1/208. Lumbar intraspinal synovial cysts of different etiologies: diagnosis by CT and MR imaging.Intraspinal synovial cysts arises from a facet joint and may cause radicular symptoms due to nerve root compression. In the present study, three surgically and histologically proved cases of synovial cyst of the lumbar spine with different etiology are described. The purpose of this report is to illustrate the imaging features of various etiologies of intraspinal synovial cysts allowing a correct preoperative diagnosis. review of the literature enables us to say that to our knowledge, there is no reported article collecting the imaging findings of intraspinal synovial cysts with different etiologies. Only single cases with rheumatoid arthritic or traumatic origin have been reported to date. We believe that computed tomography and particularly magnetic resonance imaging are the methods of choice which provide the most valuable diagnostic information.- - - - - - - - - - ranking = 1keywords = joint (Clic here for more details about this article) |
2/208. Anteroposterior atlantoaxial subluxation in cervical spine osteoarthritis: case reports and review of the literature.Nontraumatic anteroposterior atlantoaxial subluxation (AAS) has been described in several rheumatic or inherited disorders, especially rheumatoid arthritis and to a lesser extent the inflammatory spondyloarthropathies. We describe AAS secondary to osteoarthritis (OA) of the cervical spine in a 76-year-old man and a 73-year-old woman with severe cervical OA, symptomatic C1-C2 facet joints, and signs of generalized OA. Only 6 similar cases exist in the literature. OA should be added to the causes of AAS, and conversely AAS should be assessed in cases with severe OA of the upper cervical spine.- - - - - - - - - - ranking = 1keywords = joint (Clic here for more details about this article) |
3/208. Rapid tibial polyethylene failure in porous-coated anatomic total knees as a cause of clinical failure.Among 52 patients with porous-coated anatomic total knee arthroplasties, three (6%) underwent revision surgery because of failure of the tibial polyethylene at two years and three months, four years and three months, and four years and nine months after surgery. Thinning of the tibial polyethylene may have contributed to the failure in one patient. Heat pressing fabrication and the articular geometry possibly played a role in the development of failure in all three patients. Surgical latitude of the prosthetic design was considered to be too narrow to be applied to knee joints with severe deformity, for which knee prostheses with more intrinsic stability might be appropriate.- - - - - - - - - - ranking = 1keywords = joint (Clic here for more details about this article) |
4/208. Low power laser therapy and analgesic action.OBJECTIVE: The semiconductor or laser diode (GaAs, 904 nm) is the most appropriate choice in pain reduction therapy. SUMMARY BACKGROUND DATA: Low-power density laser acts on the prostaglandin (PG) synthesis, increasing the change of PGG2 and PGH2 into PG12 (also called prostacyclin, or epoprostenol). The last is the main product of the arachidonic acid into the endothelial cells and into the smooth muscular cells of vessel walls, that have a vasodilating and anti-inflammatory action. methods: Treatment was performed on 372 patients (206 women and 166 men) during the period between May 1987 and January 1997. The patients, whose ages ranged from 25 to 70 years, with a mean age of 45 years, suffered from rheumatic, degenerative, and traumatic pathologies as well as cutaneous ulcers. The majority of patients had been seen by orthopedists and rheumatologists and had undergone x-ray examination. All patients had received drug-based treatment and/or physiotherapy with poor results; 5 patients had also been irradiated with He:Ne and CO2 lasers. Two-thirds were experiencing acute symptomatic pain, while the others suffered long-term pathology with recurrent crises. We used a pulsed diode laser, GaAs 904 nm wavelength once per day for 5 consecutive days, followed by a 2-day interval. The average number of applications was 12. We irradiated the trigger points, access points to the joint, and striated muscles adjacent to relevant nerve roots. RESULTS: We achieved very good results, especially in cases of symptomatic osteoarthritis of the cervical vertebrae, sport-related injuries, epicondylitis, and cutaneous ulcers, and with cases of osteoarthritis of the coxa. CONCLUSIONS: Treatment with 904-nm diode laser has substantially reduced the symptoms as well as improved the quality of life of these patient, ultimately postponing the need for surgery.- - - - - - - - - - ranking = 1keywords = joint (Clic here for more details about this article) |
