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T Laulund

Publications and source records attributed to T Laulund.

10 recordsLinked to original sources

Traumatic bilateral quadriceps tendon rupture.

Bilateral spontaneous quadriceps tendon rupture is a very rare event, with only an estimated 40 cases reported in the literature. We report a case of bilateral spontaneous quadriceps tendon rupture and review the literature. The reviewed literature recommends early repair; therefore, early diagnosis is crucial. Reportedly, up to 50% of spontaneous bilateral quadriceps ruptures are misdiagnosed at first, resulting in poorer outcome. As spontaneous bilateral quadriceps rupture has previously been reported in association with chronic disease, with, to date, one-third of cases reported to show this association, routine laboratory screening for rheumatologic, endocrine, and renal disease is recommended for all presenting patients. We also briefly discuss the need for antithrombotic prophylaxis, as our patient died, suddenly with the clinical symptoms of a pulmonary embolism, 7 days after surgery and immobilization.

Aged↗

[Patient consultation via broad-band network--pilot project in hand surgery].

A pilot project launched at Esbjerg was designed to ascertain whether broad-band audiovisual transmission of clinical examination can replace direct contact between patient and physician, and if so to what extent. Provided the technique can be improved and simplified, video consultation is an obvious and economically advantageous alternative to referral to a specialised tertiary clinic. Not only will the technique need to be further tested and improved, however, but doctors will require training in the assessment of moving two-dimensional images and diagnosis via a visual display unit (VDU).

Cost-Benefit Analysis↗

Suprascapular nerve compression syndrome.

Five patients suffering from suprascapular nerve compression syndrome were treated by surgical decompression of the nerve. The syndrome is described and the surgical treatment is outlined. The diagnostic necessity for electromyography is stressed as is the intraoperative evaluation of the conductive obstacle by use of electrostimulation.

Adolescent↗

Moiré topography in school screening for structural scoliosis.

Schoolgirls, aged 10-17 years, were screened for structural scoliosis at school using both conventional clinical screening with a forward bending test and moiré topography. Those suspected of having scoliosis were examined in an orthopaedic clinic for the presence of clinically significant scoliosis, defined as lateral deviation of 10 degrees or more measured according to Cobb. The screening revealed 41 cases of scoliosis, corresponding to a prevalence of 4.1 per cent. In 39 girls the scoliosis had not been recognized previously. In this study moiré topography revealed twice as many cases of scoliosis as did conventional clinical screening. The diagnostic sensitivity of moiré topography proved to be high (0.997). The method is, however, loaded by many false positive results. No correlation between the degree of lateral deviation, judged by X-ray examination, and the difference in contour lines, judged by moiré topography, was found.

Adolescent↗