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Zini R, Panascì M, Santori N, Potestio D, Di Pietto F, Milano G, et A. The Italian Consensus Conference on FAI Syndrome in Athletes (Cotignola Agreement). Muscles Ligaments Tendons J 2023. [DOI: 10.32098/mltj.01.2023.06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/15/2023]
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Simonetti I, Pietto FD, Zappia M, Trovato P, Verde F, Chianca V. Ultrasound and Magnetic Resonance Imaging Diagnosis of Isolated Tear of the Accessory Soleus Tendon: A Case Report and Review of the Literatures. J Orthop Case Rep 2020; 10:84-87. [PMID: 32953664 PMCID: PMC7476704 DOI: 10.13107/jocr.2020.v10.i02.1710] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Introduction: The accessory soleus muscle (also known as the supernumerary soleus or soleus secundus) is an uncommon congenital anatomical. The presence of this muscle is generally asymptomatic. In cases of symptomatic accessory soleus muscle, it manifests with painful swelling of the posteromedial region of the ankle. To the best of our knowledge, partial or complete accessory soleus tendon tears were reported in literature in only three cases; all of them were diagnosed with magnetic resonance imaging (MRI) examination while only one was diagnosed with both ultrasound (US) and MRI. Case Report: We presented a case of a 63-year-old Caucasian woman presented to our emergency department with severe pain in the posteromedial region of her right ankle. US and MRI of the calf and ankle were performed and a complete tear of the right accessory soleus tendon with fluid gap and myotendinous retraction was diagnosed. Conclusion: An accessory soleus muscle partial or complete tears are very uncommon injuries. This condition can mimic many other pathologies, and therefore, radiologists should know the physiological and pathological imaging findings for a correct interpretation of ankle injuries, avoiding misinterpretations.
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Affiliation(s)
- I Simonetti
- Department of Advanced Biomedical Sciences, Università Degli Studi Federico II - Via Pansini5, 80131, Napoli, Italy
| | - F Di Pietto
- Department of Radiology -Pineta Grande Hospital, Castel Volturno, CE, Italy
| | - M Zappia
- Department Life and Health "V. Tiberio," University of Molise, Via Francesco De Sanctis 1, Campobasso86100, Italy
| | - P Trovato
- Department of Advanced Biomedical Sciences, Università Degli Studi Federico II - Via Pansini5, 80131, Napoli, Italy
| | - F Verde
- Department of Advanced Biomedical Sciences, Università Degli Studi Federico II - Via Pansini5, 80131, Napoli, Italy
| | - V Chianca
- Unit of Diagnostic and Interventional Radiology - I.R.C.C.S. Istituto Ortopedico Galeazzi, Milano
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Oliva F, Rugiero C, Giai Via A, Baldassarri M, Bernardi G, Biz C, Bossa M, Buda R, Buonocore D, Chianca V, Collina A, De Carli A, De Luna A, Di Lanno I, Di Lorenzo L, Di Pietto F, Dossena M, Fantoni I, Farsetti P, Fini M, Finotti P, Forte A, Foti C, Frizziero A, Gaj E, Galeone C, Gamberini J, Gasparini M, Innocenti B, Lupariello D, Mahmoud A, Marsilio E, Moretti B, Natali S, Padulo J, Pellicciari L, Perazzo L, Piccirilli E, Picerno P, Ruggeri P, Tarantino U, Vadalà A, Veronesi F, Verri M, Vetrano M, Vulpiani M, Zappia M, Maffulli N. I.S.Mu.L.T. Achilles tendon ruptures guidelines. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.03.2018.03] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- F. Oliva
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - C. Rugiero
- Department of Orthopaedics and Traumatology, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - A. Giai Via
- Department of Orthopaedic and Traumatology, Hip Surgery Center, IRCCS San Donato Hospital, San Donato Milanese, Milan, Italy
| | - M. Baldassarri
- Department of Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, Bologna, Italy
| | - G. Bernardi
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - C. Biz
- Orthopaedics Unit, Department of Surgical, Oncologic and Gastroenterological Sciences DiSCOG, University of Padua, Padua, Italy
| | - M. Bossa
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - R. Buda
- Department of Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, Bologna, Italy
| | - D. Buonocore
- Department of Biology and Biotechnology, University of Pavia, Pavia, Italy
| | - V. Chianca
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Naples, Italy
| | - A. Collina
- Department of Diagnostic Imaging, Campolongo Hospital, Eboli (SA), Italy
| | - A. De Carli
