keyword
https://read.qxmd.com/read/38068359/rotator-cuff-tendon-dimensional-variability-novel-patient-specific-measurement-method-morphological-measurement-for-rotator-cuff-tendon
#1
JOURNAL ARTICLE
Raphael Lotan, Mojahed Sakhnini, Ariel Oran, Oded Hershkovich
INTRODUCTION: The shoulder rotator cuff (RC) is crucial to shoulder function and involvement in shoulder pathology. RC tears have been extensively studied, and several classifications have been devised to quantify their magnitude. Various RC measurement techniques were introduced previously, utilizing cadaveric specimens, X-rays, CT scans, and MRI with different results published regarding humeral heads' different plane diameters and the correlation to age, gender, and height. There are very few studies measuring RC length in the general population...
November 25, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37944334/femoral-metastatic-pathological-fractures-impending-and-actual-fractures-a-patient-survival-study
#2
JOURNAL ARTICLE
Oded Hershkovich, Mojahed Sakhnini, Gal Barkay, Boaz Liberman, Alon Friedlander, Raphael Lotan
INTRODUCTION: The skeleton is a common site for metastases. Prostate, breast, lung, renal and thyroid carcinomas account for 80 % of the original cancers, with the femur being the most affected long bone. With improved oncological treatments, prolonged patient survival leads to an increased prevalence of osseous metastases. This study examines the impact of preventive surgery for impending femoral pathological fracture (IFF), versus treatment of pathological femur fracture (PFF) on patient mortality and morbidity...
December 2023: Surgical Oncology
https://read.qxmd.com/read/37374256/the-efficacy-of-low-dose-risperidone-treatment-for-post-surgical-delirium-in-elderly-orthopedic-patients
#3
JOURNAL ARTICLE
Lotan Raphael, Epstein Edna, Kaykov Irina, Hershkovich Oded
Background : Delirium is an acute and typically reversible failure of essential cognitive and attentional functions and is a growing public health concern, with an incidence of 20-50% in patients older than 65 after major surgery and 61% in patients undergoing hip fracture surgery. Numerous treatment strategies have been examined with no conclusive results. The purpose of this study is to assess the efficacy of a three-day low-dose risperidone treatment protocol, 0.5 mg BID, in treating delirium in elderly hospitalized orthopedic surgery department patients...
May 30, 2023: Medicina
https://read.qxmd.com/read/37371216/is-there-an-association-between-bmi-height-and-gender-and-long-bone-fractures-during-childhood-and-adolescence-a-large-cross-sectional-population-study-of-911-206-subjects
#4
JOURNAL ARTICLE
Raphael Lotan, Ran Thein, Barak Gordon, Shay Tenenbaum, Estela Derazne, Dorit Tzur, Arnon Afek, Oded Hershkovich
INTRODUCTION: Traumatic long-bone fractures (TLFs) among children and adolescents are relatively common, with morbidity and economic consequences. Obesity has become a significant global concern. Studies have found an association between TLFs and BMI in the past but not in a large cross-sectional population study. Our study objective was to measure the incidence of TLFs in the 17-year-old general population and evaluate its association with BMI, body height, and gender. METHODS: Data from a medical database containing all 17-year-old candidates' records before recruitment into mandatory military service were retrieved as BMI, height, gender, and history of TLFs...
May 31, 2023: Children
https://read.qxmd.com/read/37240514/treatment-of-chiari-malformation-and-concomitant-paediatric-scoliosis-long-term-follow-up-in-one-major-referral-centre-in-the-uk
#5
JOURNAL ARTICLE
Oded Hershkovich, Raphael Lotan, Netanel Steinberg, Galateia Katzouraki, Daniel D'Aquino, Magnum Tsegaye
OBJECTIVE: Paediatric scoliosis (PS) and Chiari malformation type 1 (CM-1) have been reported to be associated with each other. Scoliosis curvature is a common finding among patients operated for CM-1, and curve development has been related to it. We report a cohort of PS and CM-1 patients managed with posterior fossa and upper cervical decompression (PFUCD) by a single surgeon, with an average of two years of follow-up. METHODS: We present a retrospective cohort in a single referral centre for patients with CM-1 and PS...
