Synovial Sarcoma of the Anterior Tibialis Tendon

2012 ◽  
Vol 102 (2) ◽  
pp. 157-160
Author(s):  
Nicola Papapietro ◽  
Umile Giuseppe Longo ◽  
Alessio Palumbo ◽  
Antonella Bianchi ◽  
Nicola Maffuli ◽  
...  
Keyword(s):  
Synovial Sarcoma ◽  
Clinical Features ◽  
Metastatic Disease ◽  
Clinical Results ◽  
Radiographic Findings ◽  
Post Traumatic ◽  
Anterior Tibialis

We report the clinical features, radiographic findings, management and results of a patient with a post-traumatic synovial sarcoma of the anterior tibialis tendon. Our patient was managed operatively and with radiotherapy with good clinical results. No evidence of recurrence or metastatic disease was seen at 3-year follow-up. (J Am Podiatr Med Assoc 102(2): 157–160, 2012)

scholarly journals Bipolar fresh osteochondral allograft of the shoulder

Joints ◽  
2013 ◽  
Vol 01 (04) ◽  
pp. 150-154 ◽  
Author(s):  
Sandro Giannini ◽  
Elisa Sebastiani ◽  
Alba Shehu ◽  
Matteo Baldassarri ◽  
Susanna Maraldi ◽  
...  
Keyword(s):  
Constant Score ◽  
Case Series ◽  
Clinical Results ◽  
Osteochondral Allograft ◽  
Level Of Evidence ◽  
Fresh Osteochondral Allograft ◽  
Post Traumatic ◽  
Glenohumeral Osteoarthritis ◽  
End Stage

Purpose: to describe an original technique and preliminary results of bipolar fresh osteochondral allograft implantation for the treatment of end-stage glenohumeral osteoarthritis. Methods: three patients underwent bipolar fresh osteochondral allograft implantation to the shoulder. Clinical and radiographical evaluations were carried out periodically through to final follow-up. Results: constant Score increased from 38.3 ± 2.9 preoperatively to 78.7 ± 16.2 at 12 months, 72.3 ±15.3 at 24 months, and 59.3 ± 22.0 at 34 months. Arthritis and partial reabsorption of the implanted surfaces were evident radiographically. Conclusions: the clinical results obtained in these patients seem to support the applicability of bipolar fresh osteochondral allograft implantation in the shoulder in subjects with severe post-traumatic arthritis and intact rotator cuff. The development of arthritis of the implanted surfaces, while not impacting the clinical result, is a cause of concern. Level of Evidence: level IV, therapeutic case series.

scholarly journals Middle and Long -term Clinical Results of Dorsiflexion Osteotomy for Severe Hallux Rigidus

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0002
Author(s):  
Hiroko Ikezawa ◽  
Norio Usami ◽  
Eiichi Hiraishi ◽  
Yamada Takahiro
Keyword(s):  
Articular Surface ◽  
Clinical Results ◽  
Joint Space ◽  
Hallux Rigidus ◽  
Radiographic Findings ◽  
First Metatarsal ◽  
Joint Preserving Surgery ◽  
Experienced Pain

Category: Bunion Introduction/Purpose: Total arthroplasty or arthrodesis is often used as a surgical procedure for severe case of hallux rigidus. However, because these procedures involve problems such as loss of joint function, age, and postoperative motion restriction, joint-preserving surgery is desirable for achieving a better quality of life. To resolve these problems, we have performed dorsiflexion osteotomy of the first metatarsal head since 2000, yielding favorable outcomes. We report about middle to long-term follow-up for our clinical results and radiographic findings. Methods: The study involved 31 feet of 30 patients (20 male,11 female) with Grade 2 (joint space narrowed to about 1/2 or less) or Grade 3 according to the Hattrup and Johnson classification. The mean age at surgery was 61.6 years (range: 53-77). Surgical techniques: We have used dorsal approach and conducted closed wedge osteotomy of the first metatarsal bone neck. Then, the bone head was flexed dorsally to form an articular surface and fixation. PWB was permitted 3 weeks after surgery. Mean postoperative follow-up period was 4 years and 2 months (range: 3-13 years). Clinical outcomes, range of motion (ROM), and radiographic findings were investigated. Results: Clinical outcomes were rated as excellent in 24 feet, good in 7, and fair/poor in none. All patients returned to normal daily life. Stiffness while walking was noted in 10 feet. As for ROM, most patients had a 1/2 to 2/3 of the normal range. No complications such as infection, nonunion, or transfer metatarsalgia were seen in any case. An X-ray film showed joint space narrowing in about half of all cases. None of the patients experienced pain relapse requiring arthrodesis again. Conclusion: The mechanism of pain relief is Dorsiflexion osteotomy is by bone shortening, make a decreasing joint pressure and regaining of normal articular to the dorsal side so that it faces the articular surface of the proximal phalanx. The postoperative restriction of ROM may be attributable to changes in the bone alignment and in the tension of soft tissue around the joint as compared to the healthy condition. None of the patients experienced pain relapse. Our procedure appears to be useful as joint- preserving surgery for severe cases with hallux rigidus.

