Acta Biomedica de l''Ateneo Parmense最新文献_第8页

Thoracic synovial cyst as cause of cord compression in a patient with Charcot-Marie-Tooth disease. 胸椎滑膜囊肿是腓骨肌萎缩症患者脊髓受压的原因。

Acta Biomedica de l''Ateneo Parmense Pub Date : 2023-06-23 DOI: 10.23750/abm.v94iS2.12521

Domenico De Mauro, Alessandra Cicia, Maria Concetta Meluzio, Giovanni Grillo, Amarildo Smakaj, Andrea Perna, Francesco Ciro Tamburrelli

引用次数: 0

Iliac bone graft for the treatment of bone loss and non-union of the distal radius. 髂骨移植治疗桡骨远端骨丢失和骨不连。

Acta Biomedica de l''Ateneo Parmense Pub Date : 2023-06-23 DOI: 10.23750/abm.v93iS4.12485

Michela Saracco, Gianfranco Merendi, Lorenzo Rocchi

{"title":"Iliac bone graft for the treatment of bone loss and non-union of the distal radius.","authors":"Michela Saracco, Gianfranco Merendi, Lorenzo Rocchi","doi":"10.23750/abm.v93iS4.12485","DOIUrl":"https://doi.org/10.23750/abm.v93iS4.12485","url":null,"abstract":"Background/Aim of the work: Open distal radius fractures are rare compared to closed ones. They mainly affect young people with high-energy trauma and are burdened with a high number of complications, including non-union. In this case report, we describe the technique used to manage bone loss and non-union of the distal radius of a polytraumatized patient with an open Gustilo IIIB fracture of the wrist.Case report: 58-year-old man, suffering from head trauma and open right wrist fracture after motorcycle accident, underwent emergency damage control with debridement, antibiotic prophylaxis and stabilization in an external fixator. Then, he developed infection and bone loss, associated with an injury of the median nerve. Non-union were treated with iliac crest bone graft, open reduction and internal fixation (ORIF).Outcomes: At the follow-up 6 months after the bone graft and ORIF procedure and 9 months after the trauma, the patient was clinically healed, with good performance status.Conclusions: Treatment of non-union in open distal radius fractures with iliac crest bone graft is a viable, safe and easy surgical choice.","PeriodicalId":35682,"journal":{"name":"Acta Biomedica de l''Ateneo Parmense","volume":"94 S2","pages":"e2023049"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117008","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

Predictor of hip fracture type: a systematic review. 髋部骨折类型的预测因子:一项系统综述。

Acta Biomedica de l''Ateneo Parmense Pub Date : 2023-06-23 DOI: 10.23750/abm.v94iS2.12572

Maria Rosaria Matrangolo, Alessandro Smimmo, Raffaele Vitiello, Andrea De Fazio, Alessandro El Motassime, Giovanni Noia, Felice Minutillo, Giulio Maccauro

{"title":"Predictor of hip fracture type: a systematic review.","authors":"Maria Rosaria Matrangolo, Alessandro Smimmo, Raffaele Vitiello, Andrea De Fazio, Alessandro El Motassime, Giovanni Noia, Felice Minutillo, Giulio Maccauro","doi":"10.23750/abm.v94iS2.12572","DOIUrl":"https://doi.org/10.23750/abm.v94iS2.12572","url":null,"abstract":"BACKGROUND & AIM In literature, many risk factors have been related to proximal femur fracture, but most of the studies do not explore differences between femoral neck fractures (FNF) and pertrochanteric fractures (PF). The aim of the paper is to review the current literature n order to assess risk factors associated with a specific pattern of proximal femur fracture. METHODS Nineteen studies met the inclusion criteria and were taken into consideration in the review. Data reported from the included articles were age, gender of the patient, type of femoral fracture, BMI, height, weight, soft tissue composition, BMD, vitamin D levels, PTH levels, hip morphology and hip osteoarthritis. RESULTS Bone mineral density (BMD) of the intertochanteric region result significant lower in PF, while BMD in femoral neck regione was lower in FNF. Low levels of Vit D with high PTH are observed in TF whereas low levels of vit D and normal PTH in FNF. Hip osteoarthritis (HOA) is significant less present and less severe in FNF, while in PF is usually more frequent or higher grade. CONCLUSIONS Patients with pertrochanteric fracture are older, with a low cortical thickness in the femoral isthmus, low BMD in the intertrochanteric region, severe HOA, low mean haemoglobin and albumin levels and hypovitaminosis D with a high PTH levels. Patients with FNF are younger, taller, with higher body fat mass, with lower BMD levels in femoral neck region, mild HOA, hypovitaminosis D without PTH response.","PeriodicalId":35682,"journal":{"name":"Acta Biomedica de l''Ateneo Parmense","volume":"94 S2","pages":"e2023047"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135006","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

