keyword
https://read.qxmd.com/read/34434558/an-evaluation-of-the-efficacy-of-the-locked-plate-with-bone-grafting-in-sanders-type-iii-and-iv-intra-articular-calcaneus-fractures
#21
JOURNAL ARTICLE
Ali Varol, Yunus Oc, Bekir Eray Kilinc
Objective: To demonstrate the efficacy of locking plate osteosynthesis performed by an L-shaped lateral approach in patients with Sanders type III and IV intra-articular calcaneal fractures with posterior facet displacement. Methods: Fifty-three patients with Sanders type III or IV unilateral calcaneal fractures treated with locking plates and additional bone grafting were included in the study. Böhler and Gissane angles, and heel height values were measured on the radiological examinations...
2021: SAGE Open Medicine
https://read.qxmd.com/read/34313246/correlation-of-18f-fdg-pet-ct-uptake-with-severity-of-mri-findings-and-epidural-steroid-injection-sites-in-patients-with-symptomatic-degenerative-disease-of-the-lumbar-spine-a-retrospective-study
#22
JOURNAL ARTICLE
Michelle Lam, Christopher J Burke, William R Walter
PURPOSE: We aimed to retrospectively correlate 18F-fluorodeoxyglucose (18F-FDG) metabolic activity with lumbar spine magnetic resonance imaging (MRI) findings and epidural steroid injection sites in patients with symptomatic degenerative disease of the lumbar spine. METHODS: A database search was conducted for patients receiving epidural injections <12 months after a positron emission tomography/computed tomography (PET/CT). Maximum standard uptake values (SUVmax) were measured at the facet joints, neural foramina, and spinal canal...
July 2021: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
https://read.qxmd.com/read/34115173/-back-pain-a-phenomenon-of-age-degenerative-alterations-of-the-spine-are-normal-with-increasing-age-but-how-is-this-normal-in-old-age-defined-does-it-compulsorily-lead-to-more-complaints-and-a-relevant-impairment-of-the-quality-of-life
#23
JOURNAL ARTICLE
Christoph Alexander Stueckle, Sarah Talarczyk, Kerstin Frauke Stueckle, Christian Beisenherz, Patrick Haage
BACKGROUND: Under the assumption that a certain degree of degeneration is normal in old age, the changes that significantly lead to discomfort should be identified. Care should be taken to ensure that the geriatric patient receives adequate treatment and can quickly return to a normal pain-free life. MATERIAL AND METHODS: A prospective study was performed on symptomatic outpatients who came for a magnetic resonance (MR) examination of the spine. The presence of spinal stenosis, osteochondrotic and spondylarthrotic changes and nerve root affections were assessed...
June 11, 2021: Zeitschrift Für Gerontologie und Geriatrie
https://read.qxmd.com/read/33921984/prospects-for-the-personalized-multimodal-therapy-approach-to-pain-management-via-action-on-no-and-nos
#24
REVIEW
Natalia A Shnayder, Marina M Petrova, Tatiana E Popova, Tatiana K Davidova, Olga P Bobrova, Vera V Trefilova, Polina S Goncharova, Olga V Balberova, Kirill V Petrov, Oksana A Gavrilyuk, Irina A Soloveva, German V Medvedev, Regina F Nasyrova
Chronic pain syndromes are an important medical problem generated by various molecular, genetic, and pathophysiologic mechanisms. Back pain, neuropathic pain, and posttraumatic pain are the most important pathological processes associated with chronic pain in adults. Standard approaches to the treatment of them do not solve the problem of pain chronicity. This is the reason for the search for new personalized strategies for the prevention and treatment of chronic pain. The nitric oxide (NO) system can play one of the key roles in the development of peripheral pain and its chronicity...
April 22, 2021: Molecules: a Journal of Synthetic Chemistry and Natural Product Chemistry
https://read.qxmd.com/read/33346867/-recommendations-for-unicondylar-knee-replacement-in-the-course-of-time-a-current-inventory
#25
REVIEW
J Beckmann, M T Hirschmann, G Matziolis, J Holz, R V Eisenhart-Rothe, C Becher
BACKGROUND: A higher patient satisfaction stands in contrast to higher revision rates of unicondylar knee joint endoprosthetics (UKE) compared to total knee joint endoprosthetics (TKE). Furthermore, old "dogmas" regarding indications and contraindications persist, which is still reflected in the significantly different case numbers. AIM: The aim of this article is to provide an overview of the current literature regarding 1. indication and contraindication (BMI, age, sport, arthrosis of other compartments, ligament status) and 2...
