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https://www.readbyqxmd.com/read/29132788/arthroscopic-partial-trapeziectomy-with-soft-tissue-interposition-for-symptomatic-trapeziometacarpal-arthritis-6-month-and-5-year-minimum-follow-up
#1
Anthony L Logli, Jonathan Twu, Brian J Bear, Jonathan R Lindquist, Theodore L Schoenfeldt, Kenneth J Korcek
PURPOSE: To determine if arthroscopic partial trapeziectomy (APT) and soft tissue interposition arthroplasty is an effective treatment for symptomatic trapeziometacarpal arthritis. METHODS: We retrospectively evaluated 30 consecutive patients with symptomatic isolated trapeziometacarpal arthritis, Eaton-Littler stages II and III. Treatment consisted of an APT with soft tissue interposition utilizing an acellular dermal matrix as the interposition material. At a minimum of 6 months and 5 years after surgery, Numeric Pain Rating Scale (NPRS), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH), grip strength, oppositional and appositional pinch strengths, arthroplasty space, and thumb range of motion (ROM) were evaluated...
November 11, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29128375/is-the-pectoralis-major-tendon-a-reliable-reference-for-restoration-of-humeral-length-with-fracture-hemiarthroplasty
#2
Beom-Soo Kim, Du-Han Kim, Kwang-Soon Song, Byung-Woo Min, Ki-Cheor Bae, Chul-Hyun Cho
BACKGROUND: The primary objective was to calculate and to apply the numeric value of the distance from the pectoralis major tendon insertion to the superior aspect of the humeral head (PMTD) without any radiation exposure or equipment through basic data such as age, sex, height, and weight of Asian populations. METHODS: We analyzed shoulder magnetic resonance images of 260 patients (107 men and 153 women; average age, 59.8 years). The superior border of the pectoralis major was identified on the transverse section and cross-referenced with the coronal section...
November 8, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29124362/arthroscopic-one-tunnel-transosseous-foveal-repair-for-triangular-fibrocartilage-complex-tfcc-peripheral-tear
#3
Ji Hun Park, Dongmin Kim, Jong Woong Park
PURPOSE: Arthroscopic repair of a peripheral triangular fibrocartilage complex (TFCC) tear is a promising, minimally invasive surgical technique, especially in patients with symptomatic distal radioulnar joint (DRUJ) instability. The purpose of this study was to evaluate the clinical result of arthroscopic one-tunnel transosseous foveal repair for peripheral TFCC tears. METHODS: Sixteen patients who underwent TFCC foveal repair were retrospectively evaluated. The mean follow-up period was 31...
November 9, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29120251/validity-of-the-flemish-working-alliance-inventory-in-a-dutch-physiotherapy-setting-in-patients-with-shoulder-pain
#4
Yasmaine Karel, Marloes Thoomes-De Graaf, Gwendolijne Scholten-Peeters, Paulo Ferreira, Dimitris Rizopoulos, Bart W Koes, Arianne P Verhagen
BACKGROUND: Working alliance is the interaction between the patient and therapist. It is a crucial part of the physiotherapeutic process. One instrument to measure working alliance is available in Dutch/Flemish language and validated in psychotherapy setting. OBJECTIVE: This study aims to validate the Working Alliance Inventory Short-Form in a Dutch physiotherapy setting. DESIGN: A prospective cohort study in primary-care physiotherapy. METHOD: To validate the Dutch/Flemish version of the working alliance inventory short-form (WAV-12) a RASCH analysis was used...
