PubMed Health⌕ Search

Biomedical subjects

E Verhaven

Publications and source records attributed to E Verhaven.

12 recordsLinked to original sources
PubMed1993

Surgical treatment of acute type-V acromioclavicular injuries in athletes.

In a prospective study, 18 consecutive athletes with an acute type-V acromioclavicular sprain were treated with a coracoclavicular repair using a double velour Dacron graft. All patients were reviewed after a mean follow-up period of 6 years (range: 2-9 years). At follow-up, 12 patients (66.7%) showed a good or excellent result according to the Imatani evaluation system, and six patients (33.3%) demonstrated a fair or poor result according to the same system. Loss of reduction was encountered in eight shoulders (44.4%) despite an initial anatomical reduction. No correlation was seen between the overall scores at follow-up and the degree of residual dislocation, between the overall scores and the presence of coracoclavicular calcifications or ossifications, between the overall scores and the development of post-traumatic arthritic changes, or between the overall scores and the presence of osteolysis of the distal clavicle.

Acromioclavicular Joint↗
PubMed1993

Surgical treatment of acute biceps tendon ruptures with a suture anchor.

Fixation of acute proximal and distal biceps tendon ruptures can be facilitated by the use of suture anchors. Originally designed for open Bankart procedures, suture anchors provide adequate fixation for soft tissue healing, limit the extent of dissection, reduce the incidence of frozen shoulder and damage to neurovascular structures and allow early postoperative rehabilitation. Four consecutive patients were successfully treated by this method with a minimum follow-up period of 1 year.

Adult↗
PubMed1992

Stress fracture of the radius following non-union of an isolated fracture of the ulna.

Non-union of the ulnar diaphysis after isolated ulnar shaft fracture is uncommon. Complications due to non-union of the ulna must therefore be very rare. A case of a stress fracture of the radius in a postmenopausal woman following an isolated ulnar shaft fracture and non-union is presented. The mechanism of the stress fracture and propositions for preventing non-union of the ulnar shaft after an isolated fracture in the osteoporotic patient are discussed.

Aged↗
PubMed1992

Surgical treatment of acute type V acromioclavicular injuries. A prospective study.

In a prospective study, 28 consecutive patients with an acute Type V acromioclavicular sprain were treated with a coraco-clavicular repair using a double velour Dacron graft. All patients were reviewed after a mean follow-up period of 5.1 years (range: 1 to 9 years). At follow-up, 20 patients (71.4%) showed good or excellent results, according to the Imatani evaluation system, and 8 patients (28.6%) demonstrated a fair or poor result according to the same system. Loss of reduction was encountered in 11 shoulders (40%), despite an initial anatomical reduction. No correlation was seen between the overall scores at follow-up and the degree of residual dislocation, between the overall scores and the presence of coraco-clavicular calcifications or ossifications, between the overall scores and the development of posttraumatic arthritic changes, or between the overall scores and the presence of osteolysis of the distal clavicle.

Acromioclavicular Joint↗
PubMed1992

Magnetic resonance imaging (MRI) of the ankle and hindfoot.

While Magnetic Resonance Imaging (MRI) has become a routine diagnostic method to deal with pathology of the knee, little has been published about foot and ankle lesions. This is probably due to the anatomic complexity of bone and ligamentous structures of these small joints, necessitating the use of very thin slices from various orientation planes (orthogonal and oblique planes). A special technique is needed allowing a 3-dimensional (3D) analysis, using inframillimetric slices and more sophisticated equipment than for 2-dimensional (2D) MRI (high fields with good homogeneity, specialized image processors...). An initial potential indication of the method is the precise diagnosis of lateral ligamentous components in severe sprains. MRI may determine if surgical therapy is needed. The ligamentous components are reconstructed along their specific planes thanks to the 3D method. Furthermore, assessment of the ligamentous damage is also possible in chronic ankle instability (elongation, fibrotic appearance...). Thanks to the multiplanar approach, associated lesions of articular cartilage can be revealed in ankle sprains. The high sensitivity of MRI in slight modifications of medullary bone allows the early diagnosis of "occult" fractures (not seen on conventional radiographs), osteonecrosis, osteochondrosis and reflex sympathetic dystrophy syndrome. Finally, MRI easily displays all ankle and foot tendons and fascia and is particularly helpful in depicting partial tears and postoperative complications.

