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  • 1
    ISSN: 1279-8517
    Keywords: Neonatal hip ; Congenital dislocation of the hip ; Anatomy of the hip
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Therapeutic success in dysplasia and congenital dislocation of the hip depends on an early diagnosis. The physiopathology remains very debatable and several concepts are propounded. For a better physiopathologic understanding, the authors have carried out a study of the morphology and development of 22 pre- and neonatal hips. At first, the acetabulum is cartilaginous and distorted by the moving femoral head; this acetabulum is histologicaly affected by the femoral pressure. The pathologic hip is characterized by defective posterior bony coverage of the femoral head by the acetabulum. The acetabulum ossifies during the 3 months following birth, forming a cup-like cavity under the pressure of the femoral head. Therefore, neonatal screening tests such as sonography must take place in the first weeks of life.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 21 (1999), S. 403-403 
    ISSN: 1279-8517
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 17 (1995), S. 255-262 
    ISSN: 1279-8517
    Keywords: Popliteal artery ; Knee flexion ; MRI
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Les auteurs ont étudié les modifications morphologiques de l'a. poplitée lors de la flexion du genou. L'étude radio-anatomique comporte l'analyse d'artériographies de profil pour différents degrés de flexion articulaire, puis des dissections pour objectiver les structures anatomiques en cause dans l'adaptation morphologique de l'a. poplitée au mouvement articulaire. Chez 5 sujets volontaires, non athéromateux, 15 séquences angiographiques en I.R.M. ont été réalisées au niveau des genoux en position d'extension et de flexion. Les artériographies et l'angio-I.R.M. montrent qu'au fur et à mesure que le degré de flexion articulaire augmente, des flexuosités apparaissent au niveau de l'a. poplitée haute supra-articulaire alors que les parties moyenne et basse de l'a. poplitée gardent une courbure harmonieuse, s'écartant du plan postérieur de l'articulation. Les dissections semblent montrer que cette adaptation artérielle se fait entre deux points fixes, l'un proximal : le canal des adducteurs, l'autre distal : l'origine de l'a. tibiale antérieure. L'angio-I.R.M. paraît une voie d'avenir dans l'exploration des vaisseaux des membres. L'opposition comportementale des différents segments de l'a. poplitée permet de mieux comprendre la physiopathologie des traumatismes et des malpositions de l'axe artériel poplité.
    Notes: Summary We studied the morphological modifications of the popliteal artery during knee flexion. An anatomical, radiological study consisted of analysis of lateral arteriographs in different degrees in joint flexion followed by dissection to reveal the anatomical structures involved in the morphological adaptation of the popliteal artery to joint movement. In five non-atheromatous volunteers, 15 MRI angiographic sequences were done at the level of the knee in extension and flexion. The arteriographs and angio MRI showed that as joint flexion increased tortuosities appeared in the supra-articular upper popliteal artery while the middle and lower parts of the popliteal artery kept an even curve retracted from the posteriror surface of the joint. Dissection seemed to show that this arterial adaptation occurred between two fixed points, one proximal (the adductor canal) and the other distal (the origin of the anterior tibial artery). Angio MRI seems to be a future route for the assessment of the limb vessels. The contrasting behaviour of the different segments of the popliteal artery allows us to understand better the pathophysiology of trauma and malpositions of the popliteal arterial trunk.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1279-8517
    Keywords: Neonatal hip ; Congenital dislocation of the hip ; Anatomy of the hip
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Le succès du traitement des dysplasies et luxations congénitales de hanche est lié à la précocité du diagnostic. La physiopathologie de ces affections reste discutée et plusieurs conceptions ont pu être proposées. Les auteurs ont réalisé une étude structurale et évolutive de 22 hanches anté et néonatales afin de mieux comprendre cette physiopathologie. Dans les périodes anté- et néonatale, l'acétabulum est cartilagineux, déformable sous l'action d'une tête fémorale en mouvement et il est le siège de remainements histologiques dépendant de la pression exercée par l'épiphyse fémorale. L'ossification de l'acétabulum s'effectue lors du ler trimestre postnatal, construisant la cavité articulaire sous l'effet de la pression de la tête du fémur. Dysplasies et luxations apparaissent comme un défaut de couverture postéro-supérieure de l'épiphyse fémorale par l'acétabulum. Le dépistage d'anomalies, notamment par l'échographie, devra donc être réalisé dans les premières semaines de la vie.