scholarly journals Long-Term Clinical Results and Management following Vitrectomy in Undetected Retinoblastoma Eyes

2020 ◽  
Vol 6 (4) ◽  
pp. 244-250
Author(s):  
Eva Biewald ◽  
Sabrina Schlüter ◽  
Nikolaos E. Bechrakis ◽  
Tobias Kiefer ◽  
Philipp Rating ◽  
...  
Keyword(s):  
Metastatic Disease ◽  
Case Series ◽  
Clinical Results ◽  
University Hospital ◽  
Age At Surgery ◽  
Coats Disease ◽  
Pars Plana ◽  
Preoperative Magnetic Resonance

Introduction: Given the rarity of retinoblastoma and the consequences of accidental vitrectomy in the event of misdiagnosis, reporting on clinical experience in this area is important. Objective: The aim of this study was to analyse the management and complications with a focus on local orbital recurrence and metastatic disease in 10 children vitrectomized in an undetected retinoblastoma eye. Methods: This is a retrospective descriptive case series conducted in a single-centre referral university hospital. Results: From October 1991 to June 2019, 10 patients with a vitrectomy in an unsuspected retinoblastoma eye were included in this study. The main preoperative diagnoses were unilateral inflammation with a suspected lymphoma, uveitis or toxocariasis in 5 cases, vitreous haemorrhage after trauma in 2 cases, and the last 3 were misdiagnosed with Coats disease, rhegmatogenous retinal detachment and congenital cataract. Mean age at surgery was 3 years, ranging from 14 months to 6 and a half years. Nine patients were suffering from unilateral retinoblastoma; these were enucleated and treated with 4–6 cycles of chemotherapy and/or radiation therapy. The sclerotomy sites were infiltrated with tumour cells in 3 cases. In 1 patient, the differential diagnosis of a malignant medulloepithelioma could not be excluded. One patient had bone marrow infiltration on initial presentation; all other patients are healthy without any signs of orbital recurrence or metastatic disease with a mean follow-up of 5.4 years. Conclusion: In children, intraocular tumours, including retinoblastoma and medulloepithelioma, should be ruled out before pars plana vitrectomy is performed. If no doubtless preoperative diagnosis can be established, preoperative magnetic resonance imaging is mandatory. If a vitrectomy in a retinoblastoma eye has been performed, immediate enucleation of the eye with subsequent chemotherapy and orbital radiation is effective to avoid local recurrence and systemic metastases.

scholarly journals Primary Monophasic Synovial Sarcoma of the Kidney: A Case Report and Review of Literature

2013 ◽  
Vol 7 ◽  
pp. CMO.S12243 ◽  
Author(s):  
Henrique Lopes ◽  
Caio A.D. Pereira ◽  
Luís E.R. Zucca ◽  
Sérgio V. Serrano ◽  
Sandra R.M. Silva ◽  
...  
Keyword(s):  
Synovial Sarcoma ◽  
Fusion Gene ◽  
Specific Treatment ◽  
Clinical Results ◽  
Renal Tumors ◽  
Review Of Literature ◽  
Rt Pcr ◽  
Product Analysis ◽  
Biphasic Pattern

Primary synovial sarcoma (SS) of the kidney is a rare neoplasm and its presenting features are similar to other common renal tumors, making early diagnosis difficult. To date, few cases have been reported in the literature. Primary renal SSs can exist in either a monophasic or a biphasic pattern, the former being more common and tending to have a better prognosis than the biphasic variant. Herein we describe a case of primary renal SS that was diagnosed based on histopathology and immunohistochemistry after radical nephrectomy. Fusion gene product analysis was also done by FISH and RT-PCR. Patient follow-up and literature review are presented, focused on systemic therapy. We highlight that these tumors should be correctly diagnosed as clinical results and specific treatment are distinct from primary epithelial renal cell carcinoma. Adjuvant chemotherapy should be tailored for each patient in the management of disease, although its role still remains unclear.

