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Stefanie A Pawelek, Jennifer D Illes, John A Taylor
OBJECTIVE: The purpose of this case report is to describe a case where calcium pyrophosphate dehydrate crystal deposition disease (CPPD) simulated osteoarthritis of the knee. CLINICAL FEATURES: A 78-year-old woman had a 2-week history of severe right knee pain accompanied by mild swelling. The onset was sudden and did not involve a history of trauma or previous injury to the right knee. Inspection and palpation revealed pain along the medial joint line and marked difficulty ambulating...
September 2016: Journal of Chiropractic Medicine
S G Radenska-Lopovok
The synovial membrane is frequently a target in rheumatic diseases. A search for diagnostic criteria and determination of changes in the pathological process necessitate standardized biopsy diagnostic techniques and quantification of morphological changes using digital imaging methods. The paper considers main methods for obtaining synovial membrane samples. It presents major morphological and immunohistochemical variations in synovitis in the presence of rheumatoid arthritis, ankylosing spondylitis, and osteoarthrosis...
July 2016: Arkhiv Patologii
Ying-Kai Hu, Chi Yang, Xie-Yi Cai, Qian-Yang Xie
The aim of the study was to compare condylar height changes of anterior disc displacement with reduction (ADDwR) and anterior disc displacement without reduction (ADDwoR) in temporomandibular joint (TMJ) quantitatively, to get a better understanding of the changes in condylar height of patients with anterior disc displacement who had received no treatment, and to provide useful information for treatment protocol. This longitudinal retrospective study enrolled 206 joints in 156 patients, which were divided into ADDWR group and ADDwoR group based on magnetic resonance imaging examination...
August 2016: Medicine (Baltimore)
Victor Ricardo Manuel Muñoz Lora, Giancarlo De la Torre Canales, Leticia Machado Gonçalves, Carolina Beraldo Meloto, Celia Marisa Rizzatti Barbosa
The prevalence of temporomandibular disorders (TMD) is higher in females, reaching their high peak during reproductive years, probably because of the action of some female hormones, which alter pain threshold. This study aimed to investigate the prevalence of TMD in postmenopausal women and its relationship with pain and hormone replacement therapy (HRT). In total, 284 patients were evaluated and classified using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Pain was measured using the Visual Analogue Scale (VAS), and patients were also asked about the use of HRT...
2016: Brazilian Oral Research
Fabrício Bolpato Loures, Rogério Franco de Araújo Góes, Pedro José Labronici, João Maurício Barretto, Beni Olej
OBJECTIVE: To evaluate the relationship between patients' body mass index (BMI) and the degree of radiographic severity of knee osteoarthrosis. METHOD: 117 patients with gonarthrosis were evaluated prospectively. The patients' BMI was calculated and their knee arthrosis was classified in accordance with the modified Ahlbäck criteria. Kruskal-Wallis analysis of variance (ANOVA) was used to evaluate the relationship between these two variables. RESULTS: The group classified as Ahlbäck grade V had significantly higher BMI than the others...
July 2016: Revista Brasileira de Ortopedia
Batoul Bagheripour, Mojtaba Kamyab, Fatemeh Azadinia, Ali Amiri, Mohammad Akbari
BACKGROUND: Traction has been suggested to be an effective treatment for symptoms of neck disorder in patients with no contraindications. However, according to previous researches, the effectiveness of traction is controversial, particularly compared to other conservative treatments. This trial was conducted to evaluate the effect of sustained traction, using an over-the-door home cervical traction unit in combination with routine physical therapy on reducing cervical osteoarthrosis symptoms including neck pain, medication use and disability level compared to routine physical therapy alone...
2016: Medical Journal of the Islamic Republic of Iran
Swati Chopra, Julien Favre, Xavier Crevoisier
Today, ankle joint kinematic assessment gives important information regarding the intersegment range of motion. It does not, however, provide information regarding coordination between the segments. This study aimed to determine whether or not intersegment coordination can provide valuable, otherwise missed information in relation to kinematic alterations of the ankle joint. The study consisted of 40 participants, including 12 total ankle replacement (TAR) patients, 12 ankle arthrodesis (AA) patients, and 16 controls...
