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shoulder tbi

Stefan Bushuven, Ronny Langenhan
We report on a 54-year old male with traumatic brain injury, flail chest and floating shoulder undergoing intramedullary stabilization of a midshaft clavicle fracture in beach chair position. Intraoperatively the patient developed instable atrial fibrillation triggered by implantation of intramedullary nail. Secondary this case shows feasibility of cardioversion in latero-lateral electrode-position due to inaccessible standard positions and patient fixation between the operation table and the X-ray apparatus...
December 2017: Trauma Case Reports
J Michio Clark, T Blaine Hoshizaki, Michael D Gilchrist
Recently studies have assessed the ability of helmets to reduce peak linear and rotational acceleration for women's lacrosse head impacts. However, such measures have had low correlation with injury. Maximum principal strain interprets loading curves which provide better injury prediction than peak linear and rotational acceleration, especially in compliant situations which create low magnitude accelerations but long impact durations. The purpose of this study was to assess head and helmet impacts in women's lacrosse using finite element modelling...
January 26, 2018: Journal of the Mechanical Behavior of Biomedical Materials
Eduard Alentorn-Geli, Nathan R Wanderman, Andrew T Assenmacher, Bassem T Elhassan, Joaquín Sánchez-Sotelo, Robert H Cofield, John W Sperling
BACKGROUND: Theoretically, patients with only one functional arm secondary to contralateral amputation or paralysis will subject their only functional upper extremity to increased loads. This could become an issue after reverse shoulder arthroplasty (RSA). However, there are no reported data on the implant survival or function for patients with a nonfunctional contralateral upper extremity. OBJECTIVE: To report the outcomes of RSA in patients with contralateral upper extremity amputation or paralysis...
March 29, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
Corinna Oberle, Clemens Becker, Sabine Schölch, Joerg-Uwe Lenz, Stefan Studier-Fischer, Peter Augat, Lars Schwickert
BACKGROUND AND OBJECTIVE: The Wolf motor function test (WMFT) evaluates the upper extremity performance of patients with neurological disorders and traumatic brain injuries by assessing time and functional capacity. It was later modified to also measure the quality of the performed movements. This study aimed to adapt the WMFT for patients with shoulder injuries and to evaluate the inter-rater and intra-rater reliability of this adapted version. SUBJECTS AND METHODS: A total of 20 individuals with a median age of 80...
March 31, 2017: Zeitschrift Für Gerontologie und Geriatrie
Ksenia I Ustinova, Joseph E Langenderfer, Nilanthy Balendra
The current study investigated interlimb coordination in individuals with traumatic brain injury (TBI) during overground walking. The study involved 10 participants with coordination, balance, and gait abnormalities post-TBI, as well as 10 sex- and age-matched healthy control individuals. Participants walked 12m under two experimental conditions: 1) at self-selected comfortable walking speeds; and 2) with instructions to increase the amplitude and out-of-phase coordination of arm swinging. The gait was assessed with a set of spatiotemporal and kinematic parameters including the gait velocity, step length and width, double support time, lateral displacement of the center of mass, the amplitude of horizontal trunk rotation, and angular motions at shoulder and hip joints in sagittal plane...
April 2017: Human Movement Science
Sung Ho Jang, Han Do Lee
OBJECTIVES: This study reports on a patient with mild traumatic brain injury (TBI) who showed severe and extensive traumatic axonal injury (TAI) of various neural tracts following minor and indirect head trauma, which was demonstrated by diffusion tensor tractography (DTT). CASE DESCRIPTION: A 26-year-old female patient suffered from indirect head trauma resulting from flexion-hyperextension injury after being hit from behind by a slowly moving car. At the time of head trauma, she felt tingling sensation on her four extremities; however, she did not experience loss of consciousness...
2017: Brain Injury: [BI]
J Michio Clark, Andrew Post, T Blaine Hoshizaki, Michael D Gilchrist
In ice hockey, concussions can occur as a result of many different types of impact events, however hockey helmets are certified using a single injury scenario, involving drop tests to a rigid surface. The purpose of this study is to measure the protective capacity of ice hockey helmets for different impact events in ice hockey. A helmeted and unhelmeted Hybrid III headform were impacted simulating falls, elbow, shoulder and puck impacts in ice hockey. Linear and rotational acceleration and maximum principal strain (MPS) were measured...
