By Professeur Paul Doury, Dr. Yves Dirheimer, Dr. Serge Pattin (auth.)
It is with nice excitement and ,much curiosity that I approved to put in writing the foreword to this publication through Paul Doury, Yves Dirheimer, and Serge Pattin as regards to "algodystrophy." First, simply because i do know the level in their own event, from which they've got chosen the simplest for this e-book. moment, since it appeared to me that their distinct research of the various works at the topic, works which were released worldwide and which supply various physiopathologic interpretations, would offer a complete learn assembly a true want. Algodystrophy, to undertake the time period utilized by the authors, advantages rheumatolog ists' cautious consciousness. it really is certainly a common and, as is now popular, happens within the so much various etiologic situations; it's not exclusively posttraumatic, a proposal on which analysis had lengthy been dependent. This variable etiology indicates the complexity of algodystrophy's pathogenic mechanism.
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Extra info for Algodystrophy: Diagnosis and Therapy of a Frequent Disease of the Locomotor Apparatus
Recent studies (Thomas , Demilly ) have been aimed at showing that no valid demonstration allows the anatomic basis of such a syndrome to be established. " According to these authors posttraumatic pain in the spine has only a discal or muscular origin. Symptomatology In 1968, and also in 1974, Serre and Simon [747, 753] proposed the hypothesis of an algodystrophic factor playing a part in the aggravation of an up to then quiescent rarefying osteopathy. They thereby rehabilitated the Kiimmell-Verneuil syndrome insofar as they reconsidered Verneuil's hypothesis concerning the existence of microfractures aggravated by bodyweight.
8-10) Thinning of the diaphyseal cortical layers on the hand and the foot is a characteristic sign. There is usually subperiosteal resorption responsible for irregular lysis of the external limits of the cortical bone, producing an undulated appearance of the edges of the shaft. This appearance is similar to that encountered in mild 33 Radiology forms of fibrous osteitis in primary hyperparathyroidism. Endosteal resorption is characterized by a scalloped internal borderline communicating with the medullary space, producing an extremely irregular and rough endosteal surface with marked variations in the thickness of the cortical layer.
Pressure on the articular interspace and bone extremities is painful. A discreet layer of hydrarthrosis is frequently present (14 cases out of Serre's 35). Amyotrophy of the thigh is noted two times in three, and of the calf one time in three. One can even observe limitation of the extension movement with an irreducible antalgic flexed attitude. In one of our cases the onset had been characterized by sudden pain caused by forceful flexion of the knee, with irreducible flexion. A diagnosis of lesion of the meniscus and retractile capsulitis was considered, but the arthrography was normal.
Algodystrophy: Diagnosis and Therapy of a Frequent Disease of the Locomotor Apparatus by Professeur Paul Doury, Dr. Yves Dirheimer, Dr. Serge Pattin (auth.)