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Biomedical subjects

S B Sundberg

Publications and source records attributed to S B Sundberg.

4 recordsLinked to original sources

Three-dimensional reformation of skeletal abnormalities using computed tomography.

A new technique for evaluation of skeletal pathology is described. The use of three-dimensional reformations based on conventional computed tomographic imaging is a technique that has been used by craniofacial surgeons since 1982 and more recently by orthopedic surgeons at the Adelaide (Australia) Children's Hospital for evaluation of pediatric skeletal pathology. Four cases are presented that demonstrate our early experience with the technique. Three-dimensional reformation is an effective method of translating conventional computed tomographic scans into a readily understood three-dimensional image. We believe that the method will be of increasing value in the evaluation of pediatric skeletal pathology.

Adolescent↗

Technetium phosphate bone scan in the diagnosis of septic arthritis in childhood.

The technetium phosphate bone scans of 106 children with suspected septic arthritis were reviewed to determine whether the bone scan can accurately differentiate septic from nonseptic arthropathy. Only 13% of children with proved septic arthritis had correct "blind" scan interpretation. The clinically adjusted interpretation did not identify septic arthritis in 30%. Septic arthritis was incorrectly identified in 32% of children with no evidence of septic arthritis. No statistically significant differences were noted between the scan findings in the septic and nonseptic groups and no scan findings correlated specifically with the presence or absence of joint sepsis.

Adolescent↗

Kienböck's disease. Results of treatment with ulnar lengthening.

Further experience with ulnar lengthening in the treatment of 22 patients with Kienböck's disease confirms the efficacy of this procedure as observed in a previous series of 20 patients. In this procedure, the joint compressive force is removed from the trabeculae of the convex portion of the body of the lunate that is weakened by avascular necrosis. Subchondral fractures were present in at least 13 of the 22 patients. The technique of ulnar osteotomy, with interposition bone graft supported by a slotted bone plate applied prior to completion of the osteotomy, seems well established. Three patients were lost to follow-up and one required a secondary lunate excision for continuing pain. The remainder of the patients were well satisfied with the procedure.

Adolescent↗