scholarly journals PERCUTANEOUS TREATMENT OF ANEURYSMAL BONE CYST WITH CALCITONIN AND METHYLPREDNISOLONE

2018 ◽  
Vol 26 (5) ◽  
pp. 314-319
Author(s):  
Marcelo Bragança dos Reis Oliveira ◽  
Walter Meohas ◽  
Ronan Ribeiro Silva ◽  
Gustavo Sobral de Carvalho ◽  
Fernanda Carvalho de Queiroz Mello ◽  
...  
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Case Series ◽  
Percutaneous Treatment ◽  
Classification Systems ◽  
P Value ◽  
Level Of Evidence ◽  
Percutaneous Injection ◽  
Significance Level ◽  
Signed Rank

ABSTRACT Objective: To introduce the intralesional calcitonin and methylprednisolone percutaneous injection method, which results in the promotion of primary aneurysmal bone cyst (ABC) healing. Methods: A retrospective cohort study involving 76 patients diagnosed with ABC was performed between 2005 and 2014. Patients treated with calcitonin and methylprednisolone injection and who underwent more than 2 years of follow-up were considered eligible for the study (n=47). The Enneking staging and Capanna classification systems were used during the initial evaluation. Treatment response was assessed by Rastogi radiographic grading based on the degree of healing. X2 and Wilcoxon signed-rank tests and odds ratio calculations were used in the statistical analysis with a 5% significance level. Results: The proximal tibia extremity was the most commonly affected site (17.0%). Thirty-three (70.3%) ABC cases were staged as B3 and 28 (59.7%) were classified as type II. The average number of injections performed was 2.8 per patient, with an average reduction of the initial lytic area of 83.7% (p-value=0.00001). Satisfactory results for 91.4% (n=43; p-value=0.00001) were obtained and 5 recurrences occurred. No side effects were observed. Conclusion: Intralesional calcitonin and methylprednisolone percutaneous injection is a minimally invasive, effective, and safe method for promoting primary ABC healing. Level of evidence IV, Type of study: case series.

scholarly journals Percutaneous treatment of symptomatic aneurysmal bone cyst of L5 by percutaneous injection of osteoconductive material (Cerament)

2013 ◽  
Vol 2013 (nov01 1) ◽  
pp. bcr2013010912-bcr2013010912 ◽  
Author(s):  
G. Guarnieri ◽  
P. Vassallo ◽  
M. Muto ◽  
M. Muto
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Percutaneous Treatment ◽  
Percutaneous Injection

scholarly journals COMPARATIVE ANALYSIS OF TWO CLASSIFICATION SYSTEMS OF THORACOLUMBAR SPINE FRACTURES

2018 ◽  
Vol 17 (1) ◽  
pp. 35-38
Author(s):  
ANDRÉ LUIZ PAGOTTO VIEIRA ◽  
JULIANO RODRIGUES DOS SANTOS ◽  
GUILHERME GALITO HENRIQUES
Keyword(s):  
Thoracolumbar Spine ◽  
Case Series ◽  
Analysis Data ◽  
Classification Systems ◽  
Spine Fractures ◽  
Level Of Evidence ◽  
Significance Level ◽  
Thoracolumbar Spine Fractures ◽  
Coefficient Of Concordance ◽  
Magerl Classification

ABSTRACT Objective: To evaluate the reproducibility and the interobserver coefficient of concordance between the AO/Magerl and AOSpine classifications for thoracolumbar spine fractures. Methods: Retrospective study of radiographic data analysis. Data were collected from 31 radiographic studies of patients with thoracolumbar spine fracture and distributed to a team involving spinal surgeons and residents. The fractures were classified according to the AO/Magerl and AOSpine classifications. Statistical analysis was performed using the Cohen Kappa test to assess the coefficient of concordance. Results: The Kappa value for interobserver concordance of AO/Magerl classification was κ = 0.70 and standard deviation was 0.16. For the AOSpine classification, we observed κ = 0.76, both with significance level α = 0.05 and P<0.001. Conclusions: We conclude that the interobserver concordance of the new AOSpine classification is similar to the AO/Magerl classification. This conclusion reinforces the reproducibility of the new AOSpine classification. Level of evidence: IV,Type of Study: Case series.

