bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mid-Term Outcome of Talocalcaneal Coalition Treated with Interposition of a Pedicle Fatty Flap After Resection
Authors: Imajima Yukari , Takao Masato , Miyamoto Wataru , Imade Shinji , Nishi Hideaki , Uchio Yuji 
Published: July 2012

Background: We have previously reported a new technique to treat symptomatic talocalcaneal coalition. The purpose of the present study was to evaluate the mid-term outcome of the interposition of a pedicle fatty flap after the resection of a talocalcaneal coalition. Methods: Six feet of 5 patients with persistently symptomatic talocalcaneal coalition were treated with this method. We investigated the clinical outcome using the visual analog scale (VAS) for hindfoot pain including around coalition and the American Orthopaedic Foot and Ankle Society (AOFAS) score pre- and postoperatively, and investigated whether or not recurrence was present using computed tomography (CT) at the final followup. Results: The VAS score was significantly improved from 5.5 ± 1.0 (mean ± SD) to 9.7 ± 0.5 points ( p = 0.0006). The AOFAS hindfoot score was also improved significantly (from 73.3 ± 26.7 points to 96.7 ± 7.1 points). No recurrence was detected by CT at the final followup. Conclusion: The interposition of a pedicle fatty flap after resection has been a durable procedure for treating a symptomatic talocalcaneal coalition. Level of Evidence: IV; Retrospective Case Series
Injuries Observed in Minimalist Runners
Authors: Salzler Matthew J. , Bluman Eric M. , Noonan Samantha , Chiodo Christopher P. , de Asla Richard J. 
Published: July 2012

Background: Minimalist runners have been shown to have a different gait pattern with lower impact forces than habitually shod runners. Running in minimalist footwear has been promoted as a means of reducing or eliminating running injuries by returning to a more natural gait. Methods Ten experienced runners, age 21 to 57 (mean, 43) years, were identified with injuries within 1 year of transition from traditional to minimalist running footwear. Patients were interviewed to determine their running history, injury history, transition to minimalist footwear, and their new injury including its treatment and recovery. Results Ten patients who ran with traditional footwear ran an average of 25.9 (range, 6 to 45) miles/week for an average of 18.9 (range, 1 to 40) years presented with injuries 2.8 (range 1 to 10) months after switching to minimalist footwear. Their injuries included eight metatarsal stress fractures, a calcaneal stress fracture, and a plantar fascia rupture. All patients had a successful recovery and returned to their previous level of running. Conclusion Injuries including stress fractures and plantar fascia rupture have been observed in minimalist runners. Level of Evidence: IV, Retrospective Case Series
Kinematics of the Three Components of a Total Ankle Replacement: In Vivo Fluoroscopic Analysis
Authors: Cenni Francesco , Leardini Alberto , Belvedere Claudio , Buganè Francesca , Cremonini Karin , Miscione Maria T. , Giannini Sandro 
Published: July 2012

Background: Careful kinematic analysis of ankle joints with newly developed prostheses should be carried out to assess the actual performance in vivo. This study analyzed the pattern of motion of the three components of a ligament-compatible ankle replacement, developed to replicate normal joint kinematics. Materials and Methods Twelve patients treated with this design were analyzed at 6, 12, and 24 months followup. A series of images were acquired by videofluoroscopy at extremes of the range of motion, and during flexion/extension against gravity and stair-climbing/descending. Three-dimensional positions and orientations of the tibial and talar metal components and of the polyethylene mobile-bearing were obtained from the images by a standard shape-matching procedure. Motion between the three components was calculated and descriptively analyzed. Results Large tibiotalar joint mobility of the replaced ankle was observed in all three anatomical planes, particularly in the sagittal. In flexion/extension against gravity, the mean range of flexion was 17.6, 17.7, and 16.2 degrees, respectively, over the three followups. The inclination angle of the mean axis of joint rotation was 3.7 degrees down and lateral in the frontal plane and 4.7 degrees posterior and lateral in the transverse plane, similar to those in the normal ankle. The corresponding antero-posterior translation of the meniscal-bearing with respect to the tibia was 3.3, 3.3, and 3.2 mm, with statistically significant correlation with joint flexion. Conclusion Physiological motion can be achieved in ligament-compatible ankle joint replacements. The considerable antero-posterior bearing-to-tibial motion and its coupling with flexion support the main original claims of this design. Level of Evidence: IV, Case Series
Lesser Metatarsophalangeal Joint Instability: Prospective Evaluation and Repair of Plantar Plate and Capsular Insufficiency
Authors: Nery Caio , Coughlin Michael J. , Baumfeld Daniel , Mann Tania S. 
Published: July 2012

