scholarly journals Inflammatory disease of the costotransverse joints: US evaluation in 15 symptomatic patients

2021 ◽  
Author(s):  
A. Del Chiaro ◽  
B. Ciampi ◽  
F. Franzoni ◽  
M. Miccoli ◽  
S. Galletti ◽  
...  
Keyword(s):  
Sagittal Plane ◽  
Power Doppler ◽  
Major Axis ◽  
Transverse Process ◽  
Transverse Plane ◽  
Joint Effusion ◽  
Thoracic Vertebrae ◽  
Short Axis ◽  
First Line ◽  
Paravertebral Region

AbstractThe costotransverse joints (CTJs) are small arthrodial joints which articulate with the costal tuberosity on the transverse process of the thoracic vertebrae. CTJs are composed of oval-shaped facets with a major axis, vertical at the upper vertebrae and almost horizontal at the lower vertebrae. This position explains the different movements of the ribs: the cranial ribs move on the sagittal plane and the caudal ribs on the transverse plane. Movements in directions other than these usual CTJ spatial planes can cause inflammation resulting in a stinging pain in the space between the scapula and thoracic spine. We studied 15 subjects with paravertebral pain compatible with CTJ pathology. Mean age was 29 years, 11 females/4 males. In 12 patients, the non-dominant limb was affected. US imaging was carried out using linear 12 MHz and 9 MHz probes. Scanning was performed following the long axis of the rib (transverse plane) and the short axis (sagittal plane). Sagittal scanning is the method of choice for detection of possible joint effusion and comparison with undamaged joints above and below. US identified joint effusion correlating with the site of pain in all patients. Thickening of the posterior costotransverse capsular ligament was detected in six patients mainly affecting the first thoracic vertebrae. Power Doppler showed intraarticular hypervascularization in four patients. US imaging should be performed as a first-line examination in the evaluation of patients with stinging pain in the paravertebral region. US evidence of effusion within the joints is a sure sign of involvement of these structures.

scholarly journals 3D kinematic of the thoracolumbar spine in Mangalarga Marchador horses performing the marcha batida gait and being led by hand—A preliminary report

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253697
Author(s):  
Samuel P. Simonato ◽  
Gustavo R. D. Bernardina ◽  
Leandro C. R. Ferreira ◽  
Amanda P. Silvatti ◽  
Kate M. C. Barcelos ◽  
...  
Keyword(s):  
Sagittal Plane ◽  
Thoracolumbar Spine ◽  
Lumbar Vertebrae ◽  
Transverse Plane ◽  
Thoracic Vertebrae ◽  
Lateral Bending ◽  
Thoracic Region ◽  
Lumbosacral Region ◽  
Thoracolumbar Region ◽  
The Mean

