Scoliosi e Sindrome di Rett

The effectiveness of intra-articular injectionc of Hyalubrix combined with exercise therapy in the tratment of hip osteoarthritis

Purpose. Osteoarthritis (OA) is the most common joint disorder in the elderly, causing significant pain which negatively affects mobility and quality ol liie. The aim of the study was to assess the effectiveness of ultrasound Ímage-guided intra-articular injections of Hyalubrix@ combined with exercise therapy in the treatment of hip osteoarthritis. Methods. This was a single site, prospèctive, open-fabel, Investigator-initiated study. Forty patients rilere enrolled and received three ultrasound image.guided injections of Hyalubrix@, 45 days apart, combined with three sessions a week of physícal therapy (proprioceptive rehabilitation of the lower limbs; gait training; balance training) up to…

BONE AND JOINT MANIFESTATIONS IN PATIENTS AFFECTED BY INFLAMMATORY BOWEL DISEASE.

Onset of the symptoms in patients with ulcerative colitis and Crohn's disease is sometimes characterized by osteoarticular manifestations. The usual presentation of peripheral arthritis is asymmetric, polyarticular and migrant, often involving large joints of the upper and lower limbs, unlike rheumatoid arthritis. This study analyses the statistical incidence of arthritic manifestations in elderly patients with inflammatory bowel disease.

Polinucleotidi vs acido ialuronico nelle in filtrazioni ecoguidate dell'anca artrosica. Risultati preliminari

Arthritis in patients with Crohn's disease: our experience

Arthritis can occur in association with inflammatory bowel disease (Crohn's disease and Ulcerative Colitis). It usually affects a large lower extremity joint and often occurs when the bowel disease is flaring. Sometimes the arthritis manifestations are the first symtoms that appear and the bring the patient to clinical controls. The authors describe their study effected o 45 patient affections by disease of Crohn that has presented arthritic manifestations.

Co-morbidities in patients with hip osteoarthritis and treated with ecoguided infiltrations of Hyaluronic acid: study of the effectiveness of the treatment

INTRA-ARTICULAR INJECTION OF HYALURONIC ACID IN PATIENTS AFFECTED BY CROHN-LESNIOSKI DISEASE

The pain and functional limitations caused by osteoarthritis in joints have multiple etiologies and often involve inflammatory mechanism. The first level of medical intervention consists of therapeutic use of NSAIDs or steroids when no complications are present. Such therapies could be ineffective, or cause drug-related complications, prompting the suspension of treatment. in these cases, intra-articular injections of high molecular weight hyaluronic acid can be administered in order to reach therapeutic goals. Patients with Crohn-Lesnioski disease, affected by osteoarthitis of the shoulder or the knee, were included in this study.

L'artrosi precoce nello sport

L'ESERCIZIO TERAPEUTICO IN ACQUA NEL PROGETTO RIABILITATIVO DELLO SPORTIVO

INFLAMMATORY BOWEL DISEASE AND PERIPHERAL ATRHITIS: MESALAZINA AND PROBIOTICS

The inflammaotory bowel disease (IBD) are a group of inflammatory pathologies of the digestive line with chronicity and recurrent characteristic. The IBDs mostly recognized are the ulcerative colitis and Crohn's disease; they are more frequent in the industrialized countries and among the caucasian populations that among those africans or oriental. The secondary artropaties to IBD recognize a multifactorial genesis in subjects predisposed as a result genetically or environmental factors; a fundamental role of the intestinal dysbiosis they are hypothesized.