- Department of Orthopaedics and Traumatology, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - A.V. De Luna
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - I. Di Lanno
- Department of Diagnostic Imaging, Campolongo Hospital, Eboli (SA), Italy
| | - L. Di Lorenzo
- Department of Diagnostic Imaging, Campolongo Hospital, Eboli (SA), Italy
| | - F. Di Pietto
- Department of Diagnostic Imaging, AORNA, Cardarelli Hospital, Naples, Italy
| | - M. Dossena
- Department of Biology and Biotechnology, University of Pavia, Pavia, Italy
| | - I. Fantoni
- Orthopaedics Unit, Department of Surgical, Oncologic and Gastroenterological Sciences DiSCOG, University of Padua, Padua, Italy
| | - P. Farsetti
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - M. Fini
- Laboratory of Preclinical and Surgical Studies, Rizzoli Orthopaedic Institute, Bologna, Italy
| | - P. Finotti
- Department of Physical and Rehabilitation Medicine, University of Padua, Padua, Italy
| | - A.M. Forte
- Centre of Rehabilitation and Biomedical Research, Biomedical Research Center Gruppo Forte, Salerno, Italy
| | - C. Foti
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - A. Frizziero
- Department of Physical and Rehabilitation Medicine, University of Padua, Padua, Italy
| | - E. Gaj
- Department of Orthopaedics and Traumatology, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - C. Galeone
- Department of Biology and Biotechnology, University of Pavia, Pavia, Italy
| | - J. Gamberini
- Department of Physical and Rehabilitation Medicine, University of Padua, Padua, Italy
| | - M. Gasparini
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - B. Innocenti
- BEAMS Department (Bio Electro Mechanical System), ècole polytechnique de Bruxelles, Universitè Libre de Bruxelles, Brussels, Belgium
| | - D. Lupariello
- Department of Orthopaedics and Traumatology, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - A. Mahmoud
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
- Department of Physical Medicine, Rheumatology and Rehabilitation, University of Cairo "Ain Shams", Cairo, Egypt
| | - E. Marsilio
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - B. Moretti
- Department of Orthopaedics and Traumatology, Bari Hospital, Bari, Italy
| | - S. Natali
- Department of Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, Bologna, Italy
| | - J. Padulo
- Sport Science, University e-Campus, Novedrate, Italy; Tunisian Laboratory of Research for Sporty Perfomance Optimization, National Center of Medicine and Sport Sciences, Tunis, Tunisia
| | - L. Pellicciari
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
- Sport Science, University e-Campus, Novedrate, Italy; Tunisian Laboratory of Research for Sporty Perfomance Optimization, National Center of Medicine and Sport Sciences, Tunis, Tunisia
| | - L. Perazzo
- Department of Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, Bologna, Italy
| | - E. Piccirilli
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - P. Picerno
- Telematics University e-Campus, Novedrate, Italy
| | - P. Ruggeri
- Orthopaedics Unit, Department of Surgical Oncologic and Gastroenterogical Sciences DISCOG, University of Padua, Padua, Italy
| | - U. Tarantino
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - A. Vadalà
- Department of Orthopaedics and Traumatology, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - F. Veronesi
- Rizzoli Orthopaedic Institute, Bologna, Italy
| | - M. Verri
- Department of Biology and Biotechnology, University of Pavia, Pavia, Italy
| | - M. Vetrano
- Department of Physical and Rehabilitation Medicine, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - M.C. Vulpiani
- Department of Physical and Rehabilitation Medicine, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - M. Zappia
- Department of Medicine and Health Science, University of Molise, Campobasso, Italia; Varelli Institute, Naples, Italy
| | - N. Maffulli
- Department of Physical and Rehabilitation Medicine, San Giovanni di Dio e Ruggi d'Aragona Hospital, University of Salerno, Italy; University of London Queen Mary, Barts and the London School of Medicine Dentistry, Sport Medicine Center, Mile End Hospital, London, UK
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Cautiero F, Russo R, Di Pietto F, Sabino G. Computerized tomographic assessment and clinical evaluation in shoulder instability treated with the Latarjet-Patte procedure using one screw and washer. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.01.2017.04] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- F. Cautiero
- Orthopaedic and Traumatology Department, Pellegrini Hospital, Naples, Italy