This study aimed to provide a preliminary description of the sagittal and transverse plane kinematics of the thoracolumbar spine of Mangalarga Marchador (MM) horses performing the marcha batida gait, led in-hand. We evaluated the pattern of angular movement and the mean amplitude of six specific angles. An optoelectronic system was used for 3D kinematic analysis (19 cameras, 250 Hz). They were positioned around the horses and an acquisition volume of 16 × 4.8 × 3 meters was used. Eight retroreflective markers were fixed on the spine of the animals over thoracic vertebrae 8 (T8), 12 (T12), 15 (T15) and 18 (T18); over the lumbar vertebrae 3 (L3) and 5 (L5); over the 1st sacral vertebra (S1); and over the 1st coccygeal vertebra (CD1). Five trials, led from a halter, with three complete gait cycles were evaluated for each marcha batida horse. The 3D coordinates of the markers were filtered with a second-order, low-pass, Butterworth filter (10 Hz). Six angles: T8-T12-T15, T12-T15-T18, T12-T18-L5, T15-T18-L3, T18-L3-L5, and L3-S1-CD1 were obtained and projected in the sagittal (Flexion and Extension) and transverse (Lateral bending) planes. We calculated, for each angle to represent the spine movements, the mean and standard deviation of the range of motion (ROM, difference between the maximum and minimum values in a stride cycle). In order to describe the movement over an average stride cycle we calculated the mean curve of angle variation. The T8-T12-T15 angle presented the largest ROM in the transverse plane, while in the sagittal plane the T8-T12-T15, T12-T15-T18 and T12-T18-L5 angles presented the largest ROMs. The L3-S1-CD1 angle (lumbosacral region) presented the lowest ROM in both planes. A reduced flexion close to a neutral spine was found, predominantly during the diagonal support and in the cranial thoracic region. At the same time, the thoracolumbar region remains in an extension which is highlighted in the lumbosacral region. During the change of the support phase, the cranial thoracic region moved from a flexion to a slight extent, and the thoracolumbar region was flexed which is emphasized in the lumbosacral region. The lateral bending of the spine followed the direction of the diagonal supports. The small amplitude in the latero-lateral and dorsoventral movements of the thoracolumbar spine of MM horses during the marcha batida gait could contribute to the smooth and natural sensations experienced when riding in this gait. The lower mobility of these angles should be considered during the clinical examination of marcha batida-gaited horses.

Sensitivity of Intersegmental Angles of the Spinal Column to Errors Due to Marker Misplacement

2015 ◽  
Vol 137 (7) ◽  
Author(s):  
Hossein Rouhani ◽  
Sara Mahallati ◽  
Richard Preuss ◽  
Kei Masani ◽  
Milos R. Popovic
Keyword(s):  
Relative Error ◽  
Sagittal Plane ◽  
Gaussian Function ◽  
Spinal Column ◽  
Transverse Plane ◽  
Lumbar Region ◽  
Experimental Errors ◽  
Rms Error ◽  
Lower Lumbar ◽  
Anterior Direction

The ranges of angular motion measured using multisegmented spinal column models are typically small, meaning that minor experimental errors can potentially affect the reliability of these measures. This study aimed to investigate the sensitivity of the 3D intersegmental angles, measured using a multisegmented spinal column model, to errors due to marker misplacement. Eleven healthy subjects performed trunk bending in five directions. Six cameras recorded the trajectory of 22 markers, representing seven spinal column segments. Misplacement error for each marker was modeled as a Gaussian function with a standard deviation of 6 mm, and constrained to a maximum value of 12 mm in each coordinate across the skin. The sensitivity of 3D intersegmental angles to these marker misplacement errors, added to the measured data, was evaluated. The errors in sagittal plane motions resulting from marker misplacement were small (RMS error less than 3.2 deg and relative error in the angular range less than 15%) during the five trunk bending direction. The errors in the frontal and transverse plane motions, induced by marker misplacement, however, were large (RMS error up to 10.2 deg and relative error in the range up to 58%), especially during trunk bending in anterior, anterior-left, and anterior-right directions, and were often comparable in size to the intersubject variability for those motions. The induced errors in the frontal and transverse plane motions tended to be the greatest at the intersegmental levels in the lower lumbar region. These observations questioned reliability of angle measures in the frontal and transverse planes particularly in the lower lumbar region during trunk bending in anterior direction, and thus did not recommend interpreting these measures for clinical evaluation and decision-making.

scholarly journals Ultrasound of Subtalar Joint Synovitis in Patients with Rheumatoid Arthritis: Results of an OMERACT Reliability Exercise Using Consensual Definitions

2018 ◽  
Vol 46 (4) ◽  
pp. 351-359 ◽  
Author(s):  
George A.W. Bruyn ◽  
Heidi J. Siddle ◽  
Petra Hanova ◽  
Félicie Costantino ◽  
Annamaria Iagnocco ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Subtalar Joint ◽  
Interobserver Reliability ◽  
Power Doppler ◽  
Delphi Process ◽  
Joint Effusion ◽  
Synovial Hypertrophy ◽  
Reliable Tool

