Massive Thrombophlebitis as a Complication after Carpal Tunnel Release: Comorbid Factors?

Seven days before the patient had an endoscopic carpal tunnel release under locoregional anesthesia. We performed a single-portal technique as described by Agee. The patient was positioned in dorsal decubitus with this right arm on a side table. The arm tourniquet was inflated to a pressure 100mmHg above systolic blood pressure. The tourniquet was inflated after draping and was released after suture. The vertical incision was located radiocarpal along the ulnar border of the musculus palmaris longus. A proximal based flap of the superficial fascia is created and elevated. A blunt probe was used to gently probe the undersurface of the ligament. Sequentially larger dilators are passed into the carpal tunnel. The arthroscope with the blade is passed in and the dissection of the ligamentum transversum carpi is made. The incision is closed with resorbable sutures after which a compressive bandage is applied.

Massive Thrombophlebitis as a Complication after Carpal Tunnel Release: Comorbid Factors?

Seven days before the patient had an endoscopic carpal tunnel release under locoregional anesthesia. We performed a single-portal technique as described by Agee. The patient was positioned in dorsal decubitus with this right arm on a side table. The arm tourniquet was inflated to a pressure 100mmHg above systolic blood pressure. The tourniquet was inflated after draping and was released after suture. The vertical incision was located radiocarpal along the ulnar border of the musculus palmaris longus. A proximal based flap of the superficial fascia is created and elevated. A blunt probe was used to gently probe the undersurface of the ligament. Sequentially larger dilators are passed into the carpal tunnel. The arthroscope with the blade is passed in and the dissection of the ligamentum transversum carpi is made. The incision is closed with resorbable sutures after which a compressive bandage is applied.

Bilateral Suprascapular Nerve Entrapment by Ganglion Cyst Associated with Superior Labral Lesion

Suprascapular nerve compression is a rare cause of shoulder pain. We report the clinical features, radiological findings, arthroscopic management and outcome of three patients with suprascapular nerve compression caused by labral ganglion cyst associated with SLAP lesion. We performed simultaneous suture anchor SLAP repair and cyst decompression with a blunt probe. Upon a two-year follow-up, patients recovered full shoulder function without pain or limitations in activities of daily living.

ORAL HEALTH STATUS

Oral health, although an important aspectof the general health, unfortunately is an ignored aspect, by almost all population strata. Poverty, lack of education andlack of public awareness programs add to the dilemma. Aims & Objectives: Evaluation of the oral health, toothcleaning devices and at the top, awareness about such devices, among the most ignored and deprived group ofpopulation. The evaluation of oral hygiene of the poor railway coolies, was the objective of this study. Materials &Methods: A very simple proforma in Urdu was designed. It included some questions about personal data, tooth cleaninghabits, the devices used for the purpose and the reasons for not using the tooth brush. DMFT and the periodontalconditions were then noted in the same proforma. About 120 coolies agreed to participate in the study. Examinationwas made in day light with a mirror and a blunt probe. Results: The age varied from 15-60 years. There was about100% periodontal involvements, while DMFT increased with age (0.75 to 12.5). About 49.5 % used brush, 41.5%miswak, 5.3% tooth powder, while 3.5 % did not use any of these. Tooth brush users had least DMFT while powderusers had the maximum. Of the non brush users 50.9% of people could not buy brush, 33.9% did not like it while15.09% were ignorant of it. Conclusion: Poverty, illiteracy and lack of dental awareness are the major causes of dental/ periodontal problems. The tooth brushing techniques must be taught to the public.

Modeling Drug Residue Uptake by Eggs: Evidence of a Consistent Daily Pattern of Contaminant Transfer into Developing Preovulatory Yolks

A study was conducted to determine if the chicken ovary deposits the pesticide lindane into preovulatory egg yolks in a daily pattern similar to that previously reported for both of the antibiotics ampicillin and oxytetracycline. Our laboratory has proposed that a variety of drugs or contaminants are deposited into preovulatory yolks in a consistent manner. This possibility of a consistent pattern of drug deposition in preovulatory yolks has been used as a foundation for a model which predicts the pattern of residues contained in laid eggs. In two separate experiments, 16 hens were dosed with 3 mg of lindane per kg of body weight orally approximately 1 h after oviposition (8 hens per experiment). Twenty-four hours following dosing, hens were sacrificed and the ovaries were collected. Yolks were dissected free from the individual follicles with a blunt probe. Individual large (≥0.2 g) yellow yolks and a pool of 5 small (<0.2 g) yellow yolks were collected for determination of lindane content. Samples were prepared and assayed by using a gas chromatography method. Results indicate the pattern of incorporation of lindane residues in developing yolks is similar to the previous pattern obtained for both ampicillin and oxytetracycline. These data confirm the possibility that diverse chemical compounds may be incorporated into preovulatory yolks in a similar pattern, supporting a key component of our model, which predicts the pattern of incurred residues in laid eggs for a variety of drugs or contaminants.

Single Quadrant Sub-Tenon's Block. Evaluation of a New Local Anaesthetic Technique for Eye Surgery

The sub-Tenon's technique uses blunt dissection and a blunt probe to inject local anaesthetic into the posterior sub-Tenon's space. This avoids the potentially catastrophic complications which result from passing a sharp needle blindly into the orbit and retrobulbar space. The anatomy of Tenon's capsule and the block technique is described. Results of the block quality and degree of patient comfort from 300 consecutive sub-Tenon's blocks are also described. No significant complications occurred in this series. Single-quadrant sub-Tenon's block offers an excellent quality of anaesthesia, is virtually painless to perform and avoids complications due to passage of a sharp needle into the orbit.

Gingival and Periodontal Problems in Children

This review will concentrate on the gingival and periodontal problems which the pediatrician may see as part of his care of the child patient. The age period covered is from the time of first tooth erruption to the middle teens. In considering specific conditions, the clinical appearance will be described, together with etiology and recommended management. Although the majority of gingival and periodontal problems are chronic in nature, a section is included on acute conditions. The periodontium is the investing and supporting structure of the tooth. It comprises the gingiva, periodontal ligament, alveolar bone and cementum. The tooth is suspended in the alveolar bone socket through the periodontal ligament fibers which are embedded at one end in the cementum covering the root surface and in the alveolar bone at the other end. The gingiva is that portion of the oral masticatory mucosa which surrounds the teeth and is attached to the alveolar process of the jaws. In order to recognize pathological changes in the gingiva it is necessary to know how the normal appears (Fig. 1). The gingival tissues which extend into and fill the interdental or interproximal area form the gingival papillae. The gingiva has a thin edge where it meets and surrounds the tooth in a collar-like fashion. There is a potential space between the tooth and the marginal gingiva into which a blunt probe may be passed to a depth of 1 to 2 mm. The gingiva in health is pale pink and firm, and does not bleed on probing, brushing, mastication or spontaneously.