Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 41
Filter
1.
Opt Express ; 25(1): 39-58, 2017 Jan 09.
Article in English | MEDLINE | ID: mdl-28085810

ABSTRACT

Here we present a new generic opto-bio-sensing platform combining immobilised aptamers on an infrared plasmonic sensing device generated by nano-structured thin film that demonstrates amongst the highest index spectral sensitivities of any optical fibre sensor yielding on average 3.4 × 104 nm/RIU in the aqueous index regime (with a figure of merit of 330) This offers a single stage, solution phase, atto-molar detection capability, whilst delivering real-time data for kinetic studies in water-based chemistry. The sensing platform is based upon optical fibre and has the potential to be multiplexed and used in remote sensing applications. As an example of the highly versatile capabilities of aptamer based detection using our platform, purified thrombin is detected down to 50 attomolar concentration using a volume of 1mm3 of solution without the use of any form of enhancement technique. Moreover, the device can detect nanomolar levels of thrombin in a flow cell, in the presence of 4.5% w/v albumin solution. These results are important, covering all concentrations in the human thrombin generation curve, including the problematic initial phase. Finally, selectivity is confirmed using complementary and non-complementary DNA sequences that yield performances similar to those obtained with thrombin.


Subject(s)
Biosensing Techniques/instrumentation , Optical Fibers , Thrombin/analysis , Humans , Kinetics
2.
Methods Enzymol ; 585: 111-133, 2017.
Article in English | MEDLINE | ID: mdl-28109425

ABSTRACT

Beyond the natural proteome, high-throughput mutagenesis offers the protein engineer an opportunity to "tweak" the wild-type activity of a protein to create a recombinant protein with required attributes. Of the various approaches available, saturation mutagenesis is one of the core techniques employed by protein engineers, and in recent times, nondegenerate saturation mutagenesis is emerging as the approach of choice. This review compares the current methodologies available for conducting nondegenerate saturation mutagenesis with traditional, degenerate saturation and briefly outlines the options available for screening the resulting libraries, to discover a novel protein with the required activity and/or specificity.


Subject(s)
Directed Molecular Evolution , Proteome/analysis , Mutagenesis , Protein Engineering
3.
J Mater Chem B ; 2(42): 7307-7315, 2014 Nov 14.
Article in English | MEDLINE | ID: mdl-32261955

ABSTRACT

Analysis of protein function in a cellular context ideally requires physiologically representative levels of that protein. Thus conventional nucleic acid-based transfection methods are far from ideal owing to the over expression that generally results. Likewise, fusions with protein transduction domains can be problematic whilst delivery via liposomes/nanoparticles typically results in endosomal localisation. Recently, polymer microspheres have been reported to be highly effective at delivering proteins into cells and thus provide a viable new alternative for protein delivery (protein transduction). Herein we describe the successful delivery of active ribonuclease A into HeLa cells via novel polymer core-silica shell microspheres. Specifically, poly(styrene-co-vinylbenzylisothiouronium chloride) core particles, generated by dispersion polymerisation, were coated with a poly(styrene-co-trimethoxysilylpropyl methacrylate) shell. The resultant core-shell morphology was characterised by transmission electron, scanning electron and confocal fluorescence microscopies, whilst size and surface charge was assessed by dynamic light scattering and zeta-potential measurements, respectively. Subsequently, ribonuclease A was coupled to the microspheres using simple carbodiimide chemistry. Gel electrophoresis confirmed and quantified the activity of the immobilised enzyme against purified HeLa RNA. Finally, the polymer-protein particles were evaluated as protein-transduction vectors in vitro to deliver active ribonuclease A to HeLa cells. Cellular uptake of the microspheres was successful and resulted in reduced levels of both intracellular RNA and cell viability.

4.
J Chromatogr A ; 1217(9): 1429-36, 2010 Feb 26.
Article in English | MEDLINE | ID: mdl-20083249

ABSTRACT

The DNA binding fusion protein, LacI-His6-GFP, together with the conjugate PEG-IDA-Cu(II) (10 kDa) was evaluated as a dual affinity system for the pUC19 plasmid extraction from an alkaline bacterial cell lysate in poly(ethylene glycol) (PEG)/dextran (DEX) aqueous two-phase systems (ATPS). In a PEG 600-DEX 40 ATPS containing 0.273 nmol of LacI fusion protein and 0.14% (w/w) of the functionalised PEG-IDA-Cu(II), more than 72% of the plasmid DNA partitioned to the PEG phase, without RNA or genomic DNA contamination as evaluated by agarose gel electrophoresis. In a second extraction stage, the elution of pDNA from the LacI binding complex proved difficult using either dextran or phosphate buffer as second phase, though more than 75% of the overall protein was removed in both systems. A maximum recovery of approximately 27% of the pCU19 plasmid was achieved using the PEG-dextran system as a second extraction system, with 80-90% of pDNA partitioning to the bottom phase. This represents about 7.4 microg of pDNA extracted per 1 mL of pUC19 desalted lysate.