February 2021: Der Orthopäde
https://read.qxmd.com/read/33176414/non-discogenic-low-back-pain-treated-with-oxygen-ozone-outcome-in-selected-applications
#26
JOURNAL ARTICLE
M Bonetti, A Zambello, C Princiotta, G Pellicanò, L Della Gatta, M Muto
Low back pain and sciatica are highly debilitating conditions affecting all socioeconomic groups at an increasingly early age. They are caused by different often concomitant spinal disorders: disc or facet joint disease, spondylolysis (with or without listhesis), vertebral body and interapophyseal arthrosis, spinal stenosis, radicular and synovial cysts and, more rarely, infections and primary or metastatic cancer. Treatment of low back pain and/or sciatica requires an accurate diagnosis based on thorough history-taking and physical examination followed by appropriate imaging tests, namely computed tomography, and/or magnetic resonance scans in addition to standard and morphodynamics X-rays of the spine...
July 2020: Journal of Biological Regulators and Homeostatic Agents
https://read.qxmd.com/read/33108837/degenerative-cervical-myelopathy-pathophysiology-and-current-treatment-strategies
#27
JOURNAL ARTICLE
Sung Hoon Choi, Chang-Nam Kang
Chronic compression or ischemia of the spinal cord in the cervical spine causes a clinical syndrome known as cervical myelopathy. Recently, a new term "degenerative cervical myelopathy (DCM)" was introduced. DCM encompasses spondylosis, intervertebral disk herniation, facet arthrosis, ligamentous hypertrophy, calcification, and ossification. The pathophysiology of DCM includes structural and functional abnormalities of the spinal cord caused by static and dynamic factors. In nonoperative patients, cervical myelopathy has a poor prognosis...
October 2020: Asian Spine Journal
https://read.qxmd.com/read/33011495/evaluation-of-the-short-term-results-of-closed-reduction-and-percutaneous-k-wires-fixation-of-displaced-intra-articular-calcaneal-fractures-diacf
#28
JOURNAL ARTICLE
Ibrahim Mahmoud Morsi, Ahmed A Khalifa, Mohamed Abdelmoneim Hussien, Ahmed Abdellatef, Hesham Refae
PURPOSE: Optimum management of displaced intra-articular calcaneal fractures (DIACF) still controversial. Open surgery carries the risk of wound complications, while non-operative management has a high incidence of arthrosis. To avoid these complications, minimally invasive and percutaneous fixation was introduced. The purpose of this study was to prospectively evaluate the short term clinical and radiological outcomes after closed reduction and percutaneous fixation of DIACF using K-wires...
December 2020: Foot
https://read.qxmd.com/read/32879559/experience-of-using-a-3-blade-les-tri-retractor-over-5-years-for-lumbar-decompression-microdiscectomy
#29
JOURNAL ARTICLE
Kingsley R Chin, Fabio J R Pencle, Jason A Seale, Frank K Pencle
BACKGROUND: Lower back pain is the fifth most common reason for visiting a physician in the United States. Degenerative disc disease, degenerative spondylolisthesis, arthritis, and facet arthrosis are leading causes for lumbar spinal stenosis. The previous gold standard involved open laminectomy combined with medial facetectomy and foraminotomy. The advent of minimally invasive surgery (MIS) and endoscopic technologies has led to less invasive and targeted interventions. In this study, the authors aim to show a five-year experience using a three-blade retractor for lumbar decompression and microdiscectomy...
September 2020: Journal of Orthopaedics
https://read.qxmd.com/read/32476581/facet-arthrosis-and-spinal-lipomatosis-related-spinal-canal-stenosis
#30
JOURNAL ARTICLE
Michael Roberto, John Barry, Won Sung
A 33-year-old man was referred to physical therapy by his primary care physician for low back pain that had been present for 7 months. The neurologic screen with mixed upper and lower motor neuron signs was of concern for spinal cord involvement. The primary care physician was contacted and magnetic resonance imaging ordered. Facet arthrosis and epidural lipomatosis were present, resulting in thoracic and lumbar spinal stenosis. J Orthop Sports Phys Ther 2020;50(6):345. doi:10.2519/jospt.2020.9059 .
