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 ebook via 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 ebook. moment, since it looked as if it would me that their particular research of the varied works at the topic, works that have been released world wide and which offer varied physiopathologic interpretations, would supply a accomplished research assembly a true want. Algodystrophy, to undertake the time period utilized by the authors, benefits rheumatolog ists' cautious recognition. it's certainly a common and, as is now renowned, happens within the so much diverse etiologic conditions; it isn't exclusively posttraumatic, a suggestion on which prognosis had lengthy been dependent. This variable etiology indicates the complexity of algodystrophy's pathogenic mechanism.
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305], "a reduction in cortical thickness for the involved hand of all patients was evident when compared to either the uninvolved hand or to expected normal values. Serial examination in 3 patients revealed progressive bone mineralloss in the affected hand, while the contralateral hand remained essentially unchanged ... 17 mm for controls. This represents approximately a one third loss in cortex, primarily from the endosteal surface, since the outer cortical dimensions of the three groups (involved, uninvolved, and controls) were nearly identical" (Fig.
Finally, it should be mentioned that even the case with a 7% weight loss showed marked radiological osteoporosis. Pursuing his work Exner established the ratio of organic substance to inorganic substance by means of biochemical studies. In a single case, the third one, he noticed a reduced proportion of calcium, which he believed to be due to the presence of noncal- cified bone substance, this being either demineralized or not yet mineralized. Under these conditions, it is important that the roentgenographic technique be as perfect as possible and that new advances in radiology be exploited to the utmost.
Symptomatology 18 nocturnal recrudescence. Swelling is seen in about one-third of cases (12 of 35 in Serre's series): it is diffuse and responsible for the globulous appearance of the knee, where the temperature is increased relative to the unaffected side. Coloration of the skin is usually normal. The mobility of the knee is restricted both in extension and in flexion. 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).