Faculty of Medicine

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    Импинџмент синдром: отворена предна акромиопластика - приказ на случај
    (Македонско друштво на ортопеди и трауматолози = Macedonian Association of Orthopedics and Traumatology, 2007)
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    Ilievski, A
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    Hadji Antonovski, Antonije
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    Impact of type 2 diabetes on cardiovascular disease in postmenopausal women: focus on dyslipidemia
    (Medical Faculty, Ss. Cyril and Methodius University in Skopje, 2008)
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    Percan, Viktorija
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    Mileva, Rozeta
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    MRI diagnosis of Baker cyst and significance of associated medial compartment knee osteoarthritis
    (Walter de Gruyter GmbH, 2008-01-01)
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    Szeimies, Urlike
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    Staebler, Axel
    Background. The purpose was to evaluate the enlargement of the Baker cyst and the significance of medial compartment knee osteoarthritis. Patients and methods. In a period of two years we evaluated 66 patients with MRI signs of the Baker cyst and medial compartment knee osteoarthritis (median age 56 years, age range 34-84 years, 23 males and 43 females). One group was with MRI signs of the large Baker cyst and the other one with the small Baker cyst. Following graded criteria for medial compartment were used: cartilage thickness, meniscus degeneration, bone marrow oedema, effusion. Lateral compartment was normal. Results. In the group with the large Baker cyst, 26/31 cases (84%) had medial compartment cartilage loss. Eighteen from them had associated 3dh degree meniscal degeneration. Five/31 (16%) cases had only medial meniscus involvement. In the second group, 17/35 (48%) cases had cartilage loss, with 3dh degree meniscal degeneration was 14 (82%). In 18/35 (52%) cases only meniscus degeneration was present, 67% had 1st degree of meniscus degeneration. There was a statistically significant difference in the group with the distended Baker cyst between different degrees of medial meniscus degeneration. Conclusion. The size of the Baker cyst, as a soft tissue tumour, is strongly correlated with degenerative changes of the cartilage and with the degree of meniscus degeneration on the medial compartment of the knee joint.
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    [Demineralising osteopathies: new aspects of diagnostic imaging]
    (2003)
    Kainberger, Franz
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    Köller, Marcus
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    Lernbass-Wutzl, Isolde
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    Krestan, Christian
    The wide use of multimodal radiologic analysis of bone tissue has led to a new concept of the term osteopenia towards grouping the various osteopathies as demineralizing osteopathies. With bone densitometry measurements both high precision and accuracy can be achieved, whereas conventional radiographs provide insights into the architecture of the bone to better advantage. By using both modalities discrepancies of the radiological reports with the final diagnosis may be avoided. Despite ongoing success in techniques of semi-automated data analysis and reporting the radiological and the clinical assessment of bone diseases are still an indispensable part of establishing the diagnosis.
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    Periosteal ganglion of the tibia
    (Springer Science and Business Media LLC, 2005-09)
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    Kainberger, Franz
    A 40 years old female patient was referred with a painless, taut elastic mild swelling at the proximal anteromedial aspect of her shin. Conventional radiographs were negative. With ultrasound a well defined partially lobulated, anechoic and septated noncompressible cystic lesion was found measuring 4 x 2.5 cm (Fig. 1). Periosteal spurs were visible at the attachments of the cystic septae. With MRI, five sharply demarcated oval lesions were visible in a chainlike order on the bony surface (Fig. 2). Histologically, this material was composed of bland, collagenous, fibrous membranes with small myxoid areas resulting in the diagnosis of a periosteal ganglion. Ganglia are benign cystic lesions that contain mucopolysaccharide-rich fluid within fibrous tissue and in some cases muscle, bone, or semilunar cartilage [1]. Synovial herniation or mucoid tissue degeneration are two suggested mechanisms for their development. Usually they are attached to tendon sheaths. Only few cases of subperiosteal localization have been described with a high preponderance of the tibia. The use of ultrasound in the diagnosis of a periosteal ganglion of the tibia has been mentioned by one author [2]. Ganglia around the knee have been regarded as belonging to a distinct group of cystic masses with a tunnel between them and the joint cavity [3]. The “chain-like” morphology of the lesion presented here underscores that periosteal ganglia of the tibia should be counted within the group of paraarticular knee ganglia and favours the hypothesis of an articular origin of such a lesion which may be a potential cause of recurrency after surgical treatment.