May 11, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37048690/hallux-valgus-repair-with-chevron-osteotomy-significantly-narrows-forefoot-width
#6
JOURNAL ARTICLE
Raphael Lotan, Benzion Shlomov, Amit Dotan, Alex Bermant, Oded Hershkovich
BACKGROUND: Hallux valgus (HV) is a common adult foot deformity. There is uncertainty concerning the effect of HV surgery on foot width. We examined the effect of chevron first metatarsal osteotomy on forefoot width using calibrated pre and postoperative standing radiographs. METHODS: A retrospective cohort of 50 patients underwent chevron osteotomy HV surgery. All had HVA > 30°, IMA > 11°, DMMA > 3°, >6-month follow-up, and calibrated pre and postoperative standing foot radiographs...
March 30, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/36498470/schober-test-and-its-modifications-revisited-what-are-we-actually-measuring-computerized-tomography-based-analysis
#7
JOURNAL ARTICLE
Oded Hershkovich, Michael Paul Grevitt, Raphael Lotan
OBJECTIVE: Examine Schober test's (ST), Modified ST (MST), and Modified-Modified ST (MMST) surface markers' accuracy in spanning lumbar L1-S1 motion segments and repeatability related to actual patient anatomy as measured on sagittal CT scans. METHODS: The study included 25 patients of varying heights, weights, and gender without prior spinal surgery or deformity. Researchers assessed patients' CT scans for ST, MST, and MMST skin levels of the measured cephalic and caudal endpoints...
November 22, 2022: Journal of Clinical Medicine
https://read.qxmd.com/read/36469851/intravenous-tranexamic-acid-reduces-blood-loss-in-multilevel-spine-surgeries
#8
JOURNAL ARTICLE
Raphael Lotan, Slavka Lengenova, Nugzar Rijini, Oded Hershkovich
INTRODUCTION: Complex spine surgeries are associated with notable blood loss requiring numerous strategies to preserve blood volume. Tranexamic acid (TXA) is efficacious in reducing blood loss when used topically during surgery, intravenously with or without postoperative maintenance treatment. We aimed to evaluate the effect of preoperative weight-independent intravenous administration of 1 g intravenous TXA on perioperative blood loss in lumbar microdiskectomy, single-level lumbar spinal fusion, and multilevel lumbar decompression (two or more levels)...
December 2, 2022: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/36333278/the-role-of-cannabis-in-treatment-resistant-fibromyalgia-women
#9
JOURNAL ARTICLE
Oded Hershkovich, Yemima Hayun, Nataly Oscar, Arnold Shtein, Raphael Lotan
BACKGROUND: Fibromyalgia is a complex pain-focused syndrome. Previous studies showed that Cannabis is efficacious in promoting sleep, deepening and lengthening the sleep cycle, and good pain relief (compared with the SSRIs and SNRIs). PURPOSE: This study aimed to use the World Health Organization Quality of Life Bref questionnaire (WhoQoL-bref) to characterize the impact of Cannabis Treatment initiation on the quality of life in women suffering from treatment-resistant fibromyalgia...
November 4, 2022: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/36290860/acute-metastatic-spinal-cord-compression-urgent-surgery-versus-radiotherapy-and-treatment-result-prediction-versus-actual-results
#10
JOURNAL ARTICLE
Oded Hershkovich, Mojahed Sakhnini, Sharif Gara, Israel Caspi, Raphael Lotan
Background Context: The role of radiotherapy versus surgery in treating acute metastatic spinal cord compression (AMSCC) has changed over the years. Purpose: Our study evaluates neurological and functional outcomes following urgent surgery and radiotherapy (USFR) versus urgent radiotherapy alone in treating AMSCC. Study Design/Setting: A retrospective cohort of 54 patients with AMSCC with variable neurological deficits. Overall, 32 patients were treated with USFR, and 22 received urgent radiotherapy alone. Outcome Measures : Neurological status regarding the Asia and Frankel scores, continence and ambulation, and Kranofsky's functional score and patient life span comprised the outcome measures...
