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Biomedical subjects

P Queneau

Publications and source records attributed to P Queneau.

At least 55 records · Page 3Linked to original sources
PubMed1981

[Dislocated hips in cerebral palsy (author's transl)].

The authors have observed 119 excentrated hips in 81 spastic children. Most of the cases were noted in non walking children under the age of ten. However some excentrated hips were seen in older patients eventually able to walk. The importance of a three dimensional approach of the problem is pointed out. The results of the surgical procedures are analysed. It appeared that it was important to restore a muscle balance before any pelvic or femoral osteotomy. Triple pelvic osteotomy was indicated of obtaining a better orientation of the acetabulum in younger children. Its complications were infrequent. Chiari's osteotomy was indicated in older children. The authors point out the importance of an early diagnosis in cases of lack of muscles balance which can be corrected by minor surgical procedures on soft tissues.

Adolescent↗
PubMed1981

[Congenital anomalies of cranio vertebral junction in children. Indications for surgery (author's transl)].

Based the review of 55 children of whom 19 were treated surgically, the authors have designed 6 anatomo-clinic entities. Each one of these has its own treatment ranging from nothing to decompression of the neural axis with arthrodesis. Relationship between bones and joints and nervous tissues are emphasized with the manner to appreciate them clinically and with X rays or computerised tomography. This has always to be done before any surgical treatment. The goals of this surgery are: --to give perfect stability and acceptable morphologic result of the relation between head and neck, and neural decompression --to cure, and prevent perhaps, progressive myelopathy of which we know the bad prognosis when discovered and treated in adult life.

Adolescent↗
PubMed1980

[Congenital dislocation of the hip treated by the Somerville technique at the age of walking. A long term review].

Sixty congenital dislocations of the hip in thirty seven children had been treated at the age of walking by the Somerville-Petit technique between 1958 and 1961. The results have been reviewed after the end of bone maturation. The results were assessed using Severin's criteria, including the Wiberg C E angle and the morphological appearances of the acetabulum and the femoral epiphysis. Nearly all the hips had at least one residual defect; less than two thirds could be described as satisfactory. The radiological study show minimal change after the age of ten. The authors conclude that the results of the technique are deceptive and they now practise, more systematically, Salter osteotomy or triple osteotomy with the expectation of better final results.

Child↗
PubMed1980

[Trans-sphenoidal pituitary resections. Various problems in anesthesia and resuscitation. Study in 1,193 cases (author's transl)].

In the present study based on 1,193 cases of trans-sphenoidal pituitary resections, the various problems involved in anaesthesia and pre and post-operative care are discussed. The anaesthetic complications are few and should be avoided through adequate preparation and supervision. The procedure is a short one (75 +/- 16 minutes) and blood loss minimal. The patients are usually young (42 +/- 4 years old), in good condition (90% were in ASA group I or II). The pre and post-operative management must follow some well defined principles, based on hormonal substitution and diagnosis and early treatment of a possible diabetes insipidus.

Adolescent↗
PubMed1979

[Fibrous dysplasia of long bones with remission. Apropos of 3 cases].

Three cases of fibrous dysplasia of bone, affecting the long bones of the leg are described. This condition is a clearly defined radiological and clinical entity. The tibial lesion is reminiscent of a congenital pseudarthrosis but the involvement of the fibula is a useful diagnostic clue. The most important feature of the condition is that it heals spontaneously.

Adolescent↗
PubMed1978

[Our experience with the determination of serum anti-alphastaphylolysins and antigammastaphylolysins during infectious osteoarthritis. A personal series of 53 staphylococcal osteoarthritis cases, 14 cases of osteoarthritis from various germs, 47 extra-articular staphylococcal infections and 500 control subjects].

