keyword
https://read.qxmd.com/read/38544875/effect-of-posterior-tibial-slope-on-outcomes-after-posterior-cruciate-ligament-reconstruction
#21
JOURNAL ARTICLE
Ryan T Conyer, Tyler G Allen, Anna K Reinholz, Aaron J Krych, Kelechi R Okoroha, Michael J Stuart, Bruce A Levy
BACKGROUND: Increased posterior tibial slope (PTS) leads to a relative anterior translation of the tibia on the femur. This is thought to decrease the stress on posterior cruciate ligament (PCL) reconstruction (PCLR) grafts. PURPOSE/HYPOTHESIS: The purpose of this study was to analyze the effect of PTS on knee laxity, graft failure, and patient-reported outcome (PRO) scores after PCLR without concomitant anterior cruciate ligament reconstruction (ACLR). It was hypothesized that patients with higher PTS would have less knee laxity, fewer graft failures, and better PROs compared with patients with lower PTS...
March 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38544772/histopathologic-evaluation-of-periapical-radiolucencies-clinico-radiographically-diagnosed-as-endodontic-lesions-a-retrospective-analysis
#22
JOURNAL ARTICLE
Saede Atarbashi-Moghadam, Mehrdad Azar, Shaghayegheh Dowdani
STATEMENT OF THE PROBLEM: Periapical cyst and granuloma are inflammatory endodontic lesions. Periapical granuloma usually heals spontaneously after endodontic treatment; however, periapical cyst mostly needs to be removed via surgical approaches. Although some clinicians believe that microscopic examination of periapical lesions is unnecessary, it is proved that some of them has non-endodontic nature that need critical consideration. PURPOSE: The purpose of this study was to assess the disagreement between clinico-radiographic and microscopic diagnosis of periapical cysts and granulomas in a major center of oral pathology service in Iran...
March 2024: Journal of Dentistry
https://read.qxmd.com/read/38544645/a-case-of-esophageal-adenocarcinoma-metastatic-to-the-breast
#23
Prashanth Kotla, Suimin Qiu, Jing He
Metastatic carcinoma infiltrating the breast from extramammary malignancies is an infrequent occurrence. Extramammary carcinomas that may be metastatic to the breast include gastrointestinal cancers, ovarian cancer, and lung cancer, among others. These metastatic lesions often pose a diagnostic challenge, resembling primary breast cancer in both clinical and radiographic presentations. The incidence of esophageal cancer metastasizing to the breast is low. Esophageal cancer more commonly spreads to locoregional lymph nodes, lungs, liver, and bone...
February 2024: Curēus
https://read.qxmd.com/read/38544608/an-unexpected-finding-of-an-aggressive-pleural-hemangiopericytoma-solitary-fibrous-tumor-in-a-patient-with-recurrent-meningioma-a-case-report
#24
Shahir Basir, Jana Bosiers, Nico C van Walree
Pleural hemangiopericytoma/solitary fibrous tumor (HPC/SFT) is a rare form of mesenchymal tumor arising from pericytes, which predominantly occurs intrathoracically. HPC/SFT can be suspected on imaging, but radiographic features are non-specific. Therefore, histological confirmation remains the gold standard. Due to the rarity of the tumor, specific anatomical pathological expertise is necessary to make the diagnosis, which is not available in every hospital. Here, we report the case of a 51-year-old female with a medical history of recurrent meningiomas...
February 2024: Curēus
https://read.qxmd.com/read/38544587/revamping-stability-tibial-tuberosity-transfer-and-medial-patello-femoral-ligament-reconstruction-for-patella-alta-and-recurrent-dislocation
#25
Rahul Singh, Amit Saoji, Anmol Suneja, Saksham Goyal, Sachin Goel
This case report details the clinical evaluation, imaging findings, and surgical management of a 17-year-old female with a two-year history of persistent knee pain and recurrent patellar dislocations. Despite the absence of traumatic injury, the patient exhibited significant anatomical abnormalities, including a laterally dislocated patella, shallow trochlear groove, increased tibial tuberosity to trochlear groove (TT-TG) distance, and patella alta by calculating Insall-Salvati ratio. The Insall-Salvati ratio is a radiographic measurement used to assess the position of the patella within the knee joint...
