PMID: 5909245Jan 1, 1966

Office treatment of lower extremity injuries. A view of feasibility, limitations and hazards

California Medicine
J M Meherin

Abstract

The injuries to the lower extremities seen in a surgical office may be classified as contusions, lacerations, sprains, lesions of tendons and their sheaths, involvement of bursae, chronic muscle fatigue, infections and deformities of the nails, leg ulcers, and fractures of the ankle, foot and toes. The treatment of these conditions in an office will vary under different circumstances, but one should be guided by certain fundamental rules. Contusions are best treated by the application of elastic compression bandages. Extensive lacerations should be explored under local anesthesia with the tourniquet in place, injured tissue excised, and the wound sutured. Ankle sprains should be strapped. Immediate hospitalization must be considered in all moderate to severe initial sprains to the knee. Lesions of bursae usually respond to the injection of hydrocortisone preparations. The same treatment is used in chronic muscle fatigue, plus immobilization of the part. Chronic recurrent infection and deformities of the nails are treated by removal of the nail under local anesthesia. Fractures of the ankle, the foot and toes may be reduced under local anesthesia and a cast applied. If further swelling is feared, the patient should be put in hos...Continue Reading

Related Concepts

Family Medicine (Field)
Leg Injuries

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Genetic Screens in iPSC-derived Brain Cells

Genetic screening is a critical tool that can be employed to define and understand gene function and interaction. This feed focuses on genetic screens conducted using induced pluripotent stem cell (iPSC)-derived brain cells. It also follows CRISPR-Cas9 approaches to generating genetic mutants as a means of understanding the effect of genetics on phenotype.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Pediculosis pubis

Pediculosis pubis is a disease caused by a parasitic insect known as Pthirus pubis, which infests human pubic hair, as well as other areas with hair including eye lashes. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Rh Isoimmunization

Rh isoimmunization is a potentially preventable condition that occasionally is associated with significant perinatal morbidity or mortality. Discover the latest research on Rh Isoimmunization here.

Pharmacology of Proteinopathies

This feed focuses on the pharmacology of proteinopathies - diseases in which proteins abnormally aggregate (i.e. Alzheimer’s, Parkinson’s, etc.). Discover the latest research in this field with this feed.

Enzyme Evolution

This feed focuses on molecular models of enzyme evolution and new approaches (such as adaptive laboratory evolution) to metabolic engineering of microorganisms. Here is the latest research.

Alignment-free Sequence Analysis Tools

Alignment-free sequence analyses have been applied to problems ranging from whole-genome phylogeny to the classification of protein families, identification of horizontally transferred genes, and detection of recombined sequences. Here is the latest research.