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Biomedical subjects

B Rüttimann

Publications and source records attributed to B Rüttimann.

18 recordsLinked to original sources

[The long road to the fever chart].

Temperature and pulse measurement have a central position in the history of medicine in the 19th century as well as the medicine of today. Its beginnings can be traced back a long way; naturally, they are closely linked to the development of the thermometer and the watch, but their long paths also touch on the history of science and culture. Knowledge and teachings of pulse and fever certainly did not develop simultaneously and in mutual agreement, but crossed one another's paths on two occasions: in the work of Boerhaave in the early 18th century and with the introduction of thermometric analysis into the clinic from the middle of the 19th century. Individual milestones are selected and described.

Documentation

[My practice in 1891].

A short visit to a medical consulting room as it may have looked one hundred years ago, illustrates some aspects of medical practice of this time, outlines in scraps and fragments an idea of this medicine and tries to encourage reflexions about contemporary and timeless problems of medical practice.

Family Practice

Fibular aplasia. Early surgical correction in two cases.

Two infants with bilateral fibular aplasia are described. They were operated on at 1 1/2 years and 8 months respectively in order to obtain a stable axial position of the foot beneath the tibia. The procedures consisted of soft tissue releases together with angulation osteotomies of the tibiae in one, and splitting the distal tibial epiphysis in the other. Both patients are now able to walk well barefoot or in custom-made shoes; no orthotic devices are needed. This type of conservative approach should be considered rather than amputation in selected cases.

Fibula

[Medical museum--museum medicine].

The author gives a short survey of the beginnings of the Museum of the History of Medicine at the University of Zurich, created by Gustav Adolf Wehrli, MD (1888-1949), and of its further development. He insists on the present-day interest of such a museum: the study of ancient tools of the art of healing may elucidate complex problems that still defy the profession, and the presentation of such objects in a wide cultural and historical context may lead the attentive visitor to a better understanding of modern medicine.

History, 19th Century

[A historical approach to herniated disk].

It is not more than sixty years ago that a relationship between rupture of an intervertebral disk and possible involvement of the spinal canal with its nervous structures had first been established. However, our knowledge of the intervertebral disk on the one hand, and of myelo- and radiculopathies on the other, is much older. Some of the steps leading to the 'discovery' of disk herniation are pointed out and illustrated.

Back Pain

[Orthopedic technical and surgical measures in the diabetic foot].

This is a short survey of orthotic and surgical possibilities as preventive measures and as used in the therapy of foot disorders in diabetic patients. Ample photographic illustrations point out especially the different orthotic devices and procedures.

Diabetes Mellitus

[Acro-osteolysis syndrome: is a synthesis in view?].

The clinical phenomena of "acroosteolysis" means progredient destruction starting at metatarsal bony structures on primarily neurodystrophic mechanisms. A long-term case report illustrates clinical features and actual possibilities and limits in treatment. The current conceptions since the classic descriptions are resumed by large overview of literature. Open questions in current genetic and structural hypothesis show the difficulties of any nosologic classification. Common features with other neurodegenerative syndromes are more and more evident.

Adult

[From surgical pain to pain surgery].

From the historical viewpoint, a change of attitude towards pain and the possibilities opened up by general anesthesia from 1846 onwards were needed to bring about the advent of a surgery specialized in the cure of pain. The individual stages in this development, up to Leriche's "Chirurgie de la douleur", are illustrated by reference to the relevant sources.

Anesthesia

[Popular medical literature in days of yore].

The first books of popular medicine appeared during the Enlightenment in the 18th century. Some of these writings are examined in more detail, with sidelights on the popular medical literature of today.

History, 18th Century

[Beginnings of hip surgery--heroic times?].

In a historical review we look back at some of the earliest operations on the hip joint--osteotomy and arthroplasty, disarticulation, hip joint excision, osteosynthesis--belonging still to the era when anaesthesia, antiseptic and aseptic techniques were not available. We are indeed curious to know how the surgeons prepared their patients for the intervention and for the great risks entailed. There is no doubt that these surgeons were brave, but we should not refer to these times as being heroic.

Arthroplasty

[Computerized tomography in paleopathology].

Paleopathology is the study of human ailments in bygone times of which written records are non-existent or inadequate. Essentially, it is based on osteological findings. Radiologic examination, which reveals the inner structure of the bones, plays an important role. Additional information can be obtained with CT, primarily because there is no superimposition of the bones. The very detailed radiologic demonstration of a periosteal reaction on a tibia in a case of acquired syphilis is illustrated.

Bone and Bones