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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Preiser's syndrome is a rare osteochondrosis affecting the carpal scaphoid, frequently related with an avascular necrosis. Osteoarthritic changes of the articular cartilage, local synovitis, and loose fragments are the most common findings associated with this syndrome. We report here two patients with Preiser's syndrome, one with and one without a traumatic history, both presenting with pain, swelling and functional impairment of the wrist. In one patient radiography was sufficient for the diagnosis, in the other NMR was necessary to clearly establish type and extension of the lesion. Differential diagnosis may be sometimes difficult and the therapeutic approach depends on several aspects, including etiology and type of occupational activity.
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PMID:[Osteochondritis dissecans of the scaphoid (Preiser's syndrome): 2 case reports]. 1287 47

Acupuncture used in cervical-thoracic and lumbar pain arrested the pain completely in 41.7 and partially in 53% patients with spinal osteochondrosis of the neck and chest spine. In lumbosacral osteochondrosis pain eliminated in 33 and 61.2% patients, respectively. If acupuncture is ineffective, vacuum blood letting is recommended as an adjuvant treatment to relieve pain.
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PMID:[Effect reflexotherapy on cervical-thoracic and lumbar pain syndromes in spinal osteochondrosis]. 1294 39

The purpose of this review was to summarise the causes of vertebral deformity. Osteoporosis as the most frequent disease lies in the background of vertebral deformity which is the most common type of fractures. Vertebrae cannot resist mechanical loadings so they deform and/or break because of their decreased mineral density and changed trebecular microarchitecture. The diagnosis of vertebral deformity presents several problems in the practice. For example, patients with vertebral fractures do not report having symptoms even when present (asymptomatic deformity), moreover plain radiograph does not show high enough sensitivity to diagnose vertebral fractures. The two methods most likely used in clinical research would be the semiquantitative assessment of vertebral deformities, which is based on visual evaluation, and the quantitative approach, which is based on different morphometric criteria. Absorptiometric morphometry and digital technology are developing, though presently they are not widespread. The compression of vertebrae is followed by heavy pain and functional disability (symptomatic deformity), and in these cases plain radiographs show the following pictures: wedge, biconcave and crush deformity, which enable us to make the diagnosis. Its high occurrence, the increased mortality rate, the decreasing quality of life and the prevalence of subsequent fracture make osteoporotic vertebral deformity so significant. The bone strength is determined not only by bone mass and bone microarchitecture, but also by its quality and turnover. From this follows that besides osteoporosis there are several diseases with vertebral deformity and increased fragilibility. The main diseases are: developmental disorders, osteochondrosis, heritable disorders, postural conditions, traumas, inflammatory diseases, storage diseases, other metabolic bone diseases, hematological diseases and spondyloarthropathy.
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PMID:[Vertebral deformities and the underlying diseases]. 1462 37

Degenerative changes and osteochondrosis of articular processes are common sources of stiffness or pain in the equine cervical spine. Temporary relief of the clinical signs related to these maladies may be achieved by injecting corticosteroids into the joint. This is routinely done by ultrasound-guided needle placement. The cervical articular processes and joint form an easily identifiable sonographic landmark, a step-like echogenic surface described as having the appearance of a "chair."
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PMID:Technique for equine cervical articular process joint injection. 1520 Feb 63

The clinical, radiographic, magnetic resonance imaging (MRI), surgical and pathological findings related to an osteochondral lesion of the sacrum in a mastiff dog are described. The dog showed chronic signs of pain in its pelvic limbs. Radiography revealed a triangular mineralised opacity at the craniodorsal aspect of the sacrum consistent with sacral osteochondrosis. A T2-weighted spin-echo MRI revealed dorsal and lateral compression of the cauda equina. The osteochondral fragment was removed via a dorsal laminectomy, and the clinical signs resolved. Histological abnormalities in the fragment were consistent with a diagnosis of osteochondrosis.
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PMID:Magnetic resonance imaging in the diagnosis and surgical management of sacral osteochondrosis in a mastiff dog. 1531 1

Spondylodesis of the cervical spine with autologous bone in cases of degenerative disease is associated with pain and complications in the os ilium region. Can this problem be solved when using intervertebral disc spacers? Between September 1997 and January 2003, 267 patients with degenerative disease of the cervical spine were treated operatively and monitored in a follow-up examination. In osteochondrosis of the cervical spine and/or disc herniation, we performed a discectomy using a ventral approach and removed dorsal osteophytes with a high-speed drill. The choice of the six different spacers was randomized. We used 66 titanium disc spacers manufactured by Aesculap, 54 titanium disc spacers by Weber, 52 titanium disc spacers by Intromed, 18 Wing spacers by Medinorm, 17 carbonium spacers by AcroMed, and 50 PEEK spacers by Intromed and did follow-up examinations after 3 and 12 months, respectively. The titanium spacer manufactured by Weber is characterized by good handling and a moderate price. The titanium cage from Intromed has the lowest price and good handling characteristics during operation. The X-ray contrast of the carbonium spacer made by AcroMed is not always sufficient for safe implantation, especially in the lower cervical spine. Handling is good, but the price is too high. The AcoMed, Medinorm, and Intromed titanium spacers show a tendency for penetrating ground plates of adjacent vertebra. The titanium cage Cespace manufactured by Aesculap has good handling characteristics and a moderate price. The PEEK spacer from Intromed can be implanted safely but shows a tendency for dislocation. Long-term results are yet to be reported.
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PMID:[Experiences with six different intervertebral disc spacers for spondylodesis of the cervical spine]. 1534 Aug 3

