RESUMO
Aneurysmal bone cysts are uncommon in the hand. An aneurysmal bone cyst in the capitate of a 16-year-old girl is presented, and 32 previously recorded cases are discussed.
Assuntos
Cistos Ósseos Aneurismáticos/etiologia , Ginástica/lesões , Entorses e Distensões/complicações , Traumatismos do Punho/etiologia , Adolescente , Cistos Ósseos Aneurismáticos/diagnóstico por imagem , Cistos Ósseos Aneurismáticos/fisiopatologia , Feminino , Seguimentos , Humanos , Artropatias/diagnóstico por imagem , Artropatias/etiologia , Artropatias/fisiopatologia , Radiografia , Amplitude de Movimento Articular , Traumatismos do Punho/diagnóstico por imagem , Traumatismos do Punho/fisiopatologiaRESUMO
Primary prosthetic replacement has become the method of treatment for acute subcapital fractures of the femur and is now widely accepted as a treatment for elderly patients. This paper presents the incidence of acetabular erosion by Monk (hard top) hip prostheses for subcapital fractures as compared with that by Austin Moore prostheses.
Assuntos
Acetábulo/patologia , Prótese de Quadril , Acetábulo/diagnóstico por imagem , Idoso , Idoso de 80 Anos ou mais , Fraturas do Fêmur/cirurgia , Prótese de Quadril/efeitos adversos , Humanos , Desenho de Prótese , RadiografiaRESUMO
Two cases of isolated paralysis of the nerve to flexor pollicis longus are described, both of which recovered after division of constricting fibrous bands. Anatomical considerations and treatment are described.
Assuntos
Paralisia/cirurgia , Polegar , Adolescente , Adulto , Antebraço/inervação , Humanos , Masculino , Polegar/inervaçãoRESUMO
Between 1974 and 1983, 187 total knee replacements were performed in 163 patients at four East Kent district general hospitals. With few exceptions pain was the most common indication for the operation and it produced complete or almost complete relief in 90% of cases. The most frequently used prostheses were the Attenborough, Stanmore and Geomedic.
Assuntos
Artrite Reumatoide/cirurgia , Prótese do Joelho , Osteoartrite/cirurgia , Idoso , Artrite Reumatoide/fisiopatologia , Humanos , Articulação do Joelho/fisiopatologia , Osteoartrite/fisiopatologia , Desenho de PróteseAssuntos
Polivinil , Próteses e Implantes , Prolapso Retal/cirurgia , Adulto , Idoso , Constipação Intestinal/terapia , Eletromiografia , Incontinência Fecal/cirurgia , Incontinência Fecal/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Álcool de Polivinil , Complicações Pós-Operatórias , Prolapso Retal/fisiopatologia , Recidiva , Infecção da Ferida CirúrgicaRESUMO
A controlled clinical trial has been carried out to compare radical mastectomy with wide excision (extended tylectomy) in the treatment of early breast cancer. Only patients aged 50 and over were included and 370 entered the trial during a period of 10 years. Postoperative radiotherapy was given in each case. In patients with clinically involved axillary nodes there was a significantly higher incidence of local and distant recurrence in those having a wide excision, and the survival of these patients was significantly less than those who had a radical mastectomy. In patients with clinically uninvolved nodes, although there was a significantly higher incidence of local recurrence in those having a wide excision, there was no increased incidence of distant recurrence and the survival rate was similar to those having a radical mastectomy.