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Torn disc

Ji Na Kim, Soon Tae Kwon, Kyung Nam Ryu
Invagination of peritoneal or retroperitoneal structures into the intervertebral disc space of the lumbar spine is extremely rare. In this article the imaging features and clinical findings are demonstrated in four patients with intervertebral invagination of intra-abdominal structures. Plain radiographs, CT scans, and MR images showed disruption of the anterior ligamentous complex (ALC) and invagination of various structures into the disc space, including the vena cava, iliac vessels, intestine, the torn redundant anterior longitudinal ligament, retroperitoneal fat, and the psoas muscle...
November 2016: Skeletal Radiology
Piya Kiatisevi, Chaiwat Piyaskulkaew, Sombat Kunakornsawat, Bhasanan Sukunthanak
BACKGROUND: After total sacrectomy, many types of spinopelvic reconstruction have been described with good functional results. However, complications associated with reconstruction are not uncommon and usually result in further surgical interventions. Moreover, less is known about patient function after total sacrectomy without spinopelvic reconstruction, which may be indicated when malignant or aggressive benign bone and soft tissue tumors involved the entire sacrum. QUESTIONS/PURPOSES: (1) What is the functional outcome and ambulatory status of patients after total sacrectomy without spinopelvic reconstruction? (2) What is the walking ability and ambulatory status of patients when categorized by the location of the iliosacral resection relative to the sacroiliac joint? (3) What complications and reoperations occur after this procedure? METHODS: Between 2008 and 2014, we performed 16 total sacrectomies without spinopelvic reconstructions for nonmetastatic oncologic indications...
February 24, 2016: Clinical Orthopaedics and related Research
Anouar Bourghli, Clement Ribes, Ibrahim Obeid, Louis Boissiere, Jean-Marc Vital
INTRODUCTION: We report the rare case of a 27-year-old man who presented a right sided complete hemiplegia after a neck trauma due to a road traffic accident. MATERIALS AND METHODS: Computed tomography revealed a complete fracture of the C6 lamina including a partial fracture of the right articular process with complete rotation of the fragment into the spinal canal with a major compression of the right side of the cord. The patient was operated urgently and underwent posterior approach for C6 arch removal followed by a C6C7 anterior fusion as T2 weighted magnetic resonance imaging revealed a completely torn C6C7 disc with a hematoma under the posterior longitudinal ligament associated with an increased cord signal...
May 2016: European Spine Journal
Maristella F Saccomanno, Carmine DE Ieso, Giuseppe Milano
Acromioclavicular (AC) joint instability is a common source of pain and disability. The injury is most commonly a result of a direct impact to the AC joint. The AC joint is surrounded by a capsule and has an intra-articular synovium and an articular cartilage interface. An articular disc is usually present in the joint, but this varies in size and shape. The AC joint capsule is quite thin, but has considerable ligamentous support; there are four AC ligaments: superior, inferior, anterior and posterior. The coracoclavicular (CC) ligament complex consists of the conoid and trapezoid ligaments...
April 2014: Joints
Sang Heon Lee, Richard Derby, Donggeun Sul, Young Ki Hong, Kang Wook Ha, Dongwon Suh, Sang Hoon Lee, Hyung Suk Yoon, Seung Han Yoo, Seok Jun Lee, Hyeun Jun Park, Yong Jin Jung, Jeong Eun Lee, Nack Hwan Kim
OBJECTIVE: This study is a pilot study to assess the clinical outcomes of percutaneous disc decompression using the L'DISQ in patients with lumbar discogenic pain. STUDY DESIGN: An institutional, prospective clinical data analysis. METHODS: We ablated the torn annulus using L'DISQ on 20 patients with axial low back pain for at least 3 months (average 29 months) unresponsive to conservative management. Before the therapeutic procedure, all the patients had been diagnosed with lumbar discogenic pain through provocation discography, which had confirmed the level of painful discs...
February 2015: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Ehud Atoun, Artan-Athanasios Bano, Alexander Van Tongel, Ali Narvani, Giuseppe Sforza, Ofer Levy
BACKGROUND: Shoulder pain in general and acromioclavicular joint (ACJ) pain specifically is common after acceleration-deceleration injury following road traffic accident (RTA). The outcome of surgical treatment in this condition is not described in the literature. The aim of the present study was to report the outcome of arthroscopic resection of the ACJ in these cases. MATERIALS AND METHODS: Nine patients with localized ACJ pain, resistant to nonoperative treatment were referred on an average 18 months after the injury...
