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https://www.readbyqxmd.com/read/27890759/transforaminal-percutaneous-endoscopic-lumbar-discectomy-with-percutaneous-epidural-neuroplasty-in-lumbar-disc-herniation-technical-note
#1
Hyeong-Jin Lee, Jin-Sung Kim, Kyeong-Sik Ryu
OBJECTIVE: Percutaneous endoscopic lumbar discectomy and percutaneous epidural neuroplasty is a commonly used minimally invasive spinal surgery in lumbar disc herniation. But to our knowledge, there is no report about the results of percutaneous endoscopic lumbar discectomy with percutaneous epidural neuroplasty. We did this study to evaluate the effect of percutaneous endoscopic lumbar discectomy with percutaneous epidural neuroplasty in lumbar disc herniation. METHODS: We report the series of cases about technics and results of percutaneous endoscopic lumbar discectomy with percutaneous epidural neuroplasty in lumbar disc herniation...
November 24, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27885850/detour-sign-in-the-diagnosis-of-subluxation-of-the-long-head-of-the-biceps-tendon-with-arthroscopic-correlation
#2
Eun Kyung Khil, Jang Gyu Cha, Ji Sook Yi, Hyun-Joo Kim, Kyung Dae Min, Young Cheol Yoon, Chan Hong Jeon
OBJECTIVES: To determine whether detection of the detour sign via magnetic resonance imaging (MRI) indicates of subluxation of the long head of the biceps tendon (SLBT) in the shoulder joint and to investigate the association of SLBT with the degeneration of the long head of the biceps tendon (LBT) and rotator cuff tears. METHODS: This retrospective study included 65 patients with shoulder pain who underwent shoulder MRI and arthroscopic surgery. When axial images revealed that the LBT was displaced over the inner rim of the bicipital groove with some remaining contact with the groove (criterion 1), or demonstrated a "detour sign" of the biceps tendon (criterion 2), the lesion was diagnosed an SLBT...
November 25, 2016: British Journal of Radiology
https://www.readbyqxmd.com/read/27882408/-evidence-based-recommendations-on-diagnostics-and-therapy-of-axial-spondyloarthritis-s3-guidelines-of-the-german-society-of-rheumatology-dgrh-in-cooperation-with-the-association-of-the-scientific-medical-societies-in-germany-awmf
#3
REVIEW
U Kiltz, M Rudwaleit, J Sieper, J Braun
The clinical course of axial spondyloarthritis (SpA) is variable and characterized by chronic back pain and extraspinal manifestations, such as asymmetrical arthritis, dactylitis and enthesitis. Extra-articular manifestations in the eyes (anterior uveitis), skin (psoriasis) and intestines (chronic inflammatory bowel disease) are also frequent manifestations in patients with SpA. Due to the heterogeneity of disease manifestations and the partial concentration on structural alterations in the sacroiliac joints visible in X‑ray images, the diagnosis is often delayed for many years...
November 23, 2016: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/27881910/low-dose-modified-release-prednisone-in-axial-spondyloarthritis-3-month-efficacy-and-tolerability
#4
Francesca Bandinelli, Francesco Scazzariello, Emanuela Pimenta da Fonseca, Mittermayer Barreto Santiago, Claudio Marcassa, Francesca Nacci, Marco Matucci Cerinic
BACKGROUND: Oral glucocorticoids (GCs) have been shown to be effective in reducing the inflammatory symptoms of rheumatoid arthritis, but their use is not supported by evidence in spondyloarthritis (SpA). Modified-release (MR) oral prednisone taken at bedtime has been shown to be more effective than immediate-release prednisone taken in the morning. The efficacy of low-dose MR prednisolone in patients with SpA is unknown. PATIENTS AND METHODS: This single-center cohort study retrospectively assessed the effectiveness and safety of 12-week low-dose MR prednisone (5 mg daily, bedtime administration) in GC-naïve adult patients with symptomatic axial SpA...
2016: Drug Design, Development and Therapy
https://www.readbyqxmd.com/read/27867581/the-diseases-of-airway-tracheal-diverticulum-a-review-of-the-literature
#5
REVIEW
Asli Tanrivermis Sayit, Muzaffer Elmali, Dilek Saglam, Cetin Celenk
Tracheal diverticulum (DV) is a type of paratracheal air cyst (PTAC) that is often asymptomatic and usually detected incidentally by imaging methods. Tracheal DV are divided into two subgroups: congenital and acquired. Dysphagia, odynophagia, neck pain, hoarseness, hemoptysis, choking, and recurrent episodes of hiccups and burping can also be seen in symptomatic patients. Thin-section multidetector computed tomography (MDCT) is useful for diagnosis of tracheal diverticulum. The relationship between DV and tracheal lumen can be demonstrated by axial, coronal, and sagittal reformat multiplanar images...
