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R Seringe

Publications and source records attributed to R Seringe.

53 records · Page 3Linked to original sources
PubMed1981

[Acute chondrolysis following slipped capital femoral epiphysis. A study of 41 cases (author's transl)].

The authors have seen 41 instances of chondrolysis following slipped capital femoral epiphyses. Most of the cases were followed-up for more than five years. The main clinical features are reviewed. There is joint stiffness and generalised narrowing of the joint space during the year following the initial lesion. The evolution of the lesion is unpredictable. A number of possible radiological changes may develop including renewal of the joint space, modifications in the femoral head with a tendency towards protrusio, and osteophyte formation at the lateral margins of the acetabulum. In five cases a biopsy was performed which showed a non-specific dystrophy of the acetabular and femoral cartilage, with sub-chondral bony change different from that found in epiphyseal necrosis. The synovium did not show inflammatory change. The treatment should not be surgical at an early stage but the effectiveness of traction was uncertain. Later, corrective osteotomies may be indicated. Definitive surgical procedures such as arthrodesis or arthroplasty should not be made early because late clinical recovery has been noted. Cup arthroplasties gave deceptive results. The etiology of this disease is discussed.

Adolescent↗
PubMed1981

[Orthopaedic examination of 1 500 infants in maternity (author's transl)].

1 500 infants have been examined by two orthopaedic surgeons within forty eight hours. The examination of the feet has showed that the usual position in utero was the dorsiflexion. A new classification of deformities of the feet is proposed. The examination of the knees has permitted to discover a rotatory instability between the femur and the tibia in 2% of the infants. Some of them were actual dislocations. During the examination of the hips, it has been researched an instability; the passive abduction, the tension of the adductors and an abduction contracture have been analysed. Some instable hips are easy to detect because there is a jerk (ressaut) but others are very difficult because there is no snapping sign but only a telescoping displacement (piston). The rate of unstable hips was 1.7%. As the combination of an unstable hip and an adductor hypertonicity is usual it is very important to detect a pelvic obliquity and a bilateral adductor-hypertonicity. The various forms of normal birth postures and the relation to orthopaedic deformities of the inferior limbs are studied.

Fetus↗
PubMed1980

[Congenital dislocation of the hip treated by the Somerville technique at the age of walking. A long term review].

Sixty congenital dislocations of the hip in thirty seven children had been treated at the age of walking by the Somerville-Petit technique between 1958 and 1961. The results have been reviewed after the end of bone maturation. The results were assessed using Severin's criteria, including the Wiberg C E angle and the morphological appearances of the acetabulum and the femoral epiphysis. Nearly all the hips had at least one residual defect; less than two thirds could be described as satisfactory. The radiological study show minimal change after the age of ten. The authors conclude that the results of the technique are deceptive and they now practise, more systematically, Salter osteotomy or triple osteotomy with the expectation of better final results.

Child↗
PubMedDate not supplied

Congenital dislocation of the patella. Part I: pathologic anatomy.

There has been considerable confusion between true congenital dislocation of the patella and other patellar instabilities. Only very few papers describing the anatomical features of congenital dislocation of the patella are found in the literature. The purpose of this paper was to describe the anatomical anomalies found in two cadaver specimens of a true permanent and irreducible congenital patellar dislocation. The quadriceps femoris is short and displaced laterally and acts as a knee flexor. The patella is small, articulating with the outer aspect of the lateral condyle, with no possibility of medial reduction onto the trochlea. Many other anomalies involving the bones, muscles, and nervous structures were found. Congenital dislocation of the patella must be distinguished from other patellar dislocations in children. The severity of structural anomalies is mainly owing to its prenatal onset. Congenital

Abnormalities, Multiple↗
PubMedDate not supplied

Congenital dislocation of the patella. Part II: orthopaedic management.

Five patients (eight knees) with diagnosed congenital dislocation of the patella and well-documented charts were reviewed. Age at diagnosis ranged from 4 days to 6 years. A flexion contracture of the knee and femorotibial rotatory dislocation of varying degrees were present in all the cases. The quadriceps was active in all the cases, producing knee flexion in four cases. Foot deformity was associated in all the cases (clubfoot, calcaneovalgus, or congenital vertical talus). Gradual correction of knee flexion contracture with serial casting was attempted in five cases leading to an almost complete extension in two cases. Treatment of patellar dislocation was surgical in all the cases, consisting in extensive quadriceps release (seven knees) or V-Y lengthening (one knee), division of lateral soft tissues, and reefing of the medial retinaculum and capsule. Intraoperative anomalies were recorded. At an average follow-up of 6.9 years, all the patients are able to walk on their operated limb, and the patella is centered in the trochlea in all the cases. Knee mobility, rotatory dislocation, and daily function were improved in seven cases.

Child↗
PubMedDate not supplied

[Attitude of the paralytic supination of the forearm in children. Surgical treatment in 19 cases].

Nineteen cases of paralytic supination contracture have been surgically treated in children and teenagers. Three successive stages are described - 1) reducible deformity 2) contractures of soft tissues and 3) skeletal deformities. Surgical treatment aimed to improve the patient cosmetically and functionally. Ideally, the condition should be corrected early, during the first stage. The results of the Zancolli procedure of section of the interosseous membrane and rerouteing of the biceps in 11 cases were all satisfactory. Osteotomy of one or both bones could be used in association in cases with fixed deformity.

Adolescent↗