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Biomedical subjects

C R Rowe

Publications and source records attributed to C R Rowe.

18 recordsLinked to original sources
PubMed1988

Recurrent anterior transient subluxation of the shoulder. The "dead arm" syndrome.

Attention is directed to a subtle, unresponsive cause of shoulder disability in the young adult who has sustained a forceful overextension of the shoulder. A careful office evaluation will identify this lesion. A number of factors differentiate it from the numerous other causes of shoulder disability. 1. Usually a young athletic adult. 2. A characteristic history of forceful overextension of the shoulder. 3. Poor response to routine types of treatment. 4. Negative radiographic study. 5. Usually a frustrated and discouraged patient because no one has diagnosed or helped his "dead arm." 6. Consistent physical findings of a positive apprehension test.

Adult↗
PubMed1988

Injection technique for the shoulder and elbow.

1. Injections of the shoulder or elbow can be carried out effectively with little or no discomfort, with the patient in the sitting position. 2. Aseptic technique should be observed. 3. The corticosteroid solution should not be injected into the tendons of the shoulder joint or elbow. 4. It is safer, less painful, and more effective to inject the solution into the overlying bursal space or the tendon sheath. 5. Repeated injections are not advised.

Acromioclavicular Joint↗
PubMed1987

Recurrent transient anterior subluxation of the shoulder. The "dead arm" syndrome.

The recurrent transient anterior subluxation (the "dead arm" syndrome) is an accepted clinical syndrome seen most commonly in young athletes or individuals whose arms have been forcefully hyperextended in elevation and external rotation. Care must be taken to differentiate other causes of painful shoulder. With an accurate diagnosis, the results of conservative or operative treatment are most favorable. If surgical treatment is carried out, careful layer-by-layer dissection is required to properly identify and correct anatomic abnormalities.

Adult↗
PubMed1986

Combined anterior cruciate-ligament reconstruction using semitendinosus tendon and iliotibial tract.

We are reporting the results of a reconstructive procedure designed to decrease anterior tibial subluxation due to disruption of the anterior cruciate ligament. The operation combines both intra-articular and extra-articular methods. The semitendinosus tendon and the iliotibial tract are both routed from opposite directions over the top of the lateral femoral condyle and through the same oblique drill-hole in the proximal part of the tibia: the semitendinosus tendon is passed up through the tibial drill-hole, across the knee joint, over the top of the lateral femoral condyle, and deep to the fibular collateral ligament, and the iliotibial tract is passed deep to the fibular collateral ligament, over the top of the lateral femoral condyle, across the knee joint, and down through the drill-hole. Both grafts are simultaneously pulled tight while the semitendinosus tendon is sutured to the iliotibial tract laterally and the iliotibial tract is sutured to the semitendinosus tendon medially below the drill-hole. The posteromedial and lateral parts of the capsule are advanced to tighten the secondary restraints. One hundred of the first 106 consecutive patients with chronic instability who had this procedure were evaluated using subjective and objective criteria at three to seven and one-half years after surgery. The positive anterior-drawer sign tested at 25 degrees of flexion was eliminated or reduced to 1+ in eighty knees, and the positive pivot shift was reduced to zero or 1+ in ninety-one knees. The objective assessment of isokinetic muscle performance and passive tibial rotation showed significant improvements in strength and normalization of tibial rotation.

Adolescent↗
PubMed1985

Failed surgery for recurrent dislocations of the shoulder.

By careful dissection, the causative factors could be identified and repaired surgically in 38 previously failed procedures for recurrent anterior dislocation of the shoulder. A routine Bankart procedure was performed in 20 shoulders (in two of which a Connolly procedure was added), a Putti-Platt procedure in four, and capsulorrhaphies in four shoulders. Seven shoulders were treated with exercises with an excellent result in one and good results in four. It was most encouraging that in the patients followed from 2 to 13 years, only 5% have had recurrences.

Follow-Up Studies↗
PubMed1978

The Bankart procedure: a long-term end-result study.

Of 161 patients with 162 shoulders operated on during a thirty-year period (1946 to 1976), 124 were re-examined and twenty-one answered a questionnaire. The lesions found at surgery were separation of the capsule from the anterior glenoid rim in 85 per cent, a Hill-Sachs lesion of the humeral head in 77 per cent, and damage to the anterior glenoid rim (including fracture) in 73 per cent. There were five recurrences (3.5 per cent) after repair by the method described in the 145 shoulders that were followed. Only one of the forty-six patients with dislocation on the dominant side and one of the thirty-one with dislocation on the non-dominant side failed to return to the competitive athletic activities in which they participated prior to injury. The results at follow-up were rated excellent in 74 per cent, good in 23 per cent, and poor in 3 per cent. Ninety-eight per cent of the patients rated their result as excellent or good. Sixty-nine per cent of the shoulders had a full range of motion, and only 2 per cent of these shoulders redislocated. A fracture of the rim of the glenoid did not increase the risk of recurrence, while a moderate to severe Hill-Sachs lesion increased the risk only slightly. We concluded that with the meticulous technique of the Bankart repair as described, postoperative immobilization is not necessary, early return of motion and function can be expected, and resumption of athletic activities with no limitation of shoulder motion is possible for most patients.

Adolescent↗