PubMed Health⌕ Search

Biomedical subjects

E D Lyne

Publications and source records attributed to E D Lyne.

18 recordsLinked to original sources
PubMed1990

Spondyloepiphyseal dysplasia of Maroteaux.

The cases of four patients who had an unusual clinical entity of disproportionately short stature, referred to as spondyloepiphyseal dysplasia of Maroteaux, are described. In patients who have this syndrome, the abnormalities are confined to the musculoskeletal system. The patients do not have corneal opacities or increased excretion of keratosulphate. The mode of transmission appears to be autosomal dominant. Platyspondylysis is present but there are no anterior tongue-like deformities of the vertebral bodies. Because of the presence of spondyloepiphyseal dysplasia and normal intelligence, and the lack of abnormalities at birth, this entity seems to mimic Morquio syndrome. However, unlike Morquio syndrome, the disorder involves no biochemical abnormalities. Thus, the entity may be classified as new.

Adolescent↗
PubMed1989

Disorders of bone metabolism in severely handicapped children and young adults.

There is a high prevalence of vitamin D deficiency in the severely handicapped pediatric population. Because many of these patients have growth deficiencies, they may not demonstrate wide growth plates commonly seen with vitamin D deficiency. There is also a high prevalence of anticonvulsant use in these patients, and its exact impact is not clear because of the variety of its effects and presentations. Calcium, phosphate, and alkaline phosphatase are not useful as indicators of vitamin D deficiency, and vitamin D metabolites must be measured directly. Patients with low vitamin D levels respond to treatment, including nutritional support and added sunlight exposure. The overall nutritional status of this population may be reflected in their metabolic bone disease and small stature.

Adolescent↗
PubMed1987

Vitamin D deficiency rickets. A report on three cases.

A resurgence of classic vitamin D deficiency rickets has been noted in the recent pediatric literature, but no mention of it appears in recent orthopedic journals. Three cases of vitamin D deficiency rickets occurred in children whose ages ranged from 14 to 17 months. Similar to the experience of others, all three occurrences were in young black children who were sustained on breast milk for prolonged periods (9-17 months). Differing from other cases in the recent literature, the patients' families were not consuming vitamin D deficient diets to comply with religious beliefs. Simple treatment with vitamin D supplementation was effective once the diagnosis was established.

Ankle↗
PubMed1984

Osteochondritis dissecans of the talus: case report on two family members.

Historically the investigators studying the etiology of osteochondritis dissecans can be grouped into two schools: (a) those considering trauma to previously normal bone as the chief cause; and (b) those noting causes other than trauma as being the primary reason for the lesion's development. In the case studies presented here, three medial lesions in two siblings are discussed. In neither case could trauma be substantiated.

Adolescent↗
PubMed1983

Adolescent traumatic dislocations of the shoulder with open epiphyses.

Nine of 212 cases of traumatic anterior shoulder dislocations occurred in children with clearly open epiphyses (4.7% incidence). All cases associated with psychological or physical abnormalities were excluded. A high recurrence rate of 80% (8 of 10) was noted requiring operative intervention. Two of the three remaining unoperated cases had a history of "subluxation" after their initial dislocation.

Adolescent↗
PubMed1979

Slipped capital femoral epiphysis long-term results after 10--38 years.

Thirty-four patients with chronic slipped capital femoral epiphysis (SCFE) involving 45 hips were followed over a period of no less than 10 years and as great as 38 years. Excluding those who had had intraoperative complications, 30 hips evaluated between 10 and 20 years follow-up were found to have good or excellent results. Fifteen hips followed greater than 20 years, however, showed fair to poor grading in 10 of 15 hips. This progessive change seemed to be related most closely to the bilateralism of the disease. These observations suggest that while follow-up of a 20 year duration may show good clinical results, over a longer period of time the prognosis of SCFE is guarded.

Bone Nails↗
PubMed1978

Skeletal trauma in skateboard injuries.

Thirty fractures resulting from skateboarding have been treated in the past six months at the Henry Ford Hospital, Detroit. Although there have been no serious or unusual injuries, this represents a substantial increase over the previous year. Awareness of the hazards of this sport is the first step in reducing the frequency and seriousness of these injuries. As a result of our experience, safety guidelines for skateboarding are recommended for the parents of enthusiasts. We hope adherence to these guidelines will greatly reduce the number of injuries.

Adolescent↗
PubMed1978

Sinding-Larsen-Johansson disease. Its etiology and natural history.