| | - R. Russo
- Orthopaedic and Traumatology Department, Pellegrini Hospital, Naples, Italy
| | - F. Di Pietto
- Diagnostic of Imaging Department, Cardarelli Hospital, Naples, Italy
| | - G. Sabino
- Diagnostic of Imaging, Villa Fiorita Clinic, Capua (CE), Italy
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Simonetti I, Chianca V, Zappia M, Carfora M, Jannelli E, Di Pietto F. A rare case of Hoffa's fat pad herniation in a young patient: dynamic ultrasound and MRI diagnosis. J BIOL REG HOMEOS AG 2018; 32:77-81. [PMID: 30644286 DOI: pmid/30644286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Hoffa's fat pad (HFP) is part of the knee structure interposed between the joint capsule and the synovium. Recent studies have classified infrapatellar fat pad (IFP) disorders on a pathogenesis-based classification: traumatic disorders, post-traumatic disorders, lesions secondary to adjacent disorders. Masses or pseudo-masses may also be found within the IFP, however these alterations are much less frequent. Diagnostic imaging plays an important role in the diagnosis of masses and pseudo-masses of IFP and the first choice exam is a dynamic ultrasound study. We presented a rare case of Hoffa's fat pad herniation through the joint capsule, in a young child without history of knee injuries that has never been described before in the literature.
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Affiliation(s)
- I Simonetti
- Department of Advanced Biomedical Sciences, Università degli Studi Federico II, Naples, Italy
| | - V Chianca
- Unit of Diagnostic and Interventional Radiology, I.R.C.C.S. Istituto Ortopedico Galeazzi, Milano, Italy
| | - M Zappia
- Department of Medicine and Health Sciences, Università del Molise, Campobasso, Campobasso, Italy
| | - M Carfora
- Department of Diagnostic Imaging, "P.O. Maddaloni", Maddaloni (CE), Italy
| | - E Jannelli
- Clinica Ortopedica e Traumatologica, IRCCS Policlinico San Matteo, Università degli Studi di Pavia, Pavia, Italy
| | - F Di Pietto
- Department of Diagnostic Imaging, "A. Cardarelli" Hospital, Naples, Italy
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Russo R, Della Rotonda G, Cautiero F, Ciccarelli M, Maiotti M, Massoni C, Di Pietto F, Zappia M. Arthroscopic Bankart repair associated with subscapularis augmentation (ASA) versus open Latarjet to treat recurrent anterior shoulder instability with moderate glenoid bone loss: clinical comparison of two series. Musculoskelet Surg 2017; 101:75-83. [PMID: 28004306 DOI: 10.1007/s12306-016-0446-8] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Accepted: 12/07/2016] [Indexed: 06/06/2023]
Abstract
PURPOSE The treatment of chronic anterior shoulder instability with glenoid bone loss is still debated. The purpose of this study is to compare short-term results of two techniques treating chronic shoulder instability with moderate glenoid bone loss: bone block according to open Latarjet-Patte procedure and arthroscopic Bankart repair in association with subscapularis augmentation. METHODS Ninety-one patients with moderate anterior glenoid bone loss underwent from 2011 to 2015. From these patients, two groups of 20 individuals each have been selected. The groups were homogeneous in terms of age, gender, dominance and glenoid bone loss. In group A, an open Latarjet procedure has been performed, and in group B, an arthroscopic Bankart repair associated with subscapularis augmentation has been performed. The mean follow-up in group A was 21 months (20-39 months), while in group B was 20 months (15-36 months). QuickDash score, Constant and Rowe shoulder scores, were used for evaluations of results. RESULTS The mean preoperative rate of QuickDash score was 3.6 for group A and 4.0 for group B; Rowe Score was 50.0 for group A and 50.0 for group B. Preoperative mean Constant score was 56.2 for Latarjet-Patte and 55.2 for Bankart plus ASA. Postoperative mean QuickDash score was in group A 1.8 and 1.7 in group B; Rowe Score was 89.8 and 91.6; Constant Score was 93.3 and 93.8. No complications related to surgery have been observed for both procedures. Not statistically significant difference was reported between the two groups (p > .05). Postoperatively, the mean deficit of external rotation in ER1 was -9° in group A and -8 in group B; In ER2, the mean deficit was -5° in both groups (p = .0942). CONCLUSIONS Arthroscopic subscapularis augmentation of Bankart repair is an effective procedure for the treatment of recurrent anterior shoulder instability with glenoid bone loss without any significant difference in comparison with the well-known open Latarjet procedure.
