Publications by authors named "Fabio Vita"
Article Synopsis
- Adhesive capsulitis (AC), or frozen shoulder, is a painful condition typically affecting people aged 40-60, and diagnosing it can be difficult due to its gradual onset and different stages.
- A new scoring system was created to improve the diagnosis of AC, assessing factors like patient history, imaging results, and other health conditions.
- This scoring system successfully categorized patients, helping to identify those with clear cases of AC, uncertain diagnoses, or excluded them from having the condition altogether, which could lead to better treatment strategies.
Low back pain is a prevalent condition affecting 60-85% of individuals during their lifetime. Despite various proposed mechanisms, the etiology of low back pain remains unclear. This study aims to evaluate the effectiveness of combining ultrasound-guided infiltrations with early rehabilitation in reducing pain and improving functional limitations in patients with chronic nonspecific low back pain.
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- A study was conducted to create and validate a new protocol called THD-US for detecting tendinopathy in patients with hemophilia using ultrasound.
- Twenty male patients with hemophilic arthropathy were evaluated, resulting in analyses of 200 tendons for abnormalities such as structural changes, hyperemia, and calcifications.
- The THD-US protocol offers a standardized and efficient way to assess tendon issues in hemophilia patients, which could lead to better management and outcomes for these individuals.
Article Synopsis
- Adhesive capsulitis, or "frozen shoulder," is a painful condition linked to recent COVID-19 impacts, and treatment focuses on easing pain and improving shoulder mobility.
- A study involving 36 patients examined treatment outcomes from either glenohumeral hydrodistension or a combination of hydrodistension and bursal injection over 6 months.
- Results revealed that the combined treatment led to significantly better improvements in shoulder motion and pain reduction compared to hydrodistension alone.
Objective: This study evaluated the effectiveness of ultrasound-guided hydrodissection treatment for De Quervain's stenosing tenosynovitis, characterized by the narrowing of the first extensor compartment of the wrist. Notably, approximately 2% of cases involve a fibrous septum that divides the compartment.
Subjects And Methods: Ninety-five patients diagnosed with De Quervain's disease using ultrasound underwent hydrodissection treatment.
Introduction: This study aimed to compare the effectiveness of endoscopic carpal tunnel release (ECTR) versus open carpal tunnel release (OCTR) in treating carpal tunnel syndrome (CTS), focusing on symptom relief, functional recovery and post-operative complications.
Methods: A retrospective analysis was conducted on 44 patients diagnosed with CTS, randomly assigned to undergo either ECTR (n=23) or OCTR (n=21). Parameters evaluated included post-operative pain, grip strength, functional status using the Disability of the Arm, Shoulder and Hand (DASH) score and time to return to work.
Article Synopsis
- Lumbar back pain is a leading cause of disability globally, affecting most people at some point in their lives, particularly due to degenerative spine issues in the elderly.
- Treatment costs for back pain are significant, prompting a shift towards interventional radiology, which offers less invasive, image-guided procedures as alternatives to traditional surgery.
- This review highlights various minimally invasive techniques for managing degenerative spine-related pain, emphasizing the role of radiologists in employing advanced imaging for effective diagnosis and treatment, thereby improving patient outcomes and reducing healthcare costs.
Article Synopsis
- Adhesive capsulitis, or "frozen shoulder," is a painful condition that occurs in three phases: freezing, frozen, and thawing, and effective treatments for it are still being researched.
- This study aimed to assess the effectiveness of a treatment combining gleno-humeral hydrodistension and physical therapy in patients with adhesive capsulitis, specifically those in phase 1 and phase 2 of the condition.
- Results showed significant improvements in shoulder movement and pain relief for patients in both phases, especially for those diagnosed earlier, indicating that early intervention may lead to better recovery outcomes.
Article Synopsis
- * This study reviews existing literature to identify the best timing for initiating physical therapy, using peer-reviewed articles and PRISMA guidelines, and includes 14 studies focusing on various recovery outcomes.
- * The findings show that starting physical therapy early can lead to better results in reducing low back pain and disability over time, without increasing the risk of complications, especially after procedures like lumbar discectomy.
Article Synopsis
- Adhesive capsulitis (AC) is a painful condition affecting shoulder movement and can stem from various causes, including trauma and diabetes, with calcific tendinitis (CT) being a potential trigger.
- A study was conducted from October 2022 to June 2023, enrolling 78 patients known to have CT, assessing for signs of AC through ultrasound examinations.
- Results showed 33.3% of patients exhibited signs of AC, with significant differences in measurements between patients with both AC and CT compared to those with just CT, indicating a strong correlation.
Article Synopsis
- - Chronic thoracic pain can be difficult to diagnose and treat, especially when it stems from uncommon issues like osteo-muscular conflicts, as seen in a unique case involving a male patient with right tenth rib pain.
- - The patient, who had suffered from this pain for ten years without relief from conservative treatments, underwent a CT scan that revealed a conflict between the rib and his internal oblique muscle, leading to a surgical solution.
- - This case highlights the value of advanced diagnostic methods and targeted surgical procedures in resolving complex pain conditions, suggesting that personalized treatment approaches can significantly improve patient outcomes.