Müller-Weiss Disease: The Descriptive Factors of Failure Conservative Treatment

2021 ◽  
pp. 107110072110028
Author(s):  
Thos Harnroongroj ◽  
Theerawoot Tharmviboonsri ◽  
Bavornrit Chuckpaiwong
Keyword(s):  
Regression Analysis ◽  
Conservative Treatment ◽  
Demographic Characteristics ◽  
Classification Systems ◽  
Clinical Severity ◽  
P Value ◽  
Level Of Evidence ◽  
Factors Associated ◽  
Radiographic Parameters ◽  
Significant Difference

Background: Conservative treatment is the first-line approach for Müller-Weiss disease (MWD). However, factors associated with the failure of conservative treatment have never been reported. Our objectives were to compare the differences in demographic and radiographic parameters between “successful” and “failure” conservative treatment in patients with MWD and identify descriptive factors associated with failure conservative treatment. Methods: We retrospectively reviewed 68 patients with MWD divided into 29 “failure” and 39 “successful” conservative treatment groups. Demographic characteristics, Foot and Ankle Outcome Score (FAOS), visual analog scale (VAS) scores for pain and walking disability, and radiographic parameters such as calcaneal pitch, lateral Meary, anteroposterior (AP) Meary angle, and talonavicular-naviculocuneiform arthritis were compared. Logistic regression analysis was performed to identify descriptive factors of failure conservative treatment. A P value <.05 was considered a statistically significant difference. Results: We found more severe VAS pain and walking disability scores and FAOS for the pain, activities of daily living, and quality of life subscales in the failure group ( P < .05). Regression analysis demonstrated 2 significant descriptive factors associated with failure conservative treatment: abducted AP Meary angle >13.0 degrees and radiographic talonavicular arthritis. No demographic characteristics were found to be associated with failure conservative treatment. Conclusion: Midfoot abduction (AP Meary angle, >13 degrees) and radiographic talonavicular arthritis were factors associated with failure conservative treatment in MWD and should be determined concurrently with the clinical severity. Classification systems for MWD should include these factors. Level of evidence: Level III, retrospective comparative study.

scholarly journals Functional assessment of foot and ankle tendinopathies treated with tendoscopy

2021 ◽  
Vol 15 (2) ◽  
pp. 128-132
Author(s):  
Rodrigo Guimarães Huyer ◽  
Mário Sérgio Paulillo Cillo ◽  
Carlos Daniel Cândido Castro Filho ◽  
Hallan Douglas Bertelli ◽  
Renato Morelli Berg
Keyword(s):  
Functional Assessment ◽  
Descriptive Analysis ◽  
Case Series ◽  
P Value ◽  
Peroneal Tendon ◽  
Foot And Ankle ◽  
Treatment Results ◽  
Duration Of Treatment ◽  
Aofas Score ◽  
Level Of Evidence

Objective: To assess postoperative clinical functional outcomes, based on the American Orthopaedic Foot & Ankle Society (AOFAS) score, of tendoscopies performed in the treatment of foot and ankle pathologies. Methods: Our comparative assessment used AOFAS scores obtained preoperatively and at early and late postoperative stages - 1 month and 6 to 12 months after surgery - of 14 patients with foot and ankle tendinopathies. These included peroneal tendon dislocation, peroneal tendonitis, and tearing of the peroneus longus or brevis, all treated with tendoscopy for peroneal reconstruction and tenorrhaphy. The AOFAS score was obtained by functional assessment during outpatient physical examination. We presented a descriptive analysis of cases, comparing scores over time through the Friedman test followed by Dunn’s test. The relationship between score variations and sex was assessed using the Mann-Whitney test; their comparison with age used Spearman’s linear correlation coefficient. Significance levels were 5%.Results: The AOFAS score showed important improvements such as preoperative scores of 56 and 67 followed by postoperative scores of 100 both in the early and late stages, supporting the efficacy and persistence of this treatment strategy. The p-value obtained after statistical analysis was <0.0001. Conclusion: We concluded that the treatment of foot and ankle comorbidities with tendoscopy, in addition to being less invasive, shows consistency and efficacy as demonstrated by the AOFAS score and functional assessment via postoperative physical examinations. AOFAS scores were increased and maintained at high levels in the postoperative period, demonstrating the efficacy of this procedure and the duration of treatment results. Level of Evidence IV; Case Series; Therapeutic Studies - Investigation of Treatment Results.

