Search PubMed⌕ Search

Biomedical subjects

F Bonnel

Publications and source records attributed to F Bonnel.

At least 55 records · Page 3Linked to original sources
PubMed1995

Diagnostic value of clinical tests for shoulder impingement syndrome.

Results of three clinical tests for detecting shoulder impingement syndrome (Neer's, Hawkins', and Yocum's tests) and four tests for determining the location of the rotator cuff lesion (Jobe's test [supraspinatus], Patte's test [infraspinatus], lift-off test [subscapularis], and palm-up test [long head of the biceps brachii]) were compared to intraoperatively observed anatomic lesions in 55 consecutive patients who had surgery for Neer's syndrome. For Jobe's and Patte's tests, both pain (denoting tendinitis) and functional impairment (denoting tendon rupture) were evaluated. All clinical tests were done by the same examiner and all surgical procedures (acromioplasty with or without rotator cuff repair) by the same surgeon. The location and extent of the lesions (size of the tear in the 34 patients with rotator cuff defects) were determined intraoperatively. The sensitivity, specificity, and positive and negative predictive values of each test were calculated. Sensitivity was satisfactory but specificity was poor, in particular for determining the location and type of rotator cuff lesions. The severity of functional impairment during Jobe's and Patte's maneuvers was not correlated with the size of the tear.

Adult↗
PubMed1995

Postoperative shoulder rotators strength in stages II and III impingement syndrome.

In healthy subjects, the shoulder internal rotator muscle strength overrides the external rotators. This has been confirmed in different isokinetic studies showing the ratio of the relative strengths of the internal to external rotators to range from 1.3 to 1.5 points, depending on the study. The authors previously reported a decrease in the relative strength ratio of the internal to external rotators to close to 1 in patients suffering from Neer's impingement syndrome. The aim of the present study was to assess, long after surgery (mean, 44.5 months), the isokinetic strength performance of shoulder rotator muscles in 72 patients who had had operative treatment for chronic subacromial impingement using anterior acromioplasty, sometimes combined with cuff repair surgery. Tests were conducted with a Biodex Multi-Joint System in the plane of the scapula and in 45 degrees abduction at 60 degrees and 180 degrees per second. Peak torque and average power were calculated. The mean ratios of relative strengths of the internal to external rotators ranged from 1.3 to 1.6 points depending on the parameter studied and the test speed. These results indicate that surgery restores normal muscular balance between shoulder rotator muscles affected by the impingement syndrome.

Acromion↗
PubMed1994

Influence of fat on ultrasound measurements of the os calcis.

Measurements of the speed-of-sound (SOS) and of the broadband ultrasound attenuation (BUA) on the os calcis were recently proposed to assess osteoporotic fragility. Velocity and attenuation were measured through the heel which can be divided in three phases including hydroxyapatite, soft tissue, and fat. The aim of this study was to evaluate the influence of fat composition and heel width on SOS and BUA. This influence was determined from both in vitro investigations examining fat samples, phantoms, and cadaver heels, and in vivo ones observing adult volunteers as well as a wide sample section of healthy elderly women. Ultrasound velocities on various fat samples were significantly lower than those on distilled water (-65 m/second to -123 m/second). The excision of the surrounding soft tissue from cadaver heels made SOS steadily increase whereas the insertion of a 10 mm piece of lard in the lateral face of cadavers' and volunteers' heels os calcis lowered SOS about 30 m/second. Furthermore, a difference of SOS was estimated at 15 m/second for a 12.5% variation of the marrow fat weight. Among 334 elderly and healthy women aged 75 and over, a significant negative correlation was found between SOS and heel width (r = -0.27; P < 0.0001). On the other hand, fat composition had no significant effect on BUA measurement, and no significant relationship was found between BUA and heel width. This study demonstrates that an increase of heel width and fat thickness provides an underestimation of os calcis SOS, but has no significant effect on BUA.

Adipose Tissue↗
PubMed1994

The effect of different porosities in coral implants: an experimental study.

Goniopora lobata and polyphyllia talpina were tested in 10 sheep with a follow-up of 12 months. The reference material was a glass ceramic CAP 42. Different implantation sites are used: craniofacial and orthopaedic. A macro and microscopic postoperative study was performed at 3, 6, 9 and 12 months. The results show: (1) biocompatibility with bone and soft tissues; (2) disappearance, without colonisation, of Goniopora Lobata associated with complete bone regeneration at 12 months and (3) later resorption of polyphyllia talpina with a fibrous colonisation, without osseous transformation. The possibility of using these materials in cranio-maxillo facial surgery is discussed.

