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Rotator cuff tears
221
Abstracts
Delayed excision of radial head Twenty-one elbows were examined 3-37 years after having the heads of the radii removed. This operation was performed from I month to 20 years after fracture of the hcnd. with or without dislocation. Three-quarters had less pain kind fourfifths had more movement. Three-quarters had good or excellent results. Broberc M. A. and Morrcv 6. F. ( ICM) Results of delayed excision of the radial head after fracture. J. Horse Joi~r/ .S~r~q. 68A . 060.
Nevertheless. half the patients had weakened grips. Shortening of the radius was more disabling than dorsal tilting and only one head of ulna was removed. Fewer than half of the (2X) wrists showing osteoarthritis (out of 40 in all) achieved good or better results. Knirk J. L. and Jupiter J. B. ( IYXh) intra-articular fracture of the distal end of the radius in young adults. J. Bone Joinr .Sur,q. 68A. M7.
Splintage of chronic mallet finger Supracondylar
humeral fractures in children
Ninety-eight children with severely displaced fractures wcrc treated by skin traction on the limb with the elbow straight. After an average of 3v2 years 90 had satisfactory results: only 4 had cuhitus varus and none had Volkmann’s ischaemia. The method is recommended for severe and difticult cases. Piggott J.. Graham J-1. K. and McCoy G. F. (19Kh) Supr;rcondylar fractures of the humerus in children. J. Borw Joiu/ Srtrg. 68B. 577.
Fractures of proximal humeral epiphysis Thirty of 57 children up to IS years of age with this injury were examined 2-X years later. Regardless of treatment and the success of manipulation the functional result was good: shortening was always less than 2.5 cm and thcrc was at most negligible varus. Baxter M. P. and Wiley J. J. (19X6) Fractures of the proximal humeral epiphysis. J. Borw Joirrf Surg. 688. 570.
Fixation of trochanteric
fractures
Neurapraxia metacarpal
and fracture-dislocation
of fifth
Although fracture-dislocation of this joint (which resembles Bennett’s in,jury of the thumb) is quite frequent. neurapraxia (which is consistently misspelt) of the sort reported has not previously heen recorded. Peterson P. and Sacks S. ( IYHh) Fracture-dislocation of the base of the lifth metacarpal associated with injury to the deep motor branch of the ulnar nerve. J. Htrtrrl Surg. I IA. 525.
Radial nerve palsy
Jewett’s nail-plate was compared with the dynamic hip screw in a randomized prospective trial in 98 patrents. There was little to choose between the two devices in terms pain. time in hospital. mortality and morbidity but the screw entailed more difficulties during operation: however. after 0 months more of these patients were mobile. with better bony contact than with the nail-plate. Essen M. P.. Kassab J. Y. and Jones D. Il. A. (11X(1) Trochanteric fractures of the femur. J. Rorw Joirrr Swg. 688. 557.
of
RECREATIONAL INJURIES Rotator cuff tears Removing part of the acromion process and cor~lco-~lcrorni;lI ligament and repairing partial or complete tears of the rotator cuff were better at relieving pain than at returning athletes to their previous activities. Tibone J. E., Elrod B.. Jobc F. W.. Erlan R. K.. Carter V. S.. Shields C. L.. Lombard0 S. J. and Yocum L. (19X6) Surgical treatment of tears of the rotator cuff in athletes. J. Bone Joint Slug. 68A. XX7.
VASCULAR
After 4-1X weeks. eight mallet fingers were successfully treated by continuous splintage in extension for X weeks and for 2 weeks worn at night. Two more required :I second period of splintage for X weeks. Pate1 M. R. and Bassini-Lipson L. ( IYX6) Conservative trc;rtment of chronic mallet tingcr. J. Hd Surg. I IA. 570.
INJURIES
AV shunt for lower limb venous injury A posterior tibia1 fistula made after repairing the vein seemed to improve the chances that the vein would remain patent. Richardson J. B.. Jurkovich G. J.. Walker G. T.. Ncnstiel R. and Bone E. G. (IYX6) A temporary arteriovenous shunt (Scribner) in the management of traumatic venous injuries of the lower extremity. J. Trounw 26. 503.
Blocking the radial nerve in normal volunteers weakened the grip and the wrist because of the paralysis of the fixator muscles. Loborsky D. A. and Woggy C. A. (19X6) Apparent weakness of median and ulnar motors in radial nerve palsy. J. Hwrtl .Swx. I IA. 52X.
MISCELLANEOUS Injury from nail gun cartridges Throwing bricks at discarded, but live. cartridges for nail guns is a dangerous form of amusemenf. Fragments of cartridge can penetrate the body. Paton R. W. (19X6) Injuries from nail gun cartridges. Br. Med. J. 293. SYX.
Inversion ankle injuries Five hundred consecutive inversion injuries of the ankle were studied. If radiography is contined to ankles when the distal part of the fibula is tender. the patient cannot take weight on it or is over 60. radiographic examination can be reduced by 60 per cent without detriment to patients’ care. Dunlop M. G.. Beattie F. F.. White G. K.. Raab G. M. and Doull R. J. (19X6) Guidelines for selective radiological assessment of inversion ankle injuries. Br. Med. J. 293. 603.
PLASTICS Nerve division
HAND
INJURIES
Intra-articular
fracture of radius
Whether manipulated transfixed with wires,
or not and put in a simple plaster most wrists achieved useful function.
During the first 2 or 3 days after a nerve had been clearly divided impulses can cross the gap. if the cut ends are in contact. This has important implications for casualty officers and after repair. Lynch G. and Quinlan D. (1986) Jump function following nerve division. Br. J. Surg. 39. 364.