December 2016: Annals of Biomedical Engineering
Jean-Michel Gracies, Allison Brashear, Robert Jech, Peter McAllister, Marta Banach, Peter Valkovic, Heather Walker, Christina Marciniak, Thierry Deltombe, Alexander Skoromets, Svetlana Khatkova, Steven Edgley, Fatma Gul, France Catus, Beatrice Bois De Fer, Claire Vilain, Philippe Picaut
BACKGROUND: Resistance from antagonistic muscle groups might be a crucial factor reducing function in chronic hemiparesis. The resistance due to spastic co-contraction might be reduced by botulinum toxin injections. We assessed the effects of abobotulinumtoxinA injection in the upper limb muscles on muscle tone, spasticity, active movement, and function. METHODS: In this randomised, placebo-controlled, double-blind study, we enrolled adults (aged 18-80 years) at least 6 months after stroke or brain trauma from 34 neurology or rehabilitation clinics in Europe and the USA...
October 2015: Lancet Neurology
Jonathan R Manara, James Taylor, Matthew Nixon
BACKGROUND: Shoulder pain after a cerebrovascular accident or traumatic brain injury is a common but often under-recognized problem. It is due to a number of causes including inferior subluxation, spasticity, adhesive capsulitis, and heterotopic ossification. Many of these are amenable to surgical intervention. METHODS: Literature review of current evidence. RESULTS: This article shows that there are multiple treatment options in this group of patients, and it is important to understand these as clinicians in delivering quality care to this complex group of patients...
May 2015: Journal of Shoulder and Elbow Surgery
Heidrun Pickenbrock, Vera U Ludwig, Antonia Zapf, Dirk Dressler
BACKGROUND: Severe immobility due to lesions of the brain necessitates therapeutic positioning over the long term. There is little scientific evidence concerning the efficacy of different positioning methods. This clinical trial compares the effects of conventional positioning (CON) with those of positioning in neutral (LiN). METHODS: A prospective, multicenter, investigator-blinded, randomized, controlled trial was performed on a total of 218 non-ambulatory patients (underlying disease: stroke, 141 patients; hypoxic brain damage, 28; traumatic brain injury, 20; other, 29)...
January 16, 2015: Deutsches Ärzteblatt International
Sung Ho Jang, Byung Yeon Choi, Seong Ho Kim, Chul Hoon Chang, Young Jin Jung, Sang Seok Yeo
OBJECTIVE: Several studies have reported on injury of the corticoreticular pathway in patients with stroke and traumatic brain injury. However, little is known about injury of the corticoreticular pathway in patients with subarachnoid haemorrhage. The aim of the current study was to investigate corticoreticular pathway injury in patients with subarachnoid haemorrhage. DESIGN: Comparative study. SUBJECTS: Among 137 patients with subarachnoid haemorrhage, 17 patients with motor weakness who showed intact integrity of the corticospinal tract were recruited...
February 2015: Journal of Rehabilitation Medicine
Eva Cirera, Katherine Pérez, Elena Santamariña-Rubio, Ana M Novoa, Marta Olabarria
BACKGROUND: In recent years, the incidence of injury in older people has increased. The aim of this study is to address the hypothesis that this increase is due to an increase in the incidence of some injuries that, while less common than hip fractures, are sufficient jointly to counteract the decrease or stabilisation in hip fracture rates observed in most countries. METHODS: We performed a descriptive study of trends using data from the National Hospital Discharge Register...
December 2014: Injury
B Johansson, A-P Wentzel, P Andréll, J Odenstedt, C Mannheimer, L Rönnbäck
OBJECTIVE: The neurobehavioural symptoms and pain following traumatic brain injury (TBI) can be long-lasting. The condition impairs the persons' ability to function in their work, studies and gatherings with family and friends. The aim of this study was to investigate dosage, safety and effects of methylphenidate on mental fatigue and pain. METHODS: Twenty-nine physically-well rehabilitated TBI victims, 28 with a mild TBI and one with TBI and also with pain in the neck, shoulders and head were included in the study...
