scholarly journals Ultrasonographic differentiation of painful hip in developmental age

2010 ◽  
Vol 63 (3-4) ◽  
pp. 208-214 ◽  
Author(s):  
Lazar Petkovic ◽  
Dusan Maric ◽  
Djordje Gajdobranski
Keyword(s):  
Rheumatoid Arthritis ◽  
Femoral Head ◽  
Septic Arthritis ◽  
Clinical Signs ◽  
Perthes Disease ◽  
Transient Synovitis ◽  
Final Exam ◽  
Average Value ◽  
Significant Difference ◽  
Painful Hip

Introduction The most common diseases in the group of painful hip are transient synovitis, rheumatoid arthritis, infective (septic) arthritis, Perthes disease and slipping of the upper femoral epiphysis. Methodology: The algorhythm covers the first and control examinations in certain time intervals (after: 3-7, 7-15, 21-30 days; as well as 2-4 months). Results and discussion The most frequent feature of painful hip is transient synovitis with 65%, Perthes disease with 13 %, septic arthritis with 6%, rheumatoid arthritis and slipping of the upper femoral epiphysis with 2.5%.The ratio boys and girls was 2.3:1. The average age in the group of the painful hip was 6.8 years, in the group of TS 6.5years. The most frequent clinical signs were limping in 84.2% and hip pain in 79.6%.Through the follow up period the difference of the anterior capsular distance was established for symptomatic hip: the average value on the first exam was 8.1 mm, and on the final exam 4.7 mm 3.6 mm. In transient synovitis, there was no difference in measured values of the anterior and lateral femoral head distance for both hips. The medial duration of synovial effusion, measured ultrasonographically, was 10.6 days, and the duration of the clinical signs was 8.7 days. The prolongated synovitis was recorded in 17.6%, and Perthes disease in 8.4%. The average value of anterior capsular distalnce in these patients was 5.4mm. In group of Perthes disease the values of anterior capsular distance during control examinations showed increase that implicated the lateralisation or extrusion of the femoral head. The values of anterior distance of the femoral head were without significant difference. Conclusion The ultrasonography should be the method of choice in painful hip differentiation regardless of the age. The ultrasonography can replace radiography safely in the primary diagnostic procedure as well as through the control examination.

scholarly journals A comparison of subtraction MRI with the standard contrast-enhanced imaging in Perthes’ disease

2019 ◽  
Vol 13 (1) ◽  
pp. 82-88 ◽  
Author(s):  
K. Jamil ◽  
T. Walker ◽  
E. Onikul ◽  
C. F. Munns ◽  
D. G. Little
Keyword(s):  
Femoral Head ◽  
Randomized Study ◽  
Perfusion Index ◽  
Perthes Disease ◽  
Diagnostic Study ◽  
Subtraction Technique ◽  
Level Of Evidence ◽  
Enhanced Mri ◽  
Significant Difference ◽  
Before And After

Purpose Perthes’ disease (PD) results from loss of blood supply to the hip and can progress to femoral head deformity. MRI in the early course of the disease can provide data on the initial extent of infarct. Vascularity of the femoral head is assessed by gadolinium-enhanced MRI (contrast MRI), which may be improved by the digital subtraction technique (subtraction MRI). We hypothesized that gadolinium-enhanced MRI without subtraction was comparable with subtraction MRI in depicting the femoral head perfusion. Methods In all, 34 patients (34 hips) with unilateral PD had gadolinium-enhanced MRI as part of a prospectively randomized study. Nine patients had three MRIs, 15 had two and ten had a single MRI. Measurement of perfusion of the femoral head (MRI perfusion index) was obtained using digital image analysis on all the MRIs, including both before and after subtraction. A paired sample t-test was performed to compare the measurements. Results The mean age of the patients was 8.9 years (sd 1.6). At the time of diagnosis, the subtraction MRI did not elicit a statistically significant difference in MRI perfusion index measurements when compared with the contrast MRI (p = 0.19). The same findings were found when including all patients at various stages of the disease (p = 0.30). Qualitatively, although some subtraction MRI images showed superior delineation of epiphysis, there are no significant differences throughout the whole series. Conclusion Although the current literature supports the increasing role of the subtraction MRI for PD management, our study proposed that the contrast MRI without subtraction technique appears adequate in assessing femoral head perfusion. Level of Evidence: Level I - Diagnostic study

Dysplasia Epiphysealis Capitis Femoris: Two Long-Term Observations

1995 ◽  
Vol 5 (2) ◽  
pp. 63-68
Author(s):  
B. Moretti ◽  
V. Patella ◽  
G. Mastrorillo ◽  
V. Pesce ◽  
G.LO Bianco ◽  
...  
Keyword(s):  
Femoral Head ◽  
Early Diagnosis ◽  
Clinical Signs ◽  
Perthes Disease ◽  
Radiological Findings

Two patients with Meyer's dysplasia epiphysealis capitis femoris were followed, and the clinical and radiological findings are described. The importance of early diagnosis is underlined, and of differentiating Meyer's disease from Perthes disease, particularly in children under the age of four years, who present no true clinical signs. The utility of monitoring ossification of the femoral head is illustrated.

