The Open Orthopaedics Journal最新文献

英文中文

Lumbar Solitary Osteochondroma with Lower Extremity Weakness: A Case Report 腰椎孤立性骨软骨瘤伴下肢无力1例报告

The Open Orthopaedics Journal

Pub Date : 2022-09-21 DOI: 10.2174/18743250-v16-e2206270

Takahiro Sato, H. Kinoshita, Takashi Kobayashi, N. Miyakoshi

Osteochondroma is the most common benign bone tumor. However, osteochondroma of the spine is relatively rare, accounting for only 4% to 7% of primary benign spinal tumors and less than 3% of all osteochondromas. Furthermore, symptomatic osteochondroma in the lumbar spine is much rarer. We herein describe a patient who was diagnosed with a lumbar solitary osteochondroma causing neurological symptoms of the lower extremities. The patient successfully underwent surgical removal of the lesion. A 79-year-old man presented with a 3-year history of difficulty walking and gradual development of numbness in his left upper extremity, which further exacerbated his difficulty walking. Magnetic resonance imaging and computed tomography revealed spinal stenosis at C3/4, L4/5, and L5/S1 and an osseous solitary lesion. We performed a single-stage operation of both the cervical and lumbar spine. The osseous solitary lesion at L5/S1 was removed, and the pathological diagnosis was osteochondroma. After the operation, the patient’s upper extremity numbness and walking ability were improved. We experienced a rare case of a neurologically symptomatic solitary osteochondroma in the lumbar spinal canal. Moreover, this lesion was found at the same time as cervical spondylosis causing numbness. Therefore, we must perform careful examinations and thoroughly evaluate imaging and postoperative pathological findings.

骨软骨瘤是最常见的骨良性肿瘤。然而脊柱骨软骨瘤相对少见，仅占脊柱原发性良性肿瘤的4% ~ 7%，不到所有骨软骨瘤的3%。此外，腰椎的症状性骨软骨瘤非常罕见。我们在此描述一个被诊断为腰椎孤立性骨软骨瘤引起下肢神经系统症状的患者。病人成功地接受了手术切除病变。79岁男性，有3年行走困难病史，左上肢逐渐麻木，进一步加重了行走困难。磁共振成像和计算机断层扫描显示C3/4、L4/5和L5/S1椎管狭窄和骨性孤立病变。我们对颈椎和腰椎进行了一次手术。切除L5/S1骨孤立病变，病理诊断为骨软骨瘤。术后患者上肢麻木及行走能力均有改善。我们经历了一个罕见的病例神经症状孤立性骨软骨瘤在腰椎管。此外，这种病变与颈椎病同时发现，引起麻木。因此，我们必须进行仔细的检查，彻底评估影像学和术后病理结果。

{"title":"Lumbar Solitary Osteochondroma with Lower Extremity Weakness: A Case Report","authors":"Takahiro Sato, H. Kinoshita, Takashi Kobayashi, N. Miyakoshi","doi":"10.2174/18743250-v16-e2206270","DOIUrl":"https://doi.org/10.2174/18743250-v16-e2206270","url":null,"abstract":"\u0000 \u0000 Osteochondroma is the most common benign bone tumor. However, osteochondroma of the spine is relatively rare, accounting for only 4% to 7% of primary benign spinal tumors and less than 3% of all osteochondromas. Furthermore, symptomatic osteochondroma in the lumbar spine is much rarer. We herein describe a patient who was diagnosed with a lumbar solitary osteochondroma causing neurological symptoms of the lower extremities. The patient successfully underwent surgical removal of the lesion.\u0000 \u0000 \u0000 \u0000 A 79-year-old man presented with a 3-year history of difficulty walking and gradual development of numbness in his left upper extremity, which further exacerbated his difficulty walking. Magnetic resonance imaging and computed tomography revealed spinal stenosis at C3/4, L4/5, and L5/S1 and an osseous solitary lesion. We performed a single-stage operation of both the cervical and lumbar spine. The osseous solitary lesion at L5/S1 was removed, and the pathological diagnosis was osteochondroma. After the operation, the patient’s upper extremity numbness and walking ability were improved.\u0000 \u0000 \u0000 \u0000 We experienced a rare case of a neurologically symptomatic solitary osteochondroma in the lumbar spinal canal. Moreover, this lesion was found at the same time as cervical spondylosis causing numbness. Therefore, we must perform careful examinations and thoroughly evaluate imaging and postoperative pathological findings.\u0000","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91060267","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

