se ha leído el artículo
array:24 [ "pii" => "S2173574317300035" "issn" => "21735743" "doi" => "10.1016/j.reumae.2016.02.011" "estado" => "S300" "fechaPublicacion" => "2017-05-01" "aid" => "893" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología" "copyrightAnyo" => "2016" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Reumatol Clin. 2017;13:176-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1077 "formatos" => array:3 [ "EPUB" => 62 "HTML" => 803 "PDF" => 212 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S1699258X16000425" "issn" => "1699258X" "doi" => "10.1016/j.reuma.2016.02.011" "estado" => "S300" "fechaPublicacion" => "2017-05-01" "aid" => "893" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Reumatol Clin. 2017;13:176-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 9411 "formatos" => array:3 [ "EPUB" => 190 "HTML" => 8210 "PDF" => 1011 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Reumatología Clínica en imágenes</span>" "titulo" => "Lumbalgia mecánica como forma de presentación de vértebra limbus anterior" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "176" "paginaFinal" => "177" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Mechanical low back pain as a presentation of anterior limbus vertebra" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1428 "Ancho" => 995 "Tamanyo" => 264184 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Vértebra limbus: a) Radiografía lateral de columna lumbar. Se aprecia irregularidad de la esquina superior y anterior del cuerpo vertebral L3. El espacio intervertebral L2-L3 se encuentra estrechado. Se observan pequeñas formaciones osteofitarias anteriores en L2 y L4. La densidad de los cuerpos vertebrales se conserva; b) TC con reconstrucción MPR sagital, donde se observan con mayor detalle la irregularidad del borde súpero-anterior del cuerpo L3, apreciándose esclerosis tanto en el platillo vertebral hundido como en los contornos del fragmento óseo separado del resto del hueso. También se observa una listesis L5-S1 y una hernia de Schmorl en el platillo superior de L1; c) RM secuencia SET1 en el plano sagital. La intensidad de los cuerpos vertebrales está conservada y el fragmento óseo separado del cuerpo L3 presenta la misma intensidad de señal que el resto del hueso; d) RM secuencia SET2 en el plano sagital. Los hallazgos complementan lo observado en la secuencia SET1. Se observa disminución de altura y señal de los discos intervertebrales L2-L3, L3-L4 y L5-S1 en relación con deshidratación en el contexto de una discopatía degenerativa. En L5-S1 se observa, también, una hernia discal posterocentral migrada cranealmente, acompañando a la listesis; e) Secuencias de RM en el plano sagital SET1 en fase y fase opuesta. En estas secuencias la señal del cartílago discal es alta y brillante. Se puede apreciar cómo se introduce entre el fragmento óseo y la región más anterior del platillo superior de L3, y f) Esquema que representa los cambios observados en las imágenes de la izquierda. Nótese como el disco intervertebral L2-L3 se introduce a través de la superficie anterior del cuerpo vertebral L3. También se puede ver una herniación de Schmorl en el platillo superior de L1 y una protrusión global del disco L5-S1 con hernia discal posterocentral acompañando a la listesis L5-S1.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carmen Carrasco Cubero, Duarte Gibellino Coelho Achega, M. Ángeles Férnández Gil, Jose Luis Álvarez Vega" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Carmen" "apellidos" => "Carrasco Cubero" ] 1 => array:2 [ "nombre" => "Duarte Gibellino" "apellidos" => "Coelho Achega" ] 2 => array:2 [ "nombre" => "M. Ángeles" "apellidos" => "Férnández Gil" ] 3 => array:2 [ "nombre" => "Jose Luis" "apellidos" => "Álvarez Vega" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173574317300035" "doi" => "10.1016/j.reumae.2016.02.011" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574317300035?idApp=UINPBA00004M" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X16000425?idApp=UINPBA00004M" "url" => "/1699258X/0000001300000003/v1_201704290027/S1699258X16000425/v1_201704290027/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173574317300023" "issn" => "21735743" "doi" => "10.1016/j.reumae.2016.02.010" "estado" => "S300" "fechaPublicacion" => "2017-05-01" "aid" => "892" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Reumatol