Daniele Vanni - Academia.edu (original) (raw)

Papers by Daniele Vanni

Research paper thumbnail of Linee guida di buona pratica per la gestione del dolore e i disturbi muscolo-scheletrici nei lavoratori e nelle aziende

Le azioni volte a migliorare la salute e la sicurezza sul lavoro sono nate dalla necessità di pro... more Le azioni volte a migliorare la salute e la sicurezza sul lavoro sono nate dalla necessità di proteggere dagli incidenti i dipendenti che lavorano nelle industrie europee, come le centrali nucleari o le grandi industrie chimiche. Oggi, questo campo si è evoluto in molte direzioni, e la prevenzione e la gestione dei disturbi muscoloscheletrici (DMS) è una delle sue principali linee d'azione, dato che sono la ragione principale per cui i lavoratori si assentano dal lavoro. In particolare, la prevalenza dei DMS rappresenta più di 1,3 miliardi di persone e una perdita di più di 100 milioni di anni di vita a causa della disabilità; sono una causa comune di inabilità e di assenza per malattia. Storicamente, l'approccio ai DMS sul posto di lavoro si è concentrato sull'adozione di misure ergonomiche, che in alcuni casi sono state positive. Tuttavia, nonostante le misure ergonomiche e biomeccaniche siano ampiamente implementate sul posto di lavoro, la crescente prevalenza dei DMS...

Research paper thumbnail of Recomendaciones para la implementación de la temática de los trastornos musculoesqueléticos en los programas de posgrado universitarios en seguridad y salud ocupacional a nivel europeo

Históricamente, el papel de los profesionales especializados en la seguridad y salud ocupacionale... more Históricamente, el papel de los profesionales especializados en la seguridad y salud ocupacionales (OHS, por sus siglas en inglés) surgió de la necesidad de proteger a los empleados que trabajaban en industrias de alto riesgo, como en centrales nucleares o en industrias químicas de gran escala en Europa. Más recientemente, diversos estudios señalan que el rango de actividades vinculadas con las responsabilidades de gestión de la seguridad y salud ocupacionales deben incluir control y preparación de informes; inspección y verificación; cumplimiento normativo; respuesta ante emergencias; investigación de accidentes; evaluación de amenazas y riesgos; y formación. Además, hay algunos deberes suplementarios no relacionados directamente con la seguridad, como incluir responsabilidad ecológica. Al considerar que los trastornos musculoesqueléticos en el ámbito laboral (WRMD, por sus siglas en inglés) son un problema a escala mundial, -suman más de 1,3 mil millones de casos; una pérdida de m...

Research paper thumbnail of Double plating for bicolumnar distal humerus fractures in the elderly

Injury, 2017

Distal humerus fractures are uncommon injuries requiring specific clinical and radiographic analy... more Distal humerus fractures are uncommon injuries requiring specific clinical and radiographic analysis in order to plan the optimal therapeutic strategy. In particular, bicolumnar distal humerus fractures (Type A2, A3 and C) are complex fractures. In the last years, double plating fixation became the standard treatment: this procedure helped surgeons to obtain a stable and anatomical fixation and an early mobilization, which is the main outcome for obtaining valuable functional results. In this retrospective study, we evaluated the use of open bicolumnar 90-90 plating for fixation of acute fragility fractures of the distal humerus in elderly patients, using the olecranon osteotomy as surgical approach.

Research paper thumbnail of Disturbi muscolo-scheletrici lavoro correlati: Raccomandazioni per l’implementazione dei corsi post-laurea presso le Università Europee

Storicamente, il ruolo dei professionisti specializzati in salute e sicurezza sul lavoro (SSL) è ... more Storicamente, il ruolo dei professionisti specializzati in salute e sicurezza sul lavoro (SSL) è emerso dalla necessità di proteggere i datori di lavoro che lavorano nelle industrie a maggior rischio come le centrali nucleari e le industrie chimiche su larga scala in Europa. Più di recente, alcuni studi hanno evidenziato che la gamma di attività legate alle responsabilità di gestione della sicurezza include monitoraggio e preparazione di rapporti, ispezioni e audit, conformità normativa, risposta alle emergenze, indagini sugli incidenti, valutazione dei pericoli e dei rischi e formazione. Inoltre, ci sono alcuni obblighi supplementari non relativi alla sicurezza, come l’inclusione della responsabilità ambientale. Considerando che i disturbi muscoloscheletrici legati al lavoro (WRMD) rappresentano un grave onere in tutto il mondo, con un totale di 1,3 miliardi di casi, oltre 100 milioni di anni di perdita di anni di vita adeguati alla disabilità e che tali disturbi sono cause comuni ...

Research paper thumbnail of Good practice guidelines for pain and musculoskeletal disorders in workers and companies

Actions to improve occupational health and safety arose from the need to protect employees workin... more Actions to improve occupational health and safety arose from the need to protect employees working in European industries, such as nuclear power plants or large-scale chemical industries, from accidents. Today, the field has evolved in many directions, with the prevention and management of musculoskeletal disorders (MSDs) being one of its main lines of action. MSDs are the main reason for workers to take time off work. Specifically, the prevalence of MSDs represents more than 1.3 billion people and a loss of more than 100 million years of life due to disability; they are a common cause of disability and sick leave. Historically, the workplace approach to MSDs has focused on adopting ergonomic measures, which has been positive in some cases. However, despite ergonomic and biomechanical measures being widely implemented in the workplace, the increasing prevalence of MSDs globally indicates that they are not sufficient measures on their own. Therefore, new holistic approaches that take...

