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Biomedical subjects

B T Cohn

Publications and source records attributed to B T Cohn.

33 records · Page 2Linked to original sources
PubMed1987

Diabetic arthropathy of the first metatarsal cuneiform joint. Introduction of a new surgical fusion technique.

This paper describes the surgical treatment of advanced arthropathy of the first metatarsal cuneiform joint in the diabetic patient. A new surgical procedure is described as performed on a 59-year-old black diabetic woman with advanced arthropathy of the first metatarsal cuneiform joint. A brief review of diabetic arthropathy is presented, with special emphasis on the first metatarsal cuneiform joint involvement. The authors believe that with early diagnosis and surgical fusion, the process of rapid tarsal disintegration can be prevented.

Arthropathy, Neurogenic↗
PubMed1986

Case report of a rare mallet finger injury.

Mallet finger injuries are commonly seen in the emergency room and the treatment is usually simple, consisting of extension splinting of the DIP joint. The hyperextension mallet finger is a rare variant. The diagnosis can be made if the fracture fragment involves more than 50% of the joint surface. For this injury splinting is inadequate and open reduction is the treatment of choice.

Adult↗
PubMed1986

Fatigue fracture of a tibial interlocking nail.

The interlocking system has recently become a popular mode of treatment for unstable fractures of the tibia. Metal fatigue is an extremely rare complication of the system; this article presents a case of metal failure, and the possible mechanisms.

Adult↗
PubMed1986

Injury to the eleventh cranial nerve in a high school wrestler.

Injury to the 11th cranial nerve is not uncommon and is usually associated with surgical procedures in the posterior triangle of the neck. Although palsy resultant from external trauma has been described, there have been no cases reported of this injury occurring in a wrestler. This paper reports on such a case and reviews both the anatomic and the clinical aspects of 11th-nerve palsy.

Accessory Nerve↗
PubMedDate not supplied

The effects of cold therapy in the postoperative management of pain in patients undergoing anterior cruciate ligament reconstruction.

This prospective study assessed 54 consecutive arthroscopically assisted ACL reconstructions for the amount of postoperative pain relief provided by cold therapy, using the Hot/Ice Thermal Blanket. Twenty-six randomly selected patients undergoing this procedure were compared to a control group consisting of 28 patients having the identical procedure in which the Hot/Ice unit was not used postoperatively. The initial ACL injury in both groups was sports related with the exception of three patients whose injury occurred while on the job. The Hot/Ice Thermal Blanket consists of two rubber pads (blankets) connected by a hose to the main cooling unit. The pads were applied to either side of the operated knee in the operative suite. The pads received fluid which was circulated from the main unit. The temperature of the fluid was set at 50 degrees in the recovery room and the unit was run continuously until the time of discharge, which was approximately 4 days. Hot/Ice patients required 53% less injectable Demerol and 67% less oral Vistaril than patients in the control group. Hot/Ice patients had made the conversion from injectable to oral pain medication an average of 1.2 days sooner than did their non-Hot/Ice counterparts. There was no appreciable difference in length of hospital stay. Physical therapy and nursing records documented a greater percentage of compliant patients in the Hot/Ice group. According to these records the Hot/Ice patients were more helpful in self-assistance, were out of bed and ambulating in the halls more quickly, and did their range of motion exercises with greater ease.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