Congenital radioulnar synostosis.

Congenital radioulnar synostosis can be severely disabling, especially if it is bilateral or if severe hyperpronation exists. Functionally, patients with severe deformity have trouble getting a cup to the mouth, using eating utensils, or accepting objects in an open palm. Of 33 patients (17 bilateral and 7 unilateral) underwent derotational osteotomy, with the majority being performed through the synostosis held with, an intramedullary wire and secondary transfixing device.

Superficial anterior transposition of the ulnar nerve at the elbow for ulnar neuritis.

Superficial anterior transposition of the ulnar nerve at the elbow was carried out for ulnar neuritis in 18 extremities. Epineural neurolysis and superficial stabilization by suture of the epineurium to the fascia were performed in all cases. The procedure, as described, prevents muscle scarring, kinking of the nerve over the intermuscular septum, and fascial sling.

Reconstruction of the posterior cruciate ligament using the semimembranosus tendon.

The semimembranosus tendon was successfully used as a posterior cruciate ligament substitute in a 27-year-old man who sustained an isolated tear of the ligament. Two years after the operation, he has no feeling of instability, and has normal hamstring strength, power, and endurance as tested on the Cybex II dynamometer.

The forgotten popliteus muscle. Its usefulness in correction of anteromedial rotatory instability of the knee. A preliminary report.

The popliteus muscle is an important factor in stability of the knee. Advancement of the popliteus muscle and tendon complex was useful for surgical correction of anterior and anteromedial instability in 8 cases.

The Bankart procedure: a long-term end-result study.

Of 161 patients with 162 shoulders operated on during a thirty-year period (1946 to 1976), 124 were re-examined and twenty-one answered a questionnaire. The lesions found at surgery were separation of the capsule from the anterior glenoid rim in 85 per cent, a Hill-Sachs lesion of the humeral head in 77 per cent, and damage to the anterior glenoid rim (including fracture) in 73 per cent. There were five recurrences (3.

Idiopathic subluxation of the radial head.

Idiopathic subluxation of the radial head is a different entity from congenital dislocation. The former is always painful, with marked loss of rotation. The radius articulates with the capitellum and the radial head is concave, possibly representing a lesser stage of dislocation.

Wood, an organic foreign body of bone. A case report.

A case of an organic foreign body consisting of wood in bone is presented along with diagnosis and treatment. The unusual delay in noting the nature and extent of the injury was due to the radiolucence of the object and its lodging within the epiphyseal cartilage.