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https://www.readbyqxmd.com/read/30237906/plantar-fasciopathy-a-current-concepts-review
#1
Manuel Monteagudo, Pilar Martínez de Albornoz, Borja Gutierrez, José Tabuenca, Ignacio Álvarez
Plantar fasciopathy is very prevalent, affecting one in ten people in their lifetime.Around 90% of cases will resolve within 12 months with conservative treatment.Gastrocnemius tightness has been associated with dorsiflexion stiffness of the ankle and plantar fascia injury.The use of eccentric calf stretching with additional stretches for the fascia is possibly the non-operative treatment of choice for chronic plantar fasciopathy.Medial open release of approximately the medial third of the fascia and release of the first branch of the lateral plantar nerve has been the most accepted surgical treatment for years...
August 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30237905/swellings-of-the-sternoclavicular-joint-review-of-traumatic-and-non-traumatic-pathologies
#2
John Edwin, Shahbaz Ahmed, Shobhit Verma, Graham Tytherleigh-Strong, Karthik Karuppaiah, Joydeep Sinha
The sternoclavicular joint (SCJ) is an integral part of the shoulder girdle that connects the upper limb to the axial skeleton.Swelling of the SCJ is commonly due to trauma, degeneration, infections and other disease processes that affect synovial joints.This review also focuses on uncommon conditions that could affect the SCJ, including SAPHO (synovitis, acne, pustulosis, hyperostosis, osteitis) syndrome, Friedrich's disease and Tietze syndrome.The scope of this review is limited to the analysis of the current evidence on the various conditions affecting the SCJ and also to provide an algorithm to manage these conditions...
August 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30237904/chronic-pain-after-total-knee-arthroplasty
#3
Vikki Wylde, Andrew Beswick, Julie Bruce, Ashley Blom, Nicholas Howells, Rachael Gooberman-Hill
Despite a good outcome for many patients, approximately 20% of patients experience chronic pain after total knee arthroplasty (TKA).Chronic pain after TKA can affect all dimensions of health-related quality of life, and is associated with functional limitations, pain-related distress, depression, poorer general health and social isolation.In both clinical and research settings, the approach to assessing chronic pain after TKA needs to be in-depth and multidimensional to understand the characteristics and impact of this pain...
August 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30237903/correlation-between-skin-and-bone-parameters-in-women-with-postmenopausal-osteoporosis-a-systematic-review
#4
Jean-Charles Aurégan, Catherine Bosser, Morad Bensidhoum, Thierry Bégué, Thierry Hoc
Skin and bone share similarities in terms of biochemical composition.Some authors have hypothesized that their properties could evolve concomitantly with age, allowing the estimation of the parameters of one from those of the other.We performed a systematic review of studies reporting the correlation between skin and bone parameters in women with postmenopausal osteoporosis.Fourteen studies - including 1974 patients - were included in the review.Three of these studies included two groups of participants - osteoporotic and non-osteoporotic - in order to compare skin parameters between them: two studies found a significant difference between the two groups and one did not...
August 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30237902/update-on-unicompartmental-knee-arthroplasty-current-indications-and-failure-modes
#5
Michele Vasso, Alexander Antoniadis, Naeder Helmy
Despite the excellent success rates of modern implants, unicompartmental knee arthroplasty (UKA) continues to show relatively high failure and revision rates, especially when compared with total knee arthroplasty (TKA).These higher rates of failure and revision are mainly observed during the early (< 5 years) post-operative period and are often due to incorrect indications and/or surgical errors.The correct clinical and radiological indications for UKA have therefore been analysed and correlated as far as possible with the principal mechanisms and timing of failures of UKA...
August 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30233819/state-of-the-art-diagnosis-and-surgical-treatment-of-acute-peri-prosthetic-joint-infection-following-primary-total-hip-arthroplasty
#6
Pablo A Slullitel, José I Oñativia, Martin A Buttaro, Marisa L Sánchez, Fernando Comba, Gerardo Zanotti, Francisco Piccaluga
Acute peri-prosthetic joint infection (PJI) following total hip arthroplasty (THA) is a potentially devastating and undesired complication, with a prevalence of 0.3% to 2.9%. Its suspicion begins with a meticulous physical examination and anamnesis. Diagnosis should be made on the basis of the Musculoskeletal Infection Society criteria. Serum and synovial biomarkers are very useful tools when major criteria are absent.Although sometimes not possible due to medical conditions, surgery is usually the first line of treatment...
July 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30233818/acromioclavicular-joint-injuries-diagnosis-classification-and-ligamentoplasty-procedures
#7
Evrim Sirin, Nuri Aydin, Osman Mert Topkar
Acromioclavicular (AC) joint injury is a frequent diagnosis after an acute shoulder trauma - often found among athletes and people involved in contact sports.This injury occurs five times more frequently in men than in women, with the highest incidence in the 20- to 30-year-old age group. Patients usually complain of pain and tenderness over the shoulder, particularly over the AC joint.Depending on the degree of injury, the clavicle may become prominent on the injured site.The original classification was described by Rockwood and Green according to the injured ligament complex and degree and direction of clavicular displacement...