Clin. 2017;13:178-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 741 "formatos" => array:3 [ "EPUB" => 64 "HTML" => 477 "PDF" => 200 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>" "titulo" => "Hybrid SPECT/CT using 3D reconstruction with <span class="elsevierStyleSup">99m</span>Tc-HMPAO-labeled leukocytes in the diagnosis of an infectious process of unknown origin in foot" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "178" "paginaFinal" => "179" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "SPECT/TC con leucocitos autólogos marcados con <span class="elsevierStyleSup">99m</span>Tc-HMPAO y reconstrucción 3D híbrida en el diagnóstico de proceso infeccioso no filiado en pie" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1090 "Ancho" => 1600 "Tamanyo" => 131114 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Single photon emission computed tomography/computed tomography (SPECT/CT) after the intravenous administration of autologous leukocytes labeled with 20<span class="elsevierStyleHsp" style=""></span>mCi of <span class="elsevierStyleSup">99m</span>Tc-hexamethylpropyleneamine oxime (HMPAO). Hybrid SPECT/CT image (A) and SPECT image (B) showing the increased uptake in the fourth metatarsal of right foot. 3D reconstruction with bone window (C) that enables the correlation of the scintigraphic findings with the presence of a foreign body (arrow), that can be discerned by the impression it leaves on the surface of the skin (D).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan José Martín-Marcuartu, Víctor Manuel Pachón-Garrudo, Jose Antonio Lojo-Ramírez, Rosario García-Jiménez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Juan José" "apellidos" => "Martín-Marcuartu" ] 1 => array:2 [ "nombre" => "Víctor Manuel" "apellidos" => "Pachón-Garrudo" ] 2 => array:2 [ "nombre" => "Jose Antonio" "apellidos" => "Lojo-Ramírez" ] 3 => array:2 [ "nombre" => "Rosario" "apellidos" => "García-Jiménez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1699258X16000413" "doi" => "10.1016/j.reuma.2016.02.010" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X16000413?idApp=UINPBA00004M" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574317300023?idApp=UINPBA00004M" "url" => "/21735743/0000001300000003/v1_201705040052/S2173574317300023/v1_201705040052/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173574317300047" "issn" => "21735743" "doi" => "10.1016/j.reumae.2016.02.012" "estado" => "S300" "fechaPublicacion" => "2017-05-01" "aid" => "895" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Reumatol Clin. 2017;13:173-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 913 "formatos" => array:3 [ "EPUB" => 70 "HTML" => 644 "PDF" => 199 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Calf Pseudohipertrophy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "173" "paginaFinal" => "175" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pseudohipertrofia gemelar" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1607 "Ancho" => 1541 "Tamanyo" => 224087 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">(A) Increase in the volume of right leg. (B, C) Longitudinal and cross-sectional magnetic resonance imaging of both lower limbs. (D) Muscle biopsy of the patient reported here (hematoxylin–eosin 10×). (E) For comparison, a normal muscle biopsy of medial gastrocnemius (10×).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Pablo Antonio Zurita Prada, Regina Faré García, Claudia Lía Urrego Laurín, Rucadén Pérez Toledo, César Tabernero García, Aurelio Hernández Laín" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Pablo Antonio" "apellidos" => "Zurita Prada" ] 1 => array:2 [ "nombre" => "Regina" "apellidos" => "Faré García" ] 2 => array:2 [ "nombre" => "Claudia Lía" "apellidos" => "Urrego Laurín" ] 3 => array:2 [ "nombre" => "Rucadén" "apellidos" => "Pérez Toledo" ] 4 => array:2 [ "nombre" => "César" "apellidos" => "Tabernero García" ] 5 => array:2 [ "nombre" => "Aurelio" "apellidos" => "Hernández