Biomedical subjects
Publications and source records attributed to P Burdett-Smith.
147 proximal phalangeal fractures of the hand were managed by Accident and Emergency doctors and hand surgeons. Most were treated conservatively with good results. Those treated in A. and E. were usually transverse or basal fractures of the shaft. Articular, oblique, comminuted and compound injuries were associated with greater morbidity and required specialist care.
To estimate the volume of major trauma seen in the UK in the light of the recent report from the Royal College of Surgeons of England, all publications relating to UK trauma practice published since the report were analysed. Major trauma represents one in every 1000 accident and emergency department attendances on average. Although this is less than in the USA, the severity of injury is at least equivalent to North American practice.
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Four hundred and fifteen patients aged over 75 were compared with a comparable group of 351 below 75 adult attenders. The over 75s were referred by 999 call and general practitioners more frequently. They also suffered more fractures and multiple injuries. The implications of these different injury patterns for the accident service are discussed.
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A case of an adult patient with ileocolic intussusception secondary to a lymphoma of the terminal ileum is reported. On the computed tomograms, a target mass, with the outer rim representing the annular tumour of the terminal ileum and the eccentric rim of low attenuation representing the mesentery, is described. Ultrasound patterns are those of parallel hypoechoic areas separated by hyperechoic stripes seen on longitudinal sections, and of a rounded mass of low echogenicity, exhibiting two hyperechoic concentric ring-like areas within it, on transverse scans. The appearances of the barium examinations are also described. The English literature is reviewed.