Biomedical subjects
L C Hurst
Publications and source records attributed to L C Hurst.
What was wrong with Anna O?
The case of Fräulein Anna O (Bertha Pappenheim) was the first detailed by Breuer and Freud in 'Studien über Hysteria' (1895). The case history is examined and an organic causation postulated. The fallacies of psychogenesis and of hysteria as a disease are mentioned. Breuer's claim of cure by the cathartic method appears unfounded.
The relationship of thoracic outlet syndrome and carpal tunnel syndrome.
The elusive diagnosis of thoracic outlet syndrome and its controversial relationship with carpal tunnel syndrome is examined by a retrospective study of 1000 cases of carpal tunnel syndrome and 63 cases of thoracic outlet syndrome. Thoracic outlet syndrome is rare and difficult to accurately diagnose. The signs and symptoms of thoracic outlet syndrome lack specificity. The ancillary tests used to evaluate patients with expected thoracic outlet compression also add little objectivity to the diagnostic process. Carpal tunnel syndrome is still as inaccurately diagnosed as thoracic outlet syndrome. Carpal tunnel syndrome can easily be confused with thoracic outlet syndrome when it presents with shoulder pain. The spontaneous occurrence of these two syndromes in a single patient is extremely rare. The relationship of carpal tunnel and thoracic syndromes does not represent an example of the double crush syndrome. In this study, the incidence of combined carpal tunnel and thoracic outlet syndromes approached zero. Surgical treatment of the carpal tunnel syndrome alleviated pain from the upper extremity in the majority of patients.
Mycobacterium marinum tenosynovitis in a Long Island fisherman.
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An intraarticular-intraosseous carpal ganglion.
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Chronic mallet finger: The use of Fowler's central slip release.
The use of Fowler's central slip release is reported in five patients considered to be failures of closed management in a personal series of 100 consecutive "mallet fingers" seen over a period of 3 years. Fracture-subluxation of the distal interphalangeal joint, avulsion fractures of the extensor tendon, and distal phalangeal epiphyseal injuries are excluded to regidly control the data interpretation. In all five the central slip release was employed as a salvage procedure-as Fowler recommended. In four cases the result was rated as excellent; the remaining case was rated as good, with minimum follow-up of 1 year.
Gamekeeper's thumb. Evaluation by arthrography and stress roentgenography.
We reviewed 197 previously reported cases of acute rupture of the ulnar collateral ligament of the metacarpophalangeal joint with respect to anatomy, diagnosis, surgical findings, and management. A standardized roentgenographic technique in stress abduction of the thumb was developed from thirty normal patients. The correlation between the abduction arc as recorded by our technique, the arthogram, and surgical pathology in twenty patients is reported.