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Biomedical subjects

D Hendel

Publications and source records attributed to D Hendel.

At least 55 records · Page 3Linked to original sources
PubMed1988

Anterior interosseous nerve palsy following closed fracture of the proximal ulna. A case report and review of the literature.

Complete paralysis of the anterior interosseous nerve was seen in 32-year-old army officer 5 weeks after he sustained a minimally displaced fracture of the proximal ulna. The fracture was immobilized in an arm cast. Thirteen weeks after injury, the cast was removed following evidence of bone union. Complete recovery of the flexor pollicis longus was noted 17 weeks after the injury, while recovery of the flexor profundus to the index finger to grade four lasted 10 months. To the best of our knowledge, this is the first case reported in the English language literature in which anterior interosseous nerve palsy follows isolated fracture of the proximal ulna.

Adult↗
PubMed1988

An unusual loose body hidden in a sealed suprapatellar pouch.

A 20-year-old soldier presented with pain and swelling in his right knee, both of which became aggravated with activity. An unusual loose body was found in a sealed suprapatellar pouch in the knee. All symptoms disappeared following removal of the loose body.

Adult↗
PubMed1988

Traumatic anterior dislocation of the hip joint with fracture of the acetabulum: a case report.

A 67-year-old woman sustained a pubic-type anterior dislocation of the hip associated with a comminuted fracture of the anterosuperior part of the acetabulum and the anteroinferior iliac spine following a fall on the knee. Because of interposition of the iliopsoas tendon, closed reduction followed by skeletal traction failed to achieve reduction of the acetabular fragment. An abnormally high degree of anteversion of the femoral neck is suggested as a possible predisposing factor in this injury.

Acetabulum↗
PubMed1987

Semimembranosus tenosynovitis: operative results.

Semimembranosus tenosynovitis is a common knee problem in the over-50 age-group, occurring mainly in women. It affects the reflected portion of the tendon of the semimembranosus muscle as well as the bursa below it. The tendon becomes inflamed as a result of friction at the entrance to the bony canal (semimembranosus groove), especially if osteophytes are present on the edges of the groove. Conservative treatment includes anti-inflammatory drugs, ultrasound, and friction massage. If necessary, nonresponders may be given local injection of 40-80 mg methylprednisolone acetate with 1% Xylocaine. Between 1979 and 1983 we operated on 16 patients who had not obtained relief even after three or four injections. The approach in each case was through a posterior medial oblique incision. The semimembranosus osteofibrotic tunnel was revealed and the fibrous sheath surrounding the tendon was excised. Good results were obtained in eight patients in whom the inflammatory process had been localized to only the semimembranosus insertion area: eight patients in whom the knee joint or the pes anserinus insertion was also involved achieved fair or poor results. The operation is not advised for young athletes because of the important function of the reflected head of the semimembranosus muscle.

Diagnosis, Differential↗
PubMed1985

Unusual fracture dislocation of the elbow joint.

A rare case of posterior dislocation of the elbow joint with an avulsion fracture of the medial humeral epicondyle and fracture of the capitulum humeri is presented. Closed reduction was insufficient. Excision of the comminuted segments of the fractured capitulum was imperative to allow an optimal return of elbow function.

Adolescent↗
PubMed1984

Residual shortening after osteotomy for Perthes' disease. A comparative study.

The residual shortening of the affected limbs in 55 patients treated by subtrochanteric varus derotation osteotomy was compared with that in 71 patients treated with weight-relieving calipers. When last examined, 43 of the former group and 47 of the latter had reached complete or near-complete skeletal maturity. The average follow-up was 9.1 years in the osteotomised patients and 5.25 years in the conservatively treated group. The average residual shortening (0.9 cm) was identical in both groups. In most patients the initial shortening caused by the osteotomy gradually corrected as, over a period of several years, the postosteotomy angle gradually became less varus. Any residual shortening depended principally on the severity of inhibition of endochondral ossification at the proximal femoral growth plate. Less residual shortening was seen in children who were under seven years of age at the onset of symptoms (under eight at operation) in whom the open-wedge technique of osteotomy was employed and who had good anatomical results.

Adolescent↗
PubMed1984

Abduction-traction injury of the knee.

Disruption of the major ligaments of the knee was seen in six young men, five parachutists and a house painter, after what we have termed abduction-traction injury. This unusual complaint results from the application of a sudden block to the ankle while falling head first, leading to traction and abduction of the knee. All the patients underwent operations, generally with unsatisfactory results. At operation tears of the anterior cruciate ligament, medial collateral ligament and posterior oblique ligament were seen in each case; in four patients the posterior capsule and in three the posterior cruciate ligament also were torn. In one patient the lateral collateral ligament was torn and the lateral meniscotibial ligament was avulsed. The compression component is absent in this type of injury and consequently the menisci and the osteochondral surfaces of the tibia and femur remained intact in each case.

Accidents, Occupational↗
PubMed1983

A simple operation for correction of chronic lateral instability of the ankle.

Twenty-two patients underwent a simple operation for correction of chronic lateral instability of the ankle. During the procedure the function of the peroneus brevis was preserved and the anterior talofibular ligament was reconstructed. At follow-up only one patient reported that the ankle still felt unstable.

Adult↗
PubMed1983

Anterior cruciate ligament insufficiency syndrome.

Corrective surgery for anterior cruciate ligament (ACL) lesions was performed in 64 patients. Approximately two-thirds of the patients who presented with anteromedial instability were approached through the medial aspect of the knee. In all cases the instability was improved but not entirely eliminated. This was not in itself a disabling problem, as 44% of these patients had good subjective results. However, pivot-shift tests at follow-up examination clearly indicated the presence of anterolateral instability in most, if not all, of these patients. This did not necessarily preclude a self-evaluation of "good"; conversely, a self-evaluation of "fair" (33% of patients) was always related to a positive pivot-shift phenomenon. The authors' current surgical policy is, therefore, to regard the two types of instability as related aspects of a single ACL insufficiency syndrome, and to correct both the anterolateral instability (by the MacIntosh procedure) and the anteromedial instability (by suturing the posterior medial capsule to the semimembranosus tendon together with pes transfer). Poor subjective results (22% of patients) were always associated with the patellofemoral pain syndrome, which could be traced to rotational instability leading to patellar malalignment.

Athletic Injuries↗
PubMed1982

Painless root compression following disc extrusion. A report of three cases.

Three cases of painless root compression following disc extrusion are reported. Each patient showed the typical course of disease with the neurological deficit appearing at the same time as the sciatic pain disappeared. At operation the nucleus pulposus was found in the spinal canal. It is suggested that disappearance of the pain is related to the perforation of the anulus fibrosus and posterior longitudinal ligament by the nucleus pulposus. The operative findings justified early operation in these patients, and prompt surgery is recommended for similar cases.

Adult↗