July 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30233817/minimally-invasive-reduction-and-percutaneous-fixation-versus-open-reduction-and-internal-fixation-for-displaced-intra-articular-calcaneal-fractures-a-systematic-review-of-the-literature
#8
Haroon Majeed, James Barrie, Wendy Munro, Donald McBride
The aim of this article is to systematically identify and analyse research evidence available to compare the outcomes of minimally invasive reduction and percutaneous fixation (MIRPF) versus open reduction and internal fixation (ORIF) for displaced intra-articular calcaneal fractures.Articles from 2000 to 2016 were searched through MEDLINE (PubMed), Cochrane Library, Embase, ScienceDirect, Scopus and ISI Web of Knowledge using Boolean logic and text words. Of the 570 articles identified initially, nine were selected including three randomized controlled trials and six retrospective comparative studies...
July 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30233816/the-interface-between-periacetabular-osteotomy-hip-arthroscopy-and-total-hip-arthroplasty-in-the-young-adult-hip
#9
Stig Storgaard Jakobsen, Søren Overgaard, Kjeld Søballe, Ole Ovesen, Bjarne Mygind-Klavsen, Christian Andreas Dippmann, Michael Ulrich Jensen, Jens Stürup, Jens Retpen
Hip pain is highly prevalent in both the younger and the elderly population. In older patients, pain arising from osteoarthritis (OA) is most frequent, whereas in younger patients, non-degenerative diseases are more often the cause of pain. The pain may be caused by hip dysplasia and femoroacetabular impingement (FAI).Abnormal mechanics of the hip are hypothesized by some authors to cause up to 80% of OA in the hip. Therefore, correction of these abnormalities is of obvious importance when treating young patients with hip pain...
July 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30233815/isolated-medial-collateral-ligament-tears-an-update-on-management
#10
Carlos A Encinas-Ullán, E Carlos Rodríguez-Merchán
Tears of the medial collateral ligament (MCL) are the most common knee ligament injury.Incomplete tears (grade I, II) and isolated tears (grade III) of the MCL without valgus instability can be treated without surgery, with early functional rehabilitation.Failure of non-surgical treatment can result in debilitating, persistent medial instability, secondary dysfunction of the anterior cruciate ligament, weakness, and osteoarthritis.Reconstruction or repair of the MCL is a relatively uncommon procedure, as non-surgical treatment is often successful at returning patients to their prior level of function...
July 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30034820/ankle-arthroplasty-a-review-and-summary-of-results-from-joint-registries-and-recent-studies
#11
Farhan Syed, Anthony Ugwuoke
Total ankle arthroplasty offers a reasonable alternative to ankle arthrodesis in carefully selected patients.It is debatable whether rheumatoid arthritis patients have better outcomes compared with those who have ankle arthroplasty for either primary osteoarthritis or post-traumatic arthritis.Aseptic loosening and infection are the most common complications requiring revision.It is worth noting that some of the best survival rates are seen in the surgeon-designer case series.The uncemented mobile or fixed bearing prostheses have better outcomes compared with their older counterparts...
June 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30034819/rare-diseases-of-bone-erdheim-chester-and-rosai-dorfman-non-langerhans-cell-histiocytoses
#12
Andreas F Mavrogenis, Vasilios G Igoumenou, Thekla Antoniadou, Panayiotis D Megaloikonomos, George Agrogiannis, Periklis Foukas, Sotirios G Papageorgiou
Non-Langerhans cell histiocytosis (N-LCH) summarizes a group of rare diseases with different clinical presentations, pathogenesis and morphology. These include primary cutaneous N-LCH, cutaneous N-LCH with systemic involvement, and primary extracutaneous systemic forms with occasional cutaneous involvement.The juvenile (JXG) and non-juvenile xanthogranuloma (N-JXG) family of histiocytoses are N-LCH: the JXG family consisting of the JXG (cutaneous), xanthoma disseminatum (cutaneous and systemic) and Erdheim-Chester disease (ECD; systemic); and the N-JXG family consisting of the solitary reticulohistiocytoma (cutaneous), multicentric reticulohistiocytosis (cutaneous and systemic) and Rosai-Dorfman disease (RDD; systemic)...
June 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30034818/midshaft-clavicle-fractures-current-concepts
#13
Paul Hoogervorst, Peter van Schie, Michel Pj van den Bekerom
Clavicle fractures are common fractures and the optimal treatment strategy remains debatable. The present paper reviews the available literature and current concepts in the management of displaced and/or shortened midshaft clavicle fractures.Operative treatment leads to improved short-term functional outcomes, increased patient satisfaction, an earlier return to sports and lower rates of non-union compared with conservative treatment. In terms of cost-effectiveness, operative treatment also seems to be advantageous...
