By Professeur Paul Doury, Dr. Yves Dirheimer, Dr. Serge Pattin (auth.)
It is with nice excitement and ,much curiosity that I authorised to write down the foreword to this e-book 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 simplest for this publication. moment, since it appeared to me that their particular research of the various works at the topic, works which were released world wide and which offer assorted physiopathologic interpretations, would offer a complete examine assembly a true want. Algodystrophy, to undertake the time period utilized by the authors, advantages rheumatolog ists' cautious realization. it's certainly a common and, as is now renowned, happens within the such a lot assorted etiologic situations; it's not exclusively posttraumatic, a suggestion on which analysis had lengthy been established. This variable etiology indicates the complexity of algodystrophy's pathogenic mechanism.
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Additional info for Algodystrophy: Diagnosis and Therapy of a Frequent Disease of the Locomotor Apparatus
We would like to quote here Hermann et al. , Ecoiffier and Geerts , and Genant et al. . Up to the last few years, the roentgenographic investigation was the main examination, nec- Complementary Investigations 30 essary although not absolutely indispensable for the diagnosis. Even when the clinical data pointed to algodystrophy, nobody dared affirm this diagnosis in the absence of typical radiologic signs, though some, in particular Reichle , had repeatedly stated that the diagnosis was mainly based on clinical features and that radiography was only useful to confirm it.
But in fact it is not a cartilaginous line (Figs. 4, 10), but the subchondral bone lamina. This lamina may disappear more or less completely over a greater or lesser distance. Such features are seen particularly on the femoral head, where they cause unsharp contours (Fig. 5). As concerns the subchondral bone proper, resorption may be homogeneous (Fig. 2) or lacunar. It is often at this level that the lesions are the most significant; the lacunae are of very variable size (Fig. 7). 3. Resorption of Cortical Bone (Figs.
Before studying these particular forms we would like to discuss the localized forms, described recently. I.