Algodystrophy: Diagnosis and Therapy of a Frequent Disease - download pdf or read online

By Professeur Paul Doury, Dr. Yves Dirheimer, Dr. Serge Pattin (auth.)

ISBN-10: 3642679897

ISBN-13: 9783642679896

ISBN-10: 3642679919

ISBN-13: 9783642679919

It is with nice excitement and ,much curiosity that I accredited to put in writing the foreword to this booklet via Paul Doury, Yves Dirheimer, and Serge Pattin with reference to "algodystrophy." First, simply because i do know the level in their own adventure, from which they've got chosen the easiest for this e-book. moment, since it appeared to me that their certain research of the varied works at the topic, works that have been released world wide and which supply various physiopathologic interpretations, would supply a entire learn assembly a true desire. Algodystrophy, to undertake the time period utilized by the authors, advantages rheumatolog­ ists' cautious consciousness. it really is certainly a common situation and, as is now renowned, happens within the such a lot different etiologic situations; it's not completely posttraumatic, a thought on which analysis had lengthy been established. This variable etiology indicates the complexity of algodystrophy's pathogenic mechanism.

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Extra resources for Algodystrophy: Diagnosis and Therapy of a Frequent Disease of the Locomotor Apparatus

Example text

Elementary Radiographic Signs The most obvious bone lesion is the radiologic hypertranslucency of the bone skeleton or osteopenia, but other changes can be studied. 1. Osteopenia As with soft tissues, two types of change are to be distinguished: diffuse, and juxta- or periarticular changes. Diffuse osteopenia is ultimately only a subjective evaluation, and we have already mentioned the difficulty of evaluating bone loss. We shall study in more detail the different methods for measuring bone density in Part 2, Chap.

Control X-rays performed 6 months later ga ve evidence of rather diffuse bone rarefaction. Two years after the initial trauma, the thoracic pain became worse, and there was now marked thoracolumbar kyphosis. Medical treatment and kinesitherapy resulted in partial reduction of the kyphosis. In 1969 a second road accident caused a fracture of the pelvis and a significant flattening of T12 and Ll, on a preexistent marked bone rarefaction. In February 1970, there was some stabilization from the radioclinical viewpoint, but the patient's height had diminished by 10 cm.

The findings deserve some critical remarks. Indeed, Schiano et al. [727] studied the sedimentation rate in 78 patients allocated to three groups according to the stage of their illness, both from the clinical and from the radiological viewpoint: the sedimentation rate had a mean value of 28 mm after 1 h in stage I conditions, 30 mm in stage II, and 20 mm in stage III. After ruling out an intercurrent disease which would have accounted for the increased sedimentation rate, these authors found a moderate increase of the sedimentation rate in a nonneg1igible number of cases, whatever the stage of algodystrophy.

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Algodystrophy: Diagnosis and Therapy of a Frequent Disease of the Locomotor Apparatus by Professeur Paul Doury, Dr. Yves Dirheimer, Dr. Serge Pattin (auth.)


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