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Affiliation(s)
- R Russo
- Orthopedic and Traumatology Unit, Pellegrini Hospital, Naples, Italy
| | - G Della Rotonda
- Orthopedic and Traumatology Unit, Pellegrini Hospital, Naples, Italy.
| | - F Cautiero
- Orthopedic and Traumatology Unit, Pellegrini Hospital, Naples, Italy
| | - M Ciccarelli
- Orthopedic and Traumatology Unit, Pellegrini Hospital, Naples, Italy
| | - M Maiotti
- Sport Traumatology Unit, San Giovanni Addolorata Hospital, Rome, Italy
| | - C Massoni
- Sport Traumatology Unit, San Giovanni Addolorata Hospital, Rome, Italy
| | - F Di Pietto
- Diagnostic Imaging Department AORN A. Cardarelli, Naples, Italy
| | - M Zappia
- Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy
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Bisciotti GN, Volpi P, Zini R, Auci A, Aprato A, Belli A, Bellistri G, Benelli P, Bona S, Bonaiuti D, Carimati G, Canata GL, Cassaghi G, Cerulli S, Delle Rose G, Di Benedetto P, Di Marzo F, Di Pietto F, Felicioni L, Ferrario L, Foglia A, Galli M, Gervasi E, Gia L, Giammattei C, Guglielmi A, Marioni A, Moretti B, Niccolai R, Orgiani N, Pantalone A, Parra F, Quaglia A, Respizzi F, Ricciotti L, Pereira Ruiz MT, Russo A, Sebastiani E, Tancredi G, Tosi F, Vuckovic Z. Groin Pain Syndrome Italian Consensus Conference on terminology, clinical evaluation and imaging assessment in groin pain in athlete. BMJ Open Sport Exerc Med 2016; 2:e000142. [PMID: 28890800 PMCID: PMC5566259 DOI: 10.1136/bmjsem-2016-000142] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2016] [Indexed: 12/14/2022] Open
Abstract
The nomenclature and the lack of consensus of clinical evaluation and imaging assessment in groin pain generate significant confusion in this field. The Groin Pain Syndrome Italian Consensus Conference has been organised in order to prepare a consensus document regarding taxonomy, clinical evaluation and imaging assessment for groin pain. A 1-day Consensus Conference was organised on 5 February 2016, in Milan (Italy). 41 Italian experts with different backgrounds participated in the discussion. A consensus document previously drafted was discussed, eventually modified, and finally approved by all members of the Consensus Conference. Unanimous consensus was reached concerning: (1) taxonomy (2) clinical evaluation and (3) imaging assessment. The synthesis of these 3 points is included in this paper. The Groin Pain Syndrome Italian Consensus Conference reached a consensus on three main points concerning the groin pain syndrome assessment, in an attempt to clarify this challenging medical problem.
