Biomedical subjects
Publications and source records attributed to P J Jaspers.
We describe a 69-year-old woman with a Milwaukee shoulder syndrome in the presence of primary hyperparathyroidism. After removal of a parathyroid adenoma, effusion of the shoulder did not recur. We believe that primary hyperparathyroidism and Milwaukee shoulder can be causally related.
OBJECTIVE: Evaluation of the middle-long term results of open surgical treatment of rotator cuff tears and identification of pre- and peroperative parameters with predictive value for the final result. DESIGN: Retrospective study (1984-1990). SETTING: Department of orthopaedics of the Sint Antonius Hospital, Nieuwegein, the Netherlands. METHOD: All patients were asked to cooperate on an extensive standard anamnesis and physical examination. Re-evaluation of the X-rays, arthrograms and operation reports took place. There were three stragglers. RESULTS: The follow-up concerned 41 shoulders in 40 patients (21 women, 19 men). The average age was 61 years (37-77). The average postoperative period was 5 years (2.5-9.2). The subjective final result was satisfactory in 80% as judged by persistent complaints and function of the operated shoulder. Young and active patients were less satisfied with the final result than older, female patients. More persistent complaints were seen in larger and longer existing cuff tears. CONCLUSIONS: Open surgical treatment of rotator cuff tears gave a satisfying result, as described in literature. Sex, age, level of activity and size of the tear appeared to be predictive parameters for the subjective final result.
In a retrospective study we evaluated the results of arthrodesis of the carpometacarpal joints in 24 patients of whom three were operated on both sides. After one to 14 years 22 patients did not have any pain; only 2 patients complained of impaired function.
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