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Biomedical subjects

R J Ratcliffe

Publications and source records attributed to R J Ratcliffe.

7 recordsLinked to original sources
PubMed1994

The goalkeeper's fear of the nets.

The soccer goalkeeper is particularly prone to injuries of the hands. We report three cases in which soccer goal-posts were the cause of a hitherto unrecorded type of accident, which resulted in severe ring avulsion injuries requiring surgical amputation or replantation. In each case the injury occurred when a ring worn by the goalkeeper caught on one of the hooks by which the netting is attached to the goal-posts. Proposals made for the prevention of such injuries include increased awareness through education, discouragement of the wearing of rings during sporting activities and the redesign of the attachment systems of goal nets.

Adolescent↗
PubMed1992

First dorsal metacarpal artery flap cover for extensive pulp defects in the normal length thumb.

Use of the first dorsal metacarpal artery flap to cover extensive pulp defects in the normal length thumb in five patients is described. The advantages of the procedure include provision of sensate cover of exposed distal phalanx to the tip of the thumb with minimal donor site morbidity. Its use, particularly in the older patient, with immediate postoperative mobilisation and the avoidance of nerve repair or more complicated microsurgical procedures, is discussed.

Accidents, Occupational↗
PubMed1992

Burns following cigarette lighter fluid abuse.

Seven patients with burns associated with butane cigarette lighter fluid abuse, in a group setting within an enclosed space, are presented. In all patients there was a reluctance to admit that butane vapour was in use as an intoxicant immediately prior to the injury. It is obvious from the circumstances of these injuries that the hazardous nature of cigarette lighter fluid is not fully appreciated. Since the resultant injuries are usually minor (all patients recovered spontaneously with conservative management, the hospital stay averaging 2 days), it is probable that many more occur, but do not present to accident departments as the victims are wary of repercussions should they admit to intoxicant vapour abuse. In view of the medical sequelae that can follow butane inhalation, burns unit staff should be aware of the problems, their recognition and treatment.

Adolescent↗
PubMed1991

Free toe pulp transfer in thumb reconstruction. Experience in the West of Scotland Regional Plastic Surgery Unit.

We report a detailed evaluation of 13 patients who have undergone free toe pulp transfer in thumb reconstruction at the West of Scotland Regional Plastic Surgery Unit. Using the lateral aspect of the great toe pulp, the average time for transfer was 7.5 hours and the average moving 2 P.D. achieved in the thumb reconstructions was 9.6 mm. Morbidity in the donor toe was minimal, but pain and hypersensitivity limited the usefulness of some reconstructed thumbs and cold intolerance was frequent (73%).

Accidents, Occupational↗
PubMedDate not supplied

Unexpected lymph node pathology in neck dissection for head and neck cancer.

The pathological findings in 62 patients with head and neck cancers who underwent neck dissection during a 12-month period are presented. Histological confirmation of metastatic disease was obtained in 46 cases (74%). In the remaining 16 cases (26%), there was no evidence of metastasis from the primary tumor. In 7 cases (11%), there was unexpected pathology in the cervical lymph nodes which was not related to the primary tumor. Accurate clinical staging of head and neck tumors is made increasingly more difficult in such cases where unrelated or dual lymph node pathology exists.

Aged↗