    Notes: Summary Therapeutic success in dysplasia and congenital dislocation of the hip depends on an early diagnosis. The physiopathology remains very debatable and several concepts are propounded. For a better physiopathologic understanding, the authors have carried out a study of the morphology and development of 22 pre- and neonatal hips. At first, the acetabulum is cartilaginous and distorted by the moving femoral head; this acetabulum is histologicaly affected by the femoral pressure.The pathologic hip is characterized by defective posterior bony coverage of the femoral head by the acetabulum. The acetabulum ossifies during the 3 months following birth, forming a cup-like cavity under the pressure of the femoral head. Therefore, neonatal screening tests such as sonography must take place in the first weeks of life.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 5
    ISSN: 1279-8517
    Keywords: Non recurrent inferior laryngeal nerve ; Retroesophageal subclavian artery ; Thyroid ; Surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The authors report 17 cases of a right non-recurrent inferior laryngeal n. (NRILN) observed during 15 years of practice of thyroid and parathyroid surgery. In their last two cases, the existence of an aberrant right subclavian a., constantly associated with NRILN, was confirmed by MRI angiography. On the basis of the literature and their own experience, the authors review the incidence of this double anomaly, its embryologic explanation and its anatomic and surgical importance. They stress the diagnostic factors and the therapeutic implications, very different in children and adults, of a particular vascular anomaly whose outcome is little understood.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1279-8517
    Keywords: Non recurrent inferior laryngeal nerve ; Retroesophageal subclavian artery ; Thyroid ; Surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The authors report 17 cases of a right non-recurrent inferior laryngeal n. (NRILN) observed during 15 years of practice of thyroid and parathyroid surgery. In their last two cases, the existence of an aberrant right subclavian a., constantly associated with NRILN, was confirmed by MRI angiography. On the basis of the literature and their own experience, the authors review the incidence of this double anomaly, its embryologic explanation and its anatomic and surgical importance. They stress the diagnostic factors and the therapeutic implications, very different in children and adults, of a particular vascular anomaly whose outcome is little understood.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 7
    ISSN: 1279-8517
    Keywords: Non recurrent inferior laryngeal nerve ; Retroesophageal subclavian artery ; Thyroid ; Surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Les auteurs rapportent 17 cas de non recurrence du nerf laryngé inferieur droit, observés en 15 ans de pratique de la chirurgie thyroidienne et parathyroidienne. Dans les deux dernières observations, l'existence d'une artère subclavière droite aberrante — ou arteria lusoria, constamment associée à l'anomalie nerveuse, a pu être confirmée par une angioIRM. S'appuyant sur la revue de la littérature et sur leur expérience personnelle, les auteurs rappellent la fréquence de cette double anomalie, son explication embryologique et son interêt anatomique et chirurgical. Ils insistent sur les circonstances diagnostiques et les conséquences thérapeutiques, très différentes chez l'enfant et chez l'adulte, d'une anomalie notamment vasculaire dont on connait mal les complications évolutives.
    Notes: Summary The authors report 17 cases of a right non-recurrent inferior laryngeal n. (NRILN) observed during 15 years of practice of thyroid and parathyroid surgery. In their last two cases, the existence of an aberrant right subclavian a., constantly associated with NRILN, was confirmed by MRI angiography. On the basis of the literature and their own experience, the authors review the incidence of this double anomaly, its embryologic explanation and its anatomic and surgical importance. They stress the diagnostic factors and the therapeutic implications, very different in children and adults, of a particular vascular anomaly whose outcome is little understood.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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