Injury of the radial nerve in relation to fracture of the humeral shaft.

Analysis of the measurement of the humeral shaft fracture in roentgenograms of 19 adults with radial nerve injuries and 27 adults without radial nerve injuries, included types, sites of fractures and the position of the tips of the upper and lower fragments as well as the analysis of the measurement of the humeral length and the pathway of the radial nerve that lies on the shaft of the humerus. After comparing and studying the correlation coefficient of each other in every category, it was found that there was no correlation between the type, sites of the tip of the proximal and distal fragment of fractures and the pathway of the radial nerve, but there is one statistically significant difference at the site of the fracture between the humeral shaft fracture with and without radial nerve injury. The average measurement of the humeral shaft fracture with radial nerve injury is 15.03 centimeters from the tip of the greater tuberosity to the tip of the proximal fragment and 9.17 centimeters from the lateral epicondyle to the tip of the distal fragment. The average length of these fractures is 4.51 centimeters.

Gore-Tex cruciate ligament reconstruction in athletes.

This prospective study evaluated the athletes with chronic instability of the knees using the expanded polytetrafluoroethylene (PTFE) prosthetic ligament as a substitute for the ACL and PCL preoperatively and at regular intervals during the post-operative period. Thirty Gore-Tex ACL and four Gore-Tex PCL reconstruction were performed. All patients had chronic instability of the knee joint for a duration of one month to five years (average 15.7 months). There were thirty-one males and three females, most of them were football players (63%). The average follow-up was 23 months postoperation. Ninety-seven per cent of the patients had satisfactory results. Objectively the instability pattern was improved in 97 per cent of the knees and subjectively, no pain persisted post operatively. Rejection occurred in one patient. The results indicated excellent stability of the affected knee joint. However, longevity of the prosthesis under the wide variety of loading conditions in athletes remains to be determined by continuing clinical study.

Operative treatment of plantar fasciitis.

Ten patients undergoing 12 fasciotomy by stripping the plantar fascia and superficial plantar muscles from the calcaneus have been reviewed for an average of 24.9 months after the operation. All patients failed to respond to conservative treatment by anti-inflammatory medication, heel pads and local steroid injections for a duration of 6 months to 3 years (average 15 months). There were 7 females and 3 males. Their work was of a light nature and none of them were professional athletes. The results indicated 91.6 per cent excellent, 8.4 per cent good and no failure. Complete pain relief at rest and walking was obtained in 11 of 12 for an average of 11.75 months (from 8 months to 18 months) after surgery. There was only 1 of 12 who had mild pain at walking that did not impair activity. All patients could return to their jobs about 4-6 weeks after surgery. Bloodless operation (under tourniquet control) was performed under general anaesthesia.

Hand injuries in sports.

A five-year analysis of sports-related hand injuries that occurred at the Sports Science Center, Sports Authority of Thailand, was carried out. Out of a total of 6,477 injuries, 466 (7.2%) incurred hand injuries. Injuries of the wrist accounted for 53.43 percent of the numbers; of the palm 24.9 percents, and of the fingers 21.7 percnet. Gymnastics was the sport most commonly involved, 16.1 percent of the 25 types accounting for hand injuries. Over 60 percent of the wrist injuries involved badminton, tennis, gymnastics and football, and over 50 percent of the finger in volleyball players, whereas 70.2 percent of the wrist (48.1%), was the most common condition resulting from trauma; it was found among the gymnasts in 20.4 percent of the cases. Tendonitis was due to the over-use syndrome and commonly occurred at the wrist (86.9%) as a result of gymnastics (28.3%). This clinical research work could be used as guidelines for the prevention of possible injuries during sporting activities and would enhance rehabilitation programs aimed at strengthening hand functions, thus enabling athletes to further participate in sports activities, particularly competitive sports.

The efficacy of simple aspiration and manipulation for carpal ganglion.

One hundred and three cases of carpal ganglion were treated by simple aspiration and manipulation with one year of follow up. The success rate was 72 percent. Therefore, these procedures may provide an alternative choice of initial treatment rather than immediately starting with a complicated procedure.

Radial nerve and humerus.

Analysis of the measurement of the humeral length and the pathway of the radial nerve that passes on the shaft of the humerus was made in 43 cadavers (86 humerus), 22 males, 21 adult. The average lengths of the humerus in the males were 28.02 centimeters (right) and 28.05 centimeters (left), in the females they were 26.36 centimeters (right) and 26.28 centimeters (left). The pathways of the radial nerve that passes from the humerus were measured: From the tip of the greater tuberosity to the point where the radial nerve passes from the humerus, the average lengths in the males were 17.87 centimeters (right) and 17.86 centimeters (left), in the females were 16.27 centimeters (right) and 16.49 centimeters (left), From the tip of the greater tuberosity to the point the radial nerve passes on the humerus, the average lengths in the males were 12.31 centimeters (right) and 12.38 centimeters (left), in the females they were 10.97 centimeters (right) and 11.5 centimeters (left), and 11.5 centimeters (left), From the lateral epicondyle to the point the radial nerve passes from the humerus, the average lengths in the males were 10.14 centimeters (right) and 10.19 centimeters (left), in the females they were 10.09 centimeters (right) and 9.80 centimeters (left): From the lateral epicondyle to the point that the radial nerve passes on the humerus, the average lengths in the males were 15.70 centimeters (right) and 15.67 centimeters (left), in the females they were 15.39 centimeters (right) and 14.78 centimeters (left): From the point that the radial nerve passes on the humerus to the point that it passes from the humerus, the average lengths in the males were 5.56 centimeters (right) and 5.49 centimeters (left) in the females they were 5.36 centimeters (right) and 4.89 centimeters (left).