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https://www.readbyqxmd.com/read/29905520/coflex-interspinous-implant-placement-leading-to-synovial-cyst-development-case-report
#1
Seba Ramhmdani, Marc Comair, Camilo A Molina, Daniel M Sciubba, Ali Bydon
Interspinous process devices (IPDs) have been developed as less-invasive alternatives to spinal fusion with the goal of decompressing the spinal canal and preserving segmental motion. IPD implantation is proposed to treat symptoms of lumbar spinal stenosis that improve during flexion. Recent indications of IPD include lumbar facet joint syndrome, which is seen in patients with mainly low-back pain. Long-term outcomes in this subset of patients are largely unknown. The authors present a previously unreported complication of coflex (IPD) placement: the development of a large compressive lumbar synovial cyst...
June 15, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29887634/posterior-malleolus-fractures-in-trimalleolar-ankle-fractures-malleolus-versus-transyndesmal-fixation
#2
Bilgehan Tosun, Ozgur Selek, Umit Gok, Halil Ceylan
Background: In ankle fractures involving the posterior malleolus, the issue of which types of fractures require posterior malleolus fixation is still controversial. Recent studies have demonstrated that trimalleolar fractures adversely affect the functional outcomes in comparison to bimalleolar fractures of the lateral and medial malleolus. The purpose of this study was to assess the effects of posterior malleolus fixation on the functional and radiological outcomes. Materials and Methods: Reduction quality, development of posttraumatic ankle osteoarthritis, and functional outcomes in 49 consecutive trimalleolar ankle fractures were evaluated retrospectively in patients with and without posterior malleolus fixation...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29881147/high-values-of-pelvic-incidence-a-possible-risk-factor-for-zigoapophyseal-facet-arthrosis-in-young
#3
Giorgio Cacciola, Alessandro Pisani, Pietro Cavaliere, Bruno Pitrone, Domenico Rizzo, Giuseppina Rizzo, Filippo Cascio, Federico De Meo, Andrea Barbanera
In humans the acquisition of the bipedalism caused different structural changes to achieve the new functional demands. In particular, several changes have occurred in the spine and pelvis. In recent years the sagittal morphology of the spine and pelvis has become one of the most focused topics in spine research. The sample consists of 348 volunteers, with no history of low back pain, without any previous major trauma at the spine or at the pelvis. Aged between 20 and 29 years. The presence and severity of zygoapophyseal facet arthrosis were investigated in accordance with Pathria's classification (it considered four parameters: width of interarticular space, the presence of osteophytes, the presence of facet hypertrophy and presence of areas of bone erosion)...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29877577/osteoclast-related-markers-in-the-hip-joint-fluid-with-subchondral-insufficiency-fracture-of-the-femoral-head
#4
Yusuke Kubo, Goro Motomura, Satoshi Ikemura, Hiroyuki Hatanaka, Jun-Ichi Fukushi, Satoshi Hamai, Takuaki Yamamoto, Yasuharu Nakashima
Similar to the radiological findings in rapidly destructive arthrosis of the hip joint (RDA), subchondral insufficiency fracture of the femoral head (SIF) can result in progressive femoral head collapse of unknown etiology. We thus examined the osteoclast activity of hip joint fluid in SIF with progressive collapse in comparison with that in RDA. 29 hip joint fluid samples were obtained intraoperatively with whole femoral heads from 12 SIF patients and 17 RDA patients. SIF cases were classified into subgroups based on the presence of ≥2mm collapse on preoperative radiographs: SIF with progressive collapse (n = 5) and SIF without progressive collapse (n = 7)...
June 7, 2018: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29852510/persistent-iliosacral-joint-syndrome-following-instrumentation-to-the-sacropelvis-in-patients-with-adult-spinal-deformity
#5
Daniela Diesing, Joerg Franke, Sven Kevin Tschoeke, Rolf Schultheiß, Kai Michael Scheufler
BACKGROUND AND OBJECTIVE:  Persistent sacroiliac joint syndrome (PSIJS) may complicate adult spinal deformity surgery (ASDS). This study assesses the relationship between clinical/morphometric parameters and PSIJS following ASDS including pelvic fixation and the therapeutic efficacy of secondary iliosacral fusion (ISF). METHODS:  Perioperative health-related quality of life (HRQOL) outcomes (Oswestry Disability Index, Short Form 12-item health survey, version 2 scores) at 6, 12, and 24 months, and radiographic studies were analyzed retrospectively in a cohort of 71 consecutive patients undergoing ASDS...
