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Marc-Etienne Parent, François Vézina, Nathalie Carrier, Ariel Masetto
OBJECTIVE: To analyze the indications for and clinical procedures resulting from knee magnetic resonance imaging (MRI) in older patients. DESIGN: We retrospectively analyzed 215 medical records of patients 50 years of age and older who had undergone a unilateral knee MRI in 2009. SETTING: Centre hospitalier universitaire de Sherbrooke in Quebec. PARTICIPANTS: Patients 50 years of age and older who underwent a knee MRI in 2009...
March 2018: Canadian Family Physician Médecin de Famille Canadien
V Krenn, G Perino, W Rüther, V T Krenn, M Huber, T Hügle, A Najm, S Müller, F Boettner, F Pessler, W Waldstein, J Kriegsmann, R Casadonte, T Häupl, S Wienert, M G Krukemeyer, S Sesselmann, S Sunitsch, R Tikhilov, L Morawietz
The histopathological synovitis score evaluates the immunological and inflammatory changes of synovitis in a graduated manner generally customary for diagnostic histopathological scores. The score results from semiquantitative evaluation of the width of the synovial surface cell layer, the cell density of the stroma and the density of the inflammatory infiltration into 4 semiquantitative levels (normal 0, mild 1, moderate 2, severe 3). The addition of these values results in a final score of 0-9 out of 9. On the basis of this summation the condition is divided into low-grade synovitis and high-grade synovitis: A synovitis score of 1 to≤4 is called low-grade synovitis (arthrosis-associated/OA synovitis, posttraumatic synovitis, meniscopathy-associated synovitis and synovitis with haemochromatosis)...
August 2017: Pathology, Research and Practice
V Krenn, G Perino, W Rüther, V T Krenn, M Huber, T Hügle, A Najm, S Müller, F Boettner, F Pessler, W Waldstein, J Kriegsmann, T Häupl, S Wienert, M G Krukemeyer, S Sesselmann, R Tikhilov, L Morawietz
The histopathological synovitis score evaluates in a graded approach, as is largely usual for diagnostic histopathological scores, the immunological and inflammatory changes caused by synovitis. A synovitis score of between 1 and ≤ 4 is classified as low-grade (osteoarthritis-related synovitis, post-traumatic synovitis, meniscopathy-related synovitis and synovitis in hemochromatosis). Synovitis scores of between ≥ 5 and 9 are classified as high-grade synovitis (rheumatoid arthritis, psoriatic arthritis, Lyme's arthritis, post-infection/reactive arthritis and peripheral arthritis in Bechterew disease); sensitivity is 61...
August 2017: Zeitschrift Für Rheumatologie
Carlos Romero Morales, César Calvo Lobo, David Rodríguez Sanz, Irene Sanz Corbalán, Beatriz Ruiz Ruiz, Daniel López López
BACKGROUND: New reliable devices for range of motion (ROM) measures in older adults are necessary to improve knowledge about the functional capability in this population. Dorsiflexion ROM limitation is associated with ankle injuries, foot pain, lower limb disorders, loss of balance, gait control disorders and fall risk in older adults. The aim of the present study was to assess the validity and reliability of the Leg Motion device for measuring ankle dorsiflexion ROM in older adults. METHODS: Adescriptive repeated-measures study was designed to test the reliability of Leg Motion in thirty-three healthy elderly patients older than 65 years...
2017: PeerJ
Julia K Mindner, Malgorzata J Bielecki, Stefan Scharvogel, Diane Meiler
OBJECTIVE: To report the surgical procedure, intra- and postoperative complications, and short-term follow-up of tibial plateau levelling osteotomy (TPLO) in feline patients with cranial cruciate ligament (CrCL) rupture using a 2.0 or 2.4 mm Synthes® TPLO plate. STUDY DESIGN: Prospective study. MATERIAL AND METHODS: Eleven cats with a CrCL rupture were included in the study. Inspection of intra-articular structures was carried out via arthroscopy or arthrotomy...