July 30, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Joanna Zalewska, Małgorzata Węgierska, Tacjana Barczyńska, Marzena Waszczak, Paweł Żuchowski, Sławomir Jeka
OBJECTIVES: Hypertrophic and exudative synovitis of the knee is one of the earliest symptoms in rheumatic diseases. In the case of pharmacotherapy failure, other methods which directly remove the inflamed synovial membrane are used - synovectomies. Radiosynovectomy (RSV) is the radiopharmaceutical application of colloidal solution to joint cavities. In this study, the authors assessed the efficacy of knee radiosynovectomy with yttrium-90 (Y-90) in several groups of patients divided into certain rheumatic diseases...
2016: Reumatologia
L A Shpagina, S G Abramovich, V A Drobyshev, L A Panacheva, E V Titskaya, G G Reshetova
Complex treatment using naphthalane applications with nonselective chromotherapy covered 64 engine operators of locomotive crews, aged 40-69 years, having 1-3 stage knee osteoarthrosis. Findings are that optimized treatment schedules effectively reduce intensity of pain, improve functional state of the joints involved, increase life quality of the patients, have no side effects. Comparative analysis of the treatment results showed that efficiency of combined naphthalane and nonselective chromotherapy exceeds isolated naphthalane effects...
2016: Meditsina Truda i Promyshlennaia Ekologiia
A Giombini, F Menotti, A Di Cesare, F Giovannangeli, M Rizzo, F Moffa, F Martinelli
This study aimed to compare short-term clinical outcomes between intra-articular injection of hyaluronic acid (HA), oxygen ozone (O2O3), and the combination of both, in patients affected by osteoarthrosis (OA) of the knee. Seventy patients (age 45-75 years) with knee OA were randomized to intra-articular injections of HA (n=23), or O2O3 (n=23) or combined (n=24) one per week for 5 consecutive weeks. KOOS questionnaire and visual analog scale (VAS), before treatment (pre) at the end (post), and at 2 months after treatment ended (follow-up) were used as outcome measures...
April 2016: Journal of Biological Regulators and Homeostatic Agents
Innocenzo Caruso, Salvatore Santandrea, Mariarita Gismondo, Alessandra Lombardi, Franco Montrone, Enzo Massimo Caruso, Piercarlo Sarzi Puttini
BACKGROUND: Our previous results showed that intrasynovial Rifamycin SV caused the lysis of synoviocites and freed the autoantigens which in turn stimulated the immunoregulatory rather than autoreactive T cell response in rheumatoid patients. Here, we hypothesize that disruption in vitro of peripheral blood mononuclear cells, by freeze/thawing or by lytic action of Rifamycin SV, would induce the release of endosomal pathogenic autoantigens from APCs present in the circulation, which could then be isolated from degrading enzymes by ultrafiltration...
2016: Journal of Translational Medicine
Marcio Aurélio Aita, Daniel Schneider Ibanez, Gabriel Cunha Barbosa Saheb, Rafael Saleme Alves
OBJECTIVE: To measure the quality of life and clinical-functional results from patients diagnosed with osteoarthrosis of the distal radioulnar joint who underwent surgical treatment using the technique of total arthroplasty of the ulna, with a total or partial Ascension(®) prosthesis of the distal ulna. METHODS: Ten patients were evaluated after 12 months of follow-up subsequent to total or partial arthroplasty of the distal ulna. All of them presented post-traumatic osteoarthrosis and/or chronic symptomatic instability of the distal radioulnar joint...
November 2015: Revista Brasileira de Ortopedia
I V Cherkashina, N V Nenasheva, A V Volchok, A V Aleksandrov, V K Degtyarev, M V Nikitin, I A Zborovskaya
UNLABELLED: The methods for the rehabilitative treatment play an important role in the management of the patients presenting with the diseases of the musculoskeletal system. One of these techniques is chronomagnetic therapy. AIM: The objective of the present study was to evaluate the influence of chronomagnetic therapy on the patient's quality of life. PATIENTS AND METHODS: The patients of the main group included 30 ones with osteoarthrosis, 30 with rheumatoid arthritis, 20 with ankylosing spondylitis, 6 with podagric arthritis, 6 with psoriatic arthritis, and 6 others with reactive arthritis...
March 2016: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
E Peled, M Assalia, L Axelman, D Norman, Y Nadir
INTRODUCTION: The blood supply of the bone and bone marrow are interconnected through a network of vessels. Arteries penetrating the bone flow into the marrow cavity while blood from marrow sinuses and veins leave the tissue via the bone. AIM: The current study was designed to search for thrombosis in the small blood vessels of bone and bone marrow. MATERIALS AND METHODS: Bone biopsies of 40 patients were studied using specific staining to fibrin with martin scarlet blue (MSB) and by immune-staining to tissue factor (TF), TF pathway inhibitor and heparanase that is a pro-angiogenic and pro-coagulant protein...