October 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27863065/efficacy-and-safety-of-etanercept-in-patients-from-latin-america-central-europe-and-asia-with-early-non-radiographic-axial-spondyloarthritis
#6
James Cheng-Chung Wei, Wen-Chan Tsai, Gustavo Citera, Sameer Kotak, Lyndon Llamado
AIM: To evaluate etanercept in patients from Latin America, Central/Eastern Europe, and Asia with non-radiographic axial spondyloarthritis (nr-axSpA). METHODS: A subset analysis was performed on nr-axSpA patients from Argentina, Colombia, the Czech Republic, Hungary, Russia and Taiwan who were enrolled in EMBARK (NCT01258738). Patients received either etanercept 50 mg or placebo once weekly. The primary endpoint was proportion of patients achieving 40% improvement from baseline based on Assessment of SpondyloArthritis International Society (ASAS) criteria...
November 11, 2016: International Journal of Rheumatic Diseases
https://www.readbyqxmd.com/read/27860368/in-vitro-and-biomechanical-screening-of-polyethylene-glycol-and-poly-trimethylene-carbonate-block-copolymers-for-annulus-fibrosus-repair
#7
Rose G Long, Stijn G Rotman, Warren W Hom, Dylan J Assael, Dirk W Grijpma, James C Iatridis
Herniated intervertebral discs are a common cause of back and neck pain. There is an unmet clinical need to seal annulus fibrosus (AF) defects, since discectomy surgeries address acute pain but are complicated by reherniation and recurrent pain. Copolymers of polyethylene glycol with trimethylene carbonate (TMC) and hexamathylene diisocyanate end-groups were formulated as AF sealants since the hexamathylene diisocyanate form covalent bonds with native AF tissue. TMC adhesives were evaluated and optimized using the design criteria: stable size, strong adherence to AF tissue, high cytocompatibility, restoration of intervertebral disc biomechanics to intact levels following in situ repair, and low extrusion risk...
November 12, 2016: Journal of Tissue Engineering and Regenerative Medicine
https://www.readbyqxmd.com/read/27857528/mccune-albright-syndrome-association-of-fibrous-dysplasia-caf%C3%A3-au-lait-skin-spots-and-hyperthyroidism-case-report
#8
Iulian Raus, Roxana Elena Coroiu
McCune-Albright syndrome is a rare sporadic disease characterized by bone fibrous dysplasia, café-au-lait skin spots and a variable association of hyperfunctional endocrine disorders. Fibrous dysplasia (FD), which can involve the craniofacial, axial, and appendicular skeleton, may range from an isolated, asymptomatic monostotic lesion to a severe disabling polyostotic disease involving the entire skeleton. A twenty-five-year old male patient presented to our clinic with recently developed heart palpitations...
2016: Clujul Medical (1957)
https://www.readbyqxmd.com/read/27853682/acute-cervical-spontaneous-spinal-epidural-hematoma-presenting-with-minimal-neurological-deficits-a-case-report
#9
Jisoon Huh, Ho-Young Kwak, You-Nam Chung, Sun Kyung Park, Yun Suk Choi
INTRODUCTION: Spontaneous spinal epidural hematoma (SSEH) is an uncommon but potentially fatal condition. The increased bleeding tendency associated with anticoagulant medications has been proven to increase the risk of SSEH. The symptoms of SSEH usually begin with sudden severe neck or back pain and are followed by neurological deficits. However, some cases present with only axial pain or with radicular pain similar to herniated disc disorders. CASE PRESENTATION: A 28-year-old healthy man developed a sudden onset of severe neck and right shoulder pain with mild arm weakness...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27852321/work-productivity-is-associated-with-disease-activity-and-functional-ability-in-italian-patients-with-early-axial-spondyloarthritis-an-observational-study-from-the-space-cohort
#10
Manouk de Hooge, Roberta Ramonda, Mariagrazia Lorenzin, Paola Frallonardo, Leonardo Punzi, Augusta Ortolan, Andrea Doria
BACKGROUND: Spondyloarthritis often affects young people, typically in their working years. The aim of our study was to investigate work productivity and its relationship with disease activity and physical functioning in Italian patients with axial spondyloarthritis (axSpA) with chronic back pain (CBP) for ≥3 months and ≤2 years, and onset  < 45 years of age. METHODS: Baseline absenteeism, presenteeism, work productivity loss (assessed by the Work Productivity and Activity Impairment questionnaire (WPAI)), and disease activity (assessed by the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)/Ankylosing Spondylitis Disease Activity Score (ASDAS)) and functional ability (assessed by the Bath Ankylosing Spondylitis Disease Functional Index (BASFI)) of patients with axSpA (rheumatologist's diagnosis) included in the Italian section of the Spondyloarthritis Caught Early (SPACE) cohort were collected...
