ABSTRACT
The risks of occupational radiation exposure for orthopaedic surgeons has not been well documented. The use of fluoroscopy in orthopaedics has reduced morbidity and by reducing operative time and by reducing the invasiveness of procedures. Increasingly procedures requiring the use of fluoroscopy are being developed. In a prospective study we have monitored cumulative radiation exposure over a 6-month period. The exposure levels are well below the maximum dose limits for ionizing radiation as recommended by European Economic Communities EURATOM directives. Experimentally using a phantom patient it was shown that the exposure to ionizing radiation during the insertion of a dynamic hip screw was minimal. Despite the low level of exposure care should be exercised when using fluoroscopy.
Subject(s)
Fluoroscopy , Occupational Exposure/adverse effects , Orthopedics , Radiation Injuries/prevention & control , Radiation Protection , Film Dosimetry , Fluoroscopy/adverse effects , Hip Joint/surgery , Humans , Intraoperative Care , Prospective Studies , Radiation Dosage , Risk Factors , Time FactorsABSTRACT
Ganglions of the tibiofibular joint are a rare condition. The exact tissue of origin could not be accurately determined despite the use of CAT scanning. At surgery a giant ganglion of the tibiofibular joint was resected with preservation of the peroneal nerve.
Subject(s)
Fibula/pathology , Synovial Cyst/diagnosis , Tibia/pathology , Adult , Ankle Joint/diagnostic imaging , Ankle Joint/pathology , Diagnostic Techniques, Surgical , Female , Fibula/diagnostic imaging , Humans , Recurrence , Synovial Cyst/diagnostic imaging , Synovial Cyst/pathology , Tibia/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
An isolated constriction of the tendon sheath of extensor digiti minimi caused triggering of the little finger. Incision of the tendon sheath resulted in recovery of frictionless gliding of the tendon.
Subject(s)
Finger Joint , Hand Deformities, Acquired/etiology , Tendons/surgery , Tenosynovitis/complications , Adult , Constriction, Pathologic , Hand Deformities, Acquired/surgery , Humans , Male , Tenosynovitis/pathology , Tenosynovitis/surgeryABSTRACT
A volar fracture dislocation of the base of the fifth metacarpal resulted in compression of the deep branch of the ulnar nerve. Operative correction of the deformity resulted in full recovery.
