Biomedical subjects

W A Lillegard

Publications and source records attributed to W A Lillegard.

6 recordsLinked to original sources

PubMed1996

Evaluation of pediatric foot problems: Part II. The hindfoot and the ankle.

The bony development of the growing child can lead to a variety of hindfoot and ankle problems. Overuse injuries are common, often occurring in conjunction with symptomatic pes planus and plantar fasciitis. Predisposing structural differences such as Haglund's disease, os trigonum, rigid and flexible pes planus, and Sever's disease merit special attention, but treatment may require only patient education and conservative management. Sprains and fractures of growing joints, however, may have poor outcomes if ignored or missed.

Ankle Injuries↗

PubMed1996

Lower extremity bursitis.

Bursitis is a common cause of lower extremity pain in patients presenting to primary care physicians. Several bursae in the lower extremity account for most of these injuries, including the ischiogluteal, greater trochanteric, pes anserine, medial collateral, prepatellar, popliteal and retrocalcaneal. Often the symptoms are mild, with the patient successfully self-treating through activity modification and other conservative measures. A systematic approach to the evaluation and treatment of patients with bursitis, including prevention, relative rest, ice, compression, elevation, anti-inflammatory medication and treatment modalities such as ultrasound and electrical stimulation, combined with a structured rehabilitation program, will greatly facilitate the healing process.

Anti-Inflammatory Agents, Non-Steroidal↗

PubMed1996

Common upper-extremity injuries.

In the daily practice of family medicine, injuries to the upper extremity are frequently encountered. Most of these injuries can by easily treated by the primary care physician who has an understanding of the joint anatomy and treatment principles. Some injuries, however, may appear relatively minor, yet require prompt referral for surgical care. We reviewed the pathoanatomy, historical and physical examination findings, and treatment of the more common injuries to the hand, wrist, elbow, and shoulder.

Arm Injuries↗

PubMed1996

Evaluation of pediatric foot problems: Part I. The forefoot and the midfoot.

Foot problems in children can be the result of infection, trauma or overuse. Ingrown toenails, bunions, sesamoid disease, congenital overriding of the fifth toe, and fractures may occur in both adults and children. Some disorders, such as Freiberg's infarction and Kohler's disease, however, are unique to the pediatric population. The potential for adverse sequelae is greater in children than in adults. A thorough understanding of the anatomy of the pediatric foot and a systematic examination will facilitate the diagnosis of pediatric foot problems. A conservative approach to management will improve both compliance and outcome.

Child↗

PubMed1995

Injuries and illnesses incurred by an army ranger unit during Operation Just Cause.

Detailed knowledge of anticipated casualties is essential for the medical officer preparing to support a mission. To accurately describe the injuries inflicted upon the 2/75th Ranger Battalion involved in Operation Just Cause, 471 (75.5%) Rangers were personally interviewed. The average Ranger was 23 years old, an E-4 with 3 years of active duty service, and in a good to excellent fitness category. The majority went into battle with little sleep or food. Injuries forced 9.5% out of combat, and limited another 9.9%. The overall unit casualty rate was 35%, with 217 Rangers suffering 281 injuries. Most of the injuries were musculoskeletal (sprains) and non-surgical, with 90% occurring during the insertion. The lower extremity, particularly the ankle, was the most frequently injured area. It is hoped that this study will assist those who are planning to support future, similar nighttime parachute operations.

Adult↗

PubMed1994

Appropriate strength training.

Strength training stimulates predictable cardiovascular and neuromuscular responses. The cardiovascular responses result in nonpathologic concentric left ventricular hypertrophy with preservation of ejection fraction and no diastolic dysfunction. Resting heart rates and blood pressures in strength-trained individuals remain unchanged or decrease slightly. Strength gains occur from enhanced neuromuscular activation over the initial 8 weeks and from increased muscle fiber density and hypertrophy during subsequent weeks. Significant strength gains are possible in all populations, including children, women, and the elderly, when exposed to an adequate strength-training program. Strength training can also be a valuable adjunct in cardiac rehabilitation with the possible exception of patients with baseline abnormal left ventricular function.

Adaptation, Physiological↗