Subject(s)
Chromatography, Affinity/methods , DNA/isolation & purification , Imino Acids/chemistry , Plasmids/isolation & purification , Polyethylene Glycols/chemistry , Recombinant Fusion Proteins/metabolism , Electrophoresis, Agar Gel , Escherichia coli/metabolism , Escherichia coli Proteins/metabolism , Green Fluorescent Proteins/metabolism , Histidine/metabolism , Lac Repressors/metabolism , Lactoglobulins/metabolism , Oligopeptides/metabolism
5.
J Chromatogr A ; 1206(2): 105-12, 2008 Oct 10.
Article in English | MEDLINE | ID: mdl-18760786

ABSTRACT

The affinity isolation of pre-purified plasmid DNA (pDNA) from model buffer solutions using native and poly(ethylene glycol) (PEG) derivatized zinc finger-GST (Glutathione-S-Transferase) fusion protein was examined in PEG-dextran (DEX) aqueous two-phase systems (ATPSs). In the absence of pDNA, partitioning of unbound PEGylated fusion protein into the PEG-rich phase was confirmed with 97.5% of the PEGylated fusion protein being detected in the PEG phase of a PEG 600-DEX 40 ATPS. This represents a 1322-fold increase in the protein partition coefficient in comparison to the non-PEGylated protein (Kc = 0.013). In the presence of pDNA containing a specific oligonucleotide recognition sequence, the zinc finger moiety of the PEGylated fusion protein bound to the plasmid and steered the complex to the PEG-rich phase. An increase in the proportion of pDNA that partitioned to the PEG-rich phase was observed as the concentration of PEGylated fusion protein was increased. Partitioning of the bound complex occurred to such an extent that no DNA was detected by the picogreen assay in the dextran phase. It was also possible to partition pDNA using a non-PEGylated (native) zinc finger-GST fusion protein in a PEG 1000-DEX 500 ATPS. In this case the native ligand accumulated mainly in the PEG phase. These results indicate good prospects for the design of new plasmid DNA purification methods using fusion proteins as affinity ligands.


Subject(s)
Chromatography, Affinity/methods , DNA/isolation & purification , Plasmids/isolation & purification , Recombinant Fusion Proteins/isolation & purification , Zinc Fingers , Base Sequence , DNA Primers , Electrophoresis, Polyacrylamide Gel , Polyethylene Glycols/chemistry
6.
J Bone Joint Surg Br ; 90(2): 154-8, 2008 Feb.
Article in English | MEDLINE | ID: mdl-18256080

ABSTRACT

Total hip replacement in patients with advanced osteonecrosis of the femoral head is often complicated by early loosening of the femoral component. Recent evidence has suggested that abnormal bone extending into the proximal femur may be responsible for the early failure of the femoral component. We aimed to identify which patients were at high risk of early failure by evaluating gadolinium-enhanced MR images of histologically-confirmed osteonecrotic lesions beyond the femoral head. Although the MR signal intensity has been shown to correlate well with osteonecrosis in the femoral head, it was found to be relatively insensitive at identifying lesions below the head, with a sensitivity of only 51% and a predictive value of a negative result of only 48%. However, the specificity was 90%, with the predictive value of a positive MRI finding being 86%. Only those patients with osteonecrosis of the femoral head secondary to sickle-cell disease, who are known to be at high risk of early loosening, had changes in the MR signal in the greater trochanter and the femoral shaft. This observation suggests that changes in the MR signal beyond the femoral head may represent osteonecrotic lesions in areas essential for the fixation of the femoral component. Pre-operative identification of such lesions in the neck of the femur may be important when considering hip resurfacing for osteonecrosis of the femoral head, following which early loosening of the femoral component and fracture of the neck are possible complications.


