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Biomedical subjects

A Blankstein

Publications and source records attributed to A Blankstein.

53 records · Page 3Linked to original sources

Disc space infection and vertebral osteomyelitis as a complication of percutaneous lateral discectomy.

Percutaneous lateral discectomy (PLD) in a 32-year-old man was followed by postoperative disc space infection and adjacent vertebral osteomyelitis caused by Staphylococcus aureus. The simplicity and decreased morbidity associated with PLD may be offset by severe infections. The small incision made in the annulus during PLD may not allow adequate drainage in the case of infection and may subsequently direct the infective process to the adjacent vertebral endplates. Meticulous aseptic technique, and possibly the use of prophylactic antibiotic therapy, is important in PLD.

Adult↗

Calcinosis cutis--a rare late complication of burns.

Pillars of calcification are rarely found in the skin. An interesting case is described where rows of new bone developed in the skin which had been grafted 31 years previously to cover partial skin thickness burns of the shin. The problems of heterotropic ossification are discussed.

Adult↗

Septic arthritis of the sternoclavicular joint.

An adult patient with isolated septic arthritis of the sternoclavicular joint (SCJ) caused by Staphylococcus aureus is described. The patient had no underlying diseases other than paronychia, which might have served as the portal of entry. Antibiotic therapy resulted in clinical cure but x-ray revealed progression of the destructive process.

Adult↗

Primary early osteoarthritis of hips with peripelvic bone struts.

An asthenic 30-year-old dentist presented at the orthopaedic clinic complaining of pain in both hip joints. There was no history of systemic disease, and all of the results of serologic and hematologic investigations were within normal limits. Clinical examination revealed a limitation of hip movement, and roentgenograms showed early osteoarthritis of both joints. In addition, there were bony protuberances between the pelvis and the proximal femur. Whether these bony struts caused the development of the osteoarthritis or whether they developed as a result of the osteoarthritis will be discussed.

Adult↗

Brachial artery injury. A complication of posterior elbow dislocation.

A case is presented of a 32-year-old man who sustained a closed posterior dislocation of the left elbow. The dislocation was reduced immediately under intravenous sedation. When, after reduction, the pulse remained weak, angiography revealed a complete tear of the brachial artery. The artery was repaired with end-to-end anastomosis, resulting in a good radial pulse at the end of the procedure. Though dislocation of the elbow is a relatively common traumatic injury, associated brachial artery injury is rare. The authors note that the diagnosis of arterial trauma in such cases should rely heavily on angiography.

Adult↗

Septic arthritis of the acromioclavicular joint.

A patient with isolated pyogenous arthritis of the acromioclavicular joint (A-C joint) caused by Streptococcus viridans is described. The patient had no underlying disease. Minor trauma preceded shortly the development of the septic process. The patient was treated successfully with surgical drainage and antibiotics. To our knowledge this is the first case report of septic arthritis of the A-C joint caused by Streptococcus viridans. The A-C joint is rarely involved in septic processes. Even conditions such as intravenous drug abuse [3, 6] and renal dialysis [4, 7] which tend to infect unusual joints [5] have only rarely been described in association with A-C septic arthritis.

Acromioclavicular Joint↗

Diagnosis of osteoid osteoma using computerized tomography.

A thirty-seven-year-old male with Osteoid Osteoma of the proximal ulna is described. He had suffered from pain in his elbow for two and a half years prior to diagnosis. Computer Tomography demonstrated and localised the nidus which was surgically removed.

Adult↗

Ski injuries in 1976-1982: Ybrig region, Switzerland.

An analysis is presented of 1763 consecutive injuries that occurred in the Ybrig region in Switzerland, a ski resort, during the 1976-1982 ski seasons. The study included all persons injured while skiing and treated at the emergency care facility at the base of the Ybrig region. Fractures were the most frequent injury. Over the years, a decrease in the total number of injuries was noticed. The severity of the injuries was increased. More attention should be paid to the individual preparation of the skier.

Adolescent↗

Isolated anterior inguinal dislocation of the hip joint.

Anterior dislocation of the hip joint is rare, accompanied usually by a fracture of adjacent bony structures. A case of isolated anterior inguinal dislocation of the hip joint is hereby presented with 22 months of followup. The mechanism of this rare injury is usually forcible abduction and extension of the hip joint. Early diagnosis and reduction, with immediate post-reduction roentgenograms to discover any fragments in the joint space, should be done. In this patient, X-rays 11 and 22 months after reduction appeared normal.

Aged↗

Subluxation of the hip joint during femoral lengthening.

Three cases of subluxation of the hip joint occurred during femoral lengthening using the Wagner technique. This infrequent complication, which may result from a conflict of force vectors at the hip joint during lengthening, can, when left untreated, nullify the benefits of such a procedure. We suggest that increased awareness and closer monitoring can improve the prognosis for patients undergoing this course of therapy, especially where a previous hip operation has been performed.

Bone Lengthening↗

Closing intramedullary nailing for the treatment of diaphyseal forearm fractures in adolescence: a preliminary report.

The results of treatment of 20 unstable diaphyseal fractures of the forearm in adolescent patients by closed intramedullary nailing are presented. All fractures healed within 4-7 weeks. No cross-union, nonunion, pseudarthrosis, or infection occurred. The advantages of this method are (a) maintenance of accurate reduction, (b) reduction of complication rate, (c) negligible cosmetic defect, and (d) removal of the internal fixation device under local anesthesia.

Adolescent↗