Adult↗
PubMed1991

External fixation for comminuted intra-articular wrist fractures.

We treated 101 consecutive patients with Frykman type III, IV, VII and VIII fractures of the distal radius and ulna with the small Hoffman external fixator between 1986 and 1989. All patients were reviewed after a mean follow-up period of 22 months (range: 12 to 45 months). At follow-up, 88 wrists (87%) were rated good or excellent, according to the demerit point system, and 13 wrists (13%) were rated fair or poor according to the same system. A highly significant correlation (p less than 0.01) was found between the overall scores at follow-up and the grade of postoperative articular incongruity, between the overall scores and the grade of osteoarthritis at follow-up, between the grade of postoperative articular incongruity and the grade of osteoarthritis at the follow-up, as well as between the overall scores and the grip strength at follow-up. A significant correlation (p less than 0.05) was found between the length of follow-up and the grade of osteoarthritis at follow-up. Although the complication rate was rather high (40%), most of these problems were minor, transient and pin-related.

Adolescent↗
PubMed1991

Meniscal bearing dislocation in the Oxford knee.

The Oxford knee is a unicompartmental knee prosthesis with a polyethylene meniscal bearing. Anterior dislocation or medial subluxation has been described in lateral compartment arthroplasties. The authors present the case of a medial dislocation of the lateral meniscal bearing and a review of the literature concerning meniscal bearing instability in the Oxford Knee.

Female↗
PubMed1991

Osteosarcoma appearing as a pathologic fracture.

Osteosarcoma is the most frequent primary malignant bone tumor. It usually occurs in the second decade of life. Pathologic fracture as the primary manifestation of an osteosarcoma is rather unusual, especially under the age of 10. The authors present the case of a 9-year-old boy with a diaphyso-metaphyseal femoral fracture, in whom the radiological features of an osteosarcoma were not recognized at the time of the fracture as they were not clearly visible, and at follow-up initially were considered as proliferative callus formation.

Child↗
PubMed1990

Osteomyelitis of the acetabulum.

The authors describe an 11-year-old boy with hip pain in whom septic arthritis was first suspected. Radionuclide scintigraphy demonstrating increased uptake in the acetabulum led to the diagnosis of osteomyelitis. In the case presented, the value of bone scanning with careful interpretation of even minimally increased uptake and the usefulness of repeated evaluation is demonstrated.

Acetabulum↗
PubMed1989

Malignant schwannoma. A case report and review of the literature.

A rare case of a malignant schwannoma presenting as a central fracture-dislocation of the acetabulum is reported. Histological examination showed a high-grade sarcoma. A pleural metastasis was present. A local reconstructive procedure consisting of local tumor excision with an acetabular prosthetic replacement and adjunctive radiation therapy was elected for the patient, who had a short-term prognosis.

Acetabulum↗
PubMed1989

Dome osteotomy of the tibia for osteoarthritis of the knee.

Dome osteotomy of the tibia was performed for osteoarthritis of the medial knee compartment in 54 knees (48 patients). All patients were reviewed after a mean follow-up period of 5-7 years (range: 2 to 10 years). At follow-up, 42 knees (78 per cent) were rated good or excellent, according to the Hospital for Special Surgery Knee Service Rating System (H.S.S.). Twelve knees (22 per cent) were rated fair or poor, according to the H.S.S. score. A highly significant correlation (p less than 0.01) was found between the H.S.S. score and the preoperative grade of osteoarthritis, as well as between the H.S.S. score and the grade of preoperative laxity. Immediate postoperative complications occurred in 19 knees (35 per cent), although without significant influence on the final clinical outcome. Revision surgery had to be performed in 6 knees.

Adult↗