Synovial hemangioma of the knee joint in a 12-year-old boy: a case report

<p>Abstract</p> <p>Introduction</p> <p>Synovial hemangioma is a rare condition and is frequently misdiagnosed, leading to a diagnostic delay of many years.</p> <p>Case presentation</p> <p>We present a case of an atypical synovial hemangioma in a 12-year-old Caucasian boy with a diagnostic delay of 3 years.</p> <p>Conclusion</p> <p>It is important to know that synovial hemangioma mostly affects the knee joint, showing recurrent bloody effusions without a history of trauma. If there are no intermittent effusions, the diagnosis will be even more difficult. In cases of nonspecific symptoms and longstanding knee pain the diagnosis of a synovial hemangioma should also be considered in order to avoid diagnostic delay. Magnetic resonance imaging is the main diagnostic tool to evaluate patients with synovial hemangioma, showing characteristic lace-like or linear patterns.</p> <p>Angiography can identify feeder vessels and offers the possibility of embolisation in the same setting. Surgical excision, either done per arthroscopy or per arthrotomy, is recommended as soon as possible to avoid the risk of damage to the cartilage.</p

Survival of massive allografts in segmental oncological bone defect reconstructions

Reconstructions of large segmental bone defects after resection of bone tumours with massive structural allografts have a high number of reported complications including fracture, infection and non-union. Our goal is to report the survival and complications of massive allografts in our patients. A total of 32 patients were evaluated for fracture, infection, non-union rate and survival of their massive allograft reconstructions. The average follow-up for this group was five years and three months. The total fracture rate was 13% with a total infection rate of 16%. We found a low union rate of 25%. The total survival of the allografts was 80.8% (± 18.7%) after five years. We found a five-year allograft survival of 80.8% which is comparable with other studies

Evaluation of functional dynamics during osseointegration and regeneration associated with oral implants

The aim of this paper is to review current investigations on functional assessments of osseointegration and assess correlations to the peri-implant structure.The literature was electronically searched for studies of promoting dental implant osseointegration, functional assessments of implant stability, and finite element (FE) analyses in the field of implant dentistry, and any references regarding biological events during osseointegration were also cited as background information.Osseointegration involves a cascade of protein and cell apposition, vascular invasion, de novo bone formation and maturation to achieve the primary and secondary dental implant stability. This process may be accelerated by alteration of the implant surface roughness, developing a biomimetric interface, or local delivery of growth-promoting factors. The current available pre-clinical and clinical biomechanical assessments demonstrated a variety of correlations to the peri-implant structural parameters, and functionally integrated peri-implant structure through FE optimization can offer strong correlation to the interfacial biomechanics.The progression of osseointegration may be accelerated by alteration of the implant interface as well as growth factor applications, and functional integration of peri-implant structure may be feasible to predict the implant function during osseointegration. More research in this field is still needed. To cite this article: Chang P-C, Lang NP, Giannobile WV. Evaluation of functional dynamics during osseointegration and regeneration associated with oral implants. Clin. Oral Impl. Res . 21 , 2010; 1–12.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/78668/1/j.1600-0501.2009.01826.x.pd

Contamination and removal efficiency of microplastics and synthetic fibres in a conventional drinking water treatment plant in Geneva, Switzerland

Although it is known that freshwater resources are contaminated with microplastics (MPs), still limited information is known about the efficiency of large drinking water treatment plants (DWTP) to remove microplastics. Moreover, re- ported concentrations of MPs in drinking water variates from some units to thousands of units per litre and the sam- pling volumes used for MPs analysis are generally heterogeneous and limited. The present study evaluates the removal of MPs and synthetic fibres in the main DWTP of Geneva, Switzerland, by considering large sampling volumes at different time intervals. Furthermore, contrary to other studies, this DWTP does not count with a clarification pro- cess before sand filtration and coagulated water is sent directly to sand filtration. In this study a distinction is made between microplastics as fragments, films, pellets, and synthetic fibres. Raw water and effluents of each filtering mass (sand and activated carbon filtration) are analysed for the presence of MPs and synthetic fibres with sizes ≥63 μm using infrared spectroscopy. Concentrations of MPs in raw water range from 25.7 to 55.6 MPs/m3 and in treated water from 0 to 4 MPs/m3, respectively. Results show that 70 % of MPs are retained during sand filtration and total removal is equal to 97 % in treated water after activated carbon filtration. Concentration of identified syn- thetic fibres is low (average value of 2 synthetic fibres/m3) and constant in all steps of water treatment. Chemical com- position of microplastics and synthetic fibres is found more heterogeneous in raw water than after sand filtration and activated carbon filtration, indicating the persistence of some types of plastics (like polyethylene and polyethylene terephthalate) in water treatment processes. Heterogeneities in MP concentrations are observed from one sampling campaign to another, indicating significant variations of MP concentrations in raw water</p