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2013 | 8 | 2 | 172-175
Tytuł artykułu

Symptomatic multipartite patella: imaging findings and pain relief. A description of two cases

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Musculoskeletal injuries in the non-elite athletes are a clinical entity that is being seen more frequently nowadays. The term “weekend warriors” applies to amateur participants in sports activities and is related to an increasing number of musculoskeletal injuries mainly due to overuse. Concomitant skeletal variations may as well predispose to trauma. We add to the literature two cases of multipartite patella in which locally injected ropivacaine (ropivacaine hydrochloride) and steroid (betamethasone acetate-betamethasone sodium phosphate) relieved the symptoms completely. Here, we describe the clinical, imaging features and the course of treatment.
Wydawca

Czasopismo
Rocznik
Tom
8
Numer
2
Strony
172-175
Opis fizyczny
Daty
wydano
2013-04-01
online
2013-01-23
Twórcy
  • Department of Radiology, 412 General Military Hospital -212 Mobile Army Surgical Hospital, Athens, Greece, perdikakis_ev@yahoo.gr
  • Department of Emergency Medicine-Department of Anaesthesiology, 412 General Military Hospital -212 Mobile Army Surgical Hospital, Athens, Greece
Bibliografia
  • [1] Paterson A. Soccer injuries in children. Pediatr Radiol 2009; 39:1286–1298 http://dx.doi.org/10.1007/s00247-009-1416-1[WoS][Crossref]
  • [2] Dixon S, Newton J, Teh J. Stress fractures in the young athlete: a pictorial review. Curr Probl Diagn Radiol 2011; 40:29–44 http://dx.doi.org/10.1067/j.cpradiol.2009.12.001[Crossref]
  • [3] Wilder RP, Sethi S. Overuse injuries: tendinopathies, stress fractures, compartment syndrome, and shin splints. Clin Sports Med 2004; 23:55–81 http://dx.doi.org/10.1016/S0278-5919(03)00085-1[Crossref]
  • [4] Weckström M, Parviainen M, Pihlajamäki HK. Excision of painful bipartite patella: good long-term outcome in young adults. Clin Orthop Relat Res 2008; 466:2848–2855 http://dx.doi.org/10.1007/s11999-008-0367-4[Crossref]
  • [5] Oohashi Y, Koshino T, Oohashi Y. Clinical features and classification of bipartite or tripartite patella. Knee Surg Sports Traumatol Arthrosc 2010; 18:1465–1469. http://dx.doi.org/10.1007/s00167-010-1047-y[WoS][Crossref]
  • [6] Kavanagh EC, Zoga A, Omar I, Ford S, Schweitzer M, Eustace S. MRI findings in bipartite patella. Skeletal Radiol 2007; 36:209–214 http://dx.doi.org/10.1007/s00256-006-0232-z[Crossref][WoS]
  • [7] O’Brien J, Murphy C, Halpenny D, McNeill G, Torreggiani WC. Magnetic resonance imaging features of asymptomatic bipartite patella. Eur J Radiol 2011; 78:425–429 http://dx.doi.org/10.1016/j.ejrad.2009.11.001[WoS][Crossref]
  • [8] Oohashi Y, Noriki S, Koshino T, Fukuda M. Histopathological abnormalities in painful bipartite patellae in adolescents. Knee 2006; 13:189–193 http://dx.doi.org/10.1016/j.knee.2006.01.008[Crossref]
  • [9] Navas A, Kassarjian A. Bone marrow changes in stress injuries. Semin Musculoskelet Radiol 2011; 15:183–197 http://dx.doi.org/10.1055/s-0031-1278419[Crossref]
  • [10] Kornaat PR, de Jonge MC, Maas M. Bone marrow edema-like signal in the athlete. Eur J Radiol 2008; 67:49–53 http://dx.doi.org/10.1016/j.ejrad.2008.01.057[Crossref][WoS]
  • [11] Atesok K, Doral MN, Lowe J, Finsterbush A. Symptomatic bipartite patella: treatment alternatives. J Am Acad Orthop Surg 2008; 16:455–461
  • [12] Miller JC, Palmer WE, Goroll AH, Thrall JH, Uppot RN. Anesthetic and steroid injections for musculoskeletal pain. J Am Coll Radiol 2009; 6:806–808 http://dx.doi.org/10.1016/j.jacr.2009.06.004[Crossref]
  • [13] Piper SL, Kim HT. Comparison of ropivacaine and bupivacaine toxicity in human articular chondrocytes. J Bone Joint Surg Am 2008; 90:986–991 http://dx.doi.org/10.2106/JBJS.G.01033[WoS][Crossref]
  • [14] Lo IK, Sciore P, Chung M, et al. Local anesthetics induce chondrocyte death in bovine articular cartilage disks in a dose- and duration-dependent manner. Arthroscopy 2009; 25:707–715 http://dx.doi.org/10.1016/j.arthro.2009.03.019[Crossref]
  • [15] Convery PN, Milligan KR, Quinn P, Sjovall J, Gustafsson U. Efficacy and uptake of ropivacaine and bupivacaine after single intra-articular injection in the knee joint. Br J Anaesth 2001; 87:570–576 http://dx.doi.org/10.1093/bja/87.4.570[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-012-0126-5
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