Search Results
Results 451 - 500 of 1526
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Middleton William D - - 2004
OBJECTIVE: MRI and sonography are both used to evaluate patients with painful shoulders. This study was conducted to compare patients' perceptions and satisfaction with both tests. SUBJECTS AND METHODS: One hundred eighteen patients with shoulder pain and a clinically suspected rotator cuff tear underwent both MRI and sonography and filled ...
Applegate Gregory R - - 2004
PURPOSE: In the magnetic resonance (MR) evaluation of the glenoid labrum, all studies to our knowledge have included mixed populations of patients, those with acute shoulder injuries as well as patients with chronic shoulder disorders. The focus of this investigation was to assess the effectiveness of MR arthrography in patients ...
Lambert Robert G W - - 2004
OBJECTIVE: To examine the prevalence and characteristics of shoulder involvement in ankylosing spondylitis (AS). To analyze the sensitivity and specificity of shoulder lesions defined by magnetic resonance imaging (MRI) in patients with AS. METHODS: Prevalence of shoulder involvement was ascertained by chart review of 400 AS patients. One hundred of ...
Iorio Richard - - 2004
The validity of preoperative demand matching as an indicator of patient activity following total hip arthroplasty (THA) was evaluated by studying 518 patients (mean age, 67 years; range, 26-92 years) who were assigned to 4 categories of decreasing demand: I (high demand), 68 patients (13%); II, 144 patients (28%); III, ...
Seki H - - 2004
This study examined the immunohistochemical expression and localization of cyclooxygenase-1 and -2 (COX-1 and COX-2) in synovial tissues from patients with internal derangement (ID) or osteoarthritis (OA) of the temporomandibular joint (TMJ). Synovial tissues from patients with condylar fractures of the mandible were studied as control. Synovial tissues from 13 ...
D'Agostino M-A - - 2004
BACKGROUND: Ultrasonography allows assessment of soft tissue structures and has become a valued tool for diagnosing synovitis. OBJECTIVE: To assess the learning curve for ultrasonography in evaluating synovitis of the small joints in rheumatoid arthritis. METHODS: Metacarpophalangeal (MCP), metatarsophalangeal (MTP), and proximal interphalangeal (PIP) joints were evaluated using ultrasonography (Esaote ...
Walton N P - - 2004
Therapeutic hip arthroscopy for the treatment of chondral degeneration remains controversial. A retrospective cohort study examined 70 patients of mean age 47 (range 22-87) years who had undergone hip arthroscopy and assessed them for evidence of chondral degeneration using radiological and arthroscopic means. Clinical outcome was assessed using a modified ...
Tallroth K - - 2005
OBJECTIVE: To assess the leg-length inequality in patients with hip osteoarthrosis (OA) and to evaluate a possible association between the length disparity and side of OA. DESIGN AND PATIENTS: Weight-bearing radiographs of 100 consecutive patients undergoing arthroplasty for primary OA were examined and measured for inequality of leg length, pelvic ...
Remes Ville - - 2004
Patients with diastrophic dysplasia have walking difficulties of obscure etiology; some are even wheelchair-bound. To explore the problem, physical examination, treadmill, magnetic resonance imaging (MRI), and electroneurophysiologic studies were performed on 87 patients (56 females, 31 males) with an average age of 31 (range 3-56) years. Mobility of the spine, ...
Wenger Doris E - - 2004
We evaluated the percentage of patients with acetabular labral tears who have a structural hip abnormality detectable by conventional radiography. Records from our institution from 1996 through 2002 were reviewed to identify all patients with labral tears. Patients were excluded who had classic hip dysplasia, advanced osteoarthritis, or a history ...
Baek H J - - 2004
OBJECTIVE: We investigated the clinical features of Korean patients with adult-onset ankylosing spondylitis (AAS) and examined the differences between AAS patients with and without peripheral joint disease (PJD). METHODS: We studied 67 consecutive patients with primary AAS who visited the rheumatology clinic of a tertiary referral hospital. All patients experienced ...
Al-Ani M Z - - 2004
The aim of this study was to investigate whether arthrography itself altered the range of mandibular movements, in a group of patients with locking of the temporomandibular joint (TMJ). The clinical records of a series of 161 patients who were diagnosed with locking of the TMJ were retrospectively analysed. Mouth ...