Dynamic Postural Stability after Cartilage Repair in the Knee 膝关节软骨修复后的动态姿势稳定性

The Open Orthopaedics Journal

Pub Date : 2022-08-30 DOI: 10.2174/18743250-v16-e2206300

J. Gille, Valentin Körner, R. Oheim, A. Paech, H. Mittelstädt, A. Schulz, J. Schagemann

Articular cartilage has an exceptionally poor capacity for healing, but Autologous Matrix Induced Chondrogenesis is a procedure with a substantial body of literature that demonstrates its performance in chondral and osteochondral repair. However, data concerning dynamic postural stability after cartilage repair procedures is lacking. Therefore, the present study was designed to assess postural stability following cartilage repair in the knee. 20 adults had undergone Autologous Matrix Induced Chondrogenesis for the treatment of full-thickness cartilage defects, with minimum 36 months of follow-up. Clinical outcomes were evaluated by patient reported outcome measures while dynamic postural stability was assessed using the star excursion balance test. The untreated, contralateral limbs served as controls. At a mean follow-up of 43 months, patients reported a Visual Analog Score for pain of 1.6±2.2, a mean Lysholm score of 78.5±17.9 and a mean Knee Osteoarthritis Outcome Score of 143.3±16.1. The star excursion balance test showed no significant difference between limbs. With no difference in dynamic postural stability, our results indicate that this treatment provides a positive clinical outcome, with no deficits in postural stability when compared to the contralateral, untreated leg.

关节软骨的愈合能力非常差，但自体基质诱导软骨形成是一种手术，有大量文献证明其在软骨和骨软骨修复中的作用。然而，关于软骨修复手术后动态姿势稳定性的数据缺乏。因此，本研究旨在评估膝关节软骨修复后的姿势稳定性。20名成人接受自体基质诱导软骨成形术治疗全层软骨缺损，随访至少36个月。临床结果通过患者报告的结果来评估，而动态姿势稳定性通过星形偏移平衡试验来评估。未治疗的对侧肢体作为对照。在平均43个月的随访中，患者报告的疼痛视觉模拟评分为1.6±2.2，平均Lysholm评分为78.5±17.9，平均膝关节骨关节炎结局评分为143.3±16.1。星移平衡测试结果显示四肢间无显著差异。在动态姿势稳定性没有差异的情况下，我们的研究结果表明，与未治疗的对侧腿相比，这种治疗提供了积极的临床结果，没有姿势稳定性的缺陷。

{"title":"Dynamic Postural Stability after Cartilage Repair in the Knee","authors":"J. Gille, Valentin Körner, R. Oheim, A. Paech, H. Mittelstädt, A. Schulz, J. Schagemann","doi":"10.2174/18743250-v16-e2206300","DOIUrl":"https://doi.org/10.2174/18743250-v16-e2206300","url":null,"abstract":"\u0000 \u0000 Articular cartilage has an exceptionally poor capacity for healing, but Autologous Matrix Induced Chondrogenesis is a procedure with a substantial body of literature that demonstrates its performance in chondral and osteochondral repair. However, data concerning dynamic postural stability after cartilage repair procedures is lacking.\u0000 \u0000 \u0000 Therefore, the present study was designed to assess postural stability following cartilage repair in the knee.\u0000 \u0000 \u0000 \u0000 20 adults had undergone Autologous Matrix Induced Chondrogenesis for the treatment of full-thickness cartilage defects, with minimum 36 months of follow-up. Clinical outcomes were evaluated by patient reported outcome measures while dynamic postural stability was assessed using the star excursion balance test. The untreated, contralateral limbs served as controls.\u0000 \u0000 \u0000 \u0000 At a mean follow-up of 43 months, patients reported a Visual Analog Score for pain of 1.6±2.2, a mean Lysholm score of 78.5±17.9 and a mean Knee Osteoarthritis Outcome Score of 143.3±16.1. The star excursion balance test showed no significant difference between limbs.\u0000 \u0000 \u0000 With no difference in dynamic postural stability, our results indicate that this treatment provides a positive clinical outcome, with no deficits in postural stability when compared to the contralateral, untreated leg.\u0000","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90052546","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

