Subject(s)
Methylprednisolone/administration & dosage , Methylprednisolone/adverse effects , Spinal Cord Injuries/drug therapy , Acute Disease , Dose-Response Relationship, Drug , Evidence-Based Medicine/methods , Humans , Infusions, Intravenous , New Zealand , Spinal Cord Injuries/diagnosis , Treatment OutcomeABSTRACT
Atlanto-axial rotatory fixation (AARF) is an uncommon condition which is often missed at presentation because of its rarity and the relative subtlety of plain film X-ray findings, but early detection and appropriate management are vital for a cure. We describe three cases in which the use of spiral computed tomography scanning with 3D and sagittal reconstructions greatly aided diagnosis and management. The 3D images gave a more graphic picture of the overall alignment of the upper cervical spine and the skull base, while the sagittal reconstructions demonstrated the presence or absence of compensatory atlanto-occipital subluxation. The literature is briefly reviewed.
Subject(s)
Atlanto-Axial Joint/injuries , Joint Dislocations/diagnostic imaging , Tomography, X-Ray Computed/methods , Adolescent , Atlanto-Axial Joint/diagnostic imaging , Child , Child, Preschool , Female , Humans , Image Processing, Computer-Assisted , Joint Dislocations/complications , Torticollis/etiologyABSTRACT
A retrospective review of medial compartment arthroplasty in 22 patients (22 knees) is reported. The operations were performed between 1973 and 1978. Eighty-six per cent were rated good or excellent using the knee rating system devised by the Hospital for Special Surgery, New York. Excellent or good results were achieved in six patients who had previously had a high tibial osteotomy. At the time of follow-up significant loosening had not occurred, although progression of patellofemoral disease was noted. This study supports the promising results reported for unicompartmental resurfacing arthroplasty in the elderly.
Subject(s)
Knee Prosthesis , Aged , Arthritis, Rheumatoid/surgery , Female , Follow-Up Studies , Humans , Joint Diseases/etiology , Knee Joint/diagnostic imaging , Knee Prosthesis/adverse effects , Male , Middle Aged , Osteoarthritis/surgery , Pain/etiology , RadiographyABSTRACT
One hundred and three patients, on whom 107 procedures for ingrowing toenails were performed, were randomly allocated into one of two treatment groups: segmental or angular phenolization and wedge excision. There were 53 wedge excisions and 54 segmental phenolizations. Post-treatment discomfort was assessed on a linear analogue scale of 10 cm. There was no difference between the two groups one week after treatment. Over a mean follow-up period of 14 months a total of 20 nail spikes occurred, 4 in the phenolized group and 16 in the wedge excision group, this being a significant difference at the one per cent level.
Subject(s)
Nails, Ingrown/therapy , Phenols/therapeutic use , Adult , Clinical Trials as Topic , Female , Humans , Male , Nails, Ingrown/surgery , Phenol , Random AllocationABSTRACT
In a prospective study 1085 rugby players and their injuries were recorded in the 1979 playing season. The age, grade, position, fitness and ground conditions did not affect the injury pattern. The majority of injuries were insignificant requiring no hospital follow up. The tackle accounted for 44 percent of all injuries. Set play does not contribute significantly to the number of injuries. The head and neck was the most frequently involved site, followed by the lower limbs. Foul play was implicated in 15 percent of all injuries. More stringent refereeing and coaching of the tackle could aid in reducing the number and severity of rugby injuries.