February 2024: Curēus
https://read.qxmd.com/read/38544542/does-early-and-late-weight-bearing-have-an-effect-on-the-results-of-elderly-tibial-plateau-fractures-with-internal-fixation-a-multicenter-tron-group-study
#26
JOURNAL ARTICLE
Yoshito Sudo, Yasuhiko Takegami, Katsuhiro Tokutake, Keita Shimizu, Keita Naruse, Tetsuro Takatsu, Shiro Imagama
INTRODUCTION: There is still no consensus on the length of the non-bearing period required for tibial plateau fractures (TPFs) treated surgically. Several studies showed that full weight bearing immediately postoperatively does not affect fixation or cause joint collapse in patients with TPF. While there are concerns about weight bearing in the elderly due to fragile bone quality, their physical disability often makes it difficult to carry out activities of daily life when weight bearing is not allowed...
April 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38544536/post-operative-patellar-tilt-more-than-10%C3%A2-can-affect-certain-components-of-knee-society-score-after-total-knee-arthroplasty-at-2-year-follow-up
#27
JOURNAL ARTICLE
Swapnil Singh, Toh Mingzhou, Jichuan Wang, Lingaraj Krishna
INTRODUCTION: The effect of post-operative patella tilt on functional outcomes after total knee arthroplasty remains unclear. Our study aimed to analyze the relationship of post-operative patellar tilt with functional outcome scores after total knee arthroplasty. MATERIALS AND METHODS: Patient data were retrieved from our institution's prospectively maintained total knee arthroplasty. Three hundred three patients who underwent unilateral TKA from Jan 2012 to March 2017 were included in the study...
April 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38544535/endoscopic-assisted-percutaneous-fixation-of-anterior-inferior-iliac-spine-avulsion-fracture-surgical-technique
#28
JOURNAL ARTICLE
Alessandro Aprato, Andrea Donis, Michele Reboli, Jacopo Vittori, Davide Carlo Secco, Alessandro Massè
Avulsion fractures of the anterior inferior iliac spine rarely occur in adolescent athletes during rectus femoris contractions or eccentric muscle lengthening while the growth plate is still open. Currently, there are no official guidelines in the literature on the treatment indications of this type of fracture or the type of surgical technique to be used. Nowadays, young and athletic patients desire a quick return to their previous activities, which makes surgical treatment a reasonable choice. Open reduction and internal fixation with an anterior approach are usually recommended when the avulsion fragment has more than 1...
April 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38544184/relationship-between-body-posture-assessed-by-dynamic-baropodometry-and-dental-occlusion-in-patients-with-and-without-dental-pathology
#29
JOURNAL ARTICLE
Isabel Carda-Navarro, Lidia Lacort-Collado, Nadia Fernández-Ehrling, Alicia Lanuza-Garcia, Javier Ferrer-Torregrosa, Clara Guinot-Barona
Body biomechanics and dental occlusion are related, but this interaction is not fully elucidated. The aim of this study was to investigate the association between body posture and occlusion in patients with and without dental pathology. A cross-sectional study was carried out with 29 patients divided into a control group and a group with pathology (malocclusions). Body posture was evaluated by dynamic baropodometry, analyzing parameters such as the line of gait and the anteroposterior and lateral position of the center of pressure (CoP)...
March 17, 2024: Sensors
https://read.qxmd.com/read/38541987/pleural-effusion-and-chylothorax-in-congenital-diaphragmatic-hernia-risk-factors-management-and-outcome
#30
JOURNAL ARTICLE
Yannick Schreiner, Sidre Sahin, Christiane Otto, Meike Weis, Svetlana Hetjens, Kathrin Zahn, Michael Boettcher, Alba Perez Ortiz, Neysan Rafat
Background: Pleural effusion and chylothorax are common complications in the treatment of congenital diaphragmatic hernia (CDH). We set out to identify risk factors for chylothorax development in patients with CDH and to investigate the association of pleural effusion and chylothorax with neonatal morbidity and mortality. Methods: In this retrospective cohort study, we included 396 neonates with CDH treated at our institution between January 2013 and June 2019. Preoperative and postoperative chest radiographs and clinical data were evaluated and correlated with morbidity, complications and mortality...
March 19, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541983/using-electric-stimulation-of-the-spinal-muscles-and-electromyography-during-motor-tasks-for-evaluation-of-the-role-in-development-and-progression-of-adolescent-idiopathic-scoliosis
#31
JOURNAL ARTICLE
Christian Wong, Hamed Shayestehpour, Christos Koutras, Benny Dahl, Miguel A Otaduy, John Rasmussen, Jesper Bencke
Introduction : The role of the spinal muscles in scoliogenesis is not fully substantiated. Do they act scoliogenic (inducing scoliosis) or counteract scoliosis in adolescent idiopathic scoliosis (AIS)? In this study, we will examine this by using selectively placed Transcutaneous Electric Stimulation (TES) combined with a cinematic radiographic technique and by performing electromyographic (EMG) evaluations during various motor tasks. Method : This is a cross-sectional study of subjects with small-curve AIS...
