Evaluation of aspiration versus aspiration and steroid injection in wrist ganglla

Prospective randomized study compares treatment of dorsal wrist ganglia by aspiration only and aspiration plus injection of steroid. 82 consecutive patients with wrist ganglia were randomized into two groups. The first group, ganglia were aspirated and multi-punctured, the second group, ganglia were aspirated, multiply punctured and then injected with kenacort 40 mg/ml. The request for surgery was not refused, if asked for

Game keeper thumb

The evaluation of treatment of injuries of the ulnar collateral ligament of the metacarpophalangeal joint [MPJ] of the thumb remains controversial. The presence of Stener lesion [inter position of the adductor aponeurosis between the free ends of the ligaments] prevent proper healing. There is a general agreement that partial tears [sprains] of the ulnar collateral should be treated non-operatively by moulded thumb plaster cast in slight flexion for three to six weeks. But there is an increasing strong support for the operative treatment of all acute rupture of ulnar collateral ligaments of the thumb even in absence of Stener lesion. Diagnosis is easy done by clinical and radiological methods [stress films]

Comparative evaluation of treatment of the femoral shaft fracture by IMF and DCP

The effects of compression-plating and open intra-medullary nailing in the treatment of fracture shaft of the femur in adult were compared. 31 cases of fracture shaft of the femur were treated by open reduction and internal fixation, 17 cases treated by intramedullary nail fixation using kuntscher nail and 14 cases were treated by dynamic- compression plate fixation. An antero-lateral exposure were used for plating and postero-lateral exposure were used for intramedullary nail. All patients evaluated postoperatively for knee motion, hip motion and ankle motion, as well as gait, postoperative complaint of the patient and for girth of the thigh. The results were excellent in cases treated by intramedullary nail and very good in cases treated by plating and screw fixation

Ankle fractures treated by AO principles

41 cases of ankle fractures were classified according to Danis-Webers classification [level of fibular fracture] into type A, type B and C. All the cases were treated operatively according to the A.O. principles with anatomical reduction and rigid internal fixation. All cases evaluated postoperatively according to the scheme of Weber which included six principle items. The results were good or excellent in 90% of type A fracture, 85% of type B and C fractures. There was no death or non union. Local complication includes superficial wound infection and skin necrosis, 1%

Treatment of metacarpal fracture by open reduction and internal fixation

37 patients with metacarpal fracture were treated by open reduction and internal fixation by using miniplate, screws and Kirschener wire. All of the patients were males and the age ranged from 20-50 years old. 11 cases of fractures were oblique, 8 cases were spiral, 5 cases were comminuted and 13 cases were transverse. The fracture was reduced and internally fixed with miniplate in 31 cases and 8 cases were fixed by screw, only 3 of them fixed by screw and Kirschner wire. The results were assessed clinically and radiologically according to Barton 1979. Excellent results recorded in 23 cases [62.2%], good results were in 11 cases [29.17%] and fair results were in 3 cases [8.0%]

Serum alkaline phosphatase: its isoenzymes, 5-nucleotidase and sialic acid in normal and abnormal pregnancies

Alkaline phosphatase [ALP] enzyme activity and its isoenzymes were determined in serum by heat inactivation and chemical inhibition by urea, L-phenylalanine and EDTA. Sialic acid concentration and 5- nucleotidase [5-NT] activity were also measured in serum of 381 consecutive pregnant cases seen in the obstetric outpatient clinic and Ward of Jordan University Hospital. These included normal pregnancies and pregnancies associated with other conditions such as toxemias, diabetes mellitus, and also abortion cases. This study was undertaken, to assess the activity of ALP and its isoenzymes in normal and abnormal pregnancies with a view to evaluate their usefulness as parameters of placental function. The changes in the concentration of serum sialic acid and 5-NT activity in all subjects were also studied. The cases in study were divided into three groups [trimesters]. The results from this study showed a gradual increase in placental ALP isoenzymes which reaches a maximum at term. A definite enzyme pattern of ALP was seen in normal and abnormal pregnancies and inhibition by EDTA is a valuable index for the placental function. Serum 5-NT activity did not change between the first and the third trimesters of pregnancy. However there is a gradual and significant increase in the mean [ +/- SD] serum sialic acid concentration with progressing pregnancy