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Biomedical subjects

J J Kaye

Publications and source records attributed to J J Kaye.

72 records · Page 4Linked to original sources

Arthrography of the knee.

Arthrography of the knee is becoming an integral part of the evaluation of the patient with a suspected internal derangement of the knee. The examination is relatively simple, and can be performed on out-patients with conventional radiographic equipment or a modified fluoroscope. Knee arthrography has been proven safe in a large series of patients. The technique is reliable, particularly in the diagnosis of meniscus lesions. The knee arthrogram is helpful to the orthopedic surgeon to confirm suspected abnormalities, to reveal unsuspected or multiple lesions, to exclude some conditions which could be confusing clinically, or to plan a surgical approach to the knee.

Cartilage Diseases↗

Neonatal septic "dislocation" of the hip: true dislocation or pathological epiphyseal separation?

The clinical and roentgenologic appearance of septic dislocation of the hip may be caused by either a true dislocation or a pathological epiphyseal separation due to osteomyelitis. Arthrography of the hip permits differentiation in the neonate. The significance of these two anatomical possibilites is discussed in terms of follow-up and results of neonatal infections about the hip, and a case of pathological epiphyseal separation at the hip diagnosed in the neonatal period by aspiration and arthrography and followed up for 3 years is presented.

Child, Preschool↗

A simplified injection technique for shoulder arthrography.

An easy and reliable technique to inject the shoulder joint for arthrography is described. The technique utilizes a straight anteroposterior position of the patient and a directly vertical placement of the needle with the aid of fluoroscopy.

Contrast Media↗

Insufficiency and stress fractures of the long bones occurring in patients with rheumatoid arthritis.

The occurrence of stress and insufficiency fractures in patients with long-standing rheumatoid arthritis has not been sufficiently emphasized. Osteoporosis due to rheumatoid arthritis and corticosteroid therapy, joint stiffness, contracture, and angular deformity of the extremity, and the unaccustomed exercise after reconstructive joint surgery combine to predispose to the occurrence of these fractures in these patients. The pain and disability caused by these fracture is often attributed to rheumatoid joint involvement. The fracture may not be visible on radiographs obtained near the onset of symptoms, and serial examinations may be needed for diagnosis.

Adult↗

Talocalcaneonavicular joint arthrography for sustentacular-talar tarsal coalitions.

Sustentacular-talar tarsal coalitions can be difficult to detect radiographically. The sustentacular-talar articulation is a part of the talocalcaneonavicular joint. Thus, arthrography of this joint, combined with tangential views of the sustentaculotalar articulation (Harris views), provides a new and simple method to detect or exclude talocalcaneal tarsal coalitions.

Ankylosis↗

Subchondral lucencies and synovial disease: a case report and discussion.

The case of a young female with hip pain and acetabular subchondral lucencies on conventional radiographs is presented. Computed tomography (CT) demonstrated subchondral lucencies in the femoral head as well, and an arthrogram revealed synovial irregularities. The differential diagnosis is discussed with an approach to subchondral lucencies. A synovectomy was performed on this patient with pigmented villonodular synovitis.

Adult↗

Facility report. Department of Medical Imaging and Radiological Sciences at Vanderbilt University.

This department is presented as an academic prototype to meet the health care and research challenges of the next decade. Composed of four separate divisions (diagnostic radiology, radiation oncology, nuclear medicine, radiologic sciences) with appropriate sections, it is organized according to the concept of an integrated basic science-service facility.

Hospital Bed Capacity, 500 and over↗

Ewing sarcoma of the skull with an unusual pattern of reactive sclerosis: MR characteristics.

A case of primary Ewing sarcoma involving the occipital bone with an unusual radiographic feature--markedly thickened bone--is described. Magnetic resonance imaging was more helpful than CT in determining the lesion extent due to lack of bone artifact and since it showed the precise relationship of the neoplasm to the tentorium on direct coronal imaging.

Adolescent↗

MR imaging of hemophiliac arthropathy.

Magnetic resonance (MR) imaging of the knee was performed in 10 patients with hemophilia. The periarticular and subchondral abnormalities were classified according to the signal intensity from these regions on T1- and T2-weighted pulse sequences. Periarticular abnormalities were detected in 50% of the hemophiliac joints, and fibrous changes were noted in 57% of all the areas of subchondral abnormality. Magnetic resonance imaging identifies periarticular and subchondral abnormalities in patients with hemophilia and may help in monitoring the progress of the disease process.

Adolescent↗

Osteoid osteomas in siblings. Case reports.

Osteoid osteomas occurred in siblings with a nearly simultaneous onset of symptoms, and with some unusual neoplastic characteristics. The combination of simultaneous occurrence and neoplastic change suggests that a viral or other infectious etiology is possible.

Adolescent↗

Pseudo-Volkmann's contracture due to tethering of flexor digitorum profundus to fractures of the ulna in children.

We studied seven children with the unusual complication of pseudo-Volkmann's contracture due to tethering of the flexor digitorum profundus to fractures of the ulna. It was detected 2 days to 16 years after closed reductions of fractures of the shafts of the radius and ulna. The children did not have nerve palsies or undue pain after the reductions. Normal length, excursion, and function of the flexor digitorum profundus was restored by untethering the muscle and its tendons from the ulnar fracture by early manipulation or by late localized myotenolysis. We recommend that the passive range of motion of all fingers be routinely checked immediately after closed reductions of fractures of the radius and ulna. If muscle tethering is detected, the fracture is remanipulated to release the muscle. If the muscle is still tethered, then surgical release, through a small incision, is required.

Adolescent↗