Vascular calcifications on the preoperative radiograph: harbinger of tourniquet failure in patients undergoing total knee arthroplasty?

Abstract:

OBJECTIVE:Vascular calcifications on the preoperative radiograph of patients scheduled for total knee arthroplasty (TKA) often give rise to concern, as their clinical relevance remains uncertain. The aim of this study was to investigate whether these vascular calcifications-especially medial artery calcifications (MACs), which increase arterial stiffness-were associated with tourniquet failure and thus with increased intraoperative blood loss. MATERIALS AND METHODS:A total of 765 patients who underwent primary TKA with a tourniquet (cuff pressure 350 mmHg) between 2009 and 2011 were screened for vascular calcifications on the preoperative radiograph. Vascular calcifications were classified into intimal and medial artery calcifications. Intraoperative blood loss of patients with and without MAC was compared, and a mixed linear regression model was used to adjust for the presence of several confounding factors (e.g., obesity, operating time). RESULTS:None of the 50 (6.5%) patients with MAC showed signs of tourniquet failure. Intraoperative blood loss of patients with MAC was not significantly elevated compared to the overall study group (p = 0.592) even when corrected for the presence of several confounding factors. CONCLUSION:We found no evidence that vascular calcifications seen on the preoperative radiograph might be associated with tourniquet failure. However, surgeons should be aware of this possibility as tourniquet failure might become more common considering the ongoing trend toward minimizing cuff pressures.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Woelfle-Roos JV,Dautel L,Mayer B,Bieger R,Woelfle KD,Reichel H

doi

10.1007/s00256-017-2681-y

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

1219-1224

issue

9

eissn

0364-2348

issn

1432-2161

pii

10.1007/s00256-017-2681-y

journal_volume

46

pub_type

杂志文章
  • Intraosseous gout mimicking giant cell tumor of the patella.

    abstract::Intraosseous gout involving the patella is an unusual presentation of the common inflammatory crystal deposition disease. In most reported cases of gout in the patella, there is prominent involvement of the adjacent patellar or quadriceps tendons of the extensor mechanism. A report from Japan describes another pattern...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-020-03422-y

    authors: Chiu MK,Lewis NA

    更新日期:2020-08-01 00:00:00

  • An assessment of fluid-fluid levels on magnetic resonance imaging of spinal tumours.

    abstract:OBJECTIVE:To assess the degree of fluid-fluid levels on MRI in spinal tumours compared with final diagnosis, and the outcome of needle biopsy in such cases. MATERIALS AND METHODS:Retrospective review of patients with a spinal tumour that contained fluid-fluid levels. Data collected included age, sex, spinal location, ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-020-03621-7

    authors: Singla N,Junaid SE,Siddiqui M,Malhotra K,Saifuddin A

    更新日期:2020-09-25 00:00:00

  • Primary perivascular epithelioid cell neoplasm (PEComa) of bone: report of two cases and review of the literature.

    abstract::Primary perivascular epithelioid cell neoplasms (PEComas) of bone are rare mesenchymal tumors. Histologically, they are composed predominantly of perivascular epithelioid cells and have the capacity to metastasize. PEComas have been reported within intra-abdominal and intra-pelvic organs. To the best of our knowledge,...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-012-1479-1

    authors: Desy NM,Bernstein M,Nahal A,Aziz M,Kenan S,Turcotte RE,Kahn LB

    更新日期:2012-11-01 00:00:00

  • Correction to: Sonographic evaluation of uncommonly assessed upper extremity peripheral nerves: anatomy, technique, and clinical syndromes.

    abstract::The original version of this article unfortunately contained mistake. Fig. 13a (Anatomy of the Ulnar Digital nerve of the Thumb) as originally published erroneously depicts the ulnar digital nerve of the thumb as a branch of the ulnar nerve. ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,已发布勘误

    doi:10.1007/s00256-018-3037-y

    authors: Youngner JM,Matsuo K,Grant T,Garg A,Samet J,Omar IM

    更新日期:2019-01-01 00:00:00

  • Distal radioulnar joint subluxation and dislocation diagnosed by standard roentgenography.

    abstract::The use of standard lateral roentgenography for diagnosing distal radioulnar joint (DRUJ) subluxation and dislocation was investigated. Using a wrist support, bilateral standard lateral roentgenograms of the wrist were obtained in 42 patients with normal wrists and in 56 patients with a unilateral wrist injury. In nor...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00198067

    authors: Nakamura R,Horii E,Imaeda T,Tsunoda K,Nakao E

    更新日期:1995-02-01 00:00:00

  • MR imaging of the accessory soleus muscle appearance in six patients and a review of the literature.

