Abstract:
:Vacuum phenomenon is a commonly observed radiological entity in the degenerated intervertebral discs of the lumbar spine in the elderly population. The entity is frequently asymptomatic. Although disc herniation containing gas (DH-CoG) is commonly associated with the vacuum phenomenon, DH-CoG associated with clinical symptoms is a rare condition. There are very few reports which have histologically demonstrated the existence of the gas itself within DH-CoG. Herein, we report a rare case of a 65-year-old female with symptomatic DH-CoG at L5/S1. The patient was admitted to our hospital with a one-month history of pain in the left buttock and leg in addition to neurogenic claudication. Roentgenograms illustrated a degenerative lumbar spine with the vacuum phenomenon at the L5/S1 disc space. Computed tomography showed a round and low-density lesion within the spinal canal at left L5/S1. Additionally, a lesion characterized by an iso- and partially hypointense signal on T1 and hypointense signal on T2 was detected in magnetic resonance imaging (MRI) by the spin-echo method. The decision for posterior lumbar interbody fusion surgery using pedicle screws was made as the symptoms had not responded to the conservative treatment. After a degenerated prolapsed nucleus was carefully extracted, the specimen was sent to the laboratory for histopathological analysis. The prolapsed nucleus of DH-CoG histologically showed many small vacuoles containing degenerated mucopolysaccharides. The left leg pain drastically resolved on the first post-operative day, and no recurrence had been observed. Degenerated mucopolysaccharide may be a precursor of nitrogen or "the gas itself" in DH-CoG. Surgical intervention for DH-CoG should be considered if conservative treatment fails.
journal_name
Acta Orthop Traumatol Turcjournal_title
Acta orthopaedica et traumatologica turcicaauthors
Okuyama K,Kido T,Miyakoshi N,Shimada Ydoi
10.5152/j.aott.2020.19161subject
Has Abstractpub_date
2020-11-01 00:00:00pages
647-650issue
6eissn
1017-995Xissn
2589-1294journal_volume
54pub_type
杂志文章abstract::We present a 51-year-old male patient with Brucella abortus septic arthritis in the right knee following arthroscopic meniscus surgery. He had eaten a traditional dish of raw minced cattle conceptus (bovine fetus) that was prepared after the cow was slaughtered. Despite treatment with empirical antibiotics and debride...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2015.14.0287
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:Proximal and diaphyseal humeral fractures are common especially in the elderly, presenting as a challenging problem due to their high complication rates following surgical treatment. In this prospective study, we evaluated the results of patients treated with the PHILOS (Proximal Humeral Internal Locking Sys...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/aott.2008.42.2.097
更新日期:2008-03-01 00:00:00
abstract::The rupture of the distal tendon of the biceps brachii muscle is a rarely encountered injury, causing flexion and supination losses. There are literature reports giving good results with the use of two-incision technique that fixes the distal biceps brachii tendon to the radial tuberosity. We used this technique in a ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract::During the past two decades, there has been a significant increase in sports participation by pediatric athletes. Spinal injuries thus have become a great concern. The unique nature of the pediatric spine should be well-recognized and low back pain in a pediatric athlete should therefore be taken seriously and evaluat...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章,评审
doi:
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to determine the role surgeon handedness plays in transpedicular screw placement. METHODS:The study included 269 pedicle screws inserted by two right-handed surgeons who stood on different sides of patients and used the free-hand technique. A parallel line was drawn to the endplate ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2014.13.0046
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:We evaluated the functional results of open reduction and internal fixation with a locking plate in patients with three- or four-part fractures of the proximal humerus. METHODS:We reviewed 32 consecutive patients (22 women, 10 men; mean age 63 years; range 29 to 82 years) who were treated with open reductio...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2010.2275
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate changes in lesser trochanter shapes in relation to femoral rotations and to develop a reference value for the determination of clinically relevant malrotation of the femur. METHODS:Patients who underwent computed tomography angiography between January 2009 and July 2018 ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.5152/j.aott.2020.02.126
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVES:We evaluated the results of external rotation osteotomy of the humerus for the treatment of shoulder problems secondary to obstetric brachial plexus palsy. METHODS:Forty children (24 boys, 16 girls; mean age 7.5 years; range 23 months to 14.8 years) underwent external rotation osteotomy of the humerus. Invo...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was assess the results of local resection without instrumentation in patients with scoliosis secondary to spinal osteoid osteoma and osteoblastoma. METHODS:The review of our database revealed 176 cases of osteoid osteomas and 18 of osteoblastomas. Painful scoliosis was seen in 5 out of ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2015.14.0034
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:We evaluated the results of the Ilizarov method in the treatment of pseudoarthrosis of the lower extremities. METHODS:Forty-six patients (34 men, 12 women; mean age 38.6 years; range 28 to 69 years) were treated by the Ilizarov method for femoral (n=8, 17%) and tibial (n=38, 83%) pseudoarthrosis. The mean d...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::Cartilage injuries can be treated through conservative or surgical approaches upon evaluation of the lesion. In surgical approach, arthroscopic treatment has proven to be both very popular and efficient. Through arthroscopy, treatment options such as lavage, chondral shaving, debridement, microfracture, abrasion, and ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章,评审
doi:
