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M van Holsbeeck

Publications and source records attributed to M van Holsbeeck.

At least 19 recordsLinked to original sources
PubMed1998

The association between irregular greater tuberosities and rotator cuff tears: a sonographic study.

OBJECTIVE: Although an association between irregular greater tuberosities and rotator cuff tears has been suggested, no formal studies have been done. This study was designed to investigate the relationship between greater tuberosity irregularities, rotator cuff tears, and age. SUBJECTS AND METHODS: Sonographic examinations of both shoulders of 77 asymptomatic individuals (154 shoulders) between 30 and 80 years old were performed. The rotator cuffs and greater tuberosities were evaluated. Full- and partial-thickness rotator cuff tears were given equal significance. A two-tailed Fisher's exact test, a Student's t test, and logistic regression analysis were used to analyze the data. RESULTS: Sonography showed the greater tuberosity to be irregular in 36 (90%) of 40 shoulders with a rotator cuff tear. The greater tuberosity was irregular in only 12 (11%) of 114 shoulders without a rotator cuff tear. When the greater tuberosity was irregular, sonography showed 36 (75%) of 48 shoulders to have rotator cuff tears. When the greater tuberosity was normal, 102 (96%) of 106 of the rotator cuffs were normal on sonography. Statistical significance was detected (p < .001) for the association of greater tuberosity irregularity and rotator cuff tear. After accounting for age, a statistically significant association was found (p < .001) between rotator cuff status and greater tuberosity status. CONCLUSION: On sonography, greater tuberosity irregularities are reliable indicators in the assessment of shoulders for rotator cuff tears. In addition, we have shown that greater tuberosity irregularities are not simply related to aging.

Adult↗
PubMed1998

Longitudinal split of the peroneus longus and peroneus brevis tendons with disruption of the superior peroneal retinaculum.

Longitudinal split and subluxation of the peroneus brevis tendon have been reported in surgery literature, but few publications report on longitudinal tears of the peroneus longus tendon. The most likely proposed mechanism is a mechanical one. This report discusses the ultrasonographic appearance of peroneus longus and peroneus brevis tendon splits and the mechanism of injury.

Ankle Injuries↗
PubMed1995

Ultrasound for the early diagnosis of fracture healing after interlocking nailing of the tibia without reaming.

Fourteen fractures (8 open, 6 closed) were treated with small-diameter interlocking tibial nails and observed for at least 1 year. Radiographs were obtained to monitor the maintenance of reduction and fracture healing. The treating orthopaedic surgeon was blinded to the results of ultrasound studies, which were obtained at 2-week intervals for 10 weeks postoperatively and read by a radiologist who was blinded to the clinical and radiographic progress. Ultrasound correctly predicted fracture healing in all 9 fractures that subsequently progressed to fracture union. Of the 5 fractures that did not heal and required secondary procedures, ultrasound predicted delayed healing in 4 fractures. Overall, ultrasound was able to predict fracture healing before it was radiographically evident. Ultrasound may provide important prognostic information concerning tibial fracture healing after treatment using interlocking nails without reaming. Additional study is warranted.

Adolescent↗
PubMed1995

Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender.

We studied the integrity of the rotator cuff in both dominant and non-dominant shoulders of 90 asymptomatic adults between the ages of 30 and 99 years using ultrasound. The criteria for diagnosis had been validated on unembalmed cadaver specimens. We found no statistically significant difference in the incidence of impingement findings between dominant and non-dominant arms or between genders. The prevalence of partial- or full-thickness tears increased markedly after 50 years of age: these were present in over 50% of dominant shoulders in the seventh decade and in 80% of subjects over 80 years of age. Our results indicate that rotator-cuff lesions are a natural correlate of ageing, and are often present with no clinical symptoms. Treatment should be based on clinical findings and not on the results of imaging.

Adult↗
PubMed1995

Knee.

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Exudates and Transudates↗
PubMed1995

Ankle and foot.

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Achilles Tendon↗
PubMed1994

A high dose (up to 200 mg) tolerance and efficacy study of intra-articular rimexolone (Org 6216) in rheumatoid synovitis of the knee.

