clinical and immunological study of slipped upper femoral epiphysis

Sixteen patients with 18 hips affected by SUFE with a mean age of 13.7 years were included in this study. IgM, IgG and IgA were measured by radial immunodiffusion. SUFE was treated with Moore's pins fixation. IgM was raised in 100% of cases, IgG in 87.5% and IgA in 75%. The overall results were satisfactory in 14 hips [77.8%]. Immunological mechanisms may play a role in SUFE. Results of surgical treatment of SUFE are affected by age, sex, degree of slipping, timing of surgery and period of follow up. Complications were chondrolysis, avascular necrosis, pin problems and shortening

Femoral neck fractures in children

18 children with fracture of the neck of the femur were the subjects of this study. They were received during the period from 1982 to 1987. According to Ingram classification, there were only Type II and III fractures that are known for a high percentage of complications. Closed reduction and internal fixation by Moore's pins, Kirschner wires or screws was done with additional hip spica for six to ten weeks. Results were, assessed according to Ratliff: eleven were good, five fair and two poor. Complications met with were avascular necrosis, non-union, coxa vara, coxa valga, premature epiphyseal fusion, metal failure and backing of the fixing device. The authors feel that some complications were inevitable while others could be reduced if immediate interference was done, by gentle manipulation, accurate reduction, rigid internal fixation without transfixing the epiphyseal plate and plaster immobilization until radiological evidence of union

study on the post-meniscectomy complaints

The study was carried out on 20 patients complaining of their knees after open meniscectomy. Their ages ranged from 20 to 43 years with an average of 29.3 years. They presented with pain [100%], effusion [40%], giving way [30%] and locking [15%]. The duration of symptoms after meniscectomy ranged from 5 months to 3 years with a mean of 1.3 years. All the patients were examined clinically, radiologically and arthroscopically. The underlying causes of their complaints included: degenerative arthritis which was detected radiologically in 40% and arthroscopically in 65%, quadriceps wasting in 60%, retained posterior horn of the meniscus in 30%, synovitis in 20%, torn anterior cruciate ligament in 15%, torn posterior cruciate ligament in 5% and plica in 5%

Ultrasonography: its value in screening soft tissue lesions [its clinical application as an outpatient procedure]

Thirty patients complaining of traumatic or atraumatic soft tissue lesions were subjected to US scanning in the outpatient clinic. This diagnostic tool provided valuable data regarding the nature, location and progress of hematomas, yet was of limited value in soft tissue lumps. Therefore, correlation between clinical history and examination with US pattern is always needed. The procedure was easy, h and y, nonhazardous, noninvasive and economicly compared with CT or NMR scan

comparative study of the methods of immobilization of colles' fracture

The aim of this study was to compare the functional and anatomical results of patients with Colles' fracture immobilized in above the elbow plaster-of-Paris costs. The relation between the results and the position of the forearm inside the plaster whether in pronation, supination or mid-position was studied as well