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Biomedical subjects

E Martucci

Publications and source records attributed to E Martucci.

At least 37 records · Page 2Linked to original sources

Diagnosis and treatment of cervical instability.

Instability of the cervical spine gives rise to vertebral and neurological symptoms which may be progressive. The principal causes of instability are: trauma, sequelae of laminectomy, malformations, vertebral infections, rheumatoid arthritis, primary tumours (benign and malignant), metastases, and chronic degenerative disease of the discs. Each of these forms of instability must be identified and, depending on the symptoms and pathogenesis, is capable of responding to the appropriate treatment.

Adult↗

Fracture of glenoid fossa following mandibular trauma.

A case of glenoid fossa fracture secondary to mandibular trauma is reported. Subjectively, this injury is characterized by pain in the temporomandibular region of the injured side and by mandibular function impotence. Objectively, there is disappearance of the mandibular condyle from the pretragic region, mandibular lateral deviation toward the fractured side, and premature occlusal contacts on the injured side. The injury can be definitively diagnosed only with a temporomandibular joint radiographic examination of them, which includes a lateral and front-back projection stratigraphy. The surgical techniques currently used in these cases are also discussed.

Adult↗

Giant cell tumour in a vertebra affected by Paget's disease of bone.

A case of giant cell tumor in a vertebra affected by Paget's disease of bone is presented. This lesion, which is quite rare, has usually been observed in the bones of the skull and face, and is benign. It is probably hyperplastic rather than neoplastic in nature. Radiotherapy is contraindicated, since bone affected by osteitis deformans may possibly become malignant.

Giant Cell Tumors↗

Epiphyseal chondroblastoma (a study of 39 cases).

A fully documented series of thirty nine cases of epiphyseal chondroblastoma is described. This is a remarkable series because of the rarity of this tumour. There is a slight predilection for the male sex. The age most affected is ten to twenty years. The tumour progresses slowly and joint involvement and pain are slight. The commonest site is the proximal epiphysis of the humerus, followed by the epiphyses of the knee. The classical appearances are of a clearly defined area of osteolysis, central or eccentric, with foci of calcification, in the epiphyseal or apophyseal regions, and often transgressing the epiphyseal cartilage. We have never observed involvement of the opposite bone in the affected joint. In four of our thirty nine cases the neoplasm invaded the point and/or soft tissues. The differential diagnosis, especially in localisations at the knee, is with giant cell tumour. The tumour is slow growing and the prognosis is always good. We have never seen malignant transformations or so-called "benign" pulmonary metastases. The few recurrences in this series (five out of thirty nine) were all cured by a second operation. Curettage and grafting is the operation of choice.

Adolescent↗