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Biomedical subjects

J Berard

Publications and source records attributed to J Berard.

At least 37 records · Page 2Linked to original sources
PubMed1988

[Spontaneous epiphyseal separation in children with spina bifida. Apropos of a series of 12 cases].

Unknown complication but nevertheless frequent, the spontaneous slipped epiphyseal injury in child with spina bifida states the problem for its diagnosis and its treatment. The authors give their experience about 12 cases in 10 children, insisting on the problem of the pseudo-infected and the pseudo-tumoral cases with an early diagnosis. A review of the literature is made about this subject. The treatment is generally orthopaedic excepted at the hip where it is surgical. A physiopathogenic study is made; explaining the mechanism, the frequency of this pathology and its complications.

Bone Neoplasms↗
PubMed1986

[Congenital superior radioulnar synostoses. A study of 43 cases].

Superior radioulnar synostosis is a rare abnormality which frequently gives rise to functional disability. Its pattern of inheritance is uncertain. We have studied 29 children, 18 boys and 11 girls, who had a total of 43 such synostoses. Twenty children had significant functional disability. Fourteen required operation, 10 undergoing a Judet's osteotomy and 4 osteotomy of the lower end of the radius. The dominant hand was placed in the position of function, and the other in 30-40 degrees of supination. The osteotomies were secured by pins and supported in a plaster splint. Use of the forearm and hand was improved in all cases. Operation is best carried out between the ages of 4 and 10, and a useful functional improvement can be expected.

Age Factors↗
PubMed1986

[Plant prickle arthritis in children. Apropos of 6 personal cases].

Six children with arthritis after penetration of a vegetable prickle into the joint are reported. The affected joints were the knee (5 fold) and the elbow (1 fold). The prickles were of palm-tree (2 cases), sloe-tree (2 cases) or unknown (2 cases) origin. The culture of the synovial fluid was negative and the diagnosis was based on microscopic examination of the centrifugated fluid. Four patients needed synovectomy.

Arthritis↗
PubMed1985

[Spina ventosa, a historic disease].

We report a case of tuberculous dactylitis--spina ventosa--in a 5 year-old girl from a French upper class family. Being today an unusual affection, the diagnosis of spina ventosa can be missed. Symptoms and means of diagnosis are reviewed.

Antitubercular Agents↗
PubMed1985

[Epiphysiolysis of the hip following radiotherapy of pelvic tumors in early infancy. Apropos of 5 new cases].

Five personal cases of slipped capital femoral epiphysis in children submitted to pelvic radiotherapy and nineteen similar observations are reported. This complication appears around 6 years after radiotherapy; its frequency increases with high radiations doses and associated chemotherapy. Weakening of the epiphyseal plate is probably involved whatever radiations voltages. Surgical treatments should be confined to epiphysis fixation. As this complication can secondarily affect the other hip, preventive controlateral fixation must be discussed.

Antineoplastic Agents↗
PubMed1984

[Importance of the E. Luque technic in the surgery of major spondylolisthesis in children].

Following a brief summary of results of surgery of major spondylolisthesis of children using Harrington's technique, the outcome in 15 cases operated upon between 1967 and 1983 is discussed. Satisfactory short-term results (reduction perfect in 40% and fair in 60%) were not maintained and a relapse of sliding occurred in 50% at a later stage. In order to improve long-term stability. Harrington's classical procedure was combined with Luque's technique with binding of posterior arches of L3 and L4 to metallic spars in major L5-S1 spondylolisthesis. Two adolescents with very disabling L4-L5 spondylolisthesis were operated upon by Luque's original method combining partial resection of supra- and sub-jacent articular surfaces and isthmic reconstruction by grafts with excellent immediate results. This method is also discussed.

Adolescent↗
PubMed1984

Intestinal parasites of the free-ranging Cayo Santiago rhesus monkeys (Macaca mulatta).

Free-ranging rhesus macaques on the island of Cayo Santiago, Puerto Rico, were surveyed for intestinal parasites for the first time in over 40 years. Results were compared with the only previous study, and the relationships between the prevalence of Strongyloides and dominance rank, body weight, age, and matriline examined in the sampled population.

Age Factors↗
PubMed1983

[Idiopathic ostonecrosis of the scaphoid tarsal bone (Köhler's second disease)].

The authors report 9 cases of major radiological abnormality of the navicular bone, of which only 5 were cases of Köhler's disease. The diagnosis of this disease requires a combination of clinical and radiological signs, the isolated presence of radiological signs only represents abnormalities of ossification which are very common in this bone. The treatment is generally accepted to be plaster immobilisation, but its duration is a topic of debate, varying between 4 and 8 weeks, according to different authors.

Child↗
PubMed1982

[Negative bone scintigraphy in osteomyelitis in children. Difficulties in interpretation].

The authors relate 7 cases of hematogenous osteomyelitis in children where skeletal scintigraphy with TC 99m diphosphonate was said as normal. They analyse the lack of positive radionuclide findings; misinterpretation, abnormal tracer accumulation which probably relates to regional hyperemia, transient area of discreased uptake of the tracer in the early phase of the disease and real negative bone scan; these cases are rare; when there is a high suspicion of osteomyelitis in spite of a normal bone scan Gallium imaging may be helpful.

Child↗
PubMed1982

[The lumbar spine in profile after Harrington's operation. Apropos of 100 cases].

After Harrington's procedure, the authors analyse anatomical modifications observed on the 3 last grafted vertebrae and on the underlying healthy lumbar segment. At the level of the grafted vertebrae it was observed a quite constant discal piching and a change in morphological aspect of the vertebra which become higher than large. The ratio between width and length physiologically at 1,20 was at 0,96. At the level of mobile underlying segment to the graft, lordosis remains at physiological value, although distributed on a shorter lumbar segment and that without change in discal angle. This fact was induced by an increase of the lordosis percentage incumbent to the vertebral body. This percentage physiologically at 10 passed 30 after Harrington's procedure because of an increased wedge-shaped of the 4th and 5th lumbar vertebra. This phenomenon was as much marked as the graft was precociously performed and as they descended lower. This might explain the good long term tolerance for the increased work of the free underlying rachis to a Harrington's procedure.

Adolescent↗