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Biomedical subjects

P Schydlowsky

Publications and source records attributed to P Schydlowsky.

9 recordsLinked to original sources
PubMed1998

Ultrasonographic examination of the glenoid labrum of healthy volunteers.

OBJECTIVE: To visualise the anterior and posterior glenoid labrum with ultrasonography in healthy volunteers. METHODS: An ultrasonographic examination of both the anterior and posterior glenoid labrum was performed on 60 shoulders belonging to 30 volunteers between 15 and 78 years of age. RESULTS: With the technique applied, the anterior and posterior labrum were seen in all cases. The labral area was significantly larger in the anterior than in the posterior labra. No differences in cross sectional labral areas between the right and left shoulders or between age groups were found. CONCLUSION: Both the anterior and posterior glenoid labrum can be identified by ultrasonography.

Adolescent↗
PubMed1998

The value of ultrasonography in the diagnosis of labral lesions in patients with anterior shoulder dislocation.

OBJECTIVE: To evaluate the ability of ultrasonography to detect labral lesions in patients with anterior shoulder dislocation. METHODS: We examined 29 patients with anterior shoulder dislocation with ultrasonography prior to arthroscopy. RESULTS: Twenty-six patients had labral lesions diagnosed by arthroscopy. These lesions were detected by ultrasonography with a sensitivity of 88% and a specificity of 67%. All lesions affected the anterior labrum, while six extended to the posterior labrum. The latter were not visualized by ultrasonography. CONCLUSION: Ultrasonography is valuable in the detection of anterior labral lesions even in patients with recent shoulder dislocation.

Adolescent↗
PubMed1998

Post-mortem ultrasonographic assessment of the anterior glenoid labrum.

OBJECTIVE: The purpose of this study was to investigate the identification of the anterior glenoid labrum with ultrasonography. METHODS: Twelve cadaveric shoulders from subjects 74 to 85 years of age were examined by ultrasonography. Under ultrasonographic guidance, a small amount of dye was injected on the structure believed to be the anterior glenoid labrum, whereafter the shoulders were dissected. RESULTS: In 11 shoulders the dye was found in close relation to the glenoid labrum. Comparing the labrum to a watch face numbered clockwise in the left shoulder, and counter clockwise in the right, the part seen was located between 1 and 5 o'clock. Signs of degeneration were found in six labra by ultrasonography and verified by blindfolded dissection. CONCLUSIONS: Ultrasonography can identify the anterior glenoid labrum and distinguish degenerated from normal labra.

Aged↗
PubMed1998

Treatment of "frozen shoulder" with distension and glucorticoid compared with glucorticoid alone. A randomised controlled trial.

This study is a comparison of treatments of idiopathic "Frozen Shoulder" (adhesive capsulitis), distension combined with steroid is compared with steroid alone. Evaluation was based on pain scales, analgesic usage, and range of motion outcome scales. Out of one-hundred twenty patients (age, mean 51, range 21-70) that were referred under the diagnosis FS, twenty-six fulfilled the criteria for inclusion in the study, but four patients did not want to participate in the trial, giving a total of 22 patients (age, mean 53, range 40-65) in the study. Patients were randomised by the envelope method. Two patients dropped-out, one in each treatment group thus leaving the study with 20 patients for the final statistical analysis. Eight were treated with steroid alone and 12 with distension combined with steroid. Patients received one treatment per week for a six weeks period with a follow-up at 12 weeks. They were evaluated by pain VAS on function and at rest within the study period, the different ranges of motion (ROM) were measured at inclusion time and subsequent afterwards at 3, 6, and 12 weeks. The VAS outcomes showed no difference between the treatments (VAS-function p=0,1; VAS-rest p=0.1), while in the distension group ROM showed significant improvement in all directions except extension (external p=0.0007, flexion p=0.03, extension p=0,01). The analgesic usage was significantly lower in the group treated with distension at the end of the study (p=0.008). A blinded clinical assessment of ROM also showed significant improvement (p=0.002). It is concluded that distension with steroid can seem to help in management of "Frozen Shoulder". Other studies seems to support the conclusion.

Adult↗
PubMed1993

[Sarcoidosis presenting as symptomatic myopathy].

We report the case of a 46-year old man who presented with symptomatic myopathy. Muscle biopsy revealed epithelioid granulomas consistent with sarcoidosis. The patient had no symptoms other than those of muscle involvement. He responded well to a moderate dose of corticosteroid. We discuss the differential diagnosis of this rare illness.

Diagnosis, Differential↗
PubMed1993

[Salazopyrine desensitization].

Salazopyrin is effective in the management of connective tissue diseases, it is safe and useful for long-term management. However, it's use may be complicated by a skin rash which may necessitate withdrawal of therapy. Four patients with connective tissue diseases were treated with salazopyrin in desensitisation doses, as management with full dosage had previously been followed by a skin rash. In two patients, we were able to achieve a daily dosage of 2 g salazopyrin, in one case therapy was continued with a lower dosage, and withdrawal of the drug proved necessary in one patient. Desensitisation of salazopyrin induced rash is an easy procedure and is, possible in most cases. It may be worthwhile for many patients.

Connective Tissue Diseases↗
PubMed1993

[Skiing injuries. Review over the winter of 1990-1991 in a clinic in the French Alps].

The popularity of skiing has increased in recent years, producing an increase in the absolute number of ski injuries despite a decrease in the overall injury rate. A review of 620 injuries in a surgery in Val d'Isére, in the French Alps, during the winter season 1990-1991 confirmed the evolution in the epidemiology of ski injuries. In our study, fractures only constituted 11% of the ski lesions. The upper extremity was involved in 28% and the lower extremity in 49% of the injuries. 33% of the absolute number of injuries and 72% of the admissions to hospital were on account of knee injuries. More attention should be paid to the individual preparation of the skier.

Adult↗