EMC - Rhumatologie-Orthopédie最新文献_第7页

Lombalgies Lombalgies

EMC - Rhumatologie-Orthopédie Pub Date : 2004-07-01 DOI: 10.1016/j.emcrho.2004.04.001

S. Poiraudeau, M.-M. Lefevre Colau, F. Fayad, F. Rannou, M. Revel

引用次数: 0

Rapport de congrès : le 11e congrès de l'ESSKA s'est tenu du 5 au 8 mai à Athènes 大会报告:第11届esska大会于5月5日至8日在雅典举行

EMC - Rhumatologie-Orthopédie Pub Date : 2004-07-01 DOI: 10.1016/j.emcrho.2004.06.006

P. Djian

引用次数: 0

Traitement des lomboradiculalgies 腰痛的治疗

EMC - Rhumatologie-Orthopédie Pub Date : 2004-07-01 DOI: 10.1016/j.emcrho.2004.03.001

M.-M. Lefèvre-Colau , Antoine Babinet (Praticien hospitalier, chirurgien des Hôpitaux) , Serge Poiraudeau (Professeur)

{"title":"Traitement des lomboradiculalgies","authors":"M.-M. Lefèvre-Colau , Antoine Babinet (Praticien hospitalier, chirurgien des Hôpitaux) , Serge Poiraudeau (Professeur)","doi":"10.1016/j.emcrho.2004.03.001","DOIUrl":"10.1016/j.emcrho.2004.03.001","url":null,"abstract":"<div><p>The fact that 95% of sciaticas evolve towards recovery without medical treatment of the herniated disk represents a major argument of the therapeutic strategy. The possibility of repeating scanography and magnetic resonance imaging allowed to show that a herniated disk may disappear after some months whatever its size; however many recoveries occur while the herniated disk is still present. The compression-induced radicular deformation is not the only mechanism factor of pain. In addition, an evidence of herniated disk may be found in about 20% of asymptomatic subjects. Long-term follow-up of patients with a discal lumbagosciatica in which surgery was indicated, shows at 1 year that the clinical course of patients who underwent surgery doesn’t differ significantly from that of patients who only received a symptomatic medical treatment. Thus, treatment of common sciatica should not exclusively focus on the diskoradicular compression conflict. Except in cases of surgical emergencies such as a <em>cauda equina</em> syndrome with genital-sphincter disorders, and radiculalgias with aggravating motor impairment, all available medical treatments for the herniated disk should be tried for at least 2-3 months before making decision for local treatment. It has never been evidenced that potential sciatica recovery could be jeopardized by the duration of radicular pain</p></div>","PeriodicalId":100448,"journal":{"name":"EMC - Rhumatologie-Orthopédie","volume":"1 4","pages":"Pages 328-342"},"PeriodicalIF":0.0,"publicationDate":"2004-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcrho.2004.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89561750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

CV2 - Editorial Board CV2 -编辑委员会

EMC - Rhumatologie-Orthopédie Pub Date : 2004-07-01 DOI: 10.1016/S1762-4207(04)00083-3

引用次数: 0

Quelques lectures 数读

EMC - Rhumatologie-Orthopédie Pub Date : 2004-07-01 DOI: 10.1016/j.emcrho.2004.06.005

D. Clerc

引用次数: 0

Détresse respiratoire par compression laryngée révélatrice d'une tuberculose ostéoarticulaire cervicale 喉部受压引起的呼吸窘迫，显示颈椎骨关节结核

EMC - Rhumatologie-Orthopédie Pub Date : 2004-07-01 DOI: 10.1016/j.emcrho.2004.06.008

D. Clerc

引用次数: 0

Éditorial 编辑

EMC - Rhumatologie-Orthopédie Pub Date : 2004-07-01 DOI: 10.1016/j.emcrho.2004.06.004

H. Dorfmann

引用次数: 0

Un cas rare d'ostéome ostéoïde de la coronoïde d'apparition et d'évolution inhabituelle 一种罕见的冠状骨样骨瘤的出现和不寻常的发展

EMC - Rhumatologie-Orthopédie Pub Date : 2004-05-01 DOI: 10.1016/j.emcrho.2004.04.003

G. Daubinet , J.-D. Laredo , P. Djian

引用次数: 3

Traitement de l'infection articulaire 关节感染的治疗

EMC - Rhumatologie-Orthopédie Pub Date : 2004-05-01 DOI: 10.1016/j.emcrho.2004.02.002

A Lortat-Jacob (Professeur des Universités)

引用次数: 0

Immunopathologie de la polyarthrite rhumatoïde 类风湿性关节炎的免疫病理学

EMC - Rhumatologie-Orthopédie Pub Date : 2004-05-01 DOI: 10.1016/j.emcrho.2004.03.003

J Morel (Chef de clinique-assistant) , P Miossec (Professeur des Universités-praticien hospitalier) , B Combe (Professeur des Universités-praticien hospitalier)

{"title":"Immunopathologie de la polyarthrite rhumatoïde","authors":"J Morel (Chef de clinique-assistant) , P Miossec (Professeur des Universités-praticien hospitalier) , B Combe (Professeur des Universités-praticien hospitalier)","doi":"10.1016/j.emcrho.2004.03.003","DOIUrl":"10.1016/j.emcrho.2004.03.003","url":null,"abstract":"<div><p>Rheumatoid arthritis (RA) is one of the most studied auto-immune disease. In fifty years, considerable progress in the comprehension of the immunopathogenesis of this disease has been achieved. The antigen responsible for RA is still unknown, however, the high specificity of auto-antibodies directed against citrullinated peptides provides some information on the structure of this antigen probably rich in citrullines residues. RA is a polyfactorial disease that involves hormones, genetic and environmental factors, but also immunological disorders which contribute to chronic synovitis. The mechanisms involved in the pathogenesis of the disease are complex and implicate innate immunity (toll like receptors, cytokines, complement) and adaptative immune response characterised by a T cell-mediated antigen specific response implicating antigen presenting cells, B and T lymphocytes. Immunopathogenesis of RA can be subdivided in three different phases: an early phase involving innate immunity, an established phase characterised by chronic synovitis depending essentially on adaptative immune response, and a destructive phase related to cytokines effect (TNFα, IL-1β, metalloproteinases, RANKL) but also a tumour-like proliferation of fibroblast such as synoviocytes related to apoptosis defect. The better understanding of RA immunopathogenesis has led to the development of specific therapeutic interventions such as biologic agents. Based on the pathogenic mechanisms, novel treatment targeting cytokines, intracellular signalling pathways or lymphocyte co-stimulation proteins.</p></div>","PeriodicalId":100448,"journal":{"name":"EMC - Rhumatologie-Orthopédie","volume":"1 3","pages":"Pages 218-230"},"PeriodicalIF":0.0,"publicationDate":"2004-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcrho.2004.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77941554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 20