Assuntos
Fios Ortopédicos/efeitos adversos , Fixação Interna de Fraturas/efeitos adversos , Complicações Intraoperatórias/etiologia , Fraturas do Rádio/cirurgia , Fraturas da Ulna/etiologia , Idoso de 80 Anos ou mais , Doenças Ósseas Metabólicas/complicações , Feminino , Fraturas do Colo Femoral/complicações , Fraturas do Colo Femoral/cirurgia , Humanos , Doença Iatrogênica , Radiografia , Fraturas do Rádio/complicações , Fraturas do Rádio/diagnóstico por imagem , Fraturas da Ulna/diagnóstico por imagemRESUMO
We describe 13 cases of soft tissue impingement in the ankle by localized synovial proliferation and scar tissue. A number of papers have described symptomatic improvement in sportsmen who have undergone resection of this tissue. We report the results of this procedure in Army personnel. Of the 13 patients, 8 had excellent or good results, while 5 had poor results. Two of the latter subsequently revealed another significant problem and were then excluded, thus 8 out of 11 patients had an excellent or good result. We therefore believe that this procedure is useful in the management of chronic ankle pain in Army personnel.
Assuntos
Articulação do Tornozelo/cirurgia , Artroscopia/métodos , Militares , Dor/prevenção & controle , Adulto , Traumatismos do Tornozelo/complicações , Doença Crônica , Humanos , Instabilidade Articular/etiologia , Masculino , Dor/etiologia , Complicações Pós-Operatórias , Resultado do TratamentoRESUMO
A case of thoracic discitis secondary to a pyodermal skin condition known as 'Woodbury' rash is described.
Assuntos
Discite/microbiologia , Pioderma/complicações , Infecções Cutâneas Estafilocócicas/complicações , Infecções Estreptocócicas/complicações , Streptococcus pyogenes , Superinfecção/complicações , Vértebras Torácicas , Adulto , Discite/diagnóstico por imagem , Discite/tratamento farmacológico , Humanos , Masculino , Militares , RadiografiaRESUMO
Hip dysplasia complicating the hereditary motor and sensory neuropathies is not widely recognised. We describe four patients in whom the neuropathy affected the proximal muscles and we suggest that hereditary motor and sensory neuropathies may be responsible for the failure of the initial treatment of some neonatal dislocated hips.
Assuntos
Neuropatia Hereditária Motora e Sensorial/complicações , Luxação do Quadril/etiologia , Adolescente , Criança , Pré-Escolar , Feminino , Neuropatia Hereditária Motora e Sensorial/diagnóstico , Neuropatia Hereditária Motora e Sensorial/genética , Humanos , Lactente , Masculino , Condução Nervosa , LinhagemRESUMO
The aim of this study was to assess the impact of patellectomy on the service career of soldiers. Information on 184 individuals on whom patellectomy was performed between 1981 and 1986, was retrieved from computer records. The criterion for success of the operation was the recovery to a fully fit category. Fifty three patients (29%) regained full fitness. The outcome of patellectomies performed for chondromalacia patellae and osteoarthritis appears to be worse than that for patellar fractures.
Assuntos
Doenças das Cartilagens/cirurgia , Avaliação da Deficiência , Fraturas Ósseas/cirurgia , Militares , Osteoartrite/cirurgia , Patela/cirurgia , Doenças das Cartilagens/epidemiologia , Inglaterra , Feminino , Fraturas Ósseas/epidemiologia , Humanos , Masculino , Osteoartrite/epidemiologia , Patela/lesões , Aptidão FísicaRESUMO
Two years have passed since the worst firearms incident in recent British civil history. Most of the casualties were managed at a local district general hospital; this experience was reported soon afterwards. Two casualties were managed at Princess Alexandra's Hospital, RAF Wroughton; both are still under review. This paper describes their injuries, investigations and treatment. Current thoughts on optimal management are discussed; areas of particular controversy are highlighted.
Assuntos
Traumatismos do Antebraço/cirurgia , Violência , Ferimentos por Arma de Fogo/cirurgia , Adulto , Idoso , Inglaterra , Feminino , Traumatismos do Antebraço/terapia , Lesões do Quadril , Hospitais Militares , Humanos , Masculino , Ressuscitação , Ferimentos por Arma de Fogo/terapiaRESUMO
Four cases are reported, in whom radiologically opaque appendiceal coproliths (appendicoliths) were recognised on plain abdominal radiographs. These were undertaken for diagnostic purposes, in patients with right-sided abdominal pain, in whom the diagnosis was not immediately apparent. The pathology, radiological features, and clinical significance of the phenomenon are discussed, and the association of appendicoliths with appendiceal perforation and gangrene is stressed. The fact that clinical signs and symptoms of acute appendicitis are often misleading and sometimes minimal, even in the presence of severe local peritoneal infection is of importance to physicians as well as surgeons.