Hong N - - 2004
AIM: To report the incidence of avascular osteonecrosis (AVN) in severe acute respiratory syndrome (SARS) patients. MATERIALS AND METHODS: Sixty-seven SARS patients who had large joint pain between March 2003 and May 2003 underwent both plain radiographs and magnetic resonance imaging (MRI) examination on the same day. All patients received ...
Cahlon Oren - - 2004
Bleeding into large joints is the most common orthopaedic manifestation of hemophilia. Involvement of the shoulder rarely is reported, lending to its relative neglect in the orthopaedic literature. Through retrospective chart and radiographic reviews, the incidence and progression of radiographic and clinical changes that occur in the shoulder of patients ...
Vardi G - - 2004
We report 12 cases of transient osteoporosis in 10 patients. The presenting symptoms, diagnostic investigations and management are considered here as well as a discussion on the aetiology and the pathology. Arthroscopic surgery was carried out in some of the patients to exclude intraarticular pathology. Resolution of symptoms occurred in ...
Bosch Patrick - - 2004
The authors report their experience with eight patients (11 hips) with Down syndrome who sustained a slipped capital femoral epiphysis (SCFE). Six patients were diagnosed with hypothyroidism. All patients were greater than the 85th percentile for body mass index. Initial treatment was by in situ pinning in all hips. Six ...
Jeffcote Benjamin - - 2004
A retrospective review of 40 patients undergoing simultaneous bilateral total knee replacement was undertaken to investigate the link between patient body weight and patellar subsidence. Of the 40 patients, three (five knees) had collapse or fracture of the patellar bone and four (five knees) had developed radiolucent lines around the ...
Takahashi Tetsu - - 2004
BACKGROUND: The molecular weight (MW) of hyaluronic acid (HA) in joints generally declines in inflammatory arthritis. As inflammation exists in certain temporomandibular disorders (TMD), we measured the MW of HA in synovial fluid (SF) recovered from patients with TMD and compared it with that from normal controls. METHODS: Synovial fluid ...
Fletcher Matthew D A - - 2004
BACKGROUND: There is little information on long-term release of antibiotics from impregnated bone cement. PATIENTS AND METHODS: We assayed joint fluids obtained for diagnostic purposes from 25 patients for the presence of gentamicin. All patients had presented with failing or painful joints up to 20 years following primary hip or ...
Paegle Diana I - - 2004
PURPOSE: The study goal was to investigate the occurrence of serum antibodies to Chlamydia trachomatis, Chlamydia pneumoniae, and Chlamydia psittaci in patients with temporomandibular joint (TMJ) monoarthritis or chronic closed lock and in control subjects. PATIENTS AND METHODS: An indirect microimmunofluorescence test for detecting antibodies against C trachomatis was used. ...
Keser Selçuk - - 2004
We reviewed 27 patients with a minimally displaced proximal humeral fracture treated conservatively after a mean follow-up of 25 (12-34) months. All fractures had united. Patients were evaluated using the Constant-Murley scoring system, and isokinetic muscle strength was tested using a Cybex dynamometer. Finally, all shoulders were examined ultrasonographically. The ...
Chou Larry H - - 2004
OBJECTIVE: To determine the inciting events leading to the development of sacroiliac joint syndrome (SIJS). METHODS: This was a retrospective descriptive cohort series from an academic interdisciplinary spine center. Consecutive patients presenting with low back or buttock pain with or without leg symptoms who met specific inclusion and exclusion criteria ...
Chang Huan J - - 2004
OBJECTIVE: To examine differences by race/ethnicity and gender in patients' concerns regarding total knee replacement (TKR). METHODS: Focus groups of patients actively considering TKR were conducted. Discussion included patients' questions and concerns regarding TKR. The software ATLAS.ti was used to tabulate themes by race/ethnicity and gender. Concerns raised by focus ...
Palmer Simon H - - 2004
Dysfunction of the patellofemoral mechanism presents in many ways. Results from different realignment procedures show great variability in patient outcome. A surgical technique is presented that attempts to correct all the abnormalities of patellofemoral maltracking. The procedure consists of a lateral release, a vastus medialis (obliquus) tendon advancement, and a ...