Recent Trends in the Management of Aneurysmal Bone Cyst

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Rafeek Ahmed Sadek ◽  
Ashraf Mohamed El Seddawy ◽  
Hussein Mohamed Ahmed Gomaa
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Healing Rate ◽  
Bone Cyst ◽  
Case Series ◽  
Treatment Modalities ◽  
Thin Wall ◽  
Bone Cysts ◽  
Large Hole ◽  
Aneurysmal Bone Cysts ◽  
Complications Rate

Abstract Background Aneurysmal bone cysts (ABCs), were first described by Drs. Jaffe and Lichenstein in 1942 when they described pelvic and spine lesions that when exposing the lesion and opening in to its thin wall, the surgeon was immediately confronted by a large hole containing much fluid blood. Aim of the Work To describe the efficacy of new line treatment modalities of (Aneurysmal Bone Cysts) compared to conventional lines of management regarding the: • Long term outcomes and healing rate. • Recurrence rates. • Complications after therapy. Patients and Methods Criteria for considering studies for this review: • Types of the studies: published observational analytical studies (case-control_ case-series _ RCT or cohort studies) which studied the efficiency of new lines in the management of aneurysmal bone cyst. • Types of participants: participants were children and young age (below the age of 50 yrs) with a diagnosis of aneurysmal bone cyst. • Types of interventions: drugs like (Bisphosphonate or denosumab) were administered for a time determined by the case improvement, or minimally invasive techniques like (cryosurgery or curopsy) was done. Results Through the results of our study that compared between these recent modalities according to healing, recurrence, and complications rate; we are able to say that recent strategies have a high rate of healing ranges from 78.57% with bisphosphonate to 100% with doxycycline and cryotherapy. Conclusion There are recent evolving trends in the management of ABC other than the classic ways of management, they are less invasive, have less recurrence rate reaches to 0 % like with bisphosphonate, less complications rate as well reaches to 0 % like with doxycycline and bisphosphonate, high healing rate reaches to 100 % like with doxycycline and taking in consideration how to handle cases of ABC that classic way of management can’t handle like spinal ABC.

scholarly journals Abdominal breathing affects blood pressure in hypertension sufferers

2019 ◽  
Author(s):  
Chilyatiz Zahroh ◽  
Siti Nurjanah ◽  
Ninin Khumairoh Siti Widyarti
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Measurement ◽  
Significant Risk ◽  
Rank Test ◽  
P Value ◽  
Significance Level ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test ◽  
Abdominal Breathing

Hypertension is a significant risk factor for heart disease and stroke. This study was conducted to determine the effect of abdominal breathing on blood pressure in a hypertensive patient using the non-pharmacological treatment. This study used a pre-experimental method, which comprises of the one-group pre-test/post-test design. A total of 39 hypertensive respondents taken from a population in Wonokromo, Surabaya were chosen by using simple random sampling technique. Data was analyzed by Wilcoxon Signed-Rank Test, with an assigned significance level of ɑ=0.05. The results of this study showed that before abdominal breathing, the systolic blood pressure was 146.41 mmHg, whereas the diastolic blood pressure was 117.43 mmHg. After performing abdominal relaxation, it was 135.64 mmHg and 87.95 mmHg, respectively. Moreover, the results of the Wilcoxon Signed-Rank Test showed a p-value of 0.000, illustrating that the results of blood pressure measurement were different before and after conducting the abdominal breathing. Therefore, abdominal breathing is suspected of having the ability to decrease the blood pressure.

