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Italian journal of orthopaedics and traumatology最新文献

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Results of arthroscopic treatment of degenerative meniscal tears (meniscosis). 关节镜治疗退行性半月板撕裂(半月板病)的结果。
Italian journal of orthopaedics and traumatology Pub Date : 1991-12-01
G Cerullo, G Puddu, M Cipolla, A Selvanetti
{"title":"Results of arthroscopic treatment of degenerative meniscal tears (meniscosis).","authors":"G Cerullo,&nbsp;G Puddu,&nbsp;M Cipolla,&nbsp;A Selvanetti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this paper is to propose a new classification of degenerative meniscal tears and assess the validity of arthroscopic treatment. The study is based on 37 of the 47 patients treated, and the average follow-up was 2 years and 2 months. The cases were evaluated using previously adopted systems (HSS, Tapper and Hoover) as well as a new method proposed by the authors. The results were satisfactory (excellent and good) in 68% of the patients who did not have moderate to severe osteoarthritic changes, while patients with these changes had a 66% rate of unsatisfactory (fair or poor) results.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"17 4","pages":"513-22"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12977365","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
Ultrasound screening for congenital dislocation of the hip. Results and correlations between clinical and ultrasound findings. 先天性髋关节脱位的超声筛查。结果及临床与超声表现的相关性。
Italian journal of orthopaedics and traumatology Pub Date : 1991-12-01
M De Pellegrin
{"title":"Ultrasound screening for congenital dislocation of the hip. Results and correlations between clinical and ultrasound findings.","authors":"M De Pellegrin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author reports the findings of clinical and ultrasound screening for congenital dislocation of the hip in 1000 consecutively examined newborns. This study found that medical history and clinical signs do not always guarantee diagnosis of congenital hip dislocation. The disease can in fact be present even in the absence of clinical signs, including the Ortolani click sign. Ultrasound is a safe and reliable diagnostic tool which should be used together with clinical examination in the screening of newborns for congenital dislocation of the hip.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"17 4","pages":"547-53"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12979587","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
High-pressure hemarthrosis: possible consequences to the vascularization of the femoral head. 高压关节出血:对股骨头血管形成的可能后果。
Italian journal of orthopaedics and traumatology Pub Date : 1991-12-01
C Grispigni, A Lazzerini, L Gianolli, P L Paesano, F Nobili
{"title":"High-pressure hemarthrosis: possible consequences to the vascularization of the femoral head.","authors":"C Grispigni,&nbsp;A Lazzerini,&nbsp;L Gianolli,&nbsp;P L Paesano,&nbsp;F Nobili","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors both detected hemarthrosis and calculated intraarticular pressure and blood supply to the femoral head using diagnostic tests (ultrasound, arthrography, manometric measurements, and bone scan tomography) in 18 patients with femoral neck fracture. The data obtained, in agreement with other reports in the literature, show a relationship between the condition of the joint capsule, the level of intraarticular pressure, and the arterial blood supply to the femoral head in cases of undisplaced or slightly displaced femoral neck fracture. The potential clinical implications are discussed.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"17 4","pages":"533-45"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12979586","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
Degenerative lumbar spondylolisthesis. II. Surgical treatment. 退行性腰椎滑脱。2外科处置
Italian journal of orthopaedics and traumatology Pub Date : 1991-12-01
F Postacchini, G Cinotti, D Perugia
{"title":"Degenerative lumbar spondylolisthesis. II. Surgical treatment.","authors":"F Postacchini,&nbsp;G Cinotti,&nbsp;D Perugia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors analyze the results of operative treatment in 32 cases of degenerative spondylolisthesis with various degrees of compression of the nervous structures. Five types of surgery were performed: unilateral laminotomy; bilateral laminotomy with or without transverse process fusion; bilateral laminectomy with or without spinal fusion; and laminectomy, spinal fusion, and interspinous wiring. Satisfactory results were achieved in 84% of the cases. Seventy-six percent of the patients had further vertebral displacement, and 81% showed varying degrees of articular process regeneration more than two years after surgery; these findings concern both patients who had been treated with spinal fusion and those who had not. Bilateral laminotomy is indicated in patients with isolated nerve root canal stenosis; as the olisthesis is mild and lateral flexion-extension radiographs show no vertebral hypermobility, spinal fusion is not necessary. When central spinal canal stenosis is present, bilateral laminectomy, extensive lateral decompression, and spinal fusion are recommended. Interspinous wiring may be useful for immediate vertebral stabilization.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"17 4","pages":"467-77"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12977360","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 herniated lumbar intervertebral disc in children and adolescents. Long-term follow-up of 101 cases treated by surgery. 儿童和青少年腰椎间盘突出症。101例手术治疗的长期随访。
