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L M Lomasney

Publications and source records attributed to L M Lomasney.

28 records · Page 2Linked to original sources
PubMed1996

Multifocal vascular lesions of bone: imaging characteristics.

OBJECTIVE: Multifocal vascular processes which arise in bone are a very inhomogeneous class of diseases. Four of these processes are derived from endothelial precursors, however, and share a similar radiographic spectrum. These four entities are reviewed in order to clarify their imaging patterns and the diagnostic utility of imaging modalities. METHODS: Eight cases of cystic angiomatosis, multifocal hemangioma, hemangioendothelioma and angiosarcoma presenting to a tertiary referral center over a 7-year period were reviewed. The medical literature was also reviewed for information concerning the imaging of these processes. RESULTS: All four diseases produced radiolucent defects on plain radiographs with variable margination reflecting the aggressiveness of the lesions. Computed tomography was used to examine five patients and provided supportive, though generally non-diagnostic, information in the five cases in which it was performed. Radionuclide bone scintigraphy, as reported in the literature, underestimated the extent of skeletal involvement in all eight cases, though some lesions were identified. Radionuclide imaging with labeled red blood cells, performed in three cases, did not add any information, which is contrary to some reports in the literature. Magnetic resonance imaging proved the most sensitive for identifying lesions, although the imaging characteristics were not diagnostic. CONCLUSIONS: Plain radiographs are the mainstay for imaging multifocal endothelial processes. Radiographs provide information on aggressiveness, multifocality and distribution of lesions. Computed tomography provides similar information. Magnetic resonance imaging often detects additional lesions. The insensitivity of radionuclide bone scintigraphy is surprising. Reports of unique deposition of radionuclide in tagged red blood cell scanning has been reported to support the diagnosis of vascular lesions, but it did not do so in these cases.

Adolescent↗
PubMed1996

Distal radioulnar joint arthrography: simplified technique.

Three-compartment arthrography has been advocated in the current literature for evaluation of the intrinsic ligaments of the wrist. Previous techniques for distal radioulnar joint (DRUJ) injection introduce the needle directly into the joint space. As is done in shoulder arthrography, however, the needle tip can be positioned at the distal-radial margin of the ulnar head, allowing it to lie within the capsule. Retrospective review of 45 cases of wrist arthrography with this technique disclosed no complications.

Arthrography↗
PubMed1996

Longitudinal tibial stress fracture.

Fatigue-type stress fractures occur following repetitive loading of normal bone. These occur frequently in the tibia, although vertical orientation to the fracture is much less common than transverse orientation. Without a convincing history of new or accelerated muscular activity, imaging can be difficult to interpret and evaluation may require more than one imaging modality to exclude other diagnostic considerations, including neoplasm and osteomyelitis.

Adolescent↗
PubMed1994

Radiologic case study. Trevor disease: dysplasia epiphysealis hemimelica.

Although Trevor disease is a rare entity, early recognition is important because early treatment can decrease or prevent limitation in some patients. The clinical presentation and radiographic appearance in combination are unique, enabling both a precise diagnosis and the development of an appropriate management scheme.

Ankle↗
PubMed1994

Radiologic case study. Plain film manifestations of ACL injury.

ACL injuries are common but often difficult to diagnose acutely by clinical examination alone. The Segond fracture, avulsion fracture of the anterior tibial spine, impacted lateral femoral condyle fracture, and fracture of the posterior lateral tibial plateau are radiographic signs often associated with ACL injury. It is important to recognize the significance of these subtle abnormalities and if found, further evaluation should be done to identify the presence and the extent of ACL injury as well as potential injury to other components of the knee joint. MRI is the imaging method of choice in these patients. Early diagnosis and treatment of knee joint abnormalities may help prevent or diminish long-term disability.

Adult↗
PubMedDate not supplied

Dynamic contrast-enhanced MR imaging assessment of vascularized free fibular grafts.

Magnetic resonance (MR) imaging may be a noninvasive method for assessing perfusion of vascularized bone grafts placed for treatment of avascular necrosis. One proximal femur of seven beagles was devascularized, with insertion of a vascularized fibular graft. MR imaging at 1 week (seven dogs) and 6 weeks (five dogs) after surgery included pre- and postcontrast spin-echo sequences, unenhanced two-dimensional time-of-flight (TOF) vascular imaging, and dynamic gradient-echo imaging during infusion of gadolinium. Relative signal intensity values of selected regions obtained from the dynamic gradient-echo images were plotted as percent enhancement versus time. In the operated hip, MR imaging did not show enhancement in six of seven femoral heads and greater trochanters at 1 week after surgery, with similar results after 6 weeks. MR imaging of fibular grafts 6 weeks after surgery showed an initial rapid increase in enhancement and a subsequent slower increase in five of five dogs, although no enhancement was seen in six of seven dogs at 1 week. These findings contrasted with a rapid initial increase in enhancement followed by slow decline in non-operated hips. Two-dimensional TOF imaging did not show the vascular pedicle of the graft in any dog. Findings of radionuclide bone scanning performed 1 week after surgery were consistent with devascularization of the operated femur and fibular graft. However, tetracycline distribution and histologic findings confirmed the viability of five of five grafts within the devascularized femurs 6 weeks after surgery.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