Assessing the efficacy of long-term administration of Tolfenamic acid in dogs undergoing femoral head and neck excision

2003 ◽  
Vol 16 (04) ◽  
pp. 232-237 ◽  
Author(s):  
J. Dupuis ◽  
M. Moreau ◽  
S. Daminet ◽  
P. Hébert ◽  
E. Grisneaux ◽  
...  
Keyword(s):  
Femoral Head ◽  
Head And Neck ◽  
Clinical Signs ◽  
Acid Group ◽  
Tolfenamic Acid ◽  
Vertical Force ◽  
Salvage Procedure ◽  
Significant Difference ◽  
Term Administration

SummaryFemoral head and neck excision (FHNE) is a salvage procedure routinely performed when severe osteoarthritis is present and clinical signs cannot be managed by conservative treatment, or when total hip replacement is cost prohibitive for the owners. The purpose of the study reported herein was to evaluate the adverse effects and efficacy of long-term administration of Tolfenamic acid in dogs undergoing FHNE. Twenty dogs admitted with clinical signs associated with bilateral hip degenerative joint disease and weighing more than 20 kg were included in the study. Ten dogs received Tolfenamic acid for four months following FHNE and 10 dogs received a placebo. At four months after surgery, the placebo group had a significant decrease, compared with pre-operative values, in peak vertical force (PVF) (60.38% BW vs 64.77% BW, p = 0.046), and a significant decrease in vertical impulse (VI) (8.38% BW x sec. vs 9.64% BW x sec., p = 0.023). There was not any significant difference between pre- and post-operative results in the Tolfenamic acid group regarding PVF (65.13% BW vs 63.31% BW, p = 0.296) and VI (8.24% BW x sec. vs 8.71% BW x sec., p = 0.945). A significant difference was not found between the two groups with regard to endoscopic evaluation of mucosal lesions. Subjectively, the owners of the dogs in the Tolfenamic acid group reported an earlier use of the limb, a more compliant dog during physical therapy and a more rapid return to a ‘normal’ gait. Long-term administration of Tolfenamic acid may therefore be recommended, following FHNE, to improve the results of the operation.

scholarly journals Bilateral septic arthritis with rapid progressive destruction of the femoral head after joint injection in rheumatoid arthritis

2021 ◽  
Vol 6 (7) ◽  
pp. 255-256
Author(s):  
Viola Freigang ◽  
Florian Baumann ◽  
Volker Alt
Keyword(s):  
Rheumatoid Arthritis ◽  
Hyaluronic Acid ◽  
Femoral Head ◽  
Septic Arthritis ◽  
Steroid Therapy ◽  
Joint Injection ◽  
Hip Joints ◽  
X Ray

Abstract. This report is on a 61-year-old patient with steroid therapy for rheumatoid arthritis and pain in the groin on both sides who got injections with hyaluronic acid in both hip joints. After 12 weeks the X-ray of the pelvis showed rapid progressive destruction of both hip joints.

PENGARUH TERAPI BACK MASSAGE TERHADAP PENURUNAN TINGKAT NYERI PADA PENDERITA RHEUMATOID ARTHRITIS DI DESA RAJADESA KECAMATAN RAJADESA KABUPATEN CIAMIS TAHUN 2018

2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Daniel Akbar Wibowo ◽  
Dini Nurbaeti Zen ◽  
Yalis Agustina
Keyword(s):  
Rheumatoid Arthritis ◽  
Standard Deviation ◽  
Muscle Tension ◽  
Massage Therapy ◽  
Sampling Technique ◽  
Total Sample ◽  
Measurement Tool ◽  
Pain Level ◽  
Average Value ◽  
Back Massage

Disease that is often complained by the public today one of the pain in the bone, which is better known by the community with rheumatism. Rheumatism or rheumatoid arthritis is a systemic, progressive, chronic and tendonic inflammatory disease of joints and connective tissue symmetrically. One way of management of rheumatoid arthritis pain is back massage therapy. Back Massage is one of the techniques to give massage action on the back with lotions/balm for 10-15 minutes, the warm sensation leads to vasodilation of blood vessels that will improve blood circulation in the area so that the activity of the cell is increased and will reduce pain, increase comfort, reduce muscle tension and improve physical and psychological relaxation. This study aims to determine the effect of Back massage therapy to decrease the pain level of rheumatoid arthritis patients in Rajadesa Village Rajadesa Sub District Ciamis District in 2018. Type of research using Quasi Experiment Design with one group pretest-posttest design. Total sample 48 respondents with total sampling technique. Data collection using experimental method with VDS (Verbal Descriptor Scale) pain rate measurement tool. The result of statistical test by using Linear Regression shows Sig = 0,000 <0,05, t value = 18,935> 2,012. Then Ha is accepted, and the average value before therapy is 3.27 with a standard deviation of 0.818, whereas after therapy is 2.23 with a standard deviation of 0.881, meaning there is the effect of back massage therapy on the decrease of pain level in patients with rheumatoid arthritis. So to reduce pain in patients with rheumatoid arthritis can be given back massage therapy.