Brace Prescription for Adult Scoliosis - Literature Review 成人脊柱侧凸的支具处方-文献综述

The Open Orthopaedics Journal

Pub Date : 2022-07-19 DOI: 10.2174/18743250-v16-e2205270

S. Ng, Tai Hong Andrew Lung, L. Y. Cheng, Yin-Ling Ng

The 2021 SOSORT guidelines stipulated that braces be prescribed for adult scoliosis with chronic pain and progressive curve. Yet, there have been no objective protocols relating to the prescription of the brace. Therefore, this review investigates if there are any objective criteria or generally agreed on protocols for brace prescription in adult scoliosis patients. Relevant papers were searched in PUBMED. Only articles that are in English and cover the clinical aspect of adult scoliosis bracing are included. A total of twelve papers were identified. They include different adult scoliosis braces, ranging from elastic belts to rigid braces. The treatment protocol varied tremendously. No objective criteria were found concerning the prescription of a brace, daily wearing time, duration of the intervention, and weaning protocol. The brace treatment was primarily employed to manage low back pain. Our search showed no objective criteria and clear indications for bracing and no consensus concerning the prescription of braces, daily wearing time, and duration of the intervention for patients with adult scoliosis. The authors proposed prescription of a brace be based on more objective radiological criteria and severity of low back pain. Brace prescription should depend on the flexibility of the curve and can range from accommodative to rigid braces of corrective design. “Corrective” brace has to be worn at least 14 hours daily for six months or until the low back pain subsides to the extent that permits daily activities with minimal discomfort. “Accommodative” brace can be worn when required.

2021年SOSORT指南规定，对于慢性疼痛和进行性弯曲的成人脊柱侧凸，应开具牙套。然而，目前还没有关于支具处方的客观方案。因此，本综述调查成人脊柱侧凸患者支架处方是否存在客观标准或普遍认可的方案。在PUBMED检索相关论文。只有文章是在英语和涵盖成人脊柱侧凸支具的临床方面被包括在内。共确定了12篇论文。它们包括不同的成人脊柱侧凸支架，从弹性带到刚性支架。治疗方案差别很大。没有发现关于支具处方、每日佩戴时间、干预持续时间和脱机方案的客观标准。支具治疗主要用于治疗腰痛。我们的研究显示没有客观的标准和明确的支具适应症，对于成人脊柱侧凸患者的支具处方、日常佩戴时间和干预时间没有共识。作者建议支架的处方应基于更客观的放射学标准和腰痛的严重程度。支撑处方应取决于曲线的灵活性，可以从适应性到刚性矫正设计的支撑。“矫正”支架必须每天佩戴至少14小时，持续6个月，或者直到腰痛消退到可以在最小的不适下进行日常活动的程度。“调节式”支架可在需要时佩戴。

{"title":"Brace Prescription for Adult Scoliosis - Literature Review","authors":"S. Ng, Tai Hong Andrew Lung, L. Y. Cheng, Yin-Ling Ng","doi":"10.2174/18743250-v16-e2205270","DOIUrl":"https://doi.org/10.2174/18743250-v16-e2205270","url":null,"abstract":"\u0000 \u0000 The 2021 SOSORT guidelines stipulated that braces be prescribed for adult scoliosis with chronic pain and progressive curve. Yet, there have been no objective protocols relating to the prescription of the brace. Therefore, this review investigates if there are any objective criteria or generally agreed on protocols for brace prescription in adult scoliosis patients.\u0000 \u0000 \u0000 \u0000 Relevant papers were searched in PUBMED. Only articles that are in English and cover the clinical aspect of adult scoliosis bracing are included.\u0000 \u0000 \u0000 \u0000 A total of twelve papers were identified. They include different adult scoliosis braces, ranging from elastic belts to rigid braces. The treatment protocol varied tremendously. No objective criteria were found concerning the prescription of a brace, daily wearing time, duration of the intervention, and weaning protocol. The brace treatment was primarily employed to manage low back pain.\u0000 \u0000 \u0000 \u0000 Our search showed no objective criteria and clear indications for bracing and no consensus concerning the prescription of braces, daily wearing time, and duration of the intervention for patients with adult scoliosis.\u0000 The authors proposed prescription of a brace be based on more objective radiological criteria and severity of low back pain. Brace prescription should depend on the flexibility of the curve and can range from accommodative to rigid braces of corrective design. “Corrective” brace has to be worn at least 14 hours daily for six months or until the low back pain subsides to the extent that permits daily activities with minimal discomfort. “Accommodative” brace can be worn when required.\u0000","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"273 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77549674","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: 1

