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Biomedical subjects

E E Fogarty

Publications and source records attributed to E E Fogarty.

48 records · Page 3Linked to original sources
PubMed1984

Discitis as a cause of abdominal pain in children.

The purpose of this study is to draw attention to inflammatory disease of lumbar intervertebral discs in children as a source of referred abdominal pain. For three children presenting with abdominal pain the eventual diagnosis was discitis of the lumbar spine. Failure to examine the patient's backs at the initial examinations resulted in a delay in diagnosis ranging from 66 to 2 days. Treatment with antibiotics and spinal jacket was effective in all cases.

Abdomen↗
PubMed1981

Incidence of avascular necrosis of the femoral head in congenital hip dislocation related to the degree of abduction during preliminary traction.

Two-hundred and twenty-two congenitally dislocated hips of 173 patients had been abducted in one of two fashions, prior to closed reduction under general anaesthesia. In both forms of treatment, the hips were in 90 degrees of flexion while they were abducted. Group 1 included those who were abducted up to 90 degrees and Group 2 those who were abducted to not more than 60 degrees. The incidence of total avascular necrosis was 90% when the limbs were abducted to no more than 60 degrees and 17% in those abducted up to 90 degrees. The incidence of partial avascular necrosis was not affected by the degree of abduction of the hips. The incidence of avascular necrosis in Group 2 patients is comparable to that in recent reports of patients who received their traction with the hips in extension; this suggests that the flexed position is not harmful, and it is certainly effective and convenient.

Child, Preschool↗
PubMedDate not supplied

Puncture wound related pseudomonas infections of the foot in children.

Eleven children with Pseudomonas aeruginosa infection complicating foot puncture wounds were reviewed. Delay in presentation (mean 2 days) and diagnosis (mean 9 days) due to a paucity of clinical signs of deep infection was characteristic of this condition. Septic arthritis (5 patients) and osteomyelitis (3 patients) were frequent complications. Treatment involved multiple surgical debridements and prolonged intravenous antibiotic therapy. The clinical outcome was good although long-term radiographic changes were common.

Adolescent↗
PubMedDate not supplied

Hip dysplasia in Hurler's syndrome: orthopaedic management after bone marrow transplantation.

Hurler's syndrome is an autosomal recessive metabolic storage disease with distinct skeletal manifestations, which include progressive hip dislocation. Enzyme-replacement therapy by bone marrow transplantation improves life expectancy but does not prevent hip dislocation. We describe the features of hip dysplasia in a series of eight successfully engrafted patients with Hurler's syndrome. The primary pathologic condition appears to be a failure of ossification of the cartilaginous acetabulum. Five patients underwent bilateral hip-containment surgery, and all operated-on hips were reduced at a mean follow-up of 17 months. Innominate osteotomy would appear to be an essential part of the surgical procedure.

Arthrography↗
PubMedDate not supplied

Tibial hemimelia of a different class.

A variant of tibial hemimelia, previously undescribed in the literature and not classifiable by either of the established classification systems, is described. The features of this condition include a short, deformed tibia; proximal subluxation of the fibula at the knee; a normal knee joint and an ankle joint that may look abnormal but falls short of true diastasis of the joint. Treatment of two cases by differential lengthening of the tibia and fibula using the Ilizarov device is described. This form of tibial hemimelia should be recognised as a separate variant as preservation of the foot and ankle with expected excellent function should be possible, unlike the more severe forms of this condition.

Age Factors↗
PubMedDate not supplied

Kyphectomy in children with myelomeningocele: a long-term outcome study.

Twenty-four children with myelomeningocele and a kyphotic deformity treated by surgical correction between 1980 and 1994 were reviewed. Different techniques of instrumentation and spinal fusion were used. The mean age at surgery was 9.5 years. The mean kyphotic angle was 121 degrees preoperatively, 50 degrees postoperatively, and 57 degrees at final follow-up. The postoperative complication rate was high. Delayed wound healing and late skin breakdown with exposure of instrumentation were common problems. Further surgery to remove protruding hardware was necessary in 18 patients. Long posterior instrumentation with fixation to the pelvis had significantly better stability on follow-up than other methods. Despite the prolonged postoperative morbidity in the majority of the study group, the long-term clinical and radiologic outcome at a mean follow-up of 10 years was excellent.

Adolescent↗
PubMedDate not supplied

Spondylocostal dysplasia in identical twins.

Identical twins with spondylocostal dysplasia are reported. To our knowledge, this has not been reported previously. Other forms of short trunk dwarfism are discussed.

Adult↗
PubMedDate not supplied

Pseudowinging of the scapula due to osteochondromata.

We report two patients, each with pseudowinging of the scapula caused by an osteochondroma. Local excision of the tumour cured the deformity. Clinical examination will help differentiate winging from pseudowinging, especially if the patient has scoliosis.

Child↗
PubMedDate not supplied

Severe osteopenia with recurrent fractures after bone marrow transplant for Wiskott-Aldrich syndrome: a case report.

Wiskott-Aldrich syndrome (WAS) is a rare inherited disorder characterised by thrombocytopenia, eczema, and immunodeficiency. Bone marrow transplantation (BMT) is a well-established modality of treatment now routinely used and often curative. We report the case of a boy who developed osteopenia and sustained multiple long-bone fractures over a 5-year period after bone marrow transplant for WAS. The femora and tibiae of both lower limbs were involved with a clinical presentation similar to osteogenesis imperfecta. After commencing calcitriol treatment at the age of 8 years, the patient has not sustained any further fractures. He is now 11 years old. Although short-term changes in bone metabolism after BMT have been documented, the occurrence of repeated fractures associated with osteopenia has not been previously reported.

Bone Diseases, Metabolic↗
PubMedDate not supplied

Distal tibial physeal arrest: a complication of meningococcal septicemia.

Two cases of meningococcal septicemia are presented. Distal tibial physeal arrest occurred in both cases due to hypotension and disseminated intravascular coagulation. To our knowledge, this is the first report of distal tibial physeal arrest with resultant varus deformity at the ankle subsequent to meningococcal septicemia.

Bone Diseases, Developmental↗