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Kazufumi Sano, Yosuke Akiyama, Satoru Ozeki
Asymptomatic pisotriquetral arthroses caused ruptures of the flexor digitorum profundus tendon of the little finger in 2 elderly patients. Ruptures occurred with unnoticeable onset, and bilateral ruptures separately occurred with interval of several years in one patient. The tendon was ruptured in zone IV with perforation of the gliding floor through which the degenerative pisiform was visible. The gliding floor was repaired followed with excision of the pisiform, and the ruptured tendon was then transferred to the profundus tendon of the ring finger...
March 2018: Journal of Hand Surgery Asian-Pacific Volume
Stefanie Hoffrogge, Lena Fels, Marion Schmicke, Reinhard Mischke
In a 12-year-old male Labrador Retriever, presented due to other disease symptoms, clinical signs of hyperadrenocorticism (polyuria, polydipsia, abdominal distention, muscle atrophy) were an incidental finding. Abnormal laboratory results and sonographic findings of the adrenal glands, but negative low-dose dexamethasone suppression tests with low basal cortisol concentrations, a negative andrenocorticotropic hormone (ACTH)-stimulation test and exclusion of iatrogenic hyperadrenocorticism, suggested an atypical hyperadrenocorticism (AHAC)...
June 20, 2017: Tierärztliche Praxis. Ausgabe K, Kleintiere/Heimtiere
Marcus Mumme, Andrea Barbero, Sylvie Miot, Anke Wixmerten, Sandra Feliciano, Francine Wolf, Adelaide M Asnaghi, Daniel Baumhoer, Oliver Bieri, Martin Kretzschmar, Geert Pagenstert, Martin Haug, Dirk J Schaefer, Ivan Martin, Marcel Jakob
BACKGROUND: Articular cartilage injuries have poor repair capacity, leading to progressive joint damage, and cannot be restored predictably by either conventional treatments or advanced therapies based on implantation of articular chondrocytes. Compared with articular chondrocytes, chondrocytes derived from the nasal septum have superior and more reproducible capacity to generate hyaline-like cartilage tissues, with the plasticity to adapt to a joint environment. We aimed to assess whether engineered autologous nasal chondrocyte-based cartilage grafts allow safe and functional restoration of knee cartilage defects...
October 22, 2016: Lancet
E Massereau, F Cheynet, H Bénateau, A Veyssière, Y Bencheman, A Gallucci, S Hammoutène, C Chossegros
INTRODUCTION: The aim of our study was to analyse a series of patients suffering from temporomandibular joint (TMJ) chondromatosis treated in 2 departments of stomatology and maxillofacial surgery (University hospitals of the Conception in Marseille and of Caen) and to make a general review of this disease. MATERIAL AND METHODS: We conducted a retrospective study including all the patients treated for a TMJ chondromatosis in one of these 2 departments. Following parameters were analyzed: sex, ages at discovery and at surgery, symptoms, side, imaging, histology, recurrence and any other events considered as relevant...
September 2016: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
Paolo Di Benedetto, Paolo Barbattini, Lorenzo Povegliano, Alessandro Beltrame, Renato Gisonni, Vanni Cainero, Araldo Causero
BACKGROUND: Over the last decades, the arthroscopic treatment of hip pathology has highly grown thanks to the evolution of surgical and diagnostic techniques and instrumentation development. Furthermore the higher life expectancy and functional request make younger patients to be evaluated more frequently for non-arthrosic hip pathologies like labral lesion, FAI, cartilage tears. Treatment substantially has to be chosen between arthroscopy and arthrotomy. This study pretends to compare the clinical outcome between two different arthroscopic access techniques: the traditional one and the extrarticolar one (OUT-IN) we are using regularly in our clinic...
April 15, 2016: Acta Bio-medica: Atenei Parmensis
Alexander D Choo, Gregory Middleton, Robert Lee Wilson
Various inflammatory and autoimmune conditions affecting joints of the hand and wrist can present with symptoms similar to those of rheumatoid arthritis. The most common of these nonrheumatoid arthroses are psoriatic arthritis, systemic lupus erythematosus, and systemic sclerosis. Management of these and several other conditions is typically medical in nature and continues to evolve with the development of biologically targeted medications. Surgical treatment is not frequently used but can be efficacious for severe cases to alleviate symptoms and correct deformities...