Humeral Shaft Fractures: A Literature Review on Current Treatment Methods 肱骨干骨折:目前治疗方法的文献综述

The Open Orthopaedics Journal

Pub Date : 2022-02-25 DOI: 10.2174/18743250-v16-e2112091

A. Daoub, Pedro Miguel Oliveira Ferreira, S. Cheruvu, Matthew Walker, W. Gibson, G. Orfanos, Rohit Singh

In this review, we aim to provide a concise yet comprehensive summation of the assessment and management of humeral shaft fractures. These are uncommon but prevalent enough that they are part of any trauma surgeon's scope of practice. They have historically been treated using non-operative methods, including braces and casts, supported by published excellent results in the rate of the bone union. However, recently published studies challenge these results and suggest the outcomes might be better with surgery, but the complications of an operation such as infection and nerve injury can not be overlooked. In summary, non-surgical treatment is still the gold standard in the treatment of these fractures, but the indications for surgical management are now clearer and include early signs of delayed union and patients who are unable to have a brace fitted or are uncompliant. It is likely that these new developments will start to change practice, and therefore the treatment of humeral shaft fractures should be a topic of interest of any clinician who deals with them.

在这篇综述中，我们的目的是提供一个简明而全面的总结评估和处理肱骨干骨折。这些是不常见的，但足够普遍，他们是任何创伤外科医生的实践范围的一部分。他们历来使用非手术方法治疗，包括牙套和石膏，在骨愈合率方面发表了出色的结果。然而，最近发表的研究对这些结果提出了质疑，并建议手术可能会有更好的结果，但手术的并发症，如感染和神经损伤也不容忽视。总之，非手术治疗仍然是治疗这些骨折的金标准，但手术治疗的适应症现在更明确，包括延迟愈合的早期迹象，以及无法安装支架或不合规的患者。很有可能这些新的发展将开始改变实践，因此肱骨干骨折的治疗应该是任何治疗此类骨折的临床医生感兴趣的话题。

引用次数: 1

A Review of Handgrip Strength and its Role as a Herald of Health 握力及其对健康的预示作用综述

The Open Orthopaedics Journal

Pub Date : 2022-02-23 DOI: 10.2174/18743250-v16-e2201100

Raquel A. Minasian, S. Kuschner, C. S. Lane

Measurement of grip strength using a handheld dynamometer is frequently performed as part of an orthopedic upper extremity examination. We review the technique of grip strength measurement and evaluation of the possible submaximal effort. What constitutes normal grip strength in one part of the world is not necessarily normal elsewhere. Additionally, there is considerable evidence, most of which is outside the orthopedic literature, that diminished grip strength is a proxy for poor health and a predictor of increased mortality.

使用手持式测力仪测量握力通常作为矫形上肢检查的一部分。本文综述了握力测量技术和可能的次最大努力的评价。在世界的一个地方，正常的握力在其他地方不一定是正常的。此外，有相当多的证据表明，握力下降是健康状况不佳的一个代表，也是死亡率增加的一个预测指标，其中大部分是骨科文献之外的证据。

引用次数: 0

Evaluation of Sustained Acoustic Medicine for Treating Musculoskeletal Injuries in Military and Sports Medicine. 军事和运动医学中持续声医学治疗肌肉骨骼损伤的评价。

The Open Orthopaedics Journal

Pub Date : 2022-01-01 DOI: 10.2174/18743250-v16-e221130-2022-8

Rod Walters, John Kasik, Cassie Ettel, Ralph Ortiz

Background: Musculoskeletal injuries are common in collegiate, professional, and military personnel and require expedited recovery to reduce lost work time. Sustained acoustic medicine (SAM) provides continuous long-duration ultrasound at 3MHz and 132mW/cm². The treatment is frequently prescribed to treat acute and chronic soft tissue injuries and reduce pain. The objective of this study was to evaluate the efficacy of SAM treatment for musculoskeletal injuries and accelerated recovery.

Methods: An 18-question electronic survey and panel discussion were conducted on Athletic Trainers (ATs) using SAM treatment in professional, collegiate, and military sports medicine. The survey included both qualitative and quantitative questions. In addition, a panel discussion discussed SAM effectiveness with expert ATs. Power calculation of sampling and statistical evaluation of data was utilized to generalize the results.

