Clinical archives of bone and joint diseases最新文献

{"title":"When Tuberculosis Imitates a Bone Tumor: A Rare Case of Silent Tuberculous Spondylitis Causing Spinal Cord Compression","authors":"Madi Saad, Muschik Michael, Lübke Andreas, Sellckau Roland","doi":"10.23937/2643-4091/1710017","DOIUrl":"https://doi.org/10.23937/2643-4091/1710017","url":null,"abstract":"","PeriodicalId":87232,"journal":{"name":"Clinical archives of bone and joint diseases","volume":"66 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139130908","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":"Musculoskeletal and Somatic Manifestations of Haematological Disease: A Review of the Spectrum of Disease from a Tertiary Academic Hospital in Johannesburg, South Africa","authors":"Gerd Laudin, M. Patel, K. Makan, J. Vaughan, N. Christofides, R. Jassat, MF Waja, AB Lakha, V. Philip","doi":"10.23937/2643-4091/1710016","DOIUrl":"https://doi.org/10.23937/2643-4091/1710016","url":null,"abstract":"","PeriodicalId":87232,"journal":{"name":"Clinical archives of bone and joint diseases","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68754559","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":"Severity and Outcomes of Neurologic Deficits Associated with Pyogenic Spondylodiscitis: A Systematic Review","authors":"Nabizadeh Naveed, Crawford Charles H, Glassman Steven D, Dimar John R, Carreon Leah Y","doi":"10.23937/2643-4091/1710014","DOIUrl":"https://doi.org/10.23937/2643-4091/1710014","url":null,"abstract":"Introduction: Patients with advanced pyogenic spondylodiscitis can present with neurologic deficits, however, the prevalence, severity, and outcome of the neurologic deficits are not well known. A systematic review was performed to improve knowledge of this commonly encountered clinical scenario. Methods: A comprehensive search of databases including PubMed, Science Direct and Google Scholar from 20002020 was performed. From 1478 articles, 75 were screened and 40 included. As the most commonly used classification for neurologic status was Frankel grading, we categorized the various neurologic findings corresponding to Frankel’s descriptions. Results of treatment were expressed as complete recovery, partial recovery, unchanged, or deterioration. Results: Among 3197 patients with pyogenic spondylodiscitis, 1314 cases showed a variety of neurologic manifestation: 415 (32%) presented with subjective symptoms including radicular pain, sciatica or numbness, 899 (28%) were diagnosed with a significant neurologic deficit on initial presentation. Patients with Frankel A/B deficits (N = 286, 22%) had the lowest proportion with complete recovery (16%) and the highest proportion to remain unchanged after treatment (34%). Patients with Frankel C deficits (N = 333, 25%) were more likely to have complete recovery (29%), although the majority had only partial recovery (53%), or remained unchanged (16%). Patients with Frankel D deficits (N = 280, 21%) were the most likely to experience complete recovery (53%) with a similar number of patients exhibited partial (25%) or no recovery (20%). A small percentage (2%) of patients in each Frankel group deteriorated after treatment. The comparison of neurologic outcome in the non-surgically treated (n = 97) versus surgically treated (n = 449) patients revealed that surgical intervention was associated with improved neurologic recovery (R = 0.205, p < 0.000). Conclusion: The considerable number of neurologic deficits in addition to their poor recovery even after surgical intervention demonstrates that early diagnosis of pyogenic spondylodiscitis is crucial. Prompt surgical intervention is likely associated with improved neurologic recovery when compared to non-surgical treatment.","PeriodicalId":87232,"journal":{"name":"Clinical archives of bone and joint diseases","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44006454","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":"Chondroma in an Elderly Patient","authors":"Labrador Salvador, Llamazares-Medrano Jose Manuel, Guzmán-Revuelta Jesús","doi":"10.23937/2643-4091/1710011","DOIUrl":"https://doi.org/10.23937/2643-4091/1710011","url":null,"abstract":"Citation: Labrador S, Llamazares-Medrano JM, Guzmán-Revuelta J (2020) Chondroma in an Elderly Patient. Clin Arch Bone Joint Dis 3:011. doi.org/10.23937/2643-4091/1710011 Accepted: May 25, 2020: Published: May 27, 2020 Copyright: © 2020 Labrador S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Open Access Clinical Archives of Bone and Joint Diseases","PeriodicalId":87232,"journal":{"name":"Clinical archives of bone and joint diseases","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45254926","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":"Risk of Osteonecrosis of the Jaw in Patients with Postmenopausal Osteoporosis: A Systematic Literature Review","authors":"C. Glória, Villaverde Virginia, D. Petra, Guerra Mercedes, Naranjo Antonio","doi":"10.23937/2643-4091/1710010","DOIUrl":"https://doi.org/10.23937/2643-4091/1710010","url":null,"abstract":"","PeriodicalId":87232,"journal":{"name":"Clinical archives of bone and joint diseases","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49270241","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 Effect on Disc Height and Sagittal Alignment in 56 Consecutive Patients Undergoing Lateral Access Surgery","authors":"D. Deinlein, S. Rajaram, Jorge L. Perez, M. Frazier","doi":"10.23937/2643-4091/1710009","DOIUrl":"https://doi.org/10.23937/2643-4091/1710009","url":null,"abstract":"Study