Alveolar soft-part sarcoma. A case report.
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Biomedical subjects
Publications and source records attributed to M D Dennis.
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A retrospective clinical and roentgenographic study was done of seven patients who underwent Blair tibiotalar arthrodesis. The average age of the patients was twenty-six years and the average follow-up was 3.9 years. Results were good in five patients, fair in one, and poor in one. Results were more closely correlated to tibiopedal motion than to anatomical restoration. In two patients pseudarthrosis developed: painful in one and asymptomatic in one. A good result has 16 to 20 degrees of tibiopedal motion; a fair result, 11 to 15 degrees; and a poor result, 10 degrees or less.
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The MMPI is a valuable source of additional information for the orthopedist faced with trying to manage patients who may have hysterical or hypochondriacal tendencies. The presence of elevations on scales 1 (hypochondriasis) and 3 (hysteria) markedly reduces the chances for successful therapeutic intervention, whether it be surgical or conservative. A clinical interview by a psychologist in conjunction with the MMPI has improved diagnosis and management programs for patients with low back pain.
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