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Biomedical subjects

T G Goergen

Publications and source records attributed to T G Goergen.

61 records · Page 4Linked to original sources

Peroneal tenography in previous calcaneal fractures.

The evaluation of persistent hindfoot pain in patients with previous calcaneal fractures should include contrast examination of the peroneal tendon sheaths. The identification of extrinsic compression or displacement of the peroneal tendons may indicate that source of pain, the diagnosis being substantiated by temporary relief of discomfort following Xylocaine injection.

Cadaver↗

Septic arthritis of the glenohumeral joint. Unique clinical and radiographic features and a favorable outcome.

Seven patients (eight shoulders) with sepsis of the glenohumeral joint were studied clinically and radiographically. Despite the advanced age of the patients, the presence of gram-negative organisms, and multiple risk factors in each patient (including serious chronic underlying diseases), needle drainage and parenteral antibiotics were all that were required for successful management, provided early diagnosis with prompt institution of antibiotics and drainage occurred. Contrast arthrography safely guided therapy and revealed rotator cuff tears in four of six shoulders as well as frequent extra-articular extensions of the disease. A nonleukemic patient with Aeromonas hydrophilia sepsis and arthritis is reported who survived with eradication of infection and preservation of joint function. A poor prognosis for shoulder sepsis is not substantiated.

Aeromonas↗

Degenerative disease of the sacroiliac joint.

Analysis of 46 sacroiliac joints removed in toto at random during routine autopsies was undertaken to define the pathologic and radiographic alterations of this joint in middle-aged and elderly patients. Each joint was sectioned, photographed and radiographed and large microscopic slides were prepared. Sacroiliac osteoarthrosis resulted in progressive cartilage degeneration, particularly on the ilial side of the joint, with eventual cartilaginous fusion. Para-articular bony ankylosis was produced by bridging osteophytes on the anterior and inferior surfaces. Sacroiliac intra-articular bony ankylosis was confined to cadavers with ankylosing spondylitis. In some patients radiographic differentiation of osteoarthrosis and ankylosing spondylitis may require tomography.

Adult↗