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Biomedical subjects

M Harty

Publications and source records attributed to M Harty.

18 recordsLinked to original sources

Ankle arthroscopy: anatomical features.

The site and functional significance of the anatomical structures surrounding the ankle joint plays a major role in the selection of arthroscopic portals.

Ankle

Symposium on Surface Replacement Arthroplasty of the Hip. Anatomic considerations.

Division of the joint capsule close to the level of the acetabular labrum provides the best protection for the essential vessels at the base of the neck and does not jeopardize the acetabular blood supply. The vital medial femoral circumflex artery passes posteriorly, directly below the neck, is afforded little protection by the tenuous inferior capsule, and must get careful consideration during joint exposure, especially if severance of the inferior capsule is contemplated. Low trochanterter osteotomy may injure the principal blood vessels to the superior neck and head. Efforts to stabilize an osteotomized greater trochanter by passing a screw or screws into the inferior neck-shaft junction throw a severe and unnecessary stress on this important weight-bearing region of the proximal femur. Deliberate cutting of the anterior edge of the gluteus minimus from the underlying anterior joint capsule (iliotrochanteric band) facilitates capsular exposure.

Acetabulum

Serratus anterior paralysis in the young athlete.

Ten cases of isolated, complete paralysis of the serratus anterior muscle were diagnosed in young athletes during a three-year period. One patient had recurrent partial paralysis of the serratus anterior muscle, the first such case reported. From studies on cadavera and clinical observations, we concluded that paralysis of the serratus anterior muscle results from a traction injury to the long thoracic nerve of Bell. Since full recovery usually occurs in an average of nine months, surgical methods of treatment should be reserved for patients in whom function fails to return after a two-year period. Non-strenuous use of the involved extremity with avoidance of the precipitating activity, followed by exercises designed to maintain the range of motion of the shoulder and to increase the strength of associated muscles, is advocated for treatment of acute or repetitive injuries to the long thoracic nerve of Bell.

Adult

Therapeutic outcome as rated by patients, therapists, and judges.

The views of patients, therapists, and research judges were compared as to the degree of success attained in 22 cases of long-term psychotherapy and 15 cases of psychoanalysis. Across all cases, there was a tendency for therapists to overrate their success, as compared to the other two sources; this, together with a tendency of therapists to overlook or misperceive patients' dissatisfaction with treatment outcome, suggested that the failure to recognize and deal with the patient's negative feelings was a factor in a substantial number of unsuccessful treatments. The research judges rated the psychoanalytic cases as successful with much less frequency than either patients or treating analysts; the disparity seemed partly due to differing frames of reference, but may also have relected the participants' needs to feel that their efforts had been worthwhile.

Humans

Metatarsalgia.

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Foot

The hand of man.

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Hand

A tragic dichotomy.

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Attitude of Health Personnel