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Biomedical subjects

G E Howell

Publications and source records attributed to G E Howell.

15 recordsLinked to original sources
PubMed2001

Prevalence of abductor mechanism tears of the hips in patients with osteoarthritis.

In a prospective study of 176 consecutive patients who underwent total hip arthroplasty for osteoarthritis, we identified 34 (20%) with degenerative pathology of the abductor mechanism. These degenerative tears were commoner in elderly women. The hip capsule usually was involved, but in 6 patients (16%), the gluteus minimus or medius tendons were involved in isolation. These abductor mechanism tears are progressive in nature and the result of degenerative processes.

Aged↗
PubMed2001

Three year review following bone anchor repair of acute biceps tendon insertion rupture.

Three patients with acute biceps brachii tendon insertion ruptures were treated (less than 7 days post injury) using bone anchor anatomical repair. Dynamometer assessment of strength in both limbs was performed after completion of rehabilitation and again at 3.3 years after surgery. All patients were male, age 34, 35 and 53 years. Early isokinetic assessment was performed at 6, 7 and 12 months post surgery and medium assessment at 3.3 years post surgery. A full range of movement was achieved at early assessment and maintained into medium term assessment. All patients returned to their full premorbid occupation and sporting activity. Dynamometer strength of a repaired dominant limb equated to two thirds of a normal non dominant limb at early assessment, equal power was found at medium term assessment and a measurable increase in strength in both affected and unaffected arms was seen.

Adult↗
PubMed1999

Pelvic synovial cyst formation secondary to perforation of the quadrilateral plate: a case report.

A seventy seven-year-old female presented to her gynaecologist with right-sided pelvic pain and irregular per vaginal bleeding. Ten years earlier she had undergone a right cementless total hip arthroplasty. The press fit acetabular component had been augmented by screws. Radiological investigation requested by her gynaecologist identified a right iliac fossa mass. This communicated with the hip joint via a screw track formed by a fixation screw that had penetrated the medial wall of the acetabulum at total hip arthroplasty. Following aspiration of the fluid within the cyst, microscopy demonstrated it to be of synovial origin. Her symptoms subsequently resolved. This condition has not been reported previously.

Acetabulum↗
PubMed1995

Case report: brucella osteomyelitis--a difficult diagnosis.

The patient in this case report was probably infected by ingesting unpasteurised milk from a non-immunised dairy herd. The initial infection which probably occurred some 10 years prior to presentation, was evident only by night sweats. A high index of suspicion must be maintained in patients complaining on non-specific symptoms who are or have been at occupational risk, or have travelled in endemic areas of the world.

Anti-Bacterial Agents↗
PubMed1995

Orthopaedic implant removal at Royal Naval Hospital Stonehouse: a three-year review.

A recent study stated that 11% of all elective orthopaedic procedures performed at a Regional Orthopaedic Unit involved removal of orthopaedic implants. Indications for certain orthopaedic implant removal remain unclear. As budgets are squeezed even tighter throughout all branches of the Royal Navy, we looked at each operation performed for orthopaedic implant removal at Royal Naval Hospital Stonehouse and questioned their effectiveness with respect to finance and working days lost for serving personnel.

Fracture Fixation↗
PubMed1992

The effect of manpower and medical facility reduction on surgical practice during the Gulf Conflict 1991.

The General Surgical admissions to Royal Naval Hospital, Stonehouse from 1 April 1990-31 March 1991 were audited. This period included the Gulf War. There remained throughout the build-up to Operation Desert Storm, and during the actual conflict, a requirement to treat Service personnel as well as maintaining surgical training. This paper shows that both criteria were met despite reduced medical manpower and facilities.

Emergencies↗
PubMed1982

Angiolymphoid hyperplasia with eosinophilia.

Angiolymphoid hyperplasia with eosinophilia is a rare, benign skin disease of unknown etiology. In the western hemisphere it occurs mostly in females and is located mostly in the head and neck. Microscopically, it is characterized by dermal and subcutaneous infiltration of chronic inflammatory cells, especially eosinophils; neocapillary formation; and lymphohistiocytic hyperplasia. Effective treatment requires total excision.

Ear Neoplasms↗
PubMedDate not supplied

The shoelace technique for wound closure in open fractures: report of early experience.

A simple, reliable method of wound closure in open fractures is presented which has been used in this department. The necessity for split-skin grafting or flap cover, with the associated morbidity and cost implications, has been avoided by using this method. It has not been associated with any major complications in the patients studied, but it should be recognized that this method is not universally suitable in the treatment of all open injuries. We recommend this method as a simple way of achieving soft tissue cover in open injuries which are thoroughly debrided and cleaned, and in which there is no evidence of raised intracompartmental pressure.

Adolescent↗