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    MDCT versus digital radiography in the evaluation of bone healing in orthopedic patients
    (2006-06)
    Krestan, Christian R
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    Noske, Helge
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    Weber, Michael
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    Schueller, Gerd
    OBJECTIVE. Assessment of bone healing in orthopedic patients is usually monitored by radiographs in two views. The purpose of our study was to compare multiplanar reconstructions from MDCT data sets with digital radiographs for assessing the extent of bone healing. MATERIALS AND METHODS. Forty-three orthopedic patients (19 women, 24 men) who underwent MDCT and radiography after arthrodesis, fractures, or spinal fusions were included in our study. MDCT was performed on an MX 8000IDT scanner and served as the gold standard. The technical parameters were adapted to the anatomic region. A bone algorithm for reconstruction was used (3,500/600 H). Multiplanar reconstructions were calculated in two orthogonal planes. All patients underwent digital radiography on a Multix FD system in two views according to standard procedures. Multiplanar reconstructions and radiographs were analyzed by two musculoskeletal radiologists in a consensus interpretation to determine bone healing using a semiquantitative approach. RESULTS. In 27 patients (63%), MDCT and digital radiography were concordant with regard to the extent of bone healing, whereas in 16 patients (37%) the results were not concordant. In eight patients (19%) digital radiographs underestimated the extent of bone healing, whereas in another eight patients (19%) they overestimated the degree of fusion. CONCLUSION. MDCT using high-quality 2D reformatting is recommended as the primary imaging technique for the evaluation of bone healing.
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    Magnetic resonance imaging signs of iliotibial band friction in patients with isolated medial compartment osteoarthritis of the knee
    (Springer Science and Business Media LLC, 2009-09)
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    Szeimies, Ulrike
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    Stäbler, Axel
    Background The purpose of this retrospective study was to assess the frequency of magnetic resonance imaging (MRI) signs of iliotibial band friction (ITBF) in patients with advanced medial compartment knee osteoarthritis. Material and methods Proton density-weighted (PDw) fat-saturated (fatsat) MR images (1.5 T, slice thickness (SL) 2.5–3 mm, eight-channel phased array coil) of 128 patients with isolated advanced osteoarthritis of the medial knee compartment and complete or subtotal (>80%) loss of cartilage were evaluated. There were 41 men and 87 women. Mean age was 63 years, range 34–89 years. The control group consisted of 94 patients with medial meniscus degeneration without cartilage loss (56 men and 38 women, mean age 50 years, range 16–89 years). MRI signs of ITBF were evaluated in both groups [poorly defined abnormalities of signal intensity and localized fluid collection lateral, distal or proximal to the lateral epicondyle; signal intensity abnormalities superficial to or deep by the iliotibial band (ITB)]. Transverse images were evaluated separately. Consensus evaluation using all imaging planes was performed. Results Of 128 patients with osteoarthritis, 95 had moderate or advanced MRI signs of ITBF (74.2%). Eighty-nine patients (69.5%) had advanced degeneration of the meniscus. In the control group, 26 of 94 patients had only moderate MRI signs of ITBF. There was a statistically significant difference between both groups for the presence of MR signs of ITBF (P ≤ 0.01). Conclusion MRI signs of ITBF were frequently present in patients with severe medial compartment osteoarthritis of the knee. Joint space narrowing with varus knee deformity may be a cause of ITBF.
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    Radiological procedures in diagnosis and preoperative staging of testicular malignant tumors
    (SHMSHM - AAMD, 2008)
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    Gligorievski, Antonio
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    Banev, Sasho
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