Biomedical subjects

A Suter

Publications and source records attributed to A Suter.

20 records · Page 2Linked to original sources

PubMed1992

["Congenital" dislocation of the radial head. A bilateral case developing around the age of ten].

Dislocation of the head of the radius has important repercussions on pronation-supination, elbow stability and on the wrist joint. In the absence of a history of trauma, this anomaly is generally considered to be "congenital". Few authors have described the progressive acquisition of this dislocation during growth. The case of a 20 year old man is presented, corresponding to initial subluxation which gradually evolved towards dislocation of the head of the radius at about the age of 11 years. This type of dislocation appears to be related to abnormal growth of the proximal radial epiphysis, responsible for repercussions on the humero-radial articular relations and on the anatomy of the upper extremity of the radius. The patient was treated by ulnar osteotomy at the age of 17 years according to Hirayama's technique, when he was probably already too old. Surgical correction of the subluxation of the head of the radius at an earlier age would probably have been preferable.

Age Factors↗

PubMed1992

[Gaining uniform active muscle function by "in situ tendon transplant" in surgical rehabilitation of the upper extremity of tetraplegic patients. A case report].

The results of tendon transfers in the tetraplegic upper limb are encouraging. In contrast to the cases with peripheral nerve injury or polio, the availability of active muscles for transfers is very limited in tetraplegics. In both hands of a tetraplegic patient with Group 4 according to the international classification the brachioradialis was transferred to FPL and ECRL to FDP 2-5. The Zancolli-Lasso-procedure was performed in both hands as well as tenodesis of EPL proximally to the wrist. On the right side stabilisation of the thumb was achieved by CMS-1-fusion and on the left side the thumb got control by an abductor transfer using pronator teres and an interpositional tendon graft of the paralysed FDS 2. The result is described. Grip strength and Sollerman test were measured. Advantages and disadvantages of the two different procedures for thumb control are discussed, and the different abilities of gripping are shown.

Follow-Up Studies↗