May 31, 2018: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/29852385/treatment-for-displaced-sustentaculum-tali-fractures
#6
Mohamed E Al-Ashhab, Amr Salem Elgazzar
BACKGROUND: Sustentaculum tali fractures are rare foot fractures accounting for 1% of all calcaneal fractures, which accounts for about 1-2% of all bone fractures. Since the importance of sustentaculum tali in maintaining the medial foot arch, its fractures should be dealt with anatomical fixation to avoid post-traumatic arthrosis. OBJECTIVE: Is to delineate the importance of sustentacular tali fractures fixation mentioning operative technique and the post-operative outcome...
December 28, 2017: Foot
https://www.readbyqxmd.com/read/29851110/gender-differences-in-temporomandibular-disorders-in-adult-populational-studies-a-systematic-review-and-meta-analysis
#7
REVIEW
Caroline H Bueno, Duziene D Pereira, Marcos P Pattussi, Patrícia K Grossi, Márcio L Grossi
The objective of this study was to systematically evaluate gender differences in the prevalence of TMD.A systematic review was performed in PUBMED,EMBASE,WEB OF SCIENCE and LILACS in duplicate by two independent reviewers. The inclusion criteria were cross-sectional studies that reported the prevalence of TMD for men and women and that used the RDC/TMD Axis I group diagnostic criteria:(group I=muscle disorders; group II=disc displacements; group III=arthralgias/arthritis/arthrosis).To be eligible for inclusion, studies must include adult individuals (>18 years) from a non-clinical population (i...
May 31, 2018: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/29850330/the-waterfall-fascia-lata-interposition-arthroplasty-grika-technique-as-treatment-of-posttraumatic-osteoarthritis-of-the-elbow-in-a-high-demand-adult-patient-validity-and-reliability
#8
Giuseppe Rollo, Roberto Rotini, Denise Eygendaal, Paolo Pichierri, Ante Prkic, Michele Bisaccia, Riccardo Maria Lanzetti, Domenico Lupariello, Luigi Meccariello
Introduction: The elbow interposition arthroplasty is a very common procedure performed mainly on active young patients who need great functionality and for whom total joint replacement is contraindicated and arthrodesis is noncompliant. We are going to demonstrate a case of a 34-year-old male suffering from malunion of the distal humerus, elbow stiffness, and manifest signs of arthrosis of the dominant limb, treated with the IA Grika technique at a 5-year follow-up. Patients and Methods: The chosen criteria to evaluate the injured side and the uninjured side during the clinical and radiological follow-up were the objective function and related quality of life, measured by the Mayo Elbow Performance Score (MEPS), and postoperative complications...
2018: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29800929/late-diagnosis-of-mucopolysaccharidosis-type-ivb-and-successful-aortic-valve-replacement-in-a-60-year-old-female-patient
#9
Gabriela Dostalova, Zuzana Hlubocka, Jaroslav Lindner, Helena Hulkova, Helena Poupetova, Hana Vlaskova, Jakub Sikora, Ales Linhart, Jiri Zeman, Martin Magner
Mucopolysaccharidosis type IVB (MPS IVB) is a very rare lysosomal storage disorder characterized by skeletal dysplasia, hearing disorder, and cardiac valvular disease. Herein, we report an extremely rare manifestation of MPS IVB in a 60-year-old female patient who underwent a successful aortic valve replacement. The patient presented with mild coarse facial features, short stature, mild dyspnea, sternal protrusion, mild lumbar hyperlordosis, and waddling gait owing to bilateral femoral head necroses and bilateral arthrosis of the knees...
April 12, 2018: Cardiovascular Pathology: the Official Journal of the Society for Cardiovascular Pathology
https://www.readbyqxmd.com/read/29782597/low-dose-radiation-18f-fluoride-pet-ct-in-the-assessment-of-unilateral-condylar-hyperplasia-of-the-mandible-preliminary-results-of-a-single-centre-experience
#10
G M Lima, S Diodato, E Costabile, G Cicoria, S Civollani, C Marchetti, P L Guidalotti, C Pettinato, C Nanni, S Fanti
Background: Unilateral condylar hyperplasia (UCH) of the mandible, or Hypercondylia, is a pathological condition that determines an abnormal growth of the affected condyle.Bone SPECT with Tc99m-diphosphonates is a successful tool in the diagnosis of UCH. EANM guidelines also suggest the use of 18F-NaF PET/CT, though it leads to a higher radiation exposure. Aim: As UCH patients are young, we aimed to develop a low dose 18F-Fluoride PET/CT protocol and compare it to a standard injected activity scan, to assess if the image quality remains unchanged...