Pritchett James W - - 2004
Nineteen patients had a severe neurologic deficit and persistent dysesthetic pain after total hip replacement. During surgery their limbs had been lengthened by 1.3 to 4.1 cm. Patients with other reasons for nerve injury such as hematoma, dislocation, or direct operative trauma were excluded. Also excluded were patients whose lengthening ...
Maffulli Nicola - - 2004
BACKGROUND: Recalcitrant calcific insertional Achilles tendinopathy is difficult to treat. HYPOTHESIS: Bursectomy, excision of the distal paratenon, disinsertion of the tendon, removal of the calcific deposit, and reinsertion of the Achilles tendon with bone anchors is safe and effective. STUDY DESIGN: Longitudinal study. METHODS: Twenty-one patients (six women) (21 feet) ...
Vergés Josep - - 2004
In daily clinical practice, many patients attribute joint pain to weather conditions. There is little information published on this subject and most of it is contradictory. The objective of this study was to evaluate the effect of climatic conditions in rheumatic patients. The present work was carried out with patients ...
Dorey Frederick J - - 2004
Survivorship analysis has become the standard statistical technique for evaluating the results of total joint arthroplasty. There are several problems associated with survivorship analysis as it is presented in the orthopaedic literature that apply to younger and older patients. Studies conducted within the same institution using the same prosthesis have ...
Schmalzried Thomas P - - 2004
Polyethylene wear in vivo is multifactorial including numerous patient factors, such as gender, age, and activity. There are limitations in the clinical assessment of some of these factors and, for this reason, surrogate variables are used. For example, patient age and diagnosis frequently are used as surrogates for patient activity. ...
Sonoo M - - 2004
OBJECTIVES: To test a new neurological sign, the "abductor sign," which can distinguish between organic and non-organic leg paresis using synergic movements of the bilateral hip abductors. METHODS: The subjects were 33 patients presenting with paresis of one leg, 17 of organic origin and 16 of non-organic origin (hysteria). To ...
Lerch Klaus - - 2005
OBJECTIVE: The purpose of this study was to classify sonographically the joint damage of target joints in patients with rheumatoid arthritis (RA). METHODS: During a 3-year cross-sectional study, standardized arthrosonography of symptomatic target joints was performed in patients with RA. According to those findings, a classification with progressive deterioration of ...
Fuchs S - - 2003
OBJECTIVE: To determine whether the concentrations of CD44H and v5 and v6 in the synovial fluid are correlated with the presence of accompanying synovitis in the osteoarthritic joint and with the grade of osteoarthritis. DESIGN: Using antero-posterior and lateral X-rays of the knee joint and patellar view of 46 patients ...
Prada Stefan A - - 2003
Three patients who experienced extensor mechanism rupture after total knee arthroplasty underwent reconstruction using an allograft consisting of quadriceps tendon, patella, patellar tendon, and tibial tubercle. All patients who failed initial attempts to repair the extensor mechanism disruption achieved pain relief at average 4.8-year follow-up. Patients were able to extend ...
Coull Roderick - - 2003
Clinical and pedobarograph evaluation was performed on 16 patients following flexor hallucis longus (FHL) tendon transfers to determine the resulting morbidity due to the loss of FHL function. All patients underwent FHL tendon transfer for either chronic tendon Achilles rupture or chronic Achilles tendinosis. Clinical evaluation of hallux function was ...
Meads B M - - 2003
Thirty-nine patients were retrospectively reviewed after a wrist arthrodesis using a Synthes wrist fusion plate and iliac crest bone graft. Information was obtained from review of patient files, a questionnaire to assess pain, function and work status, and clinical assessment of grip strength, forearm rotation and fingers motion. All wrist ...
Heo Min-Suk - - 2003
The medical records of 3 patients who visited our hospital with preauricular pain and limited jaw movement were retrospectively reviewed. All were clinically evaluated, diagnosed through the use of conventional radiographs, and initially treated as having temporomandibular disorders (TMD). However, their symptoms did not improve and even increased or facial ...
Marks M C - - 2003
The Ely Test (or Duncan-Ely test) has been accepted as a clinical tool to assess rectus femoris spasticity by passively flexing the knee rapidly while the patient lies prone in a relaxed state. In this retrospective review, patients' dynamic knee range of motion (ROM) during gait and an electromyogram (EMG) ...
