Radiological Outcome of Patients with Splay Foot Following First and Fifth Metatarsal Osteotomies Performed Simultaneously on the Same Foot

Background: Factors influencing the outcome after arthroscopically assisted stabilization of acute high-grade acromioclavicular (AC) joint dislocations remain poorly investigated. Purpose: To identify determinants of the radiological outcome and investigate associations between radiological and clinical outcome parameters. Study Design: Cohort study; Level of evidence, 3. Methods: The authors performed a retrospective analysis of patients who underwent arthroscopically assisted stabilization for acute high-grade AC joint dislocations. The following potential determinants of the radiological outcome were examined using univariable and multivariable regression analyses: timing of surgery, initial AC joint reduction, isolated coracoclavicular (CC) versus combined CC and AC stabilization, ossification of the CC ligaments, age, and overweight status. In addition, associations between radiological (ie, CC difference, dynamic posterior translation [DPT]) and clinical outcome parameters (Subjective Shoulder Value, Taft score [TS] subjective subcategory, and Acromioclavicular Joint Instability Score [ACJI] pain subitem) were evaluated using univariable analysis. Results: One hundred four patients with a mean (±SD) age of 38.1 ± 11.5 years were included in this study. The mean postoperative follow-up was 2.2 ± 0.9 years. Compared with patients with an overreduced AC joint after surgery, the CC difference was 4.3 mm (95% CI, 1.3-7.3; P = .006) higher in patients with incomplete reduction. Patients with anatomic reduction were 3.1 times (95% CI, 1.2-7.9; P = .017) more likely to develop DPT than those with an overreduced AC joint. An incompletely reduced AC joint was 5.3 times (95% CI, 2.1-13.4; P < .001) more likely to develop DPT versus an overreduced AC joint. Patients who underwent isolated CC stabilization were 4.8 times (95% CI, 1.1-21.0; P = .039) more likely to develop complete DPT than patients with additional AC stabilization. Significantly higher CC difference values were noted for patients who reported pain on the subjective TS ( P = .025). Pain was encountered more commonly in patients with DPT ( PTS = .049; PACJI = .038). Conclusion: Clinicians should consider overreduction of the AC joint because it may lead to favorable radiological results. Because of its association with superior radiographic outcomes, consideration should also be given to the use of additional AC cerclage.

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The influence of bone quality on radiological outcome in 50 consecutive acetabular fractures treated with a pre-contoured anatomic suprapectineal plate

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-021-03867-3 ◽

2021 ◽

Author(s):

Maximilian J. Hartel ◽

Tareq Naji ◽

Florian Fensky ◽

Frank O. Henes ◽

Darius M. Thiesen ◽

...

Keyword(s):

Total Hip Arthroplasty ◽

Bone Mass ◽

Bone Quality ◽

Hip Arthroplasty ◽

Mass Density ◽

Acetabular Fractures ◽

Bone Mass Density ◽

Radiological Outcome ◽

Total Hip ◽

The Impact

Abstract Purpose To investigate the range of indications of an anatomical-preshaped three-dimensional suprapectineal plate and to assess the impact of the bone mass density on radiologic outcomes in different types of acetabular fractures. Patients and methods A consecutive case series of 50 acetabular fractures (patient age 69 ± 23 years) treated with suprapectineal anatomic plates were analyzed in a retrospective study. The analysis included: Mechanism of injury, fracture pattern, surgical approach, need for additional total hip arthroplasty, intra- or postoperative complications, as well as bone mass density and radiological outcome on postoperative computed tomography. Results Most frequently, anterior column fracture patterns with and without hemitransverse components as well as associated two column fractures were encountered. The anterior intrapelvic approach (AIP) was used in 98% (49/50) of the cases as primary approach with additional utilization of the first window of the ilioinguinal approach in 13/50 cases (26%). Determination of bone density revealed impaired bone quality in 70% (31/44). Postoperative steps and gaps were significantly greater in this subgroup (p < 0.05). Fracture reduction quality for postoperative steps revealed anatomic results in 92% if the bone quality was normal and in 46% if impaired (p < 0.05). In seven cases (14%), the plate was utilized in combination with acute primary arthroplasty. Conclusion A preshaped suprapectineal plate provides good radiological outcomes in a variety of indications in a predominantly geriatric cohort. Impaired bone quality has a significantly higher risk of poor reduction results. In cases with extensive joint destruction, the combination with total hip arthroplasty was a valuable option.