March 19, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541969/comparison-of-cylindrical-and-tapered-stem-designs-for-femoral-revision-hip-arthroplasty
#32
JOURNAL ARTICLE
José María Hernández-Mateo, Javier Orozco-Martínez, José Antonio Matas-Díaz, Francisco Javier Vaquero, Pablo Sanz-Ruiz
Background: Cylindrical fully-coated cobalt-chromium stems (CCS) have been widely used in femoral revisions. However, monoblock fluted conical tapered stems (FCTS) are growing in popularity. The present study seeks to determine whether there are any long-term differences between the two designs. Material and methods: A retrospective study of 38 CCS versus 40 FCTS was carried out. Demographic data, clinical variables and radiographic parameters were recorded. Results: Demographic data were comparable. A greater proportion of septic revisions, periprosthetic fractures and previous osteosynthesis failures was observed with FCTS versus CCS ( p = 0...
March 18, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541956/hallux-valgus-plantar-pressure-distribution-before-and-after-a-distal-metatarsal-osteotomy
#33
JOURNAL ARTICLE
Antonio Mazzotti, Alberto Arceri, Elena Artioli, Laura Langone, Simone Ottavio Zielli, Beatrice Martini, Francesco Traina, Cesare Faldini, Lorenzo Brognara
Background: Hallux valgus (HV) morphological alterations impact forefoot kinetics. Surgery aims to restore both the morphology and function. Plantar pressure (PP) distribution systems represent an innovative additional tool to evaluate the hallux functional outcome after surgery in order to assess the hallux dorsiflexion, coupled with plantar flexion of the first ray. However, the literature reports limited evidence regarding the rebalancing of the plantar pressure distribution following surgery. The purpose of the present study was to examine the PP distribution in HV patients before and after a distal metatarsal osteotomy using a novel anatomically based protocol for in-shoe plantar load analysis during gait...
March 17, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541917/prognostic-factors-affecting-the-outcome-of-surgical-root-canal-treatment-a-retrospective-cone-beam-computed-tomography-cohort-study
#34
JOURNAL ARTICLE
Salma AlKhuwaitir, Shanon Patel, Abdulaziz Bakhsh, John Spencer Rhodes, Luis Miguel Ferrández, Francesco Mannocci
Aim: To assess the association between demographic and clinical variables and the outcome of root-end surgery using digital periapical radiographs (PA) and cone-beam computed tomography (CBCT). Methodology: One hundred and fifty teeth that received endodontic microsurgery were clinically and radiographically examined (PA and CBCT scans) after 1 and 2 years. Two calibrated endodontists evaluated the radiographic healing based on a six-point outcome classification. The outcome was classified using both strict (healed) and loose (healing) criteria...
March 15, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541882/radiographic-detection-rate-of-distal-surface-caries-in-the-mandibular-second-molar-in-populations-with-different-third-molar-management-strategies-a-multicenter-study
#35
JOURNAL ARTICLE
Verena Toedtling, Elena-Cristina Marcov, Narcis Marcov, Dana Bodnar, Mina W A Hayawi, Tim Forouzanfar, Henk S Brand
Background: Distal surface caries (DSC) has been associated with partially erupted impacted third molars. The purpose of this study was to compare the rates of DSC between populations that had undergone different third molar management strategies. Methods : Radiographs that had been taken during routine examinations of 1012, 251 and 250 patients in Manchester, Bucharest and Amsterdam, respectively, were evaluated. The following parameters were assessed: the state of the distal surface in the second mandibular molar, loss of periodontal support, impaction type of the third molar, contact point localization, and patients' genders, ages and their cumulative history of dental health...
March 14, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541821/the-effect-of-severe-varus-deformity-on-clinical-and-radiographic-outcomes-in-mechanical-aligned-total-knee-arthroplasty-with-medial-stabilizing-technique
#36
JOURNAL ARTICLE
Sung-Sahn Lee, Jewon Jung, Hanbit Kim, Jinwoo Kim, In Geol Jung, Jiin Kim, Young-Wan Moon
Background: The purpose was to compare the clinical and radiographic outcomes between preoperative mild and severe varus deformity after total knee arthroplasty (TKA) with medial stabilizing technique (MST). Methods: We retrospectively analyzed 158 knees of 125 female patients with a 2-year follow-up who underwent mechanically aligned TKA with MST between April 2018 and February 2021. Patients were divided into two groups; the severe varus group was defined as one with preoperative hip-knee ankle (HKA) angle ≥ 15° and the mild varus group with HKA angle < 15°...