Research paper thumbnail of Articolo di AggiornAmento 34 L'osteosintesi delle fratture bicolonnari di omero con doppia placca Double plating for bicolumnar distal humerus fractures

Riassunto Le fratture bicolonnari di omero distale (tipo A2, A3 e C) sono fratture complesse. Neg... more Riassunto Le fratture bicolonnari di omero distale (tipo A2, A3 e C) sono fratture complesse. Negli ultimi anni il trattamento di scelta si è rivelato l'osteosintesi con doppia placca. Tale sintesi permette di ottenere un miglior risultato in termini di riduzione, di stabilità primaria e di mobilizzazione post-operatoria precoce, elementi questi imprescindibili per una corretta guarigione. Parole chiave: fratture distali di omero, bicolonnari, tipo A2, tipo A3, tipo C, doppia placca, mobilizzazione precoce Summary Bicolumnar distal humerus fractures (Type A2, A3 and C) are complex fractures. In the last years double plating fixation have become the standard treatment. It helps surgeons to obtain stable and anatomical fixation, permitting early mobilization, that are mandatory for obtaining valuable functional results. Introduzione Le fratture bicolonnari dell'omero distale prevedono un management comples-so e accurato. Approssimativamente sono il 2-6% di tutte le fratture e ...

Research paper thumbnail of Osteochondroma of the scapula: a case report

Journal of Orthopaedics and Traumatology, 2007

Osteochondroma is one of the most common benign tumors of the axial skeleton. Location of a solit... more Osteochondroma is one of the most common benign tumors of the axial skeleton. Location of a solitary exostosis in the scapula is relatively rare. We report the case of an osteochondroma of the scapula in a 13-year-old boy. Because of the atypical location with nonspecific shoulder pain, the diagnosis is often made late. CT is necessary to determine the correct position of the osteochondroma. Despite the young age of the patient, surgical excision of the exostosis was performed, because of an arising thoracic pressure pain. The outcome was good, the patient noticed disappearance of previous painful symptoms, and a normal profile of the scapula was gained. Key words Osteochondroma • Shoulder pain • Thoracic pressure pain necessary to determine the precise location of the neoformation and its relationship with the surrounding soft tissues, to enable accurate surgical removal which is the only adequate treatment. At the Orthopaedic and Trauma Clinic of G. D'Annunzio University of Chieti, we observed a case of osteochondroma that was interesting from both the radiographic and clinical points of view, and that was treated successfully. Case report A 13-year-old boy was admitted to hospital with a neoformation on the left scapula. The growth had been initially discovered 6 years before and over time grew in volume. Radiographic and CT exam revealed an alteration in the bone structure of a mixed type, with radiographic

Research paper thumbnail of Femoroacetabular impingement: is hyaluronic acid effective?

Knee Surgery, Sports Traumatology, Arthroscopy, 2014

Femoroacetabular impingement may predispose to the development of hip osteoarthritis. Conservativ... more Femoroacetabular impingement may predispose to the development of hip osteoarthritis. Conservative treatments are effective in the short term, but surgery is often required. Aim of this paper was to report the short-term results on hip pain and function after ultrasound-guided injections of hyaluronic acid. In this open prospective trial, twenty patients suffering from mild femoroacetabular impingement were enrolled. Each patient received a 2-ml intra-articular ultrasound-guided injection of hyaluronic acid at baseline and after 40 days; the same dosing schedule was repeated after 6 months. The clinical evaluation was performed at baseline and after 6 and 12 months of follow-up. Pain score, Lequesne Index, Harris Hip Score and anti-inflammatory medication consumption were measured. Adverse events were also registered. Twenty-three hips (3 bilateral cases) were treated. Pain decreased from 6.7 ± 1.3 to 3.7 ± 1.8 and to 1.7 ± 1.8 after 6 and 12 months, respectively; Lequesne Index was reduced and the mean Harris Hip Score improved from 83.3 ± 6 before treatment to 88.2 ± 4.7 at 12 months. Consumption of anti-inflammatory drugs was also reduced, from 14 to 4 subjects and from 3.6 ± 2.2 to 1.3 ± 1.3 tablets/week. Local side effects after injection were observed only in 2 cases. Hyaluronic acid is safe and effective in the treatment of mild femoroacetabular impingement, with significant pain reduction and function improvement.

Research paper thumbnail of Giant cell tumor of the distal ulna: a case report

Journal of Medical Case Reports, 2012

IntroductionSeveral cases of long bone giant cell tumor have been reported in the literature. We ... more IntroductionSeveral cases of long bone giant cell tumor have been reported in the literature. We report the case of a patient with a giant cell tumor in the distal ulna. This is very unusual, with a reported incidence of 0.45 to 6%.Case presentationA 17-year-old Colombian man presented with a painful swelling of the left wrist. After performing an instrumental examination, a diagnosis of distal ulna giant cell tumor was made. The tumor was treated with an intralesional curettage, phenol application and bone grafting.ConclusionsThis tumor may have a good prognosis if it is diagnosed early and radically treated. It is important to be aware of atypical cancer localizations in order to perform a proper diagnosis.