LA RIABILITAZIONE NELLA TENDINOPATIA ROTULEA

Femoral neck’s fracture in Fahr’s Syndrome: case report

Fahr's syndrome, also known as "Bilateral Striopallidodentate Calcinosis" (BSPDC) primitive, is a rare neurological disease characterized by the presence of idiopathic, bilateral, symmetrical and abnormal deposition of calcium in areas of the brain that control movements including the basal ganglia, dentate nuclei of the cerebellum, nuclei of thalamus and semi-oval center. We describe a case of a 76-year-old male patient underwent reduction and fixation of a subtrochanteric fracture with intramedullary nail. During post-operative rehabilitation therapists's patient management was difficult due to obvious extrapyramidal symptoms characterized by dysarthria, rigidity, bradykinesia, postural i…

ARTHRITIS AND CROHN'S DISEASE: OUR EXPERIENCE

Introduction: Crohn's disease (CD) is a form of inflammatory bowel disease, which may affect any part of the gastrointestinal tract from mouth to anus, causing a wide variety of symptoms. The arthritis is counted as the worst side effect of CD. The orthopaedic manifestations of CD are: peripheral arthritis, spondylitis, sacroiliitis. Material and Method: The authors evaluated the orthopedic clinical manifestation in Sicilian group of forty-five patients with Crohn's disease. Every patients are analyzed with clinical exams, laboratory data, radiographic exams. In addition, all patients were screened for the presence of the antigen HLA B27. Result: Arthritis occurred in 8 patients (17,7 %). P…

TRATTAMENTO RIABILITATIVO DELLA COXARTROSI DI INTERESSE CHIRURGICO

CHRONIC INFLAMMATORY BOWEL DISEASES IN PATIENTS WITH ORTHOPEDIC MANIFESTATION. COMPARISON WITH THE DATA REPORTED IN INTERNATIONAL LITERATURE

In Inflammatory Bowel Disease (IBD) the suspected etiological cause is a dysregulation of the intestinal immune system, in which it is possible to determine a cross-like immune reactivity against the resident microbiota; this mechanism explains the exsistence of Lesnioski-Chron's disease, a variant of IBD in which patients manifest osteoarticular problems that may also be the primary manifestation of the disease. The aim of this study was to compare some cases encountered by our research group at the University of Palermo with others reported in international literature on osteoarticular manifestations in IDB.

Approccio clinico e riabilitativo al paziente protesizzato di ginocchio

Il trattamento infiltrativo eco-guidato nella rizoartrosi: risultati

Fractures of the proximal extremity of the femur: current diagnostic and therapeutic classification overview.

Il gomito del tennista: aspetti clinici ed approccio chirurgico

Current status and prospects conservative stem prostheses in hip-replacement surgery

Ultrasound-guided viscosupplementation in glenohumeral microinstability in sports athletes

SINERGISMO TRA VISCOSUPPLEMENTAZIONE ED ESERCIZIO TERAPEUTICO NELLA COXARTROSI

Case report: laser Nd:YAG e rieducazione funzionale nella sindrome del piriforme

La sindrome del piriforme è caratterizzata da una lombalgia con interessamento del gluteo e con possibile irradiazione all'arto inferiore; può essere definita come una patologia dovuta ad intrappolamento, compressione o irritazione del nervo sciatico a livello del muscolo piriforme con o senza deficit neurologici. In questo studio è stata valutata l'efficacia della sinergia terapeutica tra laser Neodimio:YAG e rieducazione funzionale nella riduzione del dolore e nel miglioramento dell'indipendenza funzionale in una paziente affetta da sindrome del piriforme.

Nostra esperienza nella coxartosi: Trattamento riabilitativo integrato alla viscosupplementazione

EFFICACIA DI UN PROTOCOLLO RIABILITATIVO INTEGRATO SUL CONTROLLO NEUROMUSCOLARE IN PAZIENTI CON DISTORSIONE DELLA TIBIO-PERONEO-ASTRAGALICA: NOSTRA ESPERIENZA SU TRENTA ATLETI

Nello studio della traumatologia da sport particolare interesse riscuotono le lesioni del collo piede. Scopo dello studio valutare l'efficacia in un gruppo di 30 pazienti di un protocollo riabilitativo mirato al controllo neuromomuscolare in atleti con distorsione della tibio peroneo astragalica. Dopo 4 settimane riscontrata una migliorat articolarità.

