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At least 19 recordsLinked to original sources
PubMed1994

[Congenital and acquired deformities of knee joint menisci in children].

Children with congenital and acquired pathology of the menisci account for 7.2% of all patients with internal pathological conditions of the knee joint. The clinical manifestations are due to instability of the joint. In rupture of normally developed menisci the instability is acute or subacute and is displayed by general unspecific reactive symptomatology. The clinical signs of instability are revealed in children with anomalous development of the menisci due to decompensation of the defence-adaptational mechanisms and are evidence of a chronic pathological condition. A precise topical diagnosis of pathology of the menisci may be established only by means of special examination methods among which arthropneumography plays the principal role. The studies made it possible to distinguish and describe a previously unknown pathological condition--abnormal attachment of the menisci to the transverse ligament of the knee. Paracapsular resection of the ruptured or discoid meniscus through a wide parapatellar approach is the optimal surgical policy. Rational postoperative management consisting in early and prolonged kinesitherapy with exclusion of an axial load on the limb and a system of active medical follow-up restore the stability of the knee joint and its full function in 95% of patients and maintain it for postoperative periods of up to 10 years.

Adolescent↗
PubMed1994

Torsion in quadrupeds and its impact on mammalian joints.

Congenital and acquired torsion occur in the limbs of domestic animals. Congenital abnormalities are of clinical significance in foals; they are also seen in calves whose dams have ingested certain toxic plants that contain teratogenic agents. Acquired torsional deformities are most common in foals, but are also observed in adult horses, dogs, and llamas. Acquired rotational deformities are almost always associated with angular limb deformities. The clinical consequence of torsional deformities is the early development of degenerative joint disease.

Animals↗
PubMed1991

[True Madelung's deformity and traumatic pseudo-Madelung. An exemplary differential diagnosis of the deformity in the forearm of children].

This article describes the differential diagnosis between hereditary Madelung's deformity and acquired posttraumatic Pseudo-Madelung's deformity. Three cases of posttraumatic Pseudo-Madelung's deformity were reported. Aspects of aetiology, clinical radiological appearance of hereditary Madelung's deformity and acquired Pseudo-Madelung's deformity are discussed. Differential diagnostic criteria for the discrimination between both forms are also discussed. A rare case of acquired posttraumatic "reversed" Madelung's deformity is also reported.

Adolescent↗
PubMed1994

Wrist arthrodesis: a combined intramedullary pin and autogenous iliac crest bone graft technique.

Forty-six wrist arthrodeses in 36 patients were reviewed. The technique used provided a reliable fusion method for a variety of wrist disorders. The arthrodeses were performed using an autogenous iliac crest bone graft, with an intramedullary Steinman pin placed within the distal radial and third metacarpal shafts, and an obliquely-placed Kirschner wire across the second metacarpal base into the radius. The distal ulna, instead of the radius, was used in patients with radial agenesis. Three patient populations were identified: group 1, connective tissue wrist disorders; group 2, congenital wrist disorders; and group 3, acquired wrist disorders. A residual flexion, radial deviation deformity was noted with the congenital disorders. All patients had low demand requirements for this fused wrists. The average time of fusion for each group as 14, 15, and 12 weeks, respectively.

Adult↗
PubMed2002

Cervical spine disorders in patients with rheumatoid arthritis and amyloidosis.

The aim of this radiographic study was to ascertain the extent of inflammatory cervical spine disorders in patients with rheumatoid arthritis (RA) complicated by secondary amyloidosis (SA). The study involved 147 patients with RA and SA, whose cervical spine radiographs were available. They were treated at the Rheumatism Foundation Hospital, Heinola, during the period 1989-2000 and had had RA for a mean of 24 years. The inflammatory abnormalities of the cervical spine were studied from radiographs taken at or after the diagnosis of SA during flexion and extension. One-hundred and eleven (76%) patients had subluxations, impaction or apophyseal joint ankylosis. Atlantoaxial impaction (AAI) was seen in 76 (52%) patients and anterior atlantoaxial subluxation (AAS) in 59 (40%). Apophyseal joint ankylosis was the third most frequent finding, seen in 34 (23%) cases. A combination of AAI and apophyseal joint ankylosis was noted in 26 (18%) patients. Eight (5%) patients had undergone surgery on the cervical spine. In conclusion, inflammatory and destructive changes are frequent in the cervical spine of patients with RA and SA. Characteristic changes are AAI and AAS. RA patients with SA have more severe disease than those in epidemiological studies when cervical spine disorders are concerned.

