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Biomedical subjects

A S Broudy

Publications and source records attributed to A S Broudy.

7 recordsLinked to original sources
PubMed1990

Proximal row carpectomy: clinical evaluation.

Proximal row carpectomy as a treatment of disorders of the radiocarpal joint remains controversial despite numerous reports documenting clinically successful outcomes. Criticism includes postoperative loss of grip strength, unsatisfactory range of motion, prolonged rehabilitation time, and the potential for progressive painful arthritis. Twenty-seven patients were studied to address these concerns. The average length of follow-up was 4 years. Postoperative pain relief was achieved in 26 patients, allowing 24 of the 27 patients to return to their previous activity status within an average of 4.5 months after surgery. In all cases, range of motion matched or surpassed preoperative values. Grip strength improved to an average of 80% of the contralateral side. A detailed radiographic analysis of the radii of curvature of the lunate fossa and the capitate showed that the radius of curvature of the capitate is approximately two thirds of the corresponding value of the lunate. Motion between the capitate and the radius is translational with a moving center of motion, which may dissipate load on the radius and explain the relative success of the procedure.

Adult↗
PubMed1979

Deformities of the hand and wrist with ulnar deficiency.

Deformities of the hand and wrist in 26 upper limbs of 20 patients with ulnar deficiency were studied. In eight limbs the ulna was totally absent. In the remainder it was severely or moderately hypoplastic. Abnormalities of the digits were present in all affected limbs. There was ectrodactyly in 25 hands. The thumb was hypoplastic in 21 hands and totally absent in five. Digital deformities also included syndactyly (14 hands) and delta phalanx (six hands). Early syndactyly release, pollicization, and rotational osteotomy of the metacarpals improved hand function in many of these patients. In only three of 26 limbs was there more than 20 degrees of fixed ulnar deviation at the wrist. In 16 patients the distal ulnar "anlage" was not removed. None of these patients developed ulnar deviation of the wrist or progressive deformity at the wrist during growth. Resection of the distal ulnar "anlage" does not appear to be warranted, unless there is progressive deformity of the wrist or elbow or increased bowing of the radius.

Abnormalities, Multiple↗
PubMed1979

Management of supracondylar fracture with brachial artery thrombosis in a child: case report and literature review.

Brachial artery thrombosis following prompt reduction of a supracondylar fracture of the humerus in a 7-year old is described. Persisting absence of the distal pulses in a viable extremity may herald the insidious development of Volkmann's ischemia. Pulse volume recordings provide a safe, objective means of evaluation. Arteriography by direct open technique avoids the hazards of percutaneous puncture in children.

Brachial Artery↗
PubMed1978

Technical problems with ulnar nerve transposition at the elbow: findings and results of reoperation.

Ten patients who had persistent or recurrent paresthesias, muscular weakness, or sensory loss following transposition of the ulnar nerve at the elbow were explored. Operative findings included compression of the nerve at the intermuscular septum or at the entrance to the cubital tunnel, dense scarring after intramuscular transposition, and constriction by fascial slings. The average interval from the previous operation to re-exploration was 13 months. All patients were improved following neurolysis and submuscular transposition. Recovery was incomplete in nine patients. The average follow-up was 14.5 months.

Adolescent↗
PubMed1976

The split-heel technique in the management of calcaneal osteomyelitis in children. Report of three cases.

Three cases are reported in which the split-heel technique was successfully used in the management of calcaneal osteomyelitis in children. Antibiotic therapy and debridement when necessary through medial or lateral incisions will usually eradicate the infection. Gaenslen's technique is recommended for refractory cases or patients with a draining sinus centrally located on the plantar aspect of the heel. An excellent functional result can be obtained. In general, excision of the calcaneus for chronic osteomyelitis in children is not necessary.

Adolescent↗