Laín" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1699258X16000449" "doi" => "10.1016/j.reuma.2016.02.012" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X16000449?idApp=UINPBA00004M" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574317300047?idApp=UINPBA00004M" "url" => "/21735743/0000001300000003/v1_201705040052/S2173574317300047/v1_201705040052/en/main.assets" ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>" "titulo" => "Mechanical Low Back Pain as a Presentation of Anterior Limbus Vertebra" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "176" "paginaFinal" => "177" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Carmen Carrasco Cubero, Duarte Gibellino Coelho Achega, M. Ángeles Férnández Gil, Jose Luis Álvarez Vega" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Carmen" "apellidos" => "Carrasco Cubero" "email" => array:1 [ 0 => "mcarrascocubero@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Duarte Gibellino" "apellidos" => "Coelho Achega" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M. Ángeles" "apellidos" => "Férnández Gil" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Jose Luis" "apellidos" => "Álvarez Vega" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Reumatología, Hospital Perpetuo Socorro, Complejo Hospitalario Universitario de Badajoz, Badajoz, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Centro de Salud Valdepasillas, Badajoz, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Perpetuo Socorro, Complejo Hospitalario Universitario de Badajoz, Badajoz, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Lumbalgia mecánica como forma de presentación de vértebra limbus anterior" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1428 "Ancho" => 995 "Tamanyo" => 264184 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Limbus vertebra: (A) lateral radiograph of lumbar spine. The image shows the irregularity of the superior and anterior corners of the vertebral body at lumbar 3 (L3). The L2–L3 intervertebral space is narrowed. There are small anterior osteophytic formations at L2 and L4. The density of the vertebral bodies is conserved; (B) computed tomography with sagittal multiplanar reconstruction, in which the irregularity of the anterosuperior margin of L3 vertebral body can be seen in greater detail. Sclerosis can be observed both in the recessed vertebral endplates and around the osseous fragments separated from the rest of the bone. Listhesis can also be detected at L3–sacral 1 (S1) and Schmorl's node in the superior endplate at L1; (C) magnetic resonance imaging (MRI) of sagittal spin-echo T1-weighted (SET1) sequences. The intensity of the vertebral bodies is conserved and the osseous fragment separated from the L3 body has the same signal intensity has the rest of the bone; (D) MRI of sagittal spin-echo T2-weighted sequences. The findings complement what can be observed in the SET1 sequence. There is a decrease in height and signal of intervertebral discs at L2–L3, L3–L4 and L5–S1 in relation to dehydration in the setting of a degenerative disc disease. There is also a posterior central disc herniation at L5–S1, that migrated cranially, accompanied by listhesis; (E) MRI sagittal SET1 sequences in-phase and out-of-phase. In these sequences, the signal of the disc cartilage is high and bright. It can be seen how it is introduced between the osseous fragment and the foremost region of the superior L3 endplate; (F) drawing representing the changes observed in the images to the left. It can be seen that the L2–L3 intervertebral disc is introduced through the anterior surface of the L3 vertebral body. A Schmorl node can also be seen in the superior endplate of L1 and a protrusion of the L5–S1 disc, with a posterior central disc herniation, accompanied by listhesis at L5–S1.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The patient was a 39-year-old farmer who had nothing remarkable in his clinical history. He presented with self-limiting, chronic, mechanical low back pain, without radiation, fever or systemic symptoms. Physical examination revealed only pain on palpation of the lumbar spinous processes and limited anterior dorsiflexion. Laboratory values, including serological findings and protein profile, were normal. A radiograph of the lumbar spine (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) showed an irregular sclerotic lesion in the epiphysis of lumbar 3 (L3). Lumbar computed tomography (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B) showed irregularity, crush fracture and fragmentation preceding L3. Magnetic resonance imaging of the lumbar spine (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C–E) revealed a limbus vertebra (LV) at L3, degenerative disc disease at L2–L4 and L5–sacral 1 (S1) and disc herniation at L3–L4 and L5–S1.