Symmetrical Epiphyseal Destruction by Frostbite

Symmetrical epiphyseal destruction by frostbite.

There have been only single reports about the radiological changes in bones subsequent to frostbite in childhood and adolescence. We found only three cases on this subject in the literature. L6hr (1930) described a case in a 16-year-old boy; Bennett and Blount (1935) published the report of an 8-year-old girl, and Thelander (1950) of a 9-yearold boy. There are some thorough studies on this subj...

Chondrodiatasis-controlled symmetrical distraction of the epiphyseal plate. Limb lengthening in children.

We describe a technique for slow, progressive, symmetrical distraction of the growth plate using a lightweight dynamic axial fixation system. Results are given for the elongation of 40 bony segments in children with limb-length discrepancies and 60 segments in children with achondroplasia or hypochondroplasia. Increases in limb length of up to 36% were obtained in non-achondroplastic and up to ...

Sickle cell trait and frostbite.

CHAPTER 139 Frostbite

Unlike other animals that live outside the tropics, humans are susceptible to peripheral cold injuries. The highest homeostatic priority is to maintain the body’s core temperature. This is accomplished through peripheral vasoconstriction and shunting, which prevent adequate heat distribution to the extremities. As a result, failure to achieve adequate protection from the environment results in ...

131 - Hypothermia and Frostbite

Accidental hypothermia is generally manifested as progression from an initial state of catecholamine release and stimulation (mild hypothermia) to one marked by a predictable slowing of metabolism and all critical body functions to the extent that patients may appear dead. The profound physiologic changes and metabolic slowing all reverse with rapid rewarming, and reports of remarkable neurolog...