ABSTRACT
Melorheostosis is a rare dysplastic bone formation disease that can also affect the joints. We present a case of a patient with knee pain that was radiographically diagnosed as melorheostosis because of "dripping wax" image. An exploratory arthroscopy was made. In the joint, we found hyperplasic synovial tissue and an increased retropatellar Hoffa pad, which was surrounding an intra-articular ossification resulting from the disease. This was removed and led to a clinical and functional improvement.
Subject(s)
Arthroscopy , Melorheostosis/pathology , Melorheostosis/surgery , Female , Humans , Hyperplasia , Knee Joint/diagnostic imaging , Knee Joint/pathology , Knee Joint/surgery , Melorheostosis/diagnostic imaging , Ossification, Heterotopic/diagnostic imaging , Ossification, Heterotopic/pathology , Ossification, Heterotopic/surgery , Radiography , Synovectomy , Synovial Membrane/diagnostic imaging , Synovial Membrane/pathology , Treatment Outcome , Young AdultABSTRACT
BACKGROUND: The main objective of this study was to determine the efficacy of intravenous (IV) iron sucrose therapy reducing transfusion requirements in elderly patients undergoing hip fracture surgery. STUDY DESIGN AND METHODS: This study was a prospective randomized controlled trial involving 200 patients undergoing hip fracture surgery. Group A (100 patients) received standard treatment, while Group B (100 patients) received iron sucrose (600 mg IV). The primary endpoint was the number of patients that were transfused postoperatively. The secondary endpoints were the rate of red blood cell units used, hematimetric variables of blood tests, mortality, infection rates, length of hospital stay, and appearance of side effects. RESULTS: Differences in the percentage of patients requiring transfusion (Group A 41.3% vs. Group B 33.3%) and in the number of concentrates transfused (0.87±1.21 for Group A vs. 0.76±1.16 for Group B) were not significant for the patient group as a whole, but were significant for patients with intracapsular fractures (45.7% required transfusion in Group A vs. 14.3% in Group B; p<0.005) and in patients with a baseline hemoglobin (Hb) level of 12 g/dL or more (35.2% required transfusions in Group A vs. 19% in Group B; p<0.05). CONCLUSIONS: Transfusion requirements in patients with intracapsular fracture or baseline Hb level of 12 g/dL or more appear to be reduced by IV iron sucrose therapy, but there was no difference in morbidity, mortality, or length of hospital stay. The treatment is safe and hastens recovery from blood loss.
Subject(s)
Ferric Compounds/therapeutic use , Hip Fractures/surgery , Aged , Aged, 80 and over , Anemia/drug therapy , Anemia/therapy , Blood Transfusion/methods , Female , Ferric Compounds/administration & dosage , Ferric Oxide, Saccharated , Glucaric Acid , Humans , Infusions, Intraventricular , Male , Perioperative Period , Postoperative Complications/drug therapy , Postoperative Complications/therapyABSTRACT
El estudio de la composición corporal (CC) resulta imprescindible para comprender el efecto que tienen la dieta, el crecimiento, el ejercicio físico, la enfermedad y otros factores del entorno, sobre el organismo. Se ha estudiado, desde el punto de vista antropométrico, un total de 1329 niños/as de 10 a 14 años, pertenecientes a colegios públicos de Córdoba capital (España) y Pozoblanco (población del norte de la provincia de Córdoba). Los pliegues cutáneos que dieron valores más elevados son loslocalizados en la extremidad inferior, siendo estos mayores, en todos los casos, en las niñas que en losniños. Hemos obtendido diferencias altamente significativas (p<0,001) entre la fórmula de Lohman y lade Slaughter, aunque entre ambas existe una alta correlación (0,923). Existe relación inversa entre laintensidad de la actividad física que realizaban los escolares y el porcentaje de grasa. Aportamos los percentiles del sumatorio de seis pliegues (TR, SB, BI, SE, AM, MP) en niños y niñas, lo que nos permite encuadrar a los niños en distinto grado de sobrepeso-obesidad...
The study of body composition (BC) is basic to understand the effect that diet, growth, physical exercise, illnesses and other factors of background, have on the organism. We have studied, from theAntropometric view, a total of 1329 children from 10 to 14 years old, belonging to public school of Córdobacity (Spain) and Pozoblanco (village in the north of the province of Córdoba). The skinfolds that showed higher rates are the ones situated at the lower limbs, which are major, in all cases, in girls rather than in boys.We have got very significant differences (p<0,001) between LohmanÆs formulae and SlaughterÆs, even if there is a high correlation between both (0,923). There is and inverted relation between the intense of the physichal activity that schoolchildren do and the rate of fat. We join the percentiles of the total of six skinfolds (TR, SSC, BI, SS, BM, LM) in boys and girls, what permits us to classify children in different degrees of overweight-obesity...