Diagnosis of periprosthetic hip infection: a clinical update. 髋关节假体周围感染的诊断:临床更新。

Acta Biomedica de l''Ateneo Parmense Pub Date : 2023-06-23 DOI: 10.23750/abm.v94iS2.13792

Valentina Luppi, Dario Regis, Andrea Sandri, Bruno Magnan

{"title":"Diagnosis of periprosthetic hip infection: a clinical update.","authors":"Valentina Luppi, Dario Regis, Andrea Sandri, Bruno Magnan","doi":"10.23750/abm.v94iS2.13792","DOIUrl":"https://doi.org/10.23750/abm.v94iS2.13792","url":null,"abstract":"Periprosthetic joint infection (PJI) is a serious complication following hip arthroplasty, which is associated with significant health cost, morbidity and mortality. There is currently no consensus in the optimal definition of PJI, and establishing diagnosis is challenging because of conflicting guidelines, numerous tests, and limited evidence, with no single test providing a sensitivity and specificity of 100%. Consequently, the diagnosis of PJI is based on a combination of clinical data, laboratory results from peripheral blood and synovial fluid, microbiological culture, histological evaluation of periprosthetic tissue, radiological investigations, and intraoperative findings. Usually, a sinus tract communicating with the prosthesis and two positive cultures for the same pathogen were regarded as major criteria for the diagnosis, but, in recent years, the availability of new serum and synovial biomarkers as well as molecular methods have shown encouraging results. Culture-negative PJI occurs in 5-12% of cases and is caused by low-grade infection as well as by previous or concomitant antibiotic therapy. Unfortunately, delay in diagnosis of PJI is associated with poorer outcomes. In this article, the current knowledge in epidemiology, pathogenesis, classification, and diagnosis of prosthetic hip infections is reviewed.","PeriodicalId":35682,"journal":{"name":"Acta Biomedica de l''Ateneo Parmense","volume":"94 S2","pages":"e2023095"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135008","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

The use of computer navigation in reverse shoulder arthroplasty revision: a case report. 计算机导航在肩关节置换术复位中的应用:1例报告。

Acta Biomedica de l''Ateneo Parmense Pub Date : 2023-06-23 DOI: 10.23750/abm.v94iS2.13832

Luigi Tarallo, Gian Mario Micheloni, Andrea Giorgini, Alessandro Donà, Giuseppe Porcellini

引用次数: 0

Isolated greater trochanter fractures. 孤立性大转子骨折。

Acta Biomedica de l''Ateneo Parmense Pub Date : 2023-06-23 DOI: 10.23750/abm.v94iS2.13815

Alessandro Aprato, Alessandra Cipolla, Andrea D'Amelio, Luigi Branca Vergano, Stefano Giaretta, Alessandro Massè