Results: Survey respondents (n=97) and panelists (n=142) included ATs from all National Athletic Trainers Association districts. SAM was primarily used for musculoskeletal injuries (83.9%, p<0.001) with a focus on healing tendons and ligaments (87.3%, p<0.001). SAM treatment was also used on joints (44.8%), large muscle groups (43.7%), and bone (41.4%). SAM provided clinical improvement in under 2 weeks (68.9%, p<0.001) and a 50% reduction in pain medication (63%, p<0.001). In addition, patients were highly receptive to treatment (87.3%, p<0.001), and ATs had a high level of confidence for improved function and returned to work after 30-days of SAM use (81.2%, p<0.001).

Conclusion: SAM is an effective, safe, easy-to-use, noninvasive, comfortable, and versatile therapeutic for healing musculoskeletal injuries.

背景:肌肉骨骼损伤在大学、专业和军事人员中很常见，需要快速恢复以减少损失的工作时间。持续声学医学(SAM)提供3MHz和132mW/cm2的连续长时间超声。该疗法常用于治疗急性和慢性软组织损伤，减轻疼痛。本研究的目的是评估SAM治疗肌肉骨骼损伤和加速恢复的疗效。方法:采用电子问卷调查和小组讨论的方法，对专业、大学和军队运动医学中使用SAM治疗的运动教练员(ATs)进行调查。调查包括定性和定量问题。此外，小组讨论与专家ATs讨论了SAM的有效性。利用抽样幂次计算和数据的统计评价来概括结果。结果:调查对象(n=97)和小组成员(n=142)包括来自全国运动教练协会所有地区的助理教练。结论:SAM是一种有效、安全、易于使用、无创、舒适、多功能的肌肉骨骼损伤治疗方法。

{"title":"Evaluation of Sustained Acoustic Medicine for Treating Musculoskeletal Injuries in Military and Sports Medicine.","authors":"Rod Walters, John Kasik, Cassie Ettel, Ralph Ortiz","doi":"10.2174/18743250-v16-e221130-2022-8","DOIUrl":"https://doi.org/10.2174/18743250-v16-e221130-2022-8","url":null,"abstract":"Background: Musculoskeletal injuries are common in collegiate, professional, and military personnel and require expedited recovery to reduce lost work time. Sustained acoustic medicine (SAM) provides continuous long-duration ultrasound at 3MHz and 132mW/cm2. The treatment is frequently prescribed to treat acute and chronic soft tissue injuries and reduce pain. The objective of this study was to evaluate the efficacy of SAM treatment for musculoskeletal injuries and accelerated recovery.Methods: An 18-question electronic survey and panel discussion were conducted on Athletic Trainers (ATs) using SAM treatment in professional, collegiate, and military sports medicine. The survey included both qualitative and quantitative questions. In addition, a panel discussion discussed SAM effectiveness with expert ATs. Power calculation of sampling and statistical evaluation of data was utilized to generalize the results.Results: Survey respondents (n=97) and panelists (n=142) included ATs from all National Athletic Trainers Association districts. SAM was primarily used for musculoskeletal injuries (83.9%, p<0.001) with a focus on healing tendons and ligaments (87.3%, p<0.001). SAM treatment was also used on joints (44.8%), large muscle groups (43.7%), and bone (41.4%). SAM provided clinical improvement in under 2 weeks (68.9%, p<0.001) and a 50% reduction in pain medication (63%, p<0.001). In addition, patients were highly receptive to treatment (87.3%, p<0.001), and ATs had a high level of confidence for improved function and returned to work after 30-days of SAM use (81.2%, p<0.001).Conclusion: SAM is an effective, safe, easy-to-use, noninvasive, comfortable, and versatile therapeutic for healing musculoskeletal injuries.","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"16 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9869494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10618748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical and Radiographic Features of Phalangeal Osteoid Osteoma 指骨类骨瘤的临床和影像学特征

The Open Orthopaedics Journal

Pub Date : 2021-11-25 DOI: 10.2174/1874364102115010171

N. Sferopoulos

Osteoid osteoma is a benign osteoblastic tumor of unknown origin. It usually affects children, adolescents and young adults showing a strong male predominance. The tumor has a predilection for the metaphysis or diaphysis of long bones of the lower limbs but it may occur anywhere in the skeleton. It typically consists of a well-demarcated radiolucent rarefied area of bone-forming and prostaglandin-secreting nidus, occupying the midcortex, which is surrounded by an extensive fusiform reactive sclerotic host bone. Reactive sclerosis is usually more pronounced in children. The lesion may also be found in the medulla (spongiosa) of bone. In the cortical presentation, it may rarely occupy the endosteal or subperiosteal surface of the cortex. Intramedullary tumors are usually surrounded by a thin rim of reactive sclerosis and may frequently be periarticular or intraarticular, presenting with synovitis and joint effusion [1 10].

