Bart Berghs

Bart Berghs
AZ Sint-Jan Brugge-Oostende · Department of Orthopedics

M.D.

About

66
Publications
29,507
Reads
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1,270
Citations
Citations since 2017
11 Research Items
508 Citations
2017201820192020202120222023020406080100
2017201820192020202120222023020406080100
2017201820192020202120222023020406080100
2017201820192020202120222023020406080100
Education
October 1986 - June 1993
KU Leuven
Field of study
  • medicine

Publications

Publications (66)
Article
Background Glenoid rim fractures are uncommon and generally associated with high complication rates. The most common treatment techniques include screw or anchor fixation. Here, we introduce a new fixation method to treat Ideberg type 1 A fractures. Methods A retrospective analysis was performed on patients treated with open reduction and plate fi...
Article
PurposeScapular stress fracture (sSF) is a difficult complication to treat after reverse total shoulder arthroplasty (RSA). The aim of this study was to identify the prevalence and possible risk factors in a large population.MethodsA total of 2165 RSAs that were implanted between January 2006 and October 2017 in five hospitals were evaluated. Withi...
Article
Closed reduction and fixation with elastic intramedullary nails is a popular technique to treat displaced pediatric forearm fractures and has yielded good functional results. Postoperative neurological symptoms can be due to neuropraxia and expectative treatment has been advised for 3 months until further investigation is necessary. We present a ca...
Article
Bennett's fractures are the most common fractures around the trapeziometacarpal joint but require specialized radiographs to be correctly diagnosed. If a fracture is missed at initial presentation, it may heal with an intra-articular gap, leading to joint incongruency and a painful trapeziometacarpal joint. We present a new technique to correct the...
Article
This study investigated the long term functional outcome after total replacement of the trapeziometacarpal joint with the Ivory prosthesis (Stryker Corporate, Michigan, USA) for trapeziometcarpal joint osteoarthritis in male patients. In this prospective study, range of motion, overall function, pain and radiologic outcome of the trapeziometacarpal...
Article
Les cals vicieux articulaires des phalanges sont, de par leur taille et l’entourage tissulaire, un défi délicat par rapport à toute chirurgie correctrice. Les moyens de calculs mis à disposition pour préparer la stratégie de correction ont néanmoins évolué. La société Materialise ® développe depuis plus de 25 ans des gabarits de correction 3D pour...
Article
Le traitement de la maladie de Dupuytren est en pleine évolution ces dernières années. Les traitements proposés sont divers : la fasciectomie totale, fasciectomie sérielle et l’aponeurotomie à l’aiguille se font petit à petit remplacer par le traitement par collagénose. En Belgique, ce produit est remboursé pour des contractures de 20° au minimum,...
Article
This study investigated the long-term functional outcome after total replacement of the trapeziometacarpal joint with the Ivory prosthesis (Stryker Corporate, Kalamazoo, Michigan, USA) for trapeziometcarpal joint osteoarthritis. In this prospective study, range of motion, overall function, pain and radiologic outcome of the trapeziometacarpal arthr...
Article
En 1927, Mauclaire, puis en 1932, Dieterich, furent les premiers à faire un rapport sur une condition de nécrose aseptique des têtes métacarpiennes. Depuis lors, la condition se nomme comme maladie de Dieterich – Mauclaire (ou vice-versa). La plupart des articles qui sont apparus dans la littérature récente, rapportent leurs succès chirurgicaux, ta...
Article
Background Surgical management of de Quervain's tenosynovitis is based on decompression of the first extensor compartment. A simple release of the first compartment can cause instability of the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons in zone seven of the extensors. The WHAT test (wrist hyperflexion and abduction of...
Article
La contracture en flexion des doigts longs n’a pas seulement une répercussion sur la fonction des doigts longs, elle diminue la fonction de toute la main. Les patients sont incapables de porter des gants, de mettre leur main dans des espaces étroits et sont souvent embêtés par des accrochages involontaires d’objets. Nous avons revu les résultats d’...
Article
Introduction: There is a lack of organization in existing studies on the outcome and complications of total shoulder arthroplasty. As a result, it is difficult to gain substantial evidence regarding the rate and risk factors for the occurrence of glenoid loosening which remains the most common cause of prosthetic failure. To improve the quality of...
Article
Full-text available