Bilateral Tibial Hallux Sesamoid Agenesis and Fibular Hallux Sesamoid Hypoplasia in a Patient with Bilateral Hallux Valgus

2011 ◽  
Vol 101 (5) ◽  
pp. 452-455
Author(s):  
Andrea Marinozzi ◽  
Umile Giuseppe Longo ◽  
Luigi Cazzato ◽  
Nicolò Martinelli ◽  
Nicola Maffulli ◽  
...  
Keyword(s):  
Hallux Valgus ◽  
Clinical Features ◽  
Clinical Results ◽  
Radiographic Findings

We report the clinical features, radiographic findings, management, and results of a patient with bilateral hallux valgus and associated bilateral tibial hallux sesamoid agenesis and fibular hallux sesamoid hypoplasia. Our patient was managed operatively with good clinical results. Combined tibial sesamoid agenesis and fibular sesamoid hypoplasia do not seem to negatively influence the management of hallux valgus. (J Am Podiatr Med Assoc 101(5): 452–455, 2011)

Monophasic Synovial Sarcoma of the Liver

2005 ◽  
Vol 129 (8) ◽  
pp. 1047-1049 ◽  
Author(s):  
Amitabh Srivastava ◽  
Petur G. Nielsen ◽  
Paola Dal Cin ◽  
Andrew E. Rosenberg
Keyword(s):  
Synovial Sarcoma ◽  
Partial Hepatectomy ◽  
Metastatic Disease ◽  
Vascular Tumor ◽  
Quadrant Pain ◽  
Radiographic Findings ◽  
Tumor Mass ◽  
Positron Emission ◽  
The Right ◽  
Radiologic Workup

Abstract We report a hepatic monophasic synovial sarcoma in a 60-year-old woman who presented with right upper quadrant pain subsequent to an intrahepatic bleed from a highly vascular tumor mass. Imaging studies showed a dominant tumor mass in the right hepatic lobe with multiple satellite nodules. A detailed physical examination and radiologic workup failed to reveal a primary tumor elsewhere. A right partial hepatectomy was performed with a preoperative differential diagnosis of angiosarcoma versus hepatocellular carcinoma. The morphologic, immunophenotypic, and cytogenetic findings (t(X;18)(p11.2;icq11.2)) were consistent with a monophasic synovial sarcoma. Postoperative clinical evaluation of the extremities and a positron emission tomographic scan performed 4 weeks after surgery showed no evidence of recurrent or metastatic disease. The patient was started on an aggressive 4-drug chemotherapy regimen, but died 3 months thereafter from widespread metastatic disease. No autopsy was performed. The presence of multiple lesions in the liver certainly suggests the possibility of metastatic disease. It would, however, be very unusual for a synovial sarcoma to present as an occult primary, and the negative radiologic workup 1 month after the partial hepatectomy also argues against this possibility. The clinical presentation, radiographic findings, and subsequent course in this patient was therefore most consistent with a primary monophasic synovial sarcoma of the liver.

scholarly journals Porous-Coated Metaphyseal Sleeves in Revision Total Knee Arthroplasty: Midterm Results

Joints ◽  
2021 ◽  
Author(s):  
Giacomo Stefani ◽  
Valerio Mattiuzzo ◽  
Greta Prestini ◽  
Carolina Civitenga ◽  
Roberto Calafiore ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Bone Ingrowth ◽  
Clinical Results ◽  
Revision Total Knee Arthroplasty ◽  
X Rays ◽  
Radiographic Findings ◽  
Radiolucent Lines ◽  
Total Knee

Abstract Purpose The aim of this study was to evaluate the efficacy in terms of clinical results and radiographic findings of using metaphyseal sleeves in revision total knee arthroplasty (TKA), and to check if the use of sleeves without stems did not impair such results. Methods In this retrospective study, 141 patients (143 knees) operated in the period 2008 to 2015 met the above-mentioned criteria and were invited to a medical examination including X-rays. A total of 121 knees were available for the study (44 in the group without stems and 77 in the group with stems). Mean follow-up was 63 months for the stemless group and 89 for the group with stems. Knee Society Score (KSS) (objective knee score) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were used as outcome scores and compared with baseline values, range of motion (ROM) was also compared with preop value and X-rays were also examined and compared with immediate postop X-rays to check signs of loosening and radiolucent lines, if any, and bone ingrowth. Satisfaction of the patients was also investigated using a linear scale from 1 to 10. Results KSS improved from 34 to 81 postop (39 to 81 in the stemless group) (p < 0.01), while WOMAC from 82% preop to 39% postop (76 to 37% in the stemless group) (p < 0.01). Forty-six patients were satisfied, 20 partially satisfied, and 11 unsatisfied (respectively 25–14–5 in the stemless group). ROM improved from 89 degrees preop to 99 degrees postop (93 to 98 degrees in the stemless group). X-rays showed no loosening of the implant, radiolucent lines in 8 patients, and bone ingrowth in 113 out of 121 patients. Conclusion In this midterm follow-up study, we found a significant improvement in clinical results compared with preop values. We found no difference between the two groups (with and without stems) thus suggesting that the use of stemless sleeves does not impair results in revision TKA. Level of Evidence Therapeutic case series, level IV.

