For millennia, many people lucky enough to survive into their 60s and 70s have developed wear-and-tear arthritis, also known as degenerative joint disease or osteoarthritis. When this type of aging occurs in fingers, the joints became stiff and knobby and perhaps painful, but with ten digits on two hands and neither hand having the duty to bear body weight, people seem to manage.The state of affairs has always been quite different, however, if the disease affects the hips and grinds away the cartilage there. Read more
What do 30 million American bison, the completion of the transcontinental railroad, and the discovery of superphosphate fertilizer have in common? A lot, as it turns out. In 1868 they became critical elements in the formation of an entire industry, one that thrived for over 20 years. It helped finance the settlement of the Great Plains, ensured solvency of numerous new railroad lines servicing the settlers, and provided vital fertilizer for crops across the entire continent. Read more
Bone buttons made and sold in large quantities appeared in the 13th Century. It is not clear whether any of the button manufacturers themselves became wealthy, but somebody was getting rich, because a market developed for small “caskets”—actually jewelry boxes—that were most often given as engagement gifts. Here the betrothed could keep her gems, love letters, and other precious items. Read more
In the 19th Century, women wore corsets cinched so tightly that they distorted their rib cages and forced their abdominal organs into their chests. It was certainly not comfortable or healthy, but it was the price many paid for stylish, wasp-like waists. “Whalebone” stays in the corsets contributed to the effect, but the stays were not bone, rather they were the same flexible connective tissue that constitutes our hair and nails. Read more
Bones are mentioned in the Bible 92 times. The first, and most famous instance comes early on: So the Lord God caused a deep sleep to fall upon the man, and while he slept took one of his ribs and closed up its place with flesh. And the rib that the Lord God had taken from the man he made into a woman … Genesis 2: 21-22
The merciful absence of broken bones is mentioned in several places, and after that, the context varies considerably. Read more
All of our 200+ bones have names, which facilitates describing them when we cannot actually hold them or point directly at them. It might be easier to remember the names if they were familiar ones like Robert, Sally, and Kevin, but no such luck. Latin was the original language of science, so the bones received Latin names. Some of those were derived from Greek. All were purely descriptive and widely understood, providing that you spoke Latin. For example, the shoulder blade is mostly flat and triangular. An anatomist picked one up, pondered a bit, and decided it resembled the blade on a shovel or spade. He named it scapula, Latin for shovel. Read more
The “built” world is constructed for people around 5’6″ tall, give or take five to six inches. Those of us in that range never think about the height of a step, chair, or counter, nor do we have difficulty adjusting the car seat in order to reach the foot controls and steering wheel. Everything is designed for the average person.
Extremely tall people, however, can’t sleep in standard beds, can’t sit comfortably in theater seats, and have to duck going through doorways. People less than five feet tall have another set of concerns. In addition to possible issues regarding self-esteem, they cannot reach into overhead cabinets, sit in chairs with their feet on the floor, or control a car without special mechanical adaptations.
Once Dr. Ilizarov’s technique of bone lengthening caught on with surgeons world-wide (discussed in the last three blog posts), they began thinking about applying this technique to make extremely short people taller. Read more
My blog posts the past two weeks have described the pioneering work of Dr. Gavriil Ilizarov, who made lemonade out of lemons when confronted with problematic fractures and limited resources in the Russian hinterlands. His external fixators (pins placed into the bone and then secured to one another by a metal scaffolding outside the skin) are most often applied to the leg bones. These are the bones that are quite vulnerable to high-energy, devastating damage. Motorcycle injuries and war wounds are common causes. If it were not for external fixators, which can correct alignment and stabilize fracture fragments to allow for healing, many of these severely injured limbs would have to be amputated.
The techniques that Ilizarov perfected can also be applied to upper extremity bone problems. Take for example, this young man who broke his wrist when he was ten. He was casted, the fracture healed, and he resumed normal activities. A problem, however, was lurking. Read more
In last week’s post I described Dr. Ilizarov’s pioneering work using bicycle spokes connected to an external frame for stabilizing severely fractured bones. He could get limbs to heal that would otherwise face amputation. Although Ilizarov’s results were remarkable, his technique was too unconventional and his location too far from any recognized center of medical excellence for him to receive the recognition that he deserved.
This began to change when Russian high jumper Valeriy Brumel injured his leg in a motorcycle accident in 1965, a year after winning the Olympic gold medal in Toyko. Following three years of multiple and unsuccessful operations in Moscow, Brumel traveled to Kurgan to see Ilizarov, who got the bone to heal. Read more
Gavriil Ilizarov, a Pole, attended medical school in Crimea and Kazahkstan during World War II and then, without any practical training, was posted to Kurgan, Siberia. This war-torn region was 1200 miles east of Moscow–far away from any established center of advanced understanding. The area was rife with wounded soldiers suffering from nonhealing, infected fractures. Read more