February 2023
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15 Reads
Revue du Rhumatisme
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February 2023
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15 Reads
Revue du Rhumatisme
September 2022
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14 Reads
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1 Citation
Mediterranean Journal of Rheumatology
April 2022
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21 Reads
Joint Bone Spine
June 2021
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104 Reads
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4 Citations
Arthroscopy Sports Medicine and Rehabilitation
Purpose To compare anterior cruciate ligament (ACL) autograft reconstruction using fixed-looped suspensory versus expandable femoral fixation through the anteromedial portal. Methods After we performed prospective power analysis and obtained institutional review board, 70 patients with ACL rupture were block randomized to the expandable or suspensory femoral fixation group (35 in each group). All patients received autologous hamstring autograft through the anteromedial portal and fixed with a sheath-screw system in the tibia. The primary outcome measures were anteroposterior knee stability at 2 years’ follow-up measured using the KT-1000 arthrometer and the degree of femoral and tibial tunnels’ widening measured by the use of computed tomography imaging performed immediately postoperative and 12 months postsurgery. Secondary outcome measures included pain score on a visual analog scale, the subjective International Knee Documentation Committee 2000 assessment form, the Lysholm score, and the Tegner activity scale at 3, 6, 12, and 24 months. Results Twenty-four patients were excluded from further analysis, leaving a total of 48 patients (24 in each group) for the final evaluation. The anteroposterior knee stability (KT-1000) showed no difference between groups at 24 months’ follow-up (P = .31). The percentile widening (%) of femoral and tibial tunnel at 1-year follow-up showed no difference also, except for greater values at the tibial coronal point T2 (P = .065) and tibial sagittal point T1 (P = .033) in the group of cortical buttons. Secondary clinical outcomes showed no statistical differences between groups at 3, 6, 12, and 24 months’ postoperatively. Numerical pain scale (visual analog scale) was similar in both groups except for postoperative day 7, where the AperFix group showed better results (P = .014). There were no major intraoperative and late postoperative complications in any of the groups. Conclusions Our results showed no significant differences in knee anteroposterior stability, tunnel enlargement or other clinical outcomes comparing expandable versus cortical button fixation in anteromedial hamstrings ACL reconstruction. Level of Evidence Level II, randomized controlled trial.
May 2021
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14 Reads
Mediterranean Journal of Rheumatology
March 2021
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97 Reads
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5 Citations
British Journal of Rheumatology
March 2021
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63 Reads
February 2021
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24 Reads
Revue du Rhumatisme
December 2020
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112 Reads
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1 Citation
Surgical Neurology International
Background We present a case and reviewed the literature regarding airway obstruction and angioedema after an anterior cervical discectomy and fusion (ACDF). Case Description A 60-year-old female with degenerative cervical myelopathy and a previously undiagnosed epiglottic cyst underwent a C5–C6 ACDF; notably, the anesthesiologist found an epiglottic cyst when the patient was first intubated. Two hours postoperatively, the patient acutely developed severe neck swelling with airway obstruction due to angioedema. She was immediately treated with hydrocortisone and required a tracheostomy. The edema decreased markedly in the next 12 h and by the 3 rd postoperative day it resolved. Three months later, she had no residual medical sequelae. Conclusion Patients with epiglottic cysts who need cervical spine surgery should either first have the cyst treated or should be closely monitored postoperatively.
September 2020
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38 Reads
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1 Citation
Joint Bone Spine
... Tunnels diameters at 12 months post-op.14 ...
June 2021
Arthroscopy Sports Medicine and Rehabilitation
... B Sagittal attenuation corrected FDG PET shows hypermetabolic FDG uptake extension into the L3-L4 disc space, indicating associated discitis (arrowhead) diagnostic accuracy. Subjects of ongoing research in retroperitoneal FDG-PET imaging include evaluation of feasibility of F18-FDG PET/CT-guided biopsy (real time and integrated approach) of retroperitoneal masses which can theoretically improve the accuracy, success rate, and safety of the procedure [71,72], immunotherapy-related effects in the retroperitoneum (such as inflammation and anti-PD-1 associated retroperitoneal fibrosis detected with FDG PET) [73][74][75] and applications of F18-FDG PET-MRI for assessment of retroperitoneal pathologies [76][77][78]. ...
