The Experts below are selected from a list of 138 Experts worldwide ranked by ideXlab platform
Martin Englund - One of the best experts on this subject based on the ideXlab platform.
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The association between Metacarpal ratio, radiographic hand and knee osteoarthritis and its progression after meniscectomy
Osteoarthritis and cartilage, 2013Co-Authors: Przemysław T. Paradowski, L.s. Lohmander, Martin EnglundAbstract:Summary Objective To examine whether the ratio of the second and Fourth Metacarpal Bone length (MC2:MC4) in subjects with prior meniscectomy of the knee is associated with radiographic hand and knee osteoarthritis (OA) and its progression. Design We assessed 219 subjects (175 men and 44 women) twice with a follow-up time ranging from 4 to 10 years. Participants had all undergone prior meniscectomy. The subjects were of mean (SD) 53 (11) years of age at the first radiographic examination. One observer measured the Metacarpal lengths of both hands. We used the average MC2:MC4 from left and right hand divided into tertiles as the exposure variable, using the highest tertile, i.e., "female" pattern as reference category. Radiographic OA of both hands and knees and its progression were evaluated on subject level as our outcomes. We used logistic regression to evaluate the possible association of MC2:MC4 with hand and knee OA and its progression with adjustment for age, sex, body mass index, and follow-up time. Results We found no statistically significant association between the lower MC2:MC4 tertile "male" pattern and prevalent hand OA (odds ratio [OR] 0.70; 95% confidence interval [CI] 0.24–1.99) and prevalent knee OA (OR 1.08; 95% CI 0.56–2.07). Neither did we find any corresponding significant association for the progression of hand OA (OR 0.89; 95% CI 0.34–2.32), nor knee OA (OR 0.69; 95% CI 0.33–1.46). Conclusions We did not detect any association between MC2:MC4 and radiographic hand and knee OA and its progression in subjects with prior meniscectomy.
Mandeep Singh Dhillon - One of the best experts on this subject based on the ideXlab platform.
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Aneurysmal Bone cyst of Fourth Metacarpal Bone in a child: excision and reconstruction with fibular strut graft—a case report and review of literature
European Journal of Orthopaedic Surgery & Traumatology, 2011Co-Authors: Sarvdeep Dhatt, Sujit Kumar Tripathy, Tarun Goyal, Mandeep Singh DhillonAbstract:Aneurysmal Bone cysts of small Bones of hands are rare and pose diagnostic and therapeutic challenge. We report a case of aneurysmal Bone cyst of Fourth Metacarpal Bone in a 14-year-old boy who presented with history of pain and swelling for 6 months duration. Radiograph and magnetic resonance imaging revealed a fusiform swelling involving the diaphysis and the distal metaphysis of the Fourth Metacarpal Bone without any cortical breach. The physeal plate was not involved. Histopathological finding confirmed the diagnosis to be aneurysmal Bone cyst. The patient was treated with marginal resection of the tumour preserving the articular surface by retaining the epiphysis and the bony defect was reconstructed with autologous fibular strut graft. One-year follow-up revealed an excellent incorporation of the graft with no evidence of local recurrence and also excellent range of motion of the hand. Nonvascularized fibular strut graft is easy to harvest and provide an excellent functional outcome when used as intercalary autograft after excision of aneurysmal Bone cyst of hand.
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aneurysmal Bone cyst of Fourth Metacarpal Bone in a child excision and reconstruction with fibular strut graft a case report and review of literature
European Journal of Orthopaedic Surgery and Traumatology, 2011Co-Authors: Sarvdeep Dhatt, Sujit Kumar Tripathy, Tarun Goyal, Mandeep Singh DhillonAbstract:Aneurysmal Bone cysts of small Bones of hands are rare and pose diagnostic and therapeutic challenge. We report a case of aneurysmal Bone cyst of Fourth Metacarpal Bone in a 14-year-old boy who presented with history of pain and swelling for 6 months duration. Radiograph and magnetic resonance imaging revealed a fusiform swelling involving the diaphysis and the distal metaphysis of the Fourth Metacarpal Bone without any cortical breach. The physeal plate was not involved. Histopathological finding confirmed the diagnosis to be aneurysmal Bone cyst. The patient was treated with marginal resection of the tumour preserving the articular surface by retaining the epiphysis and the bony defect was reconstructed with autologous fibular strut graft. One-year follow-up revealed an excellent incorporation of the graft with no evidence of local recurrence and also excellent range of motion of the hand. Nonvascularized fibular strut graft is easy to harvest and provide an excellent functional outcome when used as intercalary autograft after excision of aneurysmal Bone cyst of hand.
Przemysław T. Paradowski - One of the best experts on this subject based on the ideXlab platform.