Aluminum Compounds↗
PubMed1994

Inflammatory linear verrucous epidermal naevus with auto-immune thyroiditis: coexistence of two auto-immune epithelial inflammations?

We report a patient with an inflammatory linear verrucous epidermal naevus (ILVEN) coexisting with an auto-immune lymphocytic thyroiditis. The occurrence of two epithelial inflammatory processes could be linked and raises the question of auto-immune involvement in the inflammatory part of ILVEN. Moreover, expression of a membrane antigen, OKM5, usually assigned to antigen-presenting cells, especially macrophages, has been demonstrated on keratinocytes in some dermatological diseases including ILVEN. These data suggest that keratinocytes in ILVEN could present some antigens and perhaps auto-antigens modified by the hamartomatous process, leading to an (auto-immune?) inflammatory reaction.

Adult↗
PubMed1993

The trochlear nerve: anatomy by microdissection.

This work is based on the microscopic study of 30 trochlear nerve trunks (15 heads). In 17 cases, the trunk arose from two nerve bundles, in 8 cases from one bundle, and for the other 5 nerves, three or four bundles. The mean total length of the trochlear nerve was 86 mm. The nerve may be separated into the 3 following parts: infratentorial, intracavernous, intraorbital. In all 30 cases studied, the first part of the nerve was infratentorial, thus leading us to suggest the term "infratentorial part" for this segment of the nerve. In 27 cases, contact was found with the superior cerebellar artery, in the infratentorial part. In the intracavernous part of ten nerves we found two rami tentorii and in eight cases fibers were exchanged with the ophthalmic nerve. In the orbit, 18 trochlear nerves crossed the posterior ethmoidal artery. 23 trochlear nerves ended on the medial face of the superior oblique muscle. The remaining 7 ended at the superior border of the muscle.

Adult↗
PubMed1993

Sacral insufficiency fractures presenting as acute low-back pain. Biomechanical aspects.

Sacral insufficiency fractures are an often unsuspected cause of low-back pain in elderly women with osteopenia who have sustained unknown or only minimal trauma. The authors describe 10 cases of spontaneous sacral insufficiency fractures, confirmed by computed tomography, characterized by the onset of acute low-back pain. Differential clinical and radiographic diagnosis of these fractures is often difficult. Recognition of the characteristic scintigraphic patterns in sacral fractures, which are frequent in osteopenic patients, could avoid mistaken diagnoses and unnecessary tests or treatment. One of the striking feature of these sacral fractures is their invariable location. The fractures extend vertically in the sacral alae, parallel to the sacroiliac joints. They are located just lateral to the margins of the lumbar spine. This distribution suggests that such fractures could be partially caused by weight-bearing transmitted through the spine.

Aged↗
PubMed1993

[Carcinomatous degeneration of chronic osteomyelitic fistulae. 4 cases].

The occurrence of epidermoid carcinoma on fistulae of osteomyelitis has been known since the 19th century, and the four cases reported here show that this complication is still present. CASE-REPORTS. Four new cases developed on the tibia 33 to 54 years after the formation of fistulous osteomyelitis are presented here. The patients were three men and one woman, aged from 58 to 78 years. The lesions observed were ulcero-granuloma in three cases and common superficial ulceration in the fourth patient. In two out of four cases the diagnosis was difficult to ascertain and required deep surgical biopsy. The bone was invaded in three cases, but no regional or visceral metastases could be found. All patients were amputated, after failure of conservative radiotherapy in two of them. No recurrence was observed after a 2 to 3 1/2 years' follow-up. DISCUSSION. The frequency of this late complication cannot be measured precisely, but it has been estimated at 0.5 p. 100 of fistulous osteomyelitis. The warning signs are often not specific and delay the diagnosis; they consist of unusual pain, ulceration, granulation and discharge. The diagnosis rests on histology and requires a deep and wide surgical biopsy involving the entire sinus tract, but uncertainties sometimes persist concerning atypical pseudoepitheliomatous hyperplasia. The best treatment is amputation with removal and biopsy of regional lymph nodes when present, but it does not always avoid the occurrence of metastases which appear in 20 p. 100 of the cases, usually during the first three years following diagnosis. CONCLUSION. These four cases exemplify the need to consider this diagnosis in all patients showing changes in an old fistulous osteomyelitis and to confirm it by deep and wide biopsy.

