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[PMID]:28448898
[Au] Autor:Eek MN; Zügner R; Stefansdottir I; Tranberg R
[Ad] Endereço:Regional Rehabilitation Centre, Queen Silvia Children's Hospital, Box 21062, SE-418 04 Gothenburg, Sweden. Electronic address: meta.nystrom-eek@vgregion.se.
[Ti] Título:Kinematic gait pattern in children with cerebral palsy and leg length discrepancy: Effects of an extra sole.
[So] Source:Gait Posture;55:150-156, 2017 Jun.
[Is] ISSN:1879-2219
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The gait pattern in children with cerebral palsy (CP) often differs from normal, with slow velocity, problem with foot clearance and increased stress on joints. Several factors, such as muscle tone, impaired motor control, muscle contractures, skeletal deformities and leg length discrepancy affect gait. Leg length discrepancy can be treated surgically or with elevation of the shoe on the short leg. The purpose of this study was to examine whether compensating for leg length discrepancy, with elevation of the sole, leads to a change in movement pattern during walking in children with spastic CP. RESULTS: Ten children with spastic CP, able to walk without aids, and 10 typically developing (TD) children aged between seven and 14 years were assessed with 3D gait analysis: 1) barefoot, 2) with shoes and 3) with an extra sole beneath the shoe for the shorter leg. All children with CP had a leg length discrepancy of more than or equal to 1.0cm. In the barefoot condition, the velocity was slower and the stride length was shorter, in children with CP compared with TD. The stride length and gait velocity increased in children with CP with shoes and shoe+sole and the stance time became more symmetrical. Among children with CP, there was more flexion in the longer leg relative to the short leg during barefoot walking. Differences in the kinematic pattern between the long and the short leg decreased with the extra sole.
[Mh] Termos MeSH primário: Paralisia Cerebral/fisiopatologia
Órtoses do Pé
Transtornos Neurológicos da Marcha/fisiopatologia
Desigualdade de Membros Inferiores/fisiopatologia
Desigualdade de Membros Inferiores/reabilitação
[Mh] Termos MeSH secundário: Adolescente
Estudos de Casos e Controles
Criança
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180206
[Lr] Data última revisão:
180206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE


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[PMID]:29292338
[Au] Autor:Hambright D; Hellman M; Barrack R
[Ad] Endereço:Barnes-Jewish Hospital , 660 South Euclid, Campus Box 8233, St. Louis, MO 63110, USA.
[Ti] Título:Intra-operative digital imaging: assuring the alignment of components when undertaking total hip arthroplasty.
[So] Source:Bone Joint J;100-B(1 Supple A):36-43, 2018 Jan.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: The aims of this study were to examine the rate at which the positioning of the acetabular component, leg length discrepancy and femoral offset are outside an acceptable range in total hip arthroplasties (THAs) which either do or do not involve the use of intra-operative digital imaging. PATIENTS AND METHODS: A retrospective case-control study was undertaken with 50 patients before and 50 patients after the integration of an intra-operative digital imaging system in THA. The demographics of the two groups were comparable for body mass index, age, laterality and the indication for surgery. The digital imaging group had more men than the group without. Surgical data and radiographic parameters, including the inclination and anteversion of the acetabular component, leg length discrepancy, and the difference in femoral offset compared with the contralateral hip were collected and compared, as well as the incidence of altering the position of a component based on the intra-operative image. RESULTS: Digital imaging took a mean of five minutes (2.3 to 14.6) to perform. Intra-operative changes with the use of digital imaging were made for 43 patients (86%), most commonly to adjust leg length and femoral offset. There was a decrease in the incidence of outliers when using intra-operative imaging compared with not using it in regard to leg length discrepancy (20% 52%, p = 0.001) and femoral offset inequality (18% 44%, p = 0.004). There was also a difference in the incidence of outliers in acetabular inclination (0% 7%, p = 0.023) and version (0% 4%, p = 0.114) compared with historical results of a high-volume surgeon at the same centre. CONCLUSION: The use of intra-operative digital imaging in THA improves the accuracy of the positioning of the components at THA without adding a substantial amount of time to the operation. Cite this article: 2018;100B(1 Supple A):36-43.
