Biomedical subjects
Publications and source records attributed to S Falstie-Jensen.
Radiocarpal dislocation, with or without damage to the radial styloid process or to the distal radial rim, is extremely rare. Review of the literature reveals much confusion on the proper classification of radiocarpal dislocations or fracture-dislocations. A case of radiocarpal dislocation is reported, the classification is discussed, and a critical review of earlier reports is presented.
A 66-year-old man was admitted to the Department of Orthopaedic Surgery, Aarhus County Hospital a few hours after spontaneous rupture of the left flexor pollicis longus tendon. At operation the tendon was found to be ruptured at the radiocarpal level, where an opening to the radiocarpal joint was found. Radiographs showed a long-standing ununited fracture of the scaphoid.
Transcutaneous oxygen pressure measurements (TcPO2) were performed in ten healthy men (age 30.6 years, range 28-35) in six regions: anterolaterally 10 cm below and above the knee on both legs, 5 cm laterally to umbilicus and on the inside of the left humerus, which was subsequently biopsied for measurements of epidermal thickness from the basal lamina to the uppermost layer of stratum granulosum. Transcutaneous oxygen pressure was on average 70 mmHg (range 42-88 mmHg), and that of epidermal thickness 70 microns (range 43-120 microns). Epidermis was thinnest on the inside of the humerus (mean +/- SD) 61.3 mu +/- 11.0 and about 25% thicker (NS) in the regions above and below the knees. The relationship between TcPO2 (y) and epidermal thickness (x) could be described by the regression equation y = alpha i - 0.26x where the intercept alpha i differed between subjects, the mean value being 88 mmHg (range 77-103). The common regression coefficient of -0.26 was significantly different from zero (p less than 0.01, r2 = 0.49). Although the oxygen gradient across the total epidermis can not be estimated from skin biopsies, correction for the thickness of the living part of the skin may prove beneficial when TcPO2 measurements are used as an indicator of wound healing. The results suggests that the change of oxygen tension across the living part of epidermis is 0.26 mmHg/micron at various skin locations in different subjects.
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A unilateral, continuous hip joint pressure of 50 mm Hg was established for 6 h in five puppies under general anesthesia. 99mTc-DPD scintimetry 2 and 4 weeks after tamponade showed the mean ratio between the investigated and control hip to be 1.00 and 1.01, respectively, in the epiphyses. After killing and removal of the upper femora, the same ratio was 0.94 for epiphyses and 1.02 for metaphyses. Our study did not show signs of persistent bone ischemia after tamponade below the arterial pressure.
Three hundred and fifty-eight patients undergoing clean orthopaedic surgery were included in this prospective study. The knives used during surgery, i.e. the knife used for skin incision (the skin-knife) and the knife used to finish the operation were bacteriologically examined. We found no evidence that the practise of discarding the knife after skin incision reduced the incidence of wound infection after clean orthopaedic surgery. Laminar air flow significantly reduced the rate of knife contamination.
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Four cases of trapping of the meniscus in type II or III fractures of the intercondylar eminence of the tibia in children are reported. At operation the fragments could not be apposed until the meniscus had been lifted out of the fracture. In our opinion, if they had not been operated on these patients would have had persistent trouble in the knee, including non-union, loss of extension and laxity of the anterior cruciate ligament. We therefore recommend either operation for type II and type III lesions or arthroscopy. If the meniscus is trapped we suggest that it should be lifted out and the fragments apposed under arthroscopic control.
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