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Biomedical subjects

J J Kaye

Publications and source records attributed to J J Kaye.

At least 19 recordsLinked to original sources
PubMed1991

Imaging of disorders of the spine.

Although many papers were published during the past year on disorders of the spine, in this review, papers were chosen and grouped under five broad headings: 1) spinal trauma, 2) disk disease, 3) neoplastic disease, 4) spinal arthritis, and 5) other studies of interest. Although some of the articles chosen for review dealt with conventional radiography, the majority were on applications of CT and MR imaging to conditions affecting the spine.

Diagnostic Imaging↗
PubMed1991

Radiographic methods of assessment (scoring) of rheumatic disease.

The major features of various global and detailed methods of assessment (scoring) of the hands and wrists of patients with rheumatoid arthritis are reviewed. Relative advantages and disadvantages of the methods are presented. Detailed radiographic scores relate best to other measures of patient status. Although scoring is not a difficult skill, the work is tiring, tedious, and time-consuming. Quantitative methods have done much to further our understanding of rheumatoid arthritis; they hold the promise of further discoveries.

Finger Joint↗
PubMed1979

Volar plate fractures.

Rupture of the volar plate of the proximal interphalangeal joint, usually secondary to hyper-extension injury, may be accompanied by a radiographically evident avulsion fracture at the base of the middle phalanx. Findings were reviewed in 55 patients with 58 cases of volar plate fracture. This fracture should be specifically looked for in a patient with the typical history, since it may be the only radiographic evidence of a potentially disabling injury.

Adolescent↗
PubMed1979

Radiolographic exhibits in gross anatomy.

The discipline radiology is well suited to teach anatomy to first-year medial students. A series of exhibits of radiographic anatomy in the dissection laboratory, in conjuction with small group teaching sessions, serves this purpose well. Such displays are readily constructed from materials available in most radiology departments and are easily reproduced.

Anatomy↗
PubMed1979

Knee arthrography.

Knee arthrography done with the double contrast and spot film technique is a highly accurate method of evaluating the knee of a patient suspected of having an internal derangement. Its greatest value is in the evaluation of the menisci. The modern radiologist is frequently capable and interested in performing the examination. The modern radiologist is frequently capable and interested in performing the examination. The technique is safe and has a high degree of reliability. It should prove useful to the referring surgeon.

Evaluation Studies as Topic↗
PubMed1978

Discogenic vertebral sclerosis.

Narrowing of a disc space, sclerosis of the adjacent vertebral bodies, and irregularity of the vertebral end plates constitute a roentgen complex classically associated with infectious spondylitis. However, narrowing of a disc space may be the result of a herniated nucleus pulposus, and in some individuals the reactive sclerosis is sufficiently intense to resemble infection. Roentgenographic recognition of discogenic vertebral sclerosis may obviate the need for further evaluation and biopsy. Forty-four cases of discogenic vertebral sclerosis, nine with surgical proof and four developing after disc surgery, are presented. Roentgen signs helping to distinguish it from infection include: (i) rounded sclerosis most frequently in the anterior vertebral body (100%), (ii) central lucency in the sclerosis (77%), (iii) associated degenerative changes at the intervertebral disc, e.g. vacuum phenomena (44%), (iv) absence of a para-spinal mass and (v) maintenance of vertebral body height.

Adult↗
PubMed1977

Cervical spondylotic dysphagia.

Reported is a patient who had severe dysphagia caused by cervical osteophytes. Both of the cervical vertebral spurs were excised, and anterior interbody stabilization was unnecessary. In the diagnosis of such patients, esophagoscopy is recommended, but it must be done with extreme care because of the increased risk of esophageal perforation. Treatment may consist of reassurance and a trial of anti-inflammatory agents if the symptoms are minimal, but definitive treatment, usually associated with complete recovery, is surgical excision.

Aged↗
PubMed1977

Intervertebral disk calcification associated with spine fusion.

Intervertebral disk calcification and spine fusion were observed in patients with Klippel-Feil syndrome, myositis ossificans progressive, juvenile rheumatoid arthritis, ankylosing spondylitis, and surgical spine fusion. The fusion appears to come first, leading to calcification. This suggests that fusion prevents the normal mechanical stresses within the disk, leading to premature degenerative changes and calcification of the nucleus pulposus.

Ankylosis↗
PubMed1977

A radiographic study of the ligamentous anatomy of the ankle.

Ankle trauma commonly results in significant injury. Knowledge of the anatomy of the normally nonopaque major supportive ligaments, and their relationships to the osseous structures seen on standard roentgenograms, facilitates interpretation of both plain films and ankle arthrograms. A group of normal, non-preserved ankles was dissected. The laterally located anterior talofibular calcaneofibular, posterior talofibular, distal anterior tibiofibular ligaments, and the medially located deltoid ligament were carefully defined. They were coated with a mixture of powdered tantalum, photographed, and then radiographed in standard projections. The normal gross anatomy of these major supportive ligaments of the ankle and their relationship to the osseous structures about the ankle are remarkably constant.

Ankle↗
PubMed1977

Juvenile ankylosing spondylitis.

The clinical histories and radiographs of 28 patients with ankylosing spondylitis were reviewed. Symptoms developed before the age of 17 in all cases. Juvenile ankylosing spondylitis affected youths in their early teens, who presented most commonly with appendicular joint complaints rather than low back pain. The disease was progressive, with the characteristic changes of ankylosing spondylitis eventually occurring in the spine and sacroiliac joints, frequently accompanied by widespread and severe changes in the appendolar joints. HLA B 27 antigen was present in 8 of the 9 patients tested. Thorough clinical, radiographic, and laboratory examination should prevent confusion with juvenile rheumatoid arthritis.

Adolescent↗
PubMed1977

Macrodystrophia lipomatosa: radiographic diagnosis.

Macrodystrophia lipomatosa is a rare form of localized gigantism characterized by progressive overgrowth of all the mesenchymal elements with a disaproportionate increase in the fibroadipose tissues. This congenital abnormality occurs most frequently in the distribution of the median nerve in the upper extremity and in the distribution of the planter nerves in the lower extremity. It is usually recognized at birth or in the neonatal period. As the patient grows, the deformity begins to mechanically interfere with joint function, vascular supply, and innervation. Six cases are described with emphasis on the radiographic findings which differentiate this entity from other forms of local gigantism. These findings include a predominately distal involvement, enlargement of the phalanges and soft tissue elements of the digit, and lucencies within the soft tissues.

Adult↗
PubMed1976

Discoid medial meniscus.

Three cases of discoid medical menisci were diagnosed preoperatively by arthrography. Discoid mensiscus usually occurs on the lateral side of the knee; its pathogenesis is obscure.

Adolescent↗
PubMed1976

Isolated rotatory subluxation of the carpal navicular.

Rotatory subluxation of the carpal navicular can cause wrist pain and may lead to severe and disabling degenerative changes. Correct diagnosis depends on recognition of the typical roentgenographic signs. Sixteen patients with neither rheumatoid arthritis nor a lunate or a perilunate dislocation had rotatory subluxation in nineteen wrists. Many had only vague or remote histories of trauma. There were a navicular-lunate gap in all nineteen wrists, and foreshortening of the navicular in sixteen wrists, usually with a ring sign. The abnormalities were best demonstrated on well-centered posteroanterior roentgenograms of the wrist with the hand in slight radial deviation. In two patients, wrist arthrography demonstrated abnormal communication between radiocarpal and intercarpal joints.

Aged↗