Background Ulnocarpal abutment is a common condition following distal radius fractures. There are different surgical methods of treatment for this pathology: open and arthroscopic wafer procedure or an ulnar shortening osteotomy. We describe an oblique metaphyseal shortening osteotomy of the distal ulna using two cannulated headless compression scr...
Article
Full-text available
Purpose: Successful total shoulder arthroplasty (TSA) requires a correct position of the glenoid component. This study compares the accuracy of the positioning with a new developed glenoid aiming device and virtual three-dimensional computed tomography (3D-CT) scan positioning. Materials and Methods: On 39 scapulas from cadavers, a K-wire (KDev) w...
Article
Introduction Le traitement chirurgical de la maladie de de Quervain consiste dans la majorité des cas en une libération singulière de la première loge des extenseurs. Une libération simple sans reconstruction de la poulie peut amener une instabilité des tendons à ce niveau. Dans notre service nous avons répertorié une série de 10 patients auprès de...
Article
Introduction La coalition ulnocarpienne est une pathologie bien connue. Il existe de différentes techniques chirurgicales pour cette pathologie – la technique dite de « Wafer » à ciel ouvert ou sous arthroscopie, ainsi que le racourcissement (diaphysaire) de l’ulna. Nous décrivons une technique modifiée d’une ostéotomie metaphysaire oblique de l’ul...
Article
Background Simple decompression of the first extensor compartment is commonly used for treating de Quervain disease, with the possible complication of subluxation of the tendons of the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) over the radial styloid. To prevent this painful subluxation of the tendons, several methods of rec...
Article
Background One of the surgical treatment options for trapeziometacarpal (TMC) joint arthritis is a prosthetic ball-and-socket replacement. One of the complications in the postoperative setting is de Quervain tendinopathy. Purposes Although this complication has been reported following a resection athroplasty, we questioned whether lengthening of th...
Article
Full-text available
Sternoclavicular joint (SCJ) arthropathy is an uncommon cause of mechanical pain. The aim of this study is to evaluate the diagnostic value of two active clinical tests for localizing the sternoclavicular joint as the source of mechanical pain. All patients between June 2011 and October 2013 that visited the orthopedic departments of three hospital...
Article
Symptomatic atrophic nonunion after multiple clavicle osteosynthesis can be difficult to treat. The aim of this study was to evaluate the results of a transfer of the clavicular part of the pectoralis major muscle as augmentation of osteosynthesis of these nonunions. A retrospective study included all patients who were treated between 2001 and 2010...
Article
The most important problem of trapezial dysplasia with thumb metacarpal instability is of bony origin. Together with the progressive capsuloligamentous decompensation it evolves in a progressive adduction deformity of the thumb metacarpal secondary to the dysplasia of the trapezium with its increased articular slope. The addition-subtraction osteot...
Article
Full-text available
Trapeziometacarpal joint pain is often associated with a dynamic adduction deformity of the thumb metacarpal, combined with radial subluxation at the base of the thumb metacarpal, due to trapeziometacarpal dysplasia. Addition-subtraction osteotomy is a surgical option to correct the bony deformity when conservative treatment fails. Eight patients w...
Chapter
Hand injuries in sports are usually traumatic in nature and may occur from falls, axial loading of digits, or rotational traumatic injuries with forced gripping.
Article
Full-text available
We present the results of a 5 year prospective follow-up study on the functional outcome after total replacement of the trapeziometacarpal joint with the Ivory prosthesis (Memometal, Stryker Corporate, Kalamazoo, Michigan, USA) in 22 patients. The female to male ratio was 21:1 and the mean age was 66 (range 54-78) years. The mean follow-up period w...
Article
Full-text available
De Quervain's disease has different clinical features. Different tests have been described in the past, the most popular test being the Eichhoff's test, often wrongly named as the Finkelstein's test. Over the years, a misinterpretation has occurred between these two tests, the latter being confused with the first. To compare the Eichhoff's test wit...
Chapter
In 1984, Faithfull and Timothy Herbert described the use of the Herbert screw for small joint fusion of the hand in the Journal of Hand Surgery [4]. It was their way to illustrate the quality of a wonderful headless compression screw, which would mark the end of the century in interfragmentary screwing of small bones. It was the first time that int...
Chapter
Injuries of the scapholunate ligament are often underestimated. In the acute phase, radiographs are often misleading. Initially, patients have quite sharp pains which tend to decrease over a couple of weeks with rest, immobilization and painkillers. The described technique is useful in treating chronic unstable Scapholunate tears.