The study elicited the peculiarities of vertebral and muscular tonic syndromes in acute and remote periods of whip cervical trauma (WCT). Forty patients in acute period of WCT (2nd-3rd degree of severity) and 30 patients in remote period of WCT, who experienced pain and other symptoms 6 months after the trauma (late whip syndrome--LWS) were examined. The control group included 30 patients with neck and arm pain due to cervical osteochondrosis. In WCT, comparing to cervical osteochondrosis, more marked movement restriction in sagittal plane, more frequent blockade of the lower cervical spine segments, stronger correlation between pain syndrome and movement restriction in the cervical segments, more frequent muscular tonic syndrome in the anterior neck muscles and deeper neck flexors were found. In LWS, in contrast to the acute period of WCT, dissociation between more restricted active and more preserved passive movements in the cervical segments, weaker correlation between emerging of pain syndrome and restriction of movement volume, more frequent blockade of the upper cervical segments, more frequent occurrence of supraspinal muscles and shoulder-scapular syndromes were detected. The data obtained revealed a complex mechanism of symptoms formation in WCT that should be taken into account in treatment planning for acute and remote periods of cervical trauma.
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PMID:[Characteristics of vertebral and muscular tonic syndromes in acute and remote periods of cervical whiplash injuries]. 1534 28

The ventral spondylodesis with autologeous bone graft for degenerative disease of the cervical spine bears the disadvantage of complications and heavy pain at the superior pelvic straight. To reduce these problems the intervertebral disc spacer was developed. Between September 1997 and January 2002 we operated on 207 patients suffering from degenerative disease -- osteochondrosis and/or disc prolapse -- of the cervical spine. Without any patient selection, e. g. according to a randomized sample, we implanted the different disc spacer by a ventral approach after microsurgical discectomy and removal of the dorsal osteophytes by a high-speed drill. The Titanium disc spacer by Aesculap, Weber, Intromed, and Medinorm were used in 66, 54, 52 and 18 cases and the Carbonium disc spacer of AcroMed in 17 cases. We evaluated the handling, X-ray contrast, costs of implantation and the clinical results after 3 months and 1 year. All the five disc spacers are suitable for the ventral spondylodesis of the cervical spine. The titanium spacer from Weber is characterized by its comfortable handling and a price in the mean range. A good cost effectiveness and an easy handling is given by the Intromed-cage. The X-ray contrast of the Carbonium spacer by AcroMed is insufficient in the lower cervical spine. The handling is good, but the price is too high. The AcroMed, Medinorm and Intromed spacer have the tendency to migrate into the vertebral endplates. A final statement can only be given after the achievement of long-term results.
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PMID:Experience with five different intervertebral disc spacers for cervical spondylodesis. 1574 25

During fattening, the bodyweight of modern broad-breasted turkeys increases considerably within a very short space of time. In particular, the breast muscles increase disproportionately. This leads to a disadvantageous distribution in weight, and as a consequence, to a disturbed leg position and skeletal deformations like antitrochanteric degeneration, tibial dyschondroplasia, bending, twisting and rotation of the tibia, osteochondrosis, osteomyelitis, rickets, and epiphyseolysis of the femoral head increases. This cases of degenerative joint disease cause severe pain in humans and there are indications that this is also true for turkeys. The purpose of this study was to determine if behaviour indicative of such pain in turkeys of the B.U.T. Big 6 breeding line could be attenuated by administering a quick-acting analgesic, butorphanol. Twelve pairs of turkeys were tested at the ages of 7 and 12 weeks. One bird in each pair received an analgesic opioid injection, while the other one received a control injection of physiologically balanced saline solution. The time the birds spent putting weight on their legs, i.e., 'walking' and 'standing' and the distance covered by the birds were recorded during the 30 min periods before and after the application of the drug. At week seven the treated birds spent significantly more time putting weight on their legs than control birds. At week 12, the same tendency was observed. No significant differences were found in the distances covered by the animals. It is concluded that fattening turkeys reduce the time they are putting weight on their legs because these behaviours may be associated with pain.
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PMID:Effect of the analgesic butorphanol on activity behaviour in turkeys (Meleagris gallopavo). 1605 94

Developmental orthopedic diseases are a common cause of pain and lameness in young dogs. Most occur in large-breed dogs with rapid growth rates. This article reviews the signalment, etiology and pathogenesis, clinical signs, diagnosis, treatment, and prognosis for many of the common developmental orthopedic diseases, including hypertrophic osteodystrophy, panosteitis, osteochondrosis, Legg-Calve-Perthes disease, hip dysplasia, elbow dysplasia, and pes verus.
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PMID:Developmental orthopedic disease. 1612 35


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