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 Radioljournal_title
Skeletal radiologyauthors
Woelfle-Roos JV,Dautel L,Mayer B,Bieger R,Woelfle KD,Reichel Hdoi
10.1007/s00256-017-2681-ysubject
Has Abstractpub_date
2017-09-01 00:00:00pages
1219-1224issue
9eissn
0364-2348issn
1432-2161pii
10.1007/s00256-017-2681-yjournal_volume
46pub_type
杂志文章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
更新日期:2020-08-01 00:00:00
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
更新日期:2020-09-25 00:00:00
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
更新日期:2012-11-01 00:00:00
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
更新日期:2019-01-01 00:00:00
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
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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
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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
更新日期:2011-08-01 00:00:00
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
更新日期:2014-09-01 00:00:00
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
更新日期:1989-01-01 00:00:00
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
更新日期:1986-01-01 00:00:00
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
更新日期:1986-01-01 00:00:00
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
更新日期:2006-06-01 00:00:00
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
更新日期:2010-05-01 00:00:00
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
更新日期:1996-05-01 00:00:00
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
更新日期:1995-08-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章,评审
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更新日期:1994-10-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560100366
更新日期:2001-08-01 00:00:00
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050302
更新日期:1997-11-01 00:00:00
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
更新日期:2007-09-01 00:00:00
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
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更新日期:2007-05-01 00:00:00
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
更新日期:2014-08-01 00:00:00
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
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journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-004-0809-3
更新日期:2004-09-01 00:00:00
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
更新日期:2005-08-01 00:00:00
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...
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pub_type: 杂志文章,评审
doi:10.1007/s00256-012-1425-2
更新日期:2012-11-01 00:00:00
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
更新日期:2013-12-01 00:00:00
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
更新日期:2015-05-01 00:00:00
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
更新日期:2019-03-01 00:00:00
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
更新日期:2016-04-01 00:00:00
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
更新日期:2020-01-01 00:00:00