Neck pain: a long-term follow-up of 205 patients.

Two hundred five patients with neck pain were evaluated clinically and roentgenographically for a minimum of 10 years after onset of symptoms. Seventy-nine percent had a decrease in pain, and 43% were free of pain; however, 32% had moderate or severe residual pain. Patients who had been injured and initially had severe pain were the most likely to have an unsatisfactory outcome; however, no other clinical features were of value in predicting the final result.

Correlations between objective measures of function and a clinical knee rating scale following total knee replacement.

Few objective measurements of function, other than range of motion, have been reported for patients with total condylar knee replacement. Moreover, to our knowledge, no studies have been reported which assess the degree of relationship between clinical ratings and measurements of function in these patients. Kinesiologic tests of function and the Hospital for Special Surgery (HSS) Knee Rating Form were used to evaluate 34 patients before and 2 years after 39 total condylar knee replacements.

Roentgenographic findings of the cervical spine in asymptomatic people.

The purpose of this study was to determine the incidence and severity of degenerative changes seen on lateral roentgenograms in 200 asymptomatic men and women in five age groups with an age range of 20-65 years and to determine the normal values of cervical lordosis and spinal canal sagittal diameters and their relationship to degenerative changes. It was found that by age 60-65, 95% of the men and 70% of the women had at least one degenerative change on their roentgenograms. A small sagittal diameter correlated with the presence of degenerative changes at the same disc level, and the strongest correlation was with the size of the posterior osteophytes at C5-6 (r = 0.

The quality of life after major thermal injury in children: an analysis of 12 survivors with greater than or equal to 80% total body, 70% third-degree burns.

Twenty-one children admitted between December 1981 and May 1985, with greater than 80% total body surface area burn (TBSAB), underwent total excision and grafting of all of their wounds within 72 hours of injury. Twelve survivors (with an average TBSAB of 89%, 82% third degree) were studied in detail describing the length of hospital stay (77 +/- 10 days), number of operative procedures (7.8 +/- 0.

Comparison of function two years after revision of failed total hip arthroplasty and primary hip arthroplasty.

Because of the known high complication rate, it is important for both the patient and physician to know as much as possible about the outcome of revision operations for loosened total hip arthroplasties. This study evaluates the changes in subjective ratings and objective kinesiologic measurements from before revision operations through two years after revision operations. The object is to compare these measurements with the measurements of a group of patients with primary replacements.

Comparative effects of dopamine, naloxone, and prostacyclin in the resuscitation of fecal-Escherichia coli peritonitis-induced septic shock in neonatal swine.

To explain the high neonatal mortality from peritonitis-induced septic shock despite current resuscitation practices, the efficacy of dopamine, naloxone, and prostacyclin was evaluated in an experimental neonatal model. Hemodynamics were monitored and survival was measured in anesthetized neonatal swine, which were subjected to fatal fecal-Escherichia coli peritonitis-induced septic shock. All the animals received fluid resuscitation, antibiotics, and bicarbonate to correct acidosis.

Shoulder-muscle strength and range of motion following surgical repair of full-thickness rotator-cuff tears.

Postoperative measurements of the range of motion and muscle strength of the shoulder and ratings of pain and the ability to perform daily activities were made in fifty-eight patients (sixty-three shoulders) who had a repair of a full-thickness rotator-cuff tear. Postoperatively, the patients had an average of 126 degrees of active flexion of the shoulder and an average of 130 degrees of active abduction. Passive motion averaged 21 degrees more than active motion.

Roentgenographic findings following anterior cervical fusion.

We reviewed the pre- and postoperative lateral cervical roentgenograms in 90 patients who had anterior fusions and compared their findings with age and sex-matched people without neck problems. The average interval from surgery to review was 5 years. Preoperatively, all patients had a higher incidence of degenerative spondylosis at the levels to be fused than their asymptomatic counterparts.

Hip function after total vs. surface replacement.

Kinesiologic measurements were made in two groups of 20 men before and 6 and 24 months after resurfacing or conventional replacement. Before surgery the group to have resurfacing was younger, had less pain, slightly more hip motion, greater muscle strength, walked faster, and used fewer assistive devices during walking than the group to have the conventional replacement. After surgery, the group with resurfacing maintained its advantage in muscle strength and walking velocity.

Antalgic maneuvers during walking in men with unilateral knee disability.

The gait of men with unilateral knee disability has not been quantified previously. Interrupted-light photography was used to quantify the gait abnormalities of 35 men whose major disability was unilateral knee pain. The following antalgic maneuvers were found to be common to the gait of these patients: slow and uneven forward progression with lateral lurching toward the painful side, asymmetry in stride and temporal components, and abnormalities in the displacement patterns of most body segments.

