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Biomedical subjects

J W Strickland

Publications and source records attributed to J W Strickland.

At least 19 recordsLinked to original sources

To my fellows.

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Delivery of Health Care

Adhesions between muscle and bone after forearm fracture mimicking mild Volkmann's ischemic contracture.

Five cases of digital flexion contractures after healed forearm fractures were incorrectly diagnosed as mild Volkmann ischemic contractures. All failed to respond to conservative therapy and were considered significant enough to require surgical correction. At surgery, the involved muscle-tendon units were densely adherent to the bone and callus of the fracture site with no evidence of ischemic involvement of the muscle. Lysis of adhesions and lengthening of the contracted muscle corrected the deformities.

Adolescent

Long-term evaluation of Silastic trapezial arthroplasty in patients with osteoarthritis.

This study of 151 Silastic trapezial arthroplasties evaluates the long-term radiographic and clinical results in patients with osteoarthritis. A radiographic grading system was developed to objectively evaluate and quantify changes seen at the implant-bone contact areas, within the metacarpal medullary canal and distal pole of the scaphoid. Trapezial arthroplasties studied on average of 51 months after implantation revealed that in 56% (85 of 151) of scaphoids cysts had developed, and 74% (111 of 151) of the metacarpals had intramedullary radiolucency and/or cysts. Histopathologic evaluation of the areas of radiographic changes demonstrated silicone synovitis. Statistical analysis revealed that the radiographic changes in the scaphoid and medullary canal of the metacarpal were not directly related to time. Patient satisfaction, found to be 84% (127 of 151) of the study population, did not correlate with the grade of scaphoid or metacarpal radiographic change. This systematic radiographic grading system has been found useful in the long-term durability evaluation of Silastic trapezial arthroplasties.

Aged

Anatomy and pathogenesis of the digital cords and nodules.

Current theories on the origin of the diseased tissue in Dupuytren's contracture are reviewed, and previous descriptions of the pathologic anatomy are clarified. The pathogenesis of Dupuytren's contracture is cited, with emphasis on the development of the contracture at various sites.

Dupuytren Contracture

Pronator syndrome.

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Carpal Tunnel Syndrome