Objective.To evaluate the intraobserver and interobserver reliability of the ultrasonographic (US) assessment of subtalar joint (STJ) synovitis in patients with rheumatoid arthritis (RA).Methods.Following a Delphi process, 12 sonographers conducted an US reliability exercise on 10 RA patients with hindfoot pain. The anteromedial, posteromedial, and posterolateral STJ was assessed using B-mode and power Doppler (PD) techniques according to an agreed US protocol and using a 4-grade semiquantitative grading score for synovitis [synovial hypertrophy (SH) and signal] and a dichotomous score for the presence of joint effusion (JE). Intraobserver and interobserver reliability were computed by Cohen’s and Light’s κ. Weighted κ coefficients with absolute weighting were computed for B-mode and PD signal.Results.Mean weighted Cohen’s κ for SH, PD, and JE were 0.80 (95% CI 0.62–0.98), 0.61 (95% CI 0.48–0.73), and 0.52 (95% CI 0.36–0.67), respectively. Weighted Cohen’s κ for SH, PD, and JE in the anteromedial, posteromedial, and posterolateral STJ were −0.04 to 0.79, 0.42–0.95, and 0.28–0.77; 0.31–1, −0.05 to 0.65, and −0.2 to 0.69; 0.66–1, 0.52–1, and 0.42–0.88, respectively. Weighted Light’s κ for SH was 0.67 (95% CI 0.58–0.74), 0.46 (95% CI 0.35–0.59) for PD, and 0.16 (95% CI 0.08–0.27) for JE. Weighted Light’s κ for SH, PD, and JE were 0.63 (95% CI 0.45–0.82), 0.33 (95% CI 0.19–0.42), and 0.09 (95% CI −0.01 to 0.19), for the anteromedial; 0.49 (95% CI 0.27–0.64), 0.35 (95% CI 0.27–0.4), and 0.04 (95% CI −0.06 to 0.1) for posteromedial; and 0.82 (95% CI 0.75–0.89), 0.66 (95% CI 0.56–0.8), and 0.18 (95% CI 0.04–0.34) for posterolateral STJ, respectively.Conclusion.Using a multisite assessment, US appears to be a reliable tool for assessing synovitis of STJ in RA.

Functional Role of the Superior Articular Facets of the Atlas in the Enhancement of Craniovertebral Junction Stability

2010 ◽  
Author(s):  
Richard C. Hallgren ◽  
Erik Cattrysse ◽  
Jesse M. Zrull
Keyword(s):  
Cervical Spine ◽  
Sagittal Plane ◽  
Craniovertebral Junction ◽  
Transverse Plane ◽  
Automobile Accidents ◽  
Automobile Accident ◽  
Significant Difference ◽  
Posterior Translation ◽  
Developmental Variations

Whiplash distortions of the cervical spine, occurring during the retraction phase of a rear end automobile accident, are known to cause posterior translation of the head relative to the chest and shoulders [1,2]. This anteroposterior shear produces sagittal plane rotation of the cervical spine which results in relative flexion between the occiput and the atlas (Fig. 1). This study demonstrates that there is a significant difference between the average angles of the anterior aspects and the posterior aspects of the superior facets of the atlas with respect to a horizontal (transverse) plane at P<0.01. We hypothesize that developmental variations in some individuals will allow excessive posterior translation of the head during rear end automobile accidents, and that this excessive motion may increase the risk of sustaining a whiplash-type injury for some individuals.

