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Biomedical subjects

T D Bunker

Publications and source records attributed to T D Bunker.

28 records · Page 2Linked to original sources
PubMed1983

The 1982 epidemic--roller skating injuries.

A series of 100 roller skating injuries is presented. Roller skating injuries have been occurring at a higher rate than the previously reported skateboarding epidemic of 1977. The severity of injury has been lower, 32% fractures and dislocations occurring whilst roller skating, compared to 60% whilst skateboarding. In particular a striking reduction is seen in ankle fractures. Fifty questionnaires detailing method of injury were analysed.

Adolescent↗
PubMed1983

Problems with the use of Op-Site sutureless skin closures in orthopaedic procedures.

Op-Site sutureless skin closures were compared with continuous nylon sutures in a controlled trial involving 55 major orthopaedic procedures. Three major problems were identified in the sutureless skin closure group--safety, accuracy of skin edge apposition, and ease of use. Op-Site sutureless skin closures were found to have a better cosmetic result, were more comfortable and had a lower rate of wound inflammation. Op-Site skin closures are a useful adjunct to sutures but will not replace them.

Adhesives↗
PubMed1983

An information leaflet for surgical patients.

This study set out to quantify the information which is given to surgical patients. It also set out to discover what information patients felt was important. The group studied were all patients who had recently undergone transurethral resection of the prostate. Eighty two per cent would have liked to have been given the information leaflet to read before their operation. The piece of information most patients wanted was the estimated length of stay in hospital (83%). Patients under seventy years old wanted to discuss the effect of the operation on their sex lives (79%). It is concluded that information leaflets are appreciated by patients and should be more widely used.

Aged↗
PubMed1981

The contemporary use of the medicinal leech.

Over 100 000 patients with head injuries are admitted to General Hospitals every year in Britain (Jennet, 1978). A fair proportion of these have periorbital haematoma. Evacuation of the haematoma using a leech is a painless procedure which can be carried out by a nurse. It allows the patient to open his eye and see immediately, relieving him of discomfort and disfigurement. It allows the doctor or nurse to open the eye easily and painlessly for observation of pupil size and reaction. Leeches are cheap and very easily kept.

Eyelid Diseases↗
PubMedDate not supplied

The association between frozen shoulder and Dupuytren's disease.

Fifty-eight patients with the diagnosis of primary frozen shoulder were independently examined by 3 surgeons for evidence of Dupuytren's disease. The disease was found in 52% (30/58) of the patients reviewed. These figures were compared with previously reported figures for a population of similar age. This showed that Dupuytren's disease is 8.27 (95% CI, 6.25-11.2) times more common in patients with frozen shoulder than in the general population; the difference between the two was highly statistically significant (P < .001, chi(2) test). We discuss the literature on the association between frozen shoulder and Dupuytren's disease and the implications of such a high proportion of patients sharing these two conditions.

Comorbidity↗
PubMedDate not supplied

Open surgical release for frozen shoulder: surgical findings and results of the release.

Over a 5-year period, 75 shoulders that met Codman's criteria for primary frozen shoulder were treated. Nine patients improved with nonoperative treatment, and the remaining 66 patients underwent manipulation under anesthesia. The shoulders in 41 patients successfully released with manipulation. Those in 25 failed to release with manipulation, and therefore, these patients underwent open surgical release of the contracted shoulder. We reviewed the cases of all of the surgically treated patients at 19.52 months' average follow-up, using the history and clinical examination technique recommended by the American Shoulder and Elbow Surgeons. The surgical findings in this group of 25 patients showed a consistent alteration in the rotator interval and coracohumeral ligament. The rotator interval was obliterated, and the coracohumeral ligament was transformed into a tough contracted band. The histology of this contracture was examined in 12 patients and consisted of a dense matrix of type III collagen populated with fibroblasts and myofibroblasts. The contracted coracohumeral ligament was excised with immediate release of the external rotation deficit. Pain scores on visual analogue scale improved from 8.28 to 2.0. The average score for function, with a maximum score of 30, improved from 6.08 to 18.9. Twenty patients had excellent or good results, and 3 had fair results. The shoulders of 2 patients failed to improve: 1 was an insulin-dependent patient with diabetes, and 1 had severe bilateral Dupuytren's contractures. The results in the patients without diabetes were very satisfactory, with visual analogue scale scores of pain decreasing from 8.4 to 1.1, function increasing from 6.4 to 20.1, flexion increasing from an average of 96 degrees to an average of 131 degrees, and external rotation increasing from an average of 10.0 degrees to an average of 46.7 degrees. Surgical release of frozen shoulder is a useful option in those few patients with severe disease whose shoulders fail to release with manipulation under anesthesia. Caution should be used in insulin-dependent patients with diabetes.

Adult↗