November 9, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29119123/indication-for-computed-tomography-scan-in-shoulder-instability-sensitivity-and-specificity-of-standard-radiographs-to-predict-bone-defects-after-traumatic-anterior-glenohumeral-instability
#5
Audrey Delage Royle, Frédéric Balg, Martin J Bouliane, Fanny Canet-Silvestri, Laurianne Garant-Saine, David M Sheps, Peter Lapner, Dominique M Rouleau
Background: Quantifying glenohumeral bone loss is key in preoperative surgical planning for a successful Bankart repair. Hypothesis: Simple radiographs can accurately measure bone defects in cases of recurrent shoulder instability. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: A true anteroposterior (AP) view, alone and in combination with an axillary view, was used to evaluate the diagnostic properties of radiographs compared with computed tomography (CT) scan, the current gold standard, to predict significant bone defects in 70 patients...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29103836/assessing-the-viscoelastic-properties-of-upper-trapezius-muscle-intra-and-inter-tester-reliability-and-the-effect-of-shoulder-elevation
#6
C L Liu, Y N Feng, H Q Zhang, Y P Li, Y Zhu, Z J Zhang
BACKGROUND: Increasing stiffness in the upper trapezius muscle may contribute to imbalance of scapular motion, and result in shoulder and neck discomfort during shoulder flexion. Therefore, it is essential to quantify upper trapezius stiffness in various shoulder positions in order to aid in the prevention of these disorders and to optimize rehabilitation. OBJECTIVES: The objectives of the present study were to examine the intra and inter-tester reliability of MyotonPRO device in measuring upper trapezius stiffness and its ability to determine changes in stiffness during shoulder flexion...
October 19, 2017: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/29103059/fatty-degeneration-of-the-deltoid-muscle-associated-with-displaced-proximal-humerus-fractures
#7
M Panzica, J Brandes, U Schmiddem, A Karch, N Hawi, C Krettek, R Meller
INTRODUCTION: The use of reverse shoulder arthroplasty (RSA) has increased dramatically over the last two decades, with many surgeons now indicating RSA for the acute management of displaced proximal humerus fractures (PHF) in the elderly. RSA relies on adequate deltoid muscle function to obtain a good outcome, yet no literature to date exists which discusses preoperative assessment of deltoid structure prior to RSA. The purpose of this study was to assess for preoperative fatty deltoid-degeneration in patients with displaced PHF...
October 23, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29102478/reliability-validity-and-minimal-detectable-change-of-the-push-off-test-scores-in-assessing-upper-extremity-weight-bearing-ability
#8
Saurabh P Mehta, Hannah R George, Christian A Goering, Danielle R Shafer, Alan Koester, Steven Novotny
STUDY DESIGN: Clinical measurement study. INTRODUCTION: The push-off test (POT) was recently conceived and found to be reliable and valid for assessing weight bearing through injured wrist or elbow. However, further research with larger sample can lend credence to the preliminary findings supporting the use of the POT. PURPOSE OF THE STUDY: This study examined the interrater reliability, construct validity, and measurement error for the POT in patients with wrist conditions...
November 1, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29102008/editorial-commentary-the-long-head-of-the-biceps-brachii-tendon-the-shoulder-surgeon-s-conundrum
#9
EDITORIAL
Michael G Ciccotti
The long head of the biceps tendon can be a significant pain generator in the setting of rotator cuff tearing. Surgeons who encounter long head of biceps tendon pathology at the time of rotator cuff repair can be confident in a high likelihood of statistically significant clinical improvement with concomitant long head of biceps surgery. Patients can be reliably counseled preoperatively that if they have both clinically apparent long head of biceps tendon pathology and rotator cuff tearing, and if they undergo long head of biceps tendon surgery with rotator cuff repair, they can expect comparable or better outcomes than isolated rotator cuff repair...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29100805/development-of-the-modified-simple-test-for-evaluating-hand-function-modified-stef-construct-reliability-validity-and-responsiveness
#10
Keisuke Irie, Hirokatsu Iseki, Satomi Okamoto, Kazuhiro Okamoto, Seiji Nishimura, Kenji Kagechika
STUDY DESIGN: Clinimetric evaluation study. INTRODUCTION: Despite the availability of numerous performance tests to measure finger dexterity, there is no international consensus on hand function evaluation. PURPOSE OF THE STUDY: To evaluate the reliability, validity, and responsiveness of the modified version of the simple test for evaluating hand function (STEF), which is widely used in Japan. METHODS: The intrarater (n = 40) and inter-rater (n = 32) reliability of the modified STEF was evaluated by calculating the intraclass correlation coefficient (ICC), models (1,1) and (2,1), respectively, in healthy individuals...
