Revista Romana de Reumatologie最新文献_第2页

Adapted rehabilitation protocols for knee arthroplasty - Systematic review of the literature 膝关节置换术的适应性康复方案——文献系统综述

Revista Romana de Reumatologie Pub Date : 2023-03-31 DOI: 10.37897/rjr.2023.1.1

Gavril Gheorghievici, C. Stoica, B. Mitoiu, Anatoli Covaleov, A. Luchian

{"title":"Adapted rehabilitation protocols for knee arthroplasty - Systematic review of the literature","authors":"Gavril Gheorghievici, C. Stoica, B. Mitoiu, Anatoli Covaleov, A. Luchian","doi":"10.37897/rjr.2023.1.1","DOIUrl":"https://doi.org/10.37897/rjr.2023.1.1","url":null,"abstract":"Total knee arthroplasty is a frequently met replacement procedure for patients with degenerative knee disease. The main purpose of the intervention is to provide pain relief and to promote range of motion and joint stability for patients in which conservative options such as pharmacological treatment or physical therapy can’t accomplish any more an adequate symptom alleviation. Most guidelines regarding the first stage of the rehabilitation process recommend early mobilization in order to gain as quickly as possible functional independence, and also to promote muscle strength and coordination. This should be done from the first day post surgery, depending on the patients compliance. In the subacute stage, the emphasis is put on maintaining a progression of the weight-bearing status, and promoting normal walking without the use of an assistive device. Patient education will be focused on changes that need to be made in a domestic environment and also modifications regarding social and professional activities. The third phase of the rehabilitation process focuses on limb symmetry and equal weight bearing which represent absolute objectives that need to be obtained. Balance exercises will include progression from bilateral to unilateral, and integration of unstable surfaces if possible associated with cardiovascular training. This phase of the rehabilitation process is considered to be completed once all realistic functional goals are achieved.","PeriodicalId":33518,"journal":{"name":"Revista Romana de Reumatologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47125271","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: 0

Skin involvement in systemic lupus erythematosus: a review article 系统性红斑狼疮的皮肤受累:综述文章

Revista Romana de Reumatologie Pub Date : 2023-03-31 DOI: 10.37897/rjr.2023.1.2

Teodora Baciu, Stefan Neculai Nica, S. Daia-Iliescu, A. Borangiu, Claudia Cobilinski, D. Opriș-Belinski, R. Ionescu, I. Saulescu

引用次数: 0

Systemic lupus erythematosus – the discrepancy between renal impairment and clinical and immunological manifestations 系统性红斑狼疮-肾脏损害与临床和免疫表现的差异

Revista Romana de Reumatologie Pub Date : 2023-03-31 DOI: 10.37897/rjr.2023.1.5

Mihaela Dragusin, B. Dumitrescu, I. Miler, N. Petre, Virginia Chiţu, C. Popescu, C. Codreanu

引用次数: 0

Prolongation of the QT interval under treatment with hydroxychloroquine in a patient with systemic lupus erythematosus: A case report 羟基氯喹治疗系统性红斑狼疮患者QT间期延长1例

Revista Romana de Reumatologie Pub Date : 2022-12-31 DOI: 10.37897/rjr.2022.4.1

Ioan-Teodor Dragoi, A. Burlui, L. Macovei, P. Richter, E. Rezus

引用次数: 0

Isolated avulsion fracture of the lesser tuberosity of the humerus 肱骨小结节孤立性撕脱骨折

Revista Romana de Reumatologie Pub Date : 2022-12-31 DOI: 10.37897/rjr.2022.4.3

Sofian Nachawati, I. Stoica, R. Popescu, Gavril Gheorghievici, Theodor Moldoveanu, E. Haritinian

引用次数: 0

Open arthrolysis versus arthroplasty in the treatment of posttraumatic elbow stiffness 开放性关节松解与关节置换术治疗创伤后肘关节僵硬