骨样骨瘤是一种来源不明的良性成骨细胞肿瘤。它通常影响儿童、青少年和年轻人，表现出强烈的男性优势。肿瘤多发于下肢长骨干骺端或骨干，但也可发生于骨骼的任何部位。它典型地由一个界限清晰的放射稀薄的骨形成和前列腺素分泌病灶区组成，占据皮质中部，被广泛的梭状反应性硬化宿主骨包围。反应性硬化症通常在儿童中更为明显。病变也可在骨髓质(海绵状)中发现。在皮层表现中，它很少占据皮层的骨膜内或骨膜下表面。髓内肿瘤通常被反应性硬化的薄边缘包围，常发生在关节周围或关节内，表现为滑膜炎和关节积液[1 10]。

引用次数: 0

Primary Hyperparathyroidism in the Common Orthopaedic Practice 普通骨科实践中的原发性甲状旁腺功能亢进

The Open Orthopaedics Journal

Pub Date : 2021-11-20 DOI: 10.2174/1874364102115010157

N. Sferopoulos

An extensive review of the publications on primary hyperparathyroidism (pHPT) is presented in this report. It has strongly been emphasized in the literature that patients with pHPT may present either with the classical symptomatology or with asymptomatic disease, emerged due to biochemical screening. The clinical and epidemiological presentation of pHPT in western countries has changed profoundly during the past few decades, and bone disease is nowadays a distinct rarity. The introduction of serum calcium screening for osteoporosis and the technological advances in the laboratory assessment of parathyroid hormone have played important roles in early diagnosis. Subsequently, the disease is increasingly being detected as asymptomatic hypercalcaemia without guiding signs or symptoms. A third type of disease, the normocalcaemic variant, has been recently described in the literature. However, the potential diagnosis of pHPT should always be on the orthopaedics’ list of differential diagnoses in female or elderly patients with vertebral fractures and nephrolithiasis, either symptomatic or asymptomatic, as well as when solitary or multiple osteolytic lesions are encountered on the radiographs. Additionally, a middle aged woman with parathyroid adenoma and subsequent brown tumors detected on the pelvic radiographs is reported. Her initial laboratory findings indicated a minimal increase of the serum calcium, a mild increase of the erythrocyte sedimentation rate, and a significant increase in total serum alkaline phosphatase. Finally, the detection of elevated parathyroid hormone levels indicated the diagnosis of pHPT and necessitated imaging studies of the parathyroid glands, which indicated a parathyroid adenoma. Following successful excision of the parathyroid adenoma, the patient suffered from the hungry bone syndrome. After a follow-up of 20 years, the patient had normal calcium, vitamin D, and parathyroid hormone serum levels, while a pelvic radiograph indicated no significant changes in the appearance of the brown tumors.

本报告对原发性甲状旁腺功能亢进(pHPT)的出版物进行了广泛的回顾。文献强调，pHPT患者可能表现为经典症状，也可能表现为生化筛查后出现的无症状疾病。在过去的几十年里，pHPT在西方国家的临床和流行病学表现发生了深刻的变化，骨病现在已经非常罕见。骨质疏松症血清钙筛查的引入和甲状旁腺激素实验室检测技术的进步，对骨质疏松症的早期诊断起到了重要作用。随后，该病越来越多地被发现为无指导性体征或症状的无症状高钙血症。第三种类型的疾病，正钙血症变体，最近已在文献中描述。然而，对于患有椎体骨折和肾结石的女性或老年患者，无论是有症状的还是无症状的，以及在x线片上发现单发或多发溶骨性病变时，pHPT的潜在诊断应始终列入骨科的鉴别诊断清单。此外，一个中年妇女与甲状旁腺瘤和随后的棕色肿瘤盆腔x线片检测报告。她最初的实验室检查结果显示血清钙轻微升高，红细胞沉降率轻度升高，血清总碱性磷酸酶显著升高。最后，检测到甲状旁腺激素水平升高提示pHPT的诊断，需要对甲状旁腺进行影像学检查，提示甲状旁腺瘤。成功切除甲状旁腺瘤后，病人患上了饿骨综合征。经过20年的随访，患者的钙、维生素D和甲状旁腺激素血清水平正常，而盆腔x线片显示棕色肿瘤外观无明显变化。