Research paper thumbnail of New perspective for third generation percutaneous vertebral augmentation procedures: Preliminary results at 12 months

Journal of Craniovertebral Junction and Spine, 2012

Introduction: The prevalence of osteoporotic vertebral fractures (OVF) increased in the last year... more Introduction: The prevalence of osteoporotic vertebral fractures (OVF) increased in the last years. Compression fractures promote a progressive spine kyphosis increase, resulting in a weight shift and anterior column overload, with OVF additional risk (domino effect). The aim of this study is to evaluate the OVF treatment outcome using Spine Jack ® , a titanium device for third generation percutaneous vertebral augmentation procedures (PVAPs). Materials and Methods: From February 2010, a prospective randomized study was performed examining 300 patients who underwent PVAP due to OVF type A1 according to Magerl/AO spine classifi cation. Patients enrolled in the study were divided in two homogenous groups with regards to age (65-85 years), sex, and general clinical fi ndings. Group A included 150 patients who underwent PVAP using Spine Jack ® system; the second, group B (control group), included 150 patients treated by conventional balloon kyphoplasty. Patients underwent a clinical (visual analogue scale and Oswestry disability index) and radiographic follow-up, with post-operative standing plain radiogram of the spine at 1, 6, and 12 months. The radiographic parameters that were taken into account were: Post-operative anterior vertebral body height, pre-operative anterior vertebral body height, cephalic anterior vertebral body height, and caudal anterior vertebral body height. Results: Compared to the Spine Jack ® group, the kyphoplasty group required a little longer operation time (an average of 40 min-group A vs. 45 min-group B, P < 0.05) and a greater amount of polymethylmethacrylate (4.0 mL-group A vs. 5.0 mL-group B, P < 0.05;). The post-operative increase in vertebral body height was greater in the Spine Jack ® group than in the kyphoplasty group (P < 0.05). Discussion: PVAP are based on the cement injection into the vertebral body. Vertebroplasty does not allow the vertebral body height recovery. Balloon kyphoplasty allows a temporary height restoration. Spine Jack ® has some new features compared to other systems: It is equipped with a mechanical and not a hydraulic opening control; this ensures a gradual and controlled vertebral fracture reduction. Conclusions: In our study, we demonstrated that the third generation PVAP with Spine Jack ® is able to determine a safe vertebral body height restoration compared to the conventional balloon kyphoplasty.

Research paper thumbnail of Osteopathic manipulative treatment of congenital talipes equinovarus: A case report

Journal of Bodywork and Movement Therapies, 2014

Background: Treatment recommendations for congenital talipes equinovarus are focused on conservat... more Background: Treatment recommendations for congenital talipes equinovarus are focused on conservative treatments. Objectives: The aim of this paper is to present a case report of bilateral congenital talipes equinovarus treated with two short-leg serial casting in combination with osteopathic manipulative treatment. Methods: A newborn, 12 days old, with severe bilateral congenital talipes equinovarus entered to the Department of Orthopedics at the University of Chieti, Italy. The pediatric orthopedic surgeon applied two single series of short-leg casts, at 12 and 20 days of age. The osteopath scheduled 4 indirect myofascial release techniques sessions. Results: At day 33 the newborn achieved a complete correction of the congenital talipes equinovarus deformity and there was no need to apply a third series of casts. Conclusions: Results from this single case study create an interesting and clear precedent for considering OMT in future clinical trials.

Research paper thumbnail of Microdiskectomy and Translaminar Approach: Minimal Invasiveness and Flavum Ligament Preservation

Global Spine Journal, 2014

Research paper thumbnail of Development of the Prevent for Work Questionnaire (P4Wq) for the assessment of musculoskeletal risk factors in the workplace: part 2—pilot study for questionnaire development and validation

BMJ Open

ObjectiveThe aim of this study was to develop a multifactorial, self-report questionnaire: Preven... more ObjectiveThe aim of this study was to develop a multifactorial, self-report questionnaire: Prevent for Work Questionnaire (P4Wq). The questionnaire is intended for screening for risk factors in work-related musculoskeletal disorders (WMSDs).DesignData were collected from otherwise healthy workers employed in three service areas at a specialist hospital in Italy: healthcare, administration and ancillary services.Setting and participantsIn all, 115 participants were enrolled (67% women; average age 41.5±9.94 years). The content of the tool for WMSDs was derived from three participation rounds of analysis involving a select group of experts who identified the questionnaire domains and items. Participants responded to 89 items in addition to the EuroQol 5 Dimensions Questionnaire (EQ-5D-5L), Fear-Avoidance Beliefs Questionnaire (FABq) and Oswestry Disability Index (ODI). The proportion of missing data and the distribution of responses were analysed for each item. Items with a discrimina...