{"title":"Isolated greater trochanter fractures.","authors":"Alessandro Aprato, Alessandra Cipolla, Andrea D'Amelio, Luigi Branca Vergano, Stefano Giaretta, Alessandro Massè","doi":"10.23750/abm.v94iS2.13815","DOIUrl":"https://doi.org/10.23750/abm.v94iS2.13815","url":null,"abstract":"Introduction: Isolated fractures of the greater trochanter (GT) in adults are rare injuries and traditionally treated without surgery. The present systematic review was designed to examine the treatment protocol for isolated GT fractures and to discover if innovative surgical techniques, such as arthroscopy or suture anchors, can be used to improve outcomes in young active patients.Methods: A systematic review was conducted including all full-text articles suited our inclusion criteria from January 2000 describing treatment protocols of isolated great trochanter fractures confirmed at MRI in adults.Results: The searches identified a total of 247 patients from 20 studies with a mean age 56.1 years and mean follow-up 13,7 months. Only 4 case report treated 4 patients with not unique surgical strategy. The rest of the patients were treated conservatively.Discussion: Most trochanteric fractures can heal without surgical intervention with good results However, the patient must not immediately bear full weight and the abductor's function could decrease. Displaced GT fragments more than 2 cm or athletes, young, demanding patients may benefit from surgical fixation to regain abductor function and strength. Evidence-based surgical strategies could be provided by arthroplasty and periprosthetic literature.Conclusion: The grade of fracture displacement and the physical demands of the athlete can be important factors in the decision process for or against surgery. By now, no evidence-based guideline exists for the ideal treatment method in demanding patients. It is necessary use a \"patient-specific\" treatment strategy.","PeriodicalId":35682,"journal":{"name":"Acta Biomedica de l''Ateneo Parmense","volume":"94 S2","pages":"e2023094"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9758134","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

Clinical usefulness of nutraceutics with acetyl-L-carnitine, α-lipoic acid, phosphatidylserine, curcumin, C, E and B-group vitamins in patients awaiting for carpal tunnel release during COVID-19 pandemic: a randomized controlled open label prospective study. 在COVID-19大流行期间等待腕管释放的患者中，含有乙酰-左肉碱、α-硫辛酸、磷脂酰肌氨酸、姜黄素、C、E和b族维生素的营养品的临床应用:一项随机对照开放标签前瞻性研究

Acta Biomedica de l''Ateneo Parmense Pub Date : 2023-06-23 DOI: 10.23750/abm.v94iS2.12513

Marco D'Orio, Rocco De Vitis, Giuseppe Taccardo, Lorenzo Rocchi, Federico Ferrari, Andrea Perna, Marco Passiatore

{"title":"Clinical usefulness of nutraceutics with acetyl-L-carnitine, α-lipoic acid, phosphatidylserine, curcumin, C, E and B-group vitamins in patients awaiting for carpal tunnel release during COVID-19 pandemic: a randomized controlled open label prospective study.","authors":"Marco D'Orio, Rocco De Vitis, Giuseppe Taccardo, Lorenzo Rocchi, Federico Ferrari, Andrea Perna, Marco Passiatore","doi":"10.23750/abm.v94iS2.12513","DOIUrl":"https://doi.org/10.23750/abm.v94iS2.12513","url":null,"abstract":"Background and aim of the work: Carpal Tunnel Syndrome (CTS) is provoked by the compression of the median nerve, leading to nerve ischemia, endoneural edema, venous congestion, and subsequent metabolic alterations. Conservative treatments could be considered. The present study investigates the efficacy of a specific blend of a 600 mg dietary integrator composed of acetyl-L-carnitine, α-lipoic acid, phosphatidylserine, Curcumin, C, E and B1, B2, B6 and B12 vitamins in patients with mild to moderate CTS.Methods: The present investigation involved the outpatients who were planned to undergo open surgical decompression of the median nerve awaiting surgery from June 2020 and February 2021. CTS surgery has been significantly reduced in our institutions during the COVID-19 pandemic. Patients were randomized into Group A (dietary integration 600 mg twice day for 60 days) and Group B (control group, no drug administration). Clinical and functional improvement was prospectively measured after 60 days Results: One-hundred forty-seven patients completed the study, 69 from group A and 78 from group B. BCTQ was significantly improved with the drug administration, as well as BCTQ symptoms subscale, and the pain. BCTQ function subscale and Michigan Hand Questionnaire was not significantly improved. Ten patients in group A (14.5%) declared that they didn't need further treatment. No major side effects were noticed.Conclusions: Dietary integration could be considered as an option in patients who could not undergo surgery. Symptoms and pain could improve, but surgery remains the gold standard for recovery of function in mild to moderate CTS.","PeriodicalId":35682,"journal":{"name":"Acta Biomedica de l''Ateneo Parmense","volume":"94 S2","pages":"e2023050"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135004","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