Subject(s)
Cartilage, Articular/surgery , Femur Head Necrosis/diagnosis , Femur Head/pathology , Hip Prosthesis , Magnetic Resonance Imaging/methods , Osteoarthritis, Hip/etiology , Cartilage, Articular/pathology , Contrast Media/adverse effects , Disease Progression , Early Diagnosis , Femur Head Necrosis/surgery , Gadolinium DTPA/adverse effects , Humans , Osteoarthritis, Hip/physiopathology , Predictive Value of Tests , Preoperative Care , Prosthesis Failure , Risk Assessment , Treatment Outcome
7.
Br J Cancer ; 93(7): 774-80, 2005 Oct 03.
Article in English | MEDLINE | ID: mdl-16160695

ABSTRACT

Muscle protein degradation is thought to play a major role in muscle atrophy in cancer cachexia. To investigate the importance of the ubiquitin-proteasome pathway, which has been suggested to be the main degradative pathway mediating progressive protein loss in cachexia, the expression of mRNA for proteasome subunits C2 and C5 as well as the ubiquitin-conjugating enzyme, E2(14k), has been determined in gastrocnemius and pectoral muscles of mice bearing the MAC16 adenocarcinoma, using competitive quantitative reverse transcriptase polymerase chain reaction. Protein levels of proteasome subunits and E2(14k) were determined by immunoblotting, to ensure changes in mRNA were reflected in changes in protein expression. Muscle weights correlated linearly with weight loss during the course of the study. There was a good correlation between expression of C2 and E2(14k) mRNA and protein levels in gastrocnemius muscle with increases of 6-8-fold for C2 and two-fold for E2(14k) between 12 and 20% weight loss, followed by a decrease in expression at weight losses of 25-27%, although loss of muscle protein continued. In contrast, expression of C5 mRNA only increased two-fold and was elevated similarly at all weight losses between 7.5 and 27%. Both proteasome functional activity, and proteasome-specific tyrosine release as a measure of total protein degradation was also maximal at 18-20% weight loss and decreased at higher weight loss. Proteasome expression in pectoral muscle followed a different pattern with increases in C2 and C5 and E2(14k) mRNA only being seen at weight losses above 17%, although muscle loss increased progressively with increasing weight loss. These results suggest that activation of the ubiquitin-proteasome pathway plays a major role in protein loss in gastrocnemius muscle, up to 20% weight loss, but that other factors such as depression in protein synthesis may play a more important role at higher weight loss.


Subject(s)
Cachexia/physiopathology , Muscle, Skeletal/physiopathology , Neoplasms, Experimental/physiopathology , Proteasome Endopeptidase Complex/metabolism , Ubiquitin/metabolism , Animals , Base Sequence , Blotting, Western , Cachexia/complications , Cachexia/enzymology , Cachexia/metabolism , DNA Primers , Mice , Muscle, Skeletal/enzymology , Muscle, Skeletal/metabolism , Neoplasms, Experimental/complications , Neoplasms, Experimental/enzymology , Neoplasms, Experimental/metabolism , Reverse Transcriptase Polymerase Chain Reaction
8.
Int J Biochem Cell Biol ; 37(10): 2196-206, 2005 Oct.
Article in English | MEDLINE | ID: mdl-16125116

ABSTRACT

Atrophy of skeletal muscle is common in patients with cancer and results in increased morbidity and mortality. In order to design effective therapy the mechanism by which this occurs needs to be elucidated. Most studies suggest that the ubiquitin-proteasome proteolytic pathway is most important in intracellular proteolysis, although there have been no reports on the activity of this pathway in patients with different extents of weight loss. In this report the expression of the ubiquitin-proteasome pathway in rectus abdominis muscle has been determined in cancer patients with weight loss of 0-34% using a competitive reverse transcriptase polymerase chain reaction to measure expression of mRNA for proteasome subunits C2 and C5, while protein expression has been determined by western blotting. Overall, both C2 and C5 gene expression was increased by about three-fold in skeletal muscle of cachectic cancer patients (average weight loss 14.5+/-2.5%), compared with that in patients without weight loss, with or without cancer. The level of gene expression was dependent on the amount of weight loss, increasing maximally for both proteasome subunits in patients with weight loss of 12-19%. Further increases in weight loss reduced expression of mRNA for both proteasome subunits, although it was still elevated in comparison with patients with no weight loss. There was no evidence for an increase in expression at weight losses less than 10%. There was a good correlation between expression of proteasome 20Salpha subunits, detected by western blotting, and C2 and C5 mRNA, showing that increased gene expression resulted in increased protein synthesis. Expression of the ubiquitin conjugating enzyme, E2(14k), with weight loss followed a similar pattern to that of proteasome subunits. These results suggest variations in the expression of key components of the ubiquitin-proteasome pathway with weight loss of cancer patients, and suggest that another mechanism of protein degradation must be operative for patients with weight loss less than 10%.