Pengaruh Jumlah Pencucian Beras dengan Kadar Klorin

2017 ◽  
Vol 1 (1) ◽  
pp. 89
Author(s):  
Indah Purwaningsih ◽  
Supriyanto Supriyanto
Keyword(s):  
Mucous Membrane ◽  
Confidence Level ◽  
Iodometric Titration ◽  
Titration Method ◽  
Anova Test ◽  
Average Value ◽  
Significant Difference ◽  
The Difference

Abstract: Chlorine is a green halogen-shaped halogen gas at normal temperature and serves as bleach, stain remover and disinfectant. Chlorine is now widely used for bleaching rice so that less quality rice looks like quality rice. Chlorine is very toxic and causes mucous membrane irritation, highly reactive and very powerful oxidizer. The purpose of this research was to determine the difference of chlorine level in chlorinated rice washed once, twice and 3 times. The sample in this study amounted to 11 samples calculated by replication formula. Each sample was treated 3 times, ie 1 washed once, 2 washed twice and washed 3 times. The samples then examined by iodometric titration method. Based on the results of the study using ANOVA test, 11 samples obtained the average value of chlorine after washed once amount of 0.0176%, after washed twice amount of 0.0111%, and after washed 3 times amount of 0.0052% with the value significance p = 0.03 (p <0.05) at 95% confidence level which means there was a significant difference between chlorine levels in chlorinated rice washed once, twice and 3 times.Abstrak: Klorin merupakan unsur halogen berbentuk gas berwarna kuning kehijauan pada suhu normal danberfungsi sebagai pemutih, penghilang noda maupun desinfektan. Klorin sekarang banyak digunakan untuk bahan pemutih beras agar beras yang kurang berkualitas tampak seperti beras berkualitas. Klorin sangat toksik dan menyebabkan iritasi membran mukosa, sangat reaktif dan merupakan oksidator yang sangat kuat. Tujuan dari penelitian ini ialah untuk mengetahui perbedaan kadar klorin pada beras berklorin yang dicuci sebanyak 1 kali, 2 kali dan 3 kali. Sampel dalam penelitian ini berjumlah 11 sampel yang dihitung dengan rumus replikasi. Setiap sampel diberi perlakuan sebanyak 3 kali, yaitu 1 kali pencucian, 2 kali pencucian dan 3 kali pencucian. Sampel penelitian kemudian diperiksa dengan metode titrasi iodometri. Berdasarkan hasil penelitian menggunakan uji Anova secara komputerisasi terhadap 11 sampel diperoleh nilai rata-rata kadar klorin setelah 1 kali pencucian sebesar 0,0176 %, setelah 2 kali pencucian sebesar 0,0111 %, dan setelah 3 kali pencucian sebesar 0,0052 % dengan nilai signifkansi p = 0,03 (p<0,05) pada tingkat kepercayaan 95% yang artinya ada perbedaan yang bermakna antara kadar klorin pada beras berklorin yang dicuci sebanyak 1 kali, 2 kali dan 3 kali.

EFEKTIVITAS STRATEGI CLOZE STORY MAPPING TERHADAP KEMAMPUAN MEMBACA PEMAHAMAN PADA SISWA KELAS V DI SD 2 PADOKAN KASIHAN BANTUL

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Danuri Danuri ◽  
Dwendha Lahitani
Keyword(s):  
Data Analysis ◽  
Learning Strategy ◽  
T Test ◽  
Effective Learning ◽  
Average Value ◽  
Story Mapping ◽  
Analysis Technique ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Class Average

This study aims to determine the effectiveness of CSM strategies on comprehension reading skills in classes V Padokan 2 Elementary School. The research method used is a quasi-experimental method. In this study the subjects of the study were VA class students as the control class and V C as the experimental class with 28 VA and VC class students. Quantitative data analysis technique used is the calculation of independent sample t-test. Based on data analysis and discussion, researchers can conclude that CSM strategies are more effective than conventional methods of reading comprehension learning. The results of this study indicate that there is a significant difference between the experimental class and the control class as evidenced by the results of the independent sample t-test obtained by the value of Asymp. Sig (2-Tailed) 0.014 <0.05. CSM strategy is an effective learning strategy seen from the average value of the experimental class posstest which is 81.61 higher than the control class average value of 72.96.