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:We evaluated the results of treatment in patients who were treated according to an algorithm established for developmental dysplasia of the hip (DDH) during the first 18 months of life. METHODS:We developed an algorithm for DDH to be used in infants at 0 to 18 months of age. Patients who did not respond to,...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to describe the application of the rapid prototyping (RP) life-size 3-dimensional model used to improve accuracy of screw insertion in irreducible atlanto-axial dislocation (IAD). METHODS:The study included 10 patients with IAD. All patients were assessed using the Japanese Orthoped...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2014.13.0005
更新日期:2014-01-01 00:00:00
abstract::Bizarre parosteal osteochondromatous proliferation (BPOP, also known as Nora's lesion) is a rare, benign, locally aggressive condition defined as osteochondromatous exostosis arising from the bony cortex. BPOP presents predominantly in the 2nd and 3rd decades of life, and commonly arises from the periosteum of metacar...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2016.13.0141
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the effectiveness of cryotherapy applied for the purpose of matricectomy following partial nail removal in treatment of ingrown nails. METHODS:Between 2010 and 2013, 76 ingrown toenails of 62 patients were included in this prospective study. Following partial toenail ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2015.15.0117
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate symptomatic bone metastases from urological malignancies and the efficacy of surgical treatment of bone metastases in achieving local tumor control. METHODS:This was a retrospective observational study of patients diagnosed with bone metastases from urological malign...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2015.14.0340
更新日期:2015-01-01 00:00:00
abstract::This article presents a 48-year-old male patient who presented with pain in the left forearm and weakness and clumsiness in the left hand of 6 months' duration. Flexor motor strength loss of the thumb and the index finger was present and neurophysiologic tests showed findings compatible with axonal injury in the anter...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.1016/j.aott.2017.09.011
更新日期:2017-12-01 00:00:00
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journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/aott.2012.2696
更新日期:2012-01-01 00:00:00
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journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章,评审
doi:10.3944/AOTT.2012.2542
更新日期:2012-01-01 00:00:00
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journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.1016/j.aott.2019.05.003
更新日期:2019-09-01 00:00:00
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journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/aott.2013.3065
更新日期:2013-01-01 00:00:00
abstract::Osteochondritis dissecans (OCD) is a condition in which a portion of articular cartilage separates from the bone together with the underlying subchondral bone. Its classical localization is the medial femoral condyle. We presented a 14-year-old boy who had OCD lesions in both the medial femoral condyle and patella in ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2009.072
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:Two different rat models for degloving injury were described in the literature. Our aim in this study is to compare these rat models to determine which one is more reliable and reproducible. METHODS:We surgically induced degloving injury on tails and left hindlimbs of Wistar albino rats (n = 8), and sutured ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.1016/j.aott.2017.03.007
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to present a technique that allows the surgeon to easily and reliably achieve volar tilt in dorsally displaced distal radius fractures treated with variable-angle volar locking plates. The study introduced this technique using 2.4 mm variable angle locking screws as reduction tools, ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2015.14.0247
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:The visual analog scale spine score (VASSS) is a valid and reliable instrument for outcome assessment of patients with thoracic and lumbar spine fractures. The aim of this study was to prepare a Turkish version of the VASSS and to validate its use for assessing treatment outcomes in Turkish patients with spin...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2011.2528
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:The purpose of the present study was to compare the effectiveness of platelet-rich plasma (PRP) + microfracture and microfracture treatments in the healing of chronic focal chondral defects. METHODS:The study included 57 adult male Sprague-Dawley rats. Forty-two rats were divided into three groups of 14 rats...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/aott.2013.2928
更新日期:2013-01-01 00:00:00
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journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/aott.2012.2795
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate the results of multifunctional intramedullary (IM) ulna nailing following diaphyseal fracture of the ulna. METHODS:Adult patients with isolated fractures of the ulna treated with closed or mini-open reduction using the new IM ulna nail between May 2008 and January 2011 a...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/aott.2013.3021
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:The objective of this study was to evaluate the incidence of osteolysis around the bioabsorbable and nonabsorbable anchors using serial magnetic resonance imaging (MRI) and to determine the relationship between osteolysis and the retear rate after arthroscopic rotator cuff repair. METHODS:From July 2012 to ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.1016/j.aott.2019.08.015
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to determine 1) the publication rates of podium and poster presentations from the 23rd (2013) and the 24th (2014) National Turkish Orthopedics and Traumatology Congresses in peer-reviewed journals and (2) compare these rates with publication rates from the 20th congress (2007) publi...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.1016/j.aott.2019.05.006
更新日期:2019-07-09 00:00:00