Aged↗
PubMed1992

Rotation-abduction analysis in 10 normal and 20 pathologic shoulders. Elite system application.

Kinematics of shoulder rotation-abduction in the plane of the scapula were analysed using the Elite system. We evaluated 10 asymptomatic subjects and 20 patients with painful conditions affecting the shoulder, 10 adhesive capsulitis and 10 rotator cuff-tears. The last pathologic cases were reexamined after rehabilitation treatment. The Elite system computed on line the trajectories of 8 retro reflective markers glued on the main reference points (3 on the spine, 3 on the scapula and 2 on the humerus). Angles and linear velocities were also evaluated. The lower humeral site displacement and gleno-humeral angle increase allowed differentiation of the normal shoulder rotation-abduction from the abnormal movement. Hence, rehabilitation progress could be followed up.

Adult↗
PubMed1989

Histologic structure of the palmar digital nerves of the hand and its application to nerve grafting.

The digital nerves from 20 adult hands were studied histologically. The number of fascicles increases from the proximal to the distal portion of the finger. The number of myelin fibers was nearly the same in the nerves of the thumb and the index, long, and ring fingers. The mean diameter of the fascicles was of the order of 210 micrometer. Because there were many variations in the number of fascicles in the same nerve of different subjects, there was no attempt made at classification.

Aged↗
PubMed1989

[A misdiagnosed disorder: syndrome of the musculocutaneous nerve of the foot].

The syndrome of the pedal dorsal cutaneous nerve (described by one of us in 1979) is caused by irritation of the nerve in its course at the dorsum pedis. This is a rather frequent syndrome, often overlooked. It is manifested by a distinct association of atypical pain at the dorsum pedis and in the foot. After a review of 10 cases and a literature survey, the authors describe the characteristic signs of this syndrome. There are many factors at the origin of this pathology: static deformities (pes cavus anterior, valgus calcaneus, hallux valgus), local trauma or repeated microtrauma (ill sitting shoe). The diagnosis is essentially clinical, based on a positive Tinel sign along the course of the nerve and on the result of a trial infiltration of the region. The treatment is initially conservative with correction of deformities, adaptation of shoes, and local infiltration with corticosteroids. The neurolysis (performed in 4 cases because of persistent pain), showed dystrophic fibrosis. Such histologic lesions are an argument for considering entrapment as a potential cause of the syndrome.

Adult↗
PubMed1988

Biomechanics of the ligaments of the human knee and of artificial ligaments.

The treatment of serious sprains and chronic laxity of the knee calls for a knowledge of the mechanical properties of the stabilizing structures. The mechanical characteristics indicate an elasticity rate of from 21 to 30% for the cruciate ligaments and average of 11% for the lateral ligaments. Preservation methods markedly influence mechanical properties. In the case of chronic laxity, natural ligaments can be replaced by artificial ones. This comparative biomechanical study of natural and artificial ligaments provides a classification to help the user in his choice.

Biomechanical Phenomena↗
PubMed1988

[Musculo-cutaneous nerve syndrome in the foot. Apropos of 10 cases].

In 10 cases, the authors describe the musculo-cutaneous nerve syndrome in the foot. It involves pain and paresthesias located on the dorsal aspect of the foot, occurring after local trauma or repeated microtraumas (ill fitted shoes), promoted by a static disorder (anterior hollow foot, calcaneal valgus). The diagnosis is essentially clinical, based on the presence of a Tinel sign on the dorsum of the foot and on the infiltration test. The treatment consists in the combination of local measures and steroid infiltration. Neurolysis is only indicated in case of failure of the medical treatment (4 cases). Then, it always proves to be effective.

Adult↗
PubMed1986

The three-dimensional active rotary stabilization of the knee.

The careful examination of insertions and directions of the tendons of the knee peri-articular muscles permits a global conception of the action of the 29 couples in rotatory stabilization. First, an analytic study of the tibial and femoral rotatory stabilization is considered. Second, the three-dimensional rotatory mechanical coupling between femur and tibia is developed. The anatomical complexity of the musculotendinous elements allows understanding of the risks of desynchronisation of the articular joint in case of lesion of the central ligament pivot.

Aged↗