Baseline ultrasound examination as possible predictor of relapse in patients affected by juvenile idiopathic arthritis (JIA)

2018 ◽  
Vol 77 (10) ◽  
pp. 1426-1431 ◽  
Author(s):  
Orazio De Lucia ◽  
Viviana Ravagnani ◽  
Francesca Pregnolato ◽  
Arvena Hila ◽  
Irene Pontikaki ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Rheumatoid Factor ◽  
Strong Predictor ◽  
Power Doppler ◽  
Joint Effusion ◽  
Synovial Hyperplasia ◽  
Individual Patient Level ◽  
Grey Scale ◽  
Therapy Modification

ObjectivesTo define the correlation between joint ultrasonography and clinical examination in patients with juvenile idiopathic arthritis (JIA) and to assess whether synovitis detected by ultrasonography in clinically inactive patients predicts arthritis flares.Methods88 consecutive patients with JIA—46 (52%) with persistent oligoarthritis, 15 (17%) with extended oligoarthritis, 15 (17%) with rheumatoid factor-negative polyarthritis and 12 (14%) with other forms of JIA, all clinically inactive for a minimum of 3 months—underwent ultrasound (US) assessment of 44 joints. Joints were scanned at study entry for synovial hyperplasia, joint effusion and power Doppler (PD) signal. Patients were followed clinically for 4 years.ResultsUS was abnormal in 20/88 (22.7%) patients and in 38/3872 (0.98%) joints. Extended oligoarthritis and rheumatoid factor-negative polyarthritis were more frequent in US-positive than in US-negative patients (35.0% vs 11.8% and 30.0% vs 13.2%, respectively; P=0.005). During 4 years of follow-up, 41/88 (46.6%) patients displayed a flare; 26/68 (38.2%) were US-negative and 15/20 (75%) were US-positive at baseline. Abnormality on US examination, after correction for therapy modification, significantly increased the risk of flare (OR=3.8, 95% CI 1.2 to 11.5). The combination of grey scale and PD abnormalities displayed a much higher predictive value of relapse (65%, 13/20) than grey scale alone (33%, 6/18).ConclusionsUS abnormalities are a strong predictor of relapse at individual patient level. Irrespective of treatment, the risk of flare in US-positive versus US-negative patients was almost four times higher. In case of US abnormalities, patients should be carefully followed regardless of both the International League of Associations for Rheumatology and Wallace categories.

Estimated Force and Moment of Shoulder External Rotation Muscles: Differences Between Transverse and Sagittal Planes

2012 ◽  
Vol 28 (6) ◽  
pp. 701-707 ◽  
Author(s):  
Marcelo Peduzzi de Castro ◽  
Daniel Cury Ribeiro ◽  
Felipe de Camargo Forte ◽  
Joelly Mahnic de Toledo ◽  
Roberto Costa Krug ◽  
...  
Keyword(s):  
Muscle Force ◽  
Sagittal Plane ◽  
External Rotation ◽  
Force Production ◽  
Transverse Plane ◽  
Cross Sectional ◽  
Shoulder Muscle ◽  
Anterior Deltoid ◽  
Muscle Force Production ◽  
Teres Minor

The aim of this study was to compare shoulder muscle force and moment production during external rotation performed in the transverse and sagittal planes. An optimization model was used for estimating shoulder muscle force production of infraspinatus, teres minor, supraspinatus, anterior deltoid, middle deltoid and posterior deltoid muscles. The model uses as input data the external rotation moment, muscle moment arm magnitude, muscle physiologic cross-sectional area and muscle specific tension. The external rotation moment data were gathered from eight subjects in transverse and six subjects in sagittal plane using an isokinetic dynamometer. In the sagittal plane, all studied muscles presented larger estimated force in comparison with the transverse plane. The infraspinatus, teres minor, supraspinatus and posterior deltoid muscles presented larger moment in sagittal when compared with transverse plane. When prescribing shoulder rehabilitation exercises, therapists should bear in mind the described changes in muscle force production.