Article Synopsis
- The study is a systematic review and meta-analysis focusing on how correcting lumbosacral kyphosis can affect high-grade spondylolisthesis (HGS), which involves significant vertebral displacement and a kyphotic deformity.
- Results from 18 studies showed a significant decrease in pelvic tilt and an increase in sacral slope post-surgery, although changes in lumbar lordosis and thoracic kyphosis were not statistically significant.
- The findings suggest that while there are mild changes in certain spinal parameters after HGS reduction, the clinical significance of these changes is still uncertain.
The purpose of the study was to investigate whether arthroscopic treatment of carpal scaphoid nonunions by osteosynthesis with bone grafting represents a successful surgical technique. This systematic literature review, conducted following the PRISMA guidelines, explores the past 10 years of clinical studies concerning the arthroscopic treatment of scaphoid nonunions. The most relevant keywords were used to search the databases, and the Downs and Black 27-item checklist has been used as quality assessment tool.
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- - This overview focuses on rehabilitation strategies for musicians with focal hand dystonia (FHD), analyzing how these methods have changed over time and their effectiveness.
- - A systematic search of five databases led to the review of 17 articles on FHD rehabilitation, refining from an initial 190 based on specific inclusion criteria.
- - The review highlights ten distinct rehabilitation approaches identified over two decades, indicating a common recommendation for a multimodal approach while also calling for more extensive studies to confirm their effectiveness.
Article Synopsis
- The study investigates how to manage adolescent idiopathic scoliosis by evaluating radiological indexes that predict scoliosis progression during growth phases, such as peak height velocity.
- It follows PRISMA guidelines to systematically review peer-reviewed articles that link skeletal maturity indicators to curve progression, concluding that Risser staging isn't enough for treatment decisions.
- It emphasizes the complexity of idiopathic scoliosis and the need for multiple reliable indicators to create effective management strategies, advocating for a collective scientific effort to design better algorithms for treatment.
Post-COVID-19 syndrome is commonly used to describe signs and symptoms that continue or develop after acute COVID-19 for more than 12 weeks. The study aimed to evaluate a treatment strategy in patients with adhesive capsulitis (phase 1) developed in post-COVID-19 syndrome. : The method used was an interventional pilot study in which 16 vaccinated patients presenting with the clinical and ultrasound features of adhesive capsulitis (phase 1) developed during post-COVID-19 syndrome were treated with infiltrative hydrodistension therapy under ultrasound guidance associated with early rehabilitation treatment.
View Article and Find Full Text PDF(1) Background: Osteoid osteoma (OO) is one of the most common benign bone tumors. This type of osteogenic tumor is generally characterized by a well-defined lytic area with a vascularized central nidus surrounded by sclerosis and bone thickening. The wrist and hand bones are infrequent sites for osteoid osteoma: only 10% of the cases arise in these areas.
View Article and Find Full Text PDFLung cancer is the second most frequently diagnosed cancer in the world, and surgery is an integral part of the treatment for spinal metastases. The aims of this retrospective study were to assess the overall survival of surgically treated patients affected by lung cancer spinal metastases and identify any factors related to a better survival rate. We recruited 56 consecutive patients (34 male and 22 female) surgically treated for metastatic lung cancer in the spine from 2009 to 2019.
View Article and Find Full Text PDFThe aim of the present study is to elucidate preoperative risk factors for inadequate correction of coronal imbalance and/or creation of new postoperative coronal imbalance (iatrogenic CIB) in patients who undergo surgery for Adult Spinal Deformity (ASD). A retrospective review of adults who underwent posterior spinal fusion (>5 levels) for ASD was performed. Patients were divided into groups according to the Nanjing classification: type A (CSVL < 3 cm), type B (CSVL > 3 cm and C7 plumb line shifted to major curve concavity), and type C (CSVL > 3 cm and C7 plumb line shifted to major curve convexity).
View Article and Find Full Text PDFPurpose: Injuries of the scapholunate ligament (SL) and of the triangular fibrocartilage complex (TFCC) represent the main ligament injuries of the traumatic wrist. A double injury of the SL and TFCC ligaments is quite common in the trauma setting, and clinical examination is fundamental. MRI allows to detection of a TFCC and SL ligament injury, but wrist arthroscopy is still the gold standard for diagnosis.
View Article and Find Full Text PDFStudy Design: Retrospective cohort study.
Purpose: to assess the efficacy and safety of Hi-PoAD technique in patients with a major thoracic curve > 90°, < 25% of flexibility and deformity spread over more than five vertebral levels.
Methods: retrospective review of AIS patients with a major thoracic curve (Lenke 1-2-3) > 90°, with < 25% of flexibility and deformity spread over more than five vertebral levels.
The aim of this meta-analysis was to analyze the results of one-stage all-posterior spinal fusion for severe adolescent idiopathic scoliosis (AIS). A systematic search of articles about one-stage posterior spinal fusion for severe AIS was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data about population, pre-and postoperative radiographical data, surgical procedure details, and complications were extracted.
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- * The study focuses on mechanobiology, examining how mechanical forces affect the cells and tissues of the intervertebral disc (IVD), and aims to identify key pathways involved in DDD as well as potential new treatment targets.
- * Following PRISMA guidelines, the review included 15 studies that demonstrated the importance of mechanobiology in understanding DDD, highlighting advances that could lead to effective therapies in the future.