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T Lejman

Publications and source records attributed to T Lejman.

35 records · Page 2Linked to original sources
PubMed1996

[Scintigraphy examination in differential diagnosis and evaluation during the course of Perthes disease].

Forty-four bone scintigraphies were done in 37 children with diagnosis or suspicion of Perthes disease. In 5 children with transient coxitis 3 hips were normal and 2 presented slightly increased uptake. In 13 cases of epiphyseal dysplasia 12 hips were normal; one presented decreased uptake. Nineteen Perthes cases showed typical uptake deficits; 3 joints showed slight increase of uptake, 3 joints were normal. Scintigraphy was related to different stages of Perthes disease. The value of bone scintigraphy in Perthes differentiation and monitoring was discussed.

Adolescent↗
PubMed1996

[Radius neck fracture in children].

Results of treatment of 19 children with radial neck fracture and 1 with head fracture have been presented. In the group of 12 children managed with an open reduction 50% results were poor. In all children treated conservatively good results have been achieved. The technique for percutaneous reduction of the fracture with the use of Kirschner wires has been discussed.

Adolescent↗
PubMed1996

[Septic arthritis in newborns and infants. Treatment of hip arthritis].

Results of treatment of 83 septic hip joints in 75 newborns and infants have been presented. Mean age at the onset of symptoms was 41 days (from 1 to 330 days), mean follow-up was 72 months (from 12 to 252). In 26 cases systemic antibiotics were administered. Single joint puncture was done in 7 cases, in 23 patients multiple puncture and intraarticular antibiotic therapy were employed, arthrotomy and drainage of the joint was performed in 27 joints. Radiographic results achieved, according to Hunk classification were as follows: Type I-26 joints, Type IIA-6 joints, Type IIB-18 joints, Type III-5 joints, Type IVA-7 joints, type IVB-8 joints, Type V13 joints. The authors conclude, that in majority of cases the treatment of choice should include arthrotomy from antero-lateral approach, suction drainage for 24-48 hours, systemic intravenous antibiotic therapy, abduction position of extremity in Frejka pillow and early physiotherapy.

Anti-Bacterial Agents↗
PubMed1995

[Septic arthritis in newborns and infants--the value of arthrography in diagnosis of post-inflammatory knee defects].

Double-contrast arthrography of the knee was performed on 16 knees in 14 children, who after septic arthritis of the knee in newborn and neonatal period, showed defects of the secondary ossification centers of the femur or tibia on plain radiographs. Cartilaginous epiphysis, normal in shape and volume, was present in 11 cases. In 3 cases cartilaginous epiphysis of the femur was present, but had diminished size.

Arthritis, Infectious↗
PubMed1995

[Surgical treatment of post-injection contracture of the hip in children].

Abduction contracture of the hip has been treated by two methods; the results of both have been compared. Modified Campbell's procedure has been performed in 5 children (6 hips). In 8 patients (9 hips) gluteal fascia and fibrotic scarring within the gluteal muscles has been transversely dissected. The mean follow-up was 26 months in either group. Dissection of the fascia and the scars resulted in doubled range of adduction and better cosmetic result compared to Campbell's method.

Adolescent↗
PubMed1995

[Septic arthritis in newborns and infants--clinical epidemiology].

Septic arthritis in 99 newborns and 58 infants was analyzed epidemiologically. Multiple localization of septic process has been found in 37.4% of newborns and 16.0% of infants included in this study. The hip joint, knee and shoulder were affected most frequently in both groups. In 45.2% of newborns septic condition of the skin and in 37.1% otitis media was the source of infection. In infants septic arthritis was related to otitis media in 36.8%, septic condition of the skin in 23.3% and respiratory tract infection also in 23.3%. Staphylococcus aureus was the most frequent joint aspirate culture finding.

Arthritis, Infectious↗
PubMed1994

[Personal experience in the use of closed reduction and transcutaneous K-wire fixation for displaced supracondylar fractures of the humerus in children].

The method of closed reduction and percutaneous K-wire fixation has been used for treatment of 20 children with displaced supracondylar fracture of the humeral bone. No infection, vascular or neural complication has been observed. In all cases good clinical and radiological results have been achieved. The authors conclude the method presented above should be used as a treatment of choice for displaced supracondylar fracture of the humerus in children.

Adolescent↗
PubMed1993

[Percutaneous method for achilles tendon lengthening in treatment of spastic equinus deformity with progressive muscular dystrophy].

Surgical technique of percutaneous lengthening of Achilles tendon has been presented. Thirty-seven feet in 26 children have been operated on. There was no intraoperative inadvertent tenotomy or excessive lengthening, no complications occurred in the postoperative course. An average follow-up was of 18 months. The procedure resulted in 7 degrees of dorsal flexion on an average. The authors recommend this method in the treatment of the spastic pes equinus.