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Affiliation(s)
- G N Bisciotti
- Qatar Orthopedic and Sport Medicine Hospital, Doha, Qatar
| | - P Volpi
- Department of Knee Orthopedic and Sports Traumatology Unit, Humanitas Research Hospital, Rozzano, Italy.,FC Internazionale, Milan, Italy
| | - R Zini
- Azienda Ospedaliera "Ospedale San Salvatore", Pesaro, Italy
| | - A Auci
- Kinemove Rehabilitation Center, Pontremoli, La Spezia, Italy
| | | | - A Belli
- FC Internazionale, Milan, Italy
| | | | | | - S Bona
- Department of Knee Orthopedic and Sports Traumatology Unit, Humanitas Research Hospital, Rozzano, Italy
| | - D Bonaiuti
- Fisioclinic Centro Medico Polispecialistico, Pesaro, Italy
| | - G Carimati
- Department of Knee Orthopedic and Sports Traumatology Unit, Humanitas Research Hospital, Rozzano, Italy
| | | | - G Cassaghi
- Kinemove Rehabilitation Center, Pontremoli, La Spezia, Italy
| | - S Cerulli
- Institute of Sports Medicine of Turin, Italy
| | - G Delle Rose
- Department of Knee Orthopedic and Sports Traumatology Unit, Humanitas Research Hospital, Rozzano, Italy
| | | | - F Di Marzo
- Azienda Ospedaliera Universitaria di Udine, Italy
| | | | - L Felicioni
- Ospedale della Misericordia, Grosseto, Italy
| | | | - A Foglia
- Studio di fisioterapia Riabilita, Pesaro, Italy
| | - M Galli
- IRCCS Istituto Ortopedico Galeazzi, Milano, Italy
| | | | - L Gia
- Azienda Ospedaliera Universitaria di Udine, Italy
| | | | - A Guglielmi
- Azienda Ospedaliera Universitaria Pisana, Pisa, Italy
| | - A Marioni
- Azienda Policlinico Università di Bari, Bari, Italy
| | | | | | - N Orgiani
- Department of Knee Orthopedic and Sports Traumatology Unit, Humanitas Research Hospital, Rozzano, Italy
| | | | - F Parra
- Kinemove Rehabilitation Center, Pontremoli, La Spezia, Italy
| | - A Quaglia
- Department of Knee Orthopedic and Sports Traumatology Unit, Humanitas Research Hospital, Rozzano, Italy
| | - F Respizzi
- Department of Knee Orthopedic and Sports Traumatology Unit, Humanitas Research Hospital, Rozzano, Italy
| | - L Ricciotti
- Kinemove Rehabilitation Center, Pontremoli, La Spezia, Italy
| | | | | | | | | | - F Tosi
- Department of Knee Orthopedic and Sports Traumatology Unit, Humanitas Research Hospital, Rozzano, Italy
| | - Z Vuckovic
- Qatar Orthopedic and Sport Medicine Hospital, Doha, Qatar
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Zappia M, Reginelli A, Russo A, D'Agosto GF, Di Pietto F, Genovese EA, Coppolino F, Brunese L. Long head of the biceps tendon and rotator interval. Musculoskelet Surg 2013; 97 Suppl 2:S99-108. [PMID: 23949931 DOI: 10.1007/s12306-013-0290-z] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2013] [Accepted: 06/13/2013] [Indexed: 01/02/2023]
Abstract
The term "biceps brachii" is a Latin phrase meaning "two-headed (muscle) of the arm." As its name suggests, this muscle has two separate origins. The short head of biceps is extraarticular in location, originates from the coracoid process of the scapula, having a common tendon with the coracobrachialis muscle. The long head of biceps tendon (LBT) has a much more complex course, having an intracapsular and an extracapsular portion. The LBT originates from the supraglenoid tubercle, and in part, from the glenoid labrum; the main labral attachments vary arising from the posterior, the anterior of both aspects of the superior labrum (Bletran et al. in Top Magn Reson Imaging 14:35-49, 2003; Vangsness et al. in J Bone Joint Surg Br 76:951-954, 1994). Before entering the bicipital groove (extracapsular portion), the LBT passes across the "rotator cuff interval" (intracapsular portion). Lesions of the pulley system, the LBT, and the supraspinatus tendon, as well as the subscapularis, are commonly associated (Valadie et al. in J Should Elbow Surg 9:36-46, 2000). The pulley lesion can be caused by trauma or degenerative changes (LeHuec et al. in J Should Elbow Surg 5:41-46, 1996). MR arthrography appears to be a promising imaging modality for evaluation of the biceps pulley, through the distention of the capsule of the rotator interval space and depiction of the associated ligaments.
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Affiliation(s)
- M Zappia
- Department of Health and Science, University of Molise, Campobasso, Italy.
