Subject(s)
Hip Prosthesis/adverse effects , Adult , Aged , Bone Cements , Ceramics , Female , Follow-Up Studies , Hip Joint/surgery , Humans , Male , Middle Aged , Osteoarthritis/surgeryABSTRACT
The authors report the case of a patient who suffered a sarcoma of the sixth cervical vertebra eleven years after a malpighian epithelioma of the pharynx had been treated and healed by local excision and radiotherapy. A radiation-induced sarcoma caused a tetraplegia. Laminectomy and plate fixation resulted in some recovery but the patient died three months later.
Subject(s)
Neoplasms, Radiation-Induced/diagnosis , Osteosarcoma/etiology , Spinal Neoplasms/etiology , Cervical Vertebrae/radiation effects , Humans , Male , Middle Aged , Osteosarcoma/pathology , Radiotherapy Dosage , Spinal Neoplasms/pathology , Time FactorsABSTRACT
The appliance described consists of a shoulder belt from which an abduction bar is hanging. Two adjustable rings enclosing the thigh and the leg of the child are attached to the shoulder-belt and to the bar. The lower limb is not immobilized but kept flexes and abducted. The appliance is primarliy used for those children with minor dysplasis of the hip who do not require complete immobilization but cannot be left without any treatment. It is also useful after prolonged orthopaedic or surgical immobilization.
Subject(s)
Hip Dislocation, Congenital/therapy , Orthotic Devices , Female , Humans , Infant , Leg , Orthotic Devices/adverse effects , Osteochondritis/etiologySubject(s)
Patella/surgery , Tendon Transfer , Adolescent , Adult , Aged , Bone Diseases/diagnosis , Bone Diseases/pathology , Bone Diseases/surgery , Female , Humans , Male , Middle Aged , Patella/pathologySubject(s)
Hip Prosthesis/methods , Adult , Aged , Female , Hip/diagnostic imaging , Hip Joint/pathology , Hip Prosthesis/adverse effects , Humans , Male , Middle Aged , Osteoarthritis/surgery , Osteonecrosis/etiology , RadiographySubject(s)
Cartilage Diseases , Patella , Adult , Aged , Cartilage Diseases/diagnosis , Female , Humans , Middle Aged , SyndromeABSTRACT
An anterolateral approach to the cervical spine with uncoforaminectomy is used to free the intra transverse portion of the vertebral artery (from C7 to C3) and the nerve roots. Four surgical indications are discussed; the cervicocephalic syndrome due to osteoarthritis of the joints of Luschka, the cervicobrachialgic syndrome which is often combined wirth the former, cervical myelopathy associated with osteoarthritis and the post-traumatic cervical syndrome. Clincal and neuro-radiological details are given. The results of operation are described in 149 cases and they have been successful in 82%.
Subject(s)
Brachial Plexus Neuritis/surgery , Cervical Vertebrae/surgery , Osteoarthritis/surgery , Humans , Methods , Radiography , Spinal Diseases/complications , Spinal Diseases/surgery , Vertebral Artery/diagnostic imaging , Vertebral Artery/surgery , Vertebrobasilar Insufficiency/complications , Vertebrobasilar Insufficiency/diagnostic imaging , Vertebrobasilar Insufficiency/surgeryABSTRACT
After a precise review of the numerous parameters studied classically in AP and lateral films of the feet under load, the authors emphasis 5 measurements which are easy to determine and which they feel to objectively cover all the deformities which may be found in the static flat foot. These are: Talo-calcaneal divergence in AP and lateral views, the angle between the calcaneum and the floor, the lateral cavitation index and, finally, the angle of the axis of the talus and of the 2nd metatarsal in AP. A score of 20 is attributed to each. A score of 0 to 20 is attributed to each of these points, with a possible total, therefore, of 100. A study of 119 cases of flat foot in the child treated surgically over a period of 6 years made it possible to draw the distinction between the severe flat foot requiring operation and with a total of less than 45 points, and flat foot requiring medical orthopaedic treatment only (more than 45), the score for the normal foot being of the order of 90 points. This radiological study also makes it possible to distinguish, amongst flat feet in children, straight flat foot with collapse of the medial arch but no valgus of the forefoot and valgus flat foot where there is pronation of the calcaneum and abduction of the forefoot. This distinction is important since it determines the choice of operation. Thus in a case of valgus flat foot Judet's so-called "horseman" operation is indicated whilst in a flat foot without valgus, transposition of the tibialis anterior is preferable. In many cases, the lesion is mixed and both surgical gestures are required.
Subject(s)
Flatfoot/diagnostic imaging , Child , Flatfoot/surgery , Humans , RadiographyABSTRACT
The authors report 25 cases of rupture of the rotator tendons operated on at the Stephanie Hospital in Strasburg, and discuss the surgical indications. Debeyre's technic was used with satisfactory overall results both on pain and function.