2018: European journal of hybrid imaging
https://www.readbyqxmd.com/read/29768620/association-between-chronic-diseases-and-handgrip-strength-in-older-adults-residents-of-florian%C3%A3-polis-sc-brazil
#11
Susana Cararo Confortin, Ana Lúcia Danielewicz, Danielle Ledur Antes, Lariane Mortean Ono, Eleonora d'Orsi, Aline Rodrigues Barbosa
This paper aims to verify the association between chronic diseases and handgrip strength (HS) in the older adults of Florianópolis, SC. This is a cross-sectional analysis of a longitudinal population-based study. HS was measured by dynamometer. Independent variables included 10 chronic diseases and falls. Simple and multiple linear regression analyses were performed. In the final model, in women, arthritis/rheumatism/arthrosis (β: -1.27; 95%CI: -2.55; -0.20) was associated with lower HS and bronchitis/ asthma (β: 1...
May 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29759066/prevalence-and-comorbidity-of-osteoporosis-a-cross-sectional-analysis-on-10-660-adults-aged-50-years-and-older-in-germany
#12
Marie-Therese Puth, Manuela Klaschik, Matthias Schmid, Klaus Weckbecker, Eva Münster
BACKGROUND: Knowledge on prevalence of osteoporosis stratifying for socioeconomic background is insufficient in Germany. Little is known in Europe about other diseases that go along with it although these aspects are important for implementing effective public health strategies. METHODS: This cross-sectional analysis was based on the national telephone survey "German Health Update" (GEDA 2012) performed in 2012/2013. GEDA 2012 provides information on self-reported diseases and sociodemographic characteristics for nearly 20,000 adults...
May 14, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29754843/revision-of-failed-hemiarthroplasty-for-painful-glenoid-arthrosis-to-anatomic-total-shoulder-arthroplasty
#13
Mihir M Sheth, Daniel Sholder, Joseph Abboud, Mark D Lazarus, Matthew L Ramsey, Gerald R Williams, Surena Namdari
BACKGROUND: The impending burden of revision shoulder arthroplasty has increased interest in outcomes of revision procedures. Painful glenoid arthrosis following hemiarthroplasty is a common cause of reoperation, and conversion to anatomic total shoulder arthroplasty is one option. METHODS: We identified patients who underwent revision of painful hemiarthroplasty to total shoulder arthroplasty over a 15-year period in a single tertiary-care health system. Presurgical and operative data were analyzed for 28 patients who met the inclusion and exclusion criteria...
May 10, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29742468/native-septic-arthritis-is-not-an-immediate-surgical-emergency
#14
Nicolas Lauper, Marie Davat, Ergys Gjika, Camillo Müller, Wilson Belaieff, Didier Pittet, Benjamin A Lipsky, Didier Hannouche, Ilker Uçkay
Acute native joint septic arthritis is generally considered a surgical emergency, requiring drainage within hours, including during night, weekend or holiday shifts. However, there are few data supporting the need for the disruption caused by this degree of urgency. METHODS: We performed a retrospective review of all adult patients seen in our medical center from 1997-2015 with culture-proven septic arthritis and noted the epidemiology of sequelae, and their possible association with a delay in surgical drainage...
May 6, 2018: Journal of Infection
https://www.readbyqxmd.com/read/29734212/time-course-of-radiologic-changes-after-lumbar-total-disc-replacement-experience-of-single-institute-with-minimum-5-year-follow-up
#15
Jung-Woo Hur, Jin-Sung Kim, Kyeong-Sik Ryu, Myeong-Hoon Shin, Chun-Kun Park
STUDY DESIGN: This was a retrospective observatory analysis study. OBJECTIVE: The purpose of this study was to evaluate long-term safety and therapeutic effectiveness of the lumbar total disc replacement (TDR) using ProDisc-L by analyzing the radiologic changes at the index and adjacent levels in minimum 5-year follow-up. SUMMARY OF BACKGROUND DATA: Early successful clinical results of lumbar TDR have been reported. However, few reports have published its therapeutic effectiveness and radiologic degenerative changes at the index and adjacent segments in the long term...
