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Biomedical subjects

A Asselineau

Publications and source records attributed to A Asselineau.

12 recordsLinked to original sources
PubMed2003

[Simultaneous dislocation of the interphalangeal joints of the index finger].

A crush injury caused simultaneous posterior dislocation of the interphalangeal joints of the index without associated fracture. Orthopedic treatment was used because a stable reduction was achieved without difficulty. The hand was immobilized for three weeks followed by rehabilitation exercises. Complete functional recovery was achieved with pain-free joints. We recommend starting the reduction at the distal interphalangeal level in order to allow relaxation of the deep flexor tendons favoring reduction of the proximal interphalangeal joints.

Finger Injuries↗
PubMed2001

[Compression of the anterior interosseous nerve by Gantzer's muscle].

The authors report a case of incomplete anterior interosseous nerve syndrome due to mechanical compression by Gantzer's muscle. This accessory muscle induced an isolated paralysis of the flexor pollicis longus with a characteristic pinch attitude. No improvement was shown after six weeks of medical treatment. Recovery was rapid and complete following surgical relief of compression. Anatomical considerations, clinical features, and treatment are discussed.

Electromyography↗
PubMed2000

[Anterior subtalar dislocation associated with a fracture of the calcaneus: a case report and review of the literature].

A new case of uncommon anterior subtalar dislocation associated with a fracture of the calcaneus is reported. Mechanism of production is described with a review of literature. The criteria of radiologic diagnosis are mentioned. Closed reduction with stabilisation by Kirschner wire were undergone. Prolonged physiotherapy following 6 weeks of immobilisation allowed good result. A decreased subtalar motion without pain was found at the last check up.

Aged↗
PubMed1997

[Sub-trochanteric fractures. A comparative study between gamma nail and angular osteosynthesis with lateral cortical support].

PURPOSE OF THE STUDY: Treatment and outcome of sub-trochanteric fractures are at the origin of many problems. The aim of this study was to evaluate the superiority of the "Gamma Nail". MATERIAL AND METHODS: Two homogenous groups of patients were studied. Each group had 40 patients. The osteosynthesis performed in the first group (Group I) was an "angular" type with lateral cortical support (Nail plate, blade plate, dynamic screw). The second group (Group II) received the "Gamma Nail" implant. The 4 criteria employed to compare the 2 groups were: operatory (duration, blood loss, support-free walking); clinical (walking, pain, anatomy); radiological (reduction and healing); and finally complications and failures. RESULTS: The average operative duration in group I was 3 hrs vs 1 hr in group II. 90 per cent of group I received transfusions with 3 bloods units vs 40 per cent of group II, received 1 blood unit. Support-free walking was authorized 3 months later in group I, and immediately in group II. The results were identical for clinical criteria. The average time for radiological bone healing was 3.5 months in group 1 and 2 months in Group II. 12 complications occurred in group I and 3 in group II: 7 cases of dismantling, 4 non unions and 1 serious deep infection in Group I. In group II: 2 cases of dismantling and a diaphysis fracture beneath the nail. These complications were found in the beginning of our experience with the Gamma Nail. DISCUSSION: 30 per cent of patients in Group I were affected by complications vs 7.5 per cent in group II (with p = 0.01). The duration of surgery, blood loss, and support-free walking delay demonstrated the superiority of the Gamma nail technique. CONCLUSION: This study confirms the superiority of the Gamma nail for the treatment of sub-trochanteric fractures.

Adolescent↗
PubMed1993

[Locking of the metacarpophalangeal joint of articular origin. Review of the literature and case report].

We report a case and review concerning literature of intrinsic locking of the metacarpophalangeal joint. These lockings are usually due commonly to degenerative arthritis of the joint, rarely to an abnormal shape of the head of metacarpal or intraarticular loose bodies. They should be differentiated from the extension lag of proximal interphalangeal joint usually encountered in "trigger finger" due to stenosing tenosynovitis. Conservative treatment must be careful and may fail or be complicated. Surgical treatment is effective, best done via an anatomical approach depending on the pathologic findings and the metacarpophalangeal joint locking etiology.

Adult↗
PubMed1993

[False aneurysm of the femoral artery complicating exostosis].

A case of false aneurysm of the femoral artery due to an exostosis of the distal end of the femur is reported. The clinical diagnosis was confirmed by sonography and, especially, by a digitalized arteriography. The CT-scan showed the perforation of the arterial wall by the exostosis. The surgical operation involved the resection of the exostosis, the excision of the edges of the arterial lesion along with a venous patch. This type of complication due to an exostosis is quite rare and the discussion runs about the opportunity of systematic surgery of osteochondromas sitting close to a vascular course.

Adolescent↗
PubMed1989

[Partial or total enucleation of the talus. Value of conservative treatment. Apropos of 8 cases].

Eight cases of talus enucleations are reported. The patients ranged in age from 18 to 62 years. The follow-up period in this study extended from one year to 12 years. The talus was reduced in six cases and usually fixed with a trans-plantar pin. The main problem in the conservative treatment was represented by early infection which required a calcaneo-tibial arthrodesis. On the other hand, necrosis of the talus, although unavoidable, is usually well tolerated. That may be explained by the fact that the necrosis is dense and congruous and does not lead to severe arthritic changes. Among 5 cases of necrosis of the talus, fusion of the ankle and of the sub-talar joint was indicated in only one patient. The authors conclude that the conservative treatment should be systematically tempted and that arthrodesis should be indicated only for the infections, that usually appear early or the osteoarthritic changes which appear later.

Adolescent↗
PubMed1984

[Recent fractures of the humeral diaphysis in adults. Comparison of orthopedic and surgical treatment. Apropos of 252 cases].

Two hundred and fifty two cases of fracture of the humeral shaft have been treated by the authors, half conservatively by mobilisation against the chest wall and half surgically. The main surgical procedures were plating, nailing without reaming, fascicular intramedullary pinning, or external fixation. Conservative treatment gave satisfactory results without iatrogenic complications. However, significant limitation of movement was seen in 61 cases and was severe in 14. Eight non-unions occurred. The best surgical fixation was either by intramedullary nailing or fascicular intramedullary pinning in fractures of the upper third or the middle third of the humeral shaft. These techniques resulted in very few post operative radial palsies. Plating is indicated in unstable fractures of the lower third of the humerus. Conservative treatment or blind intramedullary nailing or pinning is indicated in cases of initial radial palsy, the nerve being explored only after three to six months in the absence of recovery.

Adolescent↗
PubMed1983

[Closed intramedullary nailing of fractures of the shaft of the humerus].

Fifty seven fractures of the shaft of the humerus were treated by closed intramedullary nailing without reaming of the proximal part of the bone. Fifty three of the fifty seven fractures healed promptly with an average time to union of 52 days. The technique of operation is described and the authors compare the results of their management with other methods of treatment. The indications for the use of closed nailing are discussed and its role in the treatment of pathological fractures and ununited fractures indicated.

Adolescent↗