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Related Concept Videos

Structural Joints: Synovial Joints01:16

Structural Joints: Synovial Joints

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Synovial joints are the most common type of joint in the body. A key structural characteristic for a synovial joint is the presence of a joint cavity. This fluid-filled space is where the articulating surfaces of the bones contact each other. Also, unlike fibrous or cartilaginous joints, the articulating bone surfaces at a synovial joint are not directly connected to each other with fibrous connective tissue or cartilage. This gives the bones of a synovial joint the ability to move smoothly...
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Structural Joints: Fibrous Joints01:03

Structural Joints: Fibrous Joints

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Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
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Structural Joints: Cartilaginous Joints01:17

Structural Joints: Cartilaginous Joints

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As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
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Joints01:26

Joints

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Joints, also called articulations or articular surfaces, are points at which ligaments or other tissues connect adjacent bones. Joints permit movement and stability, and can be classified based on their structure or function.
Structural joint classifications are based on the material that makes up the joint as well as whether or not the joint contains a space between the bones. Joints are structurally classified as fibrous, cartilaginous, or synovial.
Fibrous Joints Are Immovable
The bones of a...
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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Method of Joints01:30

Method of Joints

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The method of joints is a commonly used technique to analyze the forces in structural trusses. The method is based on the principle of equilibrium, which assumes that the truss members are connected by frictionless pins. The forces at each joint can be determined by considering the equilibrium of the forces acting on that joint.
Since plane truss members are in the same plane, each joint is subjected to a coplanar and concurrent force system. To apply the method of joints, the first step is to...
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Customizing a Cryolite Glass Prosthetic Eye
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New diagnostic tools for prosthetic joint infection.

Cédric Arvieux1, Harold Common2

  • 1Service des maladies infectieuses et réanimation médicale, CHU de Rennes, 35033 Rennes, France; Centre de référence en infections ostéo-articulaires du Grand-Ouest (CRIOGO), 35033 Rennes, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR
|July 30, 2018
PubMed
Summary

Diagnosing peri-prosthetic bone and joint infections requires integrating clinical, laboratory, and imaging data. A sinus tract is a key indicator, and early, high-quality samples are vital for identifying the causative organism.

Keywords:
16S rRNAAlpha-defensinBone and joint prosthesesDiagnosisInfectionMultidisciplinary discussion

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Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Medical Imaging

Background:

  • Peri-prosthetic bone and joint infections are serious complications following surgery.
  • Accurate diagnosis is essential for effective treatment and patient outcomes.
  • Current diagnostic approaches involve a combination of clinical, laboratory, and imaging assessments.

Purpose of the Study:

  • To review the diagnostic relevance of clinical assessment in peri-prosthetic infections.
  • To evaluate the contribution of various imaging modalities to diagnosis.
  • To discuss the role of microbiological and non-microbiological investigations, and the importance of multidisciplinary discussions in complex cases.

Main Methods:

  • Review of clinical findings, including major criteria like sinus tracts.
  • Assessment of imaging techniques such as ultrasonography, CT, MRI, and nuclear medicine.
  • Evaluation of laboratory methods including microbiological cultures, molecular biology, antigen/antibody assays, and immune markers.
  • Emphasis on sample collection from prosthetic material interfaces.

Main Results:

  • Clinical assessment, particularly sinus tracts, remains highly relevant.
  • Advanced imaging techniques like CT and MRI provide detailed information on infection extent.
  • Newer laboratory methods offer diverse diagnostic capabilities, complementing traditional cultures.
  • Multidisciplinary discussion is crucial for complex cases and refining diagnostic strategies.

Conclusions:

  • A comprehensive diagnostic strategy for peri-prosthetic infections integrates multiple data sources.
  • Early and accurate identification of the causative organism is paramount.
  • Referral centers play a vital role in managing complex cases and optimizing diagnostic pathways.