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Four-corner fusion: Clinical and radiological outcome after fixation by headless compression screws or dorsal locking plate at minimum 5 years’ follow-up

Orthopaedics & Traumatology Surgery & Research ◽

10.1016/j.otsr.2021.102886 ◽

2021 ◽

pp. 102886

Author(s):

Marc-Antoine d’Almeida ◽

Nadine Sturbois-Nachef ◽

Thomas Amouyel ◽

Christophe Chantelot ◽

Marc Saab

Keyword(s):

Locking Plate ◽

Radiological Outcome ◽

Headless Compression Screws ◽

Clinical And Radiological Outcome

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EP-1119: Radiosurgery for meningioma:Evaluation of radiological outcome and factors of recurrence

Radiotherapy and Oncology ◽

10.1016/s0167-8140(17)31555-4 ◽

2017 ◽

Vol 123 ◽

pp. S611-S612

Author(s):

S. Hassas yeganeh ◽

M. Tabatabiefar ◽

R. Sarghampour

Keyword(s):

Radiological Outcome

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Z-osteotomy in hallux valgus: clinical and radiological outcome after Scarf osteotomy

Orthopedic Reviews ◽

10.4081/or.2009.e4 ◽

2009 ◽

Vol 1 (1) ◽

pp. 4 ◽

Cited By ~ 1

Author(s):

Marcus Jaeger ◽

Michael Schmidt ◽

Alexander Wild ◽

Bernd Bittersohl ◽

Susanne Courtois ◽

...

Keyword(s):

Range Of Motion ◽

Hallux Valgus ◽

Metatarsophalangeal Joint ◽

Mean Value ◽

Surgical Approaches ◽

Radiological Outcome ◽

Scarf Osteotomy ◽

Post Surgery ◽

The Mean

Correction osteotomies of the first metatarsal are common surgical approaches in treating hallux valgus deformities whereas the Scarf osteotomy has gained popularity. The purpose of this study was to analyze short- and mid-term results in hallux valgus patients who underwent a Scarf osteotomy. The subjective and radiological outcome of 131 Scarf osteotomies (106 hallux valgus patients, mean age: 57.5 years, range: 22-90 years) were retrospectively analyzed. Mean follow-up was 22.4 months (range: 6 months-5 years). Surgical indications were: intermetatarsal angle (IMA) of 12-23°; increased proximal articular angle (PAA>8°), and range of motion of the metatarsophalangeal joint in flexion and extension >40°. Exclusion criteria were severe osteoporosis and/or osteoarthritis. The mean subjective range of motion (ROM) of the great toe post-surgery was 0.8±1.73 points (0: full ROM, 10: total stiffness). The mean subjective cosmetic result was 2.7±2.7 points (0: excellent, 10: poor). The overall post-operative patient satisfaction with the result was high (2.1±2.5 points (0: excellent, 10: poor). The mean hallux valgus angle improvement was 16.6° (pre-operative mean value: 37.5°) which was statistically significant (p<0.01). The IMA improved by an average of 5.96° from a pre-operative mean value of 15.4° (p<0.01). Neither osteonecrosis of the distal fragment nor peri-operative fractures were noted during the follow-up. In keeping with our follow-up results, the Scarf osteotomy approach shows potential in the therapy of hallux valgus. 筻

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Positivity of cytomegalovirus antibodies predicts a better clinical and radiological outcome in multiple sclerosis patients

Neurological Research ◽

10.1179/016164106x98134 ◽

2006 ◽

Vol 28 (3) ◽

pp. 262-269 ◽

Cited By ~ 32

Author(s):

Robert Zivadinov ◽

Davide Nasuelli ◽

Maria Antonietta Tommasi ◽

Maurizia Serafin ◽

Alessio Bratina ◽

...

Keyword(s):

Multiple Sclerosis ◽

Radiological Outcome ◽

Clinical And Radiological Outcome ◽

Multiple Sclerosis Patients

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Two Unusual Aspects of Posterior Reversible Encephalopathy Syndrome Mimicking Primary and Secondary Brain Tumor Lesions

Case Reports in Radiology ◽

10.1155/2015/456217 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Mazamaesso Tchaou ◽

Nicoleta Modruz ◽

Lama K. Agoda-Koussema ◽

Anthony Michelot ◽

Samer Naffa ◽

...

Keyword(s):

Brain Tumor ◽

Posterior Reversible Encephalopathy Syndrome ◽

Cerebral Metastasis ◽

Atypical Presentation ◽

Radiological Outcome ◽

Posterior Reversible Encephalopathy ◽

First Case ◽

Clinical And Radiological Outcome ◽

Reversible Encephalopathy

The posterior reversible encephalopathy syndrome (PRES) is a rare clinical-radiological entity well described with typical clinical and radiological manifestations. Atypical presentation, especially in imaging, exists. The authors report here two cases of posterior reversible encephalopathy in which imaging aspects were atypical, mimicking, in the first case, hemorrhagic cerebral metastasis of cholangiocarcinoma and, in the second case, a brain tumor. The diagnosis has been retrospectively rectified due to clinical and radiological outcome.

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