Search PubMed⌕ Search

Biomedical subjects

T K Fehring

Publications and source records attributed to T K Fehring.

22 records · Page 2Linked to original sources

Upper cervical instability in rheumatoid arthritis.

Upper cervical instability remains a significant problem for the patient with rheumatoid arthritis. Seventeen patients treated by upper cervical fusions for instability, were followed to determine the efficacy of our current treatment protocol. Improvement in neurologic status was observed in ten of 11 patients presenting with neurologic symptoms. In all patients with preoperative pain, improvement occurred at least one grade. However, complete amelioration of pain was noted in only five patients. A pseudarthrosis rate of 25% reflects the difficulty in achieving a solid arthrodesis in the patient with rheumatoid disease. Modification of the wedge compression technique may help ensure arthrodesis in rheumatoid patients.

Activities of Daily Living↗

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↗

Negative radionuclide scan in osteoid osteoma. A case report.

Advances in radionuclide imaging have facilitated the accurate diagnosis and surgical excision of osteoid osteoma. While radionuclide imaging has been inconsistent in the diagnosis of certain problems, its accuracy in the diagnosis of osteoid osteoma has been frequently stressed. To date, no case of a negative bone scan in the presence of a histologically proven osteoid osteoma has been reported. The present case report emphasizes that a negative bone scan does not preclude the diagnosis of osteoid osteoma. Clinical suspicion remains the most sensitive indicator of this lesion.

Child↗