ABSTRACT
Approximately 100 years of observation and investigation have demontrated that the terms osteopsathyrosis idiopathica and OI refer to the same disease process. Classically, three cardinal symptoms have been described: bone fragility, blue sclerae and deafness. It is now known that this combination of findings is most likely to appear in patients with the milder form of the disease, and even in this group only some of the patients have all three symptoms. Historically, a hereditary mesenchymal defect transmitted by autosomal dominance has been implicated in the etiology.
Subject(s)
Osteogenesis Imperfecta/history , Europe , History, 18th Century , History, 19th Century , History, 20th Century , Humans , Osteogenesis Imperfecta/pathology , United StatesABSTRACT
Patients with similar injuries who were at a similar level of function before the injury differ in the extent of recovery. In an attempt to identify important factors that affect recovery, we collected extensive physical, psychological and sociological data on a group of 108 elderly people with fractures of the hip in order to study the influence of the many variables on their recovery. We found that of all the items studied, those that best indicated the degree of recovery were: (1) the physical therapist's rating of functional ability; (2) how often the patient got outside the home prior to injury; (3) the patient's mental clarity.
Subject(s)
Fractures, Bone/rehabilitation , Hip Injuries , Aged , Humans , Physical Therapy ModalitiesABSTRACT
Humerus varus, the upper extremity analogue of coxa vara, may be found in association with, and probably as a consequence of hematologic, infectious metabolic, genetic and neurologic disorders. No matter what the etiology, there is a similar pattern of development and progression of the deformity. The medial region of the proximal humeral physis either develops slowly or failed to develop, while the lateral region develops more rapidly, causing varus rotation of the proximal humeral epiphysis and physis. In the more extreme cases, the lateral region of the growth plate is almost parallel to the longitudinal axis of the shaft. In many cases there is a medial lucency, adjacent bony epiphyseodesis, and significant shortening of the humerus. Although abduction is usually decreased, major functional impairment is unusual even in the dominant arm.