    abstract::We examined seven ankles with an accessory soleus muscle to determine if the magnetic resonance (MR) imaging features were sufficient to allow accurate diagnosis of this anomalous muscle. We believe that the diagnosis of an accessory soleus muscle is unequivocal with MR imaging on the basis of morphology and signal in...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/BF00223083

    authors: Yu JS,Resnick D

    更新日期:1994-10-01 00:00:00

  • Efficacy of ultrasound-guided steroid injections for pain management of midfoot joint degenerative disease.

    abstract:OBJECTIVE:To examine the efficacy of ultrasound (US)-guided injections for midfoot joint degenerative changes. MATERIALS AND METHODS:The US images and radiographs of 63 patients with midfoot joint degenerative changes were retrospectively reviewed. In those patients who had US-guided intra-articular steroid injection,...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-010-1094-y

    authors: Drakonaki EE,Kho JS,Sharp RJ,Ostlere SJ

    更新日期:2011-08-01 00:00:00

  • Subcutaneous panniculitis-like T-cell lymphoma: MRI features and literature review.

    abstract::Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) represents a rare subclassification of peripheral T-cell lymphoma (PTCL). We present a case of a 21-year-old female who presented with a 1-month history of pain in the left buttock and hip, tender left inguinal lymph nodes, fevers, and night sweats. Percutaneous c...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-014-1879-5

    authors: Levine BD,Seeger LL,James AW,Motamedi K

    更新日期:2014-09-01 00:00:00

  • Osteodensitometry of vertebral metastases after radiotherapy using quantitative computed tomography.

    abstract::Bone density has been assessed during and after radiotherapy of metastases of the spine using quantitative computed tomography (QCT) in 19 patients with osteolytic vertebral lesions. All patients underwent external photon radiation with a total dose of 40 Gy over a period of 4 weeks. Measurements of vertebral mineral ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00351751

    authors: Reinbold WD,Wannenmacher M,Hodapp N,Adler CP

    更新日期:1989-01-01 00:00:00

  • The radiographic distinction of degenerative slippage (spondylolisthesis and retrolisthesis) from traumatic slippage of the cervical spine.

    abstract::In a review of 42 cases of degenerative arthritis of the cervical spine and 22 cases of cervical spine trauma with an observed anterior slippage (spondylolisthesis) or posterior slippage (retrolisthesis) of the vertebral bodies of 2 mm or more, characteristic features were observed which allowed distinction between de...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00355101

    authors: Lee C,Woodring JH,Rogers LF,Kim KS

    更新日期:1986-01-01 00:00:00

  • Computed tomography analysis of bone tumors: patterns of cortical destruction and soft tissue extension.

    abstract::Computed tomography was used to identify three different ways in which primary bone tumors may transgress a bony cortex. Analysis of the pattern of cortical transgression was used in conjunction with the presence or absence of matrix mineralization to classify correctly the lesion into one of four different diagnostic...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00355103

    authors: Brown KT,Kattapuram SV,Rosenthal DI

    更新日期:1986-01-01 00:00:00

  • Acute os styloideum injury in an elite athlete.

    abstract::The os styloideum, an accessory carpal bone, may suffer injury during traumatic wrist flexion. The case described corresponds to an acute os styloideum injury in an elite athlete; a diagnosis made using high-resolution computed tomography and magnetic resonance imaging permitted not only the identification of the anom...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-005-0027-7

    authors: Maquirriain J,Ghisi JP

    更新日期:2006-06-01 00:00:00

  • Osteoid osteomas in common and in technically challenging locations treated with computed tomography-guided percutaneous radiofrequency ablation.

    abstract:OBJECTIVE:To evaluate the efficacy of computed tomography (CT)-guided radiofrequency (RF) ablation for the treatment of osteoid osteomas in common and in technically challenging locations. MATERIALS AND METHODS:Twenty-three patients with osteoid osteomas in common (nine cases) and technically challenging [14 cases: in...

    journal_title:Skeletal radiology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00256-009-0859-7

    authors: Mylona S,Patsoura S,Galani P,Karapostolakis G,Pomoni A,Thanos L

    更新日期:2010-05-01 00:00:00

  • Alveolar soft part sarcoma.