In a prospective study of children with pain in the knee, eight patients (ten knees) were seen with the clinical and roentgenographic findings of Sinding-Larsen-Johansson disease. The etiology appears to be a traction tendinitis with de novo calcification in the proximal attachment of the patellar tendon, which had been partially avulsed. The patients were followed through the course of the disease, which was found to be self-limited and benign like Osgood-Schlatter disease.

Adolescent↗
PubMedDate not supplied

Epiphysiolysis of the proximal femur in very young children.

In 14 hips in 11 children under 3 years of age, proximal femoral epiphysiolysis occurred from varying degrees of trauma. The vulnerability of the blood supply of the upper femoral epiphysis, and its important weight-bearing function, demands early diagnosis, reduction, and adequate fixation. The nature of the injury, however, determines the eventual outcome. Early diagnosis and investigation of the underlying pathology is necessary to avoid such complications as varus deformity, avascular necrosis, heterotopic new bone formation, non-union, and premature closure of the growth plate.

Casts, Surgical↗
PubMedDate not supplied

Clinical review of cervical spine injuries in children.

Clinical presentation is made of 18 cervical fractures occurring in children age 15 and under. Seven of 18 patients sustained neurological complications. The incidence of childhood cervical spine injury increases with age. Sixteen of 18 lesions were found in the C1 through C4 area in contrast to a greater involvement in adults in levels of C4 through C7. Although normal variations and anomalies are frequent in cervical spines in children, over treatment, at least initially, is recommended in all cases in which the diagnosis is in doubt.

Accidents↗
PubMedDate not supplied

Slotted acetabular augmentation in patients with neuromuscular disorders.

This study presents our results with a single graft modification of slotted acetabular augmentation in severely neuromuscularly compromised children from 1983 to 1986. Included in the study were 26 hips of 24 patients (13 males and 11 females) with an average age of 8 years 3 months at the time of surgery. Most of the patients had spastic cerebral palsy. The average followup was 29 months. We believe that our current results show that slotted acetabular augmentation in patients with neuromuscular conditions is a relatively simple and safe procedure with a high probability for a successful outcome.

Acetabulum↗
PubMedDate not supplied

Meniscectomies in children. Report of long-term results (mean, 8.3 years) of 26 children.

Controversy exists over the management of the pediatric patient with a suspected tear of the meniscus. Twenty-six patients who underwent uncomplicated meniscectomy during a period of open epiphyseal plates were reviewed by personal followup. The average followup of these 26 patients was 8.3 years. Ligamentous laxity, early degenerative arthritis, and symptomatic knee pain were found; only 42% demonstrated an excellent or good result. Intensive preoperative evaluation and conservative management of selected meniscal lesions in children are recommended.

Adolescent↗
PubMedDate not supplied

Pathologic fractures in severely handicapped children and young adults.

The incidence (42%) of vitamin D abnormalities is high in severely handicapped children and young adults who sustain fractures, especially those who sustain multiple fractures. Fractures occur primarily in the lower extremity and heal with simple immobilization. In patients with normal vitamin D levels, a history of a significant traumatic event should be identified and child abuse ruled out. Vitamin D-deficient patients respond to nutritional and vitamin D supplementation, with decreased fracture incidence.

Activities of Daily Living↗
PubMedDate not supplied

The Grice procedure: indications and evaluation of long-term results.

The major indication for the Grice extra-articular subtalar arthrodesis is valgus deformity occurring after poliomyelitis. Unsatisfactory long-term results in valgus deformities secondary to other neuromuscular conditions, myelodysplasia and flexible flat feet would indicate that subtalar arthrodesis is not appropriate in these conditions. The Grice procedure had limited success in patients with cerebral palsy, but only in those mildly afflicted with hemiplegia. With the eclipse of poliomyelitis by other neuromuscular conditions, the extra-articular would appear to have limited indications in modern orthopedic practice. Technical complications surely predispose to poor results and considerable attention must be placed on proper graft position and immediate revision in the event of slippage. Overcorrection into adductovarus and particularly ankle valgus from ankle instability is an important cause of unsatisfactory results. The Grice procedure may provide temporary benefits in certain valgus feet. A significant number of patients subsequently required triple arthrodesis and, although it might be argued that some did obtain temporary benefit at a younger age with the Grice procedure, this operation cannot be construed as an alternative to triple arthrodesis. Furthermore, exactly what significance and symptomatic developments can be attributed to the radiologic degenerative changes to subtalar arthrodesis remains to be delineated by longer follow-up studies.

Adolescent↗