Background: Anatomical dissection of the second metatarsophalangeal (MTP) joint suggests that the plantar plate is the major stabilizing structure of the joint due to its central location and multiple important attachments. Many surgical procedures have been recommended when conservative treatment has failed, but some have had limited clinical success. The aim of our prospective study was to show the results obtained in the treatment of a group of patients with plantar plate tears by direct repair through a dorsal approach combined with a Weil metatarsal osteotomy with a minimum followup of 12 months. Methods We prospectively treated 28 patients (55 MTP joints) with lesser MTP joint instability, but only 22 patients (40 MTP joints) were treated by the direct repair of the plantar plate and were included in the study. All of them had initial complaints of acute forefoot pain with the subsequent development of deformity and instability of the MTP joints. All patients were evaluated clinically, radiographically, (plain radiographs and MRI exam), and by MTP joint arthroscopy. With this data, a direct correlation between the clinical staging and the anatomical grading for plantar plate dysfunction of each patient was determined Results The plantar plate of the second MTP joint was the most commonly affected joint (63%), and Grade III type tear (transverse and/or longitudinal extension tear) was the most frequent type. With the surgical treatment, we were able to markedly improve the parameters studied (pain, medial or dorsomedial deviation of the toe, joint stability, muscle balance, and joint congruence) to acceptable levels, The AOFAS score improved substantially from an average of 52 points preoperatively to 92 points postoperatively. Conclusion The direct plantar plate repair combined with a Weil osteotomy and lateral soft tissue reefing can restore the normal alignment of the MTP joint. We have demonstrated that the anatomic repair of the plantar plate can correct the deviation of the affected toe (medial, dorsal, dorsomedial or dorsolateral), which lead to diminished pain with improved functional scores. Level of Evidence: IV, Case Series
Prioritizing Policy Approach and Actions to Address Epidemic of Non Communicable Diseases (NCDs)
Authors: Faiz M Abul , Rahmanb M Ridwanur , Karim Md Nazmul 
Published: July 2012

Not available DOI: http://dx.doi.org/10.3329/jbcps.v30i2.11405 J Bangladesh Coll Phys Surg 2012; 30: 62-64
Prevalence of Metabolic Syndrome in Diabetic Patient
Authors: UK Khan UK Khan , Dipta TF , Faruque MO , Sarder K , Sultana SSS , Nahar Q 
Published: July 2012

Background: Factors associated for the development of metabolic syndrome vary from region to region and race to race. Objectives: The present study aimed to assess the prevalence of metabolic syndrome and phenotype of newly diagnosed IGT and DM subjects. Methods: In this cross sectional study 100 DM and 44 IGT subjects recruited from OPD BIRDEM hospital. BMI, Neck, and waist circumference, WHR and blood pressure were collected by skilled trainer using modern equipments. Serum glucose was measured by glucose-oxidase method and lipid profile was measured by enzymatic-colorimetric method. Results: Glycemic status was higher in diabetic subjects (12±5; ABF 18±6) than IGT subjects (FPG 6±0.84; ABF 9±2). About 39.6% subjects had metabolic syndrome according to the definition of EGIR and 21.9 % were hypertensive in DM subjects. Neck circumference was positively correlated with BMI (r=0.4, p=0.02) and waist circumference (r=0.25.p=0.003). Conclusions: Glycemic status affects at the BMI 24 and neck circumference 33cm with age 40 years. About 39.6 % MS present following EGIR but poor % MS have found following ATP III and WHO criteria DOI: http://dx.doi.org/10.3329/jbcps.v30i2.11409 J Bangladesh Coll Phys Surg 2012; 30: 85-90
Genital Tuberculosis  An Uncommon Presentation
Authors: Akhter N , Khanam A , Begum F 
Published: July 2012

