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Biomedical subjects

J Gelineck

Publications and source records attributed to J Gelineck.

16 recordsLinked to original sources
PubMed1995

[Hemifacial spasms--clinical picture, diagnosis and treatment].

A rectrospective study of 23 consecutive patients with hemifacial spasm is presented. Based on this experience, a practical approach to the diagnosis, investigation and treatment with injections of botulinum toxin is described. Magnetic resonance imaging angiography of the brain was performed in 20 patients an 15 controls. Contact between an artery from the vertebrobasilar circulation and the intracranial part of the facial nerve was observed ipsilaterally to the spasm in 17 patients (85%) and in two controls (7%). Treatment with botulinum toxin was performed in 16 patients with moderate to good improvement in the majority of the patients. MR-angiography is recommended in order to exclude infrequent etiologies and as preoperative evaluation. Botulinum toxin injection is recommended as the symptomatic treatment of choice. The possibility of curative surgical intervention by microvascular decompression of the facial nerve is discussed.

Adult↗
PubMed1994

Evaluation of lipomatous soft tissue tumors by MR imaging.

Large soft tissue tumors--5 cm or greater--or deep-seated tumors have a greater risk of being malignant than smaller and superficially located tumors (9). In a period of 2 years 43 consecutive patients with lipomatous tumors 5 cm in diameter or greater were examined with MR imaging. The MR findings were correlated to histologic features and diagnosis. Twenty-six tumors were classic lipomas both on MR and at microscopy; 8 lipomas showed other features--some of them raising suspicion of malignancy at MR; all, however, were histologically benign. Nine tumors were considered malignant at MR imaging; all 9 proved to be malignant by microscopy.

Adipose Tissue↗
PubMed1990

[Osteochondritis dissecans of the calcaneus].

We report a case of osteochondritis dissecans located to the posterior calcanear articular surface of the talocalcaneal joint. The lesion was diagnosed by radiological tomography of the joint. The treatment was surgical excision of the affected segment. The patient was still symptomfree three years later.

Adult↗
PubMed1990

Fractures of the spine in ankylosing spondylitis.

Fractures through the disc or the vertebral body as well as the posterior elements are typically seen in ankylosing spondylitis. The fractures can be compared to the fractures of long bones and are often unstable. These fractures are usually associated with increasing pain and may be the result of minor traumas. The radiographic appearance may be discrete, but overlooking the fracture may have disastrous consequences. The characteristic features and the biomechanical pathogenesis of these fractures are reviewed.

Aged↗
PubMed1990

Influence of cisapride on food-stimulated gastro-oesophageal reflux: a radiological study.

The influence of Cisapride on food-stimulated gastro-oesophageal reflux mechanisms was studied in a double-blind cross-over investigation in 24 consecutive patients selected by endoscopy, 12 with microscopical evidence of gastro-oesophageal reflux and 12 with additional macroscopic oesophagitis. 63% had food-stimulated gastro-oesophageal reflux, and Cisapride significantly reduced the tendency to gastro-oesophageal reflux and mucosal contact time between gastric content and the oesophageal mucosa in 73% of these patients. It is concluded that Cisapride could be valuable in the treatment of gastro-oesophageal reflux.

Adult↗
PubMed1989

Component motion in bipolar cemented hemiarthroplasty.

A total of 17 patients with a cemented bipolar Hastings hemiarthroplasty were examined clinically and radiologically between 1 and 3 years after being treated for a displaced femoral neck fracture. Only a minor part of the motion in the Hastings prostheses took place between the metal femoral head and the polyethylene liner (intraprosthetic). In seven cases, no "true" intraprosthetic motion weightbearing was observed (including five cases with intraprosthetic motion caused by impingement). The relative amount of intraprosthetic motion did not decrease with weightbearing. The functional result was not correlated to the relative amount of intraprosthetic motion with weightbearing. In conclusion, the short-term success of the bipolar prostheses is probably not accomplished by a reduction in extraprosthetic motion caused by the biarticular design but by other factors, including the optimal indications for hemiarthroplasty (high age, low activity level), the consistent use of acrylic bone cement, and the shock-absorbing effect of the polyethylene liner.

Aged↗
PubMed1989

Fractures of the femoral neck treated with cemented bipolar hemiarthroplasty.

Seven of 59 (12%) bipolar hemiarthroplasties for displaced femoral neck fracture were classified as failures at the 3-year follow-up examination. Two prostheses dislocated, 4 had loose femoral stems, and 1 was revised to a total hip arthroplasty because of pain. No patients developed acetabular erosion or deep infection. Only four of 15 patients examined by fluoroscopy shared movement between outer metal/cartilage and inner metal/polyethylene surfaces. All movement occurred at the outer metal/cartilage surface in the remaining nine patients. We conclude that the low failure rate, which compares favorably with the best results after internal fixation, is caused by the optimal selection of patients for this operation (high age, low activity level) and the use of bone cement. The bipolar design is less important, since most of these prostheses function as ordinary unipolar prostheses after some time.

Aged↗
PubMed1989

The incidence of gastro-oesophageal reflux after solid and semi-solid meal.

The influence of different foodstuffs, solid meal, semi-solid meal and solid bolus, was investigated in 21 patients with food-stimulated gastro-oesophageal reflux. All 21 had GE reflux following solid meal, 9 after semi-solid and 11 after solid bolus. The result could not be explained by difference in fat content or reproducibility. It is concluded that information concerning test meals could be of importance when comparing different GE reflux populations.

Adult↗
PubMed1987

Poor function after nonoperative treatment of Kienböck's disease.

Twenty-five wrist joints treated with immobilization for Kienböck's disease were reexamined after 8 (1-11) years. Six patients had no pain, but 14 had daily problems with the wrist, and of these, 7 had to change their occupation. Five wrist joints were arthrodesed during the follow-up period. We conclude that nonoperative treatment of Kienböck's disease is ineffective.

Adult↗