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The diagnosis was LV at L3 and listhesis at L5 with spondylolysis. The patient improved with conservative treatment (anti-inflammatory agents and muscle relaxants). Surgery was ruled out.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Limbus vertebra is a radiological finding. Its prevalence is unknown and its significance is uncertain. It is a bone defect that affects the vertebral body margin, which is the origin of this a triangular fragment with sclerotic borders (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>F). It is produced in the form of an intraosseous herniation of the nucleus pulposus through the vertebral ring apophysis, prior to the complete fusion of the vertebral body. Its pathogenesis is related to that of Schmorl's nodes and Scheuermann disease. The most common localization is the lumbar spine and it involves the anterosuperior corner, followed by the anteroinferior region. Posterior LV is less frequent, but has a more marked clinical and functional impact because the osseous fragments can move, thus narrowing the spinal canal.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In our case, the radiographic image could lead to a diagnosis of fracture, inflammation, infection or tumor, making additional imaging studies necessary.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The question as to whether LV is a variant of normality is controversial. Although there is little available literature, the cases described refer to patients who complain of back pain, not healthy individuals. There appears to be a pathological significance associated with low back pain. Clinical and epidemiological research on this entity should be embarked on under a new approach.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical Disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of Interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors declare they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical Disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of Interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2016-01-18" "fechaAceptado" => "2016-02-25" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Carrasco Cubero C, Coelho Achega DG, Férnández Gil MÁ, Álvarez Vega JL. Lumbalgia mecánica como forma de presentación de vértebra limbus anterior. 2017;13:176–177.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1428 "Ancho" => 995 "Tamanyo" => 264184 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Limbus vertebra: (A) lateral radiograph of lumbar spine. The image shows the irregularity of the superior and anterior corners of the vertebral body at lumbar 3 (L3). The L2–L3 intervertebral space is narrowed. There are small anterior osteophytic formations at L2 and L4. The density of the vertebral bodies is conserved; (B) computed tomography with sagittal multiplanar reconstruction, in which the irregularity of the anterosuperior margin of L3 vertebral body can be seen in greater detail. Sclerosis can be observed both in the recessed vertebral endplates and around the osseous fragments separated from the rest of the bone. Listhesis can also be detected at L3–sacral 1 (S1) and Schmorl's node in the superior endplate at L1; (C) magnetic resonance imaging (MRI) of sagittal spin-echo T1-weighted (SET1) sequences. The intensity of the vertebral bodies is conserved and the osseous fragment separated from the L3 body has the same signal intensity has the rest of the bone; (D) MRI of sagittal spin-echo T2-weighted sequences. The findings complement what can be observed in the SET1 sequence. There is a decrease in height and signal of intervertebral discs at L2–L3, L3–L4 and L5–S1 in relation to dehydration in the setting of a degenerative disc disease. There is also a posterior