PubMed Health⌕ Search

Biomedical subjects

S Turra

Publications and source records attributed to S Turra.

31 records · Page 2Linked to original sources
PubMedDate not supplied

Prognostic value of Catterall and Herring classification in Legg-Calvé-Perthes disease: follow-up to skeletal maturity of 32 patients.

To compare the prognostic value of the Catterall and Herring classification, 32 patients, treated without surgery for unilateral Perthes diseases, were reviewed and classified at skeletal maturity according to Stulberg. The Catterall classification had no significant prognostic correlation with the final outcome. Only some head at-risk signs, such as lateral epiphyseal calcification and epiphyseal subluxation >4 mm, were prognostic. The Herring lateral pillar was not predictive when it was considered alone, but it became prognostic when related to age at onset. Moreover, in group C of the Herring classification (lateral pillar <50%), the final outcome was better in children younger than 6 years. This last observation strengthens the opinion that age and related residual skeletal moulding are also of prognostic value in Perthes disease.

Child↗
PubMedDate not supplied

[Solitary bone cysts].

Fifty-eight cases of solitary bone cyst are reported. Clinical and radiological features and the results of surgical treatment are discussed. In the evolution of bone cysts and in particular those of the humerus two forms of the disease can occur; that of the metaphysis and that of the diaphysis with pecliar features and indications for treatment. Permanent repair of a cyst is possible only after internal reconstruction of the involved segment.

Adolescent↗
PubMedDate not supplied

Traumatic lesions of the triradiate cartilage.

Traumatic lesions of the triradiate cartilage (TC) are a rare occurrence and at a high risk for premature closure with consequent acetabular dysplasia and subdislocation of the femoral epiphysis. Based on their experience (5 cases: 2 type II and 3 type V according to the Salter-Harris classification system) and on the literature, the authors affirm that the most significant prognostic factors of this acetabular dysplasia are the age of the patient (under 10 years) and the type of lesion (Salter-Harris type V). After emphasizing how difficult it is to make a diagnosis (which is often made later on), the authors take into consideration some traumatic lesions of the pelvis and hip which by means of different mechanisms may influence the TC: fracture of the ilio- and ischio-pubic branches, fracture of the neck and detachment of the proximal epiphysis of the femur, traumatic dislocation of the hip. These lesions are often the only indirect sign of lesion, even severe ones, of the TC, and require accurate diagnostic testing (ultrasonography, CAT, MRI).

Accidents, Traffic↗
PubMedDate not supplied

[Long-term results of the conservative treatment of thalamic fractures of the calcaneus].

We have inspected 79 heel thalamic fractures, that have been treated conservatively, at an average follow-up of 8.8 years since trauma. In addition to the clinical examination, every patient was subjected to podoscopy and radiographic examination in two projections. The functional result was extremely positive in 80% of cases, without a significant relation with the severity of anatomic deformations, that are almost always present. We conclude therefore that the functional result is only partly related to the entity of clinical and radiographic pictures and that the conservative treatment gave good results in most cases, without the risks of a surgical treatment in this anatomic site.

Adolescent↗
PubMedDate not supplied

[Septic arthritis in children].

Seventy-five cases of children affected with septic arthritis for a total of 85 joints were followed-up after an average of 6 years and 9 months and evaluated according to Rigault clinical and radiographic criteria. Prognosis of the disease was related to age (less favorable results during neonatal age), to the joint affected (the hip and shoulder obtained the worst results, the knee the best), and to delay in diagnosis. Early and suitable surgical treatment associated with systemic antibiotic therapy is required.

Arthritis, Infectious↗
PubMedDate not supplied

[Complications of supracondylar fractures of the humerus in children].

Vascular, neurological and bony complications of sopracondylar fractures of the humerus in children are discussed in detail. A series of cases seen and treated at the Orthopaedic Clinic of the University of Padua are reviewed. Most cases were treated conservatively with good results. Neurological and vascular complications cleared completely, functional recovery was most satisfactory with minimal axis deviation after manipulation of the supracondylar area. In conclusion, conservative treatment remains the treatment of choice for this injury. Local conditions or complications can, in a very limited number of cases, require surgical intervention.

Adolescent↗
PubMedDate not supplied

Voluntary hip dislocation in Down's syndrome: report of two cases.

Two cases of monolateral voluntary hip dislocation in Down's syndrome are reported. No surgical procedure was permitted by the family in either case, thus showing the natural evolution of the joint morphology. In the case observed a year after the onset of hip dislocation CT Scan already showed an initial smoothing of the posterior acetabular wall. In the other case, after a 9 year follow-up, the voluntary hip dislocation was followed by progressive subluxation and fixed dislocation at the end. This suggests that only early surgical treatment can prevent this outcome.

Child↗
PubMedDate not supplied

Spondylocostal dysplasia (Jarcho-Levin syndrome).

The authors report 3 cases of rare spondylocostal dysplasia (Jarcho-Levin syndrome) associated with multiple visceral anomalies (V.A.C.TE.R.L. syndrome). The difficulty encountered in treating the disease because of the complexity and multiplicity of the visceral anomalies, and the extent and type of associated vertebral deformities is emphasized. The cases described revealed a moderate amount of progression, and were able to be treated non-surgically. It is also emphasized that even when there is moderate scoliosis associated costal deformities may cause anti-cosmetic thoracic gibbosity.

Abnormalities, Multiple↗
PubMedDate not supplied

Supracondylar fractures of the humerus in children. A comparison between non-surgical treatment and minimum synthesis.

The authors propose a comparison between methods used to treat supracondylar fractures of the humerus in children. The study included: 33 patients treated at the Ist Orthopaedic Clinic in Padova by non-surgical reduction and thoracobrachial plaster, and 33 patients treated at the Division of Orthopaedics and Traumatology at the Treviso Hospital by minimum synthesis and brachiometacarpal plaster. Mean follow-up was 7 years. The results were classified based on the Lagrange and Rigault system and the following parameters were also considered: time of hospitalization, cost-benefit relationship, loss of reduction of the fracture, any dysmetria. The two methods are equal in terms of time required for healing, and axial deviations, which were always less than 15, although somewhat better results were observed in cases judged to be excellent, with hospitalization under 2.5 days, and when minimum synthesis was used.

Age Factors↗
PubMedDate not supplied

Gigantism of the foot: our experience in seven cases.

We report our experience in seven patients with congenital gigantism of the foot with the following diagnoses: neurofibromatosis (two), fibrolipomatosis (two), Proteus syndrome (two), and idiopathic localized gigantism (one). Our purpose is to introduce a new classification of foot gigantism, based on the concept of "neuroinduction." In our experience, intraoperative examination and subsequent histologic examination show consistently pathologic findings in the plantar nerve and its terminal branches in the foot affected by gigantism. Limited surgical treatment was used in five patients. To prevent forefoot enlargement and recurrence of deformity, we suggest complete ray resection. We evaluated our results using radiographs, functional status, and cosmetic considerations.

Adult↗