November 23, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
Oğuzhan Oz, Hakan Akgun, Mehmet Yücel, Bilal Battal, Hüseyin Ilker Ipekdal, Umit Hidir Ulaş, Seref Demírkaya, Zeki Odabaşi
A 22-year-old male had a meniscopathy operation using spinal anesthesia. After the operation, the patient reported a throbbing headache. His brain computed tomography (CT) showed subarachnoid hemorrhage (SAH) and hyperdense dural venous sinuses suspicious for thrombosis. Filling defects were observed in the superior sagittal and right transverse sinuses on the contrast-enhanced magnetic resonance images. The patient was diagnosed with cerebral venous sinus thrombosis (CVST). On the tenth day of his admission, his clinical findings progressed and heparin therapy was initiated after resorption of hemorrhage was observed in a second non-contrast CT scan...
September 2011: Acta Neurologica Belgica
Maria Paola Loria, Porzia Dambra, Biagio Moretti, Vittorio Patella, Laura Capuzzimati, Elsa Cavallo, Eustachio Nettis, Vito Pesce, Adriana Dell'Osso, Carmelo Simone, Alfredo Tursi
Cytokines, which have been demonstrated in synovial fluids during various joint diseases, play an important role in mediating synovial inflammation and in regulating the immune response of many inflammatory processes. We studied synovial fluid, serum, and synovial fragments obtained from 33 patients--10 affected by serious gonarthrosis re-quiring a prosthetic implant, 8 with knee prosthesis aseptic loosening, and (as controls) 15 affected by degenerative meniscopathies--to evaluate the degree of inflammation and level of interleukins (IL-2, IL-4, IL-6, IL-10) and interferon gamma secretion...
2004: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
P Dambra, M P Loria, B Moretti, L D'Oronzio, V Patella, A Pannofino, E Cavallo, V Pesce, A Dell'Osso, C Simone
The involvement of the synovium is common in phlogistic processes of various joint diseases. Apart from synoviocytes and the other cells in the synovial tissue, circulating cells recruited from peripheral blood also participate in the phlogistic process. The increased expression of adhesion molecules on both circulating and endothelial cell surface may further this recruitment. We studied 15 patients affected by serious gonarthrosis requiring a prosthetic implant (GPI) and 7 with knee prosthesis aseptic loosening (KPL) to evaluate adhesion molecule expression and phlogistic infiltration in the synovium using immunohistochemistry and microscopic analysis...
May 2003: Immunopharmacology and Immunotoxicology
J S Sérgio
The first aim of this work is not only to review the localised perspective of meniscopathy, concerned with the consequences of meniscectomy, but to also view it in a broader dimension, in the behavioural aspect--related to postural activity. The second aim is to establish the relationship between these two dimensions. Meniscopathies invariably lead to degenerative alterations of the knee joint--not sufficiently explained by the local factors--that result in a situation of osteoarthritis. Some investigators established that the osteoarthritis process should not be confined only to the mechanical responsibility, due to some studies that also confirm the existence of biochemical alterations...
January 2000: Acta Médica Portuguesa
E M Giagounidis, S Sell
In 94 patients 112 knees were examined after high tibial osteotomy for varus and valgus gonarthrosis. Preoperatively, there were 71 varus and 23 valgus deformities. The mean follow-up period was 9.0 years (range 2-21 years). Concerning the pain on walking and the pain at rest, we noted good and excellent results in 73% and 65%, respectively. The radiological evaluation showed an improvement or a persistence of the stage of arthrosis in 69.5% of the reviewed cases. The results according to the HSS score as an objective parameter showed in over 50% an improvement of the patients' situation...
1999: Archives of Orthopaedic and Trauma Surgery
H Eckel, J Lindner, M V Petzold, K Meyne, J Dörges
The article reports on 364 double-contrast arthrographics and 185 arthroscopies. The results obtained in 126 patients in whom both arthrography and arthroscopy had been conducted, were compared. It became evident that arthrography is of high informative value in the diagnosis of lesions of the meniscus, so that preference may well be given to this method in non-specific knee-joint complaints where meniscopathy is suspected. Arthroscopies are indicated in cases of clinico-arthrographic doubt. Trial arthrotomy for clarifying doubtful meniscus lesions without previous exploitation of all arthrographic/arthroscopic possibilities is no longer justified and should be abandoned...