McFarland Edward G - - 2003
BACKGROUND: There currently is a wide variation in the definition of multidirectional instability of the shoulder in the literature. The purpose of this study was to determine if these variations influence the distribution of the diagnoses in a cohort of patients with shoulder instability. METHODS: A cohort of 168 patients ...
Barrack Robert L - - 2003
A consecutive series of 14 patients with chronic extensor mechanism disruption after total knee arthroplasty (TKA) were treated with allograft reconstruction. Preoperatively all patients had full passive extension but a complete extensor lag. The average time from extensor mechanism disruption to surgery was 7 months (range, 3-24 months). Two methods ...
Fuchs Bruno - - 2003
Rotationplasty is a surgical procedure designed to achieve a durable reconstruction after the resection of tumors about the knee. However, because of the recent advances with expandable prostheses, rotationplasty has been less popular in the skeletally immature patient, particularly in the United States. We assessed the functional outcome of patients ...
Suzuki Toshikazu - - 2003
Bradykinin has been implicated in the pathogenesis of inflammatory arthritis by virtue of the potent pro-inflammatory properties. The purpose of this study is to investigate the expression of bradykinin in patients with internal derangement of the temporomandibular joint (TMJ). We examined 33 TMJ synovial biopsy specimens from 31 patients with ...
Coughlin Michael J - - 2003
The purpose of the study was to evaluate the demographics, etiology, and radiographic findings associated with hallux rigidus in patients treated surgically over a 19-year period in a single surgeon's practice. Patients treated for hallux rigidus by cheilectomy and metatarsophalangeal joint fusion were identified from 1981 to 1999. Patients who ...
Mardinger Ofer - - 2003
OBJECTIVE: The purpose of this study was to present 6 patients with malignant external otitis (MEO) that resulted in temporomandibular joint (TMJ) involvement and to discuss the incidence, clinical presentation, and treatment modalities. STUDY DESIGN: All patients diagnosed with MEO between 1994 and 2002 were reviewed for cases in which ...
Kollig Erwin - - 2003
BACKGROUND: In cases of septic joint destruction, an unfavorable situation of soft tissues and chronic osteomyelitis are responsible for high failure rates of ankle fusions. We wanted to evaluate the control of infection and the fusion rate using hybrid external fixators for the fusion of the septic ankle in a ...
Muché Julie A - - 2003
This report focuses on diagnosis and management of a meniscus tear of unknown etiology in a functionally impaired patient. The patient was a 21-year-old man diagnosed with viral meningoencephalitis and postvaccinal central pontine myelinolysis, who experienced respiratory failure and required prolonged mechanical ventilation. He was in a comatose state for ...
Lee Su-Shin - - 2003
Gout is a condition characterized by the deposition of monosodium urate crystals in the joints or soft tissue. A gouty tophus occasionally mimics an infectious or neoplastic process. However, the conventional enucleating procedure might cause complications. In severe cases, skin necrosis and tendon or joint exposure can occur after debridements. ...
Reitman Richard D - - 2003
Although cementless arthroplasty with a tapered titanium femoral component has proven reliable in young patients with excellent bone quality, studies involving patients with poor bone quality are lacking. The present study evaluates the results of total hip arthroplasty (THA) using such a femoral component in patients with Type C femoral ...
Radke John C - - 2003
Previous authors have described four frontal gum-chewing patterns associated with normal and abnormal TMJ disk-condyle relationships. The objective of this study was to create an automatic detection capability (expert system) by training an artificial neural network to recognize nonreducing displaced disks from frontal chewing data. Sixty-eight (68) subjects, 29 with ...
Diks M J F - - 2003
In patients with either lateral tracking patella or unstable patella the pathological lateral position of the tuberosity can be corrected by a medial transfer. This study compared the results of subtle CT-guided correction of the tuberosity for objective unstable patella (n=27) with the results for lateral tracking patella (potential instability) ...
Webster Kate E - - 2003
This study characterized the footstep pattern and knee kinematics during walking in 12 patients who had undergone unicompartmental knee arthroplasty for unilateral medial compartment osteoarthritis. Patients had all achieved a successful recovery and were tested at least 1 year after surgery. Gait analysis was conducted during self-selected comfortable and fast ...
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