June 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30034817/unicompartmental-knee-arthroplasty-current-indications-technical-issues-and-results
#14
E Carlos Rodríguez-Merchán, Primitivo Gómez-Cardero
An age younger than 60 years, a body weight of 180 lb (82 kg) or more, performing heavy work, having chondrocalcinosis and having exposed bone in the patellofemoral (PF) joint are not contraindications for unicompartmental knee arthroplasty (UKA).Severe wear of the lateral facet of the PF joint with bone loss and grooving is a contraindication for UKA.Medial UKA should only be performed in cases of severe osteoarthritis (OA) as shown in pre-operative X-rays, with medial bone-on-bone contact and a medial/lateral ratio of < 20%...
June 2018: EFORT open reviews
https://www.readbyqxmd.com/read/30034816/outcome-of-total-knee-arthroplasty-in-patients-with-poliomyelitis-a-systematic-review
#15
Anoop Prasad, Richard Donovan, Manoj Ramachandran, Sebastian Dawson-Bowling, Steven Millington, Rej Bhumbra, Pramod Achan, Sammy A Hanna
Total knee arthroplasty (TKA) in patients affected by poliomyelitis is technically challenging owing to abnormal anatomical features including articular and metaphyseal angular deformities, external rotation of the tibia, excessive valgus alignment, bone loss, narrowness of the femoral and tibial canals, impaired quadriceps strength, flexion contractures, genu recurvatum and ligamentous laxity. Little information is available regarding the results and complications of TKA in this challenging group of patients...
June 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29951274/safe-management-of-acute-cervical-spine-injuries
#16
Philipp Schleicher, Andreas Pingel, Frank Kandziora
Cervical spine injuries are frequent and often caused by a blunt trauma mechanism. They can have severe consequences, with a high mortality rate and a high rate of neurological lesions.Diagnosis is a three-step process: 1) risk assessment according to the history and clinical features, guided by a clinical decision rule such as the Canadian C-Spine rule; 2) imaging if needed; 3) classification of the injury according to different classification systems in the different regions of the cervical spine.The urgency of treatment is dependent on the presence of a neurological lesion and/or instability...
May 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29951273/pelvic-post-traumatic-asymmetry-assessment-and-sequenced-treatment
#17
Pedro Cano-Luís, Miguel Ángel Giráldez-Sánchez, Pablo Andrés-Cano
The most common cause of post-traumatic pelvic asymmetry is, by far, initial nonoperative treatment.Open reduction and internal fixation of unstable pelvic fractures are recommended to avoid pelvic nonunion or subsequent structural deformities.The most common symptom is pelvic pain. Pelvic instability is another symptom, as well as persistent urogenital problems and neurological sequelae.Preoperative evaluation of these patients requires careful clinical and functional assessment, in addition to a complete radiological study...
May 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29951272/percutaneous-fixation-of-acetabular-fractures
#18
Horacio Caviglia, Adrian Mejail, Maria Eulalia Landro, Nosratolah Vatani
The objective of surgery for acetabular fractures is to achieve precise reduction to restore joint congruence, fix internal bone fragments, avoid displacement of the fracture and allow rapid rehabilitation.Open reduction and internal fixation is the benchmark method for displaced acetabular fractures, but open reductions can increase morbidity, causing neurovascular injury, blood loss, heterotopic bone formation, infection and poor wound healing.An anatomical reduction with a gap of 2 mm or less is a predictor of good joint function and reduced risk of post-traumatic osteoarthritis...
May 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29951271/open-fractures-of-the-lower-extremity-current-management-and-clinical-outcomes
#19
Abdel Rahim Elniel, Peter V Giannoudis
Open fractures of the lower extremity are the most common open long bone injuries, yet their management remains a topic of debate.This article discusses the basic tenets of management and the subsequent impact on clinical outcome. These include the rationale for initial debridement, antimicrobial cover, addressing the soft-tissue injury and definitive skeletal management.The classification of injury severity continues to be a useful tool in guiding treatment and predicting outcome and prognosis. The Gustilo-Anderson classification continues to be the mainstay, but the adoption of severity scores such as the Ganga Hospital score may provide additional predictive utility...
May 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29951270/ischaemia-healing-and-outcomes-in-proximal-humeral-fractures
#20
Simon M Lambert
Interfragmental ischaemia is a prerequisite for the initiation of the inflammatory and immunological response to fracturing of bone.Intrafragmental ischaemia is inevitable: the extent of the initial ischaemic insult does not, however, directly relate to the outcome for healing of the fracture zones and avascular necrosis of the humeral head. The survival of distal regions of fragments with critical perfusion may be the result of a type of inosculation (blood vessel contact), which establishes reperfusion before either revascularization or neo-angiogenesis has occurred...
May 2018: EFORT Open Reviews
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