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D L Luke

Publications and source records attributed to D L Luke.

5 recordsLinked to original sources
PubMed1993

Communicating intraosseous ganglion of the lunate.

The authors describe a symptomatic intraosseous ganglion of the lunate communicating directly with the scapholunate joint. The communication was demonstrated by arthrography and computed tomography. This case is believed to be the first reported in which the communication was shown by arthrography. Demonstration of such a communication can obviate the need for further imaging to diagnose the lesion. A review of intraosseous ganglia of the hand and their treatment is presented.

Adult↗
PubMed1992

Fractures after Wagner limb lengthening.

A retrospective review of our experience with fractures after 27 Wagner limb lengthenings (23 patients) was undertaken. Ten fractures occurred after lengthening in eight patients (six spontaneous, four traumatic). Seven patients fractured despite a "staged" removal of the fixation plate. Seven of 10 fracture patients required open reduction/internal fixation (ORIF) to obtain union and/or satisfactory alignment. Our results indicate that patients with a congenital limb length inequality are prone to spontaneous fracture after Wagner limb lengthening. These results raise serious questions regarding the quality of bone healing after a Wagner-type lengthening for congenital limb length inequality.

Adolescent↗
PubMed1990

"Silent" spinal dislocation in a Charcot spine occurring postlaminectomy: case report and review of literature.

A 45-year-old man with transverse myelitis developed an unstable neuropathic spinal arthropathy manifesting as a "silent" L1-L2 dislocation after laminectomy and rhizotomies performed for increased spasticity. Treatment consisted of reduction, posterolateral spinal fusion with Cotrel-Dubousset instrumentation utilizing hooks and pedicular screws, and a posterior lumbar interbody fusion. The authors conclude that laminectomy on a chronic paralytic through the insensate area should be coupled with fusion and instrumentation even if the facet joints and capsules are preserved during the laminectomy.

Adult↗
PubMed1990

Imaging rounds #103. Myositis ossificans in association with congenital radioulnar synostosis and congenital anterior radial head dislocation.

Although the initial trauma was minimal in this unusual case of bilateral congenital radioulnar synostosis and anterior radial head dislocation associated with myositis ossificans, a progressive decrease in elbow ROM ensued. Manipulation under general anesthesia was performed to improve flexion and extension of the involved elbow. This manipulation most likely initiated or enhanced the process of myositis ossificans in the elbow. Final treatment consisted of reassurance and active ROM exercises, with resolution of symptoms.

Adult↗