1/9. Multiple osteochondroses and avulsion fracture of anterior superior iliac spine in a soccer player.Apophysitis describes a chronic traction injury at the insertion site of a tendon. There is a gradual onset of pain with no clear history of injury. Without adequate preventive methods, an avulsion fracture may result. The case is here reported of an apophyseal avulsion fracture of the anterior superior iliac spine in an adolescent caused by playing football before the end of treatment for apophysitis. An open reduction and internal fixation was performed followed by a rehabilitation programme. No complications occurred, and the patient had returned to his previous level of sporting activity after six weeks.- - - - - - - - - - ranking = 1keywords = spine (Clic here for more details about this article) |
2/9. osteomyelitis of the head and neck: sequential radionuclide scanning in diagnosis and therapy.Sequential technetium and gallium scans of the head and neck were used to confirm the diagnosis of osteomyelitis and as an important therapeutic aid to delineate the transformation of active osteomyelitis to inactive osteomyelitis in 11 cases involving sites in the head and neck. Illustrative cases are presented of frontal sinus and cervical spine osteomyelitis and laryngeal osteochondritis.- - - - - - - - - - ranking = 0.2keywords = spine (Clic here for more details about this article) |
3/9. Degenerative lumbar scoliosis.Recent work on degenerative lumbar curves has focused on stable deformities with entrapment syndrome secondary to spondylotic compression. A review of our local experience with degenerative lumbar curves shows that approximately half of the 14 cases have had a less typical radiographic presentation of short reciprocating lumbar curves thought to be on the basis of asymmetric intervertebral osteochondrosis. In these latter cases, marked spondylotic ridging and intervertebral buttressing were absent; therefore, major decompressive surgery on the residual posterior elements may increase instability and hasten further collapse. Although most patients have had good relief of radicular leg complaints with decompressive procedures, several patients had persistent low-back pain that appeared to have a mechanical basis. In those instances of potentially increased postoperative instability or persistent mechanical back complaints, consideration should be given to augmenting decompressive procedures with Harrington instrumentation and fusion for these painful collapsing lumbar spines.- - - - - - - - - - ranking = 0.2keywords = spine (Clic here for more details about this article) |
4/9. Erosive intervertebral osteochondrosis in association with generalized osteoarthritis and chondroc alcinosis; anatomico-radiological study of a case.This paper concerns a radiological and postmortem study of an 81-year-old woman with diffuse intervertebral osteochondrosis (T12-L1 severe erosion) in association with generalized osteoarthritis and articular chondrocalcinosis. Varying degrees of cartilage plate flaws with cartilaginous Schmorl's nodes and vertebral plateaux erosion are shown to occur without calcium pyrophosphate crystal deposits in situ. Differential diagnosis between intervertebral osteochondrosis and infectious spondylitis may require a combination of tomographic evolution over time, bone scans and biopsy, the latter being not always conclusive.- - - - - - - - - - ranking = 10015.086475702keywords = osteoarthritis (Clic here for more details about this article) |
5/9. Internal fixation of the fragment of osteochondritis dissecans in the hip using bone transplants. A report of two cases.Two patients with osteochondritis dissecans of the hip were operated on and their case histories are presented. The relatively large foci were situated on the weight-bearing surface of the joint and the fragments were fixed using transplants of cortical bone. In both cases the focus healed, and the symptoms were relieved. At follow-up six and nine years later respectively, the clinical results were good and no signs of osteoarthritis had as yet developed.- - - - - - - - - - ranking = 2003.0172951404keywords = osteoarthritis (Clic here for more details about this article) |
6/9. Primary articular osteochondroses.Primary articular osteochondroses involve the primary articular and growth cartilage and the subjacent endochondral ossification, with resulting incongruity of the joint surface and potential degenerative osteoarthritis. weight-bearing areas, such as the metatarsal head, are at greater risk than nonweight-bearing parts in the upper extremity, such as the capitellum of the humerus. Treatment has two phases: protected mobilization, followed by graduated functional activity; later, surgery may be required to correct the resultant degenerative osteoarthritis. The accepted period for protected mobilization of the symptomatic patient is two to three years in the upper extremity, but three years or even longer in the weight-bearing lower extremity. The longer the period of painful motion, the longer the period of indicated protected mobilization. The prognosis concerning degenerative osteoarthritis should not be estimated by the extent of acute articular involvement on roentgenograms, but rather by the duration of symptoms.- - - - - - - - - - ranking = 6009.0518854211keywords = osteoarthritis (Clic here for more details about this article) |
7/9. osteochondrosis of the tarsal navicular in a female high school distance runner.A case of osteochondrosis of the tarsal navicular in an adult is presented. The patient was not fully compliant with the recommendations of the physicians involved and, as a result, full recovery has not been accomplished. Left untreated or undertreated, Mueller-Weiss syndrome can result in severe permanent osteoarthritis of the midtarsal joint (talonavicular joint). This may result in permanent deformity and disability. Properly treated with rest and supportive therapy, the condition is self-limiting and should heal without any sequela.- - - - - - - - - - ranking = 2003.0172951404keywords = osteoarthritis (Clic here for more details about this article) |
8/9. Apophysiolysis of the anterior inferior iliac spine. A histological, clinical and radiological study.Four cases of avulsion of the anterior inferior iliac spine were presented. Three of them affected boys of about 15 years (2 after a strain without local trauma--1 after local trauma). The fourth was discovered by chance on the x-rays of a man. Histological examination was made of 2 cases. A recent one showed the remodelling of a fracture of the apophysary growth cartilage. An older one showed aspecific bone remodelling. The incidence, clinical and radiological data, pathology and pathogenesis of such apophysiolysis is discussed.- - - - - - - - - - ranking = 1keywords = spine (Clic here for more details about this article) |
9/9. A comparative study of the surgical procedures to treat advanced Kienbock's disease.We have treated a total of 16 cases of advanced Kienbock's disease, stage III and IV by Lichtman's classification, with triscaphe fusion, tendon ball replacement arthroplasty after excision of lunate, proximal row carpectomy as a salvage procedure and limited wrist fusion, since 1985. All cases were followed for minimal 16 months after each operation. Tendon ball replacement arthroplasty after excision of lunate could not prevent further carpal collapse with persistent chronic wrist pain. The triscaphe fusion or radio-lunate fusion induced a marked limited wrist motion later, and the triscaphe fusion alone was not fit for the treatment of advanced one because of progressive proximal migration of capitate and continuous wrist pain due to ligamentous carpal instability in follow-up. So we tried to simultaneously combine tendon ball replacement arthroplasty after excision of lunate with triscaphe fusion in far advanced Kienbock's disease, and their end results was favorable. Proximal row carpectomy could be done in far advanced Kienbock's disease with reasonably painless wrist motions. The overall end results of proximal row carpectomy are much better than any form of carpal arthrodesis. Conclusively the proper way to treat advanced Kienbock's disease seems to depend on the patient's age, their job and sex, and the stage of disease. And the cause of wrist pain in advanced Kienbock's disease seems due to ligamentous carpal instability rather than osteoarthritis on radio-lunate joint.- - - - - - - - - - ranking = 2003.0172951404keywords = osteoarthritis (Clic here for more details about this article) |