    abstract::We present a rare case of alveolar soft-tissue sarcoma, with extensive bone invasion. The differential diagnosis with bone metastasis and primary bone tumors is discussed. ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560050104

    authors: Aluigi P,Sangiorgi L,Picci P

    更新日期:1996-05-01 00:00:00

  • Shoulder girdle lipomatosis.

    abstract::Shoulder girdle lipomatosis is a distinct type of lipomatosis which has unique clinical and radiographic features. The MR findings reflect the pathologic findings and, in our opinion, allow the differentiation of shoulder girdle lipomatosis from other lipomatous masses on the basis of imaging findings alone. ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00941252

    authors: McEachern A,Janzen DL,O'Connell JX

    更新日期:1995-08-01 00:00:00

  • Case report 866. Pseudotumor of the muscle associated with necrotizing vasculitis of medium- and small-sized arteries and chronic myositis.

    abstract::A case of polymyositis and localized vasculitis presenting as a muscular pseudotumor of a lower extremity and periostitis several years after the onset of symptoms was reported and the MRI characteristics were described. This imaging modality demonstrated muscle signal abnormalities in several muscle groups and was us...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/BF00223096

    authors: Esteva-Lorenzo FJ,Ferreiro JL,Tardaguila F,de la Fuente A,Falasca G,Reginato AJ

    更新日期:1994-10-01 00:00:00

  • Advanced imaging of melorheostosis with emphasis on MRI.

    abstract:OBJECTIVE:To describe the CT and MR imaging appearance of both osseous and extraosseous manifestations of melorheostosis. DESIGN AND PATIENTS:We retrospectively reviewed the CT (n=7) and/or MR imaging findings (n=12) of 17 patients with characteristic radiographic findings of melorheostosis (undulating cortical hypero...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560100366

    authors: Judkiewicz AM,Murphey MD,Resnik CS,Newberg AH,Temple HT,Smith WS

    更新日期:2001-08-01 00:00:00

  • MR imaging based strategies in limb salvage surgery for osteosarcoma of the distal femur.

    abstract:OBJECTIVE:To analyse to what extent MR imaging based decisions were correct in determining the surgical procedure in patients with osteosarcoma of the distal femur. DESIGN:We compared the findings on MR imaging that determined the surgical strategy with the actual surgical findings or histopathological specimen. We as...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560050302

    authors: van Trommel MF,Kroon HM,Bloem JL,Hogendoorn PC,Taminiau AH

    更新日期:1997-11-01 00:00:00

  • Re-examining the association of os acromiale with supraspinatus and infraspinatus tears.

    abstract:PURPOSE:To re-evaluate the relationship between os acromiale and rotator cuff tears. METHODS:We retrospectively analyzed 84 magnetic resonance imaging studies of the shoulder. Forty-two subjects with os acromiale (n = 42; 32 men and ten women, age 25-81 years, mean 47.6 years) were compared with age- and gender-matche...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-007-0305-7

    authors: Ouellette H,Thomas BJ,Kassarjian A,Fritz B,Tétreault P,Palmer WE,Torriani M

    更新日期:2007-09-01 00:00:00

  • Cerebellar and brainstem infarction as a complication of CT-guided transforaminal cervical nerve root block.

    abstract::A 60-year-old man with a 4-year history of intractable neck pain and radicular pain in the C5 nerve root distribution presented to our department for a CT-guided transforaminal left C5 nerve root block. He had had a similar procedure on the right 2 months previously, and had significant improvement of his symptoms wit...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-006-0215-0

    authors: Suresh S,Berman J,Connell DA

    更新日期:2007-05-01 00:00:00

  • Severe metallosis following total knee arthroplasty: a case report and review of radiographic signs.

    abstract::Metallosis is an uncommon complication following total knee arthroplasty that leads to osteolysis and implant loosening due to chronic inflammatory reaction. Abrasion between the metallic surfaces of the implant releases metallic debris that interacts with the periprosthetic soft tissues and causes chronic synovitis. ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-014-1860-3

    authors: Helito CP,Buarque de Gusmão CV,Angelini FJ,Tirico LE,Pécora JR

    更新日期:2014-08-01 00:00:00

  • Case report 651: Thrombosed, leaking popliteal aneurysm.

    abstract::A thrombosed, leaking aneurysm of the popliteal artery, mimicking a soft tissue sarcoma both clinically and by MRI examination, is described. It may be difficult to separate a leaking, thrombosed aneurysm from an inflammatory response secondary to a sarcoma with intralesional hemorrhage. An aneurysm should, however, b...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00243728

    authors: Bilotta W,Walker H,McDonald DJ,Sundaram M

    更新日期:1991-01-01 00:00:00

  • Teres minor denervation on routine magnetic resonance imaging of the shoulder.