Research paper thumbnail of Active, Targeted, and Measured Device-Based Therapy for Low Back Pain With the David Spine Concept

Topics in Geriatric Rehabilitation

Research paper thumbnail of Recommendations for implementation of the topic musculoskeletal disorders in the occupational health and safety postgraduate programmes at European Universities

Historically, the role of professionals specialized in occupational health and safety (OHS) has e... more Historically, the role of professionals specialized in occupational health and safety (OHS) has emerged from the need to protect employers working in major risk industries such as nuclear plants and large-scale chemical industries in Europe. More recently, a few studies highlighted that the range of activities linked to safety management responsibilities includes monitor and prepare reports, inspection and auditing, regulatory compliance, emergency response, incident investigation, hazard and risk assessment, and training. Additionally, there are some supplementary non-safety related duties, such as including environmental responsibility. Considering that work-related musculoskeletal disorders (WRMD) are a major burden worldwide, adding up to 1.3 billion cases, more than 100 million years loss of disability-adjusted life years and that such disorders are common causes of disability and sick leave, this topic is highly relevant to OHS professionals. In EU Member States for which data...

Research paper thumbnail of European Hip Society 11th Congress Stockholm, Sweden, 9-11 October 2014

HIP International, 2014

A challenging aspect of revision hip arthroplasty is the treatment of osteolysis. A considerable ... more A challenging aspect of revision hip arthroplasty is the treatment of osteolysis. A considerable number of patients with radiographic osteolysis have well-fixed components. Lesional treatment involves retaining the components, grafting the osteolytic areas and changing the bearing surface. It is particularly indicated in younger patients where more extensive surgery is not desirable unless absolutely necessary. objectives: The senior author has introduced this procedure into his practice in selected cases and has carefully evaluated it. We present mid-term results. methods: Between February 2006 and January 2011, 7 patients (8 hips) with significant osteolysis around well-fixed and orientated uncemented shells, either symptomatic or asymptomatic but radiologically progressive, underwent lesional treatment. There were 6 males and 1 female with average age of 55 (42-63). All had shells with screw(s) and a metal-on-polyethylene bearing. Average time from the index operation to revision was 16 years (9-22). The liner and screws were removed, the lytic area curetted and grafted and a new liner cemented into the shell after roughening of the back of the liner and shell. All patients were followed up clinically (OHS, WOMAC) and radiologically for an average of 5 years (3-8). results: Half of the patients (4 hips) showed complete resolution of the osteolytic area on the last follow-up radiographs. For the remaining half the osteolytic area has decreased in size. All patients showed improvements clinically. OHS improved from 14 (7-22) to 32 (19-41). WOMAC score was 57 (45-75) before and 32 (14-59) after surgery. None of them had re-revision. Conclusions: The timing and appropriate treatment for osteolytic areas around a well-fixed cementless cup is controversial. Lesional treatment and changing the bearing has proved to be effective in well selected cases. We recommend this technique in cases with well-fixed and well-positioned sockets. Cemented reVision total hip arthroplasty with use of Both aCetaBular and femoral impaCtion Bone-GraftinG in patients younGer than 55 years

Research paper thumbnail of Strategy for the Practice of Spine Oncological Surgery During the Covid-19 Pandemic

Research paper thumbnail of The technique of S2-alar-iliac screw fixation: a literature review

AME Medical Journal

The distal fixation in thoracolumbar deformity surgery can be challenging for spine surgeons. Whe... more The distal fixation in thoracolumbar deformity surgery can be challenging for spine surgeons. When isolated S1-pedicle screws are utilized as the sole distal fixation in long thoracolumbar posterior constructs, there is a high rate of failure, due to loosening, breakage, and pseudarthrosis. Unfortunately, with iliac screw fixation the entry point at the posterior superior iliac spine requires considerable soft tissue dissection and may potentially increase the likelihood of wound complications. S2-alar-iliac (S2AI) screw fixation technique was developed recently to provide increased fixation with a lower profile screw and rod construct. These screws can be inserted with percutaneous or free hand techniques. This fixation also has comparable biomechanical properties to the S1 iliac screw. This technique may provide advantages such as decreased rates of reoperation, surgical site infection, wound dehiscence and symptomatic screw prominence as compared to traditional iliac screw fixation. The purpose of this manuscript is to review the S2AI screw fixation literature including anatomy, technique, biomechanics, and clinical outcomes.

Research paper thumbnail of Corpectomy and expandable cage replacement versus third generation percutaneous augmentation system in case of vertebra plana: rationale and recommendations

Journal of spine surgery (Hong Kong), 2017

To evaluate the role of third generation percutaneous vertebral augmentation systems (Spine Jack)... more To evaluate the role of third generation percutaneous vertebral augmentation systems (Spine Jack) as alternative to the corpectomies and expandable cages replacement (X-Core Adjustable VBR System) in the treatment of vertebra plana (VP) as complication of the osteoporosis vertebral fracture (OVF). Spine Jack is a new device for mechanical kyphoplasty (MK). It is a titanium implant designed to restore the height of the vertebral body in OVF, primary or secondary bone tumors, or traumatic fractures. The X-Core adjustable VBR System is a vertebral body replacement device indicated for use in the thoracolumbar spine (T1 to L5). The preoperative radiographic exams, computed tomography (CT), and magnetic resonance imaging (MRI) were performed in all cases. Clinical outcome measures included preoperative and postoperative Oswestry Disability Index (ODI), Visual Analog Scale pain score (VAS), neurologic examination, complications, estimated blood loss, and operating time. Postoperative radi...

