ABSTRACT
Osteochondritis dissecans of the lunate appears to be extremely rare. A case is reported with no predisposing abnormality and with no history of previous trauma. The problem was successfully managed by arthroscopic surgery.
Subject(s)
Lunate Bone/diagnostic imaging , Osteochondritis Dissecans/diagnostic imaging , Osteochondritis/diagnostic imaging , Arthroscopy , Female , Humans , Lunate Bone/surgery , Male , Osteochondritis Dissecans/surgery , RadiographyABSTRACT
We describe two boys with bilateral deformity of the upper end of the radius. The condition appears to predispose to non-traumatic posterior dislocation of the radial head and is associated with posterior bowing of the upper end of the ulna. This problem has not been previously described.
Subject(s)
Elbow Joint , Joint Dislocations/etiology , Radius/abnormalities , Adolescent , Child , Elbow Joint/diagnostic imaging , Humans , Joint Dislocations/diagnostic imaging , Male , Radiography , Radius/diagnostic imaging , Ulna/abnormalitiesABSTRACT
Effective concentrations of antibiotic in the fluid bathing implanted hip prostheses are essential to prevent infection by micro-organisms. Twenty patients undergoing total hip replacement were given one gram of Cephradine intramuscularly one hour before operation and one other received a single bolus of Cephradine intravenously before operation and one other received a single bolus of Cephradine intravenously before operation. The concentrations of antibiotic were greater and persisted longer in the tissue fluid than in the blood. The antibiotic was sufficient to inhibit most micro-organisms causing contamination. We recommend that Cephradine is given intramuscularly one hour before operation and at six-hourly intervals after operation until the drainage tubes and intravenous lines have been removed.
Subject(s)
Bacterial Infections/prevention & control , Cephalosporins/therapeutic use , Cephradine/therapeutic use , Hip Prosthesis/methods , Cephradine/administration & dosage , Cephradine/metabolism , Humans , Injections, Intramuscular , Injections, Intravenous , Intraoperative Care , Postoperative Care , PremedicationABSTRACT
Sixty-four children with tendon injuries about the foot and ankle have been reviewed in order to present a plan of management when such injuries occur. One-third involved the tendo Achillis; the others were equally distributed between the dorsum and sole of the foot, and in only 12% was more than one tendon involved. Sensory nerves were frequently severed, but nearly all recovered completely after early repair. The results of immediate repair of tendons were good. When repair was delayed the results were less satisfactory, as severe deformities developed in the growing feet. Early exploration and surgical repair of selected tendons are recommended to avoid future disability.
Subject(s)
Ankle Joint , Foot , Tendon Injuries/surgery , Achilles Tendon/injuries , Child , Child, Preschool , Female , Follow-Up Studies , Foot Deformities, Acquired/etiology , Humans , Infant , Male , Tendon Injuries/complications , Time FactorsABSTRACT
Two large-scale surveys of body temperatures in elderly people living at home were carried out in the winter of 1972. Most of the homes visited were cold with room temperatures below the minimum recommended by the Department of Health. Deep body temperatures below 35.5 degrees C were found in 10% of those studied, and the difference between the skin temperature and the core temperature was also reduced in this group. Such individuals are at risk of developing hypothermia since they show evidence of some degree of thermoregulatory failure. Further research is needed, but meanwhile there are practical measures that could be taken to reduce the risk of hypothermia in the elderly.
