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R A Daley

Publications and source records attributed to R A Daley.

6 recordsLinked to original sources
PubMed2001

Migration of a K-wire from the distal radius to the heart.

K-wires and Steinmann pins are used to provide internal fixation for fractures or osteotomies. In some instances, removal of the implant is planned and the implant is left long to facilitate its removal. In other instances, implant removal is not planned and the implant is cut off at the level of the bone. Migration of these implants to solid organs or body cavities has been reported. Extravascular migration may occur along tissue planes assisted by muscle motion. Large vessel penetration can occur and has been reported with subsequent migration of the implant to the heart. This case report documents the loosening of a K-wire used in the distal radius to supplement the fixation of a complex intra-articular fracture, migration of the implant along tissue planes, penetration into a peripheral vein, and continued migration of the implant to the heart. There are multiple reports documenting wandering bullets, venous catheter tips, and invasive monitoring devices in the extremities. This is only the second case report that the authors are aware of that confirms migration of an implant from the distal extremity to the heart.

Alcoholism↗
PubMed1996

Thoracic outlet syndrome.

"Thoracic outlet syndrome" is a term ascribed to a complex clinical entity encompassing complicated neurovascular signs, symptoms and pathology of the upper extremity. Controversies exist concerning its causes, diagnosis, and treatment despite years of intense study of hundreds of patients. Although there is no universal agreement on the diagnostic and treatment modalities to be applied to each patient, general guidelines have emerged that can aid hand surgeons in recognizing and evaluating these potentially difficult patients. A review of the anatomy, causes, clinical presentations, diagnostic tests, and treatment options available for thoracic outlet syndrome is presented, followed by an illustrative case.

Adult↗
PubMed1995

Benign and malignant vascular tumors of the upper extremity.

Vascular tumors of the upper extremity comprise a wide and varied group of pathologies. A variety of benign and malignant tumors exist. Proper diagnosis is imperative for the proper management of these lesions. On occasion, diagnosis can be made by a careful history and physical examination. However, the differentiation of benign from malignant tumors often requires permanent histologic section analysis by an experienced tumor specialist. The malignant vascular lesions, although rare, are aggressive in their behavior and require prompt diagnosis and treatment for patient survival.

Aneurysm↗
PubMed1982

Assembly of keratin onto PtK1 cytoskeletons: evidence for an intermediate filament organizing center.

Purified keratin, solubilized in 8 M of urea, was added to Triton X-100-extracted PtK1 cells in 5 mM PIPES buffer. The buffer conditions induced assembly of keratin filaments which appear to associate with nuclei of extracted cells. These keratin fibers extend beyond the original margin of the cells and frequently form bridges between adjacent cells. Electron microscopy shows that keratin filaments associate closely with the surface of the nucleus. We suggest that the site of association between keratin and the nucleus may represent an intermediate filament organizing center.

Animals↗