[Mh] Termos MeSH primário: Artroplastia de Quadril/métodos
Anteversão Óssea/prevenção & controle
Prótese de Quadril
Cuidados Intraoperatórios/métodos
Desigualdade de Membros Inferiores/prevenção & controle
Complicações Pós-Operatórias/prevenção & controle
Intensificação de Imagem Radiográfica
[Mh] Termos MeSH secundário: Acetábulo/diagnóstico por imagem
Adulto
Idoso
Idoso de 80 Anos ou mais
Artroplastia de Quadril/instrumentação
Anteversão Óssea/epidemiologia
Anteversão Óssea/etiologia
Feminino
Fêmur/diagnóstico por imagem
Seres Humanos
Desigualdade de Membros Inferiores/epidemiologia
Desigualdade de Membros Inferiores/etiologia
Masculino
Meia-Idade
Duração da Cirurgia
Complicações Pós-Operatórias/epidemiologia
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.100B1.BJJ-2017-0596.R1


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[PMID]:29182127
[Au] Autor:Niedzielski K; Flont P; Domzalski M; Lipczyk Z; Malecki K
[Ti] Título:Lower limb equalization with percutaneus epiphysiodesis of the knee joint area.
[So] Source:Acta Orthop Belg;82(4):843-849, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Epiphysiodesis has become one of the most popular methods in the treatment of leg length discrepancy (LLD) due to its surgical simplicity, short hospitalization time, and a low risk of complications. PATIENTS AND METHODS: A retrospective analysis was performed on 34 patients treated for LDD with percutaneus epiphisiodesis of the distal femur and/or the proximal tibia. The mean discrepancy was 2.8 cm. The outcome evaluation method was based on Kemnitz et al. RESULTS: Based on the Kemnitz criteria, 23 (67.6%) patients experienced good results, while 2 (5.9%) satisfactory and 9 (26.5%) poor results. In 47% of patients, swellings of the knee joint were observed in the postoperative period. One serious complication - varus deformity of 10 degrees in femur occurred in the follow-up period. CONCLUSIONS: Percutaneous epiphysiodesis is a simple method of the LLD correction, with a low rate of complications and applicable in cases of late LDD diagnosis.
[Mh] Termos MeSH primário: Artrodese/métodos
Alongamento Ósseo/métodos
Epífises/cirurgia
Fêmur/cirurgia
Articulação do Joelho/cirurgia
Desigualdade de Membros Inferiores/cirurgia
Tíbia/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Seres Humanos
Masculino
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:29182122
[Au] Autor:Castelein S; Docquier PL
[Ti] Título:Complications associated with bone lengthening of the lower limb by callotasis.
[So] Source:Acta Orthop Belg;82(4):806-813, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:The present study aims to assess the incidence of complications related to bone lengthening procedures and to identify factors that may predict these complications. We retrospectively studied 51 lengthening procedures in 39 patients (mean age 13 years) from 2001 to 2015. A circular external fixator was used in 37 procedures and a monolateral fixator in 14 procedures. Duration of distraction, fixator's time, days of treatment, lengthening percentage, bone healing index, distraction regenerate length, distraction index, risk factors and complications were evaluated. The mean follow-up was 5 years. Complications occurred in 84 % of the procedures. Duration of distraction, fixator's time, days of treatment and distraction regenerate length were predictors of complications. Close follow-up is necessary during distraction and healing period and after fixator removal.
[Mh] Termos MeSH primário: Desigualdade de Membros Inferiores/cirurgia
Osteogênese por Distração/métodos
Complicações Pós-Operatórias/epidemiologia
Infecções Relacionadas à Prótese/epidemiologia
Infecção da Ferida Cirúrgica/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Pinos Ortopédicos
Criança
Pré-Escolar
Depressão/epidemiologia
Fixadores Externos
Feminino
Seguimentos
Seres Humanos
Incidência
Lactente
Masculino
Pneumonia/epidemiologia
Estudos Retrospectivos
Fatores de Risco
Estresse Psicológico/epidemiologia
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  5 / 2812 MEDLINE  
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[PMID]:29182105
[Au] Autor:Zhang YT; Jin D; Niu J; Li ZJ; Fu S; Zou ZL
[Ti] Título:A meta-analysis of external fixation and flexible intramedullary nails for femoral fractures in children.