October 5, 2022: Current Oncology
https://read.qxmd.com/read/36079057/intravenous-corticosteroid-therapy-for-acute-lumbar-radicular-pain
#11
JOURNAL ARTICLE
Oded Hershkovich, Yaakov Mor, Raphael Lotan
INTRODUCTION: The efficacy of pharmacological interventions for acute lumbar radicular pain (ALRP) is limited, and systemic steroid use remains controversial. We evaluated the effectiveness and tolerance of systemic steroid use in a cohort of patients with ALRP. METHODS: A retrospective cohort of 56 patients (including 24 females) were admitted with intractable ALRP resistance to conservative treatment of NSAIDs and opiates between the years 2016 and 2018. Medical records were studied for demographics, physical examination findings, Visual Analogue Score (VAS), IV steroids side effects, and recent imaging findings...
August 31, 2022: Journal of Clinical Medicine
https://read.qxmd.com/read/36079031/symptomatic-joint-hypermobility-is-associated-with-low-back-pain-a-national-adolescents-cohort-study
#12
JOURNAL ARTICLE
Oded Hershkovich, Barak Gordon, Estela Derazne, Dorit Tzur, Arnon Afek, Raphael Lotan
Background : Low back pain (LBP) is a widespread medical complaint affecting many people worldwide and costing billions. Studies suggest a link between LBP and joint hypermobility. This study aimed to examine the association between symptomatic joint hypermobility (SJH), LBP, and gender. Methods: Data were obtained from a medical database containing 17-year-old candidates' records before recruitment into mandatory military service. According to the Regulations of Medical Fitness Determination, information on disability codes associated with LBP and SJH was retrieved...
August 30, 2022: Journal of Clinical Medicine
https://read.qxmd.com/read/35994037/scoliosis-in-rett-syndrome-a-national-referral-centre-experience
#13
JOURNAL ARTICLE
Shay Menachem, Oded Hershkovich, Nissim Ackshota, Alon Friedlander, Uri Givon, Bruria Ben-Zeev, Israel Caspi
STUDY DESIGN: This was a retrospective case series. OBJECTIVE: The objective of this study was to discuss the treatment challenges in scoliosis patients with Rett syndrome (RTT) in a national referral centre for RTT. We describe structural characteristics of curves, age of onset, genetic mutation, ambulation status, and treatment through RTT progression. Based on this unique experience, we aimed to suggest guidelines for scoliosis treatment in RTT patients. SUMMARY OF BACKGROUND DATA: RTT is a neurodevelopmental disorder associated with a mutation in the methyl-CpG binding protein 2 (MECP2) gene, primarily in females with significant features of growth failure, gastrointestinal and pulmonary dysfunction, ataxia, seizures, and intellectual disability...
March 1, 2023: Clinical Spine Surgery
https://read.qxmd.com/read/35743477/double-balloon-kyphoplasty-results-in-better-radiographic-outcomes-than-a-single-balloon-kyphoplasty-in-treating-osteo-porotic-spinal-fractures
#14
JOURNAL ARTICLE
Raphael Lotan, Yaron Haimovich, Louis Schorr, Adam Lee Goldstein, Oded Hershkovich
BACKGROUND: Studies have found that unilateral and bilateral kyphoplasty have comparable clinical outcomes. Only a few studies have compared the radiographic results of using unilateral vs. simultaneous bilateral approaches. We aimed to examine and compare the radiographic results of unilateral (UKP) vs. bilateral simultaneous double-balloon kyphoplasty (DKP) for treating symptomatic vertebral compression fractures (VCF). METHODS: A retrospective cohort of all patients treated for VCF by DKP and UKP over five years in a single medical center...
