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Biomedical subjects

M J Hulstyn

Publications and source records attributed to M J Hulstyn.

4 recordsLinked to original sources

Incidence of deep vein thrombosis after arthroscopic knee surgery: a prospective study.

Deep vein thrombosis (DVT) with subsequent pulmonary emboli (PE) is the most life-threatening complication of knee arthroscopy. Although the incidence of clinically diagnosed DVT after arthroscopy is low, clinical examination is less sensitive and specific than other diagnostic modalities for the detection of venous clot. This study used compression ultrasound to prospectively evaluate patients before and after arthroscopic surgery for the presence of DVT. Preoperatively, patients were screened for DVT risk factors. Eighty-five patients completed the study. Three asymptomatic "silent" DVTs were identified, for an incidence of 3.5%. There was no statistically significant difference between those with and without risk factors for the development of DVT.

Adolescent

Arthroscopic anatomy of the shoulder.

The importance of a thorough knowledge of regional anatomy in any surgical discipline cannot be overemphasized. This is particularly true for the orthopedist as arthroscopic procedures continue to evolve with our increased understanding of shoulder pathology and as we attempt to improve patient outcomes. Surface and bony anatomy allow the arthroscopist to infer the location of the glenohumeral joint and subacromial space. Proper portal placement allows access to these regions without risk of neurovascular, tendon, or articular injury. Glenohumeral and subacromial anatomy can be clearly seen arthroscopically with many normal variants. Knowledge of normal shoulder anatomy allows the orthopedic surgeon to safely and successfully treat pathologic conditions.

Arthroscopy

Adhesive capsulitis of the shoulder.

Adhesive capsulitis of the shoulder is a relatively common problem that can cause significant functional morbidity in a wide variety of patient populations. Numerous treatment methods have been advocated and are reviewed and summarized in this article. Although several advances have been made in determining the etiology of this disorder, it remains poorly understood and without any definitive treatment algorithm.

Anti-Inflammatory Agents, Non-Steroidal