Richard Henry Gross

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Fifty-three patients with 56 fractures of the lateral humeral condyle were reviewed and the results were assessed to determine the amount of displacement that could be relied on to produce satisfactory results. Closed treatment resulted in satisfactory results if the initial displacement did not exceed 2 mm. This required close follow-up for detection of(More)
Children can be seemingly invincible, with inexhaustible energy. Even the elite young athlete, however, may lack the experience to realize when his or her level of activity is increasing the risk of sustaining injuries related to overuse. Coaches, trainers, parents, and physicians need to monitor the activities of young athletes, modify factors that may(More)
The incidence and degree of leg length discrepancy was studied in 35 male marathon runners. Seventy-seven percent were in their 30s or 40s. Eighteen runners had a length difference of less than 5 mm, 10 had a difference of 5 to 9 mm, and 7 had differences of 1.0 cm or greater. Four of the five runners using a lift had less than a 5-mm discrepancy. It is(More)
Soccer has rapidly gained in interest in the United States. A paucity of available data on soccer injuries led us to formulate this study to quantitate and categorize injuries acquired during a program of youth soccer (under age 19). A prospective study of 1,272 players showed an injury rate of 2.6 injuries per 100 participants. The injury rate for girls(More)
The causative factor responsible for producing a femoral fracture was determined in 74 children 5 years of age or younger admitted to Oklahoma Children's Memorial Hospital over a 5-year period. Almost one-half of the fractures (34/74) were sustained as a result of suspected or confirmed abuse; most (17/26) of the fractures in infants less than 1 year of age(More)
A survey of 74 skeletally mature patients with leg length discrepancies of 1.5 cm or more revealed that patients with less than a 2.0-cm discrepancy did not consider their short leg to be a problem in any way. As the amount of discrepancy increased, there were more problems, although there was no critical "cutoff" point. Some patients functioned well(More)
Forty-five children underwent initial nonoperative treatment of hematogenous septic arthritis in joints other than the hip. Only joints with symptoms for less than 6 days and without associated osteomyelitis were included. Thirty-four of the 49 joints were successfully managed by aspiration and antibiotics, whereas the remaining joints were successfully(More)
Trisomy 21 or Down syndrome is the most common chromosomal anomaly and is associated with musculoskeletal abnormalities related to a generalized ligamentous laxity. Approximately 1% to 7% of Down syndrome patients have hip instability. Prior studies on the topic recommend Salter innominate osteotomy, capsular plication, and a varus derotational osteotomy of(More)
To determine the rate of late diagnosis of hip dislocations in infants, 26,455 newborns were examined by or under the supervision of the authors from 1976 to 1988. The incidence of examinations positive for dislocated or dislocatable hips was 3.8/1,000. The incidence of known late cases was 4/26,455 (0.2/1,000). Because follow-up of all initial examinations(More)
The ambulatory status of 74 patients with myelomeningocele, 4 years of age or older (average, 10 years, 5 months) was examined to assess the effectiveness of surgery about the hip in improving function. Seventeen of these 74 patients, all with lumbar levels of function, underwent surgery for the purpose of reducing a subluxation or a dislocation. Reduction(More)