Italian journal of orthopaedics and traumatology Pub Date : 1991-12-01
R Savini, E Martucci, S Nardi, A Capelli, A Gusella
{"title":"The herniated lumbar intervertebral disc in children and adolescents. Long-term follow-up of 101 cases treated by surgery.","authors":"R Savini,&nbsp;E Martucci,&nbsp;S Nardi,&nbsp;A Capelli,&nbsp;A Gusella","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors review 101 cases of herniated lumbar intervertebral disc in children and adolescents treated by surgery. The most significant etiologic and pathogenetic factors in this series were early onset of disc degeneration, congenital lumbosacral malformations, and repeated trauma. The main clinical symptom was pain, usually sciatica, while neurological symptoms were less common than they are in adults. In all patients diagnosed correctly with the aid of appropriate imaging studies (myelography, CT scan, MRI), discectomy by means of conservative hemilaminectomy achieved satisfactory results, except in two cases of concomitant spinal instability due to spondylolysis and in one case of recurrence.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"17 4","pages":"505-11"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12977364","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
Post-traumatic hematoma of the iliopsoas muscle with femoral nerve entrapment: description of a rare occurrence in a professional cyclist. 创伤后髂腰肌血肿伴股神经卡压:描述一个罕见的发生在职业自行车运动员。
Italian journal of orthopaedics and traumatology Pub Date : 1991-12-01
M Berlusconi, D Capitani
{"title":"Post-traumatic hematoma of the iliopsoas muscle with femoral nerve entrapment: description of a rare occurrence in a professional cyclist.","authors":"M Berlusconi,&nbsp;D Capitani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors describe a case of iliopsoas muscle injury complicated by nerve entrapment, a rare occurrence both in the literature and in clinical experience. The diagnostic procedure excluded the many differential diagnoses possible. The authors prescribed conservative treatment which achieved nearly full recovery of the athlete approximately 6 months after injury.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"17 4","pages":"563-6"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12979589","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, histological, and chemical characterization of ectopic calcification in dialyzed and non-dialyzed patients. 透析和非透析患者异位钙化的临床、组织学和化学特征。
Italian journal of orthopaedics and traumatology Pub Date : 1991-12-01
M Portigliatti Barbos, A Cadario, C Canavese, I Pavan
{"title":"Clinical, histological, and chemical characterization of ectopic calcification in dialyzed and non-dialyzed patients.","authors":"M Portigliatti Barbos,&nbsp;A Cadario,&nbsp;C Canavese,&nbsp;I Pavan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a review of 11 cases of ectopic calcification (5 of which in dialyzed patients and one in a paraplegic), the authors attempt to characterize this disorder in all its various forms using histological, clinical, and chemical methods. In dialyzed patients, two contributing factors were identified: hyperphosphatemia (plus hypercalcemia) and secondary hyperparathyroidism. In hyperphosphatemic patients the calcifications are multiple, paraarticular, labile, and have a fluid-viscous consistency. In secondary hyperparathyroidism, in addition to the above metastatic calcification there is dystrophic calcification typically localized in the anterior muscles of the hip and thigh. The ectopic calcification of the non-dialyzed patients is true ossification. The precise moment of the onset of the lesion is not always discernable, but its evolution points to primary or secondary local irritation as the trigger. Ossification is the predominant phenomenon in the paraplegic as well, while the triggering mechanism is still unknown.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"17 4","pages":"523-32"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12977366","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
A rare injury to the upper limb: elbow dislocation combined with Galeazzi fracture-dislocation. 一例罕见的上肢损伤:肘关节脱位合并Galeazzi骨折脱位。