SISTEMIC MANIFESTATIONS IN CROHN DISEASE: OUR EXPERIENCE

Arthritis and Crohm's disease has a close link and are frequently associated with aspecific and specific dermatitis. The arthritis is counted as the worst side effect of Crohn's disease. The greatest part of chronic inflammatory bowel disease induce with dermatologic disease, tha are sometimes the first clinical manifestation. In this article the authors desrcibe their clinical observation about orthopaedic, dermatologic and gastroenteric manifestations.

Interventistica eco-guidata per l’articolazione d’anca

Lo scopo di questo lavoro è di rivedere le principali applicazioni della interventistica eco-guidata d’anca, descrivendone le indicazioni e la metodologia. L’ecografia è una metodica considerata sicura per i pazienti, in quanto non è stato dimostrato un possibile danno dovuto all’energia trasmessa dagli ultrasuoni ai tessuti del paziente, contrariamente alle metodiche che fanno uso di radiazioni ionizzanti, come la radiografia convenzionale e la tomografia computerizzata. Inoltre, l’ecografia risulta rapida ed efficace nel guidare l’ago verso la sede voluta evitando di intercettare strutture vascolari e/o nervose, consentendo quindi una maggiore sicurezza, rispetto alle tecniche interventis…

Il trattamento chirurgico con vite cannulata e PRP della pseudoartrosi dello scafoide carpale

Nonunion is an important complication of carpal navicular fractures. The aim of this study is to report the medium term results of a reconstruction technique with cannulated screw combined with Platelet Rich Plasma (PRP) in Herbert fractures C (late consolidation), D1 (fibrous union without deformity) and D2 (pseudarthrosis with initial deformity).

Role of low-field magnetic resonance imaging in the detection of floating meniscus sign as consequence of sport-related trauma

Aim. To assess the role of magnetic resonance (MR) imaging performed with a low-field scanner in the detection of floating meniscus sign as a consequence of sports-related trauma. Methods. Retrospective review of 2436 MR knee examinations executed, in 18 months, using a low-field scanner of 0.2T, was performed by three musculoskeletal radiologists of varying experience. Diagnostic criteria to define the presence of a complete floating meniscus were as codified in the literature, lithe thickness of the fluid signal band between the meniscus and tibial plateau was comprised in the range >= 3 mm and <= 5 mm the floating meniscus was defined as partial. Patients with the sign were called to lea…

Does the 5-strand-graft have superior biomechanical behaviour than 4-strand-graft during acl reconstruction?

Purpose. This study aimed to compare the biomechanical proprieties of 4 and 5-strand- grafts. Methods. For the present study, fresh-frozen bovine common digital extensor tendons were used. Tendon grafts were prepared and sized to have a length of almost 27 cm and a cylinder 4 strand diameter of 8 mm. In half of all samples (Group A, n=12,), the graft was formed by 2 bundles duplicated around a metallic rod creating a 4-strand-tendon construct. In the other half of samples (Group B, n= 12,) 5-strand-tendon construct was created duplicating a single tendon around the rod, and tripling the other one. The grafts were preconditioned at 50 N for 10 min, followed by 1,000 cyclic loading between 50…

Polinucleotides versus ialuronic acid in ecoguided hip infiltration: preliminary results

Approccio farmacologico topico all'artralgia

non disponibile

Trattamento infiltrativo e riabilitativo nella coxartrosi: risultati a lungo termine

L'artrosi d'anca è tra le patologie piu' frequenti ed invalidanti del nuovo millennio. Evidenze scientifiche dimostrano che un numero sempre maggiore di soggetti, anche giovani, si sottopongono a protesizzazione. Il presente studio è stato effettuato al fine di ottenere evidenza clinica sull'effetto analgesico immediato e a medio termine della terapia infiltrativa eco-guidata con HA a medio/alto p.m. I risultati mostrano come 3 infiltrazioni, eseguite a distanza di 30 giorni l'una dall'altra, siano ben tollerate e detrminano un elevato grado di soddisfazione da parte del paziente, in termini di efficacia per almeno 6 mesi. Il follow-up a 12 mesi ha evidenziato un effettivo mantenimento dei …

