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Biomedical subjects

E Kuur

Publications and source records attributed to E Kuur.

18 recordsLinked to original sources

[Registration under the diagnosis of traumatic hip luxation in the national registry].

A national study of patients treated on account of traumatic dislocation of the hip in Denmark in 1989 and 1990 revealed that 755 cases had been registered under this diagnosis in the National Patient Register. A review of case reports from 71 departments with 755 registered identity numbers in the National Patient Register demonstrated that 121 patients had been treated for traumatic dislocation of the hip during the same period, and that seven of these had not been registered via the National Patient Register. The remaining 605 patients (80%) had either sustained dislocation of a hip prosthesis or had congenital dislocation of the hip. It is concluded that the Danish National Register, in its present form is of no value whatsoever in registration of traumatic dislocation of the hip nor congenital dislocation of the hip or dislocation of a total hip prosthesis.

Denmark

Aneurysmal bone cyst of the proximal phalanx.

A case of aneurysmal bone cyst of the proximal phalanx in a young boy with unfused epiphysial plates is reported. Curettage failed, so diaphysectomy and cortical bone grafting were performed, sparing the epiphysial plate. This resulted in normal length and function, and the graft remodelled completely to a normal appearance of tubular bone.

Bone Cysts

[Intraosseous ganglia of the carpal bones].

Symptom-producing cystic lesions in the carpal bones may be caused by intraosseous ganglia. Two different types occur: a completely intraosseous type and a rarer penetrating type. Two cases of the latter type are presented. In both of the types, the symptoms consist of pain following prolonged stress. In the penetrating type, a soft tissue tumour can be palpated. A cystic region of decalcification is visible radiographically. As a rule, no degenerative joint changes are encountered. Treatment consists of emptying of the cyst and bone transplantation in rare cases. Recurrence is rare.

Adult

Treatment of solitary enchondromas in fingers.

The results after operative treatment of 21 solitary enchondromas of finger bones are described. 15 cases were treated by curettage and cancellous bone grafting, five by curettage alone, and one with amputation. One case did not heal after curettage and grafting. When symptoms are present or the cortical strength is decreased, we recommend operation. We find that the eccentric type of enchondroma can be treated adequately by curettage alone, while curettage and filling of the cavity with cancellous bone should be preferred in the central and polycentric forms. It is important that all material is removed from the cyst, which has to be packed completely with bone chips. The possibility of malignant change in enchondromas should be borne in mind, but we did not see this.

Adolescent

99mTc-SN-pyrophosphate scintigraphy following traumatic posterior dislocation of the hip.

Avascular necrosis of the head of the femur is a serious complication of traumatic dislocation of the hip joint; therefore 99mTc-SN-pyrophosphate scintigraphy was carried out 10 to 14 weeks (average 12 weeks) after the injury on 12 patients to determine whether it was possible to demonstrate reduced or no activity of the head of the femur before development of radiological avascular necrosis of the head of the femur. Increased activity was observed in 9 of 11 hips with fracture-dislocation of the head of the femur, acetabulum or both, and normal activity was demonstrated in the contralateral hip of all patients. During the follow-up period avascular necrosis of the head of the femur developed in four hips from 6 to 20 months after the accident. It is concluded that 99mTc-SN-pyrophosphate scintigraphy 12 weeks after traumatic dislocation of the hip was unable to identify hips at risk of later development of avascular necrosis of the head of the femur.

Adolescent

Side-swipe injury to the elbow.

A case with a "side-swipe" injury in the left elbow while projected out an automobile window, resulting in avulsion of the distal one third of the humerus and proximal two thirds of the olecranon, is reported. The bony defect was reconstructed by an endoprosthesis to preserve elbow function.

Accidents, Traffic

[Jumper's knee].

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Adult

Two cases of Charcot's shoulder arthropathy.

Two cases of Charcot's arthropathy of the shoulder demonstrate that acute, as well as chronic, arthropathy may develop in patients with normal protective joint sensitivity. In one case the changes developed rapidly, and arthrodesis was performed with an excellent result. In the other, Charcot changes occurred in a patient with an untreated bilateral shoulder dislocation.

Adult

Scaphoid-trapezium-trapezoid subluxation.

A case of scaphoid-trapezium-trapezoid subluxation (STTS) is presented. This injury has only been described three times before. More interest in injuries to the ligaments of the wrist will probably show a greater frequency of (STTS). In cases of pain on the radial border of the wrist due to trauma and with normal routine radiographs, one would recommend supplementary radiographs with the wrists kept in maximal ulnar deviation. The treatment of (STTS) is discussed.

Adult

Painful fabella. A case report with review of the literature.

Fabellectomy gave immediate and continued relief of symptoms to a patient with pain of long duration in the lateral aspect of both popliteal fossae. Attention should be given to pathologic changes of the fabella in cases with intermittent posterolateral knee pain and normal examination of the knee, except for tenderness on pressure over the fabella. The clinical importance of the fabella is discussed with special regard to chondromalacia.

Adult