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PubMedDate not supplied

Costosynthetic stabilization of massive chest wall instability.

Operative stabilization of massive chest wall instability is described in 38 patients. 35 patients were young combat casualties with penetrating chest injuries operated upon at front hospitals with limited resources, two patients sustained automobile accidents with blunt thoracic trauma resulting in an extensive flial chest and one patient with elective chest wall resection for soft tissue sarcoma. Intramedullary K-Wires were universally used as costosynthetic stabilizers. The results were classified as good to excellent in comparison to non operative or other complex operative procedures and a very low mortality rate was achieved as compared to our past experience and the surgical literature.

Adult↗
PubMed1985

Osteomalacia. An imposter of osseous metastasis.

A case of osteomalacia with multiple asymmetrically distributed pseudofractures (Looser's zones) simulating metastases is presented. Radiographic correlation is essential to increase specificity and avoid misinterpretation.

Aged↗
PubMedDate not supplied

Epidemiology of fractures of the proximal femur in Rochester, Minnesota.

An incidence study of fractures of the proximal femur has been conducted over a 10-year period. The results show a doubling of the fracture rate in each decade of life after age 50 years. A comparison of age-adjusted fracture rates with populations in different countries shows that in both men and women, the hip fracture is highest in the United States population examined in this study. The fracture rate is much greater in women than in men, and by age 90 years, about 32% of women and 17% of men had suffered a fracture. An estimate of the number of proximal hip fractures occurring in the United States suggests that approximately 113,000 women and 34,000 men older than 50 years of age will suffer a hip fracture each year. This represents a considerable cost, approaching one billion dollars annually, to health care in the United States.

Adult↗
PubMed1993

[Lethal osteogenesis imperfecta in a Congolese newborn infant].

BACKGROUND: Several forms of osteogenesis imperfecta have been described. The perinatally lethal forms (type II of Sillence) have been subclassified into groups A, B and C on the basis of radiological features. This report describes a case of type IIA. CASE REPORT: A female Congolese baby was born at term to healthy, non-consanguineous parents. No ultrasonographic studies were done during the pregnancy. The newborn suffered from acute respiratory distress at birth. Clinical examination showed bone abnormalities: shortened and bowed limbs with crepitation at mobilization, soft calvaria and narrow rib cage. X-rays showed short, broad, bowed long bones with signs of fractures; the ribs were thin and beaded; wormian bones were seen in the skull. The newborn died from respiratory distress at the age of 5 hours. All clinical and X-rays investigations of the parents, the elder brother and cousins were normal. CONCLUSION: This baby seems to have suffered from a lethal form of osteogenesis imperfecta, probably type IIA of Sillence.

Fatal Outcome↗
PubMed1991

Trauma in cirrhosis: an indicator of the pattern of alcohol abuse in different societies.

While some morbidities associated with the excessive use of alcohol are related to the total amount of alcohol consumed--cirrhosis being an example--other pathologies, such as trauma and those of psycho-social origin, are mainly related to the frequency of acute alcoholic intoxication rather than to the total amount consumed. The balance between these two types of alcohol-associated morbidities can provide an indication of the relative frequency of intoxication, and thus of the pattern of alcohol abuse in a population. Since trauma is highly associated with acute alcoholic intoxication, the prevalence of bone fractures was determined in cirrhotics in nine countries. The prevalence of rib and vertebral fractures on routine chest x-rays showed a 17-fold variation in the different countries, from 2% and 6% in Spain and Italy to 30% and 34% in Canada and the USA, suggesting marked differences in the pattern of alcohol abuse to intoxication. Conversely, the prevalence of cirrhosis is twice as high in Spain and Italy than in Canada and the USA. A strong positive correlation between per capita consumption and cirrhosis mortality (r = 0.86; p less than 0.01) exists among the nine countries studied, while the correlation between per capita alcohol consumption and the prevalence of trauma is not statistically significant (r = 0.40). Supporting a strong association between trauma and alcoholic intoxication, the prevalence of trauma was found to be highly correlated: r = 0.88, p less than 0.002, with the degree of concern for the psycho-social consequences of alcohol abuse in the different countries. Data indicate that trauma can be used as an objective indicator to assess the pattern of alcohol abuse in a population.

Alcohol Drinking↗