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Biomedical subjects

E W Johnson

Publications and source records attributed to E W Johnson.

At least 145 records · Page 8Linked to original sources

Hand dominance and scoliosis in Duchenne muscular dystrophy.

Twenty-three patients with Duchenne muscular dystrophy and scoliosis were studied. In all but one patient the major convexity was to the side of the dominant hand. The unsupported growing spine is easily unbalanced by asymmetrical forces imposed on it. From our observations we believe major use of a single upper extremity will result in scoliosis with the major convexity toward the side of the dominant hand. Management should include counterbalancing the postural abnormality imposed by hand dominance as well as unloading the spine frequently during the patient's waking hours.

Adolescent↗

Sequence of electromyographic abnormalities in stroke syndrome.

In 20 stroke patients who were examined by repeated electromyography, fibrillation potentials and positive waves were noted as early as seven to ten days after the stroke and gradually disappeared as volitional potentials and spasticity appeared. This sequence of events occurred first in the antigravity muscles, then in their antagonists and finally in the most distal muscles. We hypothesize that the abnormal irritability is a consequence of the loss of the neurotrophic influence on the muscle fiber after the stroke.

Adult↗

Conversion of the arthrodesed hip to a total hip arthroplasty.

Total hip arthroplasty was done in thirty-three patients who had had previous surgical attempts at arthrodesis of the hip. The arthrodesis had failed in nineteen patients, and the other fourteen patients had fused hips with symptoms in the knee and lower back. Thirty-one of the patients had satisfactory functional ability after total hip arthroplasty after one to three and one-half years' follow-up. The two patients in whom the procedure failed had complicating infections.

Adult↗

Measurement of intrathecal I131-albumin transport to plasma. Inability to distinguish cerebral atrophy from communicating hydrocephalus.

The transport of intrathecally administered iodine131-albumin to the circulating plasma was measured in five patients with cerebral atrophy and three with communicating hydrocephalus. The percentage of the administered dose in plasma 24 hours after injection in both groups was lower than reported by others in control patients, but the two groups did not differ significantly. The most likely explanation for these results is diminished fractional turnover of CSF per unit time in patients with CSF volume expansion, regardless of cause. This test appears to have no value in differentiating cerebral atrophy from communicating hydrocephalus.

Aged↗