March 2014: Indian Journal of Orthopaedics
Dongmei He, Yihua Cai, Chi Yang
PURPOSE: To analyze the main causes of temporomandibular joint (TMJ) ankylosis from condylar fracture in adults through a retrospective study. MATERIALS AND METHODS: The history and computed tomographic (CT) scans of patients diagnosed with ankylosis caused by mandibular condyle fracture treated in a closed fashion from 2010 to 2012 were reviewed in the department of oral surgery. According to the relation between the stump of the ramus and the TMJ fossa, condylar fractures were divided into 3 grades: grade 0, in which the ramus stump is in the fossa but without contact to it; grade 1, in which the stump of the ramus is in the fossa and attached to it; and grade 2, in which the stump of the ramus is laterally displaced out of the fossa...
April 2014: Journal of Oral and Maxillofacial Surgery
Kyoko Ohno-Matsui, Akito Hirakata, Makoto Inoue, Masahiro Akiba, Tatsuro Ishibashi
PURPOSE: To investigate the structural abnormalities of optic disc pits and colobomas by swept-source optical coherence tomography (OCT). METHODS: Sixteen eyes with congenital optic disc pits, and seven eyes with optic disc colobomas were studied. Papillary and peripapillary areas were examined with swept-source OCT. The entire course of the pit or cavity and the spatial relationship between pits and retrobulbar subarachnoid space (SAS) were examined. RESULTS: Optical coherence tomography images showed the entire course of the pits from their openings to the bottom in 12 eyes...
2013: Investigative Ophthalmology & Visual Science
Jeong Hoon Choi, Jin-Sung Kim, Jee-Soo Jang, Dong Yeob Lee
Four patients underwent lumbar surgery. In all four patients, the dura was minimally torn during the operation. However, none exhibited signs of postoperative cerebrospinal fluid leakage. In each case, a few days after the operation, the patient suddenly experienced severe recurring pain in the leg. Repeat magnetic resonance imaging showed transdural nerve rootlets entrapped in the intervertebral disc space. On exploration, ventral dural tears and transdural nerve rootlet entrapment were confirmed. Midline durotomy, herniated rootlet repositioning, and ventral dural tear repair were performed, and patients' symptoms improved after rootlet repositioning...
January 2013: Journal of Korean Neurosurgical Society
T Oda, T Wada, K Iba, M Aoki, M Tamakawa, T Yamashita
In order to visualize dynamic variations related to ulnar-sided wrist pain, animation was reconstructed from T2* coronal-sectioned magnetic resonance imaging in each of the four phases of grip motion for nine wrists in patients with ulnar pain. Eight of the nine wrists showed a positive ulnar variance of less than 2 mm. Ulnocarpal impaction and triangular fibrocartilage complex injury were assessed on the basis of animation and arthroscopy, respectively. Animation revealed ulnocarpal impaction in four wrists...
September 2013: Journal of Hand Surgery, European Volume
Mélissa Nadeau, Stewart D McLachlin, Stewart I Bailey, Kevin R Gurr, Cynthia E Dunning, Christopher S Bailey
BACKGROUND: Unilateral cervical spine facet injuries encompass a wide spectrum, including subluxations, dislocations, and fractures, and the instability produced varies greatly. The extent of anatomical disruption secondary to a unilateral facet injury is poorly understood, and few biomechanical studies have quantified the associated kinematics. The purpose of this study was to develop an experimental method that reliably produces an impending unilateral facet dislocation (perched facet) in cadaveric cervical spines and to identify the soft-tissue damage and resulting changes in cervical spine range of motion and neutral zone associated with this injury...
November 7, 2012: Journal of Bone and Joint Surgery. American Volume
Hideki Hamamoto, Hiroshi Miyamoto, Minoru Doita, Toru Takada, Kotaro Nishida, Masahiro Kurosaka
STUDY DESIGN: Molecular biological and immunohistological examinations. OBJECTIVE: To clarify whether nondegenerated and degenerated discs produce inflammatory agents such as prostaglandin (PG)E2, interleukin (IL)-6, IL-1β, and tumor necrosis factor (TNF)α, which have been reported to play pivotal roles in lumbar disc diseases, in the presence or absence of macrophages. SUMMARY OF BACKGROUND DATA: A recent study reported discogenic low back pain might be caused by annular disruption followed by vascularized granulation formation extending from the outer layer of the annulus fibrosus into the nucleus pulposus along the torn fissure...