April 2016: Thrombosis Research
Jonathan Zember, Zehava Rosenberg, Ignacio Rossi, Chimere Mba-Jones, Jenny Bencardino
OBJECTIVE: Fluid along the frondiform ligament, the sinus tarsi stem of the inferior extensor retinaculum (IER), can approximate the extensor digitorum longus (EDL), at times simulating tenosynovitis. Our purpose, based on MRI and cadaveric studies, was to further evaluate this scantly described phenomenon, to identify associated findings and to alert the radiologists to the potential pitfall of over diagnosing EDL tenosynovitis. MATERIALS AND METHODS: Two musculoskeletal radiologists retrospectively reviewed the radiology reports and MRI studies of 258 ankle MRI exams, performed at our institution, for fluid along the frondiform ligament extending toward the EDL...
August 2016: Skeletal Radiology
Amal Al-Khotani, Aron Naimi-Akbar, Emad Albadawi, Malin Ernberg, Britt Hedenberg-Magnusson, Nikolaos Christidis
BACKGROUND: Studies have indicated that the prevalence of symptoms and signs of temporomandibular disorders (TMD) are rare early in childhood, but become more prevalent in adolescents and adulthood. To our knowledge, no study has investigated the prevalence of TMD-diagnoses in children in the general population. The aim was thus to investigate the prevalence of TMD-diagnoses among children and adolescents in the general population using the Research Diagnostic Criteria for TMD (RDC/TMD)...
2016: Journal of Headache and Pain
A G Gasanova, E L Matveeva, E S Spirkina
The analysis of indicators of mineral metabolism in patients with degenerative dystrophic affections of joints demonstrated that under development of osteoarthrosis process the alteration of indicators of concentration of electrolytes in blood serum, urine and synovial fluid occurs. The stage II of process is characterized by maximal alterations of indicators. The indicator of relationship between concentration of phosphate-ion and index of phosphatases of blood serum turned out the significant coefficient of correlation...
December 2015: Klinicheskaia Laboratornaia Diagnostika
Carlos Roberto Schwartsmann, Leandro de Freitas Spinelli, Marco Yánez Sotomayor, Anthony Kerbes Yépez, Leonardo Carbonera Boschin, Marcelo Faria Silva
OBJECTIVE: To evaluate the bleeding of the femoral head on hip osteoarthritis in patients who underwent total hip arthroplasty. METHODS: One hundred and three hips affected by primary hip osteoarthritis were evaluated. After surgical dislocation, the femoral head was divided into four quadrants, and micro perforations were made in order to observe and assess the presence of bleeding, as early type (EB), late type (LB) or without bleeding (WB). RESULTS: We observed early bleeding (EB) in the upper quadrant in 16 hips (15...
September 2015: Acta Ortopedica Brasileira
Barak Haviv, Shlomo Bronak, Yona Kosashvili, Rafael Thein
The timing of arthroscopic partial meniscectomy (APM) is not well defined. The purpose of this study was to evaluate the impact of early surgical intervention on the short-term improvement in clinical outcome. Between June 2012 and July 2013, patients who had APM for symptomatic irreparable meniscal tears in stable knees with no preoperative radiographic osteoarthrosis were included (n = 187). The mean age was 45.6 ± 14.5 years. Early surgical intervention (duration of symptoms of less than 3 months) was evaluated together with various preoperative and operative variables in a multivariable stepwise regression analysis, while the improvement in Lysholm knee score was modeled as a function of these predictors...
March 10, 2016: Journal of Knee Surgery
Jennifer S Ruano, Michael R Sitler, Jeffrey B Driban
: Reference: Claes S, Hermie L, Verdonk R, Bellemans J, Verdonk P. Is osteoarthritis an inevitable consequence of anterior cruciate ligament reconstruction? A meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2013;21(9):1967-1976. CLINICAL QUESTION:  What is the prevalence of radiographic knee osteoarthritis (OA) at a mean follow-up equal to or greater than 10 years after autologous anterior cruciate ligament (ACL) reconstruction, with or without meniscectomy? DATA SOURCES:  The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines were used to conduct this meta-analysis...
March 1, 2016: Journal of Athletic Training
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