A married women of 30 years, mother of one child, housewife was referred to out patient department of Khulna Medical College Hospital with history of blood stained vaginal discharge, secondary amenorrhoea for 3 years and evening rise of temperature and anorexia for 3 months. On speculum examination, cervix was oedematous, bright red in colour with papillary growth which bleeds on touch. She also had bilateral excavated lesion at the lowest part of the vagina close to the introitus which was red in colour with undermined edge. Visual inspection aided by acetic acid (VIA) was positive. Colposcopy guided biopsy was taken from unhealthy areas. There was extensive mottling on chest X-ary. She had high ESR, AFB+ve on sputum culture. The patient was diagnosed as a case of active pulmonary TB. Histopathological report of cervical tissue showed granulomatous lesion. Patient was given a regimen of standard anti TB drugs. After 2 weeks, during her first follow up, patient had few symptoms with regression of cervical growth and disappearance of vaginal ulcer. Patient herself stated about her wellbeing after the start of anti- TB drugs. Though cervical TB is not uncommon among genital TB (5-24%), vaginal tubercular lesion is very uncommon and concurrent pulmonary, endometrial, cervical and vaginal tuberculosis is a rare event. Careful evaluation is needed to diagnose tubercular infection in genital organs specially in GOPDs and colposcopy clinics. DOI: http://dx.doi.org/10.3329/jbcps.v30i2.11421 J Bangladesh Coll Phys Surg 2012; 30: 108-111
Use of bathroom scales in measuring asymmetry of hindlimb static weight bearing in dogs with osteoarthritis
Authors: Mölsä S. H. , Junnila J. T. , Laitinen-Vapaavuori O. M. , Hielm-Björkman A. K. , Hyytiäinen H. K. 
Published: July 2012

SummaryObjective: The study assessed the use and reliability of bathroom scales as an objective measurement tool, and setting a normal variance of static weight bearing between hindlimbs.Methods: Two groups of dogs were tested: a healthy control group (n = 21) and a group (n = 43) of dogs with confirmed osteoarthritis in at least one stifle joint, with or without hip joint osteoarthritis. Static weight bearing was evaluated manually and measured with two bathroom scales. An orthopaedic examination was done and dynamic weight bearing was measured using a force platform. Radiographs were taken to confirm the presence of osteoarthritis, and dogs were divided into groups of severe and non-severe osteoarthritic changes. Reliability by repeatability was tested using analysis of variance, and the congruity between static weight bearing and other evaluation methods with Kappa statistics and proportion of agreement.Results: The difference between the hindlimbs proportional to the body weight in control dogs was 3.3% (± 2.7%). The repeatability of measuring static weight bearing in the hindlimbs of osteoarthritic dogs with bathroom scales was 81% with osteoarthritic limbs, and 70% for unaffected limbs. The sensitivity of static weight bearing measurements using bathroom scales was 39% and specificity 85%.Clinical significance: Bathroom scales are a reliable, simple, and cost-effective objective method for measuring static weight bearing and can be used as an outcome measure when rehabilitating dogs with osteoarthritic changes in the hindlimbs.
Computed tomography of ununited anconeal process in the dog
Authors: Labruyère J. J. , Bardet J. F. , Gasch E. G. 
Published: July 2012

SummaryObjective: The purpose of this study was to describe computed tomography (CT) features of the ununited anconeal process and relate them with the following elbow dysplasia signs: medial coronoid disease, medial humeral condyle changes, osteoarthritis (OA), and radioulnar incongruence.Methods: Computed tomographic images of dogs older than six months with an ununited anconeal process were evaluated (n = 13). Ununited anconeal process features were described as being complete or incomplete, and the degree of displacement, volume, and presence of cysts and sclerosis were also evaluated. Medial coronoid disease was defined as an irregular medial coronoid process shape, presence of sclerosis and fragmentation. Medial humeral condyle changes were defined as subchondral bone flattening, lucencies, and sclerosis. Osteoarthritis was graded depending on the osteophytes size. Radioulnar incongruence was measured on a sagittal view at the base of the medial coronoid process.Results: Eleven elbows had a complete and two had an incomplete ununited anconeal process. All ununited anconeal processes had cystic and sclerotic lesions. Seven ununited anconeal processes were displaced and six were non-displaced. Mean ununited anconeal process volume was 1.35 cm3 (0.61 cm3 – 2.08 cm3). Twelve elbows had signs of medial coronoid disease (4 of them with a fragmented medial coronoid process), and one elbow did not show any evidence of medial coronoid disease. Ten elbows had medial humeral condyle changes. One elbow had grade 1 OA, seven elbows had grade 2, and five elbows grade 3. All elbows had radioulnar incongruence: three elbows had a negative and 10 elbows had a positive radioulnar incongruence. Mean radioulnar incongruence was 1.49 mm (0.63 mm – 2.61 mm). Computed tomographic findings were similar in the majority of the elbows studied: complete ununited anconeal processes with signs of medial coronoid disease, positive radioulnar incongruence, high grade of OA, sclerotic medial humeral condyle changes, and large ununited anconeal process volumes.Clinical significance: Incomplete small ununited anconeal process volumes could be associated with a lower incidence of medial coronoid disease or medial humeral condyle changes. We recommend performing preoperative CT of elbows with an ununited anconeal process to evaluate concurrent lesions.
The effect of external coaptation on plate deformation in an ex vivo model of canine pancarpal arthrodesis
Authors: Wallace R. J. , Mosley J. R. , Woods S. 
Published: July 2012

