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Congruous versus incongruous patellar tilt--a preliminary study. 协调与不协调髌骨倾斜——初步研究。
Bulletin of the NYU hospital for joint diseases Pub Date : 2012-01-01
Ronald P Grelsamer, Jason Saleh, James Gladstone
{"title":"Congruous versus incongruous patellar tilt--a preliminary study.","authors":"Ronald P Grelsamer,&nbsp;Jason Saleh,&nbsp;James Gladstone","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>Although the presence of patellar tilt usually implies a tight lateral retinaculum and unhealthy pressure distributions within the patellar cartilage, it is possible for the bony portion of the patella to appear tilted while the articular cartilage is in fact fully congruous in a medial-lateral direction. We call this \"congruous tilt.\" In such cases, a patient may not suffer from an excessive lateral pressure phenomenon, despite the presence of tilt.</p><p><strong>Materials and methods: </strong>One hundred and forty-nine knee MRIs were evaluated with respect to patellar tilt and Wiberg morphology.</p><p><strong>Results: </strong>Thirty-one patellae were tilted (tilt angle > 10°). Twenty-five of 31 patellae demonstrated normal morphology in the axial plane (Wiberg 2). One of these 25 tilted patellae demonstrated congruous tilt. Three of 31 patellae were of the Wiberg type 3(a long lateral facet, a very short medial facet). In two out three of these, the tilt was deemed to be congruous.</p><p><strong>Conclusion: </strong>Based on this preliminary study, a tilted patella of the Wiberg 3 variety is likely to demonstrate congruous tilt. It remains to be determined whether patients with congruous tilt are less prone to pain but more prone to instability than their incongruous counterparts.</p>","PeriodicalId":72485,"journal":{"name":"Bulletin of the NYU hospital for joint diseases","volume":"70 4","pages":"232-4"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31147663","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
Hospital for joint diseases participates in international spine registry Spine Tango after successful pilot study. 关节疾病医院在成功的试点研究后参与国际脊柱登记脊柱探戈。
Bulletin of the NYU hospital for joint diseases Pub Date : 2012-01-01
Christoph Röder, Thomas J Errico, Jeffrey M Spivak, M Murray, T Protopsaltis, A Lis, Margareta Nordin, John Bendo
{"title":"Hospital for joint diseases participates in international spine registry Spine Tango after successful pilot study.","authors":"Christoph Röder,&nbsp;Thomas J Errico,&nbsp;Jeffrey M Spivak,&nbsp;M Murray,&nbsp;T Protopsaltis,&nbsp;A Lis,&nbsp;Margareta Nordin,&nbsp;John Bendo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Spine Tango is currently the only international spine registry in existence. It was developed under the auspices of Eurospine, the Spine Society of Europe, and is hosted at the University of Bern, Switzerland. The HJD Spine Center successfully tested Spine Tango during a 3-month pilot study and has since expanded documentation activities to more surgeons. Workflow integration and dedicated research staff are key factors for such an endeavor. Participation enables benchmarking against national and international peers and outcome research and quality assurance of surgical and non-surgical treatments.</p>","PeriodicalId":72485,"journal":{"name":"Bulletin of the NYU hospital for joint diseases","volume":"70 4","pages":"254-8"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31147668","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
Adventitial cystic disease of the radial artery--two case reports and a review. 桡动脉外膜囊性病变——报告2例并复习。
Bulletin of the NYU hospital for joint diseases Pub Date : 2012-01-01
Luis S Beltran, Jenny T Bencardino, Panna Desai, Nader Paksima
{"title":"Adventitial cystic disease of the radial artery--two case reports and a review.","authors":"Luis S Beltran,&nbsp;Jenny T Bencardino,&nbsp;Panna Desai,&nbsp;Nader Paksima","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 29-year-old female presented with pain and a palpable mass in the left wrist. Imaging demonstrated a multiloculated cystic mass adjacent to the radial aspect of the scaphoid, which was intimately associated with and appeared to arise from the wall of the radial artery and its dorsal branch. The mass was surgically resected. The histological analysis confirmed the presence of adventitial cystic disease (ACD) of the radial artery. In addition, within a year time span, a second 34-year-old male patient presented with a palpable mass in the right hand. Imaging demonstrated a cystic mass encasing the dorsal carpal branch of the radial artery and its terminal vessels to the thumb and index finger. The diagnosis of ACD was raised based on MR imaging. Histological analysis confirmed the presence of an adventitial cyst. ACD of the arteries is a rare disorder of unknown etiology, which usually involves the popliteal artery. Less common sites of involvement include the external iliac, common femoral, radial, and ulnar arteries. To our knowledge, there have only been six previous case reports of adventitial cystic disease involving the radial artery. The imaging features, histology, differential diagnosis, pathogenesis, and treatment are discussed.</p>","PeriodicalId":72485,"journal":{"name":"Bulletin of the NYU hospital for joint diseases","volume":"70 4","pages":"262-7"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31147670","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
