Tears of the quadriceps tendon in elderly patients.
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Biomedical subjects
Publications and source records attributed to A Israeli.
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Excessive elongation of both femora in a 12-year-old achondroplastic dwarf resulted in fixed extension and contracture of both knees. An attempt to shorten these overly elongated femora surgically was complicated by the unanticipated release of massive fat emboli, which resulted in the patient's death.
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Parachuting injuries commonly result from inaccurately performed landing. Alteration of the vertical force absorption pattern to a rotational one is suggested as their major cause. Special attention to the flexed body position and adduction of the lower limbs while gliding and landing can prevent those injuries.
A 24-year-old man with persistent low back pain and right sciatica, was found to have an osteoid osteoma of the right pedicle of the second lumbar vertebra. 99mTc-MDP bone scan and CAT scan produced an early diagnosis of the lesion. Intraoperative 99mTc-MDP in vitro combined with imaging and quantitative activity measurements were useful for accurate localization and complete removal. The method is simple and can be performed in every nuclear medicine department, with no need for special operating room facilities.
Recurrent volar carpal perilunate subluxation (RVCPS) is a rare injury (Linschied 1972). Reviewing the literature we found only 5 reported cases of this condition. Four of them were due to congenital ligamentous laxity, two described by Suturo (1946), and the rest by Linschied and Dobyns (1972). Stark reported on a post traumatic case (Stark 1970). The purpose of this paper is to present an additional case of post traumatic RVCPS.
Volleyball players commonly complain of pain in the hypothenar area. Fatigue fracture of the pisiform bone is suggested as a cause of this sport incapacity. The diagnostic importance of oblique and axial X-ray views of the Wrist is demonstrated. Early treatment by immobilization for 6 weeks usually results in complete functional recovery.
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Extreme diastasis of the pubis and malalignment of both ilium and hip joints are always associated with the absence of infraumbilical structures and with the failure of the anterior bladder wall to close. Therefore, for a successful cure of extrophy, the pelvic ring has to be repaired, at the time of or a few days prior to the surgical cure of the bladder. The repair of the pelvis, when executed in poor aseptic conditions, results in difficult nursing problems, and fails due to the lack of convenient fixation. For these reasons, we transformed Bartons tongues into an external fixator which enhanced and improved the controlled contention of the "vertical bilateral posterior osteotomy" of the pelvis. When a two stage procedure is decided on, the modified Bartons tongues do not interfere with the urologic surgery, and in addition, the nursing problems are alleviated. Although we have used our modified Bartons tongues in only three cases, our methodology is of low enough risk for it to be reported at this time.
Between 1970 and 1980 we operated on 10 patients with congenital extrophy of the bladder and attempted staged anatomical and functional closure in all cases. Currently two patients have a functioning closed bladder, four are in different stages of treatment, and four have undergone urinary diversion. The importance of functional bladder reconstruction is stressed. Though it requires long hospitalization, and complication may result, the procedure can be justified because the anomaly is so grotesque.
This paper describes our diagnostic method, which enables an early and immediate differentiation between those patients who could benefit from a single or several local corticosteroid injections, and those who will probably require surgery. The authors have no intention of advocating a preferred treatment, but try to predict the outcome of the various modes of therapy.
A 65-year-old woman with spontaneous osteonecrosis of the medial femoral condyle of the left knee was treated by a fresh cadaveric osteochondral bone graft. The latest follow-up examination at 2.5 years demonstrated good functional results, as well as radiographic evidence of satisfactory consolidation with no aseptic necrosis or osteoarthritis.
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