Subject(s)
Muscle, Skeletal/metabolism , Proteasome Endopeptidase Complex/metabolism , Weight Loss , Aged , Biopsy , Blotting, Western , Female , Humans , Male , Muscular Atrophy/etiology , Muscular Atrophy/metabolism , Neoplasms/complications , Neoplasms/metabolism , Proteasome Endopeptidase Complex/genetics , Protein Subunits/metabolism , RNA, Messenger/analysis , RNA, Messenger/genetics , RNA, Messenger/metabolism , Reverse Transcriptase Polymerase Chain Reaction/methods
11.
Gene ; 251(1): 91-9, 2000 Jun 13.
Article in English | MEDLINE | ID: mdl-10863100

ABSTRACT

Although techniques such as biopanning rely heavily upon the screening of randomized gene libraries, there is surprisingly little information available on the construction of those libraries. In general, it is based on the cloning of 'randomized' synthetic oligonucleotides, in which given position(s) contain an equal mixture of all four bases. Yet, many supposedly 'randomized' libraries contain significant elements of bias and/or omission. Here, we report the development and validation of a new, PCR-based assay that enables rapid examination of library composition both prior to and after cloning. By using our assay to analyse model libraries, we demonstrate that the cloning of a given distribution of sequences does not necessarily result in a similarly composed library of clones. Thus, while bias in randomized synthetic oligonucleotide mixtures can be virtually eliminated by using unequal ratios of the four phosphoramidites, the use of such mixtures does not ensure retrieval of a truly randomized library. We propose that in the absence of a technique to control cloning frequencies, the ability to analyse the composition of libraries after cloning will enhance significantly the quality of information derived from those libraries.


Subject(s)
Gene Library , Polymerase Chain Reaction/methods , Cloning, Molecular , DNA/genetics , DNA/metabolism , DNA-Directed DNA Polymerase/metabolism , Deoxyadenine Nucleotides/metabolism , Deoxyguanine Nucleotides/metabolism , Dideoxynucleotides , Oligonucleotides/chemical synthesis , Oligonucleotides/genetics , Templates, Genetic , Thymine Nucleotides/metabolism
12.
Proc Natl Acad Sci U S A ; 96(8): 4295-300, 1999 Apr 13.
Article in English | MEDLINE | ID: mdl-10200256

ABSTRACT

Bacteriophage T7 DNA primase recognizes 5'-GTC-3' in single-stranded DNA. The primase contains a single Cys4 zinc-binding motif that is essential for recognition. Biochemical and mutagenic analyses suggest that the Cys4 motif contacts cytosine of 5'-GTC-3' and may also contribute to thymine recognition. Residues His33 and Asp31 are critical for these interactions. Biochemical analysis also reveals that T7 primase selectively binds CTP in the absence of DNA. We propose that bound CTP selects the remaining base G, of 5'-GTC-3', by base pairing. Our deduced mechanism for recognition of ssDNA by Cys4 motifs bears little resemblance to the recognition of trinucleotides of double-stranded DNA by Cys2His2 zinc fingers.


Subject(s)
DNA Primase/chemistry , DNA Primase/metabolism , Transcription Factors, General , Transcriptional Elongation Factors , Bacteriophage T7/enzymology , Base Sequence , Binding Sites , Cysteine , DNA, Single-Stranded/chemistry , DNA, Single-Stranded/metabolism , Models, Molecular , Molecular Sequence Data , Mutagenesis, Site-Directed , Nucleic Acid Conformation , Oligodeoxyribonucleotides/chemical synthesis , Oligodeoxyribonucleotides/chemistry , Oligodeoxyribonucleotides/metabolism , Protein Conformation , Recombinant Proteins/chemistry , Recombinant Proteins/metabolism , Thymine , Transcription Factors/chemistry , Transcription Factors/metabolism , Zinc Fingers
13.
Mol Pathol ; 52(5): 289-94, 1999 Oct.
Article in English | MEDLINE | ID: mdl-10748879