Abstracts
Delayed excision of radial head Twenty-one elbows were examined 3-37 years after having the heads of the radii removed. This operation was performed from I month to 20 years after fracture of the hcnd. with or without dislocation. Three-quarters had less pain kind fourfifths had more movement. Three-quarters had good or excellent results. Broberc M. A. and Morrcv 6. F. ( ICM) Results of delayed excision of the radial head after fracture. J. Horse Joi~r/ .S~r~q. 68A . 060.
Nevertheless. half the patients had weakened grips. Shortening of the radius was more disabling than dorsal tilting and only one head of ulna was removed. Fewer than half of the (2X) wrists showing osteoarthritis (out of 40 in all) achieved good or better results. Knirk J. L. and Jupiter J. B. ( IYXh) intra-articular fracture of the distal end of the radius in young adults. J. Bone Joinr .Sur,q. 68A. M7.
Splintage of chronic mallet finger Supracondylar
humeral fractures in children
Ninety-eight children with severely displaced fractures wcrc treated by skin traction on the limb with the elbow straight. After an average of 3v2 years 90 had satisfactory results: only 4 had cuhitus varus and none had Volkmann’s ischaemia. The method is recommended for severe and difticult cases. Piggott J.. Graham J-1. K. and McCoy G. F. (19Kh) Supr;rcondylar fractures of the humerus in children. J. Borw Joiu/ Srtrg. 68B. 577.
Fractures of proximal humeral epiphysis Thirty of 57 children up to IS years of age with this injury were examined 2-X years later. Regardless of treatment and the success of manipulation the functional result was good: shortening was always less than 2.5 cm and thcrc was at most negligible varus. Baxter M. P. and Wiley J. J. (19X6) Fractures of the proximal humeral epiphysis. J. Borw Joirrf Surg. 688. 570.
Fixation of trochanteric
fractures
Neurapraxia metacarpal
and fracture-dislocation
of fifth
Although fracture-dislocation of this joint (which resembles Bennett’s in,jury of the thumb) is quite frequent. neurapraxia (which is consistently misspelt) of the sort reported has not previously heen recorded. Peterson P. and Sacks S. ( IYHh) Fracture-dislocation of the base of the lifth metacarpal associated with injury to the deep motor branch of the ulnar nerve. J. Htrtrrl Surg. I IA. 525.
Radial nerve palsy
Jewett’s nail-plate was compared with the dynamic hip screw in a randomized prospective trial in 98 patrents. There was little to choose between the two devices in terms pain. time in hospital. mortality and morbidity but the screw entailed more difficulties during operation: however. after 0 months more of these patients were mobile. with better bony contact than with the nail-plate. Essen M. P.. Kassab J. Y. and Jones D. Il. A. (11X(1) Trochanteric fractures of the femur. J. Rorw Joirrr Swg. 688. 557.
of
RECREATIONAL INJURIES Rotator cuff tears Removing part of the acromion process and cor~lco-~lcrorni;lI ligament and repairing partial or complete tears of the rotator cuff were better at relieving pain than at returning athletes to their previous activities. Tibone J. E., Elrod B.. Jobc F. W.. Erlan R. K.. Carter V. S.. Shields C. L.. Lombard0 S. J. and Yocum L. (19X6) Surgical treatment of tears of the rotator cuff in athletes. J. Bone Joint Slug. 68A. XX7.
VASCULAR
After 4-1X weeks. eight mallet fingers were successfully treated by continuous splintage in extension for X weeks and for 2 weeks worn at night. Two more required :I second period of splintage for X weeks. Pate1 M. R. and Bassini-Lipson L. ( IYX6) Conservative trc;rtment of chronic mallet tingcr. J. Hd Surg. I IA. 570.
INJURIES
AV shunt for lower limb venous injury A posterior tibia1 fistula made after repairing the vein seemed to improve the chances that the vein would remain patent. Richardson J. B.. Jurkovich G. J.. Walker G. T.. Ncnstiel R. and Bone E. G. (IYX6) A temporary arteriovenous shunt (Scribner) in the management of traumatic venous injuries of the lower extremity. J. Trounw 26. 503.
Blocking the radial nerve in normal volunteers weakened the grip and the wrist because of the paralysis of the fixator muscles. Loborsky D. A. and Woggy C. A. (19X6) Apparent weakness of median and ulnar motors in radial nerve palsy. J. Hwrtl .Swx. I IA. 52X.
MISCELLANEOUS Injury from nail gun cartridges Throwing bricks at discarded, but live. cartridges for nail guns is a dangerous form of amusemenf. Fragments of cartridge can penetrate the body. Paton R. W. (19X6) Injuries from nail gun cartridges. Br. Med. J. 293. SYX.
Inversion ankle injuries Five hundred consecutive inversion injuries of the ankle were studied. If radiography is contined to ankles when the distal part of the fibula is tender. the patient cannot take weight on it or is over 60. radiographic examination can be reduced by 60 per cent without detriment to patients’ care. Dunlop M. G.. Beattie F. F.. White G. K.. Raab G. M. and Doull R. J. (19X6) Guidelines for selective radiological assessment of inversion ankle injuries. Br. Med. J. 293. 603.
PLASTICS Nerve division
HAND
INJURIES
Intra-articular
fracture of radius
Whether manipulated transfixed with wires,
or not and put in a simple plaster most wrists achieved useful function.
During the first 2 or 3 days after a nerve had been clearly divided impulses can cross the gap. if the cut ends are in contact. This has important implications for casualty officers and after repair. Lynch G. and Quinlan D. (1986) Jump function following nerve division. Br. J. Surg. 39. 364.