Nonunion of the carpal navicular: surgical treatment and PRP

Effect of suturing the femoral portion of a four-strand graft during an ACL reconstruction

Purpose A suture passed along the part of the graft that will be inserted into the femoral tunnel is widely used by surgeons, because it could prevent the graft sliding on the femoral fixation device during pulling from the tibial side. The aim of this study was to evaluate the biomechanical effects of suturing the intratunnel femoral part of the graft during an anterior cruciate ligament (ACL) reconstruction. Methods Bovine digital extensor tendons and tibias were harvested from 20 fresh-frozen mature bovine knees ranging in age from 18 to 24 months. Quadruple-strand bovine tendons were passed through the tibial tunnel and secured distally with a bioabsorbable interference screw. In one ha…

Supero-Lateral Hoffa's Fat Edema: associazione con malallineamento o conflitto femoro-rotuleo

Le fratture da stress

Epicondilite: metodiche riabilitative a confronto

PIEDE PIATTO OPERATO NELL'ETA' EVOLUTIVA:STRATEGIE RIABILITATIVE

Polybutylene succinate artificial scaffold for peripheral nerve regeneration

Regeneration and recovery of nerve tissues are a great challenge for medicine, and positively affect the quality of life of patients. The development of tissue engineering offers a new approach to the problem with the creation of multifunctional artificial scaffolds that act on various levels in the damaged tissue, providing physical and biochemical support for the growth of nerve cells. In this study, the effects of the use of a tubular scaffold made of polybutylene succinate (PBS), surgically positioned at the level of a sciatic nerve injured in rat, between the proximal stump and the distal one, was investigated. Scaffolds characterization was carried out by scanning electron microscopy …

TERAPIA INFILTRATIVA INTRA-ARTICOLARE ASSOCIATA A MESALAZINA E PROBIOTICI NEL TRATTAMENTO DELL'ARTRITE NEL PAZIENTE CON MALATTIA INFIAMMATORIA CRONICA INTESTINALE (IBD)

L'artrite secondaria a malattia infiammatoria cronica intestinale può essere presente parecchi anni prima della diagnosi oppure manifestarsi come una vera complicanza.

TRATTAMENTO RIABILITATIVO E ACIDO IALURONICO NELLA SPALLA DOLOROSA: SINERGISMO D'AZIONE

Ultrasound-guided intervention for hip joint

The purpose of this work is to review the main applications of ultrasound-guided hip interventional procedures, describing the indications and methodology. Ultrasound is a method considered safe for patients, as it has not been shown a possible damage due to ultrasound energy transmitted towards the patient’s tissues, as opposed to methods that make use of ionizing radiation, such as conventional radiography and computed tomography. In addition, ultra- sound is quick and effective in guiding the needle to the desired location avoiding vascular and/or nerve structures, thus enabling greater security, compared to the techniques performed in interventional fluoroscopy, which also have the disa…

La preartrosi nella attività sportiva

Prevenzione e trattamento dell'osteoporosi

non disponibile

GASTROINTESTINAL COMPLICATIONS DURING USE OF ANTI-INFLAMMATORY DRUGS FOR ORTHOPEDIC DISEASES

Non-Steroidal Anti-inflammatory Drugs (NSAIDs) are molecules that inhibit the functionality of cyclooxygenase, resulting in suppression of prostaglandin production. Primary physicians and specialist clinics frequently prescribe NSAIDs for the treatment of osteoarticular diaseases such as tendinitis, bursitis, synovitis, spondylitis and osteoarthritis. This analysis aims to study gastrointestinal complications in orthopedic patients, caused by the use of NSAIDs, employng esophagogastroduodenoscopy and colonoscopy.

Valutazione delle lesioni focali del tendine del sovraspinato con elastosonografia: confronto con ecografia B-mode e risonanza magnetica: esperienza personale.

