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Biomedical subjects

D Palombi

Publications and source records attributed to D Palombi.

6 recordsLinked to original sources
PubMed1991

[Malleolar fractures. A statistical evaluation].

In a series of 67 displaced ankle fractures, the significance of the following factors is evaluated: age, sex, obesity, adequacy of the post-reduction position of the malleoli, restoration of distal tibio-fibular syndesmosis, talo-crural angle, talar tilt, width of medial clear space, severity of injury, traumatic mechanism, treatment. The statistical study is developed using stepwise discriminant analysis up to multiple linear regression. The significant parameters are the talo-crural angle, residual malleolar displacement, the integrity of the syndesmosis, and obesity. The discrimination is very good (p < 0.01).

Age Factors↗
PubMed1990

[Thalamic fractures of the calcaneus. The authors' experience].

The authors refer their experience in management of thalamic fractures of the heel. Their series includes 22 patients with 24 fractures and comprises the 12-year period 1975-87. They assess the results based on radiological, clinical, functional and occupational criteria, emphasizing the role of the posterior subtalar joint, which imposes an anatomical reconstruction on the orthopaedist, since the final results are conditioned by its arthritic degeneration. Complex fractures with important displacement need surgical treatment with reduction and synthesis. In simple fractures with or without slight displacement, conservative treatment using cast immobilization is now the treatment of choice.

Adult↗
PubMedDate not supplied

Additional advantages of a two-person technique for epidural needle placement and medication infusion.

Eight years' experience with the two-person technique has revealed further advantages. A glass syringe and extension tubing filled with saline are connected to the epidural needle. A small bubble of air remains in the syringe but not in the tubing. One person concentrates on the advancement of the needle. The second person exerts sufficient pressure on the plunger of the syringe to produce intermittent minimal flow of saline. The effect is that of barbotage. In several instances the saline at needle end of the tubing unexpectedly became opaque or discolored. The advantages are attributable to the small volume of the extension tubing filled with saline.

Anesthesia, Epidural↗
PubMedDate not supplied

Anatomy of the lumbar sympathetic chain.

BACKGROUND AND OBJECTIVES: To acquire an accurate knowledge of the relationship of the sympathetic chain to the vertebral column. METHODS: In dissections on 65 cadavers the authors located the sympathetic chain and its ganglia in three dimensions with respect to the vertebral column: cephalad-caudad in the sagittal plane; ventrally and laterally in the horizontal (axial) plane. The relationship of the sympathetic chain to the psoas muscle and that of the psoas muscle to the vertebral column was also established. Transparent markers were placed at each disk space and colored markers at each grossly recognizable ganglion. Photographs and measurements were then made. RESULTS: In the sagittal plane, the lumbar ganglia were most often present opposite the middle of the body of the third vertebra and at the disks above and below. In the horizontal plane, the ganglia lay from 0 to 0.5 cm posterior to the anterior border of the third lumbar vertebra and 1.8 to 3.0 cm laterally from the center of the third lumbar vertebra. The sympathetic chain always lay anterior to the psoas muscle. CONCLUSIONS: Although the location of the ganglia is quite variable, the best approach for sympathetic block is to advance the needle paravertebrally through the fascia of the psoas muscle slightly cephalad to the midpoint of the body of L3.

Ganglia, Sympathetic↗