Abstract:
:Ankylosing spondylitis is a disease in which inflammation of joints, most often in the axial skeleton, can lead to reactive fibrosis and eventual joint fusion with associated immobility and kyphosis. The disease often involves extra-articular features, such as uveitis and aortic regurgitation, as well as associated inflammatory conditions of the intestines. Its etiology is unknown. Ankylosing spondylitis most commonly presents in young males (15-30 years old) as persistent low back pain and stiffness that is worse in the morning and at night and improves with activity. The authors report the case of a young male athlete whose symptoms were initially incorrectly diagnosed as sacroiliac joint instability and dysfunction and later as a sacroiliac stress fracture before further workup revealed a seronegative spondyloarthropathy and the diagnosis of ankylosing spondylitis. The patient was prescribed oral indomethacin daily by the attending rheumatologist and started on a slow progression of return to running, jumping, and weight lifting. Within 4 weeks of beginning this treatment, the patient had complete cessation of pain with the medication. At follow-up 1 year after graduation from his university, the patient was nearly symptom free and working in a non-heavy labor job. The purpose of this case report is to remind sports medicine physicians of the prevalence of rheumatologic diseases in general and ankylosing spondylitis in particular and of the various ways in which spondyloarthropathies may present in athletes. Increased suspicion may lead to earlier diagnosis and treatment, potentially reducing illness severity and duration and improving the performance of athletes with this condition.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Miller TL,Cass N,Siegel Cdoi
10.3928/01477447-20140124-27subject
Has Abstractpub_date
2014-02-01 00:00:00pages
e207-10issue
2eissn
0147-7447issn
1938-2367journal_volume
37pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::The recently developed magnetically controlled growing rod (MCGR) system has gained popularity because it limits additional surgical lengthening procedures and promises reduction of the complication rate previously reported for the traditional growing rods. A retrospective single-center study was performed. Demographi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20200910-04
更新日期:2020-11-01 00:00:00
abstract::Cementless total knee arthroplasty (TKA) implants were designed to provide long-term fixation without the risk of cement-associated complications. The purpose of this study was to evaluate the outcome of titanium-coated cementless implants compared with hybrid TKA implants with a cemented tibial and a cementless femor...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130327-16
更新日期:2013-04-01 00:00:00
abstract::Patients with displaced patellar fractures typically present with disruption to the extensor mechanism requiring acute surgical intervention. Chronic patellar fractures with disruption of the extensor mechanism are uncommon, and few surgical options are available. The authors present a patient who sustained a fracture...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20170810-07
更新日期:2018-01-01 00:00:00
abstract::A wide range of workable instrumentation is available for the treatment of proximal humeral fractures, whereas osteosynthesis of scapular fractures is commonly achieved by plate/screw fixation. Older persons are confronted with a steadily rising incidence of osteoporotic fractures. Especially for this group of patient...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::Fractures of the medial clavicle are rare, and most usually displace anterior or superior. Due to the structures in the mediastinum, accurate diagnosis of posterior fractures or dislocations is vital, but diagnosis can be difficult and delayed. Duplex ultrasound and three-dimensional computed tomography can be helpful...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::We performed 560 minimally invasive unicompartmental knee arthroplasties in patients with osteoarthritis using the Oxford phase 3 prosthesis since January 2002. For the prospective analysis, clinical and radiographic assessments were carried out preoperatively and regularly followed after surgery. Ninety-five cases we...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2007-05-01 00:00:00
abstract::As digital radiography becomes more prevalent, several systems for digital preoperative planning have become available. The purpose of this study was to evaluate the accuracy and efficiency of an inexpensive, cloud-based digital templating system, which is comparable with acetate templating. However, cloud-based templ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120725-05
更新日期:2012-08-01 00:00:00
abstract::Since its inception, arthroscopic surgery has become widely adopted among orthopedic surgeons. It is therefore important to have an understanding of the basic principles of arthroscopy. Compared with open techniques, arthroscopic procedures are associated with smaller incisions, less structural damage, improved intra-...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20160427-01
更新日期:2016-05-01 00:00:00
abstract::This article describes a case of femoral stem displacement during closed reduction of a redislocated bipolar hemiarthroplasty of the hip in a 72-year-old woman who had undergone bipolar hemiarthroplasty using a polished, tapered cemented femoral stem. The polished, tapered cemented femoral stem is vulnerable to displa...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100104-28
更新日期:2010-02-01 00:00:00
abstract::Clinical experience with a poroussurfaced modified Moore prosthesis designed for biological fixation is described. Principles of noncemented arthroplasty including details of patient selection, implant design and selection, and surgical technique are emphasized. Analysis of the first 100 patients with a minimum follow...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19840201-15
更新日期:1984-02-01 00:00:00
abstract::Posterior tibialis tendon rupture is a diagnosis that is often missed in sports-related injuries. This is thought to be secondary to the nonspecific clinical findings in healthy, active individuals, and the lack of any laboratory or radiographic test to reliably confirm the diagnosis. We report five cases of surgicall...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1995-08-01 00:00:00
abstract::Tuberculous tenosynovitis of the wrist or "compound palmar ganglion" is an uncommon lesion that requires early recognition and treatment for the best possible prognosis. It is an infrequent cause of chronic inflammation of the tendon sheaths about the hand and wrist, but it can destroy the enclosed tendons. A definite...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19801101-09
更新日期:1980-11-01 00:00:00
abstract::Treatment of posterolateral tibial plateau fractures is controversial, and information regarding this specific fracture pattern is lacking. The purpose of this study was to elucidate the frequency and morphological features of posterolateral articular fragments in tibial plateau fractures. A retrospective radiographic...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130920-16
更新日期:2013-10-01 00:00:00
abstract::While bone-patellar tendon-bone (BPTB) interference screw anterior cruciate ligament (ACL) reconstruction is a biomechanically sound construct, alternative techniques have been developed secondary to potential donor site morbidity. This study evaluates a system designed to address this problem that involves a transfem...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract::A prospective study was undertaken to compare vascularized fibular grafting (VFG) with core decompression for Ficat Grade II and III femoral head osteonecrosis. The study group included 39 hips in 34 patients-20 VFGs and 19 core decompressions. Independent evaluation of results was performed by an orthopedic surgeon a...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract::The association between total hip arthroplasty and subsequent postoperative deep venous thrombosis is of particular concern because it can lead to symptomatic venous thromboembolic events. However, controversy remains about the optimal approach to prophylaxis. Some authors recommend the use of various chemoprophylacti...
