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Biomedical subjects

H Seradge

Publications and source records attributed to H Seradge.

29 records · Page 2Linked to original sources
PubMed1983

Elongation of the repair configuration following flexor tendon repair.

A prospective study was carried out to evaluate the status of repair and its relation to the incidence of tenolysis in 91 primary flexor tendon repairs in zone II of the hand in 39 patients. Forty-three flexor tendons were repaired by criss-cross technique and 48 flexor tendons by modified grasp technique. The median increase in the intramarker distance was 1.8 mm for the criss-cross technique and 0.6 mm for the modified grasp technique. Of the flexor tendons repaired by criss-cross technique, 18.5% required tenolysis compared to 6.2% in the group repaired by modified grasp technique. The incidence of tenolysis rose sharply when elongation at the repair site was more than 3 mm for the criss-cross technique and more than 1 mm for the modified grasp configurations. There is a direct correlation between the incidence of tenolysis and the amount of elongation of the repair area.

Adolescent↗
PubMed1982

Acute irreducible anterior dislocation of the shoulder.

In the past 6 years, three patients were treated for acute anterior shoulder dislocation which could not be reduced by closed means. Interposition of the labrium was found to be the cause for irreducibility in one patient. The obstructions to reduction in the other two cases were dislocation of the biceps tendon into the joint in one and interposition of the biceps tendon and the greater tuberosity into the joint in the other. The condition manifests in adults more than 40 years old. Redislocation or subluxation has not been observed.

Aged↗
PubMed1982

Distal ulnar translocation in the treatment of giant-cell tumors of the distal end of the radius.

Two patients with a giant-cell tumor of the distal end of the radius were treated by en bloc resection of the distal part of the radius and by replacement of the resected segment with the translocated distal portion of the ipsilateral ulna. The blood supply to the ulna without detaching its soft-tissue attachments. The distal articular surface of the ulna was resected and the ulna was fused to the lunate and the scaphoid. The ulnar segment was internally fixed to the proximal segment of the radius and to the carpus with an intramedullary Steinmann pin. Both patients obtained a useful, pain-free extremity with more than 85 per cent of forearm rotation and 10 to 15 degrees of flexion-extension at the wrist.

Adolescent↗
PubMed1982

Analysis of version in the acetabular cup.

To determine the amount of anteversion or retroversion of the acetabular component of the implanted total hip prosthesis, two anteroposterior radiographs of the hip are obtained, with the contralateral hip flexed to compensate for the possible existing flexion contracture. The X-ray beam is centered on the implanted total hip in one radiograph, and moved away from it toward the contralateral hip in the second radiograph. If the cup is anteverted, the opening will seem wider in the second radiograph. To calculate the angle, the location of the center of the X-ray beam on the X-ray plate must be know. The center of the X-ray beam can be marked on the radiograph by putting a metalic cross on the patient, over the centering cross of the X-ray light source. If the distance of the signature of the X-ray's center beam is less than 8 mm for the center of the cup on the X-ray film, the cup version can be calculated from the arcsin of the shortest to the largest diameter of the cup. If the central ray's signature is farther away, correction is necessary for this calculation. Also, the variable parameters, e.g., cup size, and magnification rate, should be considered in the calculations. The anteroposterior radiographs of the implanted total hip, obtained with the central beam being marked on the X-ray plate, not only are useful for evaluation of the implant but also can be used to calculate the version angle with an accuracy of +/-2 degrees. The necessary calculation is tabulated for cups with an outside diameter of 44-56 mm.

Acetabulum↗
PubMed1982

Injuries to the knee ligaments with fractures of the femur.

Evaluation of twenty-four consecutive patients with fracture of the femoral shaft showed injuries of the ligaments of the ipsilateral knee in eight (33 per cent) of them. The history was always one of violent injury, but the examiner had to suspect that this combination of injuries had occurred simultaneously before a careful local physical examination elicited diagnostic signs. Then, pin stabilization of the distal part of the femur with stress radiographs of the knee yielded an early diagnosis. Late recognition of the combined injuries usually could be documented by radiographs of the femur and the knee in traction.

Adolescent↗
PubMed1981

Ochronotic stenosing flexor tenosynovitis--case report.

Localized deposition of ochronotic pigment in the flexor digitorum profundus tendons was associated with triggering of the fingers in one patient. The case history and histologic studies suggest that repetitive trauma might be a major factor in initiating a localized reaction enhancing pigment deposition in the flexor tendon.

Finger Injuries↗
PubMed1981

Reduction flexor tenoplasty. Treatment of stenosing flexor tenosynovitis distal to the first pulley.

Trigger finger due to stenosing flexor tenosynovitis distal to the first annular pulley is not a common finding; however, when present, it introduces a diagnostic and therapeutic challenge. Resection of the second annular pulley for release of triggering at this level may leave the patient with impaired function. The pulley can be preserved by removing an elliptical portion of the center of the tendon through a lateral incision.

Adult↗
PubMedDate not supplied

Early versus late range of motion following cubital tunnel surgery.

The purpose of this study was to evaluate the effects of early versus late range of motion exercises following cubital tunnel release and medial epicondylectomy. Fifty-seven consecutive cases were studied and divided into two groups. Physical therapy consisting of active and passive range of motion exercises was started 14 days postoperatively for the first group and 3 days postoperatively for the second group. Fifty-two percent of the patients in group 1 sustained flexion contractures of more than 5 degrees compared with only 4% of the patients in group 2. Early initiation of therapy did not adversely affect the grip strength and/or other functions of the upper extremity, and the patients in group 2 returned to work sooner than the patients in group 1 (in fact, in half the time). Institution of range of motion exercises immediately postoperatively is more effective in preventing flexion contractures of the elbow than is delayed treatment.

Adult↗
PubMedDate not supplied

Tendon passer.

Explore the source record for details and available documents.

Ankle Joint↗
PubMedDate not supplied

Clostridial myonecrosis following intra-articular steroid injection.

Fatal clostridial myonecrosis occurred in a 65-year-old man after intra-articular injection of steroids to the shoulder joint. Clinical evidence of the possibility of clostridial infection is sufficient reason to initiate treatment. The opportunity to save a life may be lost by waiting for paraclinical data for definitive diagnosis to initiate treatment. "Surgical skin prep" for every intra-articular injection is a preventive measure. Increasing joint pain after intraarticular injection should be considered a serious complaint and requires careful clinical follow-up observations.

Aged↗