{"title":"Primary Hyperparathyroidism in the Common Orthopaedic Practice","authors":"N. Sferopoulos","doi":"10.2174/1874364102115010157","DOIUrl":"https://doi.org/10.2174/1874364102115010157","url":null,"abstract":"An extensive review of the publications on primary hyperparathyroidism (pHPT) is presented in this report. It has strongly been emphasized in the literature that patients with pHPT may present either with the classical symptomatology or with asymptomatic disease, emerged due to biochemical screening. The clinical and epidemiological presentation of pHPT in western countries has changed profoundly during the past few decades, and bone disease is nowadays a distinct rarity. The introduction of serum calcium screening for osteoporosis and the technological advances in the laboratory assessment of parathyroid hormone have played important roles in early diagnosis. Subsequently, the disease is increasingly being detected as asymptomatic hypercalcaemia without guiding signs or symptoms. A third type of disease, the normocalcaemic variant, has been recently described in the literature. However, the potential diagnosis of pHPT should always be on the orthopaedics’ list of differential diagnoses in female or elderly patients with vertebral fractures and nephrolithiasis, either symptomatic or asymptomatic, as well as when solitary or multiple osteolytic lesions are encountered on the radiographs.\u0000 Additionally, a middle aged woman with parathyroid adenoma and subsequent brown tumors detected on the pelvic radiographs is reported. Her initial laboratory findings indicated a minimal increase of the serum calcium, a mild increase of the erythrocyte sedimentation rate, and a significant increase in total serum alkaline phosphatase. Finally, the detection of elevated parathyroid hormone levels indicated the diagnosis of pHPT and necessitated imaging studies of the parathyroid glands, which indicated a parathyroid adenoma. Following successful excision of the parathyroid adenoma, the patient suffered from the hungry bone syndrome. After a follow-up of 20 years, the patient had normal calcium, vitamin D, and parathyroid hormone serum levels, while a pelvic radiograph indicated no significant changes in the appearance of the brown tumors.","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82771120","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

Total Knee Arthroplasty Conversion after Open-wedge High Tibial Osteotomy 胫骨高位开楔截骨术后全膝关节置换

The Open Orthopaedics Journal

Pub Date : 2021-10-15 DOI: 10.2174/1874325002115010053

Wataru Kusano, T. Mine, K. Ihara, Y. Tominaga, H. Kawamura, Michio Shinohara, Ryutaro Kuriyama

Open-wedge High Tibial Osteotomy (HTO) is an effective treatment for Osteoarthritis (OA) of the knee; however, postoperative changes due to HTO can make subsequent Total Knee Arthroplasty (TKA) technically difficult and can affect long-term survival. Medio-lateral stability along with balanced flexion and extension gaps provides a good functional outcome. A 71-year-old man underwent TKA conversion after open-wedge HTO 12 years earlier; the conversion was performed due to arthritic deterioration in the knee. Medial instability was noted because of poor ligament balancing. The residual medial instability was managed with a knee brace due to the unavailability of the constrained prosthesis. Management of persistent mediolateral instability persisting after soft tissue release and balancing ideally requires varus-valgus constraint. TKA conversion after open-wedge HTO requires a special technique and careful preparation before surgery.

开楔胫骨高位截骨术(HTO)是治疗膝关节骨关节炎(OA)的有效方法;然而，由于HTO的术后改变会使后续的全膝关节置换术(TKA)在技术上变得困难，并可能影响长期生存。中外侧稳定以及平衡的屈伸间隙提供了良好的功能结果。1例71岁男性，12年前开楔HTO后行TKA转换;由于膝关节关节炎恶化，进行了转换。由于韧带平衡不良导致内侧不稳定。由于无法使用受限假体，残余的内侧不稳定用膝关节支架处理。软组织释放和平衡后持续的中外侧不稳定的管理理想需要内翻约束。开式楔形HTO术后TKA转换需要特殊的技术和术前的精心准备。

引用次数: 0

Complications after Spinal Surgery in Patients with Parkinson’s Disease 帕金森病患者脊柱手术后的并发症

