Journal of the Southern Orthopaedic Association
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J South Orthop Assoc · Jan 2000
ReviewImaging of the cervical spine and its role in clinical decision making.
Thorough imaging of the cervical spine often requires more than one test. The many available options from which to choose can often lead to redundancy and confusion regarding the best test series. In an effort to make the process of choosing the most effective imaging series more efficient, we review the current literature on cervical imaging and, from the information gathered, construct a diagnostic imaging algorithm for evaluating the cervical spine.
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J South Orthop Assoc · Jan 2000
ReviewDigital flexor sheath: repair and reconstruction of the annular pulleys and membranous sheath.
Rupture or transection of the digital pulley may necessitate repair or reconstruction to treat symptomatic flexor tendon bowstringing. When reconstruction is necessary, intrasynovial tendon grafts may provide superior gliding characteristics when compared with traditional extrasynovial tendon grafts. Lacerations of the membranous portion of the digital sheath and of noncritical annular pulleys usually do not require operative repair.
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J South Orthop Assoc · Jan 2000
ReviewIliac crest autogenous bone grafting: donor site complications.
Autogenous bone grafting is often done in orthopaedic surgery for a variety of conditions. The iliac crest is currently the most common donor site for obtaining autogenous bone graft. We searched the literature to summarize reported complications related to the donation of autogenous bone from the iliac crest. ⋯ Currently, autogenous bone grafting is a necessary part of the treatment of various orthopaedic conditions. Obtaining bone from the iliac crest can be associated with significant morbidity. As bone grafting technology emerges, the known complications of the current standard should be weighed against the risk of alternate therapies.
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J South Orthop Assoc · Jan 2000
Case ReportsRupture of the flexor digitorum superficialis: occurrence after tendon repair of an adjacent digit.
A patient had a ruptured flexor digitorum sublimis tendon of the long finger in the region of decussation. The injury occurred several weeks after repair of a zone 2 flexor digitorum sublimis and flexor digitorum profundus tendon of the index finger.