203 research outputs found

    How to obtain and identify the acetabular anterior column axial view projection in patients?

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    Septic arthritis caused by Brucella melitensis in urban Shenzhen, China: a case report

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    Abstract Introduction: Brucellosis is a systemic infectious disease which is still a challenging medical problem in rural areas such as northern China. It rarely occurs in urban areas such as Shenzhen in southern China. Osteoarticular involvements are frequently seen in brucellosis, and rarely is arthritis the only clinical presentation. We report a case of hip septic arthritis caused by Brucella melitensis in an urban area of Shenzhen, China. Case presentation: A 29-year-old Chinese woman, Han ethnical group presented to our hospital with left hip pain persisting for one month. She had a history of contact with goats one month before admission. Her clinical examination showed marked tenderness and limited movement of her left hip. Further imaging showed effusion of her left hip joint. Inflammatory markers including erythrocyte sedimentation rate (ESR) and c-reactive protein (CRP) were raised. Our clinical diagnosis was septic arthritis of the left hip. A left hip arthroscopy was performed and the culture was positive for Brucella melitensis. She returned to normal activity after completing a standard antibiotic regimen, including gentamicin at 120mg daily for 2 weeks, doxycycline at 100mg daily and rifampicin at 450mg for a total of 12 weeks. Conclusions: Brucellosis is endemic in some rural areas of China, but rare in urban areas such as Shenzhen in southern China. However, more cases will be expected in urban areas due to increasing migration within China. Physicians should consider brucellosis as one of the differential diagnosis of arthritis. Early surgical intervention is recommended to prevent further joint destruction.published_or_final_versio

    Arthroscopic Removal of Suprapatellar Fibroma of Tendon Sheath

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    Fibroma of tendon sheath (FTS) is a rare dense fibrous benign tumor that majorities are found over the tendons or tendon sheaths of limbs, with predilection in order starting with fingers, hands, wrists, and other parts.1 Almost 80% of tendon sheath fibromas are found over hands and wrists.2 The typical morphological feature is a solid nodule that is painless and slow growing in nature. Fibromas of tendon sheath rarely arise from knee joints. To our best knowledge, less than 20 such cases have been reported, and none of them was a Chinese patient. We present a case of intra-articular fibroma of tendon sheath of the knee that was excised arthroscopically.published_or_final_versio

    Effect of oral erythromycin on gastric and small bowel transit time of capsule endoscopy

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    Aim: To determine the effect of oral erythromycin on gastric and small bowel transit time of capsule endoscopy. Methods: Consecutive patients who underwent capsule endoscopy during the 16-mo study period were either given 250 mg oral erythromycin, 1 h prior to swallowing the capsule endoscope or nothing. The gastric and small bowel transit time, and the small bowel image quality were compared. Results: Twenty-four patients received oral erythromycin whereas 14 patients were not given any prokinetic agent. Patients who received erythromycin had a significantly lower gastric transit time than control (16 min vs 70 min, P = 0.005), whereas the small bowel transit time was comparable between the two groups (227 min vs 183 min, P = 0.18). Incomplete small bowel examination was found in three patients of the control group and in one patient of the erythromycin group. There was no significant difference in the overall quality of small bowel images between the two groups. A marked reduction in gastric transit time was noted in two patients who had repeat capsule endoscopy after oral erythromycin. Conclusion: Use of oral erythromycin significantly reduces the gastric transit time of capsule endoscopy. © 2005 The WJG Press and Elsevier Inc. All rights reserved.published_or_final_versio

    Engineered magnesium-based resorbable porous scaffold for bone tissue engineering

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    INTRODUCTION: Bone tissue engineering offers an alternative solution to the traditional methods of bone replacement including allografts and autografts [1]. Although these biological materials possess good osteoinductive and osteoconductive properties, both of them have limitations in terms of the availability, donor site morbidity and the risk of disease transmission with the use of allografts [2]. Therefore, the use of synthetic scaffold is the most common technique and good approach to regenerate diseased or damaged bone tissue. An ideal bone substitute should possess certain properties including ...postprin
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