Fifteen wrists in 11 patients with rheumatoid tenosynovitis involving the extensor tendons were treated by decompression alone, without synovectomy. The results were not unlike those obtained by the more traditional operation of tenosynovectomy. Alleviation of the retinacular compression appears to have a beneficial local effect to reduce synovitis and to arrest tendon attrition and pain. Removal of the synovium is not required in the treatment of such cases.

Adult↗

PubMed1977

Tendon xanthoma in type IV hyperlipoproteinemia.

A tendon xanthoma is reported in a patient with type IV hyperlipoproteinemia. This is an unusual situation not previously reported in the literature.

Adult↗

PubMed1977

Ulnar drift and metacarpophalangeal joint subluxation in the rheumatoid hand: review of the pathogenesis.

Ulnar drift and metacarpophalangeal joint subluxation are complicated abnormalities with a wide variety of causes. This paper reviews certain anatomic and mechanical features of the normal hand which predispose toward these abnormalities. In the rheumatoid hand, the major deforming forces include extensor forces, flexor forces, intrinsic forces, and forces from the wrist and carpometacarpal joints. Ulnar drift and metacarpophalangeal joint subluxation result not from any singular cause, but from a combination of all or many of these forces acting upon a joint rendered unstable by rheumatoid synovitis.

Biomechanical Phenomena↗

PubMed1976

Case report and review of current treatment methods. Tuberculous spondylitis.

Explore the source record for details and available documents.

Adult↗

PubMedDate not supplied

Malignant tumors of the pelvic girdle mimicking the herniated disk syndrome.

Sarcomas of the pelvic girdle may produce signs and symptoms indistinguishable from those of herniated lumbar disks. Five patients are described in which the diagnosis was more difficult than in patients with intraspinal or vertebral neoplasms because they demonstrated isolated nerve root abnormalities, a positive history of trauma, an absence of radiographic abnormalities, and a lack of symptoms usually associated with malignancy. Four of the 5 patients underwent laminectomy for suspected herniated disks. In such cases a correct diagnosis often can not be made at the outset but the necessity for frequently repeated clinical and radiographic examinations cannot be overemphasized.

Adult↗

PubMedDate not supplied

Paraplegia from operating position and spinal stenosis in non-spinal surgery: a case report.

A 61-year-old patient with pre-existing but asymptomatic spinal stenosis was placed in the lateral position on the operating table for hip surgery. The lumbar spine was in a position of extension and lateral bend. This position, combined with severe spinal stenosis (proven later at surgery), caused enough compression on the neural elements to produce permanent paraplegia. Similar cases have been reported but remain an infrequent cause of postoperative paraplegia.

Constriction, Pathologic↗

PubMedDate not supplied

Myositis ossificans traumatica in a young child: a case report.

This is a case report of a 2-year, 11-month-old boy with traumatic myositis ossificans of the deltoid muscle, possibly the youngest child with this condition reported in the literature. The lesion, removed 7 months after injury because of pain, showed no evidence of spontaneous regression.

Child, Preschool↗