Obiettivo. Scopo dello studio era valutare l’elasticità del tendine del sovraspinato nella spalla sintomatica di pazienti con sospetto clinico di rottura unilaterale della cuffia dei rotatori, e comparare i reperti riscontrati con quelli dell’ecografia convenzionale (ultrasound, US) e della risonanza magnetica (RM). Metodi. Nel periodo compreso tra gennaio e dicembre 2009 sono state esaminate da un radiologo entrambe le spalle di 58 pazienti (età media: 46 anni; range 32-58 anni) sia con modulo elastosonografico in real-time che in B-mode tramite uno stesso ecografo (EUB - Hitachi 7500), usando una sonda lineare a elevata frequenza (13 MHz). L’elasticità delle fibre tendinee del sovraspinat…

Il trattamento nelle fratture di polso: i punti principali oggi

PROGRAMMA RIABILITATIVO DEL PIEDE PIATTO OPERATO NELL'ETA' EVOLUTIVA

Tendinopatie inserzionali agli arti inferiori nello sportivo

Sinergismo tra viscosupplementazione ed esercizio fisico nella coxartrosi

The current state of the art of angle-stable volar plating in the treatment of distal epiphisis fractures

LA TERAPIA FARMACOLOGICA NELLA SPALLA DOLOROSA

Il problema della spalla dolorosa è di cospicue dimensioni. Nel trattamento oltre agli antiflogistici un ruolo fondamentale giocano i miorilassanti, condroprotettri ed infilitrazioni con acido ialuronico.

L'impiego del TGF (Jex Fix) nelle fratture dell'estremo prossimale dell'omero

Trattamento riabilitativo nell'impingement femoro-acetabolare dopo artroscopia

L'impingement femoro-acetabolare (FAI) è un processo legato a patologie congenite o acquisite dell'anca, il cui elemento patogenetico principale è l'abnorme contatto tra il cotile acetabolare e l'epifisi prossimale del femore. Il FAI è una patologia sempre esistita, ma di recente definizione, inquadramento diagnostico e terapeutico, nella quale la chirurgia a cielo aperto ha lasciato sempre piu' spazio all'artroscopia. Poichè colpisce soprattutto soggetti giovani attivi appare evidente l'importanza di un progetto-programma riabilitativo post-operatorio, tempestivo ed adeguato al fine di consentire un recupero funzionale ed una corretta esecuzione del gesto atletico con il ripristino di un'o…

FRATTURE DA STRESS: VALUTAZIONI EZIOPATOGENETICHE E MODALITA' DI PREVENZIONE

Le infezioni tubercolari dell’apparato locomotore

Gli AA dopo aver presentato i dati epidemiologici più importanti della TBC osteoarticolare, si soffermano sulla fisiopatologia, il quadro clinico e radiografico delle localizzazioni più frequenti sottolineando i segni clinici e radiografici tipici di queste lesioni e l’importanza della RM, specie se eseguita con mezzo di contrasto, nella diagnosi precoce della malattia. Vengono inoltre presi in considerazione gli aspetti evolutivi della malattia sia prima che dopo l’introduzione dei farmaci antitubercolari, la terapia medica ed il trattamento incruento e chirurgico delle varie forme. Gli AA concludono che la TBC è una malattia purtroppo sempre di attualità contrariamente a quanto si pensava…

MRI evaluation of spine abnormalities in the supine position and under physiological load in athletes with a dedicated MR scanner

Purpose of our study was to evaluate the behavior of the lumbar spine of young athletes in the supine and standing position, taking into account all postural changes that the spine undergoes during physiological load, any alterations and any discrepancies in the detection of pathology between the two positions. Between August 2008 and October 2009, we evaluated 40 sportsman (20 men and 20 women) with symptoms of lumbar pain. All subjects underwent MRI with a dedicated scanner of 0.25 Tesla (G-Scan, Esaote Biomedica, Genoa, Italy) either in the conventional supine position, either in the weight-bearing position. Spin echo T1w and fast spin echo T2w images were acquired with a dedicated recei…

GASTRO-ESOPHAGEAL REFLUX MANIFESTATIONS IN THE TREATMENT OF OSTEOARTHRITIS WITH NON STEROIDAL ANTI-INFLAMMATORY DRUGS

Infiltrative treatment associated with rehabilitation in coxarthrosis: long-term results

This study was performed to obtain clinical evidence, not only about immediate analgesic effect, but also regarding the delay in arthroplasty. Results show that 3 infiltrations every 30 days are well tolerated and they get a high degree of satisfaction for effectiveness for at least 6 months.

