keyword
https://read.qxmd.com/read/22109297/immediate-complications-and-pain-relief-associated-with-296-fluoroscopically-guided-thoracic-foraminal-nerve-blocks
#21
JOURNAL ARTICLE
Alfred Wang, Thomas K Pilgram, Louis A Gilula
OBJECTIVE: The goal of this work is to review the thoracic foraminal nerve blocks and foraminal epidurals performed at a single institution to determine the incidence and types of immediate complications and pain relief associated with thoracic foraminal nerve blocks. MATERIALS AND METHODS: This retrospective study entailed a comprehensive review of the radiographs and reports of 296 injections performed in 225 examinations on 153 patients (60 men and 93 women)...
December 2011: AJR. American Journal of Roentgenology
https://read.qxmd.com/read/22072474/isolated-complete-volar-dislocation-of-the-capitate-a-case-report
#22
JOURNAL ARTICLE
Giuseppe Checcucci, Prospero Bigazzi, Maura Zucchini, Massimo Ceruso
Total dislocation of the capitate is an extremely rare event. We report on one such unusual case. The complete expulsion of the capitate from its physiological position is difficult to diagnose. Standard parameters of the antero-posterior and lateral radiological do not head to a definite diagnosis. In our patient, the only real diagnostic tool was the clinical assessment and the Gilula arches alteration to the standard antero-posterior projection. In the period following trauma, the patient reported a very high level of pain in the wrist...
2011: Hand Surgery
https://read.qxmd.com/read/21738093/a-prospective-randomized-fda-ide-trial-comparing-cortoss-with-pmma-for-vertebroplasty-a-comparative-effectiveness-research-study-with-24-month-follow-up
#23
RANDOMIZED CONTROLLED TRIAL
Hyun Bae, Homer Paul Hatten, Raymond Linovitz, A David Tahernia, Michael K Schaufele, Vance McCollom, Louis Gilula, Philip Maurer, Ramsin Benyamin, John M Mathis, Maarten Persenaire
STUDY DESIGN: Randomized, controlled, prospective (AAOS therapeutic level I) trial conducted under Food and Drug Administration Investigational Device Exemption hypothesized noninferiority of a novel bioactive composite material to polymethylmethacrylate (PMMA). OBJECTIVE: To determine the safety and efficacy of a new, nonresorbable bioactive composite (Cortoss) compared with PMMA, the standard treatment of vertebral compression fractures (VCFs). SUMMARY OF BACKGROUND DATA: Vertebroplasty with PMMA, the widely adopted treatment for VCFs nonresponsive to conservative care, provides effective, immediate pain relief, but the material has received criticism for its properties...
April 1, 2012: Spine
https://read.qxmd.com/read/21731934/transradial-radial-perilunate-a-case-report
#24
JOURNAL ARTICLE
Dennis Sagini, Louis A Gilula, Ronit Wollstein
We report a rare case of transradial styloid radial perilunate dislocation in a patient who presented with ulnar nerve symptoms, and we describe our treatment approach to this unusual injury. In a literature search, we found no other report of such an injury.
April 2011: American Journal of Orthopedics
https://read.qxmd.com/read/21543675/modified-carpal-stretch-test-as-a-screening-test-for-detection-of-scapholunate-interosseous-ligament-injuries-associated-with-distal-radial-fractures
#25
JOURNAL ARTICLE
Bong Cheol Kwon, Soo-Joong Choi, Si-Young Song, Sang Hoon Baek, Goo Hyun Baek
BACKGROUND: Intra-articular distal radial fractures are frequently accompanied by a scapholunate interosseous ligament injury, which may adversely affect the outcomes. Arthroscopy may not be appropriate as a first-line evaluation method to diagnose these injuries because of time, expense, and availability issues. The purpose of this study was to evaluate the effectiveness of the modified carpal stretch test for screening for scapholunate interosseous ligament injuries in patients with an intra-articular distal radial fracture...
