Management of chronic peripheral tears of the triangular fibrocartilage complex.

Injury to the triangular fibrocartilage is recognized with increasing frequency as a major source of pain on the ulnar side of the wrist. Traumatic separation of the well-vascularized medial insertion of the triangular fibrocartilage complex at the fovea of the ulnar styloid is less common than attritional perforation of the central hypovascular articular disc. Thirteen patients with traumatic separation of the triangular fibrocartilage complex from its peripheral origin (eleven with documented single-episode antecedent trauma) had anatomic reconstitution by surgical reattachment to the ulna.

Nonoperative management of complete tears of the medial collateral ligament of the knee in intercollegiate football players.

During five consecutive football seasons at a major university, 28 varsity football players sustained complete isolated tears of the medial collateral ligament of the knee. All were managed nonoperatively with early protected motion and physical therapy. Twenty-one patients returned for follow-up examination.

Antibiotic sensitivities of Aeromonas hydrophila cultured from medicinal leeches.

Increased use of medicinal leeches (Hirudo medicinalis) for the treatment of venous congestion in flaps and replanted parts has coincided with reports of soft tissue infections following leech application. We cultured the gullets of 20 medicinal leeches to re-examine the antibiotic sensitivities of Aeromonas hydrophila, the leech enteric organism associated with reported infections. These isolates reflected reported resistance to penicillin and first generation cephalosporins as well as sensitivity to gentamicin, tetracycline and chloramphenicol.

A case report of a compressive neuropathy of the radial sensory nerve caused by a ganglion cyst at the elbow.

A case of an elbow ganglion cyst with compression of the radial sensory nerve is presented. The mass was noted on the anterior-radial aspect of the elbow after exertional trauma. Symptoms resolved following surgical excision.