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Genovese E, Spiga S, Vinci V, Aliprandi A, Di Pietto F, Coppolino F, Scialpi M, Giganti M. Femoroacetabular impingement: role of imaging. Musculoskelet Surg 2013; 97 Suppl 2:S117-S126. [PMID: 23949933 DOI: 10.1007/s12306-013-0283-y] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2013] [Accepted: 06/10/2013] [Indexed: 06/02/2023]
Abstract
The femoroacetabular impingement (FAI) is an impingement characterized by repetitive abutment between the femur and the acetabular rim during hip motion due to loss of joint clearance (Imam and Khanduja in Int Orthop 35(10):1427-1435, 2011; James et al. in AJR Am J Roentgenol 187(6):1412-1419, 2006). Femoroacetabular impingement (FAI) can be classified as either cam or pincer type, and it can be differentiated on the basis of a predominance of either a femoral or an acetabular abnormality (Pfirrmann et al. in Radiology 244(2):626, 2007; Ganz et al. in Clin Orthop Relat Res 466(2):264-272, 2008). In cases of cam FAI, the nonspherical shape of the femoral head at the femoral head-neck junction and reduced depth of the femoral waist lead to abutment of the femoral head-neck junction against the acetabular rim. In cases of pincer FAI, acetabular overcoverage limits the range of motion and leads to a conflict between the acetabulum and the femur. The most important role of preoperative MR evaluation in patients affected by FAI is the accurate assessment of the damage's extension.
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Affiliation(s)
- E Genovese
- Radiology Department, Cagliari University, Cagliari, Italy.
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Cobellis L, Di Pietto F, Di Pietto L, Stradella L, Reis FM, Severi FM, Petraglia F. Ultrasound diagnosis and Doppler monitoring of a pelvic spleen in pregnancy. Ultrasound Obstet Gynecol 2001; 17:453-454. [PMID: 11380975 DOI: 10.1046/j.1469-0705.2001.00403.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
We describe a patient with a pelvic spleen diagnosed during pregnancy and monitored through gestation which we believe to be the first reported case. A 40-year-old woman was referred at 8 weeks of gestation because of a chronic intense pain in the left iliac cavity which had spread to her lower back. Clinical examination revealed a poorly defined pelvic mass. Pelvic ultrasound demonstrated a gestational sac containing a viable embryo whose size was consistent with the period of amenorrhea. While the splenic area in the left hypocondrium was found to be empty, a homogeneous and elongate mass measuring 152 x 123 mm with a maximum thickness of 53.4 mm was observed in the left iliac cavity above the uterus. This mass, the ectopic spleen, was monitored by Doppler velocimetry at monthly intervals until delivery and no variation throughout gestation was observed; therefore, despite the occasional occurrence of heavy pain, it was possible to exclude circulatory complications such as thrombosis or torsion. Doppler ultrasound proved to be a useful tool for the differential diagnosis of this rare anatomical variation.
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Affiliation(s)
- L Cobellis
- Department of Obstetrics and Gynecology, University of Siena, Siena, Italy.
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Abstract
BACKGROUND We set out to analyze the results of the first 19 laparoscopic splenectomies performed by our team in order to show the advantages and limitations of the laparoscopic approach to this kind of procedure in children. METHODS Between March 1994 and June 1997, 19 children underwent laparoscopic splenectomy; two of them also had a concomitant cholecystectomy. Their ages ranged between 4 and 14 years (median, 7.2 years). There were 14 girls and 5 boys. All the patients underwent elective laparoscopic splenectomy: seven children had hereditary spherocytosis, six were affected by a beta thalassemia, five had an idiopathic thrombocytopenia purpura, and one presented with sickle cell disease. RESULTS Mean operating time was 145 min (range, 110-240 min). Hospital stay ranged from 2 to 5 days (median, 3 days). In three patients, the spleen was removed with a 7-cm mini-laparotomy, according to the technique of Pfannenstiell, in the suprapubic region. In the other 16 cases, the spleen was captured into a extraction bag, finger-fragmented, and removed from the umbilical orifice. CONCLUSIONS Laparoscopic splenectomy can be performed only when the spleen can be removed through the umbilical orifice with an extraction bag. For this reason, preoperative ultrasonography is necessary to measure the exact spleen volume. When the spleen is very large, an open splenectomy is preferable.
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Affiliation(s)
- C Esposito
- Division of Pediatric Surgery, Federico II University of Naples, Via Pansini 5, 80131 Naples, Italy
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