Publications by authors named "L Piscitelli"

Article Synopsis
  • 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.
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In young athletes, anterior shoulder instability is a prevalent condition. Because of high-energy traumas, contact athletes often suffer recurrent instability, bone loss and postoperative recurrences. Patients younger than 20 years, symptomatic for more than 6 months, with ≥ 2 dislocations, with off-track Hill-Sachs lesion, glenoid bone loss, ALPSA lesion, Instability Severity Index Score > 3, and Glenoid Track Instability Management Score > 3 are at higher risk of failure.

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Cardiac tumors, due to the various clinical scenarios and their histological subtypes, are still challenging for clinicians. They are differentiated into primary and secondary. The latest are more common and are usually lung and breast cancers, melanomas, and lymphoma metastasis.

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Article Synopsis
  • Hemophilia is an inherited bleeding disorder leading to joint bleeding (hemarthrosis), and this study aims to evaluate the condition of tendons in affected joints of patients with hemophilic arthropathy and suggest eccentric exercise rehabilitation.
  • The study used ultrasound alongside various clinical scales to assess the tendons in 20 patients, finding that while most tendons appeared normal, some showed significant alterations and damage in those with severe joint issues.
  • The findings indicate that tendons in patients with hemophilic arthropathy are negatively impacted by joint disease, but rehabilitation with eccentric exercises is a safe and effective treatment option to enhance tendon properties.
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There is an increasing awareness on the association between mitral valve prolapse (MVP) and sudden cardiac death. Mitral annular disjunction (MAD) is a phenotypic risk feature that can help in risk stratification. We present a case of a 58-year-old woman who experienced an out-of-hospital cardiac arrest caused by ventricular fibrillation interrupted by a direct current shock.

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