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Biomedical subjects

L J Clein

Publications and source records attributed to L J Clein.

12 recordsLinked to original sources

Formation of abdominal cyst secondary to ventriculoperitoneal shunting.

The formation of an abdominal cyst is an uncommon complication of ventriculoperitoneal shunts. Three cases are presented in this paper and 21 previously reported cases and reviewed. The authors believe that decreased absorptive power of the peritoneum as a result of adhesions from previous multiple abdominal procedures or infection (particularly by Staphylococcus epidermidis), or both, is of etiologic significance. The patients presented with abdominal swelling and tenderness due to a malfunctioning shunt. Early diagnosis is possible by roentgenography of the abdomen and radioisotope scanning of the shunt. Paracentesis with conversion of the shunt to a ventriculoatrial or ventriculocisternal type is the treatment of choice.

Abdomen↗

The droopy shoulder syndrome.

Three patients with the droopy shoulder syndrome are described. This condition occurs most often in young women who are mildly or moderately depressed. Their shoulders are painful and the only clinical sign is drooping of the shoulders. There are no signs of neurologic abnormality. A lateral radiograph of the cervical spine shows all seven cervical vertebrae, the first thoracic vertebra and part or all of the second thoracic vertebra.

Adult↗

Suprascapular entrapment neuropathy.

The author describes the syndrome of suprascapular nerve entrapment neuropathy that occurs as that nerve passes beneath the transverse scapular ligament, and discusses the anatomy, comparative anatomy, and five case histories. The cardinal findings include pain in the shoulder, weakness, and wasting of spinati muscles, and a positive electromyogram. Treatment is by division of the transverse scapular ligament.

Adult↗