Intra-articular osteochondromas of the hip joint in a child with multiple osteochondromas. Case report.

A child five and one-half years old with multiple osteochondromas presented with symptoms mainly affecting her right hip. Several intra-articular osteochondromas had formed about the femoral neck and acetabulum. The osteochondromas were removed, and hip development appears to be normal over a four-year follow-up period.

Functional performance after tibial rotationplasty.

We measured muscle strength, joint motion, and gait parameters and determined the electromyographic activities of the ankle and knee during walking, running, and stair-climbing in two children who had had a tibial rotationplasty for osteosarcoma of the distal end of the femur. Both had marked loss of strength in the plantar flexors on the side of the prosthesis compared with the sound side, although electromyographic recordings showed that the rotated calf muscles, to a substantial degree, had assumed the function of extensors of the prosthetic knee. Despite some abnormalities in gait, both children walked at speeds that were comparable to those of normal children.

Shoulder motion and muscle strength of normal men and women in two age groups.

Normal age- and sex-related standards for shoulder range of motion (ROM) and muscle strength are unavailable in the literature. Active range of shoulder motion and maximum isometric strength (torque) of several shoulder muscle groups were measured in normal healthy men and women between 25 and 36 and between 55 and 66 years of age. Values for joint motion were similar for the two age and sex groups.

Anterior cervical fusion for degenerated or protruded discs. A review of one hundred forty-six patients.

The results of 146 patients with anterior cervical intervertebral disc removal and fusions are reviewed. The diagnosis was cervical spondylosis in 75%, disc protrusion in 16%, and spondylosis at one level with disc protrusions at another in 9%. There were 81 women and 65 men with an average age of 48 +/- 9 years.

Technique of cervical interbody fusion.

A dovetail autogeneic graft is demonstrated for anterior interbody fusion of the cervical spine for degenerated or protruded intervertebral discs. The method is applicable for one or more levels and has been successfully combined with vertebral body resection for metastatic tumors and trauma. The procedure provides secure initial interbody immobilization and prevents interbody collapse.

Function after revision of failed total hip arthroplasty.

Measurements of functional performance were made before and 6 months after 31 primary total hip replacements and 31 total hip revisions for prosthetic loosening. After revision, functional performance returned to levels substantially the same as after primary hip replacement except for greater reliance on canes for patients in the revised group. Ratings of hip status and hip pain were slightly less satisfactory after revision as compared to after the primary operation.

The spatial and temporal distribution of inhaled UO2 particles in the respiratory tract of the rat. II. The relative concentration of UO2 between the intrapulmonary airways and the pulmonary tissue.

In this experiment the relative masses of UO2 particles per unit mass of tissue are determined between intrapulmonary airways and pulmonary tissue in rat lungs. A mean value of 0.57 +/- 0.

The spatial and temporal distribution of inhaled UO2 particles in the respiratory tract of the rat. I. Pulmonary tissue.

An analysis is described of the mass distribution of inhaled UO2 particles in the pulmonary tissue of rats by random sampling of fields in autoradiographs of histological sections. The degree of nonrandomness is compared between fields, between sections, and between lobes and interpreted in terms of the physical distribution of UO2. The error in the estimate of the mean number of charged-particle tracks from UO2 per field in the pulmonary tissue by selective tissue sampling is related to the degree of nonrandomness of the UO2 distribution.

MAST: medical antishock trousers.

MAST are a simple, safe and sound device with applicability in all shock states; they provide a number of benefits to the hypotensive patient. The main benefits seem to be autotransfusion of peripherally pooled blood originating from the MAST encased areas, increase in peripheral vascular resistance, external tamponade of bleeding vessels and an aid to stabilization of fractured bones of the pelvis and lower extremities. Because an area of hypoperfusion can lead to complications, the pathophysiologic effects of MAST must be understood.

Anterolateral compared to posterior approach in total hip arthroplasty: differences in component positioning, hip strength, and hip motion.

In order to identify the functional advantages or disadvantages between the anterolateral and the posterior approaches to total hip arthroplasty, measurements of prosthetic position, hip-muscle strength, and hip joint mobility were made after Müller total hip arthroplasty without osteotomy in 52 patents operated through a posterior approach and 41 patients operated through an anterolateral approach. Men and women who had the posterior approach had less prosthetic component anteversion and longer neck lengths, with resultant more lateral and distal placement of the greater trochanter than groups with the anterolateral approach. Groups with the posterior approach had more normal hip abductor-muscle strength and more inward rotation on the operated side than group with the anterolateral approach.