The use of computerized axial tomography for the evaluation of talocalcaneal coalition. A case report.
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Biomedical subjects
Publications and source records attributed to P J Marchisello.
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Two children with premature partial arrest of the tibial physis, one proximal and the other distal, were treated by resection of the bony bar and by the Langenskiold method of interposition of fat. In one child the arrest was the result of an open fracture and bony loss of the upper tibia. In the other child the arrest was caused by a Salter IV fracture. Preservation of the fat implant 20 months after operation was observed histologically. Correction of the deformity was accomplished in one case but not in the other.
The etiologic factors and pathologic findings in 38 patients with lumbar arachnoiditis are presented. Lumbar spine surgery and the injection of contrast materials prior to the diagnosis of this condition are considered the most important factors in its genesis. In this series, there was microscopic evidence of arachnoiditis ossificans in 3 patients and arachnoiditis calcificans in 1 patient.
Mnostotic Paget's disease in the spine often presents with an atypical clinical and radiographic picture. Paget's disease should be included in the differential diagnosis of any sclerotic lesion of the spine. Although uncommon, the disease occurs even in young adults, and may present a diagnostic problem.
Ninety-four subjects were divided into 5 groups according to symptoms and radiologic findings to devise a test for immunoglobin levels and lymphocyte microstimulation. Cellular immunity to disk antigens can be demonstrated in disk degeneration which may be primary or secondary. The serum level of IgM, irrespective of the age of the individual was significantly higher in patients with backache than asymptomatic patients.