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Biomedical subjects

D W Hugar

Publications and source records attributed to D W Hugar.

At least 19 recordsLinked to original sources
PubMed1990

Management of complex pedal cutaneous larva migrans.

Although cutaneous larva migrans is more commonly seen in the southeastern US and tropical regions of the world, patients with such parasitic involvement may present in other non-endemic areas for various reasons, particularly travelers returning from tropical vacations. Awareness of the clinical presentation and symptomatology of cutaneous larva migrans is important for all physicians, including those practicing in northern climates, for prompt recognition and effective treatment of the disease. Furthermore, cutaneous larva migrans should be of particular interest to podiatrists, because the infestation commonly involves the feet, and a patient may initially present for treatment of secondary manifestations, ie, dermatitis, pruritus, or infection, as in this case report.

Adult↗
PubMed1983

Tuberous sclerosis.

Explore the source record for details and available documents.

Child, Preschool↗
PubMed1983

A literature review of congenital digiti quinti varus: clinical description and treatment.

Congenital digiti quinti varus is a deformity in which the fifth toe overlaps the base of the fourth; it consists of three main components: adduction, dorsiflexion, and external rotation. Treatment for this deformity may consist of conservative or surgical techniques, depending on the severity and/or age of the patient. The surgical techniques recommended by various authors may involve skin plasties, tenotomies and capsulotomies, tendon transfers and lengthenings, and bone resections.

Humans↗
PubMed1981

Physical therapy: its use in podiatry.

This paper presents a review of the literature of various modes of physical therapy available to the podiatrist. Included are superficial and deep heating agents, applications of cold, and massage. Their methods of application, physiological responses, indications, and contraindications are discussed.

Cryotherapy↗
PubMed1981

Pes cavus: the deformity and its etiology.

Pes cavus is present when the forefoot is in a plantarflexed position in relation to the rearfoot. In the majority of patients, the deformity is caused by a neurologic disorder; however, the condition may also result from infection or trauma. It is necessary to determine the etiology in order to plan effective treatment.

Clubfoot↗
PubMed1980

Transcutaneous neural stimulation: postoperative pain reduction and stimulation of osteoblasts.

Transcutaneous neural stimulation, introduced in 1970, has been found to be useful in limiting pain and thus reducing the necessity for narcotics and other forms of medication for relief of pain. Although the method does have limitations, studies have proved that it reduces pain perception and also enhances osteogenesis, thus decreasing the likelihood of poor healing and nonunion and also decreasing the length of rehabilitation time. In addition, it reduces the possibility of side-effects and reactions that may result from the use of drugs.

Electric Stimulation Therapy↗
PubMed1980

Evaluation of the V-osteotomy as a procedure to alleviate the intractable plantar keratoma.

This paper will discuss the distal V-osteotomy procedure of the lesser metatarsals as performed at the Hugar Surgery Center. Sixty-six patients in this study had V-osteotomies performed upon one or more of the middle metatarsals within a 2-year period. Evaluation was based upon patient satisfaction and clinical improvement as measured by the alleviation of the original lesion and the presence of any transfer lesions under the adjacent metatarsal heads. Perioperative steroid injection, early ambulation, and postoperative orthoses contributed to the excellent surgical results.

Follow-Up Studies↗
PubMed1980

Kaposi's sarcoma--an overview.

Although Kaposi's sarcoma is a rare malignant disease of unknown etiology, when it does occur, it is most often found in males on the feet and legs and is one of the most common malignant tumors of the foot. The lesions are usually painless, depending on the location. Although vinblastine sulfate (Velban) and vincristine sulfate (Oncovin) have both achieved temporary success in treating Kaposi's sarcoma, most authors agree that roentgen therapy is the treatment of choice.

Foot Diseases↗
PubMed1979

Congenital metatarsus adductus: clinical evaluation and treatment.

Congenital metatarsus adductus, a deformity at the tarsometatarsal joints in which the metatarsals are deviated internally in relation to transverse plane, predisposes to "pigeon-toed" gait. Treatment is aimed at achieving normally balanced foot by overcorrection at the deformity sites. The most common problem after treatment is pronation deformity, which can be avoided by carefully positioning the heel at the time of casting. The sooner conservative measures are instituted, the more easily and rapidly the deformity will be corrected. If conservative casting does not result in improvement, then soft tissue surgery is indicated.

Adult↗
PubMed1979

Frostbite: its diagnosis and treatment.

The treatment, diagnosis, and outcome of frostbite victims is by no means an exact science. As this presentation shows, most authors agree that the key to control and treatment of cold injury comes from a reversal of the damage to the microvasculature (19). The methods of diagnosis of the extent of damage are all based on determination of vascular status whether it be tissue or bony structures. Treatment varies widely but rapid rewarming of the affected tissues is by far the most successful treatment to minimize tissue loss. As in the case study presented here, when surgical amputation is necessary, one must take mechanical function into account as well as the line of demarcation in order to give a functional limb for rehabilitation and to prevent the possibility of subjecting the patient to unnecessary repetitive surgical procedures.

Amputation, Surgical↗