[So] Source:Acta Orthop Belg;82(4):673-680, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:Background : The purpose of this meta-analysis was to compare the outcomes of external fixation and flexible intramedullary nails for femoral fractures in children between 5 and 15 years of age based on the current evidence. Materials and methods: We searched relevent studies in the following database: Cochrane library, PubMed and EMABASE up to May 2014. All randomized controlled trials, Clinical controlled trials and retrospective controlled studies comparing external fixation and flexible intramedullary nails in femoral fractures of children were included. Data was extracted independently for meta-analysis. Results: Seven trials altogether involving 338 cases of femoral fractures of children treated by external fixation (128 cases) and flexible intramedullary nails (210 cases) were included in the meta-analysis. Results showed that flexible intramedullary nails was superior to external fixation in less time to union , lower postoperative infection rate and refracture rate . It may not increase delayed union, Limb-length discrepancy , pain and bursitis . Both fixations obtained a similar patient satisfaction. conclusion: Flexible intramedullary nail had greater advantages for the treatment of femoral fractures in children aged 5-15 years, compared to external fixation based on current meta-analysis. This conclusion will ultimately require rigorous and adequately powered randomized controlled trials to be proved.
[Mh] Termos MeSH primário: Pinos Ortopédicos
Fraturas do Fêmur/cirurgia
Fixação Intramedular de Fraturas/métodos
Consolidação da Fratura
Dor Pós-Operatória/epidemiologia
Infecção da Ferida Cirúrgica/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Bursite/epidemiologia
Criança
Pré-Escolar
Fixação de Fratura/métodos
Seres Humanos
Desigualdade de Membros Inferiores/epidemiologia
Satisfação do Paciente
Complicações Pós-Operatórias/epidemiologia
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:29193926
[Au] Autor:Zierenberg García C; Beaton Comulada D; Pérez López JC; Lamela Domenech A; Rivera Ortiz G; González Montalvo HM; Reyes-Martínez PJ
[Ti] Título:Acute Shortening and re-lengthening in the management of open tibia fractures with severe bone of 14 CMS or more and extensive soft tissue loss.
[So] Source:Bol Asoc Med P R;108(1):89-92, 2016.
[Is] ISSN:0004-4849
[Cp] País de publicação:Puerto Rico
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: A traumatic event to the tibia with more than 14 cm of bone and soft tissue loss represents a challenge to most orthopedic surgeons and is considered a limb-threatening condition. Few solutions are available in such clinical situations and among them is the acute shortening and re-lengthening of bone and soft tissue. MATERIALS AND METHODS: Our study presents the management of 7 patients with grade III B open fractures (according to the Gustillo-Anderson classification) of the tibia who underwent resection of all the devitalized tissues, acute limb shortening to close the defect, application of an external fixator, and metaphyseal osteotomy for re-lengthening. The patient outcomes were based on different parameters using the evaluation system established by Paley et al. RESULTS: Results acquired during the study show an average bone loss of 19cm (with a minimum of 14 cm and a maximum of 31.50cm). The average time to full recovery of all patients was 19 months with a minimum of 14 months and a max of 34 months. Patient presented with excellent bony union and none existent or small refractory leg length discrepancy and did not require bone grafts or free flaps. Complications that the patients had were contractures, which required secondary procedures such as Achilles tendon re-lengthening and recurrent infections. DISCUSSION: Overall patients had excellent bone union and were able to perform activities of their daily living. The Ilizarov technique of compression-dis- traction osteogenesis is an elegant treatment option that should be considered in patients suffering such traumatic events providing excellent bony union and good functional outcomes for the patient.
[Mh] Termos MeSH primário: Fraturas Expostas/cirurgia
Desigualdade de Membros Inferiores/cirurgia
Lesões dos Tecidos Moles/etiologia
Fraturas da Tíbia/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fixadores Externos
Fixação de Fratura/métodos
Consolidação da Fratura/fisiologia
Seres Humanos
Técnica de Ilizarov
Desigualdade de Membros Inferiores/etiologia
Osteotomia/métodos
Recuperação de Função Fisiológica
Lesões dos Tecidos Moles/patologia
Fraturas da Tíbia/complicações
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE


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[PMID]:29049196
[Au] Autor:Kurz S; Pieroh P; Lenk M; Josten C; Böhme J
[Ad] Endereço:aRG Numerical Simulation and Material Science, ZESBO - Center for Research on the Musculoskeletal System bDepartment of Orthopedics, Trauma and Plastic Surgery, University of Leipzig, Leipzig cDepartment of Anatomy and Cell Biology, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
[Ti] Título:Three-dimensional reduction and finite element analysis improves the treatment of pelvic malunion reconstructive surgery: A case report.
