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Biomedical subjects

M S Weseley

Publications and source records attributed to M S Weseley.

At least 19 recordsLinked to original sources

Closed treatment of isolated radial head fractures.

Three hundred eighty-seven cases of isolated fractures of the radial head are reviewed, that were treated over a 20-year period by the authors without operative intervention. Mason types I, II, and III were all included in this group. Excellent and good results were usually obtained. Seventeen radial head fractures were excised during the same 20 years because of severely displaced and/or loose fracture fragments. Roentgenographic and physical examination were the criteria for surgery rather than any specific classifications. The cooperation of the patient with early range of motion exercises was the major factor in obtaining excellent or good results with this injury.

Adolescent↗

The congenital cavus foot. A follow-up report.

Congenital cavus feet are not commonly related to central nervous system disease or associated with other significant congenital anomalies. The authors believe that the congenital variety of cavus foot is probably the most common etiology of cavus deformity, although it is usually noted only in later life when it becomes symptomatic. The vast majority of these feet can be managed conservatively; only rarely is surgical intervention warranted. Early recognition of the deformity and appropriate treatment is important. The Hibbs angle is a useful method of measuring the cavus deformity and can be employed in determining the degree of the deformity.

Casts, Surgical↗

Thoughts on in-toeing and out-toeing: twenty years' experience with over 5000 cases and a review of the literature.

We are reporting over 5000 cases of children presenting with toeing-in or toeing-out problems. Patients were seen over a period of 20 years. The toeing-in and toeing-out gait patterns are discussed in terms of the relationship to the hip joint and the tibiofibular unit. It is concluded by the authors that most of these problems represent normal variants in the development of the child and require no treatment. The necessity and modalities of therapy for the remainder are discussed in detail. The current literature on the subject is also reviewed.

Child↗

Rush pin intramedullary fixation for fractures of the proximal humerus.

We have treated almost 700 proximal humeral fractures, and selected from them a series of 16 cases which required operative intervention in the form of semiclosed reduction and internal fixation with the Rush pin because of the marked amount of displacement and risk on nonunion. We favor the 3/16 inch Rush pin for this operation. Fractures of the surgical neck comprise the vast majority of cases operated upon in this series. They are the easiest to reduce and fix by the Rush pin technique. Certain comminuted severely displaced fractures involving the anatomic neck of the humerus and/or greater and lesser tuberosities also lend themselves to this operation with comparable results to other methods of treatment. There have been no postoperative motalities and minimal morbidity. The operation can be performed rapidly and requires only a short period of immobilization and hospitalization.

Adolescent↗

The use of the Zuelzer hook plate in fixation of olecranon fractures.

Twenty-five cases of fracture of the olecranon process were treated using a modification of the Zuelzer hook plate, and uniformly excellent or good results were obtained in all cases in which there were no other associated traumatic lesions about the elbow joint. Regardless of the degree of comminution of the fracture, obliquity of the fracture line, or age of the patient, almost a full range of motion was obtained in every case. No failure of the appliance or loss of position occurred in any case despite the fact that active motion was usually instituted in one to two weeks.

Adolescent↗