ABSTRACT

AIMS: To investigate multiple techniques for the preparation of solid tissue for polymerase chain reaction (PCR) analysis, and to identify the most simple techniques for routine use in the laboratory. METHODS: Techniques for the preparation of arterial tissue samples including homogenisation, ultrafiltration, and treatments involving proteinase K, Gene Clean, lectin, and Fe3+ specific chelators were evaluated using the PCR to amplify both Chlamydia pneumoniae and human DNA. RESULTS: Treatment with either Gene-Clean or lectin and the Fe3+ specific chelator deferoxamine mesylate removed PCR inhibitors from tissue homogenates. Homogenisation followed by GeneClean treatment resulted in the amplification of C pneumoniae DNA from within a section of atherosclerotic carotid artery, implying that C pneumoniae elementary bodies had been disrupted. In eight further clinical samples from patients not known to have C pneumoniae infection, human DNA was amplified and no cross contamination was observed between samples. These samples contained no evidence of C pneumoniae by PCR. CONCLUSIONS: A simple preparation of solid tissue for PCR analysis, involving homogenisation followed by GeneClean treatment has been developed, and is effective for the amplification of both C pneumoniae and human DNA.


Subject(s)
Arteries/microbiology , Arteriosclerosis/microbiology , Chlamydophila pneumoniae/isolation & purification , DNA, Bacterial/analysis , Polymerase Chain Reaction/methods , DNA/analysis , Evaluation Studies as Topic , Humans , Specimen Handling/methods
14.
Australas Radiol ; 40(3): 235-9, 1996 Aug.
Article in English | MEDLINE | ID: mdl-8826725

ABSTRACT

A prospective, randomized three-arm trial is presented of 150 consecutive patients attending for double-contrast barium enema (BE). This compares 'Picolax' (a combined stimulant and osmotic agent), 'Picolax' following a 3 day low-residue diet and 'Kleen-Prep' (a polyethylene-glycol osmotic agent). Faecal clearance, mucosal coating and colon fluid were scored in four colonic segments by two radiologists working independently and blinded to the preparation used. Analyses of an elderly subgroup and of side effects was performed. Low-residue diet conferred no benefit to Picolax preparation, which was satisfactory (ability to exclude 5 mm polyps) in 80% of patients. Kleen-Prep failed to achieve adequate preparation in 46%, due to excess fluid and poor mucosal coating. Kleen-Prep caused more patient nausea, abdominal bloating and pain than Picolax. Patients 70 years and older had similar results. Low-residue diet need not be used in addition to Picolax. Kleen-Prep as a single agent is not recommended for BE preparation.


Subject(s)
Barium Sulfate , Cathartics/administration & dosage , Colonic Neoplasms/diagnostic imaging , Contrast Media , Diet , Picolines/administration & dosage , Polyethylene Glycols/administration & dosage , Aged , Cathartics/adverse effects , Citrates , Female , Humans , Male , Middle Aged , Organometallic Compounds , Picolines/adverse effects , Polyethylene Glycols/adverse effects , Prospective Studies , Radiographic Image Enhancement
15.
Proc Natl Acad Sci U S A ; 91(25): 12327-31, 1994 Dec 06.
Article in English | MEDLINE | ID: mdl-7991626

ABSTRACT

Two colinear bacteriophage T7 gene 4 proteins provide helicase and primase functions in vivo. T7 primase differs from T7 helicase by an additional 63 residues at the amino terminus. This terminal domain contains a zinc-binding motif which mediates an interaction with the basic primase recognition sequence 3'-CTG-5'. We have generated a chimeric primase in which the 81 amino-terminal residues are derived from the primase of phage T3 and the 484 carboxyl-terminal residues are those of phage T7 helicase. The amino-terminal domain of T3 primase is 50% homologous with that of T7 primase. The resulting T3/T7 chimeric protein is a functional primase in vivo. While the primase activity of the purified protein is about one-third that of T7 primase, the recognition sites used and the oligoribonucleotides synthesized from these sites are identical. We conclude that the residues responsible for the interaction with the sequence 3'-CTG-5' are conserved between the chimeric and T7 proteins.