November 1, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29100772/the-effect-of-scapula-tilt-and-best-fit-circle-placement-when-measuring-glenoid-bone-loss-in-shoulder-instability-patients
#11
Philipp Moroder, Fabian Plachel, Anna Huettner, Lukas Ernstbrunner, Marvin Minkus, Elisabeth Boehm, Christian Gerhardt, Markus Scheibel
PURPOSE: To analyze the effect of lack of standardization on the reliability of current measurement techniques for glenoid bone loss in clinical practice. METHODS: Ten consecutive patients with anterior glenoid bone loss due to recurrent anterior shoulder instability and available computed tomographic (CT) scans of the affected shoulder were included in this study. One hundred seventy 3-dimensional en-face view images of the 10 glenoids with up to 20° degrees of tilt in the anterior, posterior, superior, and inferior direction were rendered...
October 31, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29100767/arthroscopic-correction-of-the-critical-shoulder-angle-through-lateral-acromioplasty-a-safe-adjunct-to-rotator-cuff-repair
#12
Christian Gerber, Sabrina Catanzaro, Michael Betz, Lukas Ernstbrunner
PURPOSE: To investigate whether arthroscopic lateral acromioplasty reliably decreases the critical shoulder angle (CSA) and whether it is associated with damage to the deltoid or other complications. METHODS: Patients undergoing arthroscopic rotator cuff repair (RCR) with lateral but without anterior acromioplasty for degenerative, full-thickness rotator cuff tears and a CSA of 34° or greater were retrospectively reviewed. Patients with traumatic or irreparable rotator cuff tears, osteoarthritis, or previous surgery were excluded...
October 31, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29100764/arthroscopic-versus-open-iliac-crest-bone-grafting-in-recurrent-anterior-shoulder-instability-with-glenoid-bone-loss-a-computed-tomography-based-quantitative-assessment
#13
Lukas Ernstbrunner, Fabian Plachel, Philipp Heuberer, Leo Pauzenberger, Philipp Moroder, Herbert Resch, Werner Anderl
PURPOSE: To assess the iliac crest bone graft (ICBG) position in the en-face view and axial plane comparing arthroscopic with open procedures. METHODS: A total of 40 consecutive patients with recurrent anterior shoulder instability and glenoid bone loss over 10% treated by 2 independent orthopaedic departments were included. Two independent observers analyzed preoperative and immediate postoperative computed tomography scans of 20 open (group O) and 20 arthroscopic (group A) procedures...
October 31, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29100710/functional-outcomes-following-lateral-ulnar-collateral-ligament-reconstruction-for-symptomatic-posterolateral-rotatory-instability-of-the-elbow-in-an-athletic-population
#14
Marina J Rodriguez, Nicholas A Kusnezov, John C Dunn, Brian R Waterman, Kelly G Kilcoyne
HYPOTHESIS: The purpose of this investigation was to characterize the functional and surgical outcomes following lateral ulnar collateral ligament (LUCL) reconstruction for posterolateral rotatory instability in an athletic population. METHODS: All US military service members who underwent LUCL reconstruction between 2008 and 2013 were identified. A retrospective chart review was performed, and the prospective Mayo Elbow Performance Score and QuickDASH (short version of Disabilities of the Arm, Shoulder and Hand questionnaire) score were obtained...
October 31, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29099897/reliability-of-3-dimensional-glenoid-component-templating-and-correlation-to-intraoperative-component-selection
#15
Comron Saifi, Manish N Noticewala, R Michael Greiwe, Jonathan D Lester, Thomas R Gardner, Edwin Cadet, William N Levine, Louis U Bigliani, Christopher S Ahmad
Although implant-specific intraoperative targeting devices for glenoid sizing exist, a validated method for preoperatively templating glenoid component size in primary total shoulder arthroplasty (TSA) based on digital imaging does not. We conducted a study to determine if 3-dimensional (3-D) digital imaging could be used for preoperative templating of glenoid component size and to compare templated glenoid sizes with implanted glenoid sizes. We created 3-D digital models from 3 glenoid component implant sizes and preoperative scapular computed tomography scans of 24 patients who underwent primary TSA...