December 2015: Journal of Hand Surgery
Stathis J Poulakidas, Areta Kowal-Vern, Corinne Atty
Frostbite injury in children can lead to abnormal growth and premature fusion of the epiphyseal cartilage with long-term sequela including, but not limited to, arthroses, deformity, and amputation of the phalanges. This was a retrospective chart review of pediatric frostbite identified in an in-house burn center registry from March 1999 to March 2014. Therapeutic management included negative pressure wound therapy (NPWT). Three patients (age 16-31 months) had frostbitten hands because they were outside in cold weather without gloves...
September 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
Štěpán Svačina
Arthroses of weight-bearing joints and vertebrogenic problems are characteristic diseases of the obese. However the extreme risk is associated in particular with the combination with metabolic syndrome. Arthroses of bearing joints thus do not only present a mechanical complication of obesity, but also a metabolic complication. Similarly, the risk of venous thromboembolism which involves all orthopedic surgeries, is associated with both a rising BMI and hormonal condition (use of hormones and the like.). A joint replacement surgery can be typically performed on patients with a weight of up to 90 kg or BMI below 30...
June 2015: Vnitr̆ní Lékar̆ství
J Sautner, G Eichbauer-Sturm, J Gruber, R Puchner, P Spellitz, C Strehblow, J Zwerina, G Eberl
BACKGROUND: Gout is the most common inflammatory arthropathy in the Western world. This is mainly due to the high socioeconomic status, sufficient even superfluous nutrition, overweight and alcohol consumption. Despite adequate medication, information and advice on nutrition and lifestyle are one of the cornerstones in the management of these patients. OBJECTIVE: The aim was to provide recommendations on nutrition and lifestyle in cases of gout and hyperuricemia by a group of rheumatologists, based on a review of the most recent literature...
September 2015: Zeitschrift Für Rheumatologie
S Kaderli, C Boulocher, E Pillet, D Watrelot-Virieux, A L Rougemont, T Roger, E Viguier, R Gurny, L Scapozza, O Jordan
A conventional therapy for the treatment of osteoarthrosis is intra-articular injection of hyaluronic acid, which requires repeated, frequent injections. To extend the viscosupplementation effect of hyaluronic acid, we propose to associate it with another biopolymer in the form of a hybrid hydrogel. Chitosan was chosen because of its structural similarity to synovial glycosaminoglycans, its anti-inflammatory effects and its ability to promote cartilage growth. To avoid polyelectrolyte aggregation and obtain transparent, homogeneous gels, chitosan was reacetylated to a 50% degree, and different salts and formulation buffers were investigated...
April 10, 2015: International Journal of Pharmaceutics
T J Humphries, C M Kessler
Haemophilic arthroses are associated with acute pain during bleeding episodes and with chronic pain caused by arthritic complications of repeated bleeding into joints. Unlike other conditions (e.g. osteoarthritis, rheumatoid arthritis, sickle cell disease), there are limited data on pain management in haemophilia. Management of arthritic individuals and those with sickle cell disease relies heavily on administration of acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs) and opioid analgesics. In haemophilia, acetaminophen often has limited efficacy at therapeutic doses, offering a narrow dosing range in those with liver disease due to chronic hepatitis C...
January 2015: Haemophilia: the Official Journal of the World Federation of Hemophilia
Zh S Abdrakhmanova, R I Rakhimzhanova, E T Zhunusov, I A Pivovarova, A B Sultangereev, E A Zagurskaia, M M Kaldybaev, Z S Zhansagimova
AIM: To assess complex radiodiagnosis and highly specialized medical care as knee joint replacement (KJR) to patients with hemophilic arthropathies (HA) who live in the Republic of Kazakhstan. SUBJECTS AND METHODS: The results of examination and treatment were analyzed in 40 patients with knee HA who were treated at the specialized Polytrauma Unit, Republican Research Center for Emergency Health Care. All patients with hemophilia A underwent joint X-ray study, computed tomography and magnetic resonance imaging (MRI), X-ray densitometry and ultrasound osteometry on admission and after KJR...
2014: Terapevticheskiĭ Arkhiv
Daniel J Wong, Tammy M Holm, George S M Dyer, Jonathan D Gates
A 59-year-old woman was admitted three times over a six-month period with recurrent upper extremity deep venous thrombosis (UEDVT). It was determined that this patient was suffering from an unusual presentation of Paget-Schröetter syndrome secondary to a 20-year-old non-union of a midshaft clavicle fracture. Following thrombolysis the patient underwent resection and plate fixation of the clavicle fracture non-union. Despite the anatomic proximity of the subclavian vessels to the clavicle, vascular complications from fracture are rare...
