Archive » 1991 » 3 »

Fractures of the calcaneus are rare but rather demanding to treat. There is lack of agreement regarding the treatment of these injuries. The available therapeutic modalities include conservative management by functional method, immobilization or closed reduction and transcutaneous pinning. Displaced intraarticular fractures of the calcaneus can be managed only surgically. The article reviews the mechanisms of fractures of the calcaneus … Preberite več >>

A careful physical examination and history are of great value in clarifying the condition and establishing accurate diagnosis. The author presents clinical tests used in evaluation of the shoulder joint.… Preberite več >>

Local topical cooling is often applied after surgery or after knee injuries. It is agreed that lowering of knee tissue temperatures reduces the need for medicaments and shortens the rehabilitation period. However, some recent findings put the benefit of topical cooling under question because of possibly injured surface tissue layers. Two different simulations were analyzed: cooling with a liquid at … Preberite več >>

BACKGROUND. Limb length discrepancy (LLD) is quite a frequent disorder; it develops in approx­imately 15% of the population. Lumbar pain is the most common consequence of untreated LLD. Treatment is usually indicated when the condition becomes functionally or esthetically disturbing for the patient. With a simple operation (epiphysiodesis) done before the patient reaches skeletal maturity, LLD can be reduced or … Preberite več >>

Today, arthroscopy of the knee is a well-established method for diagnosing lesions of the meniscus. Arthroscopic meniscectomy is technically more demanding than the open technique, yet thanks to the introduction of new minute and precise instruments it has been accepted as a rutine procedure in most orthopedic departments. The main advantage of arthroscopic meniscectomy is minimal operative traumatization of the … Preberite več >>

Hallux valgus is a deformity without a known cause. Failure of conservative treatment is an indication for operative correction. First metatarsal osteotomy is the basis for over 130 dif­ferent procedures. None of them is universally applicable for all deformities and many of them have serious shortcomings. The classical Mitchell osteotomy does not ensure stability like the more popular Chevron osteotomy. … Preberite več >>

Traumatic knee dislocation is a medical emergency. It is associated with extensive damage of all elements of the knee joint, among which injury of the popliteal blood vessels presents a serious threat to the limb. Despite the fact that many features of this type of injury are known, there is still a high percentage of above-the-knee amputations, mainly due to … Preberite več >>

Degeneration off the articular cartilage and osteoarthritis of the hip joint are most often idiopathic (primary osteoarthritis). In patients with known pathogenesis (secondary osteoarthrtis), the disease is most commonly due to mechanical bone deformation, termed hip dysplasia. The treatment is planned on the basis of clinical, anatomic and biomechanical characteristics of the hip joint. The biomechanical pattern is most frequently … Preberite več >>

Studying the biomechanics of the knee is a demanding task because of the complexity of the knee joint motion. Many methods have been described in the literature, yet most of them do not consider movements in three axes and three planes. Lately, some precise mechanical and optical methods have been developed for the study of three-dimensional biomechanics of the knee. … Preberite več >>

Erythromelalgia is a rare syndrome characterised by attacks of severe burning pain, erythema, and warmth of the extremities-primarily the feet and, to a lesser extend, the hands. The distress is induced by environmental heat, exercise, and dependency; it is relieved by exposure to cold and elevation of the extremity. Idiopathic and secondary forms of erythromelalgia exist. Secondary erythromelalgia has been … Preberite več >>