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Biomedical subjects

C Jantea

Publications and source records attributed to C Jantea.

7 recordsLinked to original sources

[Diagnosis of torsion malposition of the radius and ulna after healed distal fracture].

Assessing radial and ulnar rotational deformities quantitatively by routine diagnosis after healed distal forearm fractures is very difficult. A method to obtain information about direction and graduation of malrotation is described. This method is based on discovering topographic changes of skeletal points by CT. Rotational angles of intact forearm bones are measured on anatomic specimen and in vivo using epiphyseal and diaphyseal axes of the radius and the ulna. Normal rotation of intact forearm bones varies in a specific manner. The radius presents less variations than the ulna. A morphological index of radial and ulnar rotation is not given because of the great individuality of diaphyseal rotation. Both radii of a single individuum show a very small rotational difference. Therefore a verification of malrotation is indicated by comparison to the intact opposite radius. Higher rotational graduations on the left side have to be noted.

Follow-Up Studies↗

[Possibilities of sonography in the diagnosis of instabilities of the shoulder joint].

We present ultrasound investigation as a diagnostic tool for shoulder instability. The following structures are visible in the posterior transversal plane: subcutis, deltoid muscle, infraspinatus muscle, infraspinatus tendon, humeral head, scapula, dorsal glenoid rim, dorsal labrum, and the joint capsule. The relation of the humeral head to the glenoid can be judged statically and dynamically. Anterior and posterior instabilities and secondary signs of dislocation such as Hill-Sachs lesion and effusion can be seen. This technique is easy to learn. By comparing the injured with the normal shoulder the examiner can control his diagnosis. There is no need for positioning the patient in a special way. Sonographic evaluation is non-invasive and inexpensive.

Humans↗

[Late hip dislocation--treatment results of 1193 hips in attenuated abduction (Hanausek position)].

Results of 1193 dislocated and dysplastic hips in 695 children of a consistent treatment by skin traction and splinting in a mitigated abduction device (Hanausek position) are given with regard to the acetabular development and avascular head necroses. The acetabular development depends on the initial acetabular dysplasia and is overall satisfactory through final acetabular angles (Hilgenreiner) between 22 and 25 degrees even in highly dysplastic acetabula in late cases. The procedure is non-aggressive proven by low rate of femoral head necroses of 3.4%. Factors contributing to higher rates and degrees of iatrogenic damage to the femoral head are short time or no preceding longitudinal traction, low initial acetabular pathology and prolonged splinting.

Acetabulum↗

[Technique and value of imaging methods in the assessment of the elbow joint].

Roentgenography is the standard diagnostic tool for study of skeletal injuries and diseases around the elbow. The basic x-ray examination of the elbow includes the two standard static positions (frontal and lateral). If necessary oblique views are required to evaluate the radial head and the coronoid process. Dynamic examination (flexion-extension, ulnar-radial deviation) is indicated when instabilities are suspected. Indication, technique and interpretation of these images should be of general knowledge in the common practice of the orthopaedic surgeon. For further evaluation in unclear conditions the patient should be referred to a specialized orthopaedic surgeon, who has not only to decide about the indication of further imaging techniques but also has to establish a concept for the different treatment options (e.g. arthroscopy, open surgery).

Arthrography↗

Stress fracture of the patella.

Stress fractures are rarely an indication for surgical treatment. In our case we decided to operate on the patient because of distraction of the fragments. Solid bony healing took longer than in traumatic fractures, but the good functional result confirmed our regimen.

Adult↗

[Osteomalacia and fatigue fractures in celiac disease].

We report on a 36-year-old female patient suffering from bilateral inguinal pain. The x-ray revealed significant osteoporosis of both proximal femurs with an impacted fatigue fracture of the right calcar and Looser zones at the left subtrochanteric femur. The intestinal biopsy proved coeliac disease, resulting in a secondary malabsorption. The authors conclude that osteomalacia in young patients could indicate coeliac-induced malabsorption.

Adult↗