PubMed Health⌕ Search

Biomedical subjects

R Cetti

Publications and source records attributed to R Cetti.

At least 19 recordsLinked to original sources
PubMed1994

A new treatment of ruptured Achilles tendons. A prospective randomized study.

Sixty patients with acute rupture of the Achilles tendon were included in a prospective study and assigned randomly for operative treatment using a 4-string suture with either a new mobile cast (30) or a rigid below-knee cast (30). All patients were evaluated clinically for 1 year after surgery. During surgery, a radiographic monitor was placed in the Achilles tendon above and beneath the site of rupture. Radiographic evaluation of tendon behavior during healing was also performed on all patients for 1 year. Major complications were 1 rerupture in the mobile cast group and 2 reruptures and 1 infection in the rigid cast group. There were fewer minor complications in the mobile cast group. More patients in the mobile cast group resumed sports activities at the same level as before the rupture than in the rigid cast group. They also had better recovery of normal ankle movement plus faster and better recovery of plantar flexion strength. Fewer patients in the mobile cast group had calf atrophy, and fewer had problems 1 year after the accident. Furthermore, patients treated with the mobile cast had a statistically significant shorter sick leave. Radiographic evaluation of the tendon monitor showed significantly less elongation of the tendon 1 year after rupture for patients in the mobile cast group. Operative treatment with a 4-string suture and use of a postoperative mobile cast proved safe and convenient and preferable to treatment with the traditional rigid below-knee cast.

Achilles Tendon↗
PubMed1993

Roentgenographic diagnoses of ruptured Achilles tendons.

In a prospective study, the roentgenographic features of the Achilles tendon were investigated in 60 patients with acute total rupture of the Achilles tendon. Sixty ankles without actual injuries, 60 patients with ankle fractures, and 60 patients with ankle sprains were selected as reference groups. At primary examination, 11 patients (18%) with Achilles tendon rupture were clinically estimated to have minor lesions in the Achilles tendon; all had a correct roentgenographic diagnosis. Kager's triangle was positive for rupture of the Achilles tendon in all 60 patients with operative verification of the rupture, seven (12%) had diminished Toygar's angle, and 29 (48%) had positive Arner's sign. Forty-seven patients with ruptured Achilles tendon had a thickness of the tendon compared with the opposite Achilles tendon. To lower the frequency of overlooked Achilles tendon rupture, any doubt as to whether a rupture of the Achilles tendon is present should result in a lateral roentgenographic examination of the ankle. Furthermore, the authors conclude that the presence or absence of Kager's triangle should be determined roentgenographically. If Kager's triangle is not identified on plain lateral roentgenographs of ankle, special soft tissue roentgenographs may be useful.

Achilles Tendon↗
PubMed1989

The anatomical fat pad and the radiological "scaphoid fat stripe".

The diagnostic value of the "scaphoid fat stripe" seen on X-rays in association with fractures of the scaphoid bone in the wrist is reviewed. The anatomical basis for these soft tissue radiological changes was investigated by dissection of the anatomical snuff-box and by injection studies. It is concluded that the snuffbox fat is part of a major fat-pad located in a recess radio-dorsally on the wrist. However the radiological structure named the "scaphoid fat stripe" was found to be the highly radiolucent common tendon sheath of the extensor pollicis brevis and the abductor pollicis longus muscles. Limitations in diagnostic sensitivity and specificity are discussed.

Adipose Tissue↗
PubMed1988

Ruptured Achilles tendon--preliminary results of a new treatment.

The preliminary results of a new treatment of ruptured Achilles tendons are presented. The new treatment consists of a new tendon suture and a new post-operative cast in which it is possible to make non-weight bearing movements of the ankle immediately after the operation. This makes it possible to walk the day after the operation, causes very little discomfort during the time in a cast, gives a quick return to normal mobility with normal plantar flexion strength and makes it possible to resume sport at the same level as before the injury.

Achilles Tendon↗
PubMed1984

Ruptured fibular ankle ligament: plaster or Pliton brace?

A prospective randomised study was performed in order to compare plaster cast with Pliton-80 cast brace with a mobile plastic shoe insert in the treatment of ruptured fibular ankle ligaments. The two treatment groups consisted of 65 patients in each and all were participating in the follow-up sixth months after the accident. There were no statistically significant differences in the overall results between the two treatment groups. Because 1) the mobile Pliton-80 bandage subjectively is more acceptable to the patients and -2) the disability time in the Pliton-80 group was considerably shorter than in the plaster group--it was concluded that the mobile Pliton-80 bandage can be recommended as the treatment of ruptures of the fibular ankle ligaments.

Adolescent↗
PubMed1983

Double oblique displacement osteotomy for hallux valgus.

Surgical treatment of adult hallux valgus was carried out in 57 feet using the double oblique displacement osteotomy described by Wilson. Twenty weeks after the operation, no patients had inconvenient problems when walking. The results were classified as excellent in 52 feet. Wilson's operation was found to be a simple, reliable procedure, giving satisfactory correction of the valgus deformity.

Adolescent↗
PubMed1982

The diagnostic value of displacement of the fat stripe in fracture of the scaphoid bone.

Soft tissue abnormalities on radiological examination can be useful in evaluating injury to various regions. In a retrospective study of X-ray pictures of 125 patients with injury to the wrist, it was possible to demonstrate an abnormal scaphoid fat stripe (SFS) in seventy-three out of seventy-eight cases with fracture of the scaphoid bone, compared to ten out of forty-seven cases without fracture.

Carpal Bones↗