A doctor's child is born.
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Biomedical subjects
Publications and source records attributed to D F Woodbury.
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A case is presented illustrating some of the basic principles in the development and repair of Volkmann's ischemic contracture following a supracondylar fracture. The etiology, initial signs, prevention, and possible treatments of the contracture are discussed. Early fasciotomy is the best treatment for impending contracture, while neurolysis with infarct excision, a flexor pronator slide, and tendon transfer can return much function following established contracture of the forearm.
A case is presented illustrating some of the basic principles in the development of deformity in the rheumatoid hand. Swanson flexible implant arthroplasties of the second through the fifth metacarpophalangeal joints are described and postoperative care and follow-up discussed. The authors conclude that surgery plays a crucial role in the early treatment of the rheumatoid hand.
In this paper we have presented a 13-year-old boy whose unicameral bone cyst of the proximal humerus was, after sustaining a pathological fracture, obliterated with conservative management of the fracture. The literature is uncertain as to how many similar cases will go on to refracture union and cyst resolution. Therefore, we feel that invasive procedures should be delayed until the fracture heals. If healing of the cyst is not evident at six to eight weeks and if the cyst is small and monoloculated or adjacent to the growth plate, methylprednisolone acetate would be a recommended procedure. In cases of larger and/or multiloculated cysts or cysts that resist steroidal treatment, curettage and bone grafting is warranted.
The case history of a 7 year old female with a transverse, 100% dorsally displaced fracture of the radius and a torus fracture of the distal ulna is presented. Mechanism of injury and principles of evaluation and treatment are discussed.
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Seventy-one per cent (12 of 17) of scaphoid nonunions previously treated by other methods united when the semi-invasive technique of electrical stimulation was used. Patient acceptance of this electrode technique is high, and morbidity is lower than in patients treated by iliac bone grafting. The treatment of nonunion of the scaphoid by the semi-invasive electrical stimulation technique is a reasonable alternative to bone grafting and provides a salvage procedure when bone grafting or other therapeutic modalities have failed.
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