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Biomedical subjects

T J Limbird

Publications and source records attributed to T J Limbird.

29 records · Page 2Linked to original sources
PubMed1985

Anabolic steroids in the training and treatment of athletes.

The use of anabolic steroids has become widespread in the athletic population in the hope of developing a competitive edge. The theoretical advantages of increases in lean body mass, body weight, and muscle strength have been difficult to document in the athletic population because of an inability to define a satisfactory placebo or safely test the extremely high doses of steroid purportedly used by the athletic population. Those studies that are available suggest that while some mild weight gain and lean body mass increase may be noted, athletic performance itself is not significantly altered by steroid use. The significant negative side effects that can occur, particularly those that alter liver function and endocrine balance, suggest that there is little to support the use and abuse of these drugs in the treatment and training of athletes.

Body Composition↗
PubMed1985

Hemophilus influenzae infection of a total hip arthroplasty.

Hemophilus influenzae is an uncommon, seldom considered pathogen of septic arthritis in adults. H. influenzae seems not to have been reported in association with a total joint infection. The majority of previously reported H. influenzae cases have been associated with joint trauma or preexisting joint disease. A 63-year-old woman with a late hematogenous infection due to H. influenzae of a total hip arthroplasty was treated by surgical debridement and appropriate antibiotics. In a short-term follow-up evaluation of one year, this treatment was successful in allowing retention of the prosthesis and return to satisfactory function.

Female↗
PubMed1984

Periarticular malacoplakia.

Malacoplakia is a granulomatous process that occasionally affects the musculoskeletal system. It is thought to be caused by a dysfunction in mononuclear cells and their inability to lyse bacteria effectively. A strong correlation between this entity and immunosuppression has been noted. When a granulomatous mass is present in an immunosuppressed patient, the diagnosis of malacoplakia should be considered.

Adult↗
PubMed1978

Fat embolism in children.

Clinical fat embolism in children is rare. An 11-year-old myelodysplastic child with an apparently insignificant tibial fracture illustrates the risk of this potentially fatal complication in children with osteoporotic bone.

Child↗
PubMedDate not supplied

Clinical outcome of isolated subcortical trabecular fractures (bone bruise) detected on magnetic resonance imaging in knees.

Isolated subcortical trabecular bone injury (bone bruise) has rarely been described. Our purpose is to report a series of patients who had a history of traumatic injury, knee effusion, normal radiographs, and initial equivocal physical examination for ligament and meniscal integrity, and who were found to have isolated injury of the trabecular bone on magnetic resonance imaging. We evaluated demographic data, physical examination findings, radiographs, magnetic resonance imaging, and clinical outcome for 23 patients. Follow-up data included time to return to preinjury activity level, International Knee Documentation Committee activity level rating before and after injury, and postinjury Lysholm scores. All magnetic resonance imaging scans were negative for associated grade III meniscal lesions and ligament injury. Time to return to preinjury activity level was under 7 months in 96% of the patients. Postinjury International Knee Documentation Committee rating was unchanged in 91% of patients. Postinjury Lysholm score was 90 or more in 91% of patients. We propose that the recognition of these injuries is important because magnetic resonance imaging can distinguish them from meniscal or ligament injury requiring surgical intervention (arthroscopy). If detected on magnetic resonance imaging as an isolated injury, surgical arthroscopy is unnecessary since these patients can be expected to recover well in the short term with restricted weightbearing and initial activity modification.

Adolescent↗