PubMed Health⌕ Search

Biomedical subjects

S D Weiner

Publications and source records attributed to S D Weiner.

16 recordsLinked to original sources
PubMed2001

Peripheral arterial disease. Medical management in primary care practice.

Peripheral arterial disease (PAD) is caused by atherosclerosis, the leading cause of death and disability in patients age 50 and older. PAD progresses gradually and silently over many years, occluding the lumen of arteries that supply blood to the extremities. Symptoms of peripheral arterial insufficiency include intermittent claudication, rest pain, and impotence. Nonoperative management--including the control of risk factors such as hypertension, diabetes, hyperlipidemia, and smoking--is the most effective method to lower the risk of morbidity from PAD. Diagnostic technologies such as color duplex imaging, MRI, and MRA complement the clinical assessment of PAD and provide a stronger foundation for treatment decisions in the primary care setting.

Aged↗
PubMed1999

Melanotic schwannoma. An unusual case of an ossified soft tissue mass.

A case of a melanotic schwannoma presenting as a soft tissue mass of the abductors of the hip is reported. The radiographic findings suggested myositis ossificans, but several subtle findings raised the concern for something else. A bilobed appearance, lack of classic zoning pattern of the ossification, and atypical pain pattern should alert the physician. Biopsy should be considered if the radiographic and clinical presentations are not classic for myositis ossificans.

Adult↗
PubMed1996

Resection arthrodesis of the knee with an intercalary allograft.

Thirty-nine patients who had a malignant or an aggressive benign bone tumor about the knee were managed with a resection arthrodesis with use of an intercalary allograft fixed with an intramedullary nail. In thirty-one patients, this was the method chosen for the initial reconstruction after resection of the tumor. In eight patients, another type of reconstruction had already failed. Both the proximal and the distal allograft-host junction healed and the functional outcome was satisfactory in thirty-two patients. Non-union developed in seven patients: at one junction in six patients and at both junctions in one. In five patients, the non-union healed after bone-grafting, repeat internal fixation, or replacement of the allograft. An above-the-knee amputation was done for two patients, both of whom had had a chronic non-union. One patient had a local recurrence, and it was treated with an above-the-knee amputation.

Adolescent↗
PubMed1996

Hibernoma of the medial thigh. Case report and literature review.

Hibernoma is a tumor of brown fat origin with hypervascularity and features on magnetic resonance imaging that resemble liposarcoma. Despite these similarities, malignant potential has not been demonstrated. Complete marginal resection with meticulous hemostasis is the treatment of choice. This article describes the case of a patient with an unusually large medial thigh hibernoma demonstrating the clinical presentation and radiographic and pathologic features of this rare benign soft tissue tumor.

Adult↗
PubMed1990

Hazards of internal fixation in the treatment of slipped capital femoral epiphysis.

We reviewed the records of 202 patients (308 hips) in whom a slipped capital femoral epiphysis had been fixed with pins or screws. A serious complication that was directly related to the use of internal fixation developed in eighty hips (26 per cent). The rate of complications in the 202 patients was 40 per cent. In thirty-six (18 per cent) of the 202 patients, an additional procedure was done to correct a pin-related complication. Forty-one hip joints had been penetrated by a pin. Other complications included avascular necrosis (fourteen hips), chondrolysis (nine), fracture (one), infection (one), further slippage (one), sciatic-nerve injury (one), and breakage of a screw (eight). Ways of decreasing the incidence of complications of fixation were explored.

Bone Nails↗
PubMedDate not supplied

The characterization of "transient synovitis of the hip" in children.

A 30-year retrospective review of 497 cases of transient synovitis of the hip involving 475 children allowed full characterization of the syndrome. Femoral head measurements of 118 patients at follow-up of 6 months showed no significant dimensional changes. Three cases of Legg-Calvé-Perthes disease (2.5%) were found in follow-up, as well as a case of osteoid osteoma of the femoral neck and two cases of juvenile rheumatoid arthritis. Recurrent synovitis with a benign prognosis occurred in 19 patients. In spite of a generally anticipated good prognosis in the vast majority of cases, radiographic assessment at 6 months after the initial episode is recommended.

Adolescent↗
PubMedDate not supplied

Anterolateral approach to the hip for bone graft epiphysiodesis in the treatment of slipped capital femoral epiphysis.

In an effort to accommodate the needs of the majority of orthopedic surgeons who might encounter cases of slipped capital femoral epiphysis, an operative approach familiar to everyday practice was sought. Thirty-two cases of slipped capital femoral epiphysis were treated by bone graft epiphysiodesis using an anterolateral approach in contrast to the more traditionally used iliofemoral (Smith-Peterson) approach. Experience has shown this to be a better approach based on reduced operating time, less blood loss, avoidance of damage to the lateral femoral cutaneous nerve, improved wound healing, and for the operating surgeon, familiarity with an exposure utilized in total hip replacement.

Epiphyses↗
PubMedDate not supplied

Pitfalls in treatment of Legg-Calvé-Perthes disease using proximal femoral varus osteotomy.

A femoral varus osteotomy can be used to contain the femoral head in Legg-Calvé-Perthes (LCP) disease if certain pitfalls can be avoided. We reviewed 74 patients who underwent 79 femoral varus osteotomies. The study addressed the pitfalls that should be avoided with this technique. It was concluded that the amount of varus angulation should barely position the femoral head beneath the lateral rim of the acetabulum, avoiding varus less than 105 degrees, and that consideration should be given to performing a greater trochanteric epiphysiodesis at the time of initial femoral osteotomy. The short-term results reflect a positive attitude toward femoral varus osteotomy in treatment of LCP if these pitfalls can be avoided.

Child↗