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Biomedical subjects

L A Gilula

Publications and source records attributed to L A Gilula.

At least 181 records · Page 10Linked to original sources

Tenography in unresolved ankle tenosynovitis.

Tenosynovitis can be a source of prolonged ankle pain and disability. Based on a review of the literature and past clinical experience at our institution, early establishment of the correct diagnosis enabling definitive treatment may be difficult. We describe six patients with tenosynovitis of tendons about the ankle, the value of tenography in staging the severity of their disease, and its value in choosing appropriate definitive therapy.

Adolescent↗

Carpal avascular necrosis: MR imaging.

The authors evaluated the use of magnetic resonance (MR) imaging in diagnosis of avascular necrosis (AVN) of carpal bones by examining 21 patients with wrist pain and two healthy volunteers. MR images were compared with conventional radiographs in every case and with bone scintigrams in 18 cases. MR imaging was slightly less sensitive than bone scintigraphy in depicting AVN, but in patients who were imaged with long repetition time (TR)/long echo time (TE) sequences in addition to short TR/short TE sequences, MR imaging was found to be more specific. While the authors believe that bone scintigraphy remains the screening test of choice for patients with wrist pain and normal plain radiographs, MR imaging promises to add significant diagnostic information in cases in which bone scans are abnormal.

Adult↗

Breakage of the patellar component of a kinematic total knee arthroplasty. A case report.

Most complications of total knee arthroplasty have been of a general nature (ie, infection, pulmonary embolus, nerve palsy), or have involved either the tibial or femoral components. Occasionally, problems involving the patellar implant have been described including subluxation/dislocation, soft tissue impingement and patellar fractures. This article provides the first description of a new complication, fracture of the patellar implant at the stem-button interface.

Humans↗

Roentgen rounds #81. Posteromedial bowing of the tibia.

Posteromedial bowing of the tibia is a rare deformity which is being recognized more frequently. It is frequently associated with and may be the result of a calcaneovalgus foot deformity. It has a better overall prognosis than the other two categories of congenital angular deformity of the tibia. It does not, however, have a prognosis of normality. The frequent sequelae of LLD and foot hypoplasia should be taken into account when counseling parents of children with PMBT. The need for clinical follow-up with interval scanograms should be emphasized.

Child↗