February 1, 2012: Spine
Sang-Ho Lee, Han Sug Kang
BACKGROUND: Laser-assisted spinal endoscopy (LASE) kit has been used for percutaneous intradiscal decompression to evaporate and shrink the posterior and central nucleus for improvement of leg and radicular pain due to contained disc herniation. Percutaneous endoscopic laser annuloplasty (PELA), a new minimally invasive technique, uses LASE to directly coagulate the inflamed disc granulation tissue associated with annular tears. The small diameter of the endoscope including Ho:YAG laser, irrigation, and light, plus the extreme posterolateral approach into the posterior annulus, enables one to minimize damage to normal nuclear tissue...
March 2010: World Neurosurgery
M Krbec, J Stulík
Based on a retrospective review of 101 injuries of the thoracolumbar spine operated at the Orthopaedic and Traumatological Clinic of the Third Medical Faculty, Charles University in 1991-1995 the authors followed up a group so-called pincer fractures. A typical feature of these fractures is a comminuted zone of the median portion of the vertebral body, dislocation of the anterior fragment of the vertebral body in a forward direction and filling of the gap which thus arises with material from the torn intervertebral disc...
1997: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
M Pilný, T Kubes, I Cizmár, M Jindra, A Sprláková
PURPOSE OF THE STUDY: The triangular fibrocartilaginous complex (TFCC) can be injured either due to trauma or by chronic strain. Based on these findings, Palmer devised a classification system distinguishing traumatic (I) and degenerative (II) TFCC lesions. Traumatic TFCC injury may be single or involved in a combined injury of the distal radius. The aim of this study was to evaluate the results of surgical treatment in patients with traumatic TFCC injury at six-month follow-up. MATERIAL AND METHODS: In the years 2000 to 2004, 23 patients with injury to the wrist were treated...
August 2007: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
U Subotic, S Holland-Cunz, M Bardenheuer, S Loff, L M Wessel
We report on a 9-year-old girl who was involved in a car accident. She suffered severe polytrauma with torn abdominal muscles, rupture of the mesenteric arteries, bowel and bladder, hematoma at the right colonic flexure and disruption of the intervertebral ligaments L2/L3, including the intervertebral disc, typical of Chance fracture. The abdominal bleeding was stopped, the bowel resected and the fracture fixed by internal fixation. The patient developed a postoperative enterocutaneous fistula in the right flank and paraplegia...
June 2007: European Journal of Pediatric Surgery
Masahiro Tatebe, Emiko Horii, Etsuhiro Nakao, Takaaki Shinohara, Toshihiko Imaeda, Ryogo Nakamura, Hitoshi Hirata
PURPOSE: Ulnar shortening is a widely used procedure for various conditions associated with ulnar wrist pain, including triangular fibrocartilage complex (TFCC) injury; however, few reports have examined the condition of the TFCC after osteotomy. The central avascular zone of the TFCC generally is considered to have no potential to heal. This study investigated whether the avascular zone of the TFCC has any potential for repair, and whether repair of the torn disc proper correlates with clinical findings...
April 2007: Journal of Hand Surgery
J D Fortin
Spinal pain is an important public health problem affecting the population indiscriminately. The structures responsible for pain in the spine include the vertebrae, intervertebral discs, spinal cord, nerve roots, facet joints, ligaments, muscles, atlanto-occipital joints, atlanto-axial joints, and sacroiliac joints. Even though disc herniation, facet joints, strained muscles, and torn ligaments have been attributed to be the cause of most spinal pain, either in the neck and upper extremities, upper and mid back, or low back and lower extremities, disorders of the disc other than disc herniation have been implicated more frequently than any other disorders...
July 2000: Pain Physician
John M Rhee, William Scott Kimmerly, Joseph D Smucker
Controversy exists regarding management of cervical facet injuries. Previous literature has focused on associated disc herniations reported to cause neurologic injury upon reduction. Although rupture of the ligamentum flavum has been noted with these injuries, its clinical significance has not been examined. In this case report, we present two patients in whom neurologic deterioration occurred due to infolding of the torn ligamentum flavum with spinal cord compression after reduction of cervical facet subluxations...
May 2006: Journal of Spinal Disorders & Techniques
John A Carrino, Geoffrey L Manton, William B Morrison, Alex R Vaccaro, Mark E Schweitzer, Adam E Flanders
OBJECTIVE: It is generally accepted that cervical spine bilateral facet dislocation results in complete disruption of the posterior longitudinal ligament. The goal of this study was to evaluate the integrity of numerous spine-stabilizing structures by MRI, and to determine if any associations between injury patterns exist with respect to the posterior longitudinal ligament status. DESIGN: Retrospective case series. PATIENTS: A retrospective review was performed of 30 cervical spine injury subjects with bilateral facet dislocation...
July 2006: Skeletal Radiology
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