A six-year-old girl with congenital sensory neuropathy with anhidrosis (CSNA) presented with bilateral hip dysplasia and subluxation on the right side. Conservative treatment of the hips by closed reduction and a plaster cast was unsuccessful. When aged seven years the patient had an intertrochanteric varus rotation osteotomy on the right side, but subluxation was again evident after five month...

ASSESSMENT OF PHAGOCYTOSIS This was determined using a modification of the 'skinwindow' coverslip technique introduced by Rebuck and Crowley (1955). Hair was removed from an area on each side of the dorsal thorax using electric clippers and the skin was shaved and cleaned. The surface of each shaved area was then abraded with a scalpel blade over an area 1 cm. in diameter until tiny bleeding po...

A 31-year-old housewife attended the Accident and Emergency Department of the Mater Infirmorum Hospital, Belfast, Northern Ireland, having fallen and injured her left wrist. She had fallen backwards onto her outstretched hand, forcing the wrist into considerable dorsi-flexion with the forearm in supination. Examination revealed bruising and swelling at the base of the first metacarpal and over ...

Forty-seven patients over the age of 55 years with a displaced fracture of the ankle were entered into a prospective, randomised study in order to compare open reduction and internal fixation with closed treatment in a plaster cast; 36 were reviewed after a mean of 27 months. The outcome was assessed clinically, radiologically and functionally using the Olerud score. The results showed that ana...

Stress fracture of the proximal tibia after total knee arthroplasty (TKA) is very rare. We found only 16 cases in a review of the literature. We report the case of a 76-year-old obese woman who sustained a stress fracture of the right proximal tibia without trauma 18 months after TKA. Pain developed in the proximal medial aspect of the tibia during walking. Physical examination showed tendernes...

This paper presents a review of the literature on pseudarthrosis of the scaphoid in skeletally immature individuals, taking into consideration its epidemiology, diagnosis and treatment, as well as its controversies. Knowledge of this subject makes it possible for patients to be given appropriate treatment immediately. Pseudarthrosis of the scaphoid in skeletally immature patients is a rare cond...

Fractures of the tibia through the proximal epiphysis are rare. This injury usually results from severe direct or indirect force about the knee, and has not been described as resulting from a patellar tendon avulsion injury. Four patients presented with five avulsion fractures of the proximal tibial epiphysis. All were older adolescent males who had been engaged in jumping sports when the injur...

The management of an anterior supracondylar fracture by closed reduction, traction, percutaneous pinning or open reduction is seldom satisfactory, especially for adults and the aged with a lesser ability to remodel and a slower functional recovery. A new, safe, and simple technique is described in which the condylar mass is pushed posteriorly along the axis of the forearm and the hand is rotate...

Joint Diseases and Related Surgery (JDRS), the official journal of Turkish Foundation, is an international, peer-reviewed, immediate open access journal. All published articles in JDRS has been free for everyone, without embargo, since 1990.

Orthotic treatment of infantile scoliosis represents a challenge: 1. Most of them are progressive 2. Different etiologies 3. Associated diseases 4. Smaller size anatomy 5. Immature rib cage Types: 1. Braces • Do not provide immediate correction • Treatment aimed to “hold” the spine and prevent further progression • Risk of chest deformity in case of braces constricting the thorax • Literature d...