Italian journal of orthopaedics and traumatology Pub Date : 1991-12-01
A Mezzadra, E Gusmeroli, M Tettamanzi, B Prestianni, D Molinari
{"title":"A rare injury to the upper limb: elbow dislocation combined with Galeazzi fracture-dislocation.","authors":"A Mezzadra,&nbsp;E Gusmeroli,&nbsp;M Tettamanzi,&nbsp;B Prestianni,&nbsp;D Molinari","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors describe a rare instance of elbow dislocation associated with Galeazzi fracture-dislocation in a 16 year-old patient injured in a motor vehicle accident. They analyze the modalities of the trauma, the type of treatment employed, and the result after 2 years.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"17 4","pages":"567-72"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12979590","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
Reconstruction of the chronically lax anterior cruciate ligament using the middle third of the patellar tendon. A 3-9 year follow-up. 利用髌腱中间三分之一重建慢性松弛的前交叉韧带。随访3-9年。
Italian journal of orthopaedics and traumatology Pub Date : 1991-12-01
P Aglietti, R Buzzi, S D'Andria, A Pisaneschi, G Zaccherotti
{"title":"Reconstruction of the chronically lax anterior cruciate ligament using the middle third of the patellar tendon. A 3-9 year follow-up.","authors":"P Aglietti,&nbsp;R Buzzi,&nbsp;S D'Andria,&nbsp;A Pisaneschi,&nbsp;G Zaccherotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After an average of 5 years, the authors reviewed 76 cases of anterior cruciate ligament reconstruction in which the middle third of the patellar tendon had been used as a free autogenous graft. A lateral Lemaire operation had been used in 85% of the cases and postoperative cast immobilization in 72%. Functional knee instability was eliminated in 96% of the patients. Pain was present at the follow-up in 14.5% of the patients and correlated with both meniscectomy (p = 0.03) and the presence of degenerative changes on the radiographs (p = 0.002). The pivot-shift was eliminated in 93% of the cases and the maximum manual test performed with the KT-1000 arthrometer was less than or equal to 5 mm in 83%. Lateral compartment laxity which was not corrected at operation was frequently associated with graft failure (p = 0.01). Seven patients had difficulty in rehabilitation, and in 6 of these the final result was unsatisfactory. Pain and swelling in the femoropatellar joint were present in 8% of the cases. Slight and moderate degenerative changes were shown on the radiographs in 48% and 10% of the patients, respectively, at follow-up; these findings correlated with meniscectomy (p less than 0.001) and rehabilitation problems (p = 0.03). This procedure achieved lasting, satisfactory results in 70% of the cases. Additional advances include greater care in positioning the graft, use of arthroscopy, and early mobilization. Further studies are needed to verify the advantages of these new techniques.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"17 4","pages":"479-90"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12977361","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 epidemiology of fractures of the proximal end of the femur. Change in the incidence among the population at risk in the city of Perugia, Italy between the periods 1975-77 and 1986-88. 股骨近端骨折的流行病学。1975-77年和1986-88年期间意大利佩鲁贾市高危人群发病率的变化。
Italian journal of orthopaedics and traumatology Pub Date : 1991-12-01
P Della Torre, P Petrini, G B Mancini
{"title":"The epidemiology of fractures of the proximal end of the femur. Change in the incidence among the population at risk in the city of Perugia, Italy between the periods 1975-77 and 1986-88.","authors":"P Della Torre,&nbsp;P Petrini,&nbsp;G B Mancini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The current interest in the epidemiology of fractures of the proximal end of the femur stems from a constant rise in their incidence in Western countries over the past several decades. Many authors believe the explanation could be an increased specific risk factor as well as an aging population. In the city of Perugia, Italy between 1975-77 and 1986-88 the incidence of these fractures increased by 108%, although the number of residents over 60 years of age increased by only 25%. An especially remarkable increase was seen in women over 70 and in intertrocherantic fractures. This information together with the National Institute of Statistics' (ISTAT) demographic forecasts regarding the aging Italian population lead to alarming epidemiologic projections for the next several decades. We propose two possible explanations for this increased risk factor: an increase in the frequency of falls suffered by elderly people and a deterioration in the quality of their bone.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"17 4","pages":"555-62"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12979588","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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