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Biomedical subjects

L Moutounet

Publications and source records attributed to L Moutounet.

4 recordsLinked to original sources

[Pain in the internal knee compartment].

The anatomical classification of the traumatic or non traumatic lesion gives a mnemotechnical list which assists in the etiological search for pain of the inner aspect of the knee: skin, sub cutaneous tissue, medial lateral ligament, meniscus, cartilage, sub chondral bone, cruciate ligaments. Each mean of imaging detect specific lesions according to its technical capabilities: standard X Ray film, arthrography, CT scanner, MRI, bone scintigraphy, and echography. In practice, strategy is adapted to the clinical presentation, traumatic or non traumatic. In emergency situations, one is looking for bone, ligamentous, and meniscus lesions. Without acute traumatism, one can discover ligamentous tear sequellae (Pelligrini Stieda's ossifications), transient osteoporosis (algodystrophy), degenerative lesions (arthrosis) of the inner compartment. Always remember "close to the knee", it is necessary to check for more serious infectious or tumoral pathology. If standard plain films remain the first means of examination, and are still useful, MRI is becoming increasingly necessary for a complete anatomical evaluation.

Diagnosis, Differential↗

-Cervical myelography using the lumbar route-.

Cervical myelography is obtained after injection of contrast medium into the lumbar subarachnoid space through a lumbar puncture. The patient is prone with a large radiolucent block under the pelvis so that the site of lumbar puncture is at a higher level than that of the cervical spine lordosis. Lumbar contrast is injected gently so that the contrast fluid slides along the ventral aspect of the dural sac and immediately reaches the cervical subarachnoid space. Then AP and lateral (with a horizontal X-ray beam) views are obtained. The patient has to remain firmly immobilized during the whole procedure to avoid blending of the contrast medium with CSF. This procedure is safe and allows cervical myelography to reach the same quality as that obtained through cervical puncture.

Cerebrospinal Fluid↗

-Morton's neuroma-.

Explore the source record for details and available documents.

Diagnosis, Differential↗

[Ultrasonography of the esophagus in children].

The main role of ultrasonography of the esophagus in children is to exclude gastro-esophageal reflux. This technique can be used in patients with chronic ENT and/or respiratory tract infections. If US is positive, medical treatment can be instituted. Other causes such as allergy or immune deficiency must be investigated whenever US remains negative. Since US allows a poor assessment of the severity of reflux, it is not recommended in clinically obvious GER. US is also not very sensitive for esophagitis. A detailed study of the anatomy and dynamics of the esophagus and stomach can be performed, but such studies have no value as a first-line examination. Whenever reflux persists despite medical treatment, US can be proposed to look for hiatus hernia.

Child, Preschool↗