central disc herniation at L5–S1, that migrated cranially, accompanied by listhesis; (E) MRI sagittal SET1 sequences in-phase and out-of-phase. In these sequences, the signal of the disc cartilage is high and bright. It can be seen how it is introduced between the osseous fragment and the foremost region of the superior L3 endplate; (F) drawing representing the changes observed in the images to the left. It can be seen that the L2–L3 intervertebral disc is introduced through the anterior surface of the L3 vertebral body. A Schmorl node can also be seen in the superior endplate of L1 and a protrusion of the L5–S1 disc, with a posterior central disc herniation, accompanied by listhesis at L5–S1.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lumbalgia mecánica crónica en pacientes con vértebra limbus anterior: revisión de la literatura y presentación de tres casos clínicos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P.A. Martínez-Carpio" 1 => "A. Bedoya del Campillo" 2 => "M.J. Leal" 3 => "N. Lleopart" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Arg Reumatol" "fecha" => "2013" "volumen" => "24" "paginaInicial" => "36" "paginaFinal" => "42" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Limbus vertebra" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Horneros" 1 => "S. Rodríguez" 2 => "R. Pérez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Sem Fund Esp Reumatol" "fecha" => "2012" "volumen" => "13" "paginaInicial" => "62" "paginaFinal" => "64" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000001300000003/v1_201705040052/S2173574317300035/v1_201705040052/en/main.assets" "Apartado" => array:4 [ "identificador" => "5795" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Clinical Rheumatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735743/0000001300000003/v1_201705040052/S2173574317300035/v1_201705040052/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574317300035?idApp=UINPBA00004M" ]
año/Mes | Html | Total | |
---|---|---|---|
2024 Octubre | 82 | 35 | 117 |
2024 Septiembre | 108 | 33 | 141 |
2024 Agosto | 108 | 53 | 161 |
2024 Julio | 116 | 39 | 155 |
2024 Junio | 123 | 53 | 176 |
2024 Mayo | 177 | 46 | 223 |
2024 Abril | 122 | 37 | 159 |
2024 Marzo | 127 | 45 | 172 |
2024 Febrero | 82 | 24 | 106 |
2024 Enero | 109 | 28 | 137 |
2023 Diciembre | 79 | 29 | 108 |
2023 Noviembre | 124 | 27 | 151 |
2023 Octubre | 157 | 44 | 201 |
2023 Septiembre | 163 | 41 | 204 |
2023 Agosto | 117 | 16 | 133 |
2023 Julio | 122 | 26 | 148 |
2023 Junio | 105 | 20 | 125 |
2023 Mayo | 107 | 31 | 138 |
2023 Abril | 108 | 16 | 124 |
2023 Marzo | 113 | 41 | 154 |
2023 Febrero | 128 | 24 | 152 |
2023 Enero | 119 | 24 | 143 |
2022 Diciembre | 96 | 47 | 143 |
2022 Noviembre | 117 | 32 | 149 |
2022 Octubre | 85 | 34 | 119 |
2022 Septiembre | 94 | 42 | 136 |
2022 Agosto | 84 | 39 | 123 |
2022 Julio | 90 | 38 | 128 |
2022 Junio | 88 | 39 | 127 |
2022 Mayo | 100 | 44 | 144 |
2022 Abril | 127 | 73 | 200 |
2022 Marzo | 140 | 48 | 188 |
2022 Febrero | 114 | 32 | 146 |
2022 Enero | 136 | 42 | 178 |
2021 Diciembre | 111 | 37 | 148 |
2021 Noviembre | 93 | 41 | 134 |
2021 Octubre | 115 | 68 | 183 |
2021 Septiembre | 99 | 49 | 148 |
2021 Agosto | 100 | 54 | 154 |
2021 Julio | 75 | 38 | 113 |
2021 Junio | 97 | 33 | 130 |
2021 Mayo | 124 | 54 | 178 |
2021 Abril | 287 | 114 | 401 |
2021 Marzo | 152 | 32 | 184 |
2021 Febrero | 131 | 32 | 163 |
2021 Enero | 96 | 31 | 127 |
2020 Diciembre | 73 | 23 | 96 |
2020 Noviembre | 74 | 20 | 94 |
2020 Octubre | 62 | 18 | 80 |
2020 Septiembre | 90 | 29 | 119 |
2020 Agosto | 43 | 27 | 70 |
2020 Julio | 109 | 30 | 139 |
2020 Junio | 50 | 43 | 93 |
2020 Mayo | 34 | 24 | 58 |
2020 Abril | 24 | 21 | 45 |
2020 Marzo | 15 | 14 | 29 |
2020 Febrero | 2 | 0 | 2 |
2018 Septiembre | 3 | 0 | 3 |
2018 Junio | 1 | 0 | 1 |
2018 Mayo | 6 | 1 | 7 |
2018 Abril | 102 | 7 | 109 |
2018 Marzo | 124 | 9 | 133 |
2018 Febrero | 74 | 11 | 85 |
2018 Enero | 38 | 8 | 46 |
2017 Diciembre | 66 | 13 | 79 |
2017 Noviembre | 40 | 14 | 54 |
2017 Octubre | 48 | 7 | 55 |
2017 Septiembre | 45 | 14 | 59 |
2017 Agosto | 46 | 13 | 59 |
2017 Julio | 45 | 19 | 64 |
2017 Junio | 72 | 35 | 107 |
2017 Mayo | 81 | 28 | 109 |
2017 Abril | 3 | 11 | 14 |
2017 Marzo | 3 | 13 | 16 |
2017 Febrero | 5 | 9 | 14 |