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C Marsal

Publications and source records attributed to C Marsal.

10 recordsLinked to original sources
PubMed2006

[Plate fixation with locking screw for distal fractures of the radius].

PURPOSE OF THE STUDY: Fractures of the distal radius are common. No one implant has demonstrated superior efficacy in terms of maintaining the reduction over time. We report our experience with plate fixation using a locking screw. MATERIAL AND METHODS: Between September 2003 and June 2004, 67 displaced fractures of the distal radius were treated by plate fixation using the LCP-DRP 2.4 (Synthès). Three different plates (anterior, posterior, and external) were used. The patients wore a removable anatomic brace for three weeks. Self-controlled rehabilitation exercises began directly after surgery with mobilization of the digital chains. The Fernandez, Castaing and AO classifications were noted. Ulnar variance, anteversion of the radial glenoid, radial slope and the alpha angle were measured intraoperatively and at last follow-up to assess maintenance of reduction over time. The DASH test and Green and O'Brien and PRWE scores were used to assess clinical outcome. RESULTS: Mean follow-up was eight months. Mean age was 55.8 years. Eight patients were lost to follow-up. The analysis included 59 patients who could respond to the questionnaires. Bone healing was achieved at six weeks. There were no cases of secondary displacement nor loss of reduction. The Green and O'Brien score was good or very good for 85%. The mean DASH was 20.6 and the mean PRWE 32.8. DISCUSSION: The appropriate fixation method for distal fractures of the radius remains a controversial issue, leading to a variety of materials and fixation methods. Primary stability achieved with the locking screw in a plate enables early mobilization associated with more rapid recovery of function. The absence of secondary displacement, irrespective of the quality of the underlying bone enabled us to achieve equivalent results in young patients and older patients with osteoporotic bone. This study also confirmed the preference for the anterior approach, irrespective of the direction of the displacement. To date, no other material has enabled equivalent results. This is a major achievement in terms of fixation stability.

Adult↗
PubMed2005

[Not Available].

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Journal Article↗
PubMed2003

[Eales' disease with bilateral brain strokes and jaw-closing dystonia].

Eales' disease is an idiopathic occlusive vasculopathy of the retina, which is characterized by extensive peripheral non-perfusion, perivascular sheathing, and neovascularization. It is associated with recurrent vitreous hemorrhages. Both eyes are affected consecutively in 80% to 90% of the patients. In spite of the multiple theories that have been proposed, it continues to have unknown origin and its diagnosis relies on exclusion of other causes of retinal vasculopathy. In some occasions, these patients develop complications of the central nervous system, above all brain infarcts. We present the case of a 38 year old woman with Eales' disease who developed bilateral brain infarcts associated with occlusion or stenosis of the middle cerebral arteries. The cerebral angiography showed beading of the Silvian arteries, suggestive of an underlying inflammatory disorder. Early corticosteroid therapy could avoid contralateral retinal involvement and neurological complications. The patient also presented delayed jaw closing dystonia secondary to basal ganglia infarct which followed a benign course with spontaneous resolution in a few days.

Adult↗
PubMedDate not supplied

[Horner's syndrome and brachial radiculopathy related to vertebral metastases].

INTRODUCTION: Horner's syndrome consists of sympathetic ocular paralysis, with lesions occurring at different levels. When it's associated with involvement of the C8-T1 roots, the commonest causes are the tumours responsible for Pancoast's syndrome. CLINICAL CASE: We describe the case of a patient who presented with a clinical condition in which a complete right Horner's syndrome was associated with ipsilateral C8-T1 brachial radiculopathy. On investigation, there was a tumour involving the vertebral segments between C8 and T5. Histological studies showed this to be a metastasis from an adenocarcinoma at the base of the right lung. CONCLUSION: We consider this case to be interesting because of its unusual aetiology, since metastatic vertebral lesions are an uncommon cause of Horner's syndrome.

Adenocarcinoma↗
PubMedDate not supplied

[Myokimia induced by gold salts].

We report a 44 year old male suffering from rheumatoid arthritis that developed myokymias when treated with gold salts. Myokymia is a clinical phenomenon characterized by involuntary repetitive contractions of muscle fibres, which give an undulating appearance to the overlying skin, last a few seconds, and with a typical electromyographic activity described as myokymic discharges. The difference between the single twitch of the fasciculation and the tetanic contraction of myokymia may be evident only on electromyography in difficult cases. Neurological complications associated with gold are infrequent, and they include myokymia, peripheral neuropathy, Guillain-Barré syndrome, cranial nerves paralysis and encephalopathy.

Adult↗