Twenty patients with classical or definite rheumatoid arthritis received one intra-articular injection of 40, 80, 120, 160 or 200 mg rimexolone (Org 6216) into one knee joint. Rimexolone was well tolerated and the incidence of side-effects was low. A beneficial effect was sustained over the study period of 94 days and a long-lasting effect was observed in 84% of the patients after one year and in 79% after 2 years. Safety parameters remained unaffected. Individual changes in adrenal response to ACTH and morning cortisol levels did not correlate with the dose or with serum levels of rimexolone. Rimexolone showed linear kinetics. The mean residence time in the intra-articular depot was 44 days (SD +/- 53) with a median of 26 days. Ninety percent was absorbed after 4 months. Outside the intra-articular depot the mean residence time was less than 0.1 days.

Adrenocorticotropic Hormone↗
PubMed1994

Cauda equina syndrome complicating ankylosing spondylitis: role of computed tomography and magnetic resonance imaging.

We present two cases of cauda equina syndrome in ankylosing spondylitis. Cauda equina syndrome is a rare complication of ankylosing spondylitis, the pathogenesis of which is not well understood. The onset is insidious with pain and sensory symptoms; sphincter disturbances are common. After a period of increasing neurological symptoms, the condition tends to stabilize. The degree of nerve involvement is variable and can be accurately defined by electromyography. The diagnosis has to be confirmed by computed tomography (CT) or magnetic resonance imaging (MRI); myelography must be avoided. There is no specific treatment, except for pain control. The different clinical presentations and the role of new imaging techniques, CT and MRI, are demonstrated.

Cauda Equina↗
PubMed1993

Sonography of the shoulder: evaluation of the subacromial-subdeltoid bursa.

The purpose of this essay is to illustrate the sonographic findings in patients with abnormalities of the subacromial-subdeltoid bursa. The anatomy of the subacromial-subdeltoid bursa is complex. This paper illustrates the complexity of the normal bursa and the findings in shoulders with bursal distension.

Bursa, Synovial↗
PubMed1992

Radiographic findings of spontaneous subluxation of the sternoclavicular joint.

Eight middle-aged women with spontaneous atraumatic subluxation of the sternoclavicular joint were evaluated with radiography and computed tomography. All patients were employed in occupations involving moderate to heavy physical labour, and no patients could recall a specific traumatic incident associated with onset of symptoms. In seven of the eight patients, the displacement of the medial clavicle was in a cranial direction; in four of the eight patients, there was an associated anterior subluxation, and in one patient, the subluxation was purely anterior. All five patients with an anterior component to the sternoclavicular subluxation had associated condensing osteitis of the clavicle. The sclerosis of the medial clavicle is possibly the result of chronic abrasion on the sternum and first costal cartilage in association with normal respiration and with upper extremity motion.

Adult↗
PubMed1992

Musculoskeletal ultrasonography.

The scope of musculoskeletal ultrasonography has broadened considerably since its inception. Ultrasonography has established itself as a reliable cost-effective modality for the diagnosis and follow-up of a wide variety of lesions. Its real-time dynamic capability adds a perspective that other modalities lack. Growth within this field will continue, driven by improved technology, cost consciousness, and the creativity of those who employ this powerful diagnostic tool.

Bone and Bones↗
PubMed1989

Soft tissue involvement, mediastinal pseudotumor, and venous thrombosis in pustulotic arthro-osteitis. A study of eight new cases.

A syndrome of hyperostosis of the thoracic wall, nonspecific signs of inflammatory disease, and palmar and plantar pustulosis is described in eight patients (Table 1). Seven had intersternocostoclavicular ossification, and one had chronic recurrent multifocal osteomyelitis. This complex of findings has been called "pustulotic arthro-osteitis". This report emphasizes the periosseous soft tissue inflammation and the unexplained subclavian and mediastinal vein thrombosis seen in two patients. Inflammatory periosseous and mediastinal lesions were seen on plain films in all eight patients and on computed tomographic (CT) scans in seven. Radiographs of the spine showed a spondyloarthropathy in three patients. This was characterized by ossification of the vertebral ligaments and sclerosis of the vertebral bodies. Awareness of the radiologic features of pustulotic arthro-osteitis is important because the clinical, biochemical and pathologic findings are often nonspecific and misleading.

Adult↗