Article
Abstract Intraosseous epidermoid inclusion cysts of the phalanx of the finger are rare, and are regarded as reactive or post-traumatic pseudotumours. We describe a case of an epidermoid cyst in the distal phalanx of the fifth finger caused by chronic nail biting, which was successfully excised.
Article
Full-text available
Treatment of fractures of the proximal phalanx of the long fingers remains difficult and challenging ; several options have been used. We report our experience with an isometric traction splint, modified from the Southampton design. A cohort of 32 patients with displaced fractures of a proximal phalanx was treated and assessed retrospectively after...
Article
Few studies have investigated the vascular anatomy of the trapeziometacarpal (TM) joint of the thumb. The aim of our study was to describe the supplying arteries of the trapezium and the TM joint since this knowledge is essential for trapezium osteotomies. Ten anatomical dissections in ten different cadavers using two different techniques (four mac...
Article
Osteotomy of the lesser tuberosity in shoulder arthroplasty allows bony healing of the subscapularis tendon but does not prevent fatty degeneration in its muscle. Occurrence or increase in fatty degeneration may depend on the surgical technique. We (1) assessed fatty degeneration in the subscapularis muscle and its cross-sectional area after a C-bl...
Article
The Ivory (R) prosthesis was developed by Philippe Dumontier and commercialized in 1992. The prosthesis is a ball joint where the stem and cup is covered with hydroy - apatite. There is a complete modularity of the implant. The neck can be placed in neutral, clockwise and counter clockwise position. This facilitates the stability during the operati...
Article
The therapeutic options are limited when one face a failure of a trapeziectomy. The instability of the first metacarpal, the loss of height of the thumb should be avoided in order to maintain or restore the tridimensional mobility of the thumb and this prehensile strength as well. The development of the Ebony (R) prosthesis by Bruno Lussiez in 2008...
Article
Trapeziometacarpal instability with trapezial dysplasia is a disabling condition long before the radiological changes of osteoarthritis appear. In dysplastic joints surgical soft tissue correction fails to prevent the instability, requiring a correction of the bony anatomy. We combined two techniques described in the past, an abduction osteotomy of...
Article
The tuberosities of the proximal humerus relate geometrically to the humeral head in an anteroposterior symmetry. Twenty-eight cadaveric shoulders were scanned with computed tomography and reconstructed digitally in 3 dimensions. On both tuberosities, 5 facets were identified. An orthogonal planar system using the center of the humeral head as its...
Article
Full-text available
The purpose of this study was to evaluate a reduction method that is based on the theory of Evans to reduce angulated greenstick fractures of the distal forearm with a rotation manoeuvre, to evaluate an immobilisation technique and to evaluate a brief survey on surgeon practice for treatment of these fractures. A retrospective study was performed o...
Article
Full-text available
Posterior shoulder instability has been difficult to diagnose and even more challenging to manage. However, it is being diagnosed and treated more frequently, particularly after sports injuries. The purpose of this article is to review literature concerning the management of these pathologies. A literature review was carried out in the main medical...
Article
In the elderly, there is no guideline for the treatment of irreparable rotator cuff lesions. The results of open or arthroscopic repair are variable. We hypothesized that the use of a reversed arthroscopic subacromial decompression (RASD) would yield comparable results. Between January 2004 and December 2006, thirty-eight patients underwent a RASD...
Article
We retrospectively reviewed 11 consecutive patients with an infected reverse shoulder prosthesis. Patients were assessed clinically and radiologically, and standard laboratory tests were carried out. Peroperative samples showed Propionbacterium acnes in seven, coagulase-negative Staphylococcus in five, methicillin-resistant staphylococcus aureus in...
Article
Developmental anomalies of the long head of the biceps tendon are rare and have been described in the literature mainly dealing with anatomy and embryology. Because most basic embryologic research on this topic was conducted before 1966, a literature search was performed from archived anatomy textbooks and manuscript references. These data were com...
Article
