1
40
3
-
Text
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URL Address
<a href="http://doi.org/10.5312/wjo.v4.i2.29" target="_blank" rel="noreferrer noopener">http://doi.org/10.5312/wjo.v4.i2.29</a>
Pages
29–31
Issue
2
Volume
4
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Distinguishing erosive osteoarthritis and calcium pyrophosphate deposition disease.
Publisher
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World journal of orthopedics
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
2013-04
Subject
The topic of the resource
Osteoarthritis; Calcium pyrophosphate deposition disease; Erosive osteoarthritis; Hydroxychloroquine; Rheumatoid arthritis; Spondyloarthropathy
Creator
An entity primarily responsible for making the resource
Rothschild Bruce M
Description
An account of the resource
Erosive osteoarthritis is a term utilized to describe a specific inflammatory condition of the interphalangeal and first carpal metacarpal joints of the hands. The term has become a part of medical philosophical semantics and paradigms, but the issue is actually more complicated. Even the term osteoarthritis (non-erosive) has been controversial, with some suggesting osteoarthrosis to be more appropriate in view of the perspective that it is a non-inflammatory process undeserving of the "itis" suffix. The term "erosion" has also been a source of confusion in osteoarthritis, as it has been used to describe cartilage, not bone lesions. Inflammation in individuals with osteoarthritis actually appears to be related to complicating phenomena, such as calcium pyrophosphate and hydroxyapatite crystal deposition producing arthritis. Erosive osteoarthritis is the contentious term. It is used to describe a specific form of joint damage to specific joints. The damage has been termed erosions and the distribution of the damage is to the interphalangeal joints of the hand and first carpal metacarpal joint. Inflammation is recognized by joint redness and warmth, while X-rays reveal alteration of the articular surfaces, producing a smudged appearance. This ill-defined, joint damage has a crumbling appearance and is quite distinct from the sharply defined erosions of rheumatoid arthritis and spondyloarthropathy. The appearance is identical to those found with calcium pyrophosphate deposition disease, both in character and their unique responsiveness to hydroxychloroquine treatment. Low doses of the latter often resolve symptoms within weeks, in contrast to higher doses and the months required for response in other forms of inflammatory arthritis. Reconsidering erosive osteoarthritis as a form of calcium pyrophosphate deposition disease guides physicians to more effective therapeutic intervention.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.5312/wjo.v4.i2.29" target="_blank" rel="noreferrer noopener">10.5312/wjo.v4.i2.29</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2013
Calcium pyrophosphate deposition disease
Erosive osteoarthritis
Hydroxychloroquine
Osteoarthritis
Rheumatoid arthritis
Rothschild Bruce M
Spondyloarthropathy
World journal of orthopedics
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.5312/wjo.v4.i3.100" target="_blank" rel="noreferrer noopener">http://doi.org/10.5312/wjo.v4.i3.100</a>
Pages
100–102
Issue
3
Volume
4
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Trochanteric area pain, the result of a quartet of bursal inflammation.
Publisher
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World journal of orthopedics
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
2013-07
Subject
The topic of the resource
Bursa; Bursitis; Corticosteroids; Dexamethasone; Hip; Injection; Triamcinolone; Trochanter
Creator
An entity primarily responsible for making the resource
Rothschild Bruce
Description
An account of the resource
Bursitis is quite responsive to therapeutic intervention, once the afflicted area is accurately identified. This is especially notable for some hip complaints. Patients' use of the term "hip" can relate to anything from the low back to groin to lateral thigh pain. Trochanteric area surface localization of "hip" pain may afford an opportunity for immediate cure. Effectiveness of therapeutic intervention is predicated upon injection of not one or two, but all four peri-trochanteric bursa with a depot (minimally water-soluble) corticosteroid. The term trochanteric bursitis suggests that the inflammation is more focal than what is clinically observed. While easier to express, perhaps it is time to refer to inflammation in this area, naming all four affected bursae.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.5312/wjo.v4.i3.100" target="_blank" rel="noreferrer noopener">10.5312/wjo.v4.i3.100</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2013
Bursa
Bursitis
Corticosteroids
Dexamethasone
Hip
Injection
Rothschild Bruce
Triamcinolone
Trochanter
World journal of orthopedics
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.5312/wjo.v4.i3.103" target="_blank" rel="noreferrer noopener">http://doi.org/10.5312/wjo.v4.i3.103</a>
Pages
103–106
Issue
3
Volume
4
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Mechanical solution for a mechanical problem: Tennis elbow.
Publisher
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World journal of orthopedics
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
2013-07
Subject
The topic of the resource
Inflammation; Adaptive equipment; Elbow; Epicondylitis; Mechanical overload; Tennis elbow
Creator
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Rothschild Bruce
Description
An account of the resource
Lateral epicondylitis is a relatively common clinical problem, easily recognized on palpation of the lateral protuberance on the elbow. Despite the "itis" suffix, it is not an inflammatory process. Therapeutic approaches with topical non-steroidal anti-inflammatory drugs, corticosteroids and anesthetics have limited benefit, as would be expected if inflammation is not involved. Other approaches have included provision of healing cytokines from blood products or stem cells, based on the recognition that this repetitive effort-derived disorder represents injury. Noting calcification/ossification of tendon attachments to the lateral epicondyle (enthesitis), dry needling, radiofrequency, shock wave treatments and surgical approaches have also been pursued. Physiologic approaches, including manipulation, therapeutic ultrasound, phonophoresis, iontophoresis, acupuncture and exposure of the area to low level laser light, has also had limited success. This contrasts with the benefit of a simple mechanical intervention, reducing the stress on the attachment area. This is based on displacement of the stress by use of a thin (3/4-1 inch) band applied just distal to the epicondyle. Thin bands are required, as thick bands (e.g., 2-3 inch wide) simply reduce muscle strength, without significantly reducing stress. This approach appears to be associated with a failure rate less than 1%, assuming the afflicted individual modifies the activity that repeatedly stresses the epicondylar attachments.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.5312/wjo.v4.i3.103" target="_blank" rel="noreferrer noopener">10.5312/wjo.v4.i3.103</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2013
Adaptive equipment
Elbow
Epicondylitis
Inflammation
Mechanical overload
Rothschild Bruce
Tennis elbow
World journal of orthopedics