Results of synovectomy in children with rheumatoid arthritis

Results of synovectomy in children with rheumatoid arthritis

ABSTRACTS 162 musculature are probably better off with a urinary diversion.--S. Kim Chordee Without Hypospadias. C. J. Devine, Jr. and C. E. Horton. ...

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ABSTRACTS

162 musculature are probably better off with a urinary diversion.--S. Kim Chordee Without Hypospadias. C. J. Devine, Jr. and C. E. Horton. J. Urol. 110:264-171 (August) 1973. The authors have divided chordee without hypospadias into three classes and reviewed 22 cases with this anomaly. Depending upon the type of lesion present, the a u t h o r s feel that chordee without hypospadias usually can be corrected without severing the urethra. They illustrate this with examples from the 22 cases in their series.--S. Kim Surgical Correction of Incomplete Penoscrotal Transposition. J. F. Glenn and E. E. Anderson. J. Urol. 110:603-605 (November) 1973. Four cases are presented illustrating the various clinical presentations of penoscrotal transposition, and the technique of correction is illustrated as well. M o s t of these patients have associated urogenital anomalies, predominantly hypospadias, chordee, and upper-tract agenesis.--S. Kim

MUSCULOSKELETAL

SYSTEM

Results of Synovectomy in Children with Rheumatoid Arthritis. W. M. Granberry and E. J. Brewer. Clin. Orthop. 101:120-126 (June) 1974. Twenty-four patients, including 53 joints, in patients with juvenile arthritis, had synovectomy. The best results occurred in large joints w h i c h had boggy synovitis. There were no good results with synovectomy in the small joints. --Anthony H. Alter Recurrent Dislocation of the Elbow in Children. A. Trias and Y. Comeau. Clin. Orthop. 100:74-77

(May) 1974. Two cases of recurrent elbow dislocations are d o c u m e n t e d with a r t h r o g r a m s and treatment techniques given.--Anthony H. Alter Trigger Thumbs in Children. J. M. Oinham and B. F. Meggitt. J. Bone Joint Surg. (Br) 56:153-155

(February) 1974. This paper concerns a survey of 105 patients with 131 t h u m b s in which there was a stenosing tenovaginitis of the flexor pollicis longus tendon with the classical picture of a palpable nodule in the tendon at the metacarpal head and thickening of the tendon sheath. F r o m the survey the following conclusions were evident. Trigger t h u m b s seen at birth can be watched for 12 m o

as there is an expected recovery rate of 30~o. When the t h u m b is first noted between 6 and 30 m o of age, it can be watched safety for 6 mo as at this stage there is a s p o n t a n e o u s recovery rate of 12~o. If the release is done before 4 yr of age, there should be no residual deformity and, therefore, operation is recommended in all children over 3 yr, when first seen. J. Aitken Injuries of the Spine in Children in Adolescence. D. D. Hubbard. Clin. Orthop. 100:56-65 (May)

1974. Forty-two cases of spine fractures in children were studied. The average age was 10 yr, with a range of 17 m o to 17 yr. Patients with stable fractures revealed that remodelling did indeed occur and ultimately they had no residuals. Stable fractures can, however, cause progressive abnormalities, including scoliosis, and m a y require fusion. This is one o f the few articles written on this subject. Anthony H. Alter Scheuermann's Kyphosis and Roundback Deformity: Results of the Milwaukee Brace Treatment. D. S. Bradford, J. H. Moe, F. J. Montalvo and R, B. Winter. J. Bone Joint Surg. (Am.) 56:740758 (June) 1974. One h u n d r e d and ninety-seven patients with S c h e u e r m a n n ' s kyphosis were treated with the Milwaukee brace and exercise treatment. The n u m b e r s were further subcategorized with 168 patients having a combination of thoracic kyphosis and vertebral wedging, whereas the second category contained 29 patients with thoracic kyphosis and no wedging. In 75 patients in w h o m treatment was completed, the kyphosis improved 4 0 ~ , including improvement in vertebral wedging of 45~o. The usual treatment included wearing a brace for over 3 yr. Failures were for the following reasons: (1) poor patient cooperation; (2) dorsal vertebral wedging of greater than 10 ~ in more than one vertebra; (3) the presence of skeletal maturation, (closure of the iliac apophysis) before the initiation of treatment; (4) An initial dorsal kyphosis of greater than 65 degrees. The authors present a well-studied series, documenting the fact that the S c h e u e r m a n n ' s kyphosis can be treated with the Milwaukee brace.--A nthony H. Alter Fusion of the Scoliotic Spine in Young Children: Effect on Prognosis and Growth. R. M. Letts and W. P. Bobechko. Clin. Orthop. 101:136-145 (June) 1974. Fifty-seven children, under the age of 8, were studied subsequent to scoliotic spine fusion.