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Biomedical subjects

W Waugh

Publications and source records attributed to W Waugh.

At least 37 records · Page 2Linked to original sources

Articular changes associated with a flexion deformity in rheumatoid and osteoarthritic knees.

In a consecutive series of 87 operations for knee replacement prospective observations were made of the pattern of articular destruction in the form of a triangle of erosion or osteophyte formation, which is seen on the medial femoral condyle, sometimes with an associated strip on the lateral femoral condyle. These areas represent the surfaces which are normally in contact with the anterior horns of the menisci when the knee is fully extended. The lesions in question were found only in association with a flexion contracture in 84 out of the 87 cases.

Arthritis, Rheumatoid↗

The distribution of load across the knee. A comparison of static and dynamic measurements.

An anteroposterior radiograph of the leg to include the hip and ankle, taken with the patient standing, provides an estimate of the line of load-bearing at the knee. Gait analysis may be used to determine the way in which the load in the knee is shared between the medial and lateral compartments during normal walking. A comparison of the results from the two methods, carried out on a group of 47 patients, led to the conclusion that both calculations are required for the successful outcome of a tibial osteotomy or a total arthroplasty.

Biomechanical Phenomena↗

Dynamic auditory localization: systematic replication of the auditory velocity function.

Two experiments explored the capability of normal-hearing adults to judge the apparent velocity of an unseen moving sound source. In exper. I, 9 naive and, 1 experienced S judged the velocity of a moving source emitting a .5-kc/s tone at 50 db SPL. S's head was in the center of a circle of 1.88-m radius swept by a small loudspeaker. In exper. II the sound was a low-pass-filtered (0.1-1 kc/s) noise at 50 db sound spectrum level. In both experiments perceived velocity was directly proportional to the actual velocity of the source. These results support out initial observations (Waugh et al, J. Aud. Res., 1979, 19, 103-1 10) that auditory velocity discrimination can be described as a power function with an exponent of 1.0. In exper. II the Ss also varied the sound source velocity by means of a variable resistor to produce a perceived velocity of 100 degrees/sec. Performance on the adaptive velocity production task was successfully predicted from the data of the absolute velocity judgment task. The Weber fraction was .052 for relatively fast-moving sound sources (100 degrees/sec). The ability to discriminate sound source velocity appears to be a well-defined feature of the dynamic binaural spatial system.

Audiometry↗

Perception of moving sounds: velocity discrimination.

Two experiments investigated auditory velocity perception. Exper. I compared auditory to visual velocity estimates. Five adults judged, in miles/hr, the motion of a sound source (a small loudspeaker) moving on a 1.88-m boom around S's head at each of 7 velocities from 15 to 360 degrees/sec. The sound source was either visible or not visible. Velocity judgments were shown in both modalities to be a power function of source velocity, with a slope of approximately 0.90. No significant difference was found between the auditory and visual functions. A control Exper. II determined with 14 naive adults that the similarities between the functions in each modality could not be attributed to either previous visual experience or proprioceptive feedback. Ss estimated the velocity of the visible moving loudspeaker while tracking the source with their eyes (N: 7) or while fixating on a small stationary light (N: 7). Eye motion was recorded from electrodes on the canthi. No significant differences were found between these conditions. The estimates were again shown to be a power function of source velocity (though slightly higher slopes of 0.99 for visual pursuit and 1.0 for visual fixation were obtained than in Exper. I). These experiments suggest a surprising degree of similarity in the perception of velocity in auditory and visual spatial functions.

Adult↗

A method for self-assessment of disability before and after hip replacement operations.

A standardised form was developed to review the daily problems suffered by patients with arthritis of the hip and provide clinicians with information for planning treatment and in judging subsequent progress. The reports made by various patients in a preliminary study provided 81 statements on pain, restricted movements, and restricted activities that were then tested to identify the most reliable. The responses of 32 patients waiting for hip replacements and 66 patients who had undergone operation were compared with independent assessments of pain and physical limitations. The 33 statements eventually selected were chosen mainly on the basis of their sensitivity to differences between preoperative and postoperative patients and their correlation with the independent assessments. The final questionnaire provides a valid and concise summary of a patient's disabilities and is simple enough for the patient to complete while waiting to see the doctor.

Aged↗

The use of footprints in assessing the results of operations for hallux valgus. A comparison of Keller's operation and arthrodesis.

One hundred and seventy feet have been reviewed after operations for hallux valgus; eighty-five had had arthrodesis of the first metatarso-phalangeal joint and eighty-five had had Keller's operation. Footprints were made in order to assess the patterns of weight-bearing on the big toe and on the lesser metatarsal heads. After arthodesis the big toe bore weight in 80 per cent compared with 40 per cent after Keller's operation. The ability to bear weight on the big toe is related to the presence of metatarsalgia and excessive weight-bearing on the lesser metatarsal heads. These complicaitons were seen more commonly after Keller's operation (particularly when more than one-third of the phalanx had been excised) than after arthrodesis.

Arthrodesis↗

Growth of the proximal femur after varus-derotation osteotomy in the treatment of congenital dislocation of the hip.

The growth of the upper end of the femur was studied in 50 children with congenital dislocation of the hip in whom a femoral osteotomy had been carried out. All children had unilateral dislocations and had been treated by a proximal femoral varus-derotation osteotomy after closed reduction, excision of the limbus, or open reduction. The average age at osteotomy was 2.3 years. The minimum follow-up was five years (average, 11.6 years). The neck-shaft angle, CE angle, shaft-epiphysis angle, neck-epiphysis angle, diameter of the femoral head, and widths of the femoral neck and shaft were measured on the anteroposterior radiographs. Although no cases of avascular necrosis of the capital epiphysis occurred, 21 children developed deformities of the femoral head, of whom eight showed an abnormal angulation of the capital-epiphyseal plate. The neck-epiphysis angle is described as an alternative to the shaft-epiphysis angle in assessing the orientation of the capital-epiphyseal plate. The best radiographic outcome was obtained when the neck-shaft angle measured 100 degrees to 110 degrees immediately after osteotomy.

Adolescent↗