May 4, 2011: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/21458940/percutaneous-needle-biopsy-in-diagnosis-and-identification-of-causative-organisms-in-cases-of-suspected-vertebral-osteomyelitis
#26
JOURNAL ARTICLE
Jennifer K Sehn, Louis A Gilula
BACKGROUND: Biopsy with demonstration of the infectious organism is the gold standard for diagnosing spondylodiscitis. The purpose of this study is to evaluate the positive culture rate of image-guided percutaneous biopsy in cases of radiologically suspected and unsuspected spinal osteomyelitis and to assess the role of pathology in diagnosis. METHODS: With IRB approval and in compliance with HIPAA regulations, the charts of patients undergoing 323 consecutive image-guided percutaneous spinal biopsies performed by one musculoskeletal radiology department between January 2001 and March 2007 were reviewed...
May 2012: European Journal of Radiology
https://read.qxmd.com/read/21340543/palmar-divergent-dislocation-of-the-scaphoid-and-the-lunate
#27
JOURNAL ARTICLE
Shingo Komura, Tatsuo Yokoi, Yasushi Suzuki
We describe a patient with palmar-divergent dislocation of the scaphoid and lunate. After successful closed reduction, the scapholunate and lunotriquetral ligaments were sutured through the dorsal approach, and the anterior capsule was sutured through the palmar approach. The scapholunate and lunotriquetral joints were fixed with Kirschner wires for 7 weeks. At the 1-year follow-up, magnetic resonance imaging showed no evidence of avascular necrosis of the scaphoid or lunate, and radiographs showed no evidence of the dorsal and volar intercalated segment instability patterns associated with carpal instability...
March 2011: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/21276893/scaphoid-and-lunate-translation-in-the-intact-wrist-and-following-ligament-resection-a-cadaver-study
#28
COMPARATIVE STUDY
Frederick W Werner, Levi G Sutton, Mari A Allison, Louis A Gilula, Walter H Short, Ronit Wollstein
PURPOSE: To determine the amount of scaphoid and lunate translation that occurs in normal cadaver wrists during wrist motion, and to quantify the change in ulnar translation when specific dorsal and volar wrist ligaments were sectioned. METHODS: We measured the scaphoid and lunate motion of 37 cadaver wrists during wrist radioulnar deviation and flexion-extension motions using a wrist joint motion simulator. We quantified the location of the centroids of the bones during each motion in the intact wrists and after sectioning either 2 dorsal ligaments along with the scapholunate interosseous ligament or 2 volar ligaments and the scapholunate interosseous ligament...
February 2011: Journal of Hand Surgery
https://read.qxmd.com/read/20888496/open-reduction-for-perilunate-injuries-clinical-outcome-and-patient-satisfaction
#29
JOURNAL ARTICLE
Thomas Kremer, Michael Wendt, Kathrin Riedel, Michael Sauerbier, Guenter Germann, Berthold Bickert
PURPOSE: Perilunate injuries cause severe carpal malalignment. Open reduction and internal fixation of these injuries has become the treatment of choice. This study evaluated clinical outcome and the patients' perception of disability in activities of daily living after open reduction, ligament reconstruction, and/or internal fixation of the scaphoid. In addition, potential prognostic factors for functional outcome and individual perceptions of disability were analyzed and compared with radiologic findings...
October 2010: Journal of Hand Surgery
https://read.qxmd.com/read/20465511/classification-system-for-isolated-arthritis-of-the-scaphotrapeziotrapezoidal-joint
#30
COMPARATIVE STUDY
Laura White, Julio Clavijo, Louis A Gilula, Ronit Wollstein
We have developed a classification system for osteoarthritis (OA) of the scaphotrapeziotrapezoidal (STT) joint that can be used on posteroanterior, lateral, and oblique wrist radiographs. It can be used to communicate the degree of severity of arthritis, and to study arthritis in the wrist further. Currently we know of no classification system for OA of the STT. We devised a classification system and made an initial study to assess the reproducibility of the system. It was compared with a classification system similar to the Eaton classification of carpometacarpal OA of the thumb...