March 2021
British Journal of Rheumatology
... 18 Other rare etiologies of airway compromise after ACSS include laryngeal dislocation, improper fitting of a rigid cervical collar, bilateral vocal cord paralysis from recurrent laryngeal nerve (RLN) injury, and severe angioedema. 18,[26][27][28][29] Angioedema is often misdiagnosed due to its rarity but typically presents within 6-12 hours postoperatively. 29 Angioedema may occur as a rare side effect of medications (e.g., risedronate and parecoxib) or due to the presence of a lesion in the laryngopharynx, as is the case with a pre-existing epiglottic cyst; 29 but in most reported cases, it appears to be idiopathic. ...
December 2020
Surgical Neurology International
... Ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH) are distinct pathological entities that similarly contribute to fractures of the spine through alterations of its biomechanical properties. 1,2 Specifically, both AS and DISH entail ankylosis of contiguous vertebral segments, which ultimately renders the spine rigid, brittle, and susceptible to fracture with even minor trauma. [3][4][5][6] Such fractures are clinically devastating and frequently portend significant neurological injury, thus making their prevention a critical focus in the treatment of patients with AS or DISH. 2 Of particular significance, spinal fractures in patients with AS or DISH carry a considerable risk of mortality, with reports on 1-year injury-related deaths ranging from 24% to 33%. 7 While the causes of mortality in these patients are multifactorial and often stem from comorbid conditions, risk factors such as age, female sex, and spinal cord injuries have been found to predict increased mortality in these populations. ...
January 2019
Mediterranean Journal of Rheumatology
... JDM not only affects muscles but also muscle fascia (28)(29)(30). A previous study revealed that the FT of JDM patients was thicker than that of normal individuals (31). ...
May 2020
British Journal of Rheumatology
... AIS has a high disability rate and high fatality rate and poses a serious threat to people's health and life, as well as placing a burden on families and society. 1 Progression of stroke after the occurrence of AIS is not uncommon and has become a popular research topic in recent years. 2 Progression of stroke is also a predictor of poor clinical prognosis in patients within the first 3 months after AIS. There are direct and clear causes such as symptomatic intracranial hemorrhage and malignant edema but there is no clear cause in most cases. ...
February 2020
Journal of Neuroimmunology
... Contrast enhancement in cortical regions may carry on for 2-4 months [71]. High T1-weighted image signals detected in the hyperacute phases start to transform into hypointense signals after 16 days, parenchymal enhancement is prevalent following BBB breakdown and cortical intrinsic laminar necrosis-induced hyperintensity may also be seen [67,71,72]. The spot of vessel occlusion determined through MRA, which has contrast-enhanced and non-contrast-enhanced techniques, may benefit the prediction of the final outcome associated with infarction and penumbra generation [15,73]. ...
August 2019
Radiologia Brasileira
... 10,11 Importantly, earlier diagnosis leads to better outcomes via earlier treatment. 12,13 Therefore, it is crucial to identify biomarkers for early diagnosis of SSc. ...
November 2019
Rheumatology International
... Pulmonary hypertension is one of the important [4] complications in patients with sclerosing mediastinitis (SM) [2,3]. From a histological perspective SM is a rare, benign condition which occurs due to extensive proliferation of acellular collagen and fibrous tissue within the mediastinum [5]. In the active proliferative phase of IgG4-related SM there is a notably FDG-uptake in PET-CT [6] [14] [17]. ...
February 2019
Revista Brasileira de Cirurgia Cardiovascular
... Calcified chest lymph nodes in a patient with systemic sclerosis (SSc) is a rare finding in SSc. Yet, as Angelopoulou et al. 6 pointed out, this finding as well SSc may well be a consequence of silica exposure. Migkos et al. 5 reported on two patients with Sjogren's syndrome (SjS) who developed polymyositis and inclusion body myositis and identified another 24 cases of SjS with inflammatory myopathies in the literature. ...
July 2018
Mediterranean Journal of Rheumatology