Fractures of the capitulum humeri are rare and the recommendations for treatment differ. Some authors recommend open reduction of the capitular fragment, while others advocate excising it. Twelve patients with anterior shearing fractures of the capitulum humeri were treated as inpatients in the Departments of Orthopaedic Surgery, Gothenburg, during the years 1973-1977. Ten patients, all treated with open reduction and internal fixation of the capitular fragment, were re-examined. The functional result was estimated as good in nine and poor in one.
The regional cerebral blood flow, brain atrophy, white matter changes and neurophysiologic changes were evaluated in 28 patients with a clinical diagnosis of probable Alzheimer''s disease (AD) and in 8 patients with a clinical diagnosis of frontal lobe dementia (FLD) using single photon emission computed tomography, magnetic resonance imaging and electroencephalography (EEG). We found that FLD patients had more severe frontal blood flow reduction and less severe parietal blood flow reduction compared to AD patients. Among patients with mild dementia the EEG changes were less severe in the FLD group. No significant differences were found in white matter changes or in regional atrophy.
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