Radiographic changes in the hands following childhood frostbite injury

Carrera, Guillermo F.; Kozin, Franklin; Flaherty, Lawrence E.; McCarty, Daniel J.

doi:10.1007/bf00347344

Cited by 30 publications

(12 citation statements)

References 9 publications

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“…An absence of normal vascular development as observed by Pasteels et al [13] may be exaggerated by environmental factors such as cold, hypoxia and microtrauma. The cartilage of the growth plate, for instance, and the epiphyseal cartilage seem particularly sensitive to cold, as seen after frostbite in childhood [1,2,3,4,5,14,15,18]. The characteristics of the radiological lesions may be caused by ischaemia of the growing cartilage.…”

Section: Discussionmentioning

confidence: 99%

The anatomical distribution of radiological abnormalities in Kashin-Beck disease in Tibet

Hinsenkamp

Ryppens

Begaux

et al. 2001

International Orthopaedics (SICOT)

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A radiological study of osteoarticular changes in Kashin-Beck Disease (KBD) was undertaken on the appendicular skeleton in 105 patients with KBD, in 31 healthy subjects living in an endemic area and in 30 healthy subjects living in a non-endemic area. The bone age was delayed in all three populations with no significant difference between the three studied Tibetan populations. Radiological changes occur in 56% of patients with KBD, and are usually bilateral. An analysis of the distribution of lesions shows a proximo-distal gradient. The changes are more common in the distal aspect of the limb and the lower limb is involved more commonly than the upper limb. The foot and ankle are involved in 89.5% of cases. The radiological changes and their distribution might be explained by the hypothesis of inhibition of angiogenesis by mycotoxins, exacerbated by chemical and physical environmental factors.Résumé Une étude radiographique des lésions ostéoarti-culaires produites par la maladie de Kashin-Beck (KBD) a été réalisée au Tibet sur le squelette appendiculaire de 105 patients atteints de KBD, de 31 sujets cliniquement sains vivant en région endémique et de 30 sujets en ré-gion non endémique. La détermination de l'âge osseux révèle un retard de la maturité osseuse dans les trois groupes. Les lésions radiologiques sont présentes dans 56% des cas cliniques de KBD et sont bilatérales dans presque tous les cas. Le nombre de lésions augmente vers la périphérie. Le membre inférieur est plus souvent atteint que le membre supérieur. Le pied et la cheville sont atteints dans 89.5% des cas présentant une lésion radiologique. Les lésions radiologiques observées et leur distribution pourraient être expliquées par une inhibition de l'angiogénèse aggravée par les facteurs environnementaux chimiques et physiques.

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Section: Discussionmentioning

confidence: 99%

The anatomical distribution of radiological abnormalities in Kashin-Beck disease in Tibet

Hinsenkamp

Ryppens

Begaux

et al. 2001

International Orthopaedics (SICOT)

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“…The more slender fifth and ring fingers are most frequently affected by frostbite and, even in cases of severe frostbite to the hand, the thumb usually remains intact (Carrera et al 1981;Kahn et al 2005). The reason for the comparative immunity of the thumb to shortening from frostbite is that it is better protected from the cold by its stubby shape and it is also more easily folded into the palm for warmth.…”

Section: The Case Of the Missing Fingertipsmentioning

confidence: 97%

The Prehistoric Development of Clothing: Archaeological Implications of a Thermal Model

Gilligan

2010

J Archaeol Method Theory

153

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This paper presents a thermal model for the prehistoric origin and development of clothing. A distinction is drawn between simple and complex forms of clothing, with broad implications for the interpretation of paleolithic technological transitions and the emergence of modern human behavior. Physiological principles and paleoenvironmental data are harnessed to identify conditions requiring simple, loosely draped garments and the more challenging conditions that demanded additional protection in the form of complex garment assemblages. No actual clothing survives from the Pleistocene, yet the archaeological record yields evidence for technological and other correlates of clothing-more evidence than is generally supposed. Major innovations and trends in the distributions and relative frequencies of lithic and other tool forms may reflect the changing need for portable insulation in the context of fluctuating ice age climates. Moreover, the nonthermal repercussions of complex clothing can be connected with archaeological signatures of modern human behavior, notably adornment. Alternative models are less parsimonious in accounting for the geographical and temporal variability of prominent technological and other behavioral patterns in association with environmental change.

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“…21 Characteristic radiographic abnormalities and evidence of degenerative arthritis in the interphalangeal joints were observed in adult patients who had sustained severe frostbite in childhood. 22 Amputations and other consequences of frostbite may impair the patient's working ability. Information on the health-related quality of life (QOL) is, therefore, needed to assess the outcome of treatment from the patient's point of view.…”

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confidence: 99%