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The association between Metacarpal ratio, radiographic hand and knee osteoarthritis and its progression after meniscectomy
Osteoarthritis and cartilage, 2013Co-Authors: Przemysław T. Paradowski, L.s. Lohmander, Martin EnglundAbstract:Summary Objective To examine whether the ratio of the second and Fourth Metacarpal Bone length (MC2:MC4) in subjects with prior meniscectomy of the knee is associated with radiographic hand and knee osteoarthritis (OA) and its progression. Design We assessed 219 subjects (175 men and 44 women) twice with a follow-up time ranging from 4 to 10 years. Participants had all undergone prior meniscectomy. The subjects were of mean (SD) 53 (11) years of age at the first radiographic examination. One observer measured the Metacarpal lengths of both hands. We used the average MC2:MC4 from left and right hand divided into tertiles as the exposure variable, using the highest tertile, i.e., "female" pattern as reference category. Radiographic OA of both hands and knees and its progression were evaluated on subject level as our outcomes. We used logistic regression to evaluate the possible association of MC2:MC4 with hand and knee OA and its progression with adjustment for age, sex, body mass index, and follow-up time. Results We found no statistically significant association between the lower MC2:MC4 tertile "male" pattern and prevalent hand OA (odds ratio [OR] 0.70; 95% confidence interval [CI] 0.24–1.99) and prevalent knee OA (OR 1.08; 95% CI 0.56–2.07). Neither did we find any corresponding significant association for the progression of hand OA (OR 0.89; 95% CI 0.34–2.32), nor knee OA (OR 0.69; 95% CI 0.33–1.46). Conclusions We did not detect any association between MC2:MC4 and radiographic hand and knee OA and its progression in subjects with prior meniscectomy.
Sarvdeep Dhatt - One of the best experts on this subject based on the ideXlab platform.
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Aneurysmal Bone cyst of Fourth Metacarpal Bone in a child: excision and reconstruction with fibular strut graft—a case report and review of literature
European Journal of Orthopaedic Surgery & Traumatology, 2011Co-Authors: Sarvdeep Dhatt, Sujit Kumar Tripathy, Tarun Goyal, Mandeep Singh DhillonAbstract:Aneurysmal Bone cysts of small Bones of hands are rare and pose diagnostic and therapeutic challenge. We report a case of aneurysmal Bone cyst of Fourth Metacarpal Bone in a 14-year-old boy who presented with history of pain and swelling for 6 months duration. Radiograph and magnetic resonance imaging revealed a fusiform swelling involving the diaphysis and the distal metaphysis of the Fourth Metacarpal Bone without any cortical breach. The physeal plate was not involved. Histopathological finding confirmed the diagnosis to be aneurysmal Bone cyst. The patient was treated with marginal resection of the tumour preserving the articular surface by retaining the epiphysis and the bony defect was reconstructed with autologous fibular strut graft. One-year follow-up revealed an excellent incorporation of the graft with no evidence of local recurrence and also excellent range of motion of the hand. Nonvascularized fibular strut graft is easy to harvest and provide an excellent functional outcome when used as intercalary autograft after excision of aneurysmal Bone cyst of hand.
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aneurysmal Bone cyst of Fourth Metacarpal Bone in a child excision and reconstruction with fibular strut graft a case report and review of literature
European Journal of Orthopaedic Surgery and Traumatology, 2011Co-Authors: Sarvdeep Dhatt, Sujit Kumar Tripathy, Tarun Goyal, Mandeep Singh DhillonAbstract:Aneurysmal Bone cysts of small Bones of hands are rare and pose diagnostic and therapeutic challenge. We report a case of aneurysmal Bone cyst of Fourth Metacarpal Bone in a 14-year-old boy who presented with history of pain and swelling for 6 months duration. Radiograph and magnetic resonance imaging revealed a fusiform swelling involving the diaphysis and the distal metaphysis of the Fourth Metacarpal Bone without any cortical breach. The physeal plate was not involved. Histopathological finding confirmed the diagnosis to be aneurysmal Bone cyst. The patient was treated with marginal resection of the tumour preserving the articular surface by retaining the epiphysis and the bony defect was reconstructed with autologous fibular strut graft. One-year follow-up revealed an excellent incorporation of the graft with no evidence of local recurrence and also excellent range of motion of the hand. Nonvascularized fibular strut graft is easy to harvest and provide an excellent functional outcome when used as intercalary autograft after excision of aneurysmal Bone cyst of hand.
Mahmoud Parham - One of the best experts on this subject based on the ideXlab platform.
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Short Fourth Metacarpal Bone in Sickle Cell Anemia
Zahedan Journal of Research in Medical Sciences, 2015Co-Authors: Mohammad Bagherzadeh, Mahmoud ParhamAbstract:Copyright © 2015, Zahedan University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. A 19-year-old man referred to the emergency department with generalized extremity pain. He had past medical history of sickle cell anemia. On physical examination, body temperature was normal and short right Fourth-Metacarpal Bone was observed, but there was no sign of genetic disorders like turner syndrome, McCune-Albright, and hypothyroidism. Laboratory tests including thyroid function, calcium, phosphorus, and alkaline phosphatase were normal. On radiologic study, right Fourth-Metacarpal Bone was short (Figure 1 A). Peripheral blood smear showed sickle cell bodies (Figure 1 B). Short Metacarpal Bone has been reported in psuodohypoparathyroidism, turner syndrome, rheumatoid arthritis, and ankylosing spondylitis, but this deformity was observed in sickle cell anemia. Repeated painful vaso-occlusive crises are common in sickle cell anemia [1]. These crises lead to infarcts, necrosis and degenerative changes in marrow-containing Bone and most commonly involve long Bones, but it can affect any Bone [2]. His symptoms resolved after 3 days treatment with hydration and analgesic.
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Short Fourth Metacarpal Bone in Sickle Cell Anemia
Zahedan University of Medical Sciences, 2015Co-Authors: Mohammad Bagherzadeh, Mahmoud ParhamAbstract:A 19-year-old man referred to the emergency department with generalized extremity pain. He had past medical history of sickle cell anemia. On physical examination, body temperature was normal and short right Fourth-Metacarpal Bone was observed, but there was no sign of genetic disorders like turner syndrome, McCune-Albright, and hypothyroidism