design: Retrospective study of 56 consecutive patients who underwent direct lateral interbody fusion. Objective: Comparison of 3 graft composites and their effect on fusion rate, and the effect of interbody graft on disc height and spinopelvic parameters. Summary of background data: The lateral approach to the spine, for spinal fusion, has gained interest from spine surgeons in recent years. The approach is less invasive, with less blood loss, decreased morbidity, and decreases length of stay in the hospital. The procedure has been shown to allow indirect decompression of the spinal canal and the intervertebral foramen. Segmental interbody arthrodesis may result in improved coronal and sagittal balance. Methods: The results of 56 consecutive patients with 108 levels of pathology were operated on between 2008 and 2014 and were subsequently reviewed. The number of levels fused, the type of graft material used, the type fixation employed, the effect on disc height, regional lordosis and spino-pelvic parameters, and the number of complications were recorded. Results: In conjunction with posterior pedicle screws BMP2 78%, Autograft/BMA 75%, DBX/BMA 82% showed no significant difference in ability to achieve fusion. Anterior plating produced a 25% fusion rate and has been abandoned. The results demonstrated significant statistical improvement of disc height, increase in segmental and regional lordosis, SVA correction, and improved PI-LL. Complications, though frequent, appear transient and usually are not apparent by 6 months. Conclusions: Direct lateral interbody fusion, though fraught with many early but temporary complications, has been found to effect indirect decompression by increasing disc height. Improved SVA, lumbar lordosis, and PI-LL difference were also noted. *Corresponding author: Donald A Deinlein, MD, Clinical Associate Professor, University of Alabama at Birmingham, 960 Faculty Office Tower, 510 20th St South, Birmingham, Alabama, USA, Tel: 205-996-7258, Fax: 205-975-4701 ReSeARch ARticLe","PeriodicalId":87232,"journal":{"name":"Clinical archives of bone and joint diseases","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44664539","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":"Deltoid Compartment Syndrome following Shoulder Arthroscopy: A Case Report","authors":"Jr Paul J Cagle, Shukla Dave R, Parsons Bradford O","doi":"10.23937/cabjd-2017/1710004","DOIUrl":"https://doi.org/10.23937/cabjd-2017/1710004","url":null,"abstract":"Acute deltoid compartment syndrome is a rare event. This is a report of a 70-year-old male who developed an acute deltoid compartment syndrome after a shoulder arthroscopy. Due to a mechanical heart valve, the patient was required to remain on anticoagulation for the procedure. A bony acromioplasty and arthroscopic biceps tenodesis were performed. On the first day after surgery increased swelling and pressure consistent with a hematoma was appreciated. The pressure caused increased deltoid compartment pressures. A diagnosis of compartment syndrome was made, and the patient was treated with an emergent decompression and delayed closure. He went on to have no deficits and excellent improvement in pain control. We recommend close observation for all patients who must remain on anticoagulation and require a bony procedure during shoulder arthroscopy.","PeriodicalId":87232,"journal":{"name":"Clinical archives of bone and joint diseases","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68755124","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":"Metabolic Diseases and Crystal Induced Arthropathies Technic of Non-Staining Histologic Sections - A Comparative Study of Standard Stains and Histochemical Reactions","authors":"B. Miklós, A. Ágnes","doi":"10.23937/CABJD-2017/1710007","DOIUrl":"https://doi.org/10.23937/CABJD-2017/1710007","url":null,"abstract":"Arthropathy induced by monosodium salt of uric acid [C 5 H 4 N 4 O 3 ] (MSU) (gout), by calcium pyrophosphate dihy- drate [Ca 2 P 2 O 7 .2H 2 O] (CPPD) crystals (chondrocalcinosis, pseudogout, pyrophosphate arthropathy) and arthropathy induced by hydroxyapatite [Ca 5 (PO 4 ) 3 (OH)] (HA) crystals (apatite rheumatism, hydroxyapatite arthritis, calcifying te-nosynovitis, Milwaukee syndrome, calcific tendinitis, calcific periarthritis) are regarded as distinct clinical entities. The solubility of MSU, CPPD and HA crystals in conventional fixatives (aqueous formaldehyde solution), in alcohol, ace -tone, and xylene or in solutions of dyes vary. The crystals in of 105) tissue samples of 37 (78.72% of 47) patients; CPPD in 15 (60.00% of 25) tissue samples of 10 (62.50% of 16) patients. HA crystals were detected exclu sively with this method: in all tissue samples (in 19 of 19; 100.0%) of all patients (in 4 of 4; 100.0%), none with the traditional stains and reactions. The non-staining technique is a simple and very effective method to demonstrate crystal deposits in tissue samples. Handbooks of histologic methods and histochemistry do not mention this simple technique. In case of clinically or histologically suspected meta bolic or crystal-induced diseases it is advisable to analyze unstained tissue sections as well, supplemented with the traditional hematoxylin-eosin stained ones. This approach may also be useful in other crystal deposition induced diseases or identification of foreign bodies and refractile arte -facts.","PeriodicalId":87232,"journal":{"name":"Clinical