June 14, 2022: Journal of Clinical Medicine
https://read.qxmd.com/read/35479652/the-covid-19-pandemic-effect-on-the-epidemiology-of-thoracolumbar-fractures-presenting-to-the-emergency-department-in-patients-above-65-years-old
#15
JOURNAL ARTICLE
Raphael Lotan, Ilia Prosso, Lev Klatzkin, Oded Hershkovich
Introduction: Studies investigating the Covid-19 Pandemic's orthopedic aspects are accumulating, including reports on a 10-33% decrease in hip fracture incidence alongside shorter times to surgery. Osteoporotic vertebral compression fractures (VCF) have not yet been discussed. This study evaluated the effect of the Covid-19 pandemic's first wave on VCF in the elderly. Method: A retrospective cohort of elderly patients diagnosed with VCF between 2018-19 (Pre-Covid-19 pandemic) to 2020...
2022: Geriatric Orthopaedic Surgery & Rehabilitation
https://read.qxmd.com/read/35140999/-xx-sacroplasty-a-novel-technique-for-management-of-h-type-sacral-insufficiency-fractures
#16
JOURNAL ARTICLE
Raphael Lotan, Oded Hershkovich, Yigal Bronstein, Joel Finkelstein
Objective: Examine the feasibility, safety, and results of a novel sacral percutaneous injection technique ("XX") addressing both the vertical and horizontal aspects of sacral insufficiency fractures (SIF). Methods: Prospective cohort study. Eight consecutive SIF patients with immobility and pain investigated using CT and nuclear imaging confirmed "H"-type fracture. Demographics, pain level, and ambulation status were recorded. The long-term quality of life was evaluated using the ODI questionnaire and pain VAS scores...
2022: Geriatric Orthopaedic Surgery & Rehabilitation
https://read.qxmd.com/read/34880546/evaluating-lower-limb-kinematics-using-microsoft-s-kinect-a-simple-novel-method
#17
JOURNAL ARTICLE
Yaron Haimovich, Oded Hershkovich, Sigal Portnoy, Isabella Schwartz, Raphael Lotan
Purpose: Our aim was to evaluate the Microsoft Kinect sensor (MKS) as a markerless system for motion capture and analysis of lower limb motion, compare it with a state-of-the-art marker-based system (MBS), and investigate its accuracy in simultaneously capturing several lower limb joint movements on several planes while participants walked freely. Method: Participants were asked to walk while gait data were simultaneously recorded by both the MKS and the MBS. Software for analysing the Kinect data stream was developed using Microsoft Visual Studio and Kinect for Windows software development kits...
November 1, 2021: Physiotherapy Canada. Physiothérapie Canada
https://read.qxmd.com/read/33433244/kyphoplasty-for-elderly-patients-with-vertebral-compression-fractures-do-we-save-lives-mortality-rates-analysis-comparison-in-a-long-term-follow-up-cohort
#18
JOURNAL ARTICLE
Raphael Lotan, Yossi Smorgick, Yoram Anekstein, Oren Rudik, Ilia Prosso, Oded Hershkovich
STUDY DESIGN: Retrospective cohort. OBJECTIVES: We aimed to compare a large cohort of patients with vertebral compression fractures (VCF) treated in 2 centers using different protocols (conservative vs BKP) and compare mortality rates on a long-term follow-up. METHODS: Retrospective cohort held in 2 medical centers (W and AH). All patients admitted with VCF from November 2008 to January 2015 were enrolled in the study. Exclusion criteria were patients admitted with non-osteoporotic pathological fractures (such as metastatic or MM)...
September 2022: Global Spine Journal
https://read.qxmd.com/read/32756292/cost-benefit-analysis-of-routine-bone-biopsy-during-augmentation-of-osteoporotic-vertebral-compression-fractures
#19
MULTICENTER STUDY
Oded Hershkovich, Edward Bayley, Oren Rudik, Vitaly Alexandrovsky, Alon Friedlander, Efrat Daglen, Raphael Lotan
STUDY DESIGN: Multi-center prospective study. OBJECTIVE: To analyze the cost of routine biopsy during augmentation of osteoporotic vertebral compression fractures (VCF) and the affect it has on further treatment. SUMMARY OF BACKGROUND DATA: Vertebroplasty (VP) and Balloon Kyphoplasty (BKP) are accepted treatments for VCF. Bone biopsy is routinely performed during every VCF surgery in many centers around the world to exclude an incidental