SummaryObjectives: Since external coaptation is applied clinically to prevent plate failure during healing in canine pancarpal arthrodesis (PCA), we tested the hypothesis that external coaptation does not significantly reduce plate strain in an experimental ex vivo model of canine PCA.Methods: Ten thoracic limbs from healthy Greyhounds euthanatized for reasons un- related to the study were harvested and the carpus was stabilised with a dorsally applied 2.7/3.5 mm hybrid PCA plate. The strain in the plate adjacent to the most distal radial screw hole (R4) and the radial carpal bone (RCB) screw hole was measured as the limbs were loaded axially to a load that approximated that of controlled walking. Each limb was tested with and without external coaptation in place.Results: Mean strain amplitude at the RCB was –177.2 με (± 20.78) without external coaptation. Following cast application, strain reduced significantly to –34.7 με (± 9.84) (p <0.002). Mean strain at R4 was –89.4 με (± 22.10) without external support and –66.9 με (± 10.74) following application of a cast. This reduction in recorded strain was not statistically significant.Clinical significance: The application of a cast to the distal portion of the limb significantly reduced strain in the 2.7/3.5 mm hybrid PCA plate, but the magnitude of the measured strain was low, suggesting that fatigue damage is unlikely to accumulate as a result of this type of loading and that external coaptation may not be necessary to prevent fatigue failure of the plate.
Proximal focal humeral deficiency in a large breed dog
Authors: Gemmill T. , Kalff S. 
Published: July 2012

SummaryA 26-week-old female Boerboel was referred for evaluation of progressive left thoracic limb lameness. Computed tomography and radiographic evaluation revealed radiolucency of the caudal region of the proximal humeral metaphysis, absence of the humeral head, and gross distortion of the glenoid. Given the severe glenohumeral deformation, arthrodesis of the left shoulder was performed using orthogonal locking bone plates, lag screw fixation, and bone grafting. Despite late implant failure, arthrodesis was successful in this case, and satisfactory limb function was restored. To the author's knowledge, this is the first report of a case of a focal developmental deficiency of the proximal humerus reported in a dog.
Radiographic landmarks for measurement of cranial tibial subluxation in the canine cruciate ligament deficient stifle
Authors: Sharma A. , Gilbert P. , Campbell J. , Johnston J. D. , Shmon C. , Linn K. , Plesman R. 
Published: July 2012

SummaryObjectives: The primary objective was to develop a repeatable radiographic technique for assessment of cranial tibial subluxation (CTS) and test the intra-observer and inter-observer repeatability of the chosen landmarks. A secondary objective was to determine the effects of digital radiographic magnification on CTS measurement repeatability.Methods: Twenty-three normal canine pelvic limbs were used to determine the magnitude of CTS before and after transection of the cranial cruciate ligament. Mediolateral radiographs were taken with and without fiduciary markers in place. Three investigators measured the CTS using radiographically visible anatomic landmarks at two different magnifications. The total observed variabilities were assessed by inter-observer and intra-observer differences. Paired t-tests were used to determine the effect of magnification and marker presence on CTS measures.Results: Measurement of the CTS from the caudal margin of the intercondylar fossa on the femur to the intercondylar eminence was the most repeatable. Poor correlation between the anatomic landmarks and the fiduciary bone markers was observed. We found no effect of magnification or presence or absence of bone markers on measurement of CTS.Clinical significance: Cranial tibial subluxation can be detected with the most repeatability by measuring between the caudal margin of the intercondylar fossa and the intercondylar eminence. Magnification of the digitized radiographic image had minimal effect on repeatability. This technique can be used for in vivo analysis of the canine cruciate ligament deficient stifle joint.
Identification of Novel HCV Deletion Mutants in Chronic Hepatitis C Patients
Authors: Kohno Tomohiko , Tsuge Masataka , Hayes C Nelson , Hatakeyama Tsuyoshi , Ohnishi Mayu , Abe Hiromi , Miki Daiki , Hiraga Nobuhiko , Imamura Michio , Takahashi Shoichi , Ochi Hidenori , Tanaka Shinji , Chayama Kazuaki 
Published: July 2012