journal_title:Orthopedics
pub_type: 评论,杂志文章
doi:10.3928/01477447-20100722-41
更新日期:2010-09-07 00:00:00
abstract::The significant complication rate associated with harvesting autologous iliac bone or fibula has encouraged development of alternative graft substitutes. In this study, the authors investigated the efficacy and safety of synthetic porous hydroxyapatite (HA) combined with local vertebral bone graft for use in anterior ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20161208-02
更新日期:2017-03-01 00:00:00
abstract::The hips of infants 2- to 4-weeks-old were investigated with ultrasonography. In all cases, ultrasonography verified morphologically normal hips; however, either a bilateral or unilateral instability of the hip could be provoked as demonstrated by ultrasonography. The first series of 27 infants (41 hips) were treated ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2002-08-01 00:00:00
abstract::Complex regional pain syndrome, vasospastic disorders, and hyperhidrosis are chronic and debilitating upper extremity problems. Twenty-nine consecutive patients treated with thoracoscopic sympathectomy are presented. Diagnoses included complex regional pain syndrome, hyperhidrosis, Buerger's disease, Raynaud's disease...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
abstract::The mini C-arm has become increasingly popular in the practice of orthopedics. To the authors' knowledge, its use in the pediatric orthopedic outpatient clinic has not been reported. The purpose of this study was to evaluate the practice efficiency and radiation exposure to the patient when the mini C-arm was used in ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160808-01
更新日期:2016-11-01 00:00:00
abstract::The authors found 41 patients with 42 fractures of the hip who had no distinct history of trauma in the total of 1,449 hip fractures treated. They were all women ranging in age from 64 to 91 years. Most of the fractures were of intracapsular type. Three extracapsular fractures, however, were found. Fractures were rand...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1988-09-01 00:00:00
abstract::The purpose of this study was to define a new clinical classification of atlantoaxial dislocation based on its clinical manifestations, namely reducible atlantoaxial dislocation (RAAD), irreducible atlantoaxial dislocation (IAAD), and fixed atlantoaxial dislocation (FAAD). A total of 107 patients with atlantoaxial dis...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20121217-25
更新日期:2013-01-01 00:00:00
abstract::We prospectively monitored pain scores on 24 patients who underwent bilateral total knee arthroplasty (TKA). Patients were blinded to receiving either a functional or placebo pain control infusion pumps. After 3 days, pump volume was recorded, and patients were asked to identify which knee they believed received the f...
journal_title:Orthopedics
pub_type: 杂志文章,随机对照试验
doi:10.3928/01477447-20110124-18
更新日期:2011-03-01 00:00:00
abstract::Despite prevention efforts, burn injuries among auto mechanics are described in the literature. Electrothermal ring burns from car batteries occur by short-circuiting through the ring when it touches the open terminal or metal housing. This article describes a 34-year-old male auto mechanic who was holding a wrench wh...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130724-31
更新日期:2013-08-01 00:00:00
abstract::Locked intramedullary nailing is the current standard of treatment for femoral shaft fractures and has low complication rates. Bent femoral intramedullary nails resulting from secondary trauma are rare and technically challenging. This article describes a case of a 36-year-old man who presented with a bent femoral int...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120222-32
更新日期:2012-03-07 00:00:00
abstract::Aseptic loosening is the most common mode of failure for total knee replacements. Component breakage is rare, usually attributable to errors of design or manufacture. A case is presented in which rotational malplacement of the femoral component resulted in accelerated wear and eventual fracture of the polyethylene tib...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1987-02-01 00:00:00
abstract::Cigarette smokers experience greater rates of morbidity and mortality. Despite the known health risks, use of tobacco products remains high throughout the United States (approximately 19.3% of adults). Tobacco use is associated with higher rates of cardiovascular illness, cardiovascular risk factors (ie, hypertension ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120525-07
更新日期:2012-06-01 00:00:00
abstract::As an alternative to a limited vendor/volume discount approach, our hospital employed a physician-driven free market strategy aimed at reducing joint implant costs. Surgeons were provided with vendor pricing and peer profile comparisons of implant cost data and asked to select implants providing the best value based o...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2000-05-01 00:00:00
abstract::The study of acetabular morphology has shown that there are geographic differences in the morphology and prevalence of acetabular dysplasia among different ethnic groups. However, few data exist on the shape of the acetabulum in various populations around the world. In this study, we examined samples of pelvic radiogr...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110228-10
更新日期:2011-04-11 00:00:00
abstract::Knee pain is one of the most frequent complaints evaluated by orthopedic surgeons. It encompasses a broad range of pathology and can present in a variety of ways. Most of this pain can be attributed to essential structures of the knee, including the menisci, cruciate or collateral ligaments, and articular cartilage. H...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20151218-06
更新日期:2016-01-01 00:00:00