February 1981: Röntgen-Blätter; Zeitschrift Für Röntgen-Technik und Medizinisch-wissenschaftliche Photographie
K Mathias, E Diezemann
Bilateral meniscus lesions without an adequate trauma are rare. We observed a patient with such an injury caused by alkaptonuric ochronosis. Radiographs revealed a calcifying degeneration of the intervertebral disks and osteoarthritic alterations of the large joints. The surgeon should think of this disease finding a yellow brown discoloration of the cartilage at arthrotomy.
April 1980: Zeitschrift Für Orthopädie und Ihre Grenzgebiete
J Dreyer, H Harbst, Winkel K zum
No abstract text is available yet for this article.
1969: Archiv Für Orthopädische und Unfall-Chirurgie
J Vittori, G Pascoet
No abstract text is available yet for this article.
April 1968: Revue des Corps de Santé des Armées: Terre, Mer, Air, et du Corps Vétérinaire
K S Pieper, B Bähr, M Biskop, B Paul, C Gärtner, E Förster
The skeletal muscle undergoes selective cellular changes in the sense of the myopathic and neurogeneous tissue syndrome, in the case of degenerative joint diseases. The occurring FT-fibre atrophy is coupled with a decrease of the glycolytic activity and of the LDH isoenzyme pattern. A neurogeneous component is under discussion.
1986: Biomedica Biochimica Acta
N Guercio, A Solini
We re-examined 800 arthrographies performed between 1984 and 1986 according to the Lindblom-Ficat-Philippe method. 280 had pure meniscal lesions. In the remaining 520 cases, arthrography revealed extrameniscal pathology, sometimes associated with meniscal lesions, as well as other pathologies which were either negative or equivocal. The purpose of this study was to emphasize the advantages of a simple method of diagnosis applicable to out patients in the study of extrameniscal pathologies which are often concealed by the associated meniscopathy...
June 1988: Italian Journal of Orthopaedics and Traumatology
M Skalej, K Küper, U Klose
No abstract text is available yet for this article.
November 1988: Röntgenpraxis; Zeitschrift Für Radiologische Technik
H Tellkamp, W Klein, G Rosenkranz, K Köhler
The results of CT examination of meniscopathies in 54 patients, most of them competitive athletes, are presented. CT has an overall accuracy of about 90 per cent and can hence be used for diagnosing a lesion of the meniscus with a reasonable amount of safety, while being rapid and avoiding unnecessary exposure to stress. This method, therefore, should be a focal point of the imaging methods and thus be placed between the specialist doctor's findings and possible surgery. The pros and cons of CT compared with other imaging methods are discussed...
December 1988: Digitale Bilddiagnostik
W W Höpker, G Angres, K Klingel, D Komitowski, E Schuchardt
We report on the elastin, collagen and ground substance compartments in the human meniscus and their interrelationships. Elastin is found in neonates and shows both an arrangement parallel to the collagen fibre and into net-like structures. Branching, caliber inconstancy, rupture and the phenomenon of the "rubber band" are findings within the different forms of the meniscopathy. The function of the elastin compartment cannot be visualised without suggesting "puncta fixa". The morphology of the collagen-elastin-junctions has been described and their possible mode of function is discussed with the help of a model...
1986: Virchows Archiv. A, Pathological Anatomy and Histopathology
H König, M Deimling
The possibilities and limitations of rapid echo acquisition methods in various posttraumatic, degenerative and inflammatory diseases of the joints are demonstrated and discussed on the basis of a pilot study. It is evident that specific information important for clarifying effusions and meniscopathies is supplied especially by "water"-like images. Limitations of spatial resolution are at present still a limiting factor.
September 1986: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
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