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Blind pinning of displaced supracondylar fractures of the humerus in children: Sixteen years experience with long-term follow-up
797
ABSTRACTS
child had sterile urine and a normal gram.-S. Kim
cysto-
Congenital Torsion of the Penis. J. E. Mobley. J. Ural. 517-519 (March), 1973. This is a case report of a 2-yr-old boy with a 180” torsion of the penis associated with marked chordee and hypospadias. The usual torsion of 90’ or less in and of itself is usually not corrected without symptoms. In the literature, 350/, of cases had chordee and about the same percentage had hypospadias. Correction included chordee excision, correction of torsion by the method of Kulp, and final urethroplasty.-X Kim MUSCULOSKELETAL
SYSTEM
Blind Pinning of Displaced Supracondylar Fractures of the Humerus in Children: Sixteen Years Experience with Long-Term Follow-Up. C. Flynn, J. G. Matthews and R. L. Eenoif. JBJS 56A: 263-272 (March), 1974. The authors review 72 completely displaced supracondylar humeral fractures in youngsters, treated by a percutaneous crossed Steinman pinning, after closed reduction of these fractures. The advantages of the procedure were firm immobilization and short hospitalization. Complications of the pinning were one case of transient ulnar neuropathy, one pin extrusion, and one pin tract infection. The complications of the fracture per se included I3 vascular complications and eight neural complications. One child had myositis ossificans in the brachialis muscle. One patient was pinned in a malaligned position. The complication rate is somewhat high, which the authors attribute to the fact that many of the patients had faradvanced neurovascular problems prior to the reduction and procedure.-Anthony H. Alter The Elbow in Arthrogryposis. Peter F. Williams. JBJS 55B: 834-840 (November), 1973. There are two main types of elbow deformity in arthogryposis: (I) the elbow is fixed in flexion and function is usually good; (2) the joint is fixed in extension usually with only the slightest degree of movement. This paper refers to the surgical treatment of the second group where one of the most important objects is to make it possible for the child to feed himself.
Two types of operation are recommended, tricepsplasty and triceps transfer. The former consists of lengthening the triceps tendon by a UY technique and is of most use in children when triceps action must be preserved or when elbow flexors are already present. The latter operation is the most useful and consists of transferring the triceps tendon forward, attaching it to the radius or ulna 1 inch distal to the elbow. This is the procedure of choice and will allow active Aexion against gravity and resistante. Although there was great variability in results, the reason for which is not obvious, the operation was found to produce greatly increased function in every case.--l. Aitken Epidemiology of Slipped Capital Femoral Epiphysis: A Review of the Literature. J. L. Kelsey. Pediatrics 51:1051-1059 (June), 1973. A review of the literature on the epidemiology of slipped capital femoral epiphysis reveals that the incidence is greatest in early teenage black males. occurring in spring and early summer, more common in families, in the left hip of males, that children are usually tall for their age but are overweight and have undergone slower than average skeletal maturation. Most of the risk factors have been found to play a role in either decreasing the strength of the epiphyseal plate or in increasing the amount of shearing stress to which the plate is subjetted at the time it is most vulnerable. -Clifford Rubin Static and Dynamic Problems in Spastic Cerebral Palsy. Jorgen Reimers. JBJS 55B: 822-827 (November). 1973. The aim of this paper is to survey the static and dynamic relationship of the various postural abnormalities as observed from the side because these postural anomalies illustrate particularly well the functional relationship between the various joints of the lower limbs. Five separate deformities are described and illustrated with excellent diagrams. The correct and faulty treatment of each is outlined. The authors stress that contractures in spastic cerebral palsy should be released from above downward and that the full benefit of operative treatment is only obtained when all the contractures have been corrected. Poor results seen mainly due to operative treatment being too little and too late or in the wrong sequence. -J. Aitken
ABSTRACTS
child had sterile urine and a normal gram.-S. Kim
cysto-
Congenital Torsion of the Penis. J. E. Mobley. J. Ural. 517-519 (March), 1973. This is a case report of a 2-yr-old boy with a 180” torsion of the penis associated with marked chordee and hypospadias. The usual torsion of 90’ or less in and of itself is usually not corrected without symptoms. In the literature, 350/, of cases had chordee and about the same percentage had hypospadias. Correction included chordee excision, correction of torsion by the method of Kulp, and final urethroplasty.-X Kim MUSCULOSKELETAL
SYSTEM
Blind Pinning of Displaced Supracondylar Fractures of the Humerus in Children: Sixteen Years Experience with Long-Term Follow-Up. C. Flynn, J. G. Matthews and R. L. Eenoif. JBJS 56A: 263-272 (March), 1974. The authors review 72 completely displaced supracondylar humeral fractures in youngsters, treated by a percutaneous crossed Steinman pinning, after closed reduction of these fractures. The advantages of the procedure were firm immobilization and short hospitalization. Complications of the pinning were one case of transient ulnar neuropathy, one pin extrusion, and one pin tract infection. The complications of the fracture per se included I3 vascular complications and eight neural complications. One child had myositis ossificans in the brachialis muscle. One patient was pinned in a malaligned position. The complication rate is somewhat high, which the authors attribute to the fact that many of the patients had faradvanced neurovascular problems prior to the reduction and procedure.-Anthony H. Alter The Elbow in Arthrogryposis. Peter F. Williams. JBJS 55B: 834-840 (November), 1973. There are two main types of elbow deformity in arthogryposis: (I) the elbow is fixed in flexion and function is usually good; (2) the joint is fixed in extension usually with only the slightest degree of movement. This paper refers to the surgical treatment of the second group where one of the most important objects is to make it possible for the child to feed himself.
Two types of operation are recommended, tricepsplasty and triceps transfer. The former consists of lengthening the triceps tendon by a UY technique and is of most use in children when triceps action must be preserved or when elbow flexors are already present. The latter operation is the most useful and consists of transferring the triceps tendon forward, attaching it to the radius or ulna 1 inch distal to the elbow. This is the procedure of choice and will allow active Aexion against gravity and resistante. Although there was great variability in results, the reason for which is not obvious, the operation was found to produce greatly increased function in every case.--l. Aitken Epidemiology of Slipped Capital Femoral Epiphysis: A Review of the Literature. J. L. Kelsey. Pediatrics 51:1051-1059 (June), 1973. A review of the literature on the epidemiology of slipped capital femoral epiphysis reveals that the incidence is greatest in early teenage black males. occurring in spring and early summer, more common in families, in the left hip of males, that children are usually tall for their age but are overweight and have undergone slower than average skeletal maturation. Most of the risk factors have been found to play a role in either decreasing the strength of the epiphyseal plate or in increasing the amount of shearing stress to which the plate is subjetted at the time it is most vulnerable. -Clifford Rubin Static and Dynamic Problems in Spastic Cerebral Palsy. Jorgen Reimers. JBJS 55B: 822-827 (November). 1973. The aim of this paper is to survey the static and dynamic relationship of the various postural abnormalities as observed from the side because these postural anomalies illustrate particularly well the functional relationship between the various joints of the lower limbs. Five separate deformities are described and illustrated with excellent diagrams. The correct and faulty treatment of each is outlined. The authors stress that contractures in spastic cerebral palsy should be released from above downward and that the full benefit of operative treatment is only obtained when all the contractures have been corrected. Poor results seen mainly due to operative treatment being too little and too late or in the wrong sequence. -J. Aitken