11 research outputs found
Intra-articular knee haemangioma originating from the anterior cruciate ligament: a case report
<p>Abstract</p> <p>Introduction</p> <p>Synovial haemangioma is a rare intra-articular benign tumour, which may arise from any synovium-lined surface, but particularly in the knee joint. Synovial haemangioma originating from the anterior cruciate ligament has not been reported previously.</p> <p>Case presentation</p> <p>A 34-year-old man presented with a history of intermittent knee pain, locking and swelling.</p> <p>Conclusion</p> <p>Knee intra-articular haemangioma, a very rare benign tumour, is often misdiagnosed. Magnetic resonance imaging is effective in detecting this lesion and should be performed in cases of persistent knee swelling and pain.</p
The four-year functional result after a displaced subcapital hip fracture treated with three different surgical options
According to the literature, hip function after hip fracture is affected
by the type of surgery. Our aim was to determine the correlation between
surgical treatment of hip fracture and postoperative function in the
elderly. Inclusion criteria were displaced hip fracture and age over 70
years. One hundred and twenty-nine participants were randomly divided
into three groups according to the type of the surgical operation they
underwent (hemi-arthroplasty [Merete, Berlin, Germany], total
arthroplasty [Plus; De Puy, Warsaw, IN, USA] and internal fixation
[Richards plate screw; Smith & Nephew, Memphis, TN, USA]). The
function of the patients was estimated using the following parameters:
the Barthel Index and Harris Hip Score, the range of passive hip motion,
the gait speed of individuals, after 1 and 4 years of follow-up. The
Barthel Index scores after 4 years of follow-up were 85.3, 82.6, 80.1
after total arthroplasty, hemi-arthroplasty and internal fixation
respectively. Similarly, the Harris Hip Scores after 4 years of
follow-up were 83.7, 79.5 and 73.6. The range of passive hip motion in
the three groups of patients did not differ significantly (p > 0.05).
Also, patients of the total arthroplasty and hemi-arthroplasty groups
walked faster than the patients of the internal fixation group 4 years
after discharge (p < 0.05). In conclusion, we believe that total hip
arthroplasty is the treatment of choice for displaced subcapital hip
fractures in patients over 70 years old
Primary melanoma of the gallbladder: Does it exist? Report of a case and review of the literature
With the occasion of a case of malignant melanoma of the gallbladder,
which appeared to be primary we have reviewed the literature and the
result of this research was that primary melanoma of the gallbladder
remains a questionable medical entity. Only few cases of both primary
and metastatic gallbladder melanoma have been reported so far, and the
only agreement is that surgery is the mainstay treatment. The role of
adjuvant chemotherapy, hormonotherapy or immunotherapy for both primary
and metastatic disease remains undefined. (c) 2006 The WIG Press. All
rights reserved
The four-year functional result after a displaced subcapital hip fracture treated with three different surgical options
According to the literature, hip function after hip fracture is affected by the type of surgery. Our aim was to determine the correlation between surgical treatment of hip fracture and postoperative function in the elderly. Inclusion criteria were displaced hip fracture and age over 70 years. One hundred and twenty-nine participants were randomly divided into three groups according to the type of the surgical operation they underwent (hemi-arthroplasty [Merete, Berlin, Germany], total arthroplasty [Plus; De Puy, Warsaw, IN, USA] and internal fixation [Richards plate screw; Smith & Nephew, Memphis, TN, USA]). The function of the patients was estimated using the following parameters: the Barthel Index and Harris Hip Score, the range of passive hip motion, the gait speed of individuals, after 1 and 4 years of follow-up. The Barthel Index scores after 4 years of follow-up were 85.3, 82.6, 80.1 after total arthroplasty, hemi-arthroplasty and internal fixation respectively. Similarly, the Harris Hip Scores after 4 years of follow-up were 83.7, 79.5 and 73.6. The range of passive hip motion in the three groups of patients did not differ significantly (p > 0.05). Also, patients of the total arthroplasty and hemi-arthroplasty groups walked faster than the patients of the internal fixation group 4 years after discharge (p < 0.05). In conclusion, we believe that total hip arthroplasty is the treatment of choice for displaced subcapital hip fractures in patients over 70 years old
Surgical options for patients with shoulder pain.
Shoulder pain is a common musculoskeletal complaint in the community, which can arise from diverse causes. Regardless of the cause, mild cases can often be effectively treated conservatively, with options including rest, physiotherapy, pain relief and glucocorticoid injections. If conservative strategies fail after a 3-6 month period then surgery might be considered. Generally, the proportion of patients with shoulder pain who require surgery is small. When surgery is considered, a clear diagnosis and structural information from imaging are required. The indications for surgery, and success rate, depend on the specific diagnosis as well as on the individual clinical presentation. Evidence from case series suggest that surgical interventions for shoulder pain are effective when used appropriately. This article outlines the surgical management of the most common painful conditions that affect the shoulder, including impingement, rotator cuff tear, frozen shoulder, osteoarthritis, rheumatoid arthritis and calcific tendonitis