The Open Orthopaedics Journal

Pub Date : 2021-09-30 DOI: 10.2174/1874325002115010046

G. Sapkas, Margarita-Michaela Ampadiotaki, D. Pallis, M. Papadakis, Spyridon-Augoustinos Halikiopoulos, S. Papadakis

Several studies have shown that spinal surgeries in patients who suffer from Parkinson’s Disease have a high rate of complications. These patients often need revision surgery. This is a retrospective study involving 21 patients with Parkinson’s Disease. This study aimed to examine the complications after spinal surgery. We studied 21 patients with Parkinson’s Disease retrospectively, who had undergone a previous operation by the same surgeon between 2004 to 2019. There were 11 females and 10 males. The mean age was 71.9 years (range, 52 to 85). However, the initial diagnosis and types of surgery were different. The mean time of follow-up for each patient was 3.6 years (ranging from 2 to 8 years). Most of the patients had a post-operative complication within a period of three years. Τhe most common complication was kyphotic deformity and camptocormia. Twelve patients (57.1%) underwent revision surgery, and three patients (14.2%) denied treatment. In four patients (19.04%), kyphotic deformity or stooped posture remained. Only one patient (4.7%) presented with no complication in a follow-up of 8 years. Patients with Parkinson’s disease have a high rate of complications after spinal surgery and often need revision surgery. For this literature review, the overall number of patients was 502, and the mean revision rate was 43.6%. The surgeon must inform patients of possible complications, and a thorough post-operative observation must be implemented.

几项研究表明，帕金森病患者的脊柱手术并发症发生率很高。这些患者通常需要翻修手术。这是一项涉及21名帕金森病患者的回顾性研究。本研究旨在探讨脊柱手术后的并发症。我们回顾性研究了21名帕金森病患者，他们在2004年至2019年期间接受了同一名外科医生的手术。其中女性11人，男性10人。平均年龄为71.9岁(52 ~ 85岁)。然而，最初的诊断和手术类型是不同的。每位患者的平均随访时间为3.6年(2 ~ 8年)。大多数患者在三年内出现术后并发症。Τhe最常见的并发症是后凸畸形和喜树症。12例患者(57.1%)接受了翻修手术，3例患者(14.2%)拒绝治疗。4例(19.04%)患者仍存在后凸畸形或弯腰。在8年的随访中，只有1例患者(4.7%)没有出现并发症。帕金森病患者脊柱手术后并发症发生率高，经常需要翻修手术。本文献综述共纳入502例患者，平均翻修率为43.6%。外科医生必须告知患者可能出现的并发症，并且必须实施彻底的术后观察。

{"title":"Complications after Spinal Surgery in Patients with Parkinson’s Disease","authors":"G. Sapkas, Margarita-Michaela Ampadiotaki, D. Pallis, M. Papadakis, Spyridon-Augoustinos Halikiopoulos, S. Papadakis","doi":"10.2174/1874325002115010046","DOIUrl":"https://doi.org/10.2174/1874325002115010046","url":null,"abstract":"\u0000 \u0000 Several studies have shown that spinal surgeries in patients who suffer from Parkinson’s Disease have a high rate of complications. These patients often need revision surgery.\u0000 \u0000 \u0000 \u0000 This is a retrospective study involving 21 patients with Parkinson’s Disease. This study aimed to examine the complications after spinal surgery.\u0000 \u0000 \u0000 \u0000 We studied 21 patients with Parkinson’s Disease retrospectively, who had undergone a previous operation by the same surgeon between 2004 to 2019. There were 11 females and 10 males. The mean age was 71.9 years (range, 52 to 85). However, the initial diagnosis and types of surgery were different. The mean time of follow-up for each patient was 3.6 years (ranging from 2 to 8 years).\u0000 \u0000 \u0000 \u0000 Most of the patients had a post-operative complication within a period of three years. Τhe most common complication was kyphotic deformity and camptocormia. Twelve patients (57.1%) underwent revision surgery, and three patients (14.2%) denied treatment. In four patients (19.04%), kyphotic deformity or stooped posture remained. Only one patient (4.7%) presented with no complication in a follow-up of 8 years.\u0000 \u0000 \u0000 \u0000 Patients with Parkinson’s disease have a high rate of complications after spinal surgery and often need revision surgery. For this literature review, the overall number of patients was 502, and the mean revision rate was 43.6%. The surgeon must inform patients of possible complications, and a thorough post-operative observation must be implemented.\u0000","PeriodicalId":23060,"journal":{"name":"The Open Orthopaedics Journal","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86214376","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

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

The Open Orthopaedics Journal

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