Adolescent↗
PubMed1996

[Epimetaphyseal pseudarthroses].

Epi-metaphyseal pseudarthroses are rare. They occur in about 1% of cases after osteosynthesis and osteotomies and may cause deviation as well as painful limitation of motion and instability. Several different treatment methods can be advocated, including decortication and bridging of bone and articular defects, stable osteosynthesis and arthroplasty to regain motion. In selected cases endoprosthetic replacement can be a reliable procedure instead of an arthrodesis.

Arthrodesis↗
PubMed1997

[Post-traumatic problem cases involving the elbow in children].

In the last 20 years 49 children with gross posttraumatic elbow deformities have been treated in our hospital: 19 patients with an overlooked radial head dislocation, 12 children with a radial condyle deformity and 19 patients with a severe radial head deformity. SECONDARY TREATMENT: In the majority of cases secondary surgical procedures led to unsatisfying results. Only 4 patients with a pseudarthrosis of the radial condyle were treated secondarily. Surgical fixation led to good functional results but was not able to remove the joint deformity. Overlooked radial head dislocations were treated by ulnar osteotomy in 17 cases. We were able to follow up 13 of these: a redislocation had taken place in 8 of them. Functional impairment was found in 6 redislocated cases and in 2 children with a correct position of the radial head. In patients with gross radial head deformities arthrolysis was performed. The radial head had to be taken out in 7 cases. Functional results of pro- and supination were unsatisfactory. INITIAL TREATMENT AND CAUSES: Persistent dislocations of the radial head had been overlooked initially. In 9 out of 12 cases with a radial condyle deformity a conservatively treated dislocated fracture had led to a pseudarthrosis. In the remaining 2 cases the fracture fragments had been fixated in an incorrect position. Radial head deformities were seen after dislocated radial head fractures which had been treated by open reduction, internal fixation, longterm immobilization (6-8 weeks) and excessive physiotherapy. CONCLUSION: In 47 out of 49 cases posttraumatic deformities were either caused by delayed an neglected treatment or traumatic and excessive therapy methods. An adequate initial diagnosis and therapy can prevent more than 90% of severe posttraumatic elbow deformities in children.

Child↗
PubMed2006

Treatment of chronic radial head dislocations in children.

From 1990 to 2005 our department treated nine patients with chronic radial head dislocation by an ulnar osteotomy and indirect reduction by interosseous membrane. The patients varied in age from 2 years and 8 months to 10 years, and the time from the injury to operation ranged from 40 days to 3 years. The range of functional motion and carrying angle was restored in all nine patients, and no complications, such as recurrent dislocation, infection, or neurovascular injury were observed. This technique has proven to be a successful approach to treating such cases, with a low range of complications and good functional results.

Child↗
PubMed2002

Lengthening of the iliotibial band by femoral detachment and multiple puncture. A cadaver study.

BACKGROUND: Lengthening of the iliotibial band by various methods such as distal detachment, Z-plasty, or multiple puncture are common procedures for balancing the contracted valgus knee in total knee arthroplasty. This study was performed to measure the lengthening effect of multiple puncture and release of the distal femoral attachment of the iliotibial tract. METHODS: In a cadaver study on 14 knees, we studied the possible elongation of the iliotibial band by distal femoral detachment (release of Kaplan's fibers) and multiple puncture of the distal half of the tract. Maximum elongation was measured under a constant tension of 60 N. RESULTS: The average gain in length of the combination of both procedures was 16.3 mm (range 12-23 mm) with a tension force of 60 N applied. CONCLUSION: The results show that a sufficient release of the iliotibial band can be achieved with the techniques except for severe cases of valgus deformation, where more effective methods to release the iliotibial band such as Z-plasty or complete dissection should be performed.