September 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29091494/abductor-digiti-minimi-flap-for-vascularized-coverage-in-the-surgical-management-of-complex-regional-pain-syndrome-following-carpal-tunnel-release
#16
Kevin Cheung, Melissa A Klausmeyer, Jesse B Jupiter
BACKGROUND: The development of Complex Regional Pain Syndrome (CRPS) represents a potentially devastating complication following carpal tunnel release. In the presence of a suspected incomplete release of the transverse carpal ligament or direct injury to the median nerve, neurolysis as well as nerve coverage to prevent recurrent scar has been shown to be effective. METHODS: Retrospective chart review and telephone interview was conducted for patients who underwent abductor digiti minimi flap coverage and neurolysis of the median nerve for CRPS following carpal tunnel release...
November 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29091493/ten-year-minimum-follow-up-of-4-corner-fusion-for-slac-and-snac-wrist
#17
Purnell Traverso, Anselm Wong, Ronit Wollstein, Lois Carlson, Duffield Ashmead, H Kirk Watson
BACKGROUND: Scapholunate advanced collapse (SLAC) of the wrist is the most common degenerative condition of the wrist. Four-corner fusion (4CF) is performed as salvage surgery, though there is limited information on its long-term results. We hypothesized that 4CF is a durable surgery with good clinical long-term function. METHODS: A retrospective chart review of patients undergoing 4CF as well as an interview and recent radiographs were obtained. Patients with a follow-up period of less than 10 years were excluded...
November 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29079910/the-effect-of-rotator-cuff-malreduction-on-tendon-tension-an-evaluation-of-a-custom-made-digital-tensiometer-clamp
#18
Marc-Frederic Pastor, Manuel Kraemer, Michael Schwarze, Christof Hurschler, Tomas Smith, Mathias Wellmann
INTRODUCTION: Rotator cuff tears are common and good-to-excellent clinical outcome is reported after subsequent repair. However, the retear rate of rotator cuff repairs has been shown to be as high as 20%. The reasons for retear seem to be multifactorial, mainly comprised by mechanical and biological aspects. Regarding mechanical causes, the role of the tendon tension and malreduction is so far unknown. First, we hypothesized that the tendon tension depends on the technique of tendon reposition and that malreduction of the tendon results in an increased tendon tension...
October 27, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29079262/functional-and-radiographic-outcomes-after-arthroscopic-transosseous-suture-repair-of-medium-sized-rotator-cuff-tears
#19
Xiao Ning Liu, Cheol-Jung Yang, Geun Woo Lee, Sang Hyun Kim, Yong-Hyun Yoon, Kyu-Cheol Noh
PURPOSE: To evaluate the functional and anatomical outcomes after arthroscopic transosseous suture (TOS) repair of 2 to 4 cm sized rotator cuff tears and to identify preoperative factors influencing repair failure. METHODS: From May 2013 to August 2014, patients with symptomatic 2 to 4 cm full-thickness tears underwent arthroscopic TOS repair, and those who could be followed up for a minimum of 2 years were included in this retrospective study. Functional and anatomical outcomes were analyzed up to 2 years postoperatively...
October 24, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29075914/sonographic-assessment-of-subacromial-bursa-distension-during-arm-abduction-establishing-a-threshold-value-in-the-diagnosis-of-subacromial-impingement-syndrome
#20
Gokhan Soker, Bozkurt Gulek, Eda Soker, Omer Kaya, Ibrahim Inan, Muhammet Arslan, Kaan Esen, Derya Memis, Cengiz Yilmaz
PURPOSE: In this study, we aimed to establish a quantitative threshold value in the diagnosis of subacromial impingement syndrome by measuring the thickness of the subacromial bursa during abduction and adduction. MATERIALS AND METHODS: Forty-five patients with subacromial impingement syndrome and 54 healthy individuals underwent dynamic shoulder ultrasonography. The subacromial bursa, between the supraspinatus tendon margin and peribursal adipose tissue, was measured between the acromion and humeral head at its widest part...
October 26, 2017: Journal of Medical Ultrasonics
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