Pyogenic sacroiliitis in a 14-year-old girl.
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Adolescent↗
Biomedical subjects
Johan Somville
Publications and source records attributed to Johan Somville.
Plate fixation of middle-third fractures of the clavicle in the semi-professional athlete.
From 1995 to 2003, 39 semi-professional athletes (34 men and 5 women) aged 17-34 years (mountain bike racers, soccer players, swimmers and cyclists) with a displaced fracture of the middle-third of the clavicle were treated operatively using rigid plate fixation within one week after the initial trauma. In 90% of the athletes, radiographic union was achieved after 12 weeks. At 6 weeks post-operatively the mean Constant score was 88 points, the mean visual analogue pain score was 3 out of 10 and the average time for return to sports was 45 days. Seventy-five percent of the patients were very satisfied with the end-result and 95% would chose to have the same operation again. In 5% of the cases the end-result was unsatisfactory. The most frequent postoperative complication was wound infection (18% of the cases). Nevertheless, this did not affect the outcome. Other postoperative complications in our athletic population included refracture (5%), transient neurological complications (7%) and non-union (5%), which were equally low in the literature. These data suggest that rigid plate fixation of middle-third clavicle fractures gives good results in the semi-professional athlete and may result in early return to sports activity, at the expense of a significant risk for complications, which would not be considered acceptable in patients with lower functional demands.
Adolescent↗
Surrounding soft tissue pressure during shoulder arthroscopy.
In 40 patients undergoing arthroscopic subacromial decompression, we monitored the soft tissue pressure in the paratracheal region and in the deltoid and supraspinatus muscles, looking for evidence of a potentially dangerous rise in pressure, especially in the paratracheal region. Statistical analysis was used to determine predictable variables of the time of reaching maximum pressure in and between the three regions. Deltoid pressure rose quickly during surgery, and did not drop to baseline levels at the end of surgery. Supraspinatus pressures showed a similar trend but with lower maximum levels of pressure rise. Five patients had an (unexpected) rise in paratracheal pressure, with an absolute maximum of 133.4 mmHg in one. In only two patients, did "10 minutes post-op" paratracheal pressure levels not drop to baseline levels. No respiratory problems occurred during any procedure. There are no variables to predict a potentially dangerous rise in surrounding soft tissue pressure during shoulder arthroscopy. We recommend endotracheal intubation during shoulder arthroscopy.
Adult↗