June 2020: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/32455518/percutaneous-sacroplasty-effectiveness-and-long-term-outcome-predictors
#31
JOURNAL ARTICLE
Jaehyung Lee, Eugene Lee, Joon Woo Lee, Yusuhn Kang, Joong Mo Ahn, Heung Sik Kang
OBJECTIVE: To evaluate the effectiveness and long-term outcome predictors of percutaneous sacroplasty (PSP). METHODS: This single-center study assessed 40 patients with sacral insufficiency fractures using the short-axis technique under C-arm flat-panel detector computed tomography (CT). Two radiologists reviewed the patients' magnetic resonance and CT images to obtain imaging findings before PSP and determine technical success, respectively. The short-term outcomes were visual analog scale score changes and opioid usage reductions...
November 2020: Journal of Korean Neurosurgical Society
https://read.qxmd.com/read/32447419/-minimally-invasive-transforaminal-lumbar-interbody-fusion
#32
REVIEW
Christoph-Heinrich Hoffmann, Frank Kandziora
OBJECTIVE: Instrumented fusion of lumbar motion segments using a minimally invasive technique. INDICATIONS: Degenerative disc disease, segmental degeneration, degenerative spondylolisthesis, isthmic spondylolisthesis, pseudarthrosis, other spinal lumbar instabilities, disc prolapse, revision for failed back surgery syndrome, unilateral neuroforaminal stenosis, facet joint arthrosis. CONTRAINDICATIONS: High-grade spondylolisthesis (Meyerding grades III/IV, spondyloptosis), bilateral nerve root compression, vertebral fractures, tumors, high-grade spinal instabilities, primary spinal deformities, multilevel pathologies...
June 2020: Operative Orthopädie und Traumatologie
https://read.qxmd.com/read/32335473/lumbar-stability-following-graded-unilateral-and-bilateral-facetectomy-a-finite-element-model-study
#33
JOURNAL ARTICLE
S Ahuja, A N Moideen, A G Dudhniwala, E Karatsis, L Papadakis, E Varitis
BACKGROUND: Excision of excessive amount of facet joint during lumbar discectomy or decompression can cause segmental instability of the lumbar spine. This study was performed to assess the segmental instability, facet joint loading and intradiscal pressure following graded lumbar facetectomy. This biomechanical study was performed using a verified and validated L3-S1 finite element model. METHODS: Nine scenarios were analysed. Intact model as control, 30%, 45%, 60% and complete facet joint excision in unilateral and bilateral setting...
May 2020: Clinical Biomechanics
https://read.qxmd.com/read/32181039/distal-fibular-reconstruction-using-iliac-grafting-and-emslie-vidal-s-ligamentoplasty-after-exeresis-of-single-renal-carcinoma-metastasis
#34
E Maury, C Granier, C Sleth, E Peraut, P Maury
Introduction . Restoring lateral ankle stability following distal resection of the fibula is a difficult procedure for which several surgical techniques have been proposed. Each of these techniques has potential drawbacks. This report presents a new option for fibular reconstruction. Case Study . We report the case of a 68-year-old male with evolving pain in the left ankle throughout the past 3 months. Three years prior to consultation, he underwent left nephrectomy for clear-cell adenocarcinoma. A swelling on the external side of the left ankle was noticed upon clinical examination, with no signs of inflammation...
2020: Case Reports in Orthopedics
https://read.qxmd.com/read/31900693/degenerative-lumbar-scoliosis-added-value-of-coronal-images-to-routine-lumbar-mri-for-nerve-root-compromise
#35
JOURNAL ARTICLE
Seul Ki Lee, Joon-Yong Jung
OBJECTIVES: Radiating pain in degenerative scoliosis is primary indication for surgery. However, axial and sagittal MR images are limited for identifying nerve root compromise. Therefore, we aimed to assess the value of coronal images for evaluating nerve root compromise in degenerative scoliosis. METHODS: Forty-six patients (mean 70 years; range 41-91 years; 8 men) with degenerative scoliosis were enrolled. Coronal images were added to routine MRI. Two radiologists independently reviewed 350 nerve roots in two MRI sets: sagittal images alone (set 1) and coronal and sagittal images combined (set 2)...
