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Biomedical subjects

H M Litchman

Publications and source records attributed to H M Litchman.

9 recordsLinked to original sources
PubMed1986

Compartment syndrome associated with Staphylococcus endotoxin.

A case is presented of a 23-year-old athletic male student who developed right knee pain after a weekend of strenuous activity. The patient failed to respond to conservative measures; pain increased and within 24 hours he developed fever, chills and swelling of the involved knee. On admission to the hospital, the patient appeared toxic. Efforts to establish a diagnosis, particularly with the use of computerized axial tomography are described. It was surgical decompression of muscular swelling of the distal thighs, revealed by CT scanning, that led to the diagnosis and the successful treatment that followed.

Adult↗
PubMed1976

Surgical correction of spastic thumb-in-palm deformity.

A series of 31 operations on 27 patients for correction of the spastic thumb-in-palm deformity is reported. 19 patients were followed four years or longer post-operatively; the remainder have been followed for at least one year. In approximately 70 per cent of the operations, supplementary procedures were performed on the hand or forearm, as the deformity is usually only one facet of a complex spastic disability of the upper extremity. The surgical technique and illustrative cases are presented. Augmentation of a markedly weak extensor-abductor motor function is necessary, otherwise the spastic thumb-in-palm deformity will recur, as in two cases in the present series which required a second operation. The remainder of the patients were classified as improved, indicating that the thumb was no longer clenched in the palm, could be used in gross grasping activities, and the hand had become more useful. In no instance did the spastic hand become the primary functioning hand post-operatively.

Adolescent↗
PubMedDate not supplied

Computerized blood flow analysis for decision making in the treatment of osteochondritis dissecans.

Patients presenting the radiologic appearance of osteochondritis dissecans (OCD) require a decision as to further treatment. This often requires an invasive procedure. The noninvasive technique of computerized blood flow analysis (CBFA) has been used in 13 patients with OCD. In clinically early disease (four patients), there is always decreased flow in the area distal to the OCD lesion. Patients with intermediate OCD (four patients) showed characteristics of healing reflected in increased flow to the OCD lesion. These patients were left under observation and underwent spontaneous healing. Patients who showed no increase in flow or had decreased flow in the area of involvement (four patients) were clinically found to be nonviable OCD and required surgical intervention. The technique of CBFA therefore holds promise for decision making in the management of this disease.

Adolescent↗