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Prevalence of osteoporosis and vertebral fractures and related factors in patients with ankylosing spondylitis

Chinese Medical Journal 2014年第15期127卷 2740-2747页

作者： mehmet ali ulu ibrahim Batmaz Banu Dilek Remzi Cevik Batman State Hospital Faculty of Physical Medicine andRehabilitation Batman Turkey Dicle University Faculty of Medicine Physical Medicine andRehabilitation Diyarbakir Turkey Dokuz Eylul University Faculty ofMedicine Physical Medicine andRehabilitation izmir TurkeY

Background Osteoporosis and vertebral factures are well recognized features in patients with ankylosing spondylitis （AS）.The aim of this study was to investigate the prevalence and risk factors of osteoporosis and vertebral fractures in patients with *** Fifty-nine AS patients and 40 healthy controls were *** mineral density （BMD） was measured using dual-energy X-ray absorptiometry （DEXA） at posterior-anterior （PA） lumbar,lateral lumbar and hip *** and lumbar X-rays were obtained for morphometric ***,biological and radiological statuses were evaluated with Bath Ankylosing Spondylitis Disease Activity Index （BASDAI）,Bath Ankylosing Spondylitis Metrology Index （BASMI）,Bath Ankylosing Spondylitis Functional Index （BASFI）,Bath Ankylosing Spondylitis Radiology Index-total （BASRI-t）,erythrocyte sedimentation rate （ESR） and the C-reactive protein *** Osteoporosis was present in 32% of patients and 5% of controls according to lateral vertebral BMD *** was present in 31% of *** effect of some clinical and laboratory parameters on BMD status and vertebral fractures was analyzed in the patient *** in lateral lumbar DEXA was associated with higher BASMI,BASFI,BASRI-t scores and ESR *** hip BMD was associated with low BMI and high BASFI and BASRI-t *** fractures were associated with advanced age,longer disease duration,longer duration since diagnosis,higher BASMI and BASRI-t scores,higher ESR level,reduced femoral and lateral lumbar *** regression analysis revealed that only BASRI-t score was significantly associated with low lateral spinal BMD and BMI and BASFI score were independently associated with low hip *** presence of compression fractures was independently associated with BASRI-t score and low lateral lumbar *** Osteoporosis and vertebral fractures in AS seem to be related to the extent of radiological involvement.A low lateral

关键词： ankylosing spondylitis lateral lumbar dual-energy X-ray absorptiometry osteoporosis vertebral fractures

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Open reduction of a total talar dislocation: A case report and review of the literature

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World Journal of Clinical Cases 2019年第14期7卷 1850-1856页

作者： Furkan Yapici mehmet Coskun Muhammet Coskun Arslan Erman ulu Yunus Emre Akman Department of Orthopedics and Traumatology Metin Sabancl Baltalimanl Bone and Joint Diseases Education and Research HospitalIstanbul 34470Turkey Department of Orthopedics and Traumatology Demiroglu Bilim University Faculty of MedicineIstanbul 34387Turkey

BACKGROUND Total talar dislocation (TTD) is very uncommon for many orthopedic surgeons and emergency/trauma specialists. Scarce cases of TTD have been reported, mainly in the form of open fracture-dislocation injury. CASE SUMMARY We report a very rare injury of closed TTD with a follow-up period of 36 mo. Initial closed reduction was not successful because of a fractured highly unstable medial malleolus displaced into the ankle mortise, blocking the relocation of the talus. The patient was able to walk pain-free after the 3rd month of surgery. At the 36-mo follow-up, there were 10 degrees of flexion loss and 10 degrees of extension loss in the tibiotalar joint. Furthermore, 5 degrees of subtalar joint inversion-eversion loss was present. CONCLUSION Open reduction should be performed for closed TTDs unless closed reduction is successful.

关键词： Total talar dislocation Pan-talar dislocation Talus Case report

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