Helen McKenna

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PURPOSE To investigate whether palmaris longus interposition or flexor carpi radialis ligament reconstruction and tendon interposition improve the outcome of trapezial excision for the treatment of basal joint arthritis after a minimum follow-up of 5 years. METHODS We randomized 174 thumbs with trapeziometacarpal osteoarthritis into 3 groups to undergo(More)
Carpal tunnel syndrome of mild to moderate severity can often be effectively treated in a primary care environment. Workplace task modification and wrist splints can reduce or defer referral to hospital for surgical decompression. Nerve and tendon gliding exercises may also be of benefit. Steroid injections to the mouth of the carpal tunnel are particularly(More)
A four-year study of the bacteria isolated from neonatal eye swabs at Royal Women's Hospital, Brisbane has been carried out. Of infants admitted to nurseries 2.7% (571/21217) had positive cultures. The incidence of infection in permature non-premature nurseries was 9.7% (221/2273) and 1.8% (350/18944) respectively, a highly significant difference. There was(More)
The case report describes the clinical and pathological features of a young girl with ovarian teratoma which showed a predominance of neural tissue. The peritoneal involvement by an admixture of mature and immature glial tissue resulted in the death of the patient despite surgery and cytotoxic chemotherapy. There was an association between this tumour and(More)
Dacron-reinforced Silastic sheets were removed from two patients who had previously undergone surgery for internal derangements of the temporomandibular joint. Excised tissue from around the joints was submitted for histological analysis, revealing a diagnosis of detritus synovitis. The significance of these findings with respect to the insertion of foreign(More)
Accurate staging is the basis for optimal therapy in the management of the gynaecological cancer patient and, in recent years, peritoneal washings are one of the techniques used to determine this, both at the initial and subsequent laparotomies. Two hundred and four peritoneal washes were obtained from 175 patients during a 5-year period. Fifteen cases of(More)
A 6-year study of bacteria isolated from swabs taken from clinically apparent infections of the stump of the umbilical cord showed an overall infection rate of 0.7% (200/27,107), with a preponderance of Gram-negative organisms as compared with Gram-positive organisms (171/118), an excess which was statistically significant. When the data were broken down(More)
The case described demonstrates the development of elliptical stomatocytosis in a neonate and the appearance of elliptical stomatocytes in her mother whose blood film, before delivery, showed elliptocytosis. Further investigations on both individuals indicated a mild haemolytic anaemia. To our knowledge this is the second reported case of elliptical(More)