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Biomedical subjects

T J Turnbull

Publications and source records attributed to T J Turnbull.

3 recordsLinked to original sources

Emergency department use of hand-held Doppler ultrasonography.

Doppler ultrasonography (DU) using a hand-held Doppler device represents a readily available emergency department (ED) technique that has been used for diagnostic testing with conditions associated with abnormal vascular flow, such as deep venous thrombosis, testicular torsion, and arterial insufficiency. DU may serve as a useful initial diagnostic test in the ED setting. The appropriate indications, techniques of examination, and accuracy of DU are summarized for the aforementioned conditions.

Emergencies↗

Functional assessment after pollicisation.

Nine children with congenital aplasia or hypoplasia of the thumb were treated by pollicisation of the index finger. Functional assessment was performed on average five years after surgery. It demonstrated normal sensation and a power grip, pinch grip and adductor grip of the thumb of 63%, 56% and 63% respectively of the unoperated hand. Efficient use of the hand increased after surgery and continued to improve for some years. The results indicate that pollicisation benefits hand function and should be performed early.

Child↗

Separation of the proximal femoral epiphysis after derotation varus osteotomy of the femur.

Proximal femoral varus and derotation osteotomy is a common procedure performed in the management of developmental dysplasia of the hip. This procedure imposes high shear stress on the femoral epiphysis, depending on the degree of varus obtained. We report two cases of proximal femoral epiphyseal slip after varus derotation osteotomy and discuss the management and outcome. Such epiphyseal slip may or may not be symptomatic, and a careful radiologic examination should be carried out in suspected cases. Management should be individualised. Surgical correction of varus may be required.

Epiphyses, Slipped↗