archives of bone and joint diseases","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43732254","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":"Use of the LRINEC Score in Diabetic Patients","authors":"T. ChengTimothy, C. Joseph, Schwartz Alexandra","doi":"10.23937/cabjd-2017/1710003","DOIUrl":"https://doi.org/10.23937/cabjd-2017/1710003","url":null,"abstract":"Background: The LRINEC (laboratory risk indicators for necrotizing fasciitis) score was developed in 2004 to help distinguish necrotizing fasciitis from severe soft tissue infections. Some of the laboratory tests, however, may be elevated at baseline in diabetic patients. Aim: To evaluate the use of the LRINEC score in diabetic patients. Patients and methods: A retrospective study was performed on all patients admitted with either a primary diagnosis of cellulitis or necrotizing fasciitis between April 2010 and June 2014. Patients were excluded if they did not have the appropriate presenting lab values to calculate a LRINEC score. Presenting lab values were used to calculate each patient’s LRINEC score and diabetic status was evaluated using International Classification of Diseases (ICD)-9 coding. All cases of necrotizing fasciitis were confirmed surgically. Results: A total of 670 patients met our inclusion criteria with 415 non-diabetic patients and 255 diabetic patients. Twenty-four of the non-diabetic patients (6.1%) and 11 of the diabetic patients (4.3%) had surgically confirmed necrotizing fasciitis. The average presenting LRINEC score in non-diabetic patients with and without necrotizing fasciitis was 6.9 ± 2.4 and 2.5 ± 2.4, respectively. The average presenting LRINEC score in diabetic patients with and without necrotizing fasciitis was 9.8 ± 2.1 and 4.1 ± 2.9, respectively. These scores were significantly higher (p < 0.01) than their non-diabetic counterparts. The sensitivity and specificity of a LRINEC score of 6 in non-diabetic patients was 0.79 (95% CI 0.57-0.99) and 0.86 (95% CI 0.82-0.89), respectively. In diabetic patients, the sensitivity and specificity were 0.91 (95% CI 0.57-0.99) and 0.72 (95% CI 0.67-0.78). Discussion: The LRINEC score is significantly higher in diabetic patients when compared with non-diabetic patients. Using a cutoff score of 6 produces a test with a poor specificity in diabetic patients. Introduction Necrotizing fasciitis is a serious, life threatening soft tissue infection that can spread rapidly along fascial planes. This rapid spread often leads to hemodynamic instability, systemic sepsis and can eventually lead to multi-organ failure and death. Given the severity of this infection, early diagnosis and treatment, including surgical debridement, are vital. Diagnosis of necrotizing fasciitis is a clinical diagnosis, and given the consequences in delayed treatment, it should be managed with a high index of suspicion. Unfortunately, the common presenting features of swelling, pain and erythema [1] are non-specific and early necrotizing fasciitis can easily be mistaken for cellulitis [2], which is largely treated non-operatively. There are “hard signs” of necrotizing fasciitis that are more specific including pain out of proportion, rapidly spreading infection, bullae, skin ecchymosis/sloughing, gas in tissue, skin anesthesia, edema beyond erythema and sepsis, but these are only present in 43% of cases [3]. V","PeriodicalId":87232,"journal":{"name":"Clinical archives of bone and joint diseases","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45824229","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":"Radial MR Screen of the Sacroiliac Joints in the Lumbar Spine of Patients with Chronic Lower Back Pain","authors":"A. M, Babu V, A. A, M. W.","doi":"10.23937/cabjd-2017/1710005","DOIUrl":"https://doi.org/10.23937/cabjd-2017/1710005","url":null,"abstract":"Objective: Magnetic resonance imaging (MRI) can reliably detect inflammation and structural changes in sacroiliac joints (SIJs) in patients with lower back pain (LBP). How -ever, patients with LBP are usually referred for MRI of the lower back (e.g. lumbar spine LS), and imaging of the SIJs is rarely requested for these patients. The aim of this work is to use radial MRI as an additional screening technique for SIJ pathology presenting in lumbar spine patients with chronic LBP. Materials and methods: One hundred one (54 males/47 fe males) patients complaining primarily of LBP were screened using a 1.5-T MRI system. MRI scanning was performed using sagittal and axial T2-weighted sequences for the LS (12 min) and the radial T2-weighted-fat saturated sequence for the SIJs (1.20 min). Two radiologists specializing in musculoskeletal MRI individually evaluated the SIJ imag es for anatomical accuracy and pathology. Results: Almost all radial SIJ images (95%) were diagnostically acceptable for reporting; 73.3% showed LS pathology only, whereas 26.7% displayed a combination of LS and SIJ pathology. Secondary findings indicate a significant correlation with gender (p = 0.014), namely, females were more prone to SIJ disease than males. Conclusion: Radial images were used to detect the pres ence and size of the anatomical deformity in LBP patients. Patients with detected pathology were then recommended for further follow-up and full diagnostic examination.","PeriodicalId":87232,"journal":{"name":"Clinical archives of bone and joint diseases","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43689926","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}