Infiltrazioni intra-articolari ecoguidate di acido ialuronico (Hyalubrix) nel trattamento di pazienti con grave osteoatrosi d'anca: dati clinici e valutazioni preliminari

L'osteoartrosi dell'anca (AO), nei casi indirizzabili al trattamento chirurgico è solitamente curata con terapie mediche sistemiche. la viscosupplementazione si propone come opzione terapeutica. il presente studio ha mostrato efficacia nel trattamento di pazienti con OA d'anca di grado alto.

APPROCCIO CLINICO E RIABILITATIVO AL PAZIENTE PROTESIZZATO D'ARTO INFERIORE

Nella chirurgia sostitutiva protesica, ripercorrendo le tappe riabilitative e analizzandone le modalità e le tecniche, si evince che è possibile permettere al paziente il riapprendimento della corretta deambulazione con la riorganizzazione di tutte le fasi e della gestualità corrente per il reinserimento efficace nel contesto sociale di appartenenza. Oltre che dal punto di vista puramente motorio, il soggetto deve essere seguito anche sotto l’aspetto della psicomotricità e nel rispetto di importanti esigenze psicologiche. Viene sorretto, incoraggiato, ma soprattutto responsabilizzato sul fatto che per la ripresa completa si rende indispensabile la sua partecipazione attiva e la costanza del…

Potenzialità applicative dell'artro-RM nello studio della fibrocartilagine meniscale operata

Trattamento con PRP (platelet rich plasma) nelle tendinopatie dell'arto inferiore. Nostra esperienza.

SINERGIE: FISIOTERAPIA E VISCOSUPPLEMENTAZIONE

Ruolo dell'idrochinesiterapia nelle patologie osteomioarticolari dell'atleta

Gli autori descrivono l'importanza dell caretteristiche fisico- chimiche dell'acqua nel recupero delle patologie ostemioarticolari dello sportivo. Sottolineano la necessità dell'esrcizio terapeutico in acqua per un corretto recupero articolare e un buono tonotrofismo.

APPROCCIO CLINICO E RIABILITATIVO AL PAZIENTE PROTESIZZATO D'ANCA

Il ruolo del trattamento riabilitativo nei traumi distorsivi dell’articolazione tibio - peroneo - astragalica

Nello studio della traumatologia da sport, interesse meritano le lesioni del collo del piede, dovuta a molteplici e differenti sollecitazioni dinamiche alle quali viene sottopsota l'articolazione tibio- tarsica, in conseguenza del carettere esplosivo dei movimeni in particolari circostanze. Il livello di controllo posturale rappresenta la cartina di tornasole della stabilità funzionale dell'arto inferiore. Per avere articolazioni stabili serve una buona stabilità statica e dinamica, altrimenti avremo come conseguenza alto rischio di lesioni articolari e muscolari, riduzione della potenza esprimibile, gesto tecnico disturbato da movimenti parassiti di compenso, aumento del dispendio energeti…

PRP in the treatment of Achilles tendinopaty

Femoro-acetabular impingement. Classification, diagnosis and treatment.

Introduction: The femoro-acetabular impingement (FAI) is the result of a number of congenital or acquired pathologies of the hip and it has as main pathogenetic element an abnormal contact between the two joint components (acetabulum and proximal femoral epiphysis). Mainly male young adults, often athletes, are affected because of the repetition of gestures responsible for the conflict in these subjects. Classification: FAI has specific clinical and radiological characteristics and it can be classified into three types: 1. CAM type (femoral). 2. PINCER type (acetabular). 3. CAM-PINCER mixed-type. Diagnosis: It is based on medical hystory (young and active patients, diseases or previous hip …

