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Biomedical subjects

B Joseph

Publications and source records attributed to B Joseph.

97 records · Page 6Linked to original sources
PubMedDate not supplied

Intramedullary rodding in osteogenesis imperfecta.

The results of intramedullary rodding of long bones of 16 children with osteogenesis imperfecta, over a 10-year period, were analyzed. Sheffield elongating rods or non-elongating rods were used. The frequency of fractures was dramatically reduced after implantation of either type of rod, and the ambulatory status improved in all instances. The results were significantly better after Sheffield rodding with regard to the frequency of complications requiring reoperations and the longevity of the rods. Migration of the rods, encountered frequently, appears to be related to improper placement of the rods in the bone. It seems likely that if care is taken to ensure precise placement of a rod of appropriate size, several of these complications may be avoided.

Adolescent↗
PubMedDate not supplied

Evaluation of the hemi-Cincinnati incision for posteromedial soft-tissue release in clubfoot.

Posteromedial soft-tissue release operations were performed on 42 idiopathic clubfeet in children younger than 2 years of age through the medial half of the Cincinnati incision (the hemi-Cincinnati incision). This incision gave adequate exposure to all structures to be released. Wound closure was possible in all 42 feet without having to hold the foot in plantarflexion or inversion. Wound healing was satisfactory in the majority of instances and 81% of the scars, assessed 9 months after the operation, were graded as excellent or good. The scar is located in an area of the foot that can be concealed easily and should a more radical soft-tissue operation be needed later, the same incision can be extended easily. The authors recommend this incision as the incision of choice for performing posteromedial soft-tissue release operations on clubfeet in children younger than 2 years of age.

Achilles Tendon↗
PubMedDate not supplied

Value of measurement of hip movements in childhood hip disorders.

SUMMARY: After the reproducibility of measurement of hip joint motion by different techniques was ascertained, the ranges of motion of hips of 325 normal schoolchildren ages 5 to 14 years were measured with a fluid level goniometer. All movements of the hip decreased in a nonlinear fashion with increasing age. The regression line with the closest fit to the mean values of each hip movement was that obtained by applying the sixth-order equation. A grid was designed to record the ranges of movement of the hip. The ranges of movement of 93 children with pathology in one or both hips were measured by the same technique and marked on the grid. Characteristic abnormal grid patterns were noted for each condition. Careful documentation of alterations in hip joint movement in children with symptoms related to the hip can be of value in establishing the diagnosis of the underlying pathology.

Adolescent↗
PubMedDate not supplied

Ganglion cyst of the proximal tibiofibular joint causing foot drop-diagnostic problem of differentiating from neuritic leprosy.

A six-year old boy presented with pain around the knee joint and abnormal gait of one month duration. There was no history of hypopigmented anaesthetic patches, neuritis or family history of leprosy. Clinical examination revealed a localized cystic swelling of 1 x 1 cm in size in the region of left common peroneal nerve, with sensory loss on the lateral aspect of the left leg which was mistaken for a nerve abscess.

Child↗
PubMedDate not supplied

Hallux varus--a study of thirty cases.

Although both congenital and acquired hallux varus have been described, the deformity has been considered uncommon. Contrary to this belief, we noted that it is fairly common in the unshod population. Analysis of 30 cases shows that congenital hallux varus is the most common type encountered and it is of three types, namely: primary, secondary, and teratogenic. The congenital primary and secondary varieties are apparently easy to treat in infancy, but if left untreated, they progress with age in unshod persons. The more severe grades of hallux varus are associated with medial deviation of the lateral toes. Hallux varus occasionally develops in unshod persons during the fourth, fifth, or sixth decades of life. This is referred to as the idiopathic hallux varus of middle age. The length of the first metatarsal, the first intermetatarsal angle, and the shape of the first metatarsal head appear to have no bearing on the causation of hallux varus. The progression of the deformity in congenital cases and the de novo development of the deformity in middle age appear to be related to the failure to use footwear.

Adolescent↗