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Full-Text Articles in Medicine and Health Sciences
Surgical Treatment Of The Upper Extremity In Rheumatoid Arthritis, Charles L. Mcdowell
Surgical Treatment Of The Upper Extremity In Rheumatoid Arthritis, Charles L. Mcdowell
MCV/Q, Medical College of Virginia Quarterly
All surgical procedures designed to preserve or improve function in the extremities, whether in rheumatoid arthritis or not, must consider the functional emphasis of the upper extremity as compared to the lower extremity. The upper extremity has, as its primary goal, mobility and prehension, whereas in the lower extremity, stability is the most important goal, mobility the next in order of importance, and prehension the least important. For example, the feet fulfill a need for stability with very little requirement for prehension, but the hand is more an instrument for prehension and there is less need to consider stability. I …
Surgical Care Of The Lower Extremity In Rheumatoid Arthritis, Roby C. Thompson
Surgical Care Of The Lower Extremity In Rheumatoid Arthritis, Roby C. Thompson
MCV/Q, Medical College of Virginia Quarterly
One of the most important things for the physician to recognize in referring a patient to the orthopedic surgeon for treatment of rheumatoid arthritis is the goal of surgical correction. The primary goal in surgical treatment of diseased joints in the lower extremity is relief of pain. Some pain-free patients have such severe deformities that a surgical procedure may be undertaken in order to improve and restore function, accepting certain calculated risks; however, to improve function surgically in a pain-free joint requires complete and full understanding on the part of the patient as well as the physician.
Recent Advances In Synovial Fluid Analysis, Duncan S. Owen Jr.
Recent Advances In Synovial Fluid Analysis, Duncan S. Owen Jr.
MCV/Q, Medical College of Virginia Quarterly
Synovial fluid analysis is a frequently ignored examination except in suspected cases of septic conditions. It has been shown that it is an extremely valuable procedure in making rapid and accurate diagnoses in many types of joint diseases.
A Review Of Some Aspects Of L-Forms And Gonococci, Charles L. Cooke, Bernard Germain, Bonnie Balducci, Harry P. Dalton
A Review Of Some Aspects Of L-Forms And Gonococci, Charles L. Cooke, Bernard Germain, Bonnie Balducci, Harry P. Dalton
MCV/Q, Medical College of Virginia Quarterly
Systemic manifestations of gonococcal disease, such as arthritis, are often sterile on the usual culture methods used to grow gonococci. Allergic mechanisms have been invoked to explain this but with little evidence to support the concept. With the report by Holmes et al., that L-forms of gonococci were isolated from joint fluid of a patient with gonococcal arthritis, we decided to investigate the possible role of L-forms in gonococcal disease.
Surgery In Rheumatoid Arthritis: General Indications And Philosophic Considerations, R. S. Bryan
Surgery In Rheumatoid Arthritis: General Indications And Philosophic Considerations, R. S. Bryan
MCV/Q, Medical College of Virginia Quarterly
In summary, orthopedic surgery has much to offer the rheumatoid patient, particularly if the proper patient is chosen at the proper time. The advent of the total joint replacements, now in its infancy, gives renewed hope for the salvage of many derelicts and for the prevention of the severe disabilities and deformities which were all too frequent in the past.
Still's Disease In Adults, William M. Edwards, Stephen R. Koller, Michael J. Miller
Still's Disease In Adults, William M. Edwards, Stephen R. Koller, Michael J. Miller
MCV/Q, Medical College of Virginia Quarterly
In 1897, Dr. George F. Still described 22 children with a form of chronic joint disease which differed from rheumatic fever. Twelve of these children had a syndrome characterized by glandular and splenic enlargement which, with a characteristic fever pattern, rash, and arthritis, has become known as Still's disease. Subsequent investigators have described patients over age 16 presenting with similar signs and symptoms suggesting that this syndrome is not specific for children. We recently studied a patient in whom the diagnosis of adult onset Still's disease was made.