S. Baron Hardy

Myositis ossificans: Evolution to osteogenic sarcoma: Report of a histologically verified case

Abstract The case presented involves a middle aged white man with proved myositis ossificans circumscripta in the juxtamandibular soft tissue, superimposed on a long-standing diathesis of skin carcinomas. The insidious evolution of osteogenic sarcoma within a focus of this supposedly benign osseous condition is traced and histologically verified. The pertinent literature is reviewed.

Treatment of Burns of the Hand with Silicone Dressing and Early Motion

Eight patients with severely burned hands were treated with continuous exposure to silicone fluid in non-permeable plastic bags. This non-immobilization technique permits finger motion, obviating, in part, permanent joint contractures and promoting a painless debridement. Graft take over full-thickness burn wounds was consistently excellent and residual limitation of joint motion in grafted hands was minimized. The technique appears especially suitable for treatment of burned hands in older patients in whom various degrees of permanent deformities are not infrequent. Where the burn depth is mixed and healing occurs spontaneously, the healed skin has almost normal texture and mobility. In our experience utilizing more conventional techniques, even hands with deep second-degree burns not infrequently had various degrees of permanent joint stiffness after healing. The results achieved by the method described suggest it is a worth-while addition to our armamentarium in burn therapy.

Anatomical Findings In Median Cleft Of Upper Lip

We present 3 cases of median cleft lip which occurred in 3 patients of differing racial origins. The anatomical findings are presented in the two clefts we repaired.

MANAGEMENT OF THE INJURED EAR.

Abstract Ear injuries have been divided into categories and treatment for each discussed. Assiduous attention to relatively minor details is considered of primary importance in the successful management of these injuries. With proper initial care and similar postoperative follow-up care, many deformities can be minimized or prevented even in the more severe injuries. It would reward those involved in the treatment of these injuries to recognize their serious nature and treat them accordingly.

Repair of extensor tendon injuries of the hand.

We have presented methods for treating extensor tendon injuries from the interphalangeal joint to the wrist and the musculotendinous junction in the forearm. Early and proper splinting in the treatment of extensor tendon injuries is more important than a specific method of surgical repair. We emphasize the need for prolonged splinting, up to eight weeks in distal injuries. Immobilizing the finger in full extension or hyperextension is necessary at the distal and proximal interphalangeal joints. Correct splinting is mandatory in any method of treatment. Reconstruction of the extensor mechanism is difficult and the results are unpredictable.