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Yochum, TerryR.

doi:10.1007/bf00194245

Cited by 6 publications

(10 citation statements)

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“… 35 They compared the Eichenholtz 18 and Schon et al 36 systems with a new classification, the ‘D’ scoring systems which assesses density, distention/swelling, debris, disorganisation and dislocation/subluxation adapted from the system proposed by Yochum and Rowe. 37 They found statically significant difference between the scores of the nonsurgical and surgical groups for their newly proposed ‘D’ classification system but not for the Eichenholtz or Schon classification systems. They propose that the ‘D’ system could be used to support evidence-based decision-making on the need for nonsurgical or surgical management.…”

Section: Classification Systems Based On Radiographical Findings From...mentioning

confidence: 93%

Controversies in the management of active Charcot neuroarthropathy

Gooday

Hardeman

Poland

et al. 2023

Therapeutic Advances in Endocrinology

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Charcot neuroarthropathy (CN) was first described over 150 years ago. Despite this there remains uncertanity around the factors that contribute to its development, and progression. This article will discuss the current controversies around the pathogenesis, epidemiology, diagnosis, assessment and management of the condition. The exact pathogenesis of CN is not fully understood, and it is likely to be multifactorial, with perhaps currently unknown mechanisms contributing to its development. Further studies are needed to examine opportunities to help screen for and diagnose CN. As a result of many of these factors, the true prevalence of CN is still largely unknown. Almost all of the recommendations for the assessment and treatment of CN are based on low-quality level III and IV evidence. Despite recommendations to offer people with CN nonremovable devices, currently only 40–50% people are treated with this type of device. Evidence is also lacking about the optimal duration of treatment; reported outcomes range from 3 months to more than a year. The reason for this variation is not entirely clear. A lack of standardised definitions for diagnosis, remission and relapse, heterogeneity of populations, different management approaches, monitoring techniques with unknown diagnostic precision and variation in follow-up times prevent meaningful comparison of outcome data. If people can be better supported to manage the emotional and physical consequences of CN, then this could improve people’s quality of life and well-being. Finally, we highlight the need for an internationally coordinated approach to research in CN.

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Section: Classification Systems Based On Radiographical Findings From...mentioning

confidence: 93%

Controversies in the management of active Charcot neuroarthropathy

Gooday

Hardeman

Poland

et al. 2023

Therapeutic Advances in Endocrinology

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“…It may appear thicker and more extensive, involving the entire shaft of the bone, or have a normal density or be inadequate. 18 …”

Section: Methodsmentioning

confidence: 99%

“…Codman’s triangle appears as a triangle of periosteal new bone at the peripheral lesion–cortex junction. 18 …”

Section: Methodsmentioning

confidence: 99%

Magnitude of chronic osteomyelitis and its associated factors in children as diagnosed on X-ray visiting at Felege Hiwot Comprehensive Specialized Hospital, Northwest Ethiopia: A cross-sectional study

2023

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Objectives: To assess the magnitude of chronic osteomyelitis and its associated factors in children at Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, Ethiopia, in 2022. Methods: A hospital-based cross-sectional study was done between April 15, 2022 and August 15, 2022, in children with an age of 18 years or below, who visited Felege Hiwot Comprehensive Specialized Hospital. A total sample size of 168 participants was involved in the study. The random sampling technique was applied to select the study participants. The data were collected from the patients, their charts, and X-ray requests. The data were cleaned, stored, checked for completeness, and entered into EpiData Version 3.1, which were then exported to SPSS Version 23 for analysis. Descriptive analysis was done, and bivariable and multivariable logistic regression were used for analysis. Results: The prevalence of chronic osteomyelitis was found to be 86.3%. The tibia and femur were the most commonly involved bones, and metaphyseal involvement was very common. The most common radiological findings were sequestrum (56%) and involucrum (53%). Of the total patients with radiological evidence of chronic osteomyelitis, 16.6% had complications, the most common of which was a pathologic fracture (12.4%). Being male (adjusted odds ratio = 6.162, 95% confidence interval: 1.12–34.147), being over 10 years old (adjusted odds ratio = 4.048, 95% confidence interval: 1.032–15.886), living in a rural area (adjusted odds ratio = 4.046, 95% confidence interval: 1.236–13.364), having a discharging sinus (adjusted odds ratio = 5.237, 95% confidence interval: 1.393–19.693), having a clinical complaint lasting more than 1 year (adjusted odds ratio = 5.189, 95% confidence interval: 1.247–21.588), and a preceding event of trauma (adjusted odds ratio = =10.363, 95% confidence interval: 1.101–97.509) were the factors associated with chronic osteomyelitis. Conclusion: The prevalence of chronic osteomyelitis is high. In this study, being male, being in the age group above 10 years, having rural residency, having a discharging sinus, having a clinical complaint duration of more than 1 year, and having a preceding event of trauma were the factors associated with chronic osteomyelitis. Therefore, healthcare providers should have a high index of suspicion of chronic osteomyelitis in older male children from rural areas with a chronic discharging sinus following trauma.

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“…Treatment of HME is usually conservative unless the osteochondromas become painful, demonstrate rapid or new growth, enlarge after skeletal maturity and/or exhibit signs of malignant transformation following which they are surgically excised. Recurrence is highly suggestive of an aggressive lesion [4].…”

Section: Malignantmentioning

confidence: 99%

Giant Osteochondroma of Tibia in a Case of Hereditary Multiple Exostoses: A Case Report

2023

Int J Res Rev

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Osteochondromas, aka exostoses, are benign neoplasms of the cartilage. Genetic mutations of the EXT1 and EXT2 genes leads to a syndrome causing multiple osteochondromas, namely the hereditary multiple exostoses. Among the complications related to multiple osteochondromas, malignant degeneration into chondrosarcoma has the worst prognosis. Sudden enlargement of size of an osteochondroma or sudden onset of pain at the site of previous osteochondroma in a skeletally mature patient is concerning for malignant transformation. However, the size criterion does not apply for skeletally immature individuals, as observed in the case report here. The imaging of an uncommonly large osteochondroma of the extremity in a skeletally immature patient with hereditary multiple exostoses has been described here. Normal thickness of the cartilage cap (<3cm) proved the benignity of the lesion on imaging, thereby nullifying the size criterion in the skeletally immature. Keywords: Hereditary multiple exostoses, Osteochondroma, Cartilage cap, Heparan sulphate, Bayonet deformity, Chondrosarcoma.

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Cited by 6 publications

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Controversies in the management of active Charcot neuroarthropathy

Controversies in the management of active Charcot neuroarthropathy

Magnitude of chronic osteomyelitis and its associated factors in children as diagnosed on X-ray visiting at Felege Hiwot Comprehensive Specialized Hospital, Northwest Ethiopia: A cross-sectional study

Giant Osteochondroma of Tibia in a Case of Hereditary Multiple Exostoses: A Case Report

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