Orientamenti clinicoterapeutici negli sport acquatici

COMPARSA DI COMPLICANZE GASTRO-INTESTINALI NELL'UTILIZZO DI ANTI-INFIAMMATORI NELLE MALATTIE DEGENERATIVE CRONICHE DELLE ARTICOLAZIONI

Management of anemia: blood loss in orthopaedic surgery

Major ortopaedic surgery and high energy trauma are often responsible of acute bleeding. Long bones and pelvis fractures are correlated with increased blood loss. The final consequence of a major bleeding is hypovolemic shock. The reduced oxygen tension of tissue could be responsible of heart attack, arrythmia, ictus, multi organ deficiency. For these reasons, it is important to immediately recognize and correct all potential bleeding in order to avoid complications. In orthopaedics the elective treatments in the managenment of hypovolemia are different. Blood banks and allogenic blood components have had an important impact on operative treatment and health care worldwide. erythropoietin h…

Greater Trochanteric Pain Syndrome: What is the Meaning?

Greater trochanteric pain syndrome (GTPS) is a common cause of lower extremity pain. This is frequently attributed to trochanteric bursitis and distension of the subgluteal bursae. Patients are suffering from pain radiating to the posterolateral aspect of the thigh, paraesthesiae in the legs, and tenderness over the iliotibial tract. Often the symptoms are mild, with the patient treating himself successfully through activity modification and other conservative measures. including relative rest, ice, compression, elevation, anti-inflammatory medication and treatment modalities such as ultrasound and electrical stimulation, combined with a structured rehabilitation program. Patients whose sym…

Differential diagnosis of vascular necrosis of the femoral head (AVN) and transient hip osteoporosis (THO): role of MRI

Surgery for femoroacetabular impingement in early degenerative stage

Patologie da stress della volta plantare

RHEUMATIC PATHOLOGIES IN SUBJECTS WITH INFLAMMATORY BOWEL DISEASE

Inflammatory Bowel Disease (IBD) are commonly associated with rheumatic diseases of the joints. Sixty-five patients are selected during a 5-year study period. All Patients were analyzed with clinical, laboratory and radiographic exams. 38 patients had ulcerative colitis (mean age 42.1 years range:19-75) and 27 patients had Crohn's disease (CD) (mean age 37.2 years, range: 17-64 years). Arthritis occurred in 11 patients (17%): 7 with UC (18.4%) and 4 CD (14.8%). The mean age of patients with arthritis was 35 and mean disease duration of pain and limitation symptoms was 28 months. In 9 patients, arthritis appeared after the onset of bowel symptoms with mean duration of 20 months in UC and 24 …

Patologie sesamoidee nel piede dello sportivo

Le patologie sesamoidee nel piede dello sportivo sono numerose: quelle maggiormente riscontrabili sono le fratture, le osteocondriti, le lussazioni, le borsiti, la cheratosi plantare intrattabile, la sesamoidite. Di queste patologie gli Autori riferiscono in merito alle modalità etiopatogenetiche e al percorso clinico-diagnostico, precisando infine le opportunità terapeutiche che consentono una precoce ripresa della attività sportiva.

La sindrome da conflitto ischio-femorale: valutazione diagnostica con RM

Trattamento infiltrativo ecoguidato d'anca versus infiltrazioni associate a terapia riabilitativa: studio randomizzato controllato

La coxartrosi è una malattia, caratterizzata da deterioramento della cartilagine e delle strutture articolari, che si manifesta clinicamente con dolore ingravescente e conseguente riduzione della funzionalità. Presso l'U.O.C. di Riabilitazione dell'A.O.U.P. Paolo Giaccone, tra febbraio 2008 e gennaio 2013 sono stati reclutati 224 soggetti sottoposti ad un ciclo infiltrativo che prevedeva 3 somministrazioni intrarticolari di acido ialuronico, eseguite sotto guida ecografica, a distanza di 45 giorni l'una dall'altra; i pazienti sono stati suddivisi, in modo random, in 2 gruppi (gruppo A e gruppo B). Il gruppo A è stato sottoposto solamente a trattamento infiltrativo; al gruppo B è stato assoc…

Le localizzazioni extravertebrali della tubercolosi osteoarticolare

Trattamento chirurgico dell'alluce valgo: osteotomia distale percutanea sec. Bosch (PDO) e scarf osteotomy a confronto

La spalla: aspetti strutturali ed ultrastrutturali nella norma e nella patologia degenerativa post-traumatica dello sportivo.

