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Biomedical subjects

S F Gunther

Publications and source records attributed to S F Gunther.

34 records · Page 2Linked to original sources
PubMed1982

Kienböck's disease--update on silicone replacement arthroplasty.

In a previous paper, early lunate silicone replacement arthroplasty (SRA) for Kienböck's disease was advocated because of poor results obtained in stage III disease. Since then, an additional 16 patients have been operated on. Thirteen had stage III disease, and 12 underwent successful SRA. This result is attributed to the modification in anatomical configuration and the improvement in the physical characteristics of the new high-performance silicone lunate implant. Because SRA gives good results in a high percentage of patients in stage III disease, alternative modes of therapy may be considered in stage I or stage II disease without jeopardizing the ultimate result from SRA in stage III disease.

Adolescent↗
PubMed1979

A hand infection from A. calcoaceticus (M. polymorpha).

Acinetobacter calcoaceticus (Mima polymorpha) is not a well known organism, and its identification can be confusing due to its variable morphology and sensitivity pattern. In a joint infection, delay in identification or appropriate treatment can result in added morbidity. An A. calcoaceticus (Mima) infection in the hand seems not to have been previously reported. The present case involving a finger joint infection illustrates the pathogenicity of A. calcoaceticus (Mima) and problems of treatment. Minocycline is recommended as the drug of choice in subsequent A. calcoaceticus (Mima) and (Herella) infections.

Acinetobacter↗
PubMed1978

Vertebral sarcoidosis with paravertebral ossification.

A young black male with sarcoidosis developed quadriplegia after a fall. Roentgenograms of the spine revealed extensive lytic and scierotic changes with paravertebral bony bridges simulating ankylosing spondylitis. He recovered on corticosteroid therapy after laminectomy and cervical fusion. Review of the literature suggests that this case of vertebral sarcoidosis is the most severe yet reported and the first with paravertebral ossification.

Adult↗
PubMed1977

Experience with atypical mycobacterial infection in the deep structures of the hand.

Two new cases of atypical mycobacterium infections of the deep structures are reported. With two reported previously by the authors and a review of 24 others recorded by others, the symptoms and signs are reviewed. Typically it occurs in the middle-aged person, some of whom give a history of a puncture wound within 6 weeks of onset of symptoms. Synovium in the finger is involved commonly and a carpal tunnel syndrome may be the result of involvement of the bursae. Fever does not occur and no systemic signs are present. Biopsy and cultures are essential for diagnosis, but a presumptive diagnosis indicates that, after synovectomy, treatment should be started with antituberculous drugs, isoniazid with ethambutol, Rifampin, or both and continued for 18 to 24 months, unless in vitro sensitivity tests indicate a change of medication. The usual organisms are M. kansasii, M. marinum, M. intracellulare, and M. avium.

Adult↗
PubMed1977

Kienböck's disease: the role of silicone replacement arthroplasty.

A review of thirty-eight patients with Kienböck's disease indicated that both delay in diagnosis and prolonged treatment by plaster immobilization led to progressive collapse of the lunate and an unsatisfactory result in most instances. Four clinical and roentgenographic stages were identified, and the results of silicone replacement arthroplasty were correlated with the preoperative stage after an average follow-up of twenty-seven months. The results were satisfactory in fourteen of twenty wrists in which the procedure was performed before collapse of the lunate had occurred. The importance of early diagnosis and early surgical treatment of this disorder was emphasized by the findings in this study.

Adolescent↗
PubMed1975

Diazepam hypnosis for orthipaedic manipulations.

In this study, intravenous diazepam was a convenient, safe, and entirely adequate replacement of anesthesia for orthopaedia manipulations. It was administered in the hospital emergency room to both healthy and ill patients. A wide age range of patients was treated, and many very difficult reductions were accomplished. It is the author's firm opinion, however, that the physician using this technique should be capable of using emergency respiratory resuscitation equipment and that such equipment should be immediately available. Close attention should be paid to the recomended method of drug administration and the physician should be congnizant of potential complications.

Adolescent↗
PubMed1974

Treatment for Legg-Perthes disease with the Newington ambulation-abduction brace.

In a series of eighteen patients with Legg-Perthes disease (nineteen hips) the mean age was eight years and six months; all patients were over five and a half years old. The patients were treated in the Newington ambulatory brace. With this treatment the problems of management in ambulatory casts were eliminated and the disadvantages of recumbent abduction treatment were overcome. The results obtained by the ambulatory weight-bearing treatment in the Newington brace were gratifying. When compared with other published non-operative methods, significantly fewer severe deformities of the femoral head resulted.

Bone Cysts↗
PubMedDate not supplied

Struthers' ligament and associated median nerve variations in a cadaveric specimen.

A Ligament of Struthers has been identified and studied in a cadaveric arm. Its relationships to a rudimentary supracondylar process, the pronator teres muscle, the median nerve, and the medial epicondyle of the humerus are described. Compared to an extensively studied series of normals, the ligament in this case was associated with abnormally proximal branching of the median nerve, a finding which is surgically significant and not addressed in the literature to date.

Adult↗