April 2010: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
https://read.qxmd.com/read/20144144/relief-of-radicular-pain-in-metastatic-disease-by-vertebroplasty
#31
JOURNAL ARTICLE
Avi Mazumdar, Louis A Gilula
Two patients with compression fractures from metastases who had pain with radicular symptoms mainly in upright position that resolved when not upright and were treated with vertebroplasty were retrospectively analyzed. Both patients had symptom relief at treated levels until death. These cases show that patients with radicular signs and symptoms from compression fractures secondary to metastases or myeloma, worse in upright position and relieved when recumbent, may benefit from vertebroplasty.
March 2010: Acta Radiologica
https://read.qxmd.com/read/20093530/performing-thoracic-transforaminal-injections-a-new-technique
#32
JOURNAL ARTICLE
Humberto G Rosas, Louis A Gilula
PURPOSE: To evaluate a technique to perform fluoroscopically directed thoracic transforaminal epidural injections. MATERIALS AND METHODS: Institutional review board approval and a waiver of consent were obtained for this retrospective HIPAA-compliant study. Findings from 198 consecutively performed foraminal nerve blocks and foraminal epidural injections in the thoracic spine from June 27, 1997 to December 29, 2007 were retrospectively reviewed. This study was designed to evaluate a current technique and the experience with an approach that improves safety by decreasing the chance of inadvertent injury to nontargeted structures...
February 2010: Radiology
https://read.qxmd.com/read/19866745/the-cell-junction-in-a-lamellibranch-gill-ciliated-epithelium-localization-of-pyroantimonate-precipitate
#33
JOURNAL ARTICLE
P Satir, N B Gilula
The junctional complex in the gill epithelium of the freshwater mussel (Elliptio complanatus) consists of an intermediary junction followed by a 2-3 micro long septate junction. Homologous and heterologous cell pairs are connected by this junction. After fixation with 1% OsO(4) containing 1% potassium pyroantimonate, electron microscopy of the gill reveals deposits of electron-opaque precipitate, specifically and consistently localized along cellular membranes. In both junctional and nonjunctional membrane regions, the precipitate usefully outlines the convolutions without obliterating the 150 A intercellular space, which suggests the rarity or absence of either vertebrate-type gap or tight junctions along the entire cell border...
November 1, 1970: Journal of Cell Biology
https://read.qxmd.com/read/19851816/iliopsoas-bursa-injections-can-be-beneficial-for-pain-after-total-hip-arthroplasty
#34
JOURNAL ARTICLE
Ryan M Nunley, Joyce M Wilson, Louis Gilula, John C Clohisy, Robert L Barrack, William J Maloney
UNLABELLED: Impingement of the iliopsoas tendon is an uncommon cause of groin pain after total hip arthroplasty (THA). We asked whether selective steroid and anesthetic injections for iliopsoas tendonitis after THA would relieve pain and improve function. We retrospectively reviewed 27 patients with presumed iliopsoas tendinitis treated by fluoroscopically guided injections of the iliopsoas bursa. Pre- and immediately postinjection, questionnaires and telephone followup questionnaires were administered to determine patient outcomes...
February 2010: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/19457905/ulnocarpal-translation-in-perilunate-dislocations
#35
JOURNAL ARTICLE
D Song, S Goodman, L A Gilula, R Wollstein
The purpose of this study was to assess ulnar translation in perilunate dislocation injuries. Twenty-five patients with perilunate dislocations were assessed after surgical reduction. Ulnar translation of the carpus and carpal collapse were measured using standard methods. Measurements before and after pin removal were compared. The average Gilula score for ulnar translation was 54%. Eighty percent of patients had ulnocarpal translation (above 50% of lunate uncovering) after reduction. Measurements of lunate uncovering in perilunate dislocations were significantly higher than normal values (P<0...