Arthroplasty, Replacement, Knee↗
PubMed1997

The incidence of glenohumeral joint abnormalities associated with full-thickness, reparable rotator cuff tears.

To evaluate the incidence of associated glenohumeral lesions in patients with a full-thickness rotator cuff tear, an arthroscopic examination of the glenohumeral joint was performed in 200 shoulders in 195 consecutive patients before arthroscopic rotator cuff repair. One hundred twenty-one (60.5%) had coexisting intraarticular abnormalities. Ninety-six (48%) had minor abnormalities, and 25 patients (12.5%) had major coexisting intraarticular abnormalities. Major lesions (that required operative treatment, changed postoperative rehabilitation, or altered the expected end result) noted at arthroscopic examination were osteoarthritis in nine patients, partial biceps tendon tears in three, labrum tears in three, Bankart lesions in two, superior labrum anterior posterior lesions in five, and glenohumeral synovitis in three patients. Glenohumeral arthroscopy can provide valuable information in patients with a complete rotator cuff tear.

Arthroscopy↗
PubMed1983

Simple arthrolysis for flexor rigidity of the proximal interphalangeal joint.

The authors report 19 cases of simple arthrolysis of the proximal interphalangeal joint for flexion rigidity. Their cases were limited to isolated lesions of the joint without any flexor or extensor tendon involvement. The technique is described, and the importance of postoperative physical therapy is stressed. The results in these cases, in contrast with those in complicated cases of rigidity, are very satisfactory. The etiology is primarily sprains and dislocations of the proximal interphalangeal articulation, immobilized for too long a time in flexion (in the so-called "functional position").

Combined Modality Therapy↗
PubMed1983

Radiolunate arthrodesis. Factor of stability for the rheumatoid wrist.

Spontaneous radiolunate arthrodesis found in nearly 13% of rheumatoid wrists confer on this joint a durable physiologic orientation with reduced but sufficient mobility. Twelve cases of this type of fusion were studied radiologically and clinically with an average follow-up of 5 years. The authors advise surgical arthrodesis as a supplementary procedure with synovectomy every time there is instability of the carpal articulation with ulnar disalignment. Seven cases are reported, 4 of which are presented in detail. The operative technic and indications are discussed briefly.

Adult↗
PubMed1983

Long-term results from metacarpophalangeal arthroplasty.

The authors have been using Swanson's prostheses for MP joint replacement in rheumatoid arthritis since 1968. After thirteen years of experience, they present an analysis of these prostheses from a clinical and radiological point of view. 88 joints replacements in 20 patients are reviewed. These operations were performed between 1968 and 1976. The average follow-up is nine years. The authors compare their results with those obtained in a previous study made in 1975. They show that a replacement arthroplasty with a Swanson type prosthesis, imparts considerable benefits to the patient in the form of complete disappearance of pain, improvement in function, and a more normal looking hand, in spite of radiologic deterioration.

Adult↗
PubMed1993

Computed tomography in differential diagnosis of temporomandibular joint disorders.

Computed tomography (CT) has great potential for imaging intra- and extracapsular hard-tissue abnormality of the temporomandibular joint (TMJ). CT is not the best method of imaging disk position and form. For differential diagnosis of TMJ disorders, CT is especially successful in bony lesions. The study includes 16 examples of TMJ hard-tissue abnormality. In the differential diagnosis of all cases, CT played a decisive role.

Adolescent↗
PubMedDate not supplied

[Arthropathy and late changes in thalassemia major. A case report].

Patients with beta-thalassemia develop a specific osteoarthropathy as they approach the second life decade. Radiological changes included osteopenia, widened medullary spaces, thin cortices with coarse reticulations, evidence of microfractures, premature epiphysiodesis of long bones and skeletal deformations. The fact that currently patients with beta-thalassemia have a longer life expectancy may explain the recent observations in this case report of this entity, which should become more familiar to orthopaedic surgeons who treat thalassemia patients in the future.

Adult↗