Bulletin of the Hospital for Joint Diseases Orthopaedic Institute
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The early recognition and treatment of impending compartmental ischemia in the foot in the context of severe injuries will prevent the late sequelae of myoneural necrosis. When suspected, simple tests will confirm the diagnosis. ⋯ Methods of measuring compartment pressures in the foot are outlined. Prompt decompression of the compartment syndrome with appropriate fasciotomies either by medial or dorsal longitudinal incisions is indicated to preserve function and form of the foot.
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Bull Hosp Jt Dis Orthop Inst · Jan 1987
Case ReportsThe use of clonidine for the treatment of meperidine withdrawal in a multidisciplinary pain program setting. A case presentation.
The management of iatrogenic drug dependence in individuals with pain can be more difficult than the treatment of the pain itself. In addition to a multidisciplinary approach to the treatment of a patient with chronic pain, there is a need for a rapid, safe, and effective method of detoxification from opiate use. Clonidine HCl, a nonopiate, has been found, in this case presentation, to be a valuable option.
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Osteoid osteoma can be easy to recognize in a classic presentation involving long bones. However, the diagnosis may be difficult when cancellous bone is involved, and surgical exploration may first lead to the diagnosis. A case is presented illustrating this problem.