November 16, 2016: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/27852318/sacral-stress-fracture-in-an-amateur-rugby-player-a-case-report
#11
Yasuhiro Takahashi, Takashi Kobayashi, Naohisa Miyakoshi, Eiji Abe, Toshiki Abe, Kazuma Kikuchi, Yoichi Shimada
BACKGROUND: Sacral stress fracture is an uncommon cause of back pain. The majority of previously reported cases have been in runners. The purpose of this case report was to describe a case of sacral stress fracture in an amateur rugby player. CASE PRESENTATION: A healthy 18-year-old Japanese boy who was a rugby player presented with a 3-week history of lumbago. Sagittal and axial magnetic resonance imaging failed to reveal any reason for lumbago in his lumbar region...
November 16, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27848263/joint-arthropathy-at-the-cranio-vertebral-junction-scintigraphic-patterns-on-bone-spect-ct
#12
Vittorio M Russo, Anneli Duits, Ranju T Dhawan, Adrian T H Casey
Osteoarthritic degeneration at the cranio-vertebral junction (CVJ) is an underrecognized source of suboccipital and neck pain, limited range of motion and cervicogenic headaches. Correlation of radiographic findings with clinical symptoms is often difficult. Limited evidence currently exists to support the use of bone single-photon emission computed tomography/computed tomography (SPECT/CT) in this subgroup of patients. The aim of this study was to describe the scintigraphic patterns of joint arthropathy at the CVJ on bone SPECT/CT in patients with suboccipital/neck pain and cervicogenic headache...
November 16, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27847987/the-side-of-chronic-low-back-pain-matters-evidence-from-the-primary-motor-cortex-excitability-and-the-postural-adjustments-of-multifidi-muscles
#13
Hugo Massé-Alarie, Louis-David Beaulieu, Richard Preuss, Cyril Schneider
Hemispheric lateralization of pain processing was reported with overactivation of the right frontal lobe. Specifically in chronic low back pain (CLBP), functional changes in the left primary motor cortex (M1) with impaired anticipatory postural activation (APA) of trunk muscles have been observed. Given the connections between frontal and M1 areas for motor planning, it is hypothesized that the pain side could differently influence M1 function and APA of paravertebral multifidus (MF) muscles. This study aimed at testing whether people with right- versus left-sided CLBP showed different M1 excitability and APA...
November 15, 2016: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/27847848/a-slightly-dorsally-tilted-lunate-on-mri-can-be-considered-normal
#14
Anne-Carolin Döring, Celeste L Overbeek, Teun Teunis, Stéphanie J E Becker, David Ring
BACKGROUND: Abnormal angulation of the lunate can be an indication of intercarpal pathology. On magnetic resonance images (MRIs) the lunate often looks dorsally angulated, even in healthy wrists. The tilt on individual slices can also be different and might be misinterpreted as pathological, contributing to inaccurate diagnoses and unnecessary surgery. The primary aim of this study was to determine the average radiolunate angle on sagittal wrist MRI images as well as the radiolunate angle in the most radial, central and most ulnar part of the lunate; also the interobserver reliability was determined...
October 2016: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/27844041/chondral-lesions-in-the-patellofemoral-joint-in-mri-intra-individual-comparison-of-short-tau-inversion-recovery-sequence-stir-with-2d-multiple-echo-data-image-combination-sequence-medic
#15
Boris Bodelle, Wolfgang Luboldt, Julian L Wichmann, Sebastian Fischer, Thomas J Vogl, Martin Beeres
PURPOSE: To determine the value of the 2D multiple-echo data image combination (MEDIC) sequence relative to the short-tau inversion recovery (STIR) sequence regarding the depiction of chondral lesions in the patellofemoral joint. MATERIALS AND METHODS: During a period of 6 month patients with acute pain at the anterior aspect of the knee, joint effusion and suspected chondral lesion defect in the patellofemoral joint underwent MRI including axial MEDIC and STIR imaging...