Short-term clinical and radiological comparisons between two Medial Pivot Total Knee Arthroplasty implants with different geometries. 两种不同几何形状的内侧枢轴全膝关节置换术的短期临床和影像学比较。

Acta Biomedica de l''Ateneo Parmense Pub Date : 2023-06-23 DOI: 10.23750/abm.v94iS2.13766

Eugenio Vecchini, Ramazzini Leandro, Enrico Lunardelli, Fabio Zancanaro, Andrea Amarossi, Angela Anselmi, Damiano De Cristan, Tommaso Maluta, Bruno Magnan, Matteo Ricci

{"title":"Short-term clinical and radiological comparisons between two Medial Pivot Total Knee Arthroplasty implants with different geometries.","authors":"Eugenio Vecchini, Ramazzini Leandro, Enrico Lunardelli, Fabio Zancanaro, Andrea Amarossi, Angela Anselmi, Damiano De Cristan, Tommaso Maluta, Bruno Magnan, Matteo Ricci","doi":"10.23750/abm.v94iS2.13766","DOIUrl":"https://doi.org/10.23750/abm.v94iS2.13766","url":null,"abstract":"Background and aim: Different total knee arthroplasty (TKA) implants were created for the treatment of severe symptomatic gonarthrosis and Medial Pivot TKA (MP TKA) seem to reproduce the normal kinematics of the knee. We compare two different prosthetic designs of MP TKA in order to identify whether there is a difference between the two in terms of degree of patient satisfaction. Methods: A total of 89 patients were analyzed. A group of 46 patients who benefited from a TKA with the Evolution® prosthesis and one of 43 patients who received a TKA with the Persona® prosthesis. KSS, OKS, FJS and the ROM were analyzed at follow up.Results: The values of KSS and OKS were similar between the two groups (p>0,05). Our statistical analysis revealed a statistically significant increase (p <0.05) in ROM in the Persona® group and in FJS in the Evolution® group. No radiolucent lines were observed in both groups at the radiological final follow-up. Conclusions: MP TKA models analysed are a valuable tool to achieve satisfactory clinical outcomes. This study demonstrates that the FJS is an important score for the evaluation of patient's satisfaction: a ROM's limitation can be accepted by the patient in exchange for a more natural perceived knee.","PeriodicalId":35682,"journal":{"name":"Acta Biomedica de l''Ateneo Parmense","volume":"94 S2","pages":"e2023087"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135009","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

What to expect after revision shoulder arthroplasty? A comprehensive review of the literature. 肩关节置换术后会发生什么?文献综述。

Acta Biomedica de l''Ateneo Parmense Pub Date : 2023-06-23 DOI: 10.23750/abm.v94iS2.13730

Giovanni Merolla, Riccardo D'Ambrosi, Matteo Buda, Giuseppe Sircana, Enrico Bellato, Valentina Fogliata, Mauro De Cupis, Luigi Tarallo, Gian Mario Micheloni, John W Sperling

引用次数: 0

Proximal fibular stress fracture in adolecent soccer player. A case report. 青少年足球运动员腓骨近端应力性骨折。一份病例报告。

Acta Biomedica de l''Ateneo Parmense Pub Date : 2023-06-23 DOI: 10.23750/abm.v94iS2.14880

Francesco Pogliacomi, Alberto Longhi, Umberto Ferrari, Paolo Schiavi, Alessio Pedrazzini, Enrico Vaienti, Francesco Ceccarelli, Filippo Calderazzi

引用次数: 0