Comparison of the Effects of Fenugreek Vaginal Cream and Ultra Low- Dose Estrogen on Atrophic Vaginitis

2020 ◽  
Vol 17 (9) ◽  
pp. 815-822
Author(s):  
Maryam Safary ◽  
Sevil Hakimi ◽  
Noushin Mobaraki-Asl ◽  
Paria Amiri ◽  
Habib Tvassoli ◽  
...  
Keyword(s):  
Postmenopausal Women ◽  
Low Dose ◽  
Intervention Group ◽  
Clinical Signs ◽  
Control Group ◽  
Conjugated Estrogens ◽  
Atrophic Vaginitis ◽  
Vaginal Cream ◽  
Intergroup Comparison ◽  
Significant Difference

Introduction: Atrophic vaginitis is a common problem in postmenopausal women and results from decreased levels of blood estrogen. It is associated with symptoms of itching, burning, dyspareunia, and postmenopausal bleeding. The present study evaluated the effects of fenugreek extract on atrophic vaginitis. Materials and Methods: This randomized controlled clinical trial was performed on 60 postmenopausal women in Ardabil, Iran, in 2018. The participants were selected using block randomization with the allocation ratio 1:1. Those in the intervention group received 0.5g (the applicator filled to the half-full mark) fenugreek vaginal cream 5% twice a week for 12 weeks. The control group received conjugated estrogens vaginal cream at the dose of 0.625 mg (the applicator filled to the half-full mark) containing 0.3 mg of conjugated estrogens. Atrophic vaginitis was evaluated before and after the treatment through clinical examination, clinical signs, and measurement of Vaginal Maturation Index (VMI). Findings: After the 12-week intervention and modification of the baseline score, the mean (standard error) score for atrophic vaginitis signs was 3.100 (1.43-4.75). This difference was statistically significant in intragroup comparison and in favor of the control group in intergroup comparison (p=0.001). VMI was less than 49% in 86.7% and 46.7% of the participants in the intervention and control groups, respectively. This was a significant difference in favor of the control group (p=0.001). Conclusion: The results of this study showed that total fenugreek extract could be effective in treating signs of atrophic vaginitis, but it was not as effective as ultra-low-dose estrogen.

Anti-carbamylated Protein Antibodies and Serum Level of 14-3-3 Protein for Early Detection of Rheumatoid Arthritis Patient in Correlation with Rheumatoid Factor, Anti-CCP Antibodies, Disease Activity and Joint Damage using High Frequency Musculoskeletal Ultrasound

2020 ◽  
Vol 7 (2) ◽  
pp. 141-153
Author(s):  
Sahar A. Ahmed ◽  
Enas M. Darwish ◽  
Walaa A. Attya ◽  
Mai Samir ◽  
Mennatallah Elsayed ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Rheumatoid Factor ◽  
Disease Activity Score ◽  
Joint Damage ◽  
Musculoskeletal Ultrasound ◽  
Activity Score ◽  
Das 28 ◽  
Significant Difference ◽  
Hands And Feet

Background: Rheumatoid arthritis (RA) is a common progressive chronic inflammatory autoimmune disease which affects mostly small joints, causing pain, swelling, deformity, and disability. Although progress has been made in exploring RA nature, still there is a lot to know about the disease pathogenesis, diagnosis, and treatment. Aim of the Work: To investigate the role of serum anti-carbamylated protein antibodies and 14-3-3η in the diagnosis of RA compared to rheumatoid factor (RF), anti-CCP antibodies, and highfrequency musculoskeletal ultrasound used to assess the disease activity and joint damage. Methods: Serum anti-carbamylated protein antibodies and 14-3-3η were measured using ELISA in 61 RA patients and 26 normal controls. RA Disease Activity Score (DAS 28), X-ray and musculoskeletal ultrasound (hands and feet), carotid ultrasound (Intima-Media Thickness IMT) were used in assessing the RA disease. Results: Anti-carbamylated protein antibodies were significantly elevated in RA patients 4.5 (4.1- 8.9 U⁄ml) compared to the control 3.2(1.9- 4.3 U⁄ml) (p< 0.001) but 14-3-3η showed no significant difference. There was a significant positive correlation between anti-carbamylated protein antibodies, 14-3-3η levels and disease activity score assessed by DAS 28, increased IMT measured by carotid duplex, total synovitis and total erosion score were assessed by musculoskeletal ultrasound. There was no correlation between RF and anti-CCP antibodies. Anti-carbamylated protein antibodies were found to have 66.7% sensitivity and 85.2% specificity in RA diagnosis, while 14- 3-3η had 51.9% sensitivity and 72.1% specificity. Conclusion: Anti-carbamylated protein antibodies and 14-3-3η have a high sensitivity and specificity in RA diagnosis and had a correlation with the disease activity and joint damage.

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