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Biomedical subjects

N R Clay

Publications and source records attributed to N R Clay.

11 recordsLinked to original sources
PubMed1997

Conservative management of wrist ganglia. Aspiration versus steroid infiltration.

Wrist ganglia were randomly allocated for conservative treatment by either aspiration or aspiration and injection of steroid. Both treatment methods had 33% success rates. Almost all ganglia which recurred after one aspiration did not resolve with further aspirations. After aspiration and explanation of the benign nature of ganglia, only a quarter of patients requested surgical treatment.

Anti-Inflammatory Agents↗
PubMed1991

Need the thumb be immobilised in scaphoid fractures? A randomised prospective trial.

Immobilisation of the thumb is widely believed to be important in the management of fractures of the carpal scaphoid. To assess the need for this, we randomly allocated 392 fresh fractures for treatment by either a forearm gauntlet (Colles') cast, leaving the thumb free, or by a conventional 'scaphoid' plaster incorporating the thumb as far as its interphalangeal joint. In the 292 fractures which were followed for six months, the incidence of nonunion was independent of the type of cast used.

Adolescent↗
PubMed1988

Idiopathic thenar muscle hypertrophy.

Two patients are described with idiopathic hypertrophy of the first dorsal interosseous and thenar muscles. CT scans have proved helpful in defining the abnormality.

Adult↗
PubMed1988

The treatment of dorsal wrist ganglia by radical excision.

The dorsal wrist ganglion is the commonest benign soft-tissue tumour of the hand. Its treatment has been the subject of discussion for centuries, many methods being accompanied by an unacceptably high recurrence rate. Surgical extirpation gives the most reliable results and success has been said to depend on the identification of an unvarying deep attachment of the ganglion to the scapholunate ligament. A previous study has suggested that if this is excised, there will be no recurrences and no residual symptoms. Our experience of 62 dorsal ganglia confirms that although a scapholunate origin is usual, ganglia may also arise from a variety of additional sites over the dorsal wrist capsule, particularly in the region of the capitate. Two ganglia have recurred and clinical review of 52 (84%) of the cases has shown that persistent discomfort following excision is not uncommon. One patient appears to have developed scapholunate instability.

Adult↗
PubMed1983

Displaced ankle fractures in patients over 50 years of age.

A review is presented of the results of treatment in 126 patients over 50 years of age who had suffered a displaced fracture of the ankle. Operative fixation achieved better fracture positions than conservative management, but was associated with a very high complication rate in women. Examination of 86 of the patients more than two years after injury showed little difference in function after conservative or operative treatment.

Aged↗