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Biomedical subjects

D Herness

Publications and source records attributed to D Herness.

9 recordsLinked to original sources

Bilateral Baker's cyst as the presenting symptom of paraneoplastic syndrome.

Paraneoplastic syndrome is defined as a systemic malignancy producing prostaglandins or other substances that lead to various manifestations, syndromes or diseases. In the following report we present a case of a young patient complaining of bilateral Baker's cysts who ultimately was diagnosed as suffering from gastric lymphoma. Following subtotal gastrectomy the Baker's cysts disappeared with no specific treatment.

Adult↗

Transient bilateral peroneal palsy in a painter's model.

Peripheral neuropathies caused by pressure are common. The most common causes are pressure of the ulnar nerve at the elbow and of the median nerve at the wrist. Pressure neuropathy of the peroneal nerve at the level of the fibular neck is a rare syndrome. The literature describes well-defined etiologies of that syndrome: external pressure, tumors, ganglion, or stretching of the limb. A case of bilateral peroneal palsy in a painter's model caused by prolonged sitting in a specific position is described. Review of the literature revealed no such case described previously.

Adult↗

Cubital canal syndrome due to subanconeus muscle.

A forty-nine-year-old patient, suffering from right cubital canal syndrome, was admitted for surgery. The diagnosis was established clinically and by subsequent electromyography. The factor producing pressure on the ulnar nerve was the subanconeus muscle, an auxiliary extension of the medial portion of the triceps muscle, arising from the medial border of the olecranon and adjacent triceps tendon and inserting into the dorsal aspect of the medial epicondyle. Complete excision of this muscle is sufficient, leading to immediate improvement in most cases.

Humans↗

Some aspects of bone grafting for non-union of the carpal navicular. Analysis of 41 cases.

Forty-one patients with established non-union of the carpal navicular are presented. Forty patients were treated by bone grafting, using the same operative technique in all of them. All operated fractures healed and were free of pain at the time of union. Vascularization did not seem to interfere with union in the different types of fractures. Radial styloidectomy, performed in addition to bone grafting in 26 of the patients, who had arthritic changes, improved their wrist mobility.

Adolescent↗

Articular damage in familial Mediterranean fever. Report of four cases.

Four cases of familial Mediterranean fever have been reported in which the disease produced organic damage to a joint. The diagnosis was confirmed by clinical and family history and a typical course which included attacks of recurrent joint synovitis. The laboratory findings, while typical, were not specific. The main involvement was in the lower limbs. The findings at operation were of a non-specific synovitis with destruction of cartilage. It is emphasized that in the majority of cases of familial Mediterranean fever the joint involvement is transient and only uncommonly does damage to the joint become permanent. The fact that organic joint damage occurs is not widely recognized, which is the reason for our report of these four cases.

Adolescent↗