Spot weld injuries of the hand.
Spot weld burns of the hand result in damage to structures deep to the skin by dissipation of heat locally causing extensive necrosis. This must be appreciated to optimize treatment.
Accidents, Occupational↗
Biomedical subjects
G E Giddins
Publications and source records attributed to G E Giddins.
Lunate subluxation associated with a Salter-Harris type 2 fracture of the distal radius.
A case is reported of lunate subluxation in combination with a Salter-Harris type 2 fracture of the distal radius in a child. Carpal subluxations or dislocations are rare in children. This combination has never been reported before. It significance lies in the combination of injuries, the more common of which led the lunate injury to be overlooked, emphasizing the importance of careful study of all available radiographs of an injury.
Carpal Bones↗
Dupuytren's disease with alcohol intake and diabetes.
Explore the source record for details and available documents.
Alcohol Drinking↗
Acute compression fracture of the scaphoid.
A previously unreported radiological sign of a sclerotic margin to an acute displaced scaphoid fracture due to bone compression is reported. This should to be recognized because of the implied bone loss and hence risks of both mal-union and non-union, and because of the implication that volar compression fractures of the scaphoid may occur.
Acute Disease↗
The use of handbooks in orthopaedics.
The use of handbooks is becoming more widespread in hospital medicine. A review of their use in British orthopaedics received 78 replies (29 per cent) representing 94 (30 per cent) of the orthopaedic units in the United Kingdom. Seventy-five per cent used a handbook, were preparing one or would like to have one. Recommendations are given for the content and format of a handbook, a specimen of which has been prepared.
Attitude of Health Personnel↗
Experience with a knot-free absorbable subcuticular suture.
Absorbable subcuticular sutures are widely used, being cosmetically attractive and avoiding the need for suture material. They have, however, generally been locked with buried knots that can cause a chronic granulomatous lesion. A suture is described that avoids the use of knots and their complications but is secure. It has been used successfully in over 500 cases. The suture technique and its widespread applications are described.
Absorption↗
Primary nerve repair: strength of repair with different gauges of nylon suture material.
Cadaveric median nerves were divided and repaired with interrupted epineural sutures, as in normal clinical practice, using three different gauges of nylon monofilament material. Tensile testing of the nerve repairs showed that, of these three gauges, 9/0 (0.3 metric) sutures were preferable: gap formation at the repair site occurred at the highest force. Finer gauge (10/0) sutures snapped at a lower force, while thicker (8/0) sutures were less consistent and pulled out of the nerve tissue.
Cadaver↗
Personnel appraisal.
Personnel appraisal has been neglected in medicine but is now being introduced. Individual personnel review is a proven system developed in industry. Goals are set, carefully monitored and finally assessed at interview. It can be extremely valuable in assessment, and also in the education and encouragement of staff.
Clinical Competence↗