    abstract:OBJECTIVE:To try to define an association between clinical history and the finding of isolated teres minor denervation on routine magnetic resonance (MR) examination of the shoulder. DESIGN:A retrospective review of all shoulder MR examinations performed at our institution over a 2-year period ( n=2,563) PATIENTS:All...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-004-0809-3

    authors: Sofka CM,Lin J,Feinberg J,Potter HG

    更新日期:2004-09-01 00:00:00

  • Multiple congenital cranial hemangiomas.

    abstract::Though cranial hemangiomas are second only to vertebral hemangiomas in frequency, such lesions are rarely congenital and multiple. It is probable that the true incidence of congenital calvarial hemangiomas is higher than that reported in the literature, as they are unlikely to undergo imaging, most being asymptomatic ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-004-0891-6

    authors: Koulouris G,Rao P

    更新日期:2005-08-01 00:00:00

  • Update on imaging of non-infectious musculoskeletal complications of HIV infection.

    abstract::Acquired immunodeficiency syndrome (AIDS) results from infection with human immunodeficiency virus (HIV), producing an immunodeficient state and severe pathology across multiple organ systems. Musculoskeletal involvement is particularly prevalent in this population with both infectious and non-infectious complications...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-012-1425-2

    authors: Booth TC,Chhaya NC,Bell JR,Holloway BJ

    更新日期:2012-11-01 00:00:00

  • Lipomatosis of the sciatic nerve secondary to compression by a desmoid tumor.

    abstract::Lipomatosis of nerve is a rare benign tumor-like process characterized by infiltration of the epineurium by adipose and fibrous tissue leading to nerve enlargement. We describe a case of lipomatosis of the sciatic nerve compressed by an adjacent desmoid tumor. This case supports the hypothesis that lipomatosis of nerv...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-013-1671-y

    authors: Lee CH,Wu JS,Goldsmith JD,Kung JW

    更新日期:2013-12-01 00:00:00

  • Osteoma of long bone: an expanding spectrum of imaging findings.

    abstract::Osteoma of long bone is an extremely rare, benign bone-forming surface lesion with the largest published case series consisting of only 14 patients. The most important and often most difficult lesion to differentiate from osteoma of long bone radiographically is parosteal osteosarcoma, which is a rare, low-grade surfa...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-014-2046-8

    authors: Hansford BG,Pytel P,Moore DD,Stacy GS

    更新日期:2015-05-01 00:00:00

  • Plexiform fibrohistiocytic tumor: imaging features and clinical findings.

    abstract:OBJECTIVE:To describe the imaging features of plexiform fibrohistiocytic tumor and its associated clinical findings. MATERIALS AND METHODS:An institutional database was searched to identify all patients with a pathological diagnosis of plexiform fibrohistiocytic tumor. The electronic medical record was reviewed for re...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-018-3050-1

    authors: Ghuman M,Hwang S,Antonescu CR,Panicek DM

    更新日期:2019-03-01 00:00:00

  • Normative values for volume and fat content of the hip abductor muscles and their dependence on side, age and gender in a healthy population.

    abstract:OBJECTIVE:To determine normative values for volume and fat content of the gluteus medius (GMed) and minimus (GMin) muscle in healthy volunteers and to evaluate their dependence on age, gender and leg dominance. MATERIALS AND METHODS:The IRB approval was obtained for this study. 80 healthy volunteers (females, 40; male...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-015-2325-z

    authors: Marcon M,Berger N,Manoliu A,Fischer MA,Nanz D,Andreisek G,Ulbrich EJ

    更新日期:2016-04-01 00:00:00

  • CT and MR imaging findings of solitary nevus lipomatosus cutaneous superficialis: radiological-pathological correlation.

    abstract:OBJECTIVE:This study assessed the CT and MRI findings of solitary nevus lipomatosus cutaneous superficialis (NLCS). MATERIALS AND METHODS:Eleven patients with histopathologically and clinically confirmed solitary NLCS who underwent CT and/or MRI were enrolled. Radiological and histopathological findings of elevated le...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-019-03269-y

    authors: Kawaguchi M,Kato H,Tomita H,Hara A,Matsuo M

    更新日期:2020-01-01 00:00:00