors preferred the radial artery flap to the groin and abdominal flaps, in that order.