Biomedical subjects

C T Mehlman

Publications and source records attributed to C T Mehlman.

21 records · Page 2Linked to original sources

PubMedDate not supplied

The fate of untreated developmental dislocation of the hip: long-term follow-up of eleven patients.

Eleven patients with developmental dislocation of the hip who had no treatment other than observation were followed up for an average of 40 years. Nine of the 11 patients had bilateral hip dislocations. None of the hips developed avascular necrosis. Overall clinical and functional results were very satisfactory despite uniformly unsatisfactory radiographs. These patients achieved a better quality of life than have many patients of similar age who have undergone surgical treatments aimed at reducing such late-presenting hip dislocations.

Adolescent↗

PubMedDate not supplied

Bilateral hypoplastic calcanei.

A previously undescribed anomaly of the calcaneus occurred in an otherwise healthy 2-month-old girl. There was marked bilateral hypoplasia of the calcanei, involving approximately the posterior half of each. The child stood at 15 months and walked at 22 months. At age 5 years, the child had a slight in-toed gait that corrected with dorsiflexion. Her only problem has been some difficulty with shoeware. The etiology of this anomaly remains conjectural.

Calcaneus↗

PubMedDate not supplied

Instability of the patellofemoral joint in Rubinstein-Taybi syndrome.

Twenty-five (3.4%) of 732 individuals with Rubinstein-Taybi syndrome were noted to have instability of the patellofemoral joint. We believe that this is in fact an underrepresentation of the true incidence, as we were able to identify only those patients whose symptoms were most severe. These individuals typically had symptoms before or during their adolescent growth spurt, had bilateral involvement, and in some instances, ceased to ambulate because of their patellofemoral problems. A subset of these individuals underwent patellar realignment surgery, with those whose treatment did not include extensive quadriceps mobilization/quadricepsplasty having a 2.7 times higher risk of requiring revision patellar surgery. Patellofemoral instability associated with Rubinstein-Taybi syndrome demands early recognition and treatment to prevent potentially catastrophic gait disturbances.

Adolescent↗