June 2009: Journal of Hand Surgery, European Volume
https://read.qxmd.com/read/19321529/the-radiographic-measurement-of-ulnar-translation
#36
COMPARATIVE STUDY
R Wollstein, C Wei, R A Bilonick, L A Gilula
Our purpose was to quantify the Gilula score for measurement of lunate uncovering, to compare it with another method of measurement and to examine the reliability of these measurements in posteroanterior (PA) views in radial and ulnar deviation. Seventy-six normal wrist arthrograms were reviewed retrospectively. Carpal height and lunate uncovering measurements were made. Statistical analysis included mixed effects models to evaluate the difference between the mean measurements in each position. Reproducibility was assessed using imprecision estimates...
June 2009: Journal of Hand Surgery, European Volume
https://read.qxmd.com/read/19181224/dorsal-radiocarpal-ligament-capsulodesis-for-chronic-dynamic-lunotriquetral-instability
#37
JOURNAL ARTICLE
Shohei Omokawa, Ryotaro Fujitani, Yuji Inada
PURPOSE: Chronic lunotriquetral (LT) instability (persisting >3 months after injury) can be treated with a variety of surgical methods (LT fusion, ligament repair or reconstruction, or arthroscopic debridement), with varying degrees of success. We retrospectively evaluated the results of dorsal capsulodesis using the dorsal radiocarpal ligament in an attempt to reinforce the dorsal LT interosseous ligament in patients with chronic dynamic LT instability. METHODS: A total of 11 patients (mean age, 37 years) with persistent posttraumatic wrist pain and weakness were diagnosed with dynamic LT instability (positive LT ballotment test, disruption of Gilula's lines or volar intercalated segment instability deformity on stress radiography, arthroscopic findings of Geissler grade 3, or 4 LT tears)...
February 2009: Journal of Hand Surgery
https://read.qxmd.com/read/18707964/percutaneous-vertebral-augmentation-vertebroplasty-kyphoplasty-and-skyphoplasty
#38
REVIEW
Wilfred C G Peh, Peter L Munk, Faisal Rashid, Louis A Gilula
Percutaneous vertebroplasty is a safe, inexpensive, and effective interventional vertebral augmentation technique that provides pain relief and stabilization in carefully selected patients with severe back pain due to vertebral compression. Complications from percutaneous vertebroplasty can be devastating, but are rare and avoidable with application of a meticulous technique. Percutaneous vertebroplasty has a role in the management pathway of patients presenting with painful vertebral compression fractures...
May 2008: Radiologic Clinics of North America
https://read.qxmd.com/read/17723791/nonoperative-management-of-osteoporotic-vertebral-compression-fractures
#39
REVIEW
Heidi Prather, John O Watson, Louis A Gilula
As the population ages, vertebral compression fractures are an increasing source of pain and dysfunction. The immobilisation that often occurs with fractures can lead to multiple medical complications and their management can be complex as care may require multiple treatment modalities. Each individual responds to pain differently and a treatment plan must be tailored to the individual's pain, functional limitations and goals. The likely first choice for managing stable osteoporotic vertebral compression fractures is conservative management...
September 2007: Injury
https://read.qxmd.com/read/17715101/a-cervical-nerve-block-approach-to-improve-safety
#40
JOURNAL ARTICLE
Louis A Gilula, Daniel Ma
OBJECTIVE: The objective of this report is to describe a previously unreported technique of selective cervical nerve block, performed from January 1, 2004, to May 19, 2006, in 560 injections, that was designed to allow continual monitoring of injectate passage and verification of needle tip position. We also illustrate faulty needle placement in a cadaveric neck. CONCLUSION: Using a short connecting tube, contrast material mixed with the final injectate, and fluoroscopy when performing a selective cervical nerve block allows continual monitoring of injectate including where washout of the original testing contrast material actually flows...
September 2007: AJR. American Journal of Roentgenology
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