0
Journal Contents   |    
The Chronology of Circulatory Changes in Poliomyelitis
ARTHUR W. TROTT; MARY D. NESLINE; WILLIAM T. GREEN
View Disclosures and Other Information
Departments of Orthopaedic Surgery, The Children's Hospital and Harvard Medical School, Boston
1958 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1958; 40:245-255 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

1. Serial observations of cutaneous and muscle temperatures were made on patients with paralysis of one lower extremity only to ascertain the chronological appearance of changes in its peripheral circulation after the onset of poliomyelitis.

2. The data were subjected to statistical analysis for the determination of the significance of the alterations in circulation which were found.

3. Significant vasoconstriction in the skin of the paralyzed extremity was not present during the acute phase and appeared only after five to six months from the onset of the disease.

4. When vasospasm first appeared, it was minimal and sporadic; but after six months of the disease, the extremities of those with poor and fair muscles became consistently colder. The only exception in the distal portion of the extremity was the great toe which did not follow the circulatory pattern of the remainder of the extremity.

5. In the paralyzed muscle significant coldness appeared five to six months after onset of poliomyelitis in those groups with moderate and severe paralysis but was not present at any time in the group with mild paralysis.

6. Coldness of skin and muscle showed definite relationship to degree of paralysis.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    ME - Central Maine Medical Center
    12/22/2011
    VA - Charleston Area Medical Center