Role of Preoperative Computed Tomography Scans in Operative Planning for Malleolar Ankle Fractures

2013 ◽  
Vol 34 (5) ◽  
pp. 697-704 ◽  
Author(s):  
Eric M. Black ◽  
Valentin Antoci ◽  
Jared T. Lee ◽  
Michael J. Weaver ◽  
A. Holly Johnson ◽  
...  
2007 ◽  
Vol 14 (4) ◽  
pp. 235-237 ◽  
Author(s):  
Sergio Negrin-Dastis ◽  
Dominique Butenda ◽  
Jacques Dorzee ◽  
Jacques Fastrez ◽  
Jean-Paul d’Odémont

A case of pulmonary Langerhans cell histiocytosis, proved by both lung high-resolution computed tomography and lung biopsy, is described. Following smoking cessation, lung nodules and cysts gradually disappeared on serial computed tomography scans, with complete clearance of the lesions after 12 months. The role of tobacco smoking is discussed, in detail, against the background of the literature.


2017 ◽  
Vol 8 (3) ◽  
pp. 271 ◽  
Author(s):  
Otávio Turolo da Silva ◽  
Enrico Ghizoni ◽  
Helder Tedeschi ◽  
Andrei Fernandes Joaquim

Author(s):  
Vasudha Sipayya ◽  
Shivali Kashikar

Abstract Introduction: Seizures are a common cause of morbidity and mortality in childhood. It is important to establish the cause of seizures to appropriately manage such patients. The etiology of seizures is different in developing countries as compared to the developed world. Computed tomography (CT) scan is easily available, is less sensitive to patient motion, and does not generally require sedation. Also the cost is less as compared to MRI, and this makes it an important screening tool in developing countries like India. Aims: To determine the diagnostic ability of CT to determine the cause of seizures in children. Settings and design: A prospective analytical study. Materials and methods: Computed tomography scans of 84 children presenting with seizures during the period of September 2014 to August 2015 were analyzed. The study was done using 16-slice CT scan. Intravenous contrast was administered as needed. Uncooperative patients were sedated for the scan. Results: Out of 84 scans, 40 scans (47.65%) were found to be abnormal. Maximum number of patients were found to have congenital anomalies (10), followed by hydrocephalus which was found in nine children. Five children had posttraumatic seizures. Four presented with tumors. Four children showed features of hypoxic ischemic encephalopathy. Three each had granuloma and calcification. Two children with seizures had infectious causes, which were clinically diagnosed to be meningitis. Conclusion: Our study indicates that CT is an extremely useful tool for screening the patients of seizures. It is also useful in identifying the treatable causes and monitoring the progression. It is recommended that all children with seizures should be evaluated with CT scan.


1994 ◽  
Vol 110 (6) ◽  
pp. 505-509 ◽  
Author(s):  
Paul R. Cook ◽  
Gary J. Nishioka ◽  
William E. Davis ◽  
Joel P. McKinsey

Eighteen patients were operated on by functional endoscopic sinus surgery who had no ostiomeatal unit obstruction on computed tomography scan and had unremarkable paranasal sinuses. These patients also had no apparent ostiomeatal unit obstruction on diagnostic nasal endoscopy. Data were collected on these patients regarding the impact of very limited functional endoscopic sinus surgery on their principal complaint of recurrent sinusitis with facial pain/headache thought to be of sinogenic origin. Sixteen patients (88.9%) had a reduction in the number of sinus infections requiring antibiotic therapy. This reduction was significant at p < 0.0001. Twelve of 14 patients whose facial pain/headache was believed to be of sinogenic origin had a significant reduction in severity (95% confidence interval, 49.2% to 95.3%). We discuss the role of reversible nasal mucosal disease in the pathophysiology of recurrent rhinosinusifts in this patient population. This was a very small, select group of patients who had specific complaints and had had medical treatment failures. This therapy Is not recommended for every patient, but only a select few with classic complaints of sinus headaches or recurrent sinusitis and negative computed tomography scans.


2017 ◽  
Vol 38 (12) ◽  
pp. 1337-1342 ◽  
Author(s):  
Steven Donohoe ◽  
R. Kiran Alluri ◽  
J. Ryan Hill ◽  
Mark Fleming ◽  
Eric Tan ◽  
...  

2020 ◽  
pp. 175857322090676
Author(s):  
Shawn T Yeazell ◽  
Ajith Malige ◽  
Timothy Visser ◽  
Gregory F Carolan

Background Indications for reverse total shoulder arthroplasty are expanding, and postoperative acromial stress fractures are a troubling postoperative complication. The purpose of this study was to determine if differences in acromial morphometry were present between cohorts with and without this complication. Methods A retrospective review of 101 reverse total shoulder arthroplasty procedures met criteria for the study. A total of eight acromial measurements on preoperative computed tomography scans were performed in axial, coronal, and sagittal views. Postoperative acromial stress fractures were confirmed by computed tomography scan on six patients and classified by fracture type. Statistical analysis was performed using a Mann–Whitney U test. Results The median acromial thickness at the posterior and lateral half was significantly thinner in the fracture cohort compared to the non-fracture cohort. Fracture and non-fracture cohort measurements demonstrated a median lateral thickness of 6.8 and 8.7 mm (p = 0.010), respectively, and median posterior thickness of 7.6 and 9.5 mm (p = 0.008), respectively. There were no demographic differences between cohorts. Discussion Two acromial measurements (lateral and posterior thickness) were associated with the development of postoperative acromial stress fracture following reverse total shoulder arthroplasty. These findings suggest that a thinner acromion in the lateral and posterior half is a risk factor for an acromial stress fracture following reverse total shoulder arthroplasty.


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