Cases reported "Osteoarthritis"

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11/23. Piso-triquetral arthrosis as a cause of rupture of the profundus tendon of the little finger.

    This case report describes a previously unreported cause of profundus rupture of the little finger due to arthrosis of the piso-triquetral joint. With heightened awareness of this entity, it is hoped that delays in diagnosis will be avoided.
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keywords = finger
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12/23. Tricho-rhino-phalangeal syndrome type I in a Belgian family.

    We report three cases of tricho-rhino-phalangeal syndrome (TRPS) type I in a Belgian family. They presented typical characteristics such as a pear-shaped nose, and short, deformed fingers with cone-shaped epiphyses of some middle phalanges of the hands. hair growth was practically normal in our patients, except for some narrowing of the lateral part of the eyebrows. Perthes-like hip dysplasia was documented in two of our cases. The proband presented at the age of 31 with Kienboch's disease of the right wrist. blood and urine analysis showed no clear anomalies. In this patient, echography revealed a renal cyst containing a stone. The relationship of these findings to TRPS is discussed.
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13/23. Post-traumatic arthrosis of the index carpometacarpal joint. A rationale for treatment and report of two cases.

    Although a relatively rare entity, post-traumatic arthrosis of the carpometacarpal joint of the index finger can be a disabling problem. Its diagnosis must be differentiated from other sources of local pathology. A rationale to the diagnosis and treatment of this entity is presented, demonstrating the usefulness of test injections of xylocaine, an intra-articular injection of a steroid preparation when a relatively congruous joint exists, and arthrodesis of the joint when an incongruous joint is encountered.
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14/23. Radiologic case study. Neuropathic osteoarthropathy.

    Diabetic osteoarthropathy is the most common neuropathic condition seen clinically in the foot. It can develop rapidly with a time course of weeks to months. Soft tissue swelling and erythema with deformity are noted clinically, usually with decreased pain sensation. However, it is important to realize that these patients frequently do have pain; it may only be disproportionate to the degree of injury. Radiographic diagnosis can predate clinical suspicion and is based on recognizing the resorptive and the productive patterns of the osteoarthropathy. Often, the first clue is recognizing the radiographic features of joint instability. Remembering that overt trauma may precipitate neuropathic osteoarthropathy will also help its recognition in the follow up of fractures.
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ranking = 311.67691276986
keywords = osteoarthropathy
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15/23. Localized Sudeck's dystrophy and distal interphalangeal osteoarthritis of a finger: anatomicoradiologic study.

    After an injury to the right ring finger, a 44-year-old woman experienced pain in the distal interphalangeal joint. A subcutaneous mucoid cyst was noted near the joint. The x-ray films revealed no fracture but a narrowing of the joint space and a well-defined radiolucent area in the ulnar condyle of the middle phalanx. The biopsy specimen of this area excluded infection or tumor and revealed active osteogenic remodelling. These elements permitted a diagnosis of distal interphalangeal osteoarthritis that was associated with highly localized Sudeck's dystrophy (also called " parcellar algodystrophy"). This unusual case suggests the possibility that this dystrophy might be favored by an "osteoarthritic terrain" and might also play a role in the evolution of the osteoarthritis.
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16/23. hand osteoarthropathy in pianists.

    We evaluated radiographs of the hands of 20 pianists. The radiologic manifestations arising from long-term stress and strain applied to the hands were recorded. The changes are characterized by: 1) alignment adaptation consisting of axial radial rotation of the digits, particularly the fifth but also the third and fourth, 2) degenerative changes at the distal interphalangeal DIP and metacarpophalangeal MCP joints, and 3) mechanical remodeling manifested as periostal thickening and flattening of the phalangeal tufts associated with sclerosis. These findings suggest the existence of an occupational entity which might be described as pianist's osteoarthropathy.
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ranking = 222.62636626418
keywords = osteoarthropathy
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17/23. Sparing effect of tendon injury on osteoarthritis.

    A case is reported in which a finger with no active flexion did not develop erosive osteoarthritis at the time that it developed in the other active digits.
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18/23. Acute progressive osteoarthropathy of large joints: report of three cases.

    We report 3 cases of an acute progressive osteoarthropathy of large joints. This condition is characterized by an acute onset, severe constant pain, and a rapidly progressive course in the absence of clinical and histopathological evidence of inflammation. Prior references to this condition are lacking.
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ranking = 222.62636626418
keywords = osteoarthropathy
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19/23. osteoarthritis of the alanto-axial joint.

    Thirty-one patients suffering from osteoarthritis of the atlanto-axial joint are described, suggesting that this disease is not particularly uncommon. The most characteristic radiological signs are narrowing of the joint space from loss of articular cartilage, marginal cortical thickening and osteophyte formation. Histological examination in the cadaver has shown thinning and fibrillation of articular cartilage and intra-cartilaginous ossification. The radiological appearances of the atlanto-axial joint are classified in three types, lateral atlanto-axial, atlanto-odontoid and mixed. Peak age distribution occurs between 50 and 69 years of age. patients complain of occipital pain, a stiff shoulder and paraesthesia of the fingers. Treatment was conservative in all cases except one, a 63-year-old woman with severe occipital pain. A transoral atlanto-axial fusion was performed in this case with marked improvement. The transoral approach allows fixation and curettage of the degenerative lesions.
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keywords = finger
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20/23. Intraarticular apatite crystal deposition as a predictor of erosive osteoarthritis of the fingers.

    Two patients are described who presented with a chronic effusion with calcium containing particles, considered as apatite, in one finger joint. After a followup of several years, these joints presented erosive changes on radiographs, which raises the question of the pathogenic role of apatite crystals.
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