April 2015: Vascular
Gisela Espinosa-Cuervo, Francis Guillermin, Anne-Christine Rat, Carolina Duarte-Salazar, Sylvia-I Alemán-Hernández, Yuriria Vergara-Álvarez, María-Victoria Goycochea-Robles
INTRODUCTION: Several generic questionnaires have been used to measure quality of life in patients with Osteoarthritis (OA) since few instruments have been developed specifically for OA and none was developed for Spanish speaking patients. The purpose of the study was to validate and adapt to Spanish the French questionnaire AMICAL to measure quality of life in patients with hip and knee OA. METHODS: Transversal, analytical study. The validation process was performed in phases: translation from French to Spanish, translated version analysis by a multidisciplinary expert team, application of a pilot test to patients to evaluate grammatical and content equivalence, blind back translation, and analysis...
July 2014: Reumatología Clinica
H Dejour, G Walch, G Deschamps, P Chambat
Arthrosis following rupture of the anterior cruciate ligament has been analysed in two series. The first series was derived from a review of 150 cases of reconstruction of the anterior cruciate ligament with a follow-up of 3 years or more. Arthrosis was seen to have developed in 13.3%. The second series was concerned with 64 cases of unilateral arthrosis treated by upper tibial valgus osteotomy in whom there had been a previous rupture of the anterior cruciate ligament. The 'tolerance interval'--that is the time between the original ligamentous injury and the time of osteotomy--for the development of arthrosis was very variable, ranging in the natural-history cases from 10 to 50 years, with a mean of 35 years...
February 2014: Orthopaedics & Traumatology, Surgery & Research: OTSR
Sasa Milenković, Milorad Mitković, Ivan Micić, Desimir Mladenović, Stevo Najman, Miroslav Trajanović, Miodrag Manić, Milan Mitković
BACKGROUND/AIM: Distal tibial pilon fractures include extra-articular fractures of the tibial metaphysis and the more severe intra-articular tibial pilon fractures. There is no universal method for treating distal tibial pilon fractures. These fractures are treated by means of open reduction, internal fixation (ORIF) and external skeletal fixation. The high rate of soft-tissue complications associated with primary ORIF of pilon fractures led to the use of external skeletal fixation, with limited internal fixation as an alternative technique for definitive management...
September 2013: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
J Y Lazennec, B Rogen, N Moral, H Guerin-Survillel, G Saillant
UNLABELLED: Improvement in pre and post-operative imaging has modified the diagnosis of lumbar radicular compression. CT scanning and MRI led to the advent of bodysection anatomy which allows an optimal analysis of the relation between container and content, in regard to the lumbar radicular canal. However, myelography remains an important method of analysis of dynamic obstructions.The authors report the retrospective analysis of 102 cases of failures in surgery for lumbar radicular release frequently difficulties in diagnosis are due to a lack of precision in anatomic and radiological interpretation of the clinical situation...
May 1996: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
M Robert
This classic article is a translation and reprint (Appendix 1. Supplemental material is available with the online version of CORR.) from the French of the original article by M. Robert, entitled La radiographie de l'articulation trapézo-métacarpienne. Les arthroses de cette jointure. The original article was published in Société de Radiologie Méd de France, Bulletins.1936;24:687-689. (Reproduced with kind permission of the SFR.).
April 2014: Clinical Orthopaedics and related Research
Peter I Milner, Hannah C Smith, Rebecca Robinson, Robert J Wilkins, John S Gibson
Hypoxia and acidosis are recognized features of inflammatory arthroses. This study describes the effects of IGF-1 and TGF-β(1) on pH regulatory mechanisms in articular cartilage under hypoxic conditions. Acid efflux, reactive oxygen species (ROS), and mitochondrial membrane potential were measured in equine articular chondrocytes isolated in the presence of serum (10% fetal calf serum), IGF-1 (1, 10, 50, 100 ng/ml) or TGF-β(1) (0.1, 1, 10 ng/ml) and then exposed to a short-term (3 h) hypoxic insult (1% O(2))...
February 2013: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
L K Agoda-Koussema, O Oniankitan, G A Abalo, D D Ouro-Kefia, K M Awobanou, K G N'Dakena
GOAL: This survey has been realized in order to show the diagnostic interest of the standard radiography in the non traumatic knee's pain. OBJECTIVES: The main objectives of this work were to describe the elementary lesions, the etiological aspects of the non traumatic knee's pain and to list the met pathologies. PATIENT AND METHOD: It was about a prospective survey of six months (december 2007-may 2008) track in the departments of radiology of the Teaching Hospitals of Lomé and on a population of 187 patients enduring a non traumatic knee's pain...
2012: Le Mali Médical
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