Biomedical subjects
Publications and source records attributed to J Nerubay.
A case of synovial osteochondromatosis in a synovial recess of the shoulder joint, which is considered to be a very rare condition, is presented. Different clinical and pathologic aspects of this condition are reviewed and discussed. Treatment consists of a surgical removal of the free loose osteocartilaginous bodies with a partial excision of the affected synovia. The condition did not recur.
Autogenous transplantation of periosteum was performed in 60 rats. Periosteum was transferred from the femur to the spinal column in the region of thoracic vertebra 8 to lumbar vertebra 2. Follow-up included histological examination and microradiography. New bone formation occurred late and the bones were of a heterotopic nature; a solid arthrodesis was not achieved. Free periosteal grafts do not exhibit the relatively predictable behavior of periosteal flaps. Greater understanding at the biomolecular level may be required before free periosteal grafts can be introduced into routine clinical practice.
A useful method for the diagnosis of acute rupture of the lateral ligament of the ankle joint is presented. Twenty-three patients with ruptures of the lateral ligament of the ankle joint were treated surgically with suture of the lateral ligaments of the ankle. Accurate preoperative diagnosis with stress films and arthrography under local anesthesia of the ankle joint is imperative. No instances of infection or other complications were observed. All patients achieved a normal range of ankle function within three to six months. Radiograhs of the injured ankle in the forced inversion position following operation showed full stability of the ankle joint. In our opinion, all ankle injuries should be examined roentgenographically with forced inversion of the foot. Tilting of the talus of at least 10 degrees must be followed by arthrography of the ankle joint under local anesthesia. If there is leakage of contrast material along the peroneal tendon sheaths and around the joint cavity, the lateral ligament of the ankle must be sutured immediately in order to regain stability of the ankle joint.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
A new operative approach is presented for treatment of the fractured distal end of the clavicle, which is associated with a disruption of the coracoclavicular ligaments. Three cases are presented in which open reduction and the clayicle held in the corrected position by transfer of the coracoid process with its attached muscles onto the clavicle was followed by complete recovery.
Closed reduction of an anterior dislocation of the hip joint in a 15-year-old boy failed because of interposition of capsule, iliopsoas and rectus femoris muscles. The immediate complications were compression of the common femoral artery, tear of the femoral vein, and fat embolism 24 hours after the injury. The sequelae were periarticular ossification and avascular necrosis of the femoral head. The definitive treatment was a Charnley total hip arthroplasty.
Twenty patients with complete acromio-clavicular dislocation treated between 1967 and 1973 were reviewed with a follow-up time of from 1-6 years, the average being 3 years. They were treated by transposition of coraco-brachialia, short head of biceps and a third of pectoralis minor from their origin in the coracoid process to the clavicle together with repair of the acromio-clavicular joint. The results were evaluated according to pain, motion, deformity and x-rays with 90 per cent excellent results, 5 per cent fiar and 5 per cent poor. Discussion of the other types of treatment is presented.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Atlantoaxial rotatory fixation is a rare entity occurring during childhood following trauma. A case of an 8-year-old girl with atlantoaxial rotatory fixation is described. Diagnosis was confirmed by computerized tomography, and the patient was treated by C1-C2 posterior fusion.
Explore the source record for details and available documents.
Explore the source record for details and available documents.