Biomedical subjects

J M Decaillet

Publications and source records attributed to J M Decaillet.

10 recordsLinked to original sources

PubMed1982

[Compressive pathology of ulnar nerve. Thirty seven cases reported (author's transl)].

The authors have reviewed 37 operated cases of ulnar nerve compression, on the level of the elbow and the wrist, with a minimum follow-up of one year. Traumatic etiologies are more common on these two levels. The authors find 32% of pure entrapment syndromes at the elbow, whereas this phenomenon does not seem to exist at the Guyon's loge. Mac Gowan's classification was used to range the patients in three degrees, according to the importance of the palsy before operation. Surgical treatment was is all cases, at least decompression. At the elbow was added anterior transposition of ulnar nerve beneath epitrochleal muscles or beneath the skin. Considering the results, these lesions are all the more severe, as they are higher (elbow) and more advanced.

Adult↗

PubMed1982

Current aspects of tuberculous tenosynovitis. A report of six cases.

Tuberculosis of tendon sheaths of the hand was rare before the advent of antituberculous drugs. It seems now-a-days exceptional, for the published series become more an more uncommon and smaller. Therefore, the diagnosis is often an operative surprise on a patient with a painless, gradually developing tenosynovitis. No patient suffered from other active tuberculosis. But two of them had an old history of tuberculosis (knee and kidney). Analysis of other cases is inconclusive about the relation ship between trauma and tuberculosis. Histology and cultures establish the diagnosis. Surgical treatment consists in large excision of involved tissues. The damages provoked by the illness are often important, with sometimes tendon ruptures. However, functional results are surprisingly not so bad. Antituberculous drugs are the backbone of the surgical treatment for several months.

Adolescent↗

PubMed1981

[Carpal tunnel syndrome: present views on causes and treatment. 250 cases (author's transl)].

The authors review a series of 250 patients with carpal tunnel syndrome who were operated upon and followed up, and report on an experimental study of the effects of local corticosteroid injections on the nervous fiber. Predominant among the various causes of syndrome were the so-called "rheumatic" conditions, chiefly fibrous hypertrophic tenosynovitis. Therapeutic indications and medical and surgical treatments are discussed. The need for limiting local corticosteroid therapy to one single injection is emphasized, together with the safety of surgical incision, which can be performed under nerve block anaesthesia and only requires a one-day stay in hospital.

Carpal Tunnel Syndrome↗

PubMed1981