Subject(s)
Bacteriophage T3/enzymology , Bacteriophage T7/enzymology , Cysteine , DNA Helicases/metabolism , RNA Nucleotidyltransferases/metabolism , Recombinant Fusion Proteins/metabolism , Amino Acid Sequence , Base Sequence , Cloning, Molecular , DNA Primase , DNA Replication , Genes, Viral , Genome, Viral , Kinetics , Molecular Sequence Data , Oligodeoxyribonucleotides/biosynthesis , Restriction Mapping , Sequence Homology, Amino Acid , Zinc Fingers
17.
Gene ; 142(1): 73-8, 1994 May 03.
Article in English | MEDLINE | ID: mdl-8181760

ABSTRACT

The aim of this work was to construct short analogues of the repetitive water-binding domain of the Pseudomonas syringae ice nucleation protein, InaZ. Structural analysis of these analogues might provide data pertaining to the protein-water contacts that underlie ice nucleation. An artificial gene coding for a 48-mer repeat sequence from InaZ was synthesized from four oligodeoxyribonucleotides and ligated into the expression vector, pGEX2T. The recombinant vector was cloned in Escherichia coli and a glutathione S-transferase fusion protein obtained. This fusion protein displayed a low level of ice-nucleating activity when tested by a droplet freezing assay. The fusion protein could be cleaved with thrombin, providing a means for future recovery of the 48-mer peptide in amounts suitable for structural analysis by nuclear magnetic resonance spectroscopy.


Subject(s)
Bacterial Outer Membrane Proteins/genetics , Pseudomonas/genetics , Repetitive Sequences, Nucleic Acid , Amino Acid Sequence , Bacterial Outer Membrane Proteins/isolation & purification , Bacterial Outer Membrane Proteins/metabolism , Base Sequence , Cloning, Molecular , DNA, Bacterial , Escherichia coli , Genes, Synthetic , Molecular Sequence Data , Recombinant Fusion Proteins/isolation & purification , Recombinant Fusion Proteins/metabolism
19.
Clin Radiol ; 48(5): 316-8, 1993 Nov.
Article in English | MEDLINE | ID: mdl-8258221

ABSTRACT

One hundred and forty-four psoas muscles in 72 subjects were scanned to study the normal ultrasound appearance. For the purpose of description the psoas was divided into three sections. Ten of the 432 sections could not be adequately seen on ultrasound. The psoas demonstrated hyperechoic striations on a hypoechoic background typical of muscle. In addition the upper section, from the origin of the muscle to the lower pole of the kidney, contained echogenic planes in 15 (10%) and the mid section, from the lower pole of kidney to iliac crest, demonstrated prominent echogenic planes and focal areas of increased and decreased echogenicity in 65 (46%). The lower section, from the iliac crest to fusion with the iliacus, demonstrated a single echogenic plane in 96 (70.5%) which was best seen running obliquely in the transverse plane and in 40 (29.5%) there were more complex echogenic planes or focal areas of increased or decreased echogenicity. The cause of the prominent echogenic plane in the lower section was not apparent in the anatomical literature and therefore cadaveric dissection of nine psoas muscles was performed which demonstrated that the echogenic plane was caused by intramuscular tendon fibres formed from the more cranial origins of the psoas. The psoas minor was not identified as a separate structure.


Subject(s)
Psoas Muscles/diagnostic imaging , Adolescent , Adult , Aged , Aged, 80 and over , Child , Female , Humans , Male , Middle Aged , Psoas Muscles/anatomy & histology , Ultrasonography
20.
J Bone Joint Surg Br ; 75(4): 538-45, 1993 Jul.
Article in English | MEDLINE | ID: mdl-8331106

ABSTRACT

Sickle-cell disease (SCD) is probably the commonest cause of avascular necrosis worldwide, and its prevalence appears to be rising in developed countries. Avascular necrosis of the humeral head is a common complication but has not been previously studied in detail. We have reviewed 138 patients with SCD for clinical, radiological and functional abnormalities of the shoulder, using a radiological classification designed for avascular necrosis of the shoulder. Radiographic lesions, frequently bilateral, were found in 28% and only 53% of patients had normal shoulder function. The management of this relatively common complication is difficult. Joint replacement is likely to fail and early diagnosis is important.


Subject(s)
Hemoglobin SC Disease/diagnostic imaging , Shoulder Joint/diagnostic imaging , Adolescent , Adult , Aged , Child , Child, Preschool , Female , Hemoglobin SC Disease/complications , Hemoglobin SC Disease/physiopathology , Humans , Humerus/diagnostic imaging , Male , Middle Aged , Osteonecrosis/diagnostic imaging , Osteonecrosis/etiology , Osteonecrosis/physiopathology , Radiography , Shoulder Joint/physiopathology
SELECTION OF CITATIONS
SEARCH DETAIL
...