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Twenty-three of the thirty-eight hips that had been subluxated or dislocated became stable in the reduced position after the transfer operation. In the immature animal, the contribution of the periosteal network is much greater. Recognition, management, and understanding of the pathophysiology of malignant hyperthermia can be aided by a study of its similarities to porcine stress syndrome.

Because the two cortical systems are profusely anastomosed with each other and with the periosteal and endosteal circulatory networks, the blood can flow in either direction, depending on physiological conditions. Stress arising from tramuma, surgery, and other causes can initiate the syndrome. The direction of the arterial blood flow in the mature animal is predominantly centrifugal, while the venous drainage is centripetal.

Recurrent dislocation of the extensor tendon from the knuckle of the metacarpophalangeal joint was observed mostly in fingers that were completely deprived of all intrinsic muscles. Every hip that had been stable before the transfer remained stable, and thirty-seven patients who had been brace-dependent became brace-free. There was no predilection for severe deformity in any one finger.

We studied the types of orthopaedic problems commonly seen in patients with this condition as well as the clinical manifestations and pathophysiology of the syndrome. Malignant hyperthermia is an inherited muscular disorder and a cause of sudden death in afflicted patients. That system, primarily transverse, anastomoses in the haversian canals with the capillaries of the first system.

A survey of developments in the social security systems of more than 125 countries from 1971 to 1975 found that most programs are undergoing significant growth. We concluded that transfers of the iliopsoas or external oblique muscles are useful adjuncts in the treatment of paralytic disorders of the hips. .

Intravascular injections of india ink in the femora of adult dogs revealed the existence of two distinct vascular systems in the cortex. Flexing the wrist facilitated opening of the claw finger, but the effect was more evident at the metacarphophalangeal joint than at the proximal interphalangeal joint. One courses through the entire thickness of the cortex and is a regular, longitudinal network of uniform capillaries which is in continuity with the periosteal and endosteal networks. Therefore, the merging of the two networks occurs primarily in the middle layer of the cortex. A study of 221 claw fingers of fifty-one leprosy patients with ulnar or combined ulnar and median-nerve paralysis showed that the severity of the deformity was determined mostly by the completeness of paralysis of intrinsci muscles, and to a lesser extent by the duration of paralysis.


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