March 11, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541814/risk-factors-for-cervical-disc-arthroplasty-subsidence-with-bryan-disc-a-retrospective-observational-analysis
#37
JOURNAL ARTICLE
Cheng-Ying Lee, Kuan-Kai Tung, Hsi-Kai Tsou, Wen-Hsien Chen, Chung-Yuh Tzeng, Ruei-Hong Lin, Tse-Yu Chen, Chih-Wei Huang, Ting-Hsien Kao
Background : Cervical disc arthroplasty (CDA) is currently used instead of fusion to preserve cervical spine motion. Cervical implant subsidence is a potential complication after CDA. Methods : Radiological measurements were recorded via patient anteroposterior and lateral radiographs in the neutral position. Subsidence was defined as a decrease of 3 mm or more in functional spinal unit height (FSUH) from which was measured on a post-operative (OP) radiograph. Results : This study included 104 patients who underwent 153 CDA levels with the Bryan Disc...
March 10, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541775/partial-implant-rehabilitations-in-the-posterior-regions-of-the-jaws-supported-by-short-dental-implants-7-0-mm-a-7-year-clinical-and-5-year-radiographical-prospective-study
#38
JOURNAL ARTICLE
Miguel de Araújo Nobre, Carolina Antunes, Armando Lopes, Ana Ferro, Mariana Nunes, Miguel Gouveia, Francisco Azevedo Coutinho, Francisco Salvado
Background : Short implants have been used in the restoration of edentulous jaws in the past several years. However, some studies have suggested that short implants are less successful than standard implants. The aim of this study is to investigate the outcome of short implants placed in the posterior maxilla or mandible following one-stage or immediate-function protocols with a follow-up of 7 years (clinically) and 5 years (radiographically). Methods : This study included 127 patients rehabilitated with 217 implants measuring 7 mm and supporting 157 fixed prostheses in the posterior segments of both jaws...
March 8, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541757/radiological-outcomes-of-magnetically-controlled-growing-rods-for-the-treatment-of-children-with-various-etiologies-of-early-onset-scoliosis-a-multicenter-study
#39
JOURNAL ARTICLE
Pawel Grabala, Munish C Gupta, Daniel E Pereira, Michal Latalski, Anna Danielewicz, Pawel Glowka, Michal Grabala
Background: The management of spinal deformities diagnosed before the age of 10 is critical due to the child's development, skeletal system, and growth mechanism. Magnetically controlled growing rods (MCGRs) are a surgical treatment option for the growing spine. The aim of this study was to analyze the radiological findings of patients treated with MCGRs for early-onset scoliosis (EOS) of various etiologies. We hypothesized that the MCGRs could provide acceptable long-term radiographic results, such as an increase in the T1-T12 and T1-S1 height and significant overall deformity correction...
March 7, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541234/changes-in-dickkopf-1-but-not-sclerostin-in-gingival-crevicular-fluid-are-associated-with-peroral-statin-treatment-in-patients-with-periodontitis
#40
JOURNAL ARTICLE
Kristina Duspara, Renata Sikora, Ana Petrovic, Lucija Kuna Roguljic, Anita Matic, Kristina Kralik, Hrvoje Roguljic, Tomislav Kizivat, Mirjana Duspara, Dunja Igrec, Kristina Bojanic, Robert Smolic, Aleksandar Vcev, Magdalena Wyszyńska, George Y Wu, Martina Smolic
Background and Objectives : Periodontitis is marked by the destruction of alveolar bone. Sclerostin (SOST) and dickkopf-1 (DKK-1) act as inhibitors of the Wingless-type (Wnt) signaling pathway, a key regulator of bone metabolism. Recent studies have suggested that statins play a role in bone resorption and formation by influencing Wnt signaling. The aim of this study was to determine the levels of SOST and DKK-1 in periodontal patients with and without peroral statins treatment in their therapy. Materials and Methods: A total of 79 patients with diagnosed periodontitis were divided into two groups: 39 patients on statin therapy (SP group) and 40 patients without statin therapy as a control group (P group)...
March 20, 2024: Medicina
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