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Biomedical subjects

J L Alain

Publications and source records attributed to J L Alain.

At least 37 records · Page 2Linked to original sources
PubMed1989

[Antibiotic prevention with a single dose of metronidazole in appendectomy in children].

One hundred children were prophylactically treated with 15 mg/kg-1 of metronidazole immediately before appendicectomy and retrospectively compared with 100 other patients without any antibioprophylaxis. No statistically significant difference was found between the two groups as regards age, weight, sex and macroscopic appearance of the appendix. The overall incidence of complications was 1% in the antibioprophylactic group and 9% in the control group. Furthermore, a single pre-operative intravenous dose of metronidazole was as effective as conventional antibioprophylaxis.

Appendectomy↗
PubMed1988

[Traumatic epiphyseal separation of the lower end of the femur].

Forty-one children suffering from displacement of the distal femoral epiphysis were reviewed with a five year follow-up. This is a rare lesion, caused by severe trauma. It is seen at all ages, four of the cases being neonatal, but principally in adolescence, in 22 cases. The Ogden classification is preferable to the Salter-Harris classification for these fractures, which are usually in type II (39 cases). The prognosis is related to the severity of the initial displacement and to the quality of the reduction and its maintenance. Epiphysoidesis developed frequently and early, in 15 cases. It seemed to be due to an initial vascular injury rather than to mechanical compression. The results were not very satisfactory with 23 good, 11 fair and 7 bad results. It is recommended that an anatomical reduction should be maintained by percutaneous crossed pins. In adolescents aged 15 years or over, primary surgical epiphysiodesis of the whole growth cartilage seems to be a reasonable possibility.

Adolescent↗
PubMed1988

[Osteoid osteoma of the femur neck in children and adolescents. Apropos of 12 cases].

Specific characters of the osteoma osteoid as a beniGN tumor are well known. We report twelve cases of femoral neck localisation. Delays in diagnosis of six months to one year after the onset of symptoms are quite common. Chronic or recurrent pain is localised in the inguinal area with a projection to the leg and to the knee. The pain was relieved by Aspirin in six cases only. X ray of the pelvis antero-posterior showed the tumor, but did not always show the lucent image with the surrounding sclerotic area that is well observed with tomography. The scintigraphy with technetium 99 is perhaps more sensitive as a way of diagnosis. The lesion is the place of intensive uptake. Although the surgical excision "in block" and the replacing of bone graft and material of osteosynthesis gave positive results, many technical problems are present during the intervention because of the important cortical reaction and bone densification. In six cases, peroperative X Ray and histology did not give diagnosis.

Adolescent↗
PubMed1986

[Fractures of the upper part of the radius in children].

The authors analyse the results of forty five cases of fractures of proximal radius in children with average follow up 7 years. The average age of the children was 9 years. Detailed radiological examination warrants classification under four degrees of displacement (four cases displaced, 17 cases lower 30 degrees, 15 cases between 30 degrees and 60 degrees, 9 cases upper 60 degrees). Associated lesions was present in 15 cases. For treatment, 21 immobilisations, 10 closes reductions, 6 percutaneous reduction by means of a kirshner nail, 8 open reduction were done. Pronostic is good for degrees I and II (20 excellent, 1 good result), pronostic is incertain for degrees III and IV (13 excellent, 2 good, 3 fair and poor results). Correlation is straight between procedure of management and result. The authors suggest their indications, who are depending from age and displacement.

Adolescent↗
PubMed1985

[Fractures of the medial epicondyle in children].

The authors have analysed retrospectively the results of 53 fractures of medial epicondyle in children. For the review of the radiographies, they describe four degrees of displacement. The average age of the children was 12,5 years (range 7 to 16 years). Posterior dislocation of the elbow was present in 50% of the cases. The fracture of the medial epicondyle was treated surgically in thirty-five cases. Results were: 42 excellent, 8 fair, and 3 poor. Non union explains these three poor results. Neurologic complications were few and transient in all cases.

Adolescent↗
PubMed1984

[Sacroiliac osteochondritis].

Reporting a clinical observation, the authors emphasize upon the scarceness of sacroiliac osteochondritis. Sacroiliac osteochondritis is difficult to recognize, it is rather frequently a case of diagnosis by elimination, which can be only confirmed by the course. Its prognosis is excellent. The best management is strict rest.

Adolescent↗
PubMed1979

[Strangulation of the toes by hair (author's transl)].

The purpose of this report is to call attention to human hair as a potential source of injury to young children's toes. The toe tourniquest syndrom is an entity described by Quinn but the autors suspected intentional wrapping.

Foot Diseases↗