Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 1991
Case ReportsPseudoarthrosis of the ulna in neurofibromatosis. A report of four cases.
Four children suffering from neurofibromatosis with ulnar pseudarthrosis and progressive reabsorption of the middle and distal thirds of the ulna are reported. None had any pain or sensory loss, but all had progressive deformity of the forearm. ⋯ Non-operative management was decided on in the patient with slow ulna reabsorption. The creation of a one-bone forearm is more likely to produce sound union, thus avoiding the need for further operations, while conservative management should be reserved for patients with a slowly progressive condition.
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Arch Orthop Trauma Surg · Jan 1991
Juvenile and idiopathic kyphosis. Long-term follow-up of 20 cases.
Twelve patients with juvenile kyphosis and eight patients with idiopathic kyphosis were reviewed at an average follow-up of 19 years. The average age of the patients at follow-up was 33 years (range 26-45 years). ⋯ At follow-up, however, all the patients had lost the correction obtained and the curves had become worse than originally, those in idiopathic kyphosis more so than those in juvenile kyphosis. Despite the increase in their angular deformity, all the patients managed fairly well and only two complained of distressing back pain.
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We present an assessment of 200 patellar fractures treated mostly (175) by partial patellectomy. In 23 cases in which the quadriceps mechanism was 75% intact (MRC power approximately 4), the fractures were treated conservatively, with an overall acceptable result. The operative series with an average follow-up of 3 years has shown 80.3% excellent to good results. A classification of fractures of the patella, based on the anatomical fracture line and quadriceps functional loss as recorded in 690 case histories, is suggested.
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An isolated fracture of the first rib is rare. Stress fractures of the first rib have previously been reported in various sports and the mechanism of fractures of the first rib has been well documented. ⋯ No reported case of stress fracture of the first rib in a weightlifter has hitherto been available. This paper describes such a case for the first time.
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Arch Orthop Trauma Surg · Jan 1991
Case ReportsSports-related two-plane fractures of the distal tibia. Report of two cases.
Two cases of sports-related two-plane fractures of the distal tibia, their operative treatment and the result of therapy after hardware removal are reported. The incidence and mechanism of this type of fracture in adolescents are shown as well as the indication for surgical reconstruction depending on the gap in the joint surface of the distal tibia.