Advances in shoulder surgery.
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Fractures, Bone↗
Biomedical subjects
J P Schutte
Publications and source records attributed to J P Schutte.
Fixation of metacarpal and phalangeal fractures with miniature plates and screws.
Fifty-two unstable metacarpal and phalangeal fractures were treated with miniature plates and screws as internal fixation devices with excellent results based on the criteria of the American Society for Surgery of the Hand (total active range of motion greater than 220 degrees). This technique stabilizes the skeleton, preserves the gliding tissues, and thus allows immediate active range of motion exercises. Transverse, spiral, oblique, and condylar fractures of the metacarpals and phalanges are best suited for this method.
Adolescent↗
Translation of the glenohumeral joint with the patient under anesthesia.
This study was undertaken to determine glenohumeral translation in the anesthetized patient. Radiographically assessed humeral translation was measured in 18 members of a control group, 10 patients with anterior instability, and 10 patients with multidirectional instability. In the control group stress radiographs revealed anterior translation of 17% (percentage of the diameter of the glenoid from anterior to posterior), posterior of 26%, and inferior to 29% (percentage of diameter of glenoid from superior to inferior). In patients with anterior instability anterior translation was 29%, posterior translation was 21%, and inferior translation was 49%. In patients with multidirectional instability anterior translation was 28%, posterior translation was 52%, and inferior translation was 46%. Overlap in translation was seen between normal members and those with instability. The most practical method to grade anterior and posterior translation of the humeral head within the glenoid fossa involves a clinical assessment of where the center of the humeral head rests in reference to the glenoid rim.
Adolescent↗