BENEFICIAL EFFECT OF PROBIOTICS ADMINISTRATION IN INFLAMMATORY BOWEL DISEASE AND RELATED SPONDYLOARTHROPATHY: A PROSPECTIVE STUDY

Background: Therapeutic treatment for inflammatory bowel disease (IBD) may follow different approaches, systemic as well as local, especially when the target is the osteoarticular apparatus. Although some clinical trials have suggested benefits from probiotics administration in IBD, there is still a great deal of controversy on their use. The aim of this study was to further investigate the effects of probiotics in patients with IBD and related spondyloarthropathy. Material/Methods: Fifty-nine patients affected by IBD with extra-intestinal involvement where evaluated from 2006 to 2010. Twenty-eight patients received administration of a standard therapy with mesalazine and 31 where treated w…

EFFICACIA NELLA PRATICA CLINICA DI UN SUPPLEMENTO A BASE DI GLUCOSAMINA SOLFATO(GS), CONDROITINA SOLFATO (CS), COLLAGENE IDROLIZZATO DI TIPO B, ACIDO IALURONICO IDROLIZZATO E L-CARNITINA IN SOGGETTI CON OSTEOARTROSI DEL GINOCCHIO

Aim: Osteoarthritis (OA) is a degeneration of articular cartilage. four components of the cartilage structure, glucosamine, chondroitin collagen type II and hyaluronic acid are available in a food supplements. It has been claimed that they reduce the pain of OA and help rebuild cartilage in patients with early OA. Methods: A multicentre, randomized, double-blind ascorbic acid controlled study was carried out in patients with osteoarthritis of the knee. The purpose of the study was to evaluate the effectiveness of a food supplement sachet containing glucosamine sulfate (500 mg), chondroitin sulfate (400 mg), hydrolyzed collagen tipe II and hyaluronic acid mixture (300 mg), L-carnitine fumara…

The effectiveness of eco-guided infiltrations with high molecular weight associated with administration of oral chondroprotective supplements in osteoarthritis of the hip

Osteoarthritis does not mean a degenerative articular process only but a pathologic expression of wear, inflammation and immunological imbalance of the joints. Our study has the aim to demonstrate the effectiveness of eco-guidate infiltrations with high molecular weight associated with administration of oral chondroprotective supplements (glucosamine solfate, chondroitin sulphate, hydrolyzed collagen type II, hyaluronic acid and L carnitine fumarate) in comparison with the only treatment with ecoguided infiltrations with hyaluronic acid in patients suffering from primary osteoarthiritis of the hip.

Impingement Sindrome: protocollo riabilitativo

Impingment Syndrome:protocollo riabilitativo

Valutazione del Outcome terapeutico nella sindrome del tunnel carpale: terapie a confronto

UN NUOVO APPROCCIO ECOGRAFICO NELLA DIAGNOSTICA DELLA PATOLOGIA TENDINEA DEL GOMITO

ULTRASOUND-GUIDED PERCUTANEOUS TREATMENT OF MUSCLE HEMATOMAS IN ATHLETES

Muscle lesions, a frequent event in sport, often cause hematomas. In fact, both in the traumatic direct injuries, as in American football, and in the traumatic indirect ones, as in strength sports, lesions interesting leg's Muscles Cause intra- and extramuscular hematomas. A diagnosis in a short time, allow LIS to evaluate the lesion rank and plan a surgery approach. Authors present high resolution Ultrasound (HRSU) as a new diagnostic method for this kind of lesion. It allows us to confirm clinic diagnosis, define the lesion's areas and follow-up. Moreover, HRSU has all important role in therapy, promoting in real time the blood's aspiration from lesion's area. Three phases after trauma, d…