[So] Source:Medicine (Baltimore);96(42):e8136, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Pelvic malunion is a rare complication and is technically challenging to correct owing to the complex three-dimensional (3D) geometry of the pelvic girdle. Hence, precise preoperative planning is required to ensure appropriate correction. Reconstructive surgery is generally a 2- or 3-stage procedure, with transiliac osteotomy serving as an alternative to address limb length discrepancy. PATIENT CONCERNS: A 38-year-old female patient with a Mears type IV pelvic malunion with previous failed reconstructive surgery was admitted to our department due to progressive immobilization, increasing pain especially at the posterior pelvic arch and a leg length discrepancy. The leg discrepancy was approximately 4 cm and rotation of the right hip joint was associated with pain. DIAGNOSIS: Radiography and computer tomography (CT) revealed a hypertrophic malunion at the site of the previous posterior osteotomy (Mears type IV) involving the anterior and middle column, according to the 3-column concept, as well as malunion of the left anterior arch (Mears type IV). INTERVENTIONS: The surgery was planned virtually via 3D reconstruction, using the patient's CT, and subsequently performed via transiliac osteotomy and symphysiotomy. Finite element method (FEM) was used to plan the osteotomy and osteosynthesis as to include an estimation of the risk of implant failure. OUTCOMES: There was not incidence of neurological injury or infection, and the remaining leg length discrepancy was ≤ 2 cm. The patient recovered independent, pain free, mobility. Virtual 3D planning provided a more precise measurement of correction parameters than radiographic-based measurements. FEM analysis identified the highest risk for implant failure at the symphyseal plate osteosynthesis and the parasymphyseal screws. No implant failure was observed. LESSONS: Transiliac osteotomy, with additional osteotomy or symphysiotomy, was a suitable surgical procedure for the correction of pelvic malunion and provided adequate correction of leg length discrepancy. Virtual 3D planning enabled precise determination of correction parameters, with FEM analysis providing an appropriate method to predict areas of implant failure.
[Mh] Termos MeSH primário: Análise de Elementos Finitos
Fixação de Fratura/métodos
Fraturas Mal-Unidas/cirurgia
Ossos Pélvicos/lesões
Procedimentos Cirúrgicos Reconstrutivos/métodos
Cirurgia Assistida por Computador/métodos
[Mh] Termos MeSH secundário: Adulto
Placas Ósseas
Feminino
Fraturas Mal-Unidas/complicações
Seres Humanos
Ílio/cirurgia
Imagem Tridimensional
Desigualdade de Membros Inferiores/etiologia
Desigualdade de Membros Inferiores/cirurgia
Osteotomia/métodos
Ossos Pélvicos/cirurgia
Reoperação/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171122
[Lr] Data última revisão:
171122
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171020
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008136


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[PMID]:28704523
[Au] Autor:Kim JH; Kim HJ; Lee DH
[Ad] Endereço:Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
[Ti] Título:Leg length change after opening wedge and closing wedge high tibial osteotomy: A meta-analysis.
[So] Source:PLoS One;12(7):e0181328, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Theoretical considerations suggest that leg length increases after opening wedge high tibial osteotomy (HTO) and decreases after closing wedge HTO; however, in vivo studies have yielded conflicting results. This meta-analysis therefore assessed changes in leg length after opening wedge and closing wedge HTO. METHODS: All studies comparing pre- and postoperative leg length in patients who underwent opening and/or closing wedge HTO were included. Two reviewers independently recorded data from each study in terms of sample size as well as preoperative and postoperative leg length of open wedge and/or closed wedge HTO groups. RESULTS: Four studies were included in the meta-analysis. Although pooled results showed leg length changes from before to after surgery were -6.93 mm (95% confidence interval [CI]: -17.53 to 3.67 mm; P = 0.20) in opening wedge HTO and 1.97 mm (95% CI: -7.13 to 11.07 mm; P = 0.67) in closing wedge HTO, respectively, these values were statistically not significant. However, the difference in the pooled mean leg length change from before to after surgery between opening wedge and closing wedge HTO was 8 mm, a difference that was significant (95% CI: 6.53 to 9.46 mm; P<0.001). CONCLUSION: The change in leg length was not statistically significant for either opening or closing wedge HTO. However, leg length change from before to after surgery was 8 mm greater for opening wedge HTO than for closing wedge HTO.
