ABSTRACT
Avulsion of cervical nerve roots by traction injury to the shoulder girdle is well known, but, on the other hand, traumatic avulsion of lumbosacral nerve roots is exceedingly rare. The rarity of avulsion of lumbosacral nerve roots reflects the natural laxity of the roots and the strength and stability of the bony pelvis which offers support and protection to the nerve roots against stretching and rupture during trauma. We experienced a case of avulsion injury of L-S nerve roots associated with femoral shaft fracture. The myelography and C-T findings demonstrated multiple pseudomenigocele of dural sac at the level of the right L2, 3, 4, 5 and Sl S2 nerve roots.
Subject(s)
Femur , Hand , Myelography , Pelvis , Rupture , Shoulder , TractionABSTRACT
Frature of the tibial shaft is the most common fracture of the long bone and the treatment has become one of the most controversial subjects in orthopedic surgery. 61 cases of tibial shaft fracture in adults were treated by closed Kuntscher I-M nailing at the department of Orthopedic Surgery, Dae-Jeon Eul-Ji Hospital during 5 years from January, 1983 to December, 1987. In this paper we are reporting our result of 52 selected cases which we could follow up more than 6 months. The results were as follows. 1. The mean duration of clinical bone union was 9.6 weeks and that of radiological bone union was 15.6 weeks. 2. 6 cases of complication were noted with a little impairment of function finally. The complication were ankle joint stiffness(2), superficial infection(1), irritation of protruded nail(2) and bursting fracture(1). 3. Closed Kuntscher and occasionally combined interlocking I-M nailing are relatively short operative procedure with rigid fixation, low complication, wide indication and early weight bearing. So we consider them to be good methods of treatment for tibial shaft fractures.
Subject(s)
Adult , Humans , Ankle Joint , Follow-Up Studies , Orthopedics , Surgical Procedures, Operative , Weight-BearingABSTRACT
The congenital absence of the extensor indicis proprius tendon was never reported but authors experienced one case of bilateral absence of the extensor indicis proprius tendon and treated by transfer of the extensor digiti quinti with good result.
Subject(s)
TendonsABSTRACT
The basis of surgical treatment of spondylolisthesis lies in the restoration of stability to the unstable spine and the decompression of the entrapped nerve root. Knodt's distraction rod has been thought to be one of effective distraction instruments promoting fusion for lumbar spine surgery. From December 1981 to May 1987, we performed surgical treatment of spondylolisthesis with Knodt's distraction rod instrumentation in 15 patients (Group I ) and fusion in situ in 7 patients (Group II ). Clinical analysis and changes of radiographic measurements of above two methods were evaluated and obtained following results. l. In Group I, the percentage slip and slip angle decreased to 12.1 ±6.3% and 0.2 ±6.6°, postoperatively, from 20.9 ±8.4% and 7.5 ±5.6°, respectively. In Group II, changed from 13.4 ±9.4%, 7.8 ±6.1°to 11.4 ±9.6%, 11.0 ±5.2°, respectively. 2. In Group I, the average reduction rate was 42.1% postoperatively, but decreased to 20.5% at follow-up. 3. The percentage posterior disc height increased to 49.0 ±6.7% postoperatively, from 27.4 ±10.0% in Group I and decreased to 34.7 ±5.3% at follow-up. But, in Group II, no significant changes observed. 4. The lumbar lordosis in Group I and Group II, decreased to 26.0 ±8.3°and 29.8 ±13.8°, postoperatively, from 35.5 ±7.8°and 37.6 ±1.4°, respectively. 5. There was no significant difference in clinical results between two groups. 6. Postoperstive complications in Group I, were one case of rod breakage with pseudarthrosis, 3 cases of voiding difficulty and superficial wound infection, in Group II, were 2 cases of superficial wound infection and 3 cases of transient voiding diffeculty.