Revista Romana de Reumatologie Pub Date : 2022-12-31 DOI: 10.37897/rjr.2022.4.6

D. Antonescu, D. Schiopu, I. Stoica

{"title":"Open arthrolysis versus arthroplasty in the treatment of posttraumatic elbow stiffness","authors":"D. Antonescu, D. Schiopu, I. Stoica","doi":"10.37897/rjr.2022.4.6","DOIUrl":"https://doi.org/10.37897/rjr.2022.4.6","url":null,"abstract":"Elbow stiffness is a common problem following trauma to the elbow. Sixty-seven patients with posttraumatic elbow stiffness were surgically treated between 1985 - 2000. Sixty-one were clinically reviewed after a mean follow-up of 15 years (range: 7 to 19 years). The initial trauma had resulted in 8 intrinsic, in 31 extrinsic and in 28 mixed lesions. The mean preoperative flexion – extension arc of motion, was 46°. After an unsuccessful conservative treatment, open surgical arthrolysis was performed in 59 patients with exclusively extrinsic or mixed lesions, through a lateral approach combined with a medial approach when deemed necessary. In patients with complex intrinsic lesions was performed 3 resection arthroplasty and 5 total elbow arthroplasty. At final follow-up, the mean arc of motion of the elbow was significantly improved to 100° in 56 patients who had undergone open arthrolysis; 3 were lost to follow-up. Among the 3 patients who had undergone arthroplasty resection, only one had a markedly improved elbow function with a 90° arc of motion; elbow stiffness had recurred in the other two patients. Of the 5 patients who underwent total elbow arthroplasty, 3 were lost to follow-up; the other 2 patients had a stable elbow, with a fair arc of motion of 60° and 70° respectively, both with a flexion contracture of 20°. Complications included 2 superficial infections, which healed following conservative treatment, and one fracture following remodeling of a malunited distal fracture of the humerus. In the treatment of the posttraumatic stiffness of the elbow, the arthrolysis and the arthroplasty are indicated in dependence on the existent (extrinsic or intrinsic) lesions and on their severity.","PeriodicalId":33518,"journal":{"name":"Revista Romana de Reumatologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45521670","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: 0

“50 shades of groin pain” in an unusual case of osteomyelitis pubis following surgery 手术后不寻常的耻骨骨髓炎病例的“50度腹股沟疼痛”

Revista Romana de Reumatologie Pub Date : 2022-12-31 DOI: 10.37897/rjr.2022.4.2

I. Dinu, M. Abobului, F. Berghea, C. Cobilinschi, Cristiana Prefac, D. Opriș-Belinski, A. Balanescu

{"title":"“50 shades of groin pain” in an unusual case of osteomyelitis pubis following surgery","authors":"I. Dinu, M. Abobului, F. Berghea, C. Cobilinschi, Cristiana Prefac, D. Opriș-Belinski, A. Balanescu","doi":"10.37897/rjr.2022.4.2","DOIUrl":"https://doi.org/10.37897/rjr.2022.4.2","url":null,"abstract":"Osteomyelitis pubis (OP) is a rare type of infection involving the pubic bones that often poses diagnostic and consecutive therapeutic problems. The infection can be mono or polymicrobial, bacterial, mycotic or bacillary with Staphylococcus aureus being the most common infectious agent involved. OP is generally seen in immune-suppressed patients of oncologic and diabetic population or in pediatric and geriatric subjects. The main symptom is represented by local pain with radiation to thighs which in later stages is accompanied by general non-specific symptoms such as malaise, fever and loss of appetite. The specificity-lacking initial presentation often leads to diagnostic delays which furthermore decrease the effectiveness of drug therapy, leading to higher chances of bone and joint destruction. Initial therapy consists of empirical antibiotherapy that should cover Staph. aureus; depending on culture results, the scheme should be changed accordingly. Moreover, symptomatic treatment of pain and inflammation consisting of NSAIDs, small dose glucocorticoids and minor opioids should be considered. Selected cases may benefit from surgical intervention when improvement or remission is considered improbable under drug therapy or when severe bony destructions are present.","PeriodicalId":33518,"journal":{"name":"Revista Romana de Reumatologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48642629","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: 0

SARS-CoV-2-induced myopathy: Clinical aspects, paraclinical changes, and therapeutic options 严重急性呼吸系统综合征冠状病毒2型引起的肌病：临床方面、临床旁变化和治疗选择

Revista Romana de Reumatologie Pub Date : 2022-12-31 DOI: 10.37897/rjr.2022.4.5

Maria-Luciana Loghinoaia, A. Burlui, A. Cardoneanu, I. Bratoiu, E. Rezus

{"title":"SARS-CoV-2-induced myopathy: Clinical aspects, paraclinical changes, and therapeutic options","authors":"Maria-Luciana Loghinoaia, A. Burlui, A. Cardoneanu, I. Bratoiu, E. Rezus","doi":"10.37897/rjr.2022.4.5","DOIUrl":"https://doi.org/10.37897/rjr.2022.4.5","url":null,"abstract":"The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has made a considerable global effect, posing notable challenges for clinicians, the pandemic becoming one of the most imperative international health emergencies lately. Among other more frequent manifestations, SARS-CoV-2 disease may also give rise to skeletal muscle involvement. Viral-induced skeletal muscle involvement is a potentially severe manifestation of COVID-19 (Coronavirus Disease 2019) and may be either acute, or in the context of “long-COVID”. The present review aimed to illustrate few aspects about pathomechanisms, clinical and paraclinical frames, and treatment options for SARS-CoV-2-induced muscle involvement. Notably, it has been stated that SARS-CoV-2 may have the ability to invade muscle myocytes directly, the disease having a variety of clinical manifestations, from myalgia and muscle weakness to rhabdomyolysis. Nevertheless, it is also important to take into account that most of patients with severe forms receiving mechanical ventilation for more than one week may have complications such as CIM (critical illness myopathy) and/or CIP (critical illness polyneuropathy) that may be clinically similar to SARS-CoV-2-induced myositis, yet may be differentiated paraclinically from it. Additionally, it was hypothesized that SARS-CoV-2 infection may constitute a trigger for autoimmune diseases such as polymyositis/ dermatomyositis. Presently, there are no diagnosis criteria and no specific therapeutic strategy for SARS-CoV-2-induced myositis.","PeriodicalId":33518,"journal":{"name":"Revista Romana de Reumatologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48533890","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: 0