Further studies into proximal interphalangeal joint dimensions for the design of a surface replacement prosthesis: Medullary cavities and transverse plane shapes

1997 ◽  
Vol 211 (5) ◽  
pp. 377-390 ◽  
Author(s):  
H E Ash ◽  
A Unsworth
Keyword(s):  
Sagittal Plane ◽  
Proximal Phalanx ◽  
Frontal Plane ◽  
Medullary Canal ◽  
Transverse Plane ◽  
Maximum Depth ◽  
Surface Replacement ◽  
The Mean ◽  
Middle Ring ◽  
Replacement Prosthesis

The proximal and middle phalanges from 83 proximal interphalangeal joints (PIPJs) were set in clear plastic and sectioned in the transverse plane leaving the heads whole. The sections were cleaned, shadowgraphed and measured. The medullary canals were marked on sagittal and frontal plane shadowgraphs of the intact bones and analysed. The information was then used in the design of a surface replacement prosthesis for the PIPJs. The main dorsal surface of the proximal phalanx (PP) was found to be angled to the longitudinal baseline of the bone by a mean of 5.19°. This angle increased just proximal to the phalangeal head to a mean of 11.84°. The mean ratio between these angles was 2.71. The phalangeal shaft bone was thicker laterally than dorsally and palmarly, and thicker dorsally than palmarly for the proximal and middle phalanges throughout the length of the bone. The shape and size of the transverse cross-section of the medullary canal changed throughout the length of the shaft. The centreline of the PP medullary canal coincided with the midline of the bone in the frontal plane and was approximately a straight line along the length of the canal. In the sagittal plane the centreline was slightly palmar to the midline and the angle between it and the longitudinal baseline of the bone changed along the length of the canal. In the region of the shaft just proximal to the PP head (where the stem of a surface replacement prosthesis would fit) the mean angle was 10.63°. The centreline was offset dorsally from the centre of rotation of the PIPJ by a mean of 0.83 mm, 0.83 mm, 0.80 mm and 0.57 mm for the index, middle, ring and little fingers respectively, with an overall mean of 0.76 mm. The mean PP head heights (transverse plane) were 9.17 mm, 9.33 mm, 8.73 mm and 7.40 mm and the mean PP widths (transverse plane) were 12.86 mm, 13.25 mm, 12.75 mm and 10.54 mm for the index, middle, ring and little fingers respectively. The mean angle between the lateral sides of the condyles to the transverse baseline was 78.35° and the mean distance from the centreline of the PP head (transverse plane) to the bases of the two condyles was 4.69 mm. The mean maximum depth of the PP head intercondylar sulcus in the frontal plane was 0.72 mm and in the transverse plane, the mean maximum depth of the intercondylar sulcus on the anterior face was 0.82 mm.

scholarly journals The effect of prosthetic torsional stiffness on the golf swing kinematics of a left and a right-sided trans-tibial amputee

2004 ◽  
Vol 28 (2) ◽  
pp. 121-131 ◽  
Author(s):  
J. P. Rogers ◽  
S. C. Strike ◽  
E. S. Wallace
Keyword(s):  
Ankle Joint ◽  
Perceived Stress ◽  
Sagittal Plane ◽  
Three Dimensional ◽  
Transverse Plane ◽  
Golf Swing ◽  
Torsional Stiffness ◽  
The Difference ◽  
The Right ◽  
Socket Interface

The golf swing is a biomechanically complex movement requiring three-dimensional movements at the ankle joint complex (AJC), the hips and shoulders. Trans-tibial amputees lose the natural AJC movements as many prostheses do not allow three dimensional foot movements. Torsion devices have been developed and incorporated into prostheses to facilitate internal and external transverse plane rotations. These devices can help amputees to compensate for the loss of movement and to reduce shearing stresses at the stump-socket interface. The primary aim of the present study was to investigate the effects of three torsion devices on body rotations during the golf swing. Two trans-tibial amputees (one right-sided and one left-sided) were analysed using three-dimensional video analysis at address (ADR), the top of the backswing (TBS) and at the end of the follow-through (EFT). The participants played shots with a 3-wood under three different prosthetic conditions (two with a torsion device set to different stiffness values, and one with no torsion device). The results showed that the torsion device served to improve the hip and shoulder rotations of the left-side amputee without increasing perceived stress at the stump. The torsion device had minimal effect on the hip and shoulder rotations of the right-side amputee, although perceived stress was reduced. The difference in results between the right-sided and left-sided amputees was due to the different requirements of each foot during the golf swing. The main problem faced by the right-side amputee was a loss of the sagittal plane movement of ankle joint plantarflexion at EFT, rather than the transverse plane movement.