Pregnancy in a patient with Wegener's granulomatosis: a case report. 魏格纳肉芽肿患者妊娠1例报告。
Bulletin of the NYU hospital for joint diseases Pub Date : 2012-01-01
Semra Kayatas, Mehmet Resit Asoglu, Selcuk Selcuk, Mehmet Akif Sargin
{"title":"Pregnancy in a patient with Wegener's granulomatosis: a case report.","authors":"Semra Kayatas,&nbsp;Mehmet Resit Asoglu,&nbsp;Selcuk Selcuk,&nbsp;Mehmet Akif Sargin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy in patients with Wegener's granulamotosis (WG) is rare, and differential diagnosis of WG flare and preeclampsia is difficult.</p><p><strong>Case: </strong>A pregnant 35 year old with WG was referred with diagnosis of severe preeclampsia; caesarean section was performed. Intubation of the patient was difficult due to subglottic stenosis. Because of the clinical symptom, the case was considered preeclampsia, but p-ANCA of the patient was positive. In pregnancies with WG, differential diagnosis of WG flare-ups from preeclampsia should be made from clinical symptoms and laboratory findings. Serum ANCA titers are not useful in the differential diagnosis of WG flare-ups and preeclampsia because it may be positive in preeclampsia.</p><p><strong>Conclusion: </strong>Differential diagnosis of WG flare-up and preeclampsia should be made by clinical features. In the patients with subglottic stenosis, general anesthesia should not be preferred due to the probability of difficult intubation.</p>","PeriodicalId":72485,"journal":{"name":"Bulletin of the NYU hospital for joint diseases","volume":"70 2","pages":"127-9"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30832182","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 basic science and clinical applications of osteochondral allografts. 同种异体骨软骨移植的基础科学与临床应用。
Bulletin of the NYU hospital for joint diseases Pub Date : 2012-01-01
Eric J Strauss, Robert Sershon, Joseph U Barker, James Kercher, Michael Salata, Nikhil N Verma
{"title":"The basic science and clinical applications of osteochondral allografts.","authors":"Eric J Strauss,&nbsp;Robert Sershon,&nbsp;Joseph U Barker,&nbsp;James Kercher,&nbsp;Michael Salata,&nbsp;Nikhil N Verma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Indications for the use of osteochondral allografts for orthopaedic surgical applications are increasing with improved surgical techniques and advancing experience. Modern tissue banks have developed harvesting, processing, and storage methods that ensure an adequate, safe supply of grafts. Continued research is necessary to find a technique that maximizes chondrocyte viability and metabolism both during storage and implantation. The majority of published data on the use of osteochondral allografts has focused on the management of osteochondral defects about the knee. Successful outcomes following these procedures have led to increased interest in their application to pathology affecting other joints including the shoulder and ankle. The current paper aims to review the basic science and clinical applications of osteochondral allografts.</p>","PeriodicalId":72485,"journal":{"name":"Bulletin of the NYU hospital for joint diseases","volume":"70 4","pages":"217-23"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31145981","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
Hibernoma--a case series with multimodality imaging and pathologic correlation. 冬眠瘤——一个具有多模态成像和病理相关性的病例系列。
Bulletin of the NYU hospital for joint diseases Pub Date : 2012-01-01
Annabella C K Kim, Adnan Sheikh, Rahul Dharmadhikari, Denis Gravel, Kawan Rakhra, Gina Di Primio, Mark E Schweitzer
{"title":"Hibernoma--a case series with multimodality imaging and pathologic correlation.","authors":"Annabella C K Kim,&nbsp;Adnan Sheikh,&nbsp;Rahul Dharmadhikari,&nbsp;Denis Gravel,&nbsp;Kawan Rakhra,&nbsp;Gina Di Primio,&nbsp;Mark E Schweitzer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hibernoma is an uncommon, benign tumor of brown fat origin. The distribution of this tumor originally was described as following the location of persistent brown fat within the subcutaneous tissue of the thorax (especially the periscapular and interscapular regions), neck, axilla, shoulder, and retroperitoneum. Recently, hibernoma was described as being most common in the thigh.</p>","PeriodicalId":72485,"journal":{"name":"Bulletin of the NYU hospital for joint diseases","volume":"70 4","pages":"283-7"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31146385","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
Outcomes of interlaminar and transforminal spinal injections. 椎间和椎间注射的结果。
Bulletin of the NYU hospital for joint diseases Pub Date : 2012-01-01
Joshua Landa, Yong Kim
{"title":"Outcomes of interlaminar and transforminal spinal injections.","authors":"Joshua Landa,&nbsp;Yong Kim","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Epidural spinal injections can be administered via a translaminar or transforaminal route, depending on the clinical scenario. When it is more desirable to target a specific nerve root, a transforaminal approach is typically used, and when the target is more diffuse, a translaminar method is chosen. Both are commonly used and can be utilized similarly in the lumbar or cervical spine. However, it is essential that the clinician understand the risks and benefits of these injections. In the lumbar spine, both translaminar epidural steroid injections (TLESI) and transforaminal epidural steroid injections (TFESI) have been shown to provide up to 6 months of pain relief, though long-term benefits are less reliable. In the cervical spine, translaminar injections may provide longer relief and have a lower complication rate than cervical transforaminal injections. Proper technique is essential to minimize the rate of these rare but occasionally severe complications.</p>","PeriodicalId":72485,"journal":{"name":"Bulletin of the NYU hospital for joint diseases","volume":"70 1","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30836136","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