[Mh] Termos MeSH primário: Perna (Membro)/patologia
Osteotomia/efeitos adversos
Osteotomia/métodos
Complicações Pós-Operatórias/etiologia
Tíbia/cirurgia
[Mh] Termos MeSH secundário: Seres Humanos
Perna (Membro)/diagnóstico por imagem
Perna (Membro)/cirurgia
Desigualdade de Membros Inferiores/diagnóstico
Desigualdade de Membros Inferiores/etiologia
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/patologia
Período Pós-Operatório
Radiografia
Tíbia/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170714
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181328


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[PMID]:28692359
[Au] Autor:Kayani B; Pietrzak J; Hossain FS; Konan S; Haddad FS
[Ad] Endereço:Specialty Registrar in Trauma and Orthopaedics, Department of Trauma and Orthopaedics, University College London Hospital, London NW1 2BU.
[Ti] Título:Prevention of limb length discrepancy in total hip arthroplasty.
[So] Source:Br J Hosp Med (Lond);78(7):385-390, 2017 Jul 02.
[Is] ISSN:1750-8460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Total hip arthroplasty is a highly effective and cost-efficient procedure but postoperative limb length discrepancy is a common source of patient dissatisfaction and litigation. This article provides a systematic, stepwise approach for identifying and proactively managing risk factors associated with limb length discrepancy following total hip arthroplasty. This review explores preoperative history taking, clinical examination, radiological templating, implant positioning, soft tissue balancing, and intraoperative surgical techniques for minimizing leg length discrepancy while maintaining stability and restoring mechanical function following total hip arthroplasty. A comprehensive understanding of the multifactorial nature and methods for reducing postoperative limb length discrepancy is essential for optimizing patient satisfaction, clinical outcomes and long-term function following total hip arthroplasty.
[Mh] Termos MeSH primário: Artroplastia de Quadril/efeitos adversos
Desigualdade de Membros Inferiores/prevenção & controle
Complicações Pós-Operatórias/prevenção & controle
[Mh] Termos MeSH secundário: Prótese de Quadril
Seres Humanos
Desigualdade de Membros Inferiores/etiologia
Satisfação do Paciente
Complicações Pós-Operatórias/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.12968/hmed.2017.78.7.385


  10 / 2812 MEDLINE  
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[PMID]:28690741
[Au] Autor:Alaya Z; Osman W; Hassini L; Zaghouani H; Naouar N; Bouajina E
[Ad] Endereço:Service de Rhumatologie, CHU Farhat Hached, Sousse, Tunisie.
[Ti] Título:[Osteopecilia associated with psoriatic arthritis].
[Ti] Título:Ostéopoécilie associée à un rhumatisme psoriasique..
[So] Source:Pan Afr Med J;26:227, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Osteopecilia is a benign and rare condensing osteopathy. Its association with inflammatory rheumatism is very rare. We here report the case of a 25-year old patient with skin psoriasis, presenting with groin pain of inflammatory origin. Physical examination showed limitation of hip motions, lower limb-length inequality and pain on right sacroiliac mobilization. Laboratory tests showed inflammatory syndrome and negative immunological assessment. The radiograph of the pelvis revealed osteopecilia associated with destructive coxitis. CT scan of the pelvis showed coxitis and osteopecilia associated with bilateral sacroiliitis. The diagnosis of psoriatic arthritis associated with osteopecilia was retained. The patient was treated with methotrexate and NSAIDS. Osteopecilia usually is unexpectedly detected. Diagnostic radiology is essential to avoid unnecessary explorations and treatments.
[Mh] Termos MeSH primário: Artrite Psoriásica/diagnóstico por imagem
Osteopecilose/diagnóstico por imagem
Psoríase/patologia
Sacroileíte/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Anti-Inflamatórios não Esteroides/uso terapêutico
Artrite Psoriásica/tratamento farmacológico
Artrite Psoriásica/patologia
Feminino
Seres Humanos
Desigualdade de Membros Inferiores
Metotrexato/uso terapêutico
Osteopecilose/tratamento farmacológico
Osteopecilose/patologia
Sacroileíte/tratamento farmacológico
Sacroileíte/patologia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Inflammatory Agents, Non-Steroidal); YL5FZ2Y5U1 (Methotrexate)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.26.227.12213



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