Research paper thumbnail of Kissing Spinal Disc Herniations", An Atypical Pattern of Lumbar Disc Herniation: A Case Report

Research paper thumbnail of Linee guida di buona pratica per la gestione del dolore e i disturbi muscolo-scheletrici nei lavoratori e nelle aziende

Le azioni volte a migliorare la salute e la sicurezza sul lavoro sono nate dalla necessità di pro... more Le azioni volte a migliorare la salute e la sicurezza sul lavoro sono nate dalla necessità di proteggere dagli incidenti i dipendenti che lavorano nelle industrie europee, come le centrali nucleari o le grandi industrie chimiche. Oggi, questo campo si è evoluto in molte direzioni, e la prevenzione e la gestione dei disturbi muscoloscheletrici (DMS) è una delle sue principali linee d'azione, dato che sono la ragione principale per cui i lavoratori si assentano dal lavoro. In particolare, la prevalenza dei DMS rappresenta più di 1,3 miliardi di persone e una perdita di più di 100 milioni di anni di vita a causa della disabilità; sono una causa comune di inabilità e di assenza per malattia. Storicamente, l'approccio ai DMS sul posto di lavoro si è concentrato sull'adozione di misure ergonomiche, che in alcuni casi sono state positive. Tuttavia, nonostante le misure ergonomiche e biomeccaniche siano ampiamente implementate sul posto di lavoro, la crescente prevalenza dei DMS...

Research paper thumbnail of Recomendaciones para la implementación de la temática de los trastornos musculoesqueléticos en los programas de posgrado universitarios en seguridad y salud ocupacional a nivel europeo

Históricamente, el papel de los profesionales especializados en la seguridad y salud ocupacionale... more Históricamente, el papel de los profesionales especializados en la seguridad y salud ocupacionales (OHS, por sus siglas en inglés) surgió de la necesidad de proteger a los empleados que trabajaban en industrias de alto riesgo, como en centrales nucleares o en industrias químicas de gran escala en Europa. Más recientemente, diversos estudios señalan que el rango de actividades vinculadas con las responsabilidades de gestión de la seguridad y salud ocupacionales deben incluir control y preparación de informes; inspección y verificación; cumplimiento normativo; respuesta ante emergencias; investigación de accidentes; evaluación de amenazas y riesgos; y formación. Además, hay algunos deberes suplementarios no relacionados directamente con la seguridad, como incluir responsabilidad ecológica. Al considerar que los trastornos musculoesqueléticos en el ámbito laboral (WRMD, por sus siglas en inglés) son un problema a escala mundial, -suman más de 1,3 mil millones de casos; una pérdida de m...

Research paper thumbnail of Double plating for bicolumnar distal humerus fractures in the elderly

Injury, 2017

Distal humerus fractures are uncommon injuries requiring specific clinical and radiographic analy... more Distal humerus fractures are uncommon injuries requiring specific clinical and radiographic analysis in order to plan the optimal therapeutic strategy. In particular, bicolumnar distal humerus fractures (Type A2, A3 and C) are complex fractures. In the last years, double plating fixation became the standard treatment: this procedure helped surgeons to obtain a stable and anatomical fixation and an early mobilization, which is the main outcome for obtaining valuable functional results. In this retrospective study, we evaluated the use of open bicolumnar 90-90 plating for fixation of acute fragility fractures of the distal humerus in elderly patients, using the olecranon osteotomy as surgical approach.

Research paper thumbnail of Disturbi muscolo-scheletrici lavoro correlati: Raccomandazioni per l’implementazione dei corsi post-laurea presso le Università Europee

Storicamente, il ruolo dei professionisti specializzati in salute e sicurezza sul lavoro (SSL) è ... more Storicamente, il ruolo dei professionisti specializzati in salute e sicurezza sul lavoro (SSL) è emerso dalla necessità di proteggere i datori di lavoro che lavorano nelle industrie a maggior rischio come le centrali nucleari e le industrie chimiche su larga scala in Europa. Più di recente, alcuni studi hanno evidenziato che la gamma di attività legate alle responsabilità di gestione della sicurezza include monitoraggio e preparazione di rapporti, ispezioni e audit, conformità normativa, risposta alle emergenze, indagini sugli incidenti, valutazione dei pericoli e dei rischi e formazione. Inoltre, ci sono alcuni obblighi supplementari non relativi alla sicurezza, come l’inclusione della responsabilità ambientale. Considerando che i disturbi muscoloscheletrici legati al lavoro (WRMD) rappresentano un grave onere in tutto il mondo, con un totale di 1,3 miliardi di casi, oltre 100 milioni di anni di perdita di anni di vita adeguati alla disabilità e che tali disturbi sono cause comuni ...

Research paper thumbnail of Good practice guidelines for pain and musculoskeletal disorders in workers and companies

Actions to improve occupational health and safety arose from the need to protect employees workin... more Actions to improve occupational health and safety arose from the need to protect employees working in European industries, such as nuclear power plants or large-scale chemical industries, from accidents. Today, the field has evolved in many directions, with the prevention and management of musculoskeletal disorders (MSDs) being one of its main lines of action. MSDs are the main reason for workers to take time off work. Specifically, the prevalence of MSDs represents more than 1.3 billion people and a loss of more than 100 million years of life due to disability; they are a common cause of disability and sick leave. Historically, the workplace approach to MSDs has focused on adopting ergonomic measures, which has been positive in some cases. However, despite ergonomic and biomechanical measures being widely implemented in the workplace, the increasing prevalence of MSDs globally indicates that they are not sufficient measures on their own. Therefore, new holistic approaches that take...