Background The HCV genome consists of a positive 9.6 kb single-strand of RNA. Nucleotide substitutions in the HCV genome are common and a 2 kb deletion has been reported. Methods A total of 117 chronic hepatitis C (CHC) patients who were treated with pegylated interferon plus ribavirin combination therapy were enrolled in this study. Total RNA was extracted from the patients’ sera and reverse transcription and PCR were performed. Statistical analysis was performed to evaluate the effects of HCV deletion mutants on treatment with combination therapy. Results By amplifying entire HCV genomes using longdistance PCR, novel large deletion mutants were identified. Sequence analysis revealed that these deletions extended approximately 6 kb from the core/E2 region to the NS5A region and that there are three kinds of deletions that are identical at their 3′ and 5′ extremities. The subgenome virus particles appeared to coexist with full-genome virus particles in the sera of CHC patients despite lacking essential components for HCV viral replication. These short fragments were detected in 26 of 117 patients and were associated with significantly higher HCV RNA levels ( P=0.018) and poor response to combination therapy ( P=0.043). Moreover, the existence of HCV deletion mutants was significantly associated with virological relapse following combination therapy ( P=0.046, OR=3.4). Conclusions HCV deletion mutants may affect the HCV life cycle and reduce the antiviral effects of interferon therapy for CHC.
Les alliances inconscientes dans Depuis qu'Otar est parti... de Julie Bertuccelli (2003)
Authors: Kaës René 
Published: July 2012

Résumé Depuis qu’Otar est parti... est un film à plusieurs dimensions : sur l’exil, l’absence, le manque, ce qui des autres demeure pour chacun irreprésenté, sur le deuil et la lutte incessante contre l’envahissement du Négatif. Il explore aussi les effets des catastrophes politiques et sociales sur les liens intrapsychiques, interpersonnels et familiaux. La réalisatrice traite remarquablement des alliances inconscientes dans leurs rapports avec le chaos et les catastrophes collectives, lorsque pour survivre dans leur lien chacun noue avec chaque autre un pacte pour ne rien savoir de ce qui est en jeu dans leur souffrance. Une particularité de ce film est de décrire les alliances inconscientes entre trois générations de femmes confrontées à la mort accidentelle d’un fils, d’un frère, d’un oncle. Le traumatisme psychique prend sa densité d’avoir pour arrière-fond un régime politique qui a construit une culture du déni, et dont la désorganisation fait ressurgir ce qui a fondé les liens entre tous les protagonistes.
À la recherche de la lignée perdue
Authors: Loncan Anne 
Published: July 2012

Résumé Un fils cinéaste part à la recherche de son père, Louis Kahn, célèbre architecte disparu vingt-cinq ans plus tôt. Il traque, à travers son œuvre et de nombreux témoignages de proches, les traces qui lui permettront de comprendre son histoire, leur histoire commune et l’héritage qui lui échoit. Ce processus d’affiliation post mortem remodèle des liens fantômes pour les transformer en vestiges consistants sur lesquels s’appuyer.
Silences de famille et handicap somatopsychique en clinique infantile
Authors: Boucherat-Hue Valérie 
Published: July 2012

Résumé Ce travail s’inscrit dans les contreforts de la loi du 11 février 2005 qui, en entérinant l’usage du terme « handicap psychique », permet de sortir de la gangue parfois défectologique du concept de « handicap mental » en clinique infanto-juvénile. L’auteur tente, en psychopathologie d’orientation psycho-dynamique, de se décaler de la question bio-socio-éducative sur ce qui « est handicap » pour se centrer sur ce qui « fait handicap », à l’image de ce qui « fait traumatisme », dans la singularité du sujet souffrant. L’auteur s’appuie sur la vignette clinique d’un enfant de 7 ans paralysé par un blocage instrumental de type grapho-moteur. La méthode couple entretiens et bilans psychologiques approfondis. L’auteur soutiendra l’intérêt d’élargir le concept de « handicap psychique » aux situations de « handicap somatopsychique » pour désigner les répercussions qui entraînent des atteintes qui engagent le corps dans ses dimensions psychosomatiques. Dans ces configurations « périnévrotiques », le handicap somatopsychique, à l’interface des facteurs de vulnérabilité et de ressourcement psychosomatiques, peut venir au secours des traumas psychoaffectifs de l’enfance, notamment ceux qui sont liés aux « silences de famille » dans la filiation, en les colmatant provisoirement.