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By R. Campa. Florida State University.

He served as President of the Board of Directors of the University of South Alabama Health Sciences Foundation from 1979 through 1982 and again in 1985 buy 15 mg mobic overnight delivery, as Secretary–Treasurer of the Medical Staff of the University of South Alabama Medical Center in 1979, and as Presi- dent of the Professional Medical Staff of the University of South Alabama from 1980 through 1982. In 1986, he was appointed Interim Dean of the University of South Alabama College of Med- Nicolas ANDRY icine. He was named Vice President for Medical Affairs at that institution in 1987 and retained that 1658–1742 position until 1992. Anderson was named Emeritus Professor of The “Orthos Pais” or great seal of the American Orthopedic Surgery at the University of South Orthopedic Association and the emblem of the Alabama. In 1996, he returned from retirement to crooked tree being straightened by a splint, used serve as Interim Chairman of the Department of by the British in their Presidential Badge of Office Orthopedic Surgery in order to provide continu- for the American Presidents at the London ity to the residency program that he had founded meeting in 1953, are tributes to Nicolas Andry, and that he loved. He also belonged to the little recognition, either for his broad view or for 8 Who’s Who in Orthopedics his conception of the details necessary for the and others of his time to attempt artificial proper care of the crippled child. Thus, he credited Andry and his genera- surgeon who is distinguished for having tion with many of the devices for shaping the fea- “patented” some catheters and urethral bougies tures, the waist and much of the body, dyeing the and for a text on diseases of the ureter. Andry was nails and altering the eyebrows, the ears and the a historian (a characteristic of all sound innova- nose, the stock in trade of the “cosmetologists” tors), a writer and an official high in the councils ever since. Andry was most observant, Keith said, of the Andry said of the title of his L’orthopédie: defects in posture and gait, which lead to disabil- ity and deformity; although lacking information As to the Title, I have formed it of two Greek Words, about anatomy and physiology, he was most intel- viz. Orthos, which signifies streight [sic], free from ligent in his conclusions about measures required Deformity, and Pais, a Child. Keith did not mention it, but there I have compounded that of Orthopaedia, to express in are similarities between these observations and one Term the Design I propose, which is to teach the conclusions by Andry and those of the celebrated different Methods of preventing and correction the Deformities of Children. In his very useful Source Book of Ortho- follows: pedics, Bick spelled the name “André” and took the title from the English edition. However, Andry Asclepiades and Erasistratus have boldly condemned of course was presented correctly in every other all forms of exercise as not only of no advantage, but way in Bick’s text. Rest deserves its own share of praise; it Historical Survey is a restorer necessary in the course of a great many diseases. Andry’s preoccupation with muscular contraction as a cause of deformity influenced nearly all of Thus we see that the founder of orthopedics the French orthopedic specialists who followed recognized that rest, as well as action, had its own him.

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The mechanism is pre- sumed to be stretch-induced conduction block order 7.5 mg mobic overnight delivery, due to demyelinated plaques or other pathologies, in the corticospinal tracts. McArdle’s sign may be envisaged as the motor equivalent of Lhermitte’s sign. Journal of Neurology, Neurosurgery and Psychiatry 1988; 51: 1110 O’Neill JH, Mills KR, Murray NMF. Journal of Neurology, Neurosurgery and Psychiatry 1987; 50: 1691-1693 - 193 - M Medial Medullary Syndrome Cross References Lhermitte’s sign; Myelopathy Medial Medullary Syndrome The medial medullary syndrome, or Dejerine’s anterior bulbar syn- drome, results from damage to the medial medulla, most usually infarction as a consequence of anterior spinal artery or vertebral artery occlusion. The clinical picture is of: ● Ipsilateral tongue paresis and atrophy, fasciculations (hypoglossal nerve involvement) ● Contralateral hemiplegia with sparing of the face (pyramid) ● Contralateral loss of position and vibration sense (medial lemnis- cus) with pain and temperature sensation spared ● +/− upbeat nystagmus (? Primary position upbeat nystagmus due to unilateral medial medullary infarction. Annals of Neurology 1998; 43: 403-406 Sawada H, Seriu N, Udaka F, Kameyama M. Stroke 1990; 21: 963-966 Cross References Fasciculation; Hemiplegia; Lateral medullary syndrome; Nystagmus Menace Reflex - see BLINK REFLEX Meningism Meningism (meningismus, nuchal rigidity) is a stiffness or discomfort on passive movement (especially flexion) of the neck in the presence of meningeal irritation (e. A number of other, eponymous, signs of meningeal irritation have been described, of which the best known are those of Kernig and Brudzinski. Meningism is not synonymous with meningitis, since it may occur in acute systemic pyrexial illnesses (pneumonia, bronchitis), especially in children. Moreover, meningism may be absent despite the presence of meningitis in the elderly and those receiving immunosuppression. Cross References Brudzinski’s (neck) sign; Kernig’s sign; Nuchal rigidity Metamorphopsia Metamorphopsia is an illusory visual phenomenon characterized by objects appearing distorted or misshapen in form.

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Z Orthop 115:716–725 Follow-up Study After Corrective Imhäuser Intertrochanteric Osteotomy for Slipped Capital Femoral Epiphysis Shigeru Mitani generic mobic 7.5 mg mastercard, Hirosuke Endo, Takayuki Kuroda, and Koji Asaumi Summary. We investigated 28 hips in 26 patients with slipped capital femoral epiphy- sis who were treated by the Imhäuser intertrochanteric osteotomy, with subsequent removal of implants. The mean age at operation was 13 years, and the mean age at the time of the final follow-up was 19 years. PTA became restored to within the allowable range of up to 30° in all patients. The limitation of range of motion completely resolved in all patients, and none had necrosis of the femoral head postoperatively. Four patients had a fracture due to bone fragility from long- term traction and bed rest. Chondrolysis developed in only 1 male classified as an unstable case with an unstable classified as unstable. The Imhäuser treatment system for mild to severe cases may be said to be reasonable in that the physeal stability is rendered stable by traction and then the PTA is reduced to 30° or less by osteotomy to lessen the severity to mild. So, satisfactory results were obtained both clinically and roentgenographically in short- or midterm outcome. Slipped capital femoral epiphysis, Intertrochanteric osteotomy, In situ pinning, Posterior tilting angle, Physeal stability Introduction Since 1977, we have been treating slipped capital femoral epiphysis at our hospital using the Imhäuser treatment system. In patients incapable of walking or suffering from hip joint pain on exertion, traction is undertaken until irritant pain in the hip joint disappears. This treatment is not intended for reduction of slipped epiphysis but is aimed at attaining fibrous or osseous stabilization of the slippage site. Therefore, the Imhäuser treatment system may be characterized by these two surgical procedures used according to disease Department of Orthopaedic Surgery, Okayama University Hospital,2-5-1Shikata-cho, Okayama 700-8558, Japan 39 40 S. Imhäuser’s treatment system for slipped capital femoral epiphysis (SCFE). PTA, poste- rior tilt angle severity and preoperative attainment of stabilization of the slippage site.