“Playing detective” in a case of paraneoplastic polymyositis 一例副肿瘤性多发性肌炎的“扮演侦探”

Revista Romana de Reumatologie Pub Date : 2022-12-31 DOI: 10.37897/rjr.2022.4.4

E. Jugănaru, C. Cobilinschi, C. Constantinescu, P. Hoara, C. Iosif, F. Mehic, A. Balanescu

{"title":"“Playing detective” in a case of paraneoplastic polymyositis","authors":"E. Jugănaru, C. Cobilinschi, C. Constantinescu, P. Hoara, C. Iosif, F. Mehic, A. Balanescu","doi":"10.37897/rjr.2022.4.4","DOIUrl":"https://doi.org/10.37897/rjr.2022.4.4","url":null,"abstract":"Adult-onset polymyositis (PM) belongs to the idiopathic inflammatory myopathy (IIM) group and manifests with proximal muscle weakness, elevated muscle enzymes and positive myositis- specific antibodies. The subset of autoantibodies can indicate a higher risk for cancer association. An 82-year-old diabetic patient, with multiple cardio-vascular comorbidities, was hospitalized for muscle weakness of the upper girdle, dysphagia and dysphonia, accompanied by elevated serum muscle enzymes. Muscle biopsy showed an inflammatory infiltrate while immunological assays found positive ANA and anti-NXP2 antibodies. The diagnosis of PM was established, thus a screening for underlying neoplasia was required. Upper endoscopy visualized an area of ectopic mucosa in the esophagogastric junction and the biopsy confirmed a squamous cell carcinoma in situ. Patient had favorable muscle outcome under methylprednisolone pulse therapy. It is worth noting that polymyositis is more rarely associated with cancers as compared to dermatomyositis (DM). In conclusion, the type of antibodies identified in myositis can represent an alarm signal for oncologic screening, making possible an early diagnosis and efficient treatment of a hidden tumor.","PeriodicalId":33518,"journal":{"name":"Revista Romana de Reumatologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44062175","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: 0

Disease activity and functional outcomes in non-radiographic spondyloarthritis versus ankylosing spondylitis – preliminary results 非放射学脊柱关节炎与强直性脊柱炎的疾病活动性和功能结果——初步结果

Revista Romana de Reumatologie Pub Date : 2022-09-30 DOI: 10.37897/rjr.2022.3.8

Ana-Maria Doca, Andreea Odobasu, Andreea Hortolomei, M. Russu, A. Popescu, C. Pomîrleanu, G. Strugariu, C. Ancuța

{"title":"Disease activity and functional outcomes in non-radiographic spondyloarthritis versus ankylosing spondylitis – preliminary results","authors":"Ana-Maria Doca, Andreea Odobasu, Andreea Hortolomei, M. Russu, A. Popescu, C. Pomîrleanu, G. Strugariu, C. Ancuța","doi":"10.37897/rjr.2022.3.8","DOIUrl":"https://doi.org/10.37897/rjr.2022.3.8","url":null,"abstract":"Introduction. Spondyloarthritis (SpA) represent a heterogeneous group of chronic inflammatory conditions sharing clinical, genetic, imaging and therapeutic features. Objectives. To analyze the clinical and biological characteristics, disease activity and functional impact in non-radiographic axial SpA (nr-axSpA) versus ankylosing spondylitis (AS). Material and method. Cross-sectional observational 12 months study on 46 patients with axial SpA; disease related parameters (clinical, biological, activity and functionality indices) and treatment options were compared in disease categories (nr-axSpA and AS). Outcomes. AS was diagnosed in 73.9%, and nr-axSpA in 26.1% cases. The majority of patients with nr-axSpA were women (72% vs 28%), with a younger age at onset (35.2±9.5 years vs 41±0.6 years) and a shorter time to diagnosis (3±0.5 vs 5.5±3.2 years). C-reactive protein levels were significantly higher in AS compared to nr-axSpA (2.2±0.5 vs 1.28±0.7)(p<0.05). However, there were no significant differences between activity (ASDAS-CRP: 3.4±1.2 vs 3.2±0.9; BASDAI: 5.8±1.3 vs 5.6±1.1) and functionality measures (BASFI: 5.8±1.4 vs 5.7±1.2) in (p >0.05) in AS vs nr-axSpA. Conclusions. Although nr-axSpA occurs frequently in women and may present with lower CRP levels, there are similar trends in disease activity and functional outcomes in both disease categories of the ax-SpA spectrum. Both nr-axSpA and AS patients experience high disease burden.","PeriodicalId":33518,"journal":{"name":"Revista Romana de Reumatologie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44251111","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: 0