June 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29722897/mucopolysaccharidosis-vi-and-effects-on-growth-of-the-apical-bases-a-case-report
#16
Moema Ferreira Dos Reis, Lucas Rodrigues Pinheiro, Maria das Graças Rodrigues Pinheiro, Haroldo Amorim de Almeida, Patrícia do Socorro Queiroz Feio, Sâmia Cordovil de Almeida, Isabel Cristina Neves de Souza, Roberto Giugliani, Ida Vanessa Doederlein Schwartz, Rosely Maria Dos Santos Cavaleiro, João de Jesus Viana Pinheiro, Luiz Carlos Santana da Silva
OBJECTIVE: Mucopolysaccharidosis (MPS) VI is a rare disorder caused by an autosomal recessive mutation in the short arm of chromosome 5 (5q12-13) leading to an N-acetylgalactosamine-sulfatase lysosomal enzyme deficiency and numerous systemic clinical changes. The oral and maxillofacial complex may exhibit tooth eruption anomalies, macroglossia, gingival hypertrophy, mouth breathing, increased lower facial height, open bite, retrognathia, and progressive TMJ arthrosis. This report describes craniofacial growth changes in two MPS VI patients, sisters and daughters of outbred parents, who were longitudinally monitored from 11 to 15 years of age...
May 3, 2018: Special Care in Dentistry
https://www.readbyqxmd.com/read/29721691/nonoperative-treatment-of-pcl-injuries-goals-of-rehabilitation-and-the-natural-history-of-conservative-care
#17
REVIEW
Dean Wang, Jessica Graziano, Riley J Williams, Kristofer J Jones
PURPOSE OF REVIEW: To review the current practices of nonoperative management of posterior cruciate ligament (PCL) injuries, the natural history of conservative care, and the latest PCL rehabilitation strategies. RECENT FINDINGS: PCL injuries often occur as part of a multiligamentous knee injury and occasionally occur in isolation. Although patients may be able to tolerate or compensate for a PCL-deficient knee, long-term outcomes after conservative care demonstrate a high rate of arthrosis in the medial and patellofemoral compartments resulting from altered knee kinematics and loads...
May 2, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29708572/relationship-between-foraminal-area-and-degenerative-changes-in-the-lower-cervical-spine-with-implications-for-c5-nerve-root-palsy
#18
Matthew V Abola, Derrick M Knapik, Anahid A Hamparsumian, Randall E Marcus, Raymond W Liu, Zachary L Gordon
Preoperative foraminal stenosis at C4/5 is a predisposing risk factor for C5 nerve root palsy in elderly patients. However, the area of the C4/5 intervertebral foramen and its relationship to the extent of arthrosis and lower foraminal areas (C5/6 and C6/7) are unknown. The authors sought to compare the areas of the cervical intervertebral foramen at the C4/5, C5/6, and C6/7 levels, noting any differences across race or sex and the relationship between foraminal area and arthrosis grade. A total of 600 cervical foramina from an osseous collection were examined...
April 27, 2018: Orthopedics
https://www.readbyqxmd.com/read/29696363/comparison-of-volarly-and-dorsally-displaced-distal-radius-fracture-treated-by-volar-locking-plate-fixation
#19
S Erhart, S Toth, P Kaiser, T Kastenberger, C Deml, R Arora
INTRODUCTION: In case of distal radius fractures (DRF) the distal fragment generally displaces either dorsally or volarly. Scientific literature however, seldom differentiates between volarly and dorsally displaced DRFs when reporting results. It is no clear, if the direction of displacement has an influence on the clinical and radiological outcome. This study was intended to evaluate the influence of displacement direction in adult patients with surgically treated Colles or Smith type fractures...
June 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29690926/clinical-and-radiologic-outcomes-after-a-modified-bone-plug-technique-with-anatomical-meniscal-root-reinsertion-for-meniscal-allograft-transplantation-and-a-minimum-18-month-follow-up
#20
Shiyou Ren, Xintao Zhang, Tian You, Xiaocheng Jiang, Dadi Jin, Wentao Zhang
OBJECTIVE: To evaluate the clinical and radiologic outcomes of meniscal allograft transplantation (MAT) using a modified bone plug technique. METHODS: We conducted a retrospective single-center study of 73 patients who underwent MAT between January 2007 and December 2013. The International Knee Documentation Committee (IKDC) score, Lysholm score, Tegner score, visual analogue scale (VAS), and physical examinations were retrospectively reviewed to measure clinical outcomes after MAT, and questionnaires regarding activity and factors were analyzed...
April 24, 2018: Journal of Orthopaedic Surgery and Research
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