The treatment of rotator cuff tears has evolved from open surgical repairs to complete arthroscopic repairs over the past two decades. In this study, we reviewed the results of arthroscopic rotator cuff repairs with the so-called double-row, or footprint, reconstruction technique. Between 1998 and 2002, 264 patients underwent an arthroscopic rotato...
Article
Trapezometacarpal instability with trapezial dysplasia is an incapacitating condition long before radiological changes appear. Most of the patients are young and demanding. Treatment is often conservative. Surgical treatment options are relatively classic, starting with a ligamentoplasty of the base of the first metacarpal or a tenotomy of the tran...
Article
Introduction: Trapezometacarpal instability with trapezial dysplasia is an incapacitating condition long before radiological changes appear. Most of the patients are young and demanding. Treatment is often conservative. Surgical treatment options are relatively classic, starting with a ligamentoplasty of the base of the first metacarpal or a tenot...
Article
Painful cuff tear arthropathy (CTA) affects the independence of the elderly. Surgical treatment often consists of joint replacement, the functional outcome of which remains variable. Knowledge of the biomechanical properties of the different prosthetic designs can guide the orthopaedic surgeon in the choice of implant to predict its clinical result...
Article
A new shoulder prosthesis design for proximal humeral fractures has been developed. The rim of the articular component of this prosthesis has several holes to which the bone-tendon junction of the rotator cuff is fixed, to allow an anatomic reconstruction of the glenohumeral unit. The strength of the tuberosity fixation to this prosthesis is invest...
Article
A new shoulder prosthesis design for proximal humeral fractures has been developed. The rim of the articular component of this prosthesis has several holes to which the bone-tendon junction of the rotator cuff is fixed, to allow an anatomic reconstruction of the glenohumeral unit. The strength of the tuberosity fixation to this prosthesis is invest...
Article
Twenty-five patients with primary adhesive capsulitis underwent an arthroscopic release of the capsule of the shoulder joint. They were reviewed after a mean of 14.8 months (range, 3-40 months). Night pain and awakening were a feature in all 25 patients preoperatively but were only found in 3 postoperatively. There was marked improvement in pain fr...
Article
The morphology of the glenoid cavity is highly variable, and no consensus exists regarding how to classify the different forms. We examined 98 dry scapulae to identify a common morphological entity and to define reproducible bony references of the glenoid cavity. The glenoid cavities were photographed perpendicularly in a standardized fashion. The...
Article
We modified the Hawkins impingement maneuver in order to develop a quantifiable and reproducible impingement test. The involved anatomic structures were examined with magnetic resonance imaging of 3 cadaveric shoulders. The reproducibility of the clinical sign was assessed with an interobserver and intraobserver reliability test, with calculation o...
Article
Reconstruction of a normal glenohumeral relationship is desirable for a successful arthroplasty. Double-contrast computed tomography was performed on 49 healthy shoulders in young volunteers. For creation of a uniform spatial reference system, the subjects were positioned in a thoracobrachial orthosis with the arm adducted in the coronal plane and...
Article
Full-text available
The clinical spectrum of meningococcal infection ranges from asymptomatic carriage to fulminant sepsis, with meningitis and septicemia being well-recognized clinical presentations. Meningococcal arthritis as a complication of Neisseria meningitidis infection occurs in about 2-10% of cases, whereas primary meningococcal arthritis (PMA) is a relative...
Article
Full-text available
The pathological anatomy in neglected developmental dysplasia of the hip often demands some sort of reconstructive surgery to augment the acetabular bone stock during total hip arthroplasty. We have reviewed 11 hips in 10 patients with osteoarthritis secondary to developmental hip dysplasia who underwent cemented total hip arthroplasty using impact...
Article
Persisting pain after treatment for an ingrowing toenail, or after nail surgery of the foot in general, is unusual. We describe a rare association with such surgery, namely an intraosseous epidermal inclusion cyst. Persisting discomfort after surgical treatment may warrant investigation by X-ray, since an intraosseous epidermal inclusion cyst can b...
Article
In experienced hands, the value of the laparoscopic Nissen fundoplication as antireflux correction is established. The case report concerns a woman who underwent an emergency laparotomy for acute intrathoracic stomach volvulus with incarceration, one year after a laparoscopic Nissen fundoplication was carried out without closure of the diaphragmati...

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