Achilles Tendon↗
PubMedDate not supplied

Fixation of slipped capital femoral epiphyses with unthreaded 2-mm wires.

Twenty chronic and three acute-on-chronic slipped capital femoral epiphyses (SCFEs) were fixed with unthreaded 2-mm wires. Nineteen hips were fixed with three wires, and four with four wires. Postoperatively, patients bore full weight after 6 weeks. There were no pin penetrations or cases of chondrolysis. No femoral heads grew off the wires. Fifteen hips showed no change in the head-shaft angle postoperatively. Of the remaining eight, two improved their head-shaft angles in the anteroposterior (AP) view (6,7 degrees), and five improved in the lateral view (6-13 degrees, average, 11 degrees). Two hips worsened in the AP view (9,10 degrees), and none in the lateral view.

Adolescent↗
PubMedDate not supplied

Sequelae from septic arthritis of the knee during the first two years of life.

Fifty septic knees in patients younger than 2 years old at diagnosis were examined. Follow-up ranged from 1.1 to 21.3 years (average, 6.2). Twenty-four knees were deformed in varus or valgus of 5-40 degrees. Deformity was present within 10 months of infection and thereafter was stable. It was due to displacement of the epiphysis into a metaphyseal defect, loss of epiphyseal cartilage, or both. Growth did not compensate for deformity. Ossific nuclei partly or completely disappeared after infection. They were slow to reappear, and until maturity, their size and shape did not represent the cartilaginous epiphysis. Arthrograms were necessary to evaluate accurately the epiphyseal shape and volume.

Adolescent↗
PubMedDate not supplied

Capsulorrhaphy versus capsulectomy in open reduction of the hip for developmental dysplasia.

Capsulorrhaphy and capsulectomy were prospectively compared in open reduction of the hip for developmental dysplasia. There were 39 patients: 16 capsulorrhaphy and 23 capsulectomy. Follow-up averaged 22 months postsurgery. The surgical technique included innominate osteotomy, and femoral shortening and derotation. Avascular necrosis developed in one capsulorrhaphy patient. Postoperative redislocation occurred in three capsulorrhaphy and no capsulectomy patients. Three capsulorrhaphy and three capsulectomy patients had acetabular dysplasia. Neither capsulorrhaphy nor capsulectomy produced superior hip motion at last examination.

Child↗
PubMedDate not supplied

Septic arthritis of the wrist in infancy.

Seven septic wrists in six patients were examined. The average follow-up was 7 years 5 months. The ages at diagnosis ranged from 3-145 days. All patients had one or more joints infected other than the wrist. Three patients cultured organisms. Three wrists were not diagnosed at the time of infection and had no surgical treatment. Four wrists were treated with multiple aspiration. All received antibiotics for 35-48 days. On follow-up no patient complained of pain or lack of function. Combined palmarflexion and dorsiflexion was > or = 50 degrees in all wrists. Two wrists were radiographically normal, whereas five were not. Three of these five had marked distortion of anatomy.

Anti-Bacterial Agents↗
PubMedDate not supplied

Radial-nerve palsy associated with septic shoulder in neonates.

Four neonates presented with septic shoulders after delays in diagnosis of 7-20 days. All lacked active extension of the wrist and thumb, and three lacked active extension of the fingers. Two had positive cultures for Staphylococcus aureus, and one had a positive Escherichia coli culture. Surgical treatment was one single aspiration and three arthrotomies. Recovery of extension began in 10-21 days and was normal at 18-35 days post-treatment. At follow-up 9-13 months later, all limbs were neurologically normal. Cadaver dissections showed that the radial nerve passed close to the shoulder joint, and when the capsule was distended, it impinged on the nerve.

Arthritis, Infectious↗
PubMedDate not supplied

Septic arthritis of the shoulder during the first 18 months of life.

Forty-six septic shoulders in 42 patients < 18 months old at diagnosis were followed for an average of 6 +/- 10 years. Eight were not diagnosed at the time of infection. Five patients complained of intermittent, mild pain with use. All could touch their mouth and back of their head with the hand on their affected side. Flexion and abduction averaged 150 degrees; internal and external rotation averaged 60 degrees. Nineteen percent of the shoulders had < 130 degrees of flexion. Discrepancy in humeral length was 0-9 cm (average 2.4 cm). Only 7% of the humeral heads were entirely normal. The shapes of the remainder were quite variable, and range of motion could not be predicted from these shapes.

Age of Onset↗