The difficulty of directly isolating the casual agent (by obtaining specimens in situ or if necessary by hemoculture), during infectious osteo-arthritis and mainly during those deeply located such as spondylodiscitis and sacro-iliac infections, has led authors to investigate the field of serologic examinations. In staphylococcosis, which is quite frequent, they report results of serum anti-alphastaphylolysin dosage (AASTL) in 500 controls, 100 patients in whom a staphylococcus was recovered and 14 patients with other germs. In the first group, 10 subjects out of 500 ad a level greater than 2 IU whereas in the second group an elevation of the level of AASTL was observed in 66% of cases of staphylococcal osteo-arthritis (35 out of 53) and in 54% of cases of staphylococcosis without esteoarticular localization (25 out of 47), a total of 60% of staphylococcosis with various localizations (60 cases out of 100). Despite the elevation AASTL serum in 4 of the 14 cases of the third group, this study confirms the great diagnositc value of this dosage mainly when the levels are higher than 4 IU or are still rising. The recent study of the serum antigammastaphylolysins represent an additional factor of interest because of its reliability and its frequent positive result during staphylococcosis (in 19 cases of osteo-arthritis out of 27, and in 10 cases of staphylococcosis without osteo-articular localization out of 16: a total of 29 cases in a series of 43 staphylococcosis). The dosage of both AASTL and AGSTL, however, seems more valuable since out of 40 cases of staphylococcosis, we have observed a simultaneous elevation of AASTL and AGSTL in 22 cases (55%), a sole elevation of AASTL in 8 cases and AGSTL in 5 cases (12.5%). Therefore, in this series, at least one of the enzymes was elevated in 15 cases out of 40 (87.5%) which represents an increase of 12.5% when compared with the study of the sole AASTL and an increase of 20% when compared to the study of AGSTL.

Animals↗
PubMed1977

[Osteotomy of the calcaneus for pes cavus in childhood].

Osteotomy of the calcaneus (Dwyer procedure) was performed in 14 children (26 feet) aged between 5 and 15 years. On four occasions it was associated with an osteotomy of the first metatarsal and on three occasions with tarsectomy. The technique is described and the results are analysed. The authors conclude that the results were good in children under the age of 10 whilst the feet were still supple. In children over the age of 10, in whom the feet were more rigid, the gait was improved but the cavus deformity was not improved. The best age for operation is between 6 and 10 years.

Adolescent↗
PubMed1977

[Nontuberculous infectious osteoarthritis in adults (excluding spondylodiscitis) in rheumatology].

Analysis of twenty five personal observations of septic osteoarthritis compared with information from the literature led the authors to the following conclusions: 1) Diagnosis of septic osteo-arthritis must be considered when confronted with a picture of acute or subacute arthritis generally inflamed with variable fever, raised sedimentation rates and frequently polymorph neutrophilia, above all especially if there are particular antecedents (local trauma or intra-articular injection, conditions which favor infections: diabetes, alcoholism, impaired immunity, corticosteroid therapy or various therapeutic immuno-suppresives). 2) It may be established on absolute criteria (isolation of the organism at the site of the lesions) or, in the absence of direct bacteriological evidence, by a body of evidence amongst which 4 arguments are of particular value: identification of a pathogenic organism in one or more blood cultures and/or at the site of a closed infection, postive serology and particularly elevation of the antistaphylolysine titres, rapid-onset radiological changes of destruction and/or reconstruction. plus hypercellularity of the fluid greater than 100,000 cells/mm3. 3) Medical treatment sometimes includes local treatment (joint aspiration, local injection of antibiotics) and in all cases immobilisation during the acute phase and systemic antibiotics. The latter will vary according to the organism responsible and its sensitivity. It seems useful to continue this for twelve weeks at the minimum in the normal form, initially making use of the combination of 2 antibiotics and preferably using continuous perfusion and/or intramuscular routes during the first half of treatment. 4) The consistently good results of such medical treatment seem to limit considerably the place of surgery for which the indications have become rare during the acute phase and even more so at later stages.

Adolescent↗
PubMed1976

Clinical study of ketoprofen administered rectally in rheumatology.

The effects of ketoprofen suppositories were studied in an open trial in 50 patients with various rheumatic disorders. A beneficial effect was obtained in many patients and this lasted for about 8 hours after administration. Mild local irritation was the commonest side-effect but seldom led to withdrawal of treatment.

Adult↗