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Biomedical subjects

P MacAuley

Publications and source records attributed to P MacAuley.

17 recordsLinked to original sources

Brodie's abscess. A long-term review.

In 20 patients with 21 Brodie's abscesses, a long-term review revealed that 13 occurred in the second decade of life. All had local symptoms for six weeks or more. The tibia was involved in 11 cases and seven of these were in the proximal metaphysis. The erythrocyte sedimentation rate (ESR) was elevated in only six cases. When the ESR was more than 40 mm per hour, recurrence was more likely. Staphylococcus aureus was cultured from 11 abscesses. Curettage and antibiotics for six weeks were adequate for treatment in most cases. However, lesions larger than 3 cm in diameter should be grafted, and patients with an elevated ESR require more aggressive decompression and prolonged antibiotic therapy. Lesions within the neck of the femur pose particular anatomic problems and should not be approached laterally. All cases were followed to full bone maturity. No significant leg length inequality was clinically or roentgenologically apparent. If an abscess was juxtaphyseal, deformity of the epiphysis could develop.

Abscess↗

Legg-Calvé-Perthes disease in a family: genetic or environmental.

This is a case report of a family in which Legg-Calvé-Perthes disease (LCPD) occurred in four members. All the patients were male and between the ages of three and eight years. This unusually high incidence in one family raises questions about the genetic versus the environmental factors in the etiology of LCPD.

Child, Preschool↗

Hospital doctors.

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Hospital Administration↗

Dr. John Shanley.

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General Surgery↗