Klinische Langzeitergebnisse der perkutanen transluminalen Angioplastie bei Patienten mit peripherer arterieller Verschlusskrankheit

VASA ◽  
2002 ◽  
Vol 31 (1) ◽  
pp. 36-42 ◽  
Author(s):  
. Bucek ◽  
Hudak ◽  
Schnürer ◽  
Ahmadi ◽  
Wolfram ◽  
...  
Keyword(s):  
Success Rate ◽  
Clinical Stage ◽  
Ankle Brachial Index ◽  
Clinical Situation ◽  
Clinical Results ◽  
Transluminal Angioplasty ◽  
Term Outcome ◽  
Long Term Outcome

Background: We investigated the long-term clinical results of percutaneous transluminal angioplasty (PTA) in patients with peripheral arterial occlusive disease (PAOD) and the influence of different parameters on the primary success rate, the rate of complications and the long-term outcome. Patients and methods: We reviewed clinical and hemodynamic follow-up data of 166 consecutive patients treated with PTA in 1987 in our department. Results: PTA improved the clinical situation in 79.4% of patients with iliac lesions and in 88.3% of patients with femoro-popliteal lesions. The clinical stage and ankle brachial index (ABI) post-interventional could be improved significantly (each P < 0,001), the same results were observed at the end of follow-up (each P < 0,001). Major complications occurred in 11 patients (6.6%). The rate of primary clinical long-term success for suprainguinal lesions was 55% and 38% after 5 and 10 years (femoro-popliteal 44% and 33%), respectively, the corresponding data for secondary clinical long-term success were 63% and 56% (60% and 55%). Older age (P = 0,017) and lower ABI pre-interventional (P = 0,019) significantly deteriorated primary clinical long-term success for suprainguinal lesions, while no factor could be identified influencing the outcome of femoro-popliteal lesions significantly. Conclusion: Besides an acceptable success rate with a low rate of severe complications, our results demonstrate favourable long-term clinical results of PTA in patients with PAOD.

Follow-up of Osteomyelitis of Infants with Systemic Serum Parameters and Bone Scintigraphy

1996 ◽  
Vol 35 (04) ◽  
pp. 116-121 ◽  
Author(s):  
G. E Fueger ◽  
M. Vejda ◽  
R. M. Aigner
Keyword(s):  
Bone Scintigraphy ◽  
Antibiotic Treatment ◽  
Diagnostic Value ◽  
Clinical Findings ◽  
Laboratory Findings ◽  
Radiographic Findings ◽  
Serum Parameters ◽  
Wbc Count ◽  
Differential White Blood Cell

Summary Aim: To prevent orthopedic sequelae in acute hematogenous pyogenic osteomyelitis (AHPO) of infants early diagnosis, recognition of recurrence and effective therapy is needed. This retrospective study of 47 infants with bacteriologically confirmed AHPO concerned with an analysis of the diagnostic value of systemic serum parameters compared to bone scintigraphy (BSC). Methods: AHPO was characterized initially and during the course of disease by clinical findings, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), total and differential white blood cell (WBC) count, BSC, and plain radiography. Results: CRP was the most effective serum parameter for follow- up of disease. The first sign of BSC to signal adequate response to antibiotic treatment was the decrease or normalization of hyperperfusion. Escape from therapy or poor prognosis, even when the serum parameters were normalized, was signaled by the recurrence of focal hyperperfusion and the persistent or increasing local uptake ratios on the 3-h-image over 6 weeks during a course of antibiotic treatment. Conclusion: Antibiotic treatment masks the clinical presentation, and the radiographic findings, causes non-characteristic laboratory findings, but do not prevent the scintigraphic visualization; BSC and serum parameters used in the right completion are the most successful and efficient modalities for follow-up of AHPO. Maintenance of antibiotic therapy should be done until BSC findings have reverted to normal.

Sign in / Sign up

Export Citation Format

Share Document