Medical costs.
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Costs and Cost Analysis↗
Biomedical subjects
R E Leach
Publications and source records attributed to R E Leach.
Posterior tibial tendon rupture in athletic people.
We present our findings in six athletic patients with a ruptured or partially ruptured posterior tibial tendon. Pain in the midarch region, difficulty pushing off while running, and a pronated flattened longitudinal arch are the usual symptoms and physical findings of this injury. Surgical treatment, including reattachment of the ruptured posterior tibial tendon, is effective in restoring some but not all normal function. Nor will surgery restore the flattened longitudinal arch.
Adult↗
The meniscus--replace or regenerate?
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Humans↗
An additional focus for the future.
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Athletic Injuries↗
The AIDS dilemma.
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Acquired Immunodeficiency Syndrome↗
Anabolic steroids--round 4.
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Adolescent↗
Prophylactic knee bracing.
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Athletic Injuries↗
Surgical management of Achilles tendon overuse injuries. A long-term follow-up study.
We studied 79 cases of surgically treated Achilles tendon overuse injuries in 66 patients. Fifty-three (80%) of these patients were competitive or serious recreational runners operated on between 1978 and 1991. There were 49 men and 17 women with a mean age of 33 years (range, 17 to 59). The cases were divided into surgical subgroups based on their site of primary symptoms and abnormalities: paratenonitis (23), tendinosis (partial rupture or degeneration) (15), retrocalcaneal bursitis (24), insertional tendinitis (7), and combined abnormalities (10). Followup included a comprehensive patient questionnaire and office examination. There were 79% satisfactory (51% excellent, 28% good) and 21% unsatisfactory (17% fair, 4% poor) results. The percentages of satisfactory results in the paratenonitis group (87%) were best and those in the tendinosis group were the worst (67%). Satisfactory results were obtained in 75% of the patients with retrocalcaneal bursitis and 86% with insertional tendinitis. Seven of the 45 cases with longer than 5-year followup with initially satisfactory results deteriorated with time and required reoperation (16%). Of these, 4 were in the tendinosis group, 2 had retrocalcaneal bursitis, and 1 had paratenonitis. One of the 34 patients followed less than 5 years required reoperation.
Achilles Tendon↗
In pursuit of excellence.
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Health Care Reform↗
Keeping up--the modern way.
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Attitude of Health Personnel↗
Teaching--the ubiquitous profession.
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Humans↗
The winds of change.
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Periodicals as Topic↗
I have often wondered...
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Athletic Injuries↗
Subspecialization.
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Health Maintenance Organizations↗