2016: European Journal of Radiology Open
https://www.readbyqxmd.com/read/27843373/the-onset-of-rheumatoid-arthritis-following-trauma
#16
Arthur E Brawer, Noopur Goel
BACKGROUND: Rheumatoid arthritis (RA) is known to have many predisposing factors. OBJECTIVE: We studied individuals whose RA was initiated by physical injuries. PATIENTS AND METHODS: Sixty patients (43 females), previously well, developed RA following trauma. No other known environmental or familial influences were present. Fourteen sustained a fracture; of the 46 who did not, 36 sustained multiple injuries that in part involved the axial skeleton...
2016: Open Access Rheumatology: Research and Reviews
https://www.readbyqxmd.com/read/27831966/the-kinematics-and-spondylosis-of-the-lumbar-spine-vary-depending-on-the-levels-of-motion-segments-in-individuals-with-low-back-pain
#17
Bryce A Basques, Alejandro A Espinoza Orías, Grant D Shifflett, Michael P Fice, Gunnar B Andersson, Howard S An, Nozomu Inoue
STUDY DESIGN: Prospective cohort study. OBJECTIVE: To identify associations of spondylotic and kinematic changes with low back pain (LBP). SUMMARY OF BACKGROUND DATA: The ability to characterize and differentiate the biomechanics of both the symptomatic and asymptomatic lumbar spine is crucial to alleviate the sparse literature on the association of lumbar spine biomechanics and LBP. METHODS: Lumbar dynamic plain radiographs (flexion-extension), dynamic CT scanning (axial rotation, disc height) and MRI (disc and facet degeneration grades) were obtained for each subject...
November 9, 2016: Spine
https://www.readbyqxmd.com/read/27826214/clinical-outcome-following-diam-implantation-for-symptomatic-lumbar-internal-disk-disruption-a-3-year-retrospective-analysis
#18
Kang Lu, Po-Chou Liliang, Hao-Kuang Wang, Jui-Sheng Chen, Te-Yuan Chen, Ruyi Huang, Han-Jung Chen
BACKGROUND/OBJECTIVE: Internal disk disruption (IDD), an early event of lumbar disk degeneration, is the most common cause of low back pain. Since increased intradiskal pressure (IDP) is associated with symptoms and progression of disk degeneration, unloading a painful disk with an interspinous process device (IPD) is a rational treatment option. The goal of this study was to evaluate the effectiveness of dynamic stabilization with an IPD in the treatment of symptomatic IDD of the lumbar spine...
2016: Journal of Pain Research
https://www.readbyqxmd.com/read/27825180/-reproducibility-and-bilateral-symmetry-of-maximal-isokinetic-trunk-rotation-strength-in-healthy-and-active-male-adults
#19
K Mattes, S Manzer, Y Kianmarz, J Paasch
Movements with axial trunk rotation are associated with spinal disease and back pain and may lead to several bilateral adaptations of the trunk muscles, which are another risk factor for back pain. To avoid injury and pain, a targeted preventative training should be implemented to preserve symmetrical strength/forces. The effect analysis of such an intervention requires reliable strength tests to document training progress and enable a clinical assessment. This study aimed to determine the reproducibility of an isokinetic test protocol for maximal trunk rotation strength and the verification of left/right differences of the maximum strength of trunk rotation muscles and hand grip strength...
November 8, 2016: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
https://www.readbyqxmd.com/read/27822121/the-danish-nationwide-clinical-register-for-patients-with-rheumatoid-arthritis-danbio
#20
REVIEW
Else Helene Ibfelt, Dorte Vendelbo Jensen, Merete Lund Hetland
INTRODUCTION: DANBIO is a research register and a data source for rheumatologic diseases (rheumatoid arthritis [RA], axial spondyloarthritis, and psoriatic arthritis) for monitoring clinical quality at the national, regional, and hospital levels. STUDY POPULATION: The register includes patients with rheumatologic diseases who are treated at a hospital or a private rheumatologic clinic. Registration is mandatory for all patients with RA regardless of treatment and also for patients with other diagnoses if treated with biological disease-modifying antirheumatic drugs...
2016: Clinical Epidemiology
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