RESUMO
A retrospective review of 141 displaced supracondylar fractures in children at the Bustamante Children's Hospital and the University Hospital of the West Indies from 1994 to 1999 revealed ten ulnar nerve palsies. Of the 141 supracondylar fractures, 27 were treated with open reduction and internal fixation, while 114 had closed reduction and percutaneous pinning. All fractures were fixed with crossed Kirschnerwires. Of the ten cases, the ulnar nerve was explored into two cases; the medial pin was removed in two cases, while the other six cases were observed. Follow-up ranged from three to 18 months. Full nerve recovery occurred in all cases except one in which there was partial return of function. Recommendations are made regarding the management of these injuries. (AU)
Assuntos
Criança , Pré-Escolar , Humanos , Fraturas do Úmero/cirurgia , Nervo Ulnar/lesões , Seguimentos , Estudos Retrospectivos , Jamaica , Pinos Ortopédicos/estatística & dados numéricosRESUMO
An ususual case of thrombosis of a persistent median artery as a cause of acute carpal tunnel syndrome is reported. The sudden onset of numbness in the median nerve distribution and pain in the fingers were main symptoms. The embryonic development of the median nerve vascular supply and the reported incidence of persistent median artery are reported(AU)
Assuntos
Relatos de Casos , Humanos , Feminino , Adulto , Síndrome do Túnel Carpal/etiologia , Trombose/complicações , Mãos/irrigação sanguínea , Nervo Mediano/irrigação sanguíneaRESUMO
An ususual case of thrombosis of a persistent median artery as a cause of acute carpal tunnel syndrome is reported. The sudden onset of numbness in the median nerve distribution and pain in the fingers were main symptoms. The embryonic development of the median nerve vascular supply and the reported incidence of persistent median artery are reported
Assuntos
Humanos , Feminino , Adulto , Trombose/complicações , Mãos/irrigação sanguínea , Síndrome do Túnel Carpal/etiologia , Nervo Mediano/irrigação sanguíneaRESUMO
The treatment of a young man with lumbar spinal tuberculosis and neurological involvement is described. Decompression and anterior spinal fusion were performed. Dramatic improvement in the patient's condition was obtained following surgery. The literature on the treatment of tuberculosis of the spine is reviewed (AU)
Assuntos
Humanos , Adulto , Masculino , Tuberculose da Coluna Vertebral/cirurgia , Fusão Vertebral , Coluna Vertebral/cirurgia , Tuberculose da Coluna Vertebral/complicações , Tuberculose da Coluna Vertebral/tratamento farmacológicoRESUMO
The treatment of a young man with lumbar spinal tuberculosis and neurological involvement is described. Decompression and anterior spinal fusion were performed. Dramatic improvement in the patient's condition was obtained following surgery. The literature on the treatment of tuberculosis of the spine is reviewed.
Assuntos
Humanos , Adulto , Masculino , Fusão Vertebral , Coluna Vertebral/cirurgia , Tuberculose da Coluna Vertebral/cirurgia , Tuberculose da Coluna Vertebral/complicações , Tuberculose da Coluna Vertebral/tratamento farmacológicoRESUMO
The treatment of a young man with chronic symptomatic gross subluxation of the distal radio-ulnar joint of the right wrist secondary to traumatic disruption of the triangular fibrocartilage complex (TFCC) is described. At operation, a strip of tensor fascia lata was used to stabilize the distal radio-ulnar joint. Complete relief of pain and restoration of normal function was obtained following surgery. The literature on TFCC disorders is also reviewed (AU)
Assuntos
Humanos , Adulto , Masculino , Cartilagem Articular/lesões , Cartilagem Articular/cirurgia , Rádio (Anatomia)/lesões , Rádio (Anatomia)/cirurgia , Ulna/lesões , Ulna/cirurgia , Luxações Articulares/etiologia , Articulação do PunhoRESUMO
The treatment of a young man with chronic symptomatic gross subluxation of the distal radio-urlnar joint of the right wrist secondary to traumatic disruption of the triangular fibrocartilage complex(TFCC) is described. At operation, a strip of tensor fascia lata was used to stabilize the distal radio-ulnar joint. Complete relief of pain and restoration of normal function was obtained following surgery. The literature on TFCC disorders is also reviewed.
Assuntos
Humanos , Adulto , Masculino , Rádio (Anatomia)/cirurgia , Rádio (Anatomia)/lesões , Ulna/cirurgia , Ulna/lesões , Cartilagem Articular/cirurgia , Cartilagem Articular/lesões , Articulação do Punho , Luxações Articulares/etiologiaRESUMO
Seventy-nine arthroscopies of the knee were performed between January 1989 and March 1992. There were sixty-one males and eighteen females. The age range was from 12 to 78 years and the mean age was thirty-four years. Fifty patients had torn menisci. The menisci were removed arthroscopically in forty cases, arthrotomy being needed in the other ten cases. Following arthroscopic meniscectomies, patients returned to work in seven days, and to sporting activities in eight to ten weeks. Chondromalacia of the patella and femoral condyles were diagnosed in nineteen cases. These were treated by arthroscopic shaving and drilling of the irregular articular surfaces. In two cases, the procedure was used for assessment prior to other operations. Arthroscopy failed in two other patients due to pain and swelling and was normal in the remaining six cases. (AU)
