P R Fassler | PubMed Health

PubMed1993

Asymptomatic SLAC wrist: does it exist?

Twenty-five patients (30 wrists) had x-ray evidence of scapholunate advanced collapse. Twenty-two wrists had no pain; 12 of these were diagnosed and treated for carpal tunnel syndrome. Eight wrists had mild pain. All patients were reevaluated an average of 2 years later. At that time, 20 wrists were totally free of symptoms and 10 had occasional pain, especially with increased activity (no patients required analgesics). No patient had undergone surgical management for the scapholunate advanced collapse. We believe that there are some patients (especially older and low-demand persons) in whom x-ray evidence of arthritis and clinical findings do not correlate. In these circumstances surgical intervention for treatment of the arthritis may not be warranted.

Adult↗

PubMed1993

Injury of the sciatic nerve associated with acetabular fracture.

In order to document functional outcome, we followed fourteen patients who had an injury of the sciatic nerve associated with a displaced acetabular fracture for a mean of twenty-seven months. In three of the patients, the injury was iatrogenic. Electromyography was useful in the localization and determination of the severity of the injury. According to the functional scale that was used, all but one patient had a satisfactory (fair or better) functional outcome, but eleven patients had residual neurological sequelae that ranged from minor paresthesia to footdrop. Seven patients who had an injury of both the tibial and peroneal divisions of the sciatic nerve had complete or nearly complete motor and sensory recovery of the tibial component. The patients who had isolated, mild involvement of the peroneal nerve had a favorable prognosis, but those who had a severe injury of the peroneal component, whether it was isolated or associated with an injury of the tibial component, did not recover good function.

Acetabulum↗