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Your search keyword '"Saracco, Alvise"' showing total 2 results
Start Over Author "Saracco, Alvise" Topic hip joint
2 results on '"Saracco, Alvise"'

1. Reduced-dose computed tomography is the most accurate method to measure ceramic hip resurfacing cup version.

Author

Saracco A, Grassi A, Romagnoli M, Camarda L, Logishetty K, Zaffagnini S, and Cobb J

Subjects
Ceramics, Female, Hip Joint surgery, Humans, Male, Middle Aged, Reproducibility of Results, Retrospective Studies, Arthroplasty, Replacement, Hip instrumentation, Arthroplasty, Replacement, Hip methods, Hip Joint diagnostic imaging, Hip Prosthesis, Radiation Dosage, Tomography, X-Ray Computed methods
Abstract

Background: A precise assessment of cup version after hip resurfacing is generally requested, especially in clinical trials or in case of complications., Aims: To identify which diagnostic imaging modality, between AP pelvis X-rays, the AP Pelvis CT Scout image and reduced-dose axial CT scan, is the most precise to assess cup version of an all-ceramic hip resurfacing implant in a first-in-human clinical trial., Methods: We retrospectively assessed the cup version of the first 20 patients who underwent an experimental all-ceramic hip resurfacing on AP pelvis X-rays (0.8 mSv of radiation), AP pelvis CT scout images (0.016 mSv) and axial CT slices performed using a reduced dose protocol (0.3 mSv). The intra-observer and inter-observer reliabilities were calculated., Results: Reduced dose Pelvis CT scan was the most precise imaging modality to detect cup version (Pearson Correlation Coefficient, PCC = 0.98, p < 0.001). The AP Pelvis CT Scout image was found to be sufficient to measure cup version within an acceptable margin of tolerance (mean difference ± 4.7° from pelvis CT scan) and highly correlated to axial pelvis CT scan measurements (PCC 0.97, p < 0.001). Analysis of cup version from AP X-rays poorly correlated with measurements from Pelvis CT (PCC 0.59, p = 0.006)., Conclusions: Due to lower radiation exposure and highest accuracy, reduced dose CT is a valid modality to measure acetabular cup version after ceramic hip resurfacing. Plain X-rays are not accurate nor precise to measure version, whereas high agreement of measurements between AP Pelvis CT Scout and axial pelvis CT scan was found., Competing Interests: Declaration of Competing Interest No conflict of interest exists for all participating authors., (Copyright © 2020 Elsevier B.V. All rights reserved.)

Published
2020
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2. Giant hemorrhagic trochanteric bursitis mimicking a high-grade soft tissue sarcoma: report of two cases

Author

Toscano, Angelo, Costa, Giuseppe Gianluca, Rocchi, Martina, Saracco, Alvise, and Pignatti, Giovanni

Subjects
Trochanteric bursitis, Bursitis, differential diagnosis, Humans, Case Report, Hemorrhage, Hip Joint, Sarcoma, Neoplasm Recurrence, Local, giant bursitis, hip pain
Abstract

Background: The giant haemorrhagic bursitis of the hip joint is a rare clinical condition that requires evidence-based guidelines for adequate diagnosis and management. Usually, this pathology requires conservative treatment; however, when abnormal size or clinical symptoms of compression of the surrounding noble structures are reported, an accurate differential diagnosis is required, in order to exclude other malignant conditions that can be included into differential diagnosis, and a surgical approach should be considered. The purpose of this work is to provide an appropriate description of the diagnostic and therapeutic path, providing an accurate analysis of the possible differential diagnoses. Methods: We report 2 cases of symptomatic haemorrhagic bursitis of the hip joint, confirmed by histological investigation. In both cases, the patients complained a peripheral nerve deficit of a single limb: one patient presented paresthesia of lateral femoral cutaneous nerve while the second peripheral edema due to compression of the proximal venous and lymphatic circulation. Results: Both cases were successfully managed by complete surgical excision of the mass, with no recurrence. There were no major complications, but in first case the nerve deficit was permanent. Conclusions: Giant hemorrhagic trochanteric bursitis is a rare condition, but it should be included in the differential diagnosis of soft tissue masses arising from the hip joint. Due to the rarity of this entity, a cautious exclusion process of all plausible differential diagnosis must be undertaken, in order to not miss the possibility of soft-tissue tumors, primarily malignant high-grade sarcomas. (www.actabiomedica.it)

Published
2021

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