Anterior spinal cord syndrome in a patient with Behçet's disease. behaperet病患者的脊髓前段综合征。
Bulletin of the NYU hospital for joint diseases Pub Date : 2012-01-01
Sedat Yilmaz, Kutay Tezel, Ramazan Ocal, Turan Ilıca, Muhammet Cinar, Hakan Erdem, Salih Pay, Ayhan Dinc, Ismail Simsek
{"title":"Anterior spinal cord syndrome in a patient with Behçet's disease.","authors":"Sedat Yilmaz,&nbsp;Kutay Tezel,&nbsp;Ramazan Ocal,&nbsp;Turan Ilıca,&nbsp;Muhammet Cinar,&nbsp;Hakan Erdem,&nbsp;Salih Pay,&nbsp;Ayhan Dinc,&nbsp;Ismail Simsek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although neurological involvement in Behçet's disease is not so uncommon, isolated spinal cord disease is quite rare and reported to be observed in about 2% of all cases with neurological involvement. Here we report a Behçet's patient with spinal cord disease presented with anterior spinal cord syndrome. This rare syndrome is caused by hypoperfusion of the anterior spinal artery and to our knowledge has not been previously reported in patients with Behçet's disease. This report defines the characteristic clinical features of this entity and emphasizes the importance of early immunosuppressive treatment and initiation of rehabilitation.</p>","PeriodicalId":72485,"journal":{"name":"Bulletin of the NYU hospital for joint diseases","volume":"70 2","pages":"120-3"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30832180","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 routine use of tranexamic acid in hip and knee replacements. 氨甲环酸在髋关节和膝关节置换术中的常规应用。
Bulletin of the NYU hospital for joint diseases Pub Date : 2012-01-01
Jaykar R Panchmatia, Soudeh Chegini, Charlotte Lobban, Guarangkumar Shah, Clare Stapleton, Jayne M B Smallman, Rakesh Kucheria
{"title":"The routine use of tranexamic acid in hip and knee replacements.","authors":"Jaykar R Panchmatia,&nbsp;Soudeh Chegini,&nbsp;Charlotte Lobban,&nbsp;Guarangkumar Shah,&nbsp;Clare Stapleton,&nbsp;Jayne M B Smallman,&nbsp;Rakesh Kucheria","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>Our aim was to determine whether the administration of intravenous tranexamic acid is a safe and effective means of reducing blood loss associated with hip and knee replacement surgery.</p><p><strong>Method: </strong>Sequential cohort study analysing hemoglobin titers, transfusion rates, and the occurrence of venous thromboembolism in patients undergoing hip and knee replacements with and without the administration of tranexamic acid at the time of induction. Finally, a cost benefit analysis was performed.</p><p><strong>Results: </strong>Two hundred and seventy-three patients were included in our study. We demonstrated that 1 gram of tranexamic acid administered intravenously at the time of induction significantly reduces operative blood loss and transfusion rates (p < 0.05). Moreover, the use of tranexamic acid reduces the costs associated with surgery.</p><p><strong>Conclusions: </strong>The administration of 1 gram of intravenous tranexamic acid is a safe and effective means of reducing operative blood loss and blood transfusion rates in patients undergoing hip and knee replacements.</p>","PeriodicalId":72485,"journal":{"name":"Bulletin of the NYU hospital for joint diseases","volume":"70 4","pages":"246-9"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31147666","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
Juvenile idiopathic arthritis: an update for the clinician. 青少年特发性关节炎:临床医生的最新进展。
Bulletin of the NYU hospital for joint diseases Pub Date : 2012-01-01
Philip Kahn
{"title":"Juvenile idiopathic arthritis: an update for the clinician.","authors":"Philip Kahn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Juvenile idiopathic arthritis (JIA) comprises a collection of all forms of chronic arthritis in childhood with no apparent cause. JIA is the most common rheumatic disease in children, and may result in significant pain, joint deformity, and growth impairment, with persistence of active arthritis into adulthood. Prior to the mid 1990s, the therapeutic armamentarium for JIA was more limited, utilizing non- specific agents, many with significant adverse effects. With the relatively recent use of biologics, one can provide more target-specific therapy, which may be better tolerated. Through continued translational research and clinical trials, one better understands the biology mediating disease, with the hope of offering safer, more effective medicine, and potential cure. This review will outline the clinical features of JIA, as well as provide the latest updates in current and future pharmacotherapy.</p>","PeriodicalId":72485,"journal":{"name":"Bulletin of the NYU hospital for joint diseases","volume":" ","pages":"152-66"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31135900","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
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