5/208. Septic arthritis caused by corynebacterium amycolatum following vascular graft sepsis.A case of septic arthritis caused by corynebacterium amycolatum in a native hip joint occurred in an adult man following contralateral vascular graft sepsis, and was successfully treated with intravenous vancomycin followed by oral doxycycline and rifampicin. To the authors' knowledge, this is the only reported case of septic arthritis due to C. amycolatum.- - - - - - - - - - ranking = 1keywords = joint (Clic here for more details about this article) |
6/208. shoulder joint replacement for osteoarthrosis in association with thalidomide-induced phocomelia.The natural history of thalidomide-induced phocomelia has not yet been established since only 35 years have elapsed since the problems associated with this drug became evident. This paper presents what is considered to be the first case of osteoarthrosis in such an individual treated by shoulder joint replacement. Joint arthoplasty is almost certainly going to become an integral part of the life-long rehabilitation process in such affected individuals.- - - - - - - - - - ranking = 5keywords = joint (Clic here for more details about this article) |
7/208. diclofenac-associated hepatitis.This patient, who had a history of osteoarthritis, had severe hepatitis 5 weeks after being started on diclofenac for increasing pain in the joints. A week before the onset of hepatitis, the patient complained of upper gastrointestinal symptoms and was treated for gastritis. Seven days later, she had full-blown, severe hepatitis. diclofenac was immediately stopped, leading to a complete restoration of liver functions over the course of the next few months. We highlight the importance of having a high index of suspicion for hepatic side effects of diclofenac and emphasize the need for increased awareness of this rare but potentially serious problem. We also review relevant literature regarding incidence and management.- - - - - - - - - - ranking = 1keywords = joint (Clic here for more details about this article) |
8/208. Lumbar spine pain originating from vertebral osteophytes.BACKGROUND AND OBJECTIVES: Axial spine pain originates from a number of structures. Putative pain generators include facet joints, intervertebral disks, sacroiliac joints, and myofascial structures. Osteophytes originating from lumbar vertebral bodies in the area of the intervertebral disks may be a source of nociceptive low back pain which may respond to local injection. methods: Five patients with axial low back pain unresponsive to traditional treatment modalities were treated with fluoroscopic guided injection of local anesthetic and corticosteroid near large intervertebral osteophytes. RESULTS: All 5 patients experienced relief. CONCLUSION: Vertebral osteophytes may be a source of axial spine pain. Injection of painful osteophytes with a local anesthetic and corticosteroid solution may produce pain relief.- - - - - - - - - - ranking = 17.549434623124keywords = sacroiliac joint, sacroiliac, joint (Clic here for more details about this article) |
9/208. Transtrochanteric curved varus femoral osteotomy for spondyloepiphyseal dysplasia tarda. A case report.A female with spondyloepiphyseal dysplasia (SED) tarda suffered bilateral hip pain since about the age of ten. Her radiographs revealed subluxation and irregularity of the hip joints with acetabular dysplasia. Transtrochanteric varus osteotomy was performed on her left femur at 13 years of age and on her right femur at 14 years of age. The congruities of both hips improved after surgery. At follow-up, she had no pain in either hip even after walking for an extended period. Improved activity in daily life was noted.- - - - - - - - - - ranking = 1keywords = joint (Clic here for more details about this article) |
10/208. Surgical correction of temporomandibular joint arthritis.Restoration of the contour of the articular eminence with a prosthesis has been successful when chronic sublaxation has resulted from flattening of the eminence. Use of a prosthesis is helpful in the treatment of patients with arthritic disease of the temporomandibular joint. A careful differential diagnosis is necessary to eliminate other possible causes of the patient's symptoms.- - - - - - - - - - ranking = 5keywords = joint (Clic here for more details about this article) |
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