摘要:

Therapeutic results in 56 surgically treated patients with rupture of the Achilles tendon are presented. Results with repair using plantaris tendon and by suture of polyglycol threads are compared in 41 patients in a long-term followup study. Although 54 patients returned to their pre-accident physical activity, in all cases residual phenomena like calf atrophy, thickening of tendon, and tendon excursion were analyzed. The use of synthetic absorbable threads shortens the convalescence period. Covering the repair site with the fanned plantaris tendon seems to help to avoid painful adhesions with the skin.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

An apparently not previously reported type of osteochondral fracture of the lateral femoral condyle associated with dislocation of the patella is presented. The mechanism of the fracture is described as forced inward rotation of the femur against the tibia. Internal fixation is the surgical treatment of choice in this type of fracture.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A patient with a rapidly enlarging symptomatic false aneurysm of the internal carotid artery 30 years after nonoperative treatment of a penetrating neck injury is presented. Preoperative compression of the aneurysm precipitated transient cerebral ischemic attacks. Complete interruption of the right internal carotid artery inflow during aneurysmectomy was considered to be fraught with great danger. An extra-intracranial arterial bypass was therefore performed, and then aneurysmorrhaphy was easily performed and saphenous vein graft interposition accomplished. The importance of early definitive treatment of arterial injuries is emphasized. The bypass used allowed additional cerebral blood flow when complete occlusion of the carotid artery was contraindicated.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Catbite or scratch injuries frequently contain mixed organisms, and penicillin or erythromycin alone may not give adequate coverage, as shown in the cases described. Incision and drainage should not be neglected or deferred when a deep infectious process is present or bones, joints, or tendon sheaths are involved. Finally, a catbite injury is a deep penetration injury with potentially virulent organisms that require close followup and awareness of potential problems.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A young man with persistent pain beginning 2 days following reduction of an anterior subcoracoid dislocation was found to have a suprascapular nerve injury. The patient described was felt to have a neurapraxia of the suprascapular nerve. Possible causes of post-reduction subluxation are interposition of the shoulder joint capsule or biceps tendon, or rupture of the rotator cuff. EMG in 3 weeks, followup examinations, and active assisted motion 4 to 6 weeks postinjury are recommended.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Intra-abdominal injuries of the bowel, mesentery, and mesenteric vessels were found at laparotomy in two patients with nonpenetrating gunshot wounds of the abdominal wall. The mechanism of wounding is thought to be the temporary cavity around the wound tract. The importance of complete angiographic investigation and early exploratory laparotomy is stressed.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

An unusual vertical fracture through the superior articular process of L5 is described in a professional skier. This fracture, not associated with a pars interarticularis defect, is felt to be stress related. Standard oblique radiographs failed to demonstrate the defect but it was seen clearly on steep oblique views. The fracture was the cause of chronic backache to the patient. Followup radiographs after 14 months demonstrated a nonunion of the fracture.

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1979

数据来源: OVID