{"title":"-Lesser known stress fractures-.","authors":"M Wybier, B Hamze, P Champsaur, C Parlier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Stress fractures of the tibia may disclose a longitudinal orientation which is obvious at bone scanning; a mild periostosis may appear on plain films; CT demonstrates a radially-oriented fracture in one aspect of the diaphyseal cortex. A cortical dissection-like vertically oriented insufficiency fracture may involve the medial aspect of the femoral shaft underlying the lesser trochanter; the fracture is concentric to the femoral cortex at CT. Insufficiency fractures of the sacrum may be misdiagnosed on plain films; bone scanning displays a typical H-shaped increased uptake which is a specific pattern. Insufficiency fractures of the pubis may appear as tumoral bone destruction; however no soft tissue mass is present at CT which in addition demonstrates normal fat tissue abutting the osseous lesion.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"40 1","pages":"51-5"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20667369","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}
F Zeitoun, C Dumontier, T Dubert, E Lenoble, J M Frajman, B Frot, P Sterin, J M Tubiana
{"title":"-Arthrography and computed tomography arthrography of the wrist-.","authors":"F Zeitoun, C Dumontier, T Dubert, E Lenoble, J M Frajman, B Frot, P Sterin, J M Tubiana","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After a brief review of the pertinent anatomy of joint compartments and main ligaments of the wrist, the authors present the technique of wrist arthrography and CT arthrography. They discuss the normal and pathological patterns. The main indications are the chronic painful wrist and posttraumatic wrist. Imaging can reveal ligament defects (particularly scapholunate ligament, or lunotriquetral ligament), triangular fibrocartilage tears, capsular defects, cartilage thinning, foreign bodies, synovial ganglia or synovitis of the wrist.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"40 2","pages":"78-91"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20667523","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}
{"title":"-Computed tomography arthrography and tendon imaging of the ankle-.","authors":"M Wybier, B Hamze, P Champsaur, C Parlier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ankle opacification dramatically increases the diagnostic value of CT examination of the foot and ankle. The procedure may be entirely performed on the CT table. The main results and indications of CT-arthrography of the ankle are presented. CT-tenography of the ankle which includes the opacification of a tendon sheath on the CT table, is also described.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"40 2","pages":"92-8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20667525","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}
A Cotten, N Boutry, X Demondion, P Chastanet, R M Flipo
{"title":"[SAPHO syndrome and aseptic osteitis].","authors":"A Cotten, N Boutry, X Demondion, P Chastanet, R M Flipo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Palmoplantar pustulosis and severe acne are sometimes associated with aseptic skeletal lesions, but such skeletal conditions can be observed without skin lesions. The acronym SAPHO (Synovitis, Acne, Palmoplantar pustulosis, Hyperostosis, Osteitis) has been suggested for this cluster of manifestations. The most frequent site of the disease is the upper anterior chest wall, characterized by predominantly osteosclerotic lesions, hyperostosis, and arthritis of the adjacent joints. Osteosclerosis of the vertebral bodies, hyperostosis, and erosions of the vertebral plates can be encountered. Unilateral sacroiliitis of frequently observed. Long bone involvement consists of osteosclerosis or osteolysis with periosteal new bone formation. Peripheral arthritis is rarely associated with joint destruction. The pathogenesis of this syndrome remains unknown, but a link with seronegative spondylarthropathies is probable. Awareness of the SAPHO syndrome should facilitate proper diagnosis and treatment.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"40 3","pages":"189-96"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20721770","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}
{"title":"[Radiodiagnosis and irradiated pregnancies].","authors":"J N Foulquier, C Le Breton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An X-ray examination can sometimes be performed during the first few days of pregnancy. To prevent these accidental irradiations of the fetus, women must receive specific information about radiation effects, the ten Day Rule must be respected, and the physician must choose a non irradiating technique. X-ray examination may be performed in an emergency, especially if the examination is far from the pelvis. The radiologist must optimize the constants and decrease the number of films. The dose received depends on mAs, but other parameters are necessary for calculation (film source distance, kV, filtration...). For computed tomography, slice thickness, and interval between slices are taken in account. The dose received reaches a maximum after three axial sections, but is higher for a given area, than with conventional radiography. The irradiation effects depend on the fetal dose and the stage of pregnancy. Before implantation, the fetal dose is either ineffective or induces a miscarriage. During organogenesis, between the second and 16th week, doses exceeding 500 mGy can cause death of the fetus, malformations or growth retardation. We consider that when the dose is less than 100 mGy, they are no reasons to terminate the pregnancy. MRI does not seem to be dangerous for the course of pregnancy. No studies have demonstrated any teratogenic effects with intense magnetic fields.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"40 4","pages":"225-36"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20755374","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}
{"title":"-Overexposed film--underexposed film-.","authors":"C Patrux","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Physics of the radiographic exposition are presented, including those of the radiating image, contrast, sensitometry. Based on these principles, the modifications which allow correcting over- and underexposition of the images are explained.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"40 2","pages":"137-46"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20668022","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}
{"title":"-Loosening of the complete hip prosthesis. Physiopathology. Therapeutic approach-.","authors":"R S Nizard, L Sedel, J Witvoet","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"40 1","pages":"22-30"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20668025","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}
{"title":"-Knee prosthesis-.","authors":"P Mathieu, A Sautet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The initial radiological assessment of knee osteoarthritis includes the evaluation of the osteochondral destruction, collateral ligament laxity and the determination of the position of the patella in both the axial and the sagittal planes and the femorotibial angulation in the coronal plane. The different types of knee prostheses are described. Post-operative radiological features of knee arthroplasties are discussed including normal findings and criteria of prosthesis instability and loosening.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"40 1","pages":"40-8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20668027","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}
{"title":"[The medial collateral ligament of the knee].","authors":"P. Mathieu, M. Wybier, J. Busson, G. Morvan","doi":"10.32388/mlhftk","DOIUrl":"https://doi.org/10.32388/mlhftk","url":null,"abstract":"Injuries of the medial collateral ligament (MCL) of the knee are easily diagnosed on clinical grounds. These lesions are generally treated conservatively. Radiological examinations are generally unhelpful. However, injuries of the MCL may be associated with those of many other ligaments of the knee in the case of complex strain of the knee so that the clinical diagnosis may be challenging; in some cases, surgical repair of associated lesions is indicated. In these cases of multiple ligamentous injuries, a radiological study of ligamentous abnormalities may be of interest. The anatomical background and the different radiological findings including those of X-rays, US, arthrography and MRI, obtained in patients with injuries of the MCL, are described; radiological differentiation of ruptures of the MCL with or without knee instability is emphasized.","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"40 3 1","pages":"176-81"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69636160","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}
C Dumontier, F Zeitoun, F Chilot, A Sautet, L Bellaiche, E Lenoble
{"title":"[Useful imaging data before intervention for an unstable shoulder].","authors":"C Dumontier, F Zeitoun, F Chilot, A Sautet, L Bellaiche, E Lenoble","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recurrent instability of the shoulder may sometimes be a difficult diagnostic challenge. Bernageau's standard X-rays set, which includes 3 antero-posterior X-rays with medial rotation and 2 glenoid views, is able to confirm the existence of anterior instability events. However, it gives no information on the glenoid labrum and the glenohumeral ligaments. As surgical techniques are more sophisticated, more precise imaging techniques are needed in order to adapt the surgical technique to the anatomical lesions. Although CT arthrography is today the best imaging technique to choose a surgical technique, it will probably be replaced by MR arthrography in the near future. Pros and cons of each imaging techniques are described, together with their implications for the choice of treatment.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"40 3","pages":"153-65"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20721766","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}