Research paper thumbnail of Articolo di AggiornAmento 34 L'osteosintesi delle fratture bicolonnari di omero con doppia placca Double plating for bicolumnar distal humerus fractures

Riassunto Le fratture bicolonnari di omero distale (tipo A2, A3 e C) sono fratture complesse. Neg... more Riassunto Le fratture bicolonnari di omero distale (tipo A2, A3 e C) sono fratture complesse. Negli ultimi anni il trattamento di scelta si è rivelato l'osteosintesi con doppia placca. Tale sintesi permette di ottenere un miglior risultato in termini di riduzione, di stabilità primaria e di mobilizzazione post-operatoria precoce, elementi questi imprescindibili per una corretta guarigione. Parole chiave: fratture distali di omero, bicolonnari, tipo A2, tipo A3, tipo C, doppia placca, mobilizzazione precoce Summary Bicolumnar distal humerus fractures (Type A2, A3 and C) are complex fractures. In the last years double plating fixation have become the standard treatment. It helps surgeons to obtain stable and anatomical fixation, permitting early mobilization, that are mandatory for obtaining valuable functional results. Introduzione Le fratture bicolonnari dell'omero distale prevedono un management comples-so e accurato. Approssimativamente sono il 2-6% di tutte le fratture e ...

Research paper thumbnail of Osteochondroma of the scapula: a case report

Journal of Orthopaedics and Traumatology, 2007

Osteochondroma is one of the most common benign tumors of the axial skeleton. Location of a solit... more Osteochondroma is one of the most common benign tumors of the axial skeleton. Location of a solitary exostosis in the scapula is relatively rare. We report the case of an osteochondroma of the scapula in a 13-year-old boy. Because of the atypical location with nonspecific shoulder pain, the diagnosis is often made late. CT is necessary to determine the correct position of the osteochondroma. Despite the young age of the patient, surgical excision of the exostosis was performed, because of an arising thoracic pressure pain. The outcome was good, the patient noticed disappearance of previous painful symptoms, and a normal profile of the scapula was gained. Key words Osteochondroma • Shoulder pain • Thoracic pressure pain necessary to determine the precise location of the neoformation and its relationship with the surrounding soft tissues, to enable accurate surgical removal which is the only adequate treatment. At the Orthopaedic and Trauma Clinic of G. D'Annunzio University of Chieti, we observed a case of osteochondroma that was interesting from both the radiographic and clinical points of view, and that was treated successfully. Case report A 13-year-old boy was admitted to hospital with a neoformation on the left scapula. The growth had been initially discovered 6 years before and over time grew in volume. Radiographic and CT exam revealed an alteration in the bone structure of a mixed type, with radiographic

Research paper thumbnail of Femoroacetabular impingement: is hyaluronic acid effective?

Knee Surgery, Sports Traumatology, Arthroscopy, 2014

Femoroacetabular impingement may predispose to the development of hip osteoarthritis. Conservativ... more Femoroacetabular impingement may predispose to the development of hip osteoarthritis. Conservative treatments are effective in the short term, but surgery is often required. Aim of this paper was to report the short-term results on hip pain and function after ultrasound-guided injections of hyaluronic acid. In this open prospective trial, twenty patients suffering from mild femoroacetabular impingement were enrolled. Each patient received a 2-ml intra-articular ultrasound-guided injection of hyaluronic acid at baseline and after 40 days; the same dosing schedule was repeated after 6 months. The clinical evaluation was performed at baseline and after 6 and 12 months of follow-up. Pain score, Lequesne Index, Harris Hip Score and anti-inflammatory medication consumption were measured. Adverse events were also registered. Twenty-three hips (3 bilateral cases) were treated. Pain decreased from 6.7 ± 1.3 to 3.7 ± 1.8 and to 1.7 ± 1.8 after 6 and 12 months, respectively; Lequesne Index was reduced and the mean Harris Hip Score improved from 83.3 ± 6 before treatment to 88.2 ± 4.7 at 12 months. Consumption of anti-inflammatory drugs was also reduced, from 14 to 4 subjects and from 3.6 ± 2.2 to 1.3 ± 1.3 tablets/week. Local side effects after injection were observed only in 2 cases. Hyaluronic acid is safe and effective in the treatment of mild femoroacetabular impingement, with significant pain reduction and function improvement.

Research paper thumbnail of Giant cell tumor of the distal ulna: a case report

Journal of Medical Case Reports, 2012

IntroductionSeveral cases of long bone giant cell tumor have been reported in the literature. We ... more IntroductionSeveral cases of long bone giant cell tumor have been reported in the literature. We report the case of a patient with a giant cell tumor in the distal ulna. This is very unusual, with a reported incidence of 0.45 to 6%.Case presentationA 17-year-old Colombian man presented with a painful swelling of the left wrist. After performing an instrumental examination, a diagnosis of distal ulna giant cell tumor was made. The tumor was treated with an intralesional curettage, phenol application and bone grafting.ConclusionsThis tumor may have a good prognosis if it is diagnosed early and radically treated. It is important to be aware of atypical cancer localizations in order to perform a proper diagnosis.

