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Biomedical subjects

D Keret

Publications and source records attributed to D Keret.

60 records · Page 4Linked to original sources

Corrective cosmetic supramalleolar osteotomy for valgus deformity of the ankle joint: a report of two cases.

Valgus deformity of the ankle joint can cause pain in walking and a significant gait disturbance because of the altered ankle mechanics and the secondary planovalgus deformity of the foot. A technique of supramalleolar osteotomy that is cosmetically better than a closing wedge osteotomy for correction of this condition is described in two patients with hereditary multiple exostoses. The osteotomy is inherently stable, and minimal or no internal fixation is needed.

Ankle↗

Obturator dislocation as a complication of closed reduction of the congenitally dislocated hip: a report of two cases.

Two cases of inferior obturator dislocation complicating treatment of congenital hip dislocation with closed reduction are described. Abduction and hyperflexion appear to be predisposing factors in development of this complication. Application of skin traction before any attempt is made at reduction will lengthen contracted soft tissues and may convert the inferior dislocation to a more manageable position. Open reduction was necessary in both patients, and the results were considered good.

Biomechanical Phenomena↗

Type V physeal injury: a case report.

A case report is presented to support the recently challenged Salter-Harris classification of type V physeal injury. Asymmetric premature closure of a proximal tibial physis, previously not suspected as injured, supports the classification of this injury as a separate entity. Furthermore, varus or valgus forces, as well as shearing forces, probably play an important role in the etiology of this injury rather than longitudinal compression alone.

Adolescent↗

Scoliosis in Rett syndrome.

Rett syndrome is a progressive encephalopathy observed only in girls, who are apparently normal until 6 to 12 months of age. It is characterized by autism, dementia, ataxia, stereotypic hand movements, hyperreflexia, spasticity, and seizures. Eight of 10 females with Rett syndrome evaluated at the Alfred I. duPont Institute have C-shaped neuromuscular curves averaging 29 degrees (range 22-48 degrees). Curve progression was seen in all eight patients and occurred despite bracing in four, averaging 21 degrees (range 12-31 degrees). Five patients, two of whom were braced, have undergone posterior spinal fusion with segmental instrumentation for curves ranging in size from 49 to 105 degrees (average 67 degrees).

Adolescent↗

Unicameral bone cysts in the humerus and femur in the same child.

Although simple bone cysts in children have been described by many authors, there has been only one previous report of more than one lesion in a single patient. We describe an 11-year-old boy with symptoms caused by a cyst in the proximal femur. Following steroid injection of the cyst, a pathological fracture occurred and was treated by immobilization in a cast. A year later, a pathological fracture occurred through a cyst in the proximal humerus. This was treated in a sling. Steroid injection of both lesions was performed when the cystic areas persisted, and both cysts subsequently healed. This case demonstrates that simple bone cysts are not always solitary lesions and that patients with these cysts should be carefully monitored for recurrence following treatment.

Anti-Inflammatory Agents↗