2014: Brain Injury: [BI]
Sang Seok Yeo, Seong Ho Kim, Sung Ho Jang
BACKGROUND: The corticoreticular pathway (CRP) innervates the proximal muscles of extremities and axial muscles; therefore, it is involved in postural control and gait. We report on a patient who exhibited proximal weakness due to a CRP injury, which was evaluated using diffusion tensor tractography (DTT). METHODS: A 62-year-old male patient who had been injured in a traffic accident underwent conservative management for a contusional hemorrhage in the right frontotemporal lobes, and a subdural and epidural hematoma in the right temporoparietal lobes...
2013: NeuroRehabilitation
Erwan Pansard, Alexis Schnitzler, Christine Lautridou, Thierry Judet, Philippe Denormandie, François Genêt
BACKGROUND: Heterotopic ossification (HO) of the shoulder after central nervous system damage has seldom been studied. MATERIALS AND METHODS: We performed a single-center retrospective study from 1993 to 2009 including patients who underwent surgery for troublesome shoulder HO. Demographic data, HO location, surgical approach, preoperative and postoperative shoulder range of motion, etiologies, and postoperative complications were collected from patients' files...
June 2013: Journal of Shoulder and Elbow Surgery
Camille Chatelle, Steve Majerus, John Whyte, Steven Laureys, Caroline Schnakers
OBJECTIVE: To determine the sensitivity of the Nociception Coma Scale (NCS), the first scale developed to assess nociceptive pain in vegetative state and minimally conscious state patients, in comparing behavioural changes in response to noxious versus non-noxious stimulation. METHODS: The NCS was administered to assess patients' responses in three conditions: (1) baseline (observation of spontaneous behaviours), (2) non-noxious/tactile stimulation (taps on the patient's shoulder), and (3) noxious stimulation (pressure on the nail bed)...
December 2012: Journal of Neurology, Neurosurgery, and Psychiatry
David A Fuller, Usha S Mani, Mary Ann E Keenan
BACKGROUND: We retrospectively reviewed 10 consecutive patients (11 shoulders) with traumatic brain injury who underwent surgical resection of heterotopic ossification (HO) of the shoulder. Our primary research goal was to determine the change in range of motion (ROM) at the shoulder after resection of heterotopic ossification in patients with traumatic brain injury. Secondary research goals were to determine simple functional outcome gains related to activities of daily living and to determine complications in this patient cohort...
January 2013: Journal of Shoulder and Elbow Surgery
Wellingson S Paiva, Matheus S Soares, Robson L O Amorim, A Ferreira de Andrade, Hamilton Matushita, Manoel J Teixeira
Shaken baby syndrome is a serious form of physical child abuse, which is frequently overlooked. It is defined as vigorous manual shaking of an infant who is being held by the extremities or shoulders, leading to whiplash-induced intracranial and intraocular bleeding and no external signs of head trauma. This syndrome is seen most commonly in children under 2 years, mainly in children under 6 months. This article summarizes issues related to clinical presentation, diagnosis, risk factors, and interventions for healthcare professionals...
September 2011: Acta Médica Portuguesa
Cem Onal, Aydan Sonmez, Gungor Arslan, Serhat Sonmez, Esma Efe, Ezgi Oymak
PURPOSE: To evaluate the clinical use of a field-in-field (FIF) technique for total body irradiation (TBI) using a treatment-planning system (TPS) and to verify TPS results with in vivo dose measurements using metal-oxide-semiconductor field-effect transistor (MOSFET) detectors. METHODS AND MATERIALS: Clinical and dosimetric data of 10 patients treated with TBI were assessed. Certain radiation parameters were measured using homogenous and regular phantoms at an extended distance of 380 cm, and the results were compared with data from a conventional standard distance of 100 cm...
August 1, 2012: International Journal of Radiation Oncology, Biology, Physics
Michael D Cusimano, Nathan A Taback, Steven R McFaull, Ryan Hodgins, Tsegaye M Bekele, Nada Elfeki
BACKGROUND: Bodychecking is a leading cause of injury among minor hockey players. Its value has been the subject of heated debate since Hockey Canada introduced bodychecking for competitive players as young as 9 years in the 1998/1999 season. Our goal was to determine whether lowering the legal age of bodychecking from 11 to 9 years affected the numbers of all hockey-related injuries and of those specifically related to bodychecking among minor hockey players in Ontario. METHODS: In this retrospective study, we evaluated data collected through the Canadian Hospitals Injury Reporting and Prevention Program...
2011: Open Medicine: a Peer-reviewed, Independent, Open-access Journal
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