April 2020: European Radiology
https://read.qxmd.com/read/31890437/pseudogout-mimicking-aortic-dissection-a-case-report
#36
Kaylah D Maloney, Arjun Balakumar, Sean McGann, Xiao Chi Zhang
Calcium pyrophosphate dihydrate (CPPD) crystal deposition disease or pseudogout is an idiopathic articular disease that predominantly affects elderly patients. It is caused by a systemic deposition of calcium pyrophosphate (CPP) crystals in the articular and hyaline joint cartilage. The majority of cases present as chronic arthritis, but a subset of CPPD can present as rapid onset of sharp pain and joint swelling, posing a diagnostic challenge. We present a case of a 64-year-old man with a history of hypertension, urologic cancer, and gout presenting to the emergency department (ED) with a sudden-onset, severe stabbing right shoulder pain radiating to the neck and upper back...
November 26, 2019: Curēus
https://read.qxmd.com/read/31789975/tarsal-coalition
#37
REVIEW
Jamil F Soni, Weverley Valenza, Carolina Matsunaga
PURPOSE OF REVIEW: Tarsal coalitions may cause painful pes planovalgus and recurrent sprains, and can lead to arthrosis if improperly managed. In this review, we discuss the current topics related to talocalcaneal and calcaneonavicular coalitions. RECENT FINDINGS: Tarsal coalitions are initially managed with conservative therapy, and when this approach fails, surgery is performed. Treatment of calcaneonavicular coalitions involves resection of the coalition and interposition of the extensor digitorum brevis muscle or fat, and in cases of marked valgus deformity, correction of the deformity...
February 2020: Current Opinion in Pediatrics
https://read.qxmd.com/read/31272635/fifteen-year-minimum-follow-up-of-anteromedial-tibial-tubercle-transfer-for-lateral-and-or-distal-patellofemoral-arthrosis
#38
JOURNAL ARTICLE
Stephen A Klinge, John P Fulkerson
PURPOSE: To evaluate a minimum 15-year clinical and radiographic follow-up after anteromedial tibial tubercle transfer (anteromedialization [AMZ]) for lateral and/or distal patellar facet arthrosis. METHODS: Patients treated from 1996 to 2000 were contacted. The inclusion criteria were a minimum of 15 years' follow-up after AMZ for isolated persistent retropatellar pain related to lateral and/or distal patellar chondrosis. The exclusion criteria were clinical patellar instability, revision, and significant medial patellar facet or adjacent compartment chondrosis...
July 2019: Arthroscopy
https://read.qxmd.com/read/31070301/finite-element-analysis-of-a-ball-and-socket-artificial-disc-design-to-suppress-excessive-loading-on-facet-joints-a-comparative-study-with-prodisc
#39
JOURNAL ARTICLE
Jisoo Choi, Dong-Ah Shin, Sohee Kim
Facet arthrosis at surgical level was identified as major complication after total disc replacement (TDR). One of the reasons for facet arthrosis after TDR has been speculated to be the hypermobility of artificial discs. Accordingly, the artificial disc that can constrain the hypermobility of ball-and-socket type artificial discs and reduce loading on facet joints is demanded. The proposed artificial disc, which is named as NewPro, was constructed based on the FDA-approved but contained an interlocking system consisting of additional bars and grooves to control range of motion (ROM) of lumbar spine in all anatomical planes...
May 9, 2019: International Journal for Numerical Methods in Biomedical Engineering
https://read.qxmd.com/read/30547357/lumbosacral-transitional-vertebra-in-the-young-men-population-with-low-back-pain-anatomical-considerations-and-degenerations-transitional-vertebra-types-in-the-young-men-population-with-low-back-pain
#40
JOURNAL ARTICLE
Melda Apaydin, M Engin Uluc, Gulten Sezgin
INTRODUCTION: To evaluate the prevalence of subtypes of congenital lumbosacral transition vertebra (LSTV) in young male populations with low back pain (LBP) and their relationship to lumbar disc and facet degeneration. MATERIALS AND METHODS: 1875 patients (male, aged; 18-40 years) with LBP were investigated retrospectively. Standard lumbar MRI protocol of sagittal, and axial T1 weighted images (WI) and T2 WI and coronal short tau inversion recovery (STIR) T2 WI were obtained...
May 2019: La Radiologia Medica
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