Research paper thumbnail of New perspective for third generation percutaneous vertebral augmentation procedures: Preliminary results at 12 months

Journal of Craniovertebral Junction and Spine, 2012

Introduction: The prevalence of osteoporotic vertebral fractures (OVF) increased in the last year... more Introduction: The prevalence of osteoporotic vertebral fractures (OVF) increased in the last years. Compression fractures promote a progressive spine kyphosis increase, resulting in a weight shift and anterior column overload, with OVF additional risk (domino effect). The aim of this study is to evaluate the OVF treatment outcome using Spine Jack ® , a titanium device for third generation percutaneous vertebral augmentation procedures (PVAPs). Materials and Methods: From February 2010, a prospective randomized study was performed examining 300 patients who underwent PVAP due to OVF type A1 according to Magerl/AO spine classifi cation. Patients enrolled in the study were divided in two homogenous groups with regards to age (65-85 years), sex, and general clinical fi ndings. Group A included 150 patients who underwent PVAP using Spine Jack ® system; the second, group B (control group), included 150 patients treated by conventional balloon kyphoplasty. Patients underwent a clinical (visual analogue scale and Oswestry disability index) and radiographic follow-up, with post-operative standing plain radiogram of the spine at 1, 6, and 12 months. The radiographic parameters that were taken into account were: Post-operative anterior vertebral body height, pre-operative anterior vertebral body height, cephalic anterior vertebral body height, and caudal anterior vertebral body height. Results: Compared to the Spine Jack ® group, the kyphoplasty group required a little longer operation time (an average of 40 min-group A vs. 45 min-group B, P < 0.05) and a greater amount of polymethylmethacrylate (4.0 mL-group A vs. 5.0 mL-group B, P < 0.05;). The post-operative increase in vertebral body height was greater in the Spine Jack ® group than in the kyphoplasty group (P < 0.05). Discussion: PVAP are based on the cement injection into the vertebral body. Vertebroplasty does not allow the vertebral body height recovery. Balloon kyphoplasty allows a temporary height restoration. Spine Jack ® has some new features compared to other systems: It is equipped with a mechanical and not a hydraulic opening control; this ensures a gradual and controlled vertebral fracture reduction. Conclusions: In our study, we demonstrated that the third generation PVAP with Spine Jack ® is able to determine a safe vertebral body height restoration compared to the conventional balloon kyphoplasty.

Research paper thumbnail of Osteopathic manipulative treatment of congenital talipes equinovarus: A case report

Journal of Bodywork and Movement Therapies, 2014

Background: Treatment recommendations for congenital talipes equinovarus are focused on conservat... more Background: Treatment recommendations for congenital talipes equinovarus are focused on conservative treatments. Objectives: The aim of this paper is to present a case report of bilateral congenital talipes equinovarus treated with two short-leg serial casting in combination with osteopathic manipulative treatment. Methods: A newborn, 12 days old, with severe bilateral congenital talipes equinovarus entered to the Department of Orthopedics at the University of Chieti, Italy. The pediatric orthopedic surgeon applied two single series of short-leg casts, at 12 and 20 days of age. The osteopath scheduled 4 indirect myofascial release techniques sessions. Results: At day 33 the newborn achieved a complete correction of the congenital talipes equinovarus deformity and there was no need to apply a third series of casts. Conclusions: Results from this single case study create an interesting and clear precedent for considering OMT in future clinical trials.

Research paper thumbnail of Microdiskectomy and Translaminar Approach: Minimal Invasiveness and Flavum Ligament Preservation

Global Spine Journal, 2014

Research paper thumbnail of Development of the Prevent for Work Questionnaire (P4Wq) for the assessment of musculoskeletal risk factors in the workplace: part 2—pilot study for questionnaire development and validation

BMJ Open

ObjectiveThe aim of this study was to develop a multifactorial, self-report questionnaire: Preven... more ObjectiveThe aim of this study was to develop a multifactorial, self-report questionnaire: Prevent for Work Questionnaire (P4Wq). The questionnaire is intended for screening for risk factors in work-related musculoskeletal disorders (WMSDs).DesignData were collected from otherwise healthy workers employed in three service areas at a specialist hospital in Italy: healthcare, administration and ancillary services.Setting and participantsIn all, 115 participants were enrolled (67% women; average age 41.5±9.94 years). The content of the tool for WMSDs was derived from three participation rounds of analysis involving a select group of experts who identified the questionnaire domains and items. Participants responded to 89 items in addition to the EuroQol 5 Dimensions Questionnaire (EQ-5D-5L), Fear-Avoidance Beliefs Questionnaire (FABq) and Oswestry Disability Index (ODI). The proportion of missing data and the distribution of responses were analysed for each item. Items with a discrimina...

