Biomedical subjects

S Prichasuk

Publications and source records attributed to S Prichasuk.

9 recordsLinked to original sources

PubMed1998

Spontaneous recovery of trigger thumbs in children.

Forty-two children with trigger thumb were reviewed to determine the possibility of spontaneous recovery and the outcome of treatment. There were 22 boys and 20 girls. All of them had a normal physical examination at birth. Ten patients had spontaneous recovery within 3 months of their initial visit. Thirty-two patients underwent surgical release. All of them had satisfactory results. Our findings suggest that spontaneous recovery of trigger thumb in children is possible and may be related to a traumatic cause for the condition. Delaying operation until after the age of 3 years will not affect the outcome.

Child↗

PubMed1995

Kidner procedure for symptomatic accessory navicular and its relation to pes planus.

The role of relocation of tibialis posterior tendon insertion in the treatment of symptomatic accessory navicular and its relation to the pes planus was studied in 28 patients with symptomatic accessory navicular. Two hundred non-affected individuals were used as control. The calcaneal pitch angle measured radiographically, was used as an indicator of pes planus. All patients had had an excision of the accessory navicular and relocation of the tibialis posterior tendon insertion (Kidner procedure). The average follow-up was 3.2 years. The results were good in 27 patients, and fair in 1 patient, and there were no poor results. Most of the patients demonstrated that the pain and the fatigue signs of the foot and the leg have been improved. Only 3 of 25 patients clinically showed an improvement of the medial longitudinal arch. The calcaneal pitch angle in patients with symptomatic accessory navicular was significantly (14.8 degrees) lower than that in normal subjects (21.4 degrees). An association of pes planus and symptomatic accessory navicular was shown. The Kidner procedure gave good results in the relief of pain and fatigue in patients with symptomatic accessory navicular. The procedure did not significantly restore the height of the medial arch.

Adolescent↗

PubMed1995

Localised melioidotic osteomyelitis.

Melioidosis is an uncommon infection caused by a Gram-negative bacillus, Pseudomonas pseudomallei. Only a few case reports of orthopaedic infection have been published in English, and most were of isolated septic arthritis or secondary to melioidosis of another organ. We have reviewed ten patients with localised melioidotic osteomyelitis; six had underlying conditions. We discuss the importance of obtaining a bacteriological diagnosis, and of surgical debridement as well as appropriate antibiotic therapy.

Adult↗

PubMed1994

The relationship of pes planus and calcaneal spur to plantar heel pain.

A prospective study of pes planus by using calcaneal pitch and calcaneal spur was carried out in 82 patients with plantar heel pain and in 400 normal subjects. The mean normal calcaneal pitch was 20.54 degrees. The mean calcaneal pitch in patients with plantar heel pain was 15.99 degrees, which was significantly lower than in normal subjects. The incidence of calcaneal spur in normal subjects and in patients with plantar heel pain was 15.5% percent (62 of 400) and 65.9% (54 of 82), respectively. Again, this was a highly significant difference. Excessive weight gain, aging, and gender may be important factors effecting the lowering of the pitch and the increasing of spur formation. These factors could lead to the development of plantar heel pain.

Adult↗

PubMed1994

The heel-pad compressibility.

Heel-pad thickness and compressibility were studied in the feet of 400 normal subjects by loaded and unloaded lateral radiographs. The normal unloaded heel-pad thickness was 18.70 +/- 2.46 mm. The thickness was greater in men than in women and increased with age. The heel-pad compressibility index was 0.53 +/- 0.09. The compressibility increased with age, but there was no significant difference with gender. An increase in body weight led to an increase in heel-pad thickness and loss of elasticity.

Adult↗

PubMed1994

The heel pad in plantar heel pain.

A study of heel-pad thickness and compressibility using lateral radiographs, loaded and unloaded by body-weight, was carried out on 70 patients with plantar heel pain and 200 normal subjects. The heel-pad thickness and the compressibility index (resistance to compression) were greater in the patients than in normal subjects and significantly increased with age. In normal subjects, the thickness was greater in males than in females, but there was no significant difference in the compressibility. Increased weight led to an increase in heel-pad thickness and compressibility index. The body mass index was greater in patients with plantar heel pain than in normal subjects and 40% of the patients were considered to be overweight. Increase in the compressibility index indicates loss of elasticity and an increased tendency to develop plantar heel pain.

Adult↗

PubMed1992

Late ulnar nerve injury following Kirschner wires fixation of the supracondylar fracture of the humerus.

Most supracondylar fractures of the humerus can be treated by closed methods. Open reduction and internal fixation by wires or pins are indicated in a difficult fracture (Kekomaki et al 1984) or in vascular injury following the fracture. This fixation should be temporary and removed immediately upon obtaining the desired purpose. To increase surgeons awareness of inadvertently leaving the implant for too long, we are reporting an unusual complication of migration of the Kirschner wire resulting in late ulnar nerve injury.

Adolescent↗

PubMed1992

Problems in surgical treatment of congenital clubfoot.

Twenty-three patients with 32 congenital rigid clubfeet treated by posteromedial release were reviewed after a follow-up averaging 33 months. The feet were assessed both clinically and radiologically; a satisfactory result was obtained in 17 feet inspite of residual deformity of forefoot adduction. Early operation and adequate postoperative immobilisation were major factors in contributing to a satisfactory result.

Child, Preschool↗

PubMedDate not supplied

Trigger finger in children.

Trigger finger in children is a rare condition. Thirty-three patients with 45 trigger fingers (40 thumbs and five other fingers) were reviewed. As no case was detected at birth, the condition was suggested to be developmental. Surgi cal release was performed in 31 cases, with satisfactory results in all cases. Ten of 31 cases were older than 3 years (range, 3-5 years). The age of the patient when the operation was indicated could be between 1 and 5 years.

Child, Preschool↗