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Acromioclavicular joint cyst in ASA 3-4 patients. Whether and how quickly it recurs after aspiration and steroid injection / S. Gumina in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
[article]
Titre : Acromioclavicular joint cyst in ASA 3-4 patients. Whether and how quickly it recurs after aspiration and steroid injection Type de document : texte imprimé Auteurs : S. Gumina ; V. Candela ; D. Passaretti Année de publication : 2016 Article en page(s) : p. 161-165 Langues : Anglais (eng) Mots-clés : articulation acromio-claviculaire rupture coiffe des rotateurs douleur épaule Résumé : We observed the clinical course, in the short-medium term, of patients with voluminous type II acromioclavicular (AC) joint cyst who underwent aspiration and steroid injection regarded as the only possible treatment to avoid possible skin complications. Four patients (7.4% of cases described in literature) (3F-1M ; mean age 83 years, range : 78-87 years) with a voluminous (> 7 cm) oval, no mobile, no fluctuant cyst overlying the AC joint, were retrospectively observed. The patients, judged by the anesthesiologist as ASA 3-4 patients, were merely submitted to cyst aspiration and steroid injection. The content of the cyst was microscopically analysed. All patients were clinically evaluated on the day of aspiration and after 14- 30 days and after 1 year. Shoulder function and pain intensity were analysed with Constant score and VAS. We were able to aspirate 80-150 ml of amorphous joint fluid. At the first follow-up, all patients had a recurrence of the cyst, a lower grade of tension of the skin overlying the cyst and also a very little decreasing of pain intensity. After a month from aspiration, the cysts of the 4 patients had the same size as that present before aspiration. The range of motion, the average value of VAS and Constant were similar to those recorded before aspiration. In no case signs of infection or draining sinus occurred. Aspiration is a useless practice. However it is still a motive for discussion if the reduced suffering of the skin overlying the cyst after the aspiration has avoided, or simply postponed, an imminent complication. Permalink : ./index.php?lvl=notice_display&id=46077
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 161-165[article] Acromioclavicular joint cyst in ASA 3-4 patients. Whether and how quickly it recurs after aspiration and steroid injection [texte imprimé] / S. Gumina ; V. Candela ; D. Passaretti . - 2016 . - p. 161-165.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 161-165
Mots-clés : articulation acromio-claviculaire rupture coiffe des rotateurs douleur épaule Résumé : We observed the clinical course, in the short-medium term, of patients with voluminous type II acromioclavicular (AC) joint cyst who underwent aspiration and steroid injection regarded as the only possible treatment to avoid possible skin complications. Four patients (7.4% of cases described in literature) (3F-1M ; mean age 83 years, range : 78-87 years) with a voluminous (> 7 cm) oval, no mobile, no fluctuant cyst overlying the AC joint, were retrospectively observed. The patients, judged by the anesthesiologist as ASA 3-4 patients, were merely submitted to cyst aspiration and steroid injection. The content of the cyst was microscopically analysed. All patients were clinically evaluated on the day of aspiration and after 14- 30 days and after 1 year. Shoulder function and pain intensity were analysed with Constant score and VAS. We were able to aspirate 80-150 ml of amorphous joint fluid. At the first follow-up, all patients had a recurrence of the cyst, a lower grade of tension of the skin overlying the cyst and also a very little decreasing of pain intensity. After a month from aspiration, the cysts of the 4 patients had the same size as that present before aspiration. The range of motion, the average value of VAS and Constant were similar to those recorded before aspiration. In no case signs of infection or draining sinus occurred. Aspiration is a useless practice. However it is still a motive for discussion if the reduced suffering of the skin overlying the cyst after the aspiration has avoided, or simply postponed, an imminent complication. Permalink : ./index.php?lvl=notice_display&id=46077 Exemplaires (1)
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Exclu du prêtEarly failure of coracoclavicular ligament reconstruction using TightRope system / Bijayendra Singh in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)
[article]
Titre : Early failure of coracoclavicular ligament reconstruction using TightRope system Type de document : texte imprimé Auteurs : Bijayendra Singh ; Paras Mohanlal ; Rajesh Bawale Année de publication : 2016 Article en page(s) : p. 119-123 Langues : Anglais (eng) Mots-clés : articulation acromio-claviculaire chirurgie Résumé : This prospective study reports the results of early failure of coracoclavicular (CC) ligament reconstruction using TightRope. Nine consecutive patients who had CC ligament reconstruction using TightRope or GraftRope were assessed for radiological and functional outcomes using DASH and Oxford Shoulder scores. With an average age of 38.4 (21-70) years, four patients had type III injuries, two type IV and two type V injuries. The mean follow-up was 22.8 (12-42) months. In 7 out of 9 patients, secondary progressive loss of reduction was observed at an average of 3.1 (1-7) months. Three patients underwent revision. The mean DASH score at latest follow-up was 27.45 (19.6-35) & Oxford shoulder score was 30.5 (20-43). Coraco-clavicular reconstruction with TightRope or GraftRope appears to result in failure with progressive AC joint subluxation perhaps due to ‘windscreen wiper’ micromotion. Surgeons should be wary of this potential problem whilst choosing this method of reconstruction for CC ligament reconstructions. Permalink : ./index.php?lvl=notice_display&id=46054
in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 119-123[article] Early failure of coracoclavicular ligament reconstruction using TightRope system [texte imprimé] / Bijayendra Singh ; Paras Mohanlal ; Rajesh Bawale . - 2016 . - p. 119-123.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 119-123
Mots-clés : articulation acromio-claviculaire chirurgie Résumé : This prospective study reports the results of early failure of coracoclavicular (CC) ligament reconstruction using TightRope. Nine consecutive patients who had CC ligament reconstruction using TightRope or GraftRope were assessed for radiological and functional outcomes using DASH and Oxford Shoulder scores. With an average age of 38.4 (21-70) years, four patients had type III injuries, two type IV and two type V injuries. The mean follow-up was 22.8 (12-42) months. In 7 out of 9 patients, secondary progressive loss of reduction was observed at an average of 3.1 (1-7) months. Three patients underwent revision. The mean DASH score at latest follow-up was 27.45 (19.6-35) & Oxford shoulder score was 30.5 (20-43). Coraco-clavicular reconstruction with TightRope or GraftRope appears to result in failure with progressive AC joint subluxation perhaps due to ‘windscreen wiper’ micromotion. Surgeons should be wary of this potential problem whilst choosing this method of reconstruction for CC ligament reconstructions. Permalink : ./index.php?lvl=notice_display&id=46054 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt