Published in Revue médicale de la Suisse romande
Until recently, treatment of osteoarthritis targeted the pain and the disability of the involved joints. It consisted in a mix of analgesics, anti-inflammatory drugs, steroid infiltrations and physical therapies. Usefulness of slow but long acting substances is increasing not only by their action on the symptoms but also because they positively inf...
Published in Revue médicale de la Suisse romande
Feet problems are a very often reason for searching medical advice: one out every people after 65 years of age have foot problems. Conservative medical treatment associated with insoles, braces and special shoes is a very important part of treatment. Patient with foot problem could have just a simple conflict due to too narrow shoes or be as severe...
Published in Revue médicale de la Suisse romande
Published in Revue médicale de la Suisse romande
The popliteal fossa is located at an important place of the osteo-articular system near the knee of course but also in strong relationship with the neighboured vascular, muscular and nervous structures. The symptomatology of the Baker's cyst is well known but its physiopathology is less obvious. It is important to remain aware of some unusual condi...
Published in Revue médicale de la Suisse romande
Heterotopic ossification, mostly of the hip, is a frequent complication after reconstructive surgery. Most common prophylactic therapies are non-steroidal anti-inflammatory medication (AINS) applied post-operatively and external radiotherapy (RT) administered in the pre- or post-operative setting. Both treatments proved to be efficient in several r...
Published in Revue médicale de la Suisse romande
Articular chondrocalcinosis (ACC) is a metabolic arthropathy caused by calcium pyrophosphate crystal deposits. It is frequent in the second half of the life (6% of the population aged between 60 and 70 years, 30% of the elderly after 80 years). Both males and females, are involved in the same proportion. Clinical manifestations include pseudogout a...
Published in Revue médicale de la Suisse romande
Rheumatoid arthritis (RA) is a chronic in-flammatory disease with progressive joint damage, generally considered irreversible. A more aggressive therapeutic approach is promoted. Progression of joint damage, gradual functional disability and rate of mortality are lowered by disease modifying antirheumatic drugs (DMARD). Among these, we discuss the ...
Published in Revue médicale de la Suisse romande
When a soft tissue tumor is initially misdiagnosed as a simple trauma or a mass, treatment may be adversely affected by the delay in diagnosis or an inappropriate invasive procedure that results in extension of a probable malignant tumor. Patients with soft tissue tumors present a diagnostic challenge to the clinician. A systematic approach to the ...
Published in Revue médicale de la Suisse romande
Cervical spine involvement in patients suffering from rheumatoid arthritis significantly increases with time. This progression results in C1-C2 instability, vertical subluxation, subaxial spine subluxation or a combination of those three types of instability. It can remain asymptomatic or present with pain and/or neurological symptoms. Surgical tre...
Published in Revue médicale de la Suisse romande
