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Post-Infective Hip Dysplasia
Published in Benjamin Joseph, Selvadurai Nayagam, Randall T Loder, Anjali Benjamin Daniel, Essential Paediatric Orthopaedic Decision Making, 2022
The girl was examined under anaesthesia, and an arthrogram was done. As the subluxation was well corrected by internally rotating and abducting the hip, a sub-trochanteric open-wedge varus derotation osteotomy was performed. The distal fragment was rotated laterally by 45 degrees and adducted by 20 degrees and fixed with a contoured dynamic compression plate (DCP) and screws. Concentric reduction of the hip was confirmed with an arthrogram (Figure 25.4).
Paper 1
Published in Amanda Rabone, Benedict Thomson, Nicky Dineen, Vincent Helyar, Aidan Shaw, The Final FRCR, 2020
Amanda Rabone, Benedict Thomson, Nicky Dineen, Vincent Helyar, Aidan Shaw
Adhesive capsulitis is also known as frozen shoulder and classically presents with restriction in shoulder elevation and external rotation. It is most common in middle-aged women, particularly diabetic patients, and can also be associated with previous trauma. Classical radiological features are a thickened joint capsule and coracohumeral ligament. The subscapularis bursa is small, and lymphatic filling is a feature. The subcoracoid fat triangle between the coracohumeral ligament and coracoid process can be obliterated. The joint volume is reduced and therefore there is limited filling capacity during arthrogram injection.
Swelling of One Leg
Published in K. Gupta, P. Carmichael, A. Zumla, 100 Short Cases for the MRCP, 2020
K. Gupta, P. Carmichael, A. Zumla
Diagnosis of deep vein thrombosis is difficult on clinical grounds alone. The following tests will help make a diagnosis: Venography.Impedance plethysmography.Radio-iodine-labelled fibrinogen leg scanning.Ultrasound/arthrogram.Lymphangiogram.
Retained bullets and lead toxicity: a systematic review
Published in Clinical Toxicology, 2022
Emily K. Kershner, Natasha Tobarran, Andrew Chambers, Brandon K. Wills, Kirk L. Cumpston
We distributed case reports and case series among ourselves to review. We were aware of the purpose of the review and had weekly meetings to discuss the data abstraction process. We entered data on a spreadsheet that, when present, included patient age, gender, location of bullet, time to onset of symptoms, reported symptoms, physical exam, hemoglobin nadir, presence of basophilic stippling, presence of lead arthrogram, initial BLL, peak BLL, treatments received (surgery, chelation, or both), timing of chelation in relation to surgery, duration of chelation, and post-treatment BLL. We categorized RB location into either “soft tissue”, “joint”, “spine”, “bone with fracture”, “eye/orbital/sinus”, “body fluid compartment”, or “multiple”. We defined the location of “body fluid compartment” as a RB in contact with peritoneal, pleural, or cerebral spinal fluid. We defined “multiple” category as RBs located in at least two of the other categories unless the other category was soft tissue. If RBs were in soft tissue and one other category, we categorized the location into the other category. We assumed the typical dose and duration of each chelator if chelation duration was not specified. If only hematocrit was given, hemoglobin was calculated by dividing the hematocrit by three. We determined the presence of a lead arthrogram by a description of a lead arthrogram in the case report or a radiograph image with a visible lead arthrogram. We summarized the data as medians with interquartile ranges (IQR) or numbers with percentages using Excel (Microsoft, Redmond, WA).
Current concepts review: peripheral neuropathies of the shoulder in the young athlete
Published in The Physician and Sportsmedicine, 2020
Tamara S. John, Felicity Fishman, Melinda S. Sharkey, Cordelia W. Carter
Many patients with suprascapular neuropathy have unremarkable shoulder radiographs. CT scans help delineate osseous structures, such as a calcified TSL, although at the cost of a higher effective dose of radiation to radiosensitive areas including the thyroid and breast. MRI-arthrogram is used more commonly, as this modality is best for detection of a labral tear as well as for visualizing associated cysts, the rotator cuff, and the nerve itself. Electrodiagnostic studies are considered ‘gold standard’ diagnostic tools in the setting of suspected nerve injury.
Multidirectional instability of the shoulder (MDI) – focus on non-operative management
Published in European Journal of Physiotherapy, 2019
Charles Ayekoloye, Osondu Nwangwu
MRI arthrogram may be required if the diagnosis is unclear and other differential diagnoses such as SLAP or labral lesions are being considered. MRI scan findings in MDI include blunting of the labrum, increased capsular volume and evidence of capsular laxity [20].