Glossary entry

French term or phrase:

avec contact osseux supérieur

English translation:

bone to bone contact superiorly

Added to glossary by Denise Pavao
Feb 1, 2018 14:05
6 yrs ago
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French term

avec contact osseux supérieur

French to English Medical Medical (general) X-ray report
Happy February everyone!

This is in an X-ray report from a patient who has a total right hip replacement, under "Bassin."

Coxarthrose gauche sévère avec contact osseux supérieur, éburnation surtout du toit acétabulaire où il y a un début de géode.

Are they saying that the osteoarthritis is so severe that there is bone on bone? (But only on the upper surface... would "of the femoral head" be understood?)

I'd appreciate it if someone could let me know if I'm on the right track.

Thank you!
Denise

Proposed translations

+1
3 hrs
Selected

bone to bone contact superiorly

I would suggest a more general translation, as a) the femoral head will move relative to the acetabulum, and b) the cartilage must have been worn away on both the femoral head and the acetabulum (as indicated). ie I presume both the bone of the femoral head and acetabulum are involved.

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Note added at 3 hrs (2018-02-01 17:37:51 GMT)
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I would also suggest that supérieur may refer to location within the joint

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Note added at 17 hrs (2018-02-02 07:20:02 GMT)
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i.e. looking at the x-ray, the medics notice bone to bone contact in the upper part of the joint cavity
Note from asker:
Thanks Sue - good point!
Peer comment(s):

agree Rachel Fell : https://tinyurl.com/ybvy975n ; http://www.hip-int.com/article/effect-of-angular-deformities...
1 hr
Thanks!
neutral Drmanu49 : How is this different from my answer??? The source text is quite specific. éburnation surtout du toit acétabulaire// I dit mention it, first line in my answer.
1 hr
yes - the text only indicates the location (superiorly), I don't think you can introduce the femur without mentioning the acetabulum
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4 KudoZ points awarded for this answer. Comment: "Thanks Sue, I thought it was best to stay closer to the source text, which did not specify location beyond "supérieur.""
+3
26 mins

bone to bone contact in the upper part of the femoral head

Exactly that and acetabular erosion

[Acetabular erosion after hip hemiarthroplasty. Clinical and ... - NCBI
https://www.ncbi.nlm.nih.gov/pubmed/20052944

Traduire cette page
de J Skála-Rosenbaum - ‎2009 - ‎Cité 7 fois - ‎Autres articles
Acetabular erosion is the most serious late complication of the hemiarthroplasty of the hip. We analyzed the factors influencing acetabular erosion after hemiarthroplasty for intracapsular femoral neck factures. Twelve patients of average age 71 years initially treated by one type of hemiarthroplasty in which conversion to total ...

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Note added at 17 heures (2018-02-02 07:40:13 GMT)
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I quite agree that "eburnation is a consequence of the cartilage erosion" the sequence is erosion then eburnation.
Note from asker:
Thanks so much Dr Manu. I have a really short deadline so I really appreciate your quick response.
Thank you again for providing an answer! Just a note regarding "acetabular erosion." I think that erosion is not quite right here. The way I understand the text, there is eburnation of the acetabular roof (due to cartilage erosion, resulting in the polished appearance of the bone.) In other words, eburnation is a consequence of the cartilage erosion, but I think the text is emphasizing the eburnation of the bone rather than the erosion of the cartilage.
Peer comment(s):

agree Scott Hendry Jackson
50 mins
Thank you.
agree Dr Lofthouse
2 hrs
Thank you.
agree Jasa Pipan
6 hrs
Thank you.
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