scholarly journals Evaluation of quality of life and radiological parameters after hallux valgus correction

2019 ◽  
Vol 13 (1) ◽  
pp. 3-9
Author(s):  
Vinícius Trindade Cardoso ◽  
Henrique Mansur ◽  
Isnar Moreira Castro Junior
Keyword(s):  
Quality Of Life ◽  
Hallux Valgus ◽  
Case Series ◽  
Life Questionnaire ◽  
Level Of Evidence ◽  
Significance Level ◽  
Radiological Parameters ◽  
Sf 36 ◽  
Student’S T

Objective: To evaluate the quality of life of patients undergoing hallux valgus correction and maintenance of  radiographic parameters over time. Methods: The study included 38 patients who underwent hallux valgus correction surgery using different osteotomy techniques (Scarf, Chevron, Arciform, Proximal Chevron and Chevron-Akin) between January 2010 and December 2012. The patients were evaluated radiographically at 3 different periods (preoperatively and 1 year and 5 years postoperatively) and completed the SF-36 quality-of life questionnaire. Statistical analysis was performed using Student’s t-test and the nonparametric Wilcoxon and Friedman tests at a maximum significance level of 5%. Results: Among the main results obtained for the SF-36 questionnaire, the domain patients felt better about emotional aspects, physical limitations and social aspects, with a final mean of 74.9. The metatarsophalangeal and intermetatarsal angles and medial eminence exhibited significant reductions in the postoperative period (p<0.05), and only 1 patient presented with the loss of joint congruence. Conclusion: Different surgical osteotomy techniques used to correct moderate and severe hallux valgus provide improvements in the radiological parameters and quality of life of patients. Level of Evidence IV; Therapeutic Studies; Case Series.

Effect of the Modified Lapidus Procedure on Pronation of the First Ray in Hallux Valgus

2019 ◽  
Vol 41 (2) ◽  
pp. 125-132 ◽  
Author(s):  
Matthew S. Conti ◽  
Joseph F. Willett ◽  
Jonathan H. Garfinkel ◽  
Mark C. Miller ◽  
Stephen V. Costigliola ◽  
...  
Keyword(s):  
Hallux Valgus ◽  
Computer Aided Design ◽  
Case Series ◽  
Ct Scans ◽  
Level Of Evidence ◽  
3 Dimensional ◽  
Computed Tomographic ◽  
First Metatarsal ◽  
Signed Rank ◽  
First Ray

Background: Hallux valgus (HV) is a triplanar deformity of the first ray including pronation of the first metatarsal with subluxation of the sesamoids. The purpose of this study was to investigate if a first tarsometatarsal fusion (modified Lapidus technique), without preoperative knowledge of pronation measured on weightbearing computed tomographic (CT) scans, changed pronation of the first metatarsal and determine if reduction of the sesamoids was correlated with changes in first metatarsal pronation. Methods: Thirty-one feet in 31 patients with HV who underwent a modified Lapidus procedure had preoperative and at least 5-month postoperative weightbearing CT scans and radiographs. Differences in preoperative and postoperative pronation of the first metatarsal using a 3-dimensional computer-aided design, HV angle, and intermetatarsal angle (IMA) were calculated using Wilcoxon signed-rank tests. After dividing patients into groups based on sesamoid station, Kruskal-Wallis H tests were used to compare first metatarsal pronation between the groups. Results: The mean preoperative and postoperative pronation of the first metatarsal was 29.0 degrees (range 15.8-51.1, SD 8.7) and 20.2 degrees (range 10.4-32.6, SD 5.4), respectively, which was a mean change in pronation of the first ray of −8.8 degrees ( P < .001). There was no difference in pronation of the first ray when stratified by postoperative sesamoid position ( P > .250). The average preoperative and postoperative IMA was 16.7 degrees (SD 3.2) and 8.8 degrees (SD 2.8), which demonstrated a significant change ( P < .001). Conclusions: The modified Lapidus procedure was an effective tool to change pronation of the first ray. Reduction of the sesamoids was not associated with postoperative first metatarsal pronation. Level of Evidence: Level IV, case series.

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