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Biomedical subjects

K J Paley

Publications and source records attributed to K J Paley.

6 recordsLinked to original sources

Spontaneous tibial compartment syndrome: case report.

We report the case of an obese 34-year-old woman who spontaneously developed compartment syndrome in her right calf. The patient was treated with four-compartment fasciotomy and debridement of necrotic tissue. Four months after treatment she was ambulating without the use of aids and had full range of motion and muscle strength.

Adult↗

Case report 802: Ewing's tumor of the proximal phalanx of the third finger with radiographic progression documented over a 6-year-period.

In summary, a case of Ewing's tumor of the proximal phalanx of the long finger of the right hand was presented. This case is unusual because of its location as well as the unusually long clinical course before the correct diagnosis was made. The major point to be stressed is that Ewing's tumor may initially present with a "benign" appearance mimicking a bone cyst [17] or angioma [12]. Timely follow-up of so-called benign lesions, particularly when recurrent swelling occurs, would help in avoiding prolonged delays in diagnosis.

Bone Neoplasms↗

Penetration of the distal femur by the distal locking device of Brooker Wills interlocking nail.

Of seven patients with complications caused by penetration of the distal locking device through the distal femur, three had penetration of the distal locking device into the knee joint. Two patients had penetration into the patellofemoral joint. One patient had penetration into the lateral cortex of the distal femur and another patient had penetration into the medial cortex of the distal femur. All but one patient required removal of the rods and/or the distal locking device. The main causes of complications include rod rotation, previous surgery, preexisting deformity of the femur, and failure to insert the rod into its proper location distally.

Adult↗

Arthroscopic findings in the overhand throwing athlete: evidence for posterior internal impingement of the rotator cuff.

SUMMARY: The purpose of this article is to describe the outcome of an arthroscopic examination and the pathology in symptomatic shoulders of 41 professional overhand throwing athletes. With the arm in the position of the relocation test, 100% of the subjects had either contact between the rotator cuff undersurface and the posterosuperior glenoid rim or osteochondral lesions. Other key findings included undersurface cuff fraying in 93%, posterosuperior labral fraying in 88%, and anterior labral fraying in 36% of the subjects. This study supports the concept of impingement of the posterior cuff undersurface with the posterosuperior glenoid rim in the overhand throwing athlete with shoulder pain.

Adolescent↗

Severe displacement of a calcaneal apophyseal fracture.

Calcaneal apophyseal fractures are rare injuries. Careful review of radiographs are necessary to make the correct diagnosis and initiate prompt treatment. The authors report the case of an adolescent with a severely displaced calcaneal apophyseal fracture that was missed on initial evaluation due to significant soft tissue swelling and misinterpretation of radiographs.

Accidents, Traffic↗