scholarly journals The effects of transverse rotation angle on compression and effective lever arm of prosthetic feet during simulated stance

2012 ◽  
Vol 36 (2) ◽  
pp. 231-235 ◽  
Author(s):  
Matthew J Major ◽  
David Howard ◽  
Rebecca Jones ◽  
Martin Twiste
Keyword(s):  
Mechanical Behaviour ◽  
Rotation Angle ◽  
Sagittal Plane ◽  
External Rotation ◽  
Average Distance ◽  
Weight Bearing ◽  
Transverse Plane ◽  
Plane Rotation ◽  
Lever Arm ◽  
Prosthetic Feet

Background and Aim: Unlike sagittal plane prosthesis alignment, few studies have observed the effects of transverse plane alignment on gait and prosthesis behaviour. Changes in transverse plane rotation angle will rotate the points of loading on the prosthesis during stance and may alter its mechanical behaviour. This study observed the effects of increasing the external transverse plane rotation angle, or toe-out, on foot compression and effective lever arm of three commonly prescribed prosthetic feet.Technique: The roll-over shape of a SACH, Flex and single-axis foot was measured at four external rotation angle conditions (0°, 5°, 7° and 12° relative to neutral). Differences in foot compression between conditions were measured as average distance between roll-over shapes.Discussion: Increasing the transverse plane rotation angle did not affect foot compression. However, it did affect the effective lever arm, which was maximized with the 5° condition, although differences between conditions were small.Clinical relevanceIncreasing the transverse plane rotation angle of prosthetic feet by up to 12° beyond neutral has minimal effects on their mechanical behaviour in the plane of walking progression during weight-bearing.

scholarly journals Cervical Length, Volume and Flow Indices During Pregnancy by Transvaginal 2D and 3D Ultrasonography

2009 ◽  
Vol 3 (3) ◽  
pp. 39-44
Author(s):  
Alin Basşgül Yig¢iter ◽  
Zehra Nesşe Kavak
Keyword(s):  
Sagittal Plane ◽  
Power Doppler ◽  
Three Dimensional ◽  
3D Ultrasound ◽  
Cervical Length ◽  
Coronal Section ◽  
Clinical Correlations ◽  
3D Ultrasonography ◽  
2D And 3D ◽  
In Pregnancy

Abstract Recently, many researches suggested that 2D US is insufficient for defining the true sagittal plane of uterine cervix. When the cervix is bent or curved, it is difficult to get a perfect sagittal section but rather mid oblique image by 2D US. Only 3D US allows us to evaluate the cervix in the coronal section and reproduce images in many cut. Coronal section of the cervix is especially useful in evaluating cervical funneling. Diagnosing internal orifice dilatation, asymmetrical, flattened or fissure-like cervices is possible. 3D US favors a more detailed study of cervical anatomy and biometry than 2D US. Cervical evaluation by 3D multiplanar sections can be added in the screening for preterm labor. Three-dimensional (3D) imaging combined with power Doppler, theoretically provides the possibility to assess the volume and quantify the power Doppler signal in the whole target organ, whereas, information from 2D US on vascularization and blood flow is restricted to a single subjectively chosen 2D plane. The measurement of cervical indices is reproducible and may be used in clinical practice and research to determine the changes of the cervical morphology and vascularization in pregnancy. Consequently, further studies of 3D ultrasound imaging of the cervix in pregnancy and clinical correlations to obstetrical events are required for better understanding the physiology and functional pathophysiology of the cervix during pregnancy.

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