Research paper thumbnail of Active, Targeted, and Measured Device-Based Therapy for Low Back Pain With the David Spine Concept

Topics in Geriatric Rehabilitation

Research paper thumbnail of Recommendations for implementation of the topic musculoskeletal disorders in the occupational health and safety postgraduate programmes at European Universities

Historically, the role of professionals specialized in occupational health and safety (OHS) has e... more Historically, the role of professionals specialized in occupational health and safety (OHS) has emerged from the need to protect employers working in major risk industries such as nuclear plants and large-scale chemical industries in Europe. More recently, a few studies highlighted that the range of activities linked to safety management responsibilities includes monitor and prepare reports, inspection and auditing, regulatory compliance, emergency response, incident investigation, hazard and risk assessment, and training. Additionally, there are some supplementary non-safety related duties, such as including environmental responsibility. Considering that work-related musculoskeletal disorders (WRMD) are a major burden worldwide, adding up to 1.3 billion cases, more than 100 million years loss of disability-adjusted life years and that such disorders are common causes of disability and sick leave, this topic is highly relevant to OHS professionals. In EU Member States for which data...

Research paper thumbnail of European Hip Society 11th Congress Stockholm, Sweden, 9-11 October 2014

HIP International, 2014

A challenging aspect of revision hip arthroplasty is the treatment of osteolysis. A considerable ... more A challenging aspect of revision hip arthroplasty is the treatment of osteolysis. A considerable number of patients with radiographic osteolysis have well-fixed components. Lesional treatment involves retaining the components, grafting the osteolytic areas and changing the bearing surface. It is particularly indicated in younger patients where more extensive surgery is not desirable unless absolutely necessary. objectives: The senior author has introduced this procedure into his practice in selected cases and has carefully evaluated it. We present mid-term results. methods: Between February 2006 and January 2011, 7 patients (8 hips) with significant osteolysis around well-fixed and orientated uncemented shells, either symptomatic or asymptomatic but radiologically progressive, underwent lesional treatment. There were 6 males and 1 female with average age of 55 (42-63). All had shells with screw(s) and a metal-on-polyethylene bearing. Average time from the index operation to revision was 16 years (9-22). The liner and screws were removed, the lytic area curetted and grafted and a new liner cemented into the shell after roughening of the back of the liner and shell. All patients were followed up clinically (OHS, WOMAC) and radiologically for an average of 5 years (3-8). results: Half of the patients (4 hips) showed complete resolution of the osteolytic area on the last follow-up radiographs. For the remaining half the osteolytic area has decreased in size. All patients showed improvements clinically. OHS improved from 14 (7-22) to 32 (19-41). WOMAC score was 57 (45-75) before and 32 (14-59) after surgery. None of them had re-revision. Conclusions: The timing and appropriate treatment for osteolytic areas around a well-fixed cementless cup is controversial. Lesional treatment and changing the bearing has proved to be effective in well selected cases. We recommend this technique in cases with well-fixed and well-positioned sockets. Cemented reVision total hip arthroplasty with use of Both aCetaBular and femoral impaCtion Bone-GraftinG in patients younGer than 55 years

Research paper thumbnail of Strategy for the Practice of Spine Oncological Surgery During the Covid-19 Pandemic

Research paper thumbnail of The technique of S2-alar-iliac screw fixation: a literature review

AME Medical Journal

The distal fixation in thoracolumbar deformity surgery can be challenging for spine surgeons. Whe... more The distal fixation in thoracolumbar deformity surgery can be challenging for spine surgeons. When isolated S1-pedicle screws are utilized as the sole distal fixation in long thoracolumbar posterior constructs, there is a high rate of failure, due to loosening, breakage, and pseudarthrosis. Unfortunately, with iliac screw fixation the entry point at the posterior superior iliac spine requires considerable soft tissue dissection and may potentially increase the likelihood of wound complications. S2-alar-iliac (S2AI) screw fixation technique was developed recently to provide increased fixation with a lower profile screw and rod construct. These screws can be inserted with percutaneous or free hand techniques. This fixation also has comparable biomechanical properties to the S1 iliac screw. This technique may provide advantages such as decreased rates of reoperation, surgical site infection, wound dehiscence and symptomatic screw prominence as compared to traditional iliac screw fixation. The purpose of this manuscript is to review the S2AI screw fixation literature including anatomy, technique, biomechanics, and clinical outcomes.

Research paper thumbnail of Corpectomy and expandable cage replacement versus third generation percutaneous augmentation system in case of vertebra plana: rationale and recommendations

Journal of spine surgery (Hong Kong), 2017

To evaluate the role of third generation percutaneous vertebral augmentation systems (Spine Jack)... more To evaluate the role of third generation percutaneous vertebral augmentation systems (Spine Jack) as alternative to the corpectomies and expandable cages replacement (X-Core Adjustable VBR System) in the treatment of vertebra plana (VP) as complication of the osteoporosis vertebral fracture (OVF). Spine Jack is a new device for mechanical kyphoplasty (MK). It is a titanium implant designed to restore the height of the vertebral body in OVF, primary or secondary bone tumors, or traumatic fractures. The X-Core adjustable VBR System is a vertebral body replacement device indicated for use in the thoracolumbar spine (T1 to L5). The preoperative radiographic exams, computed tomography (CT), and magnetic resonance imaging (MRI) were performed in all cases. Clinical outcome measures included preoperative and postoperative Oswestry Disability Index (ODI), Visual Analog Scale pain score (VAS), neurologic examination, complications, estimated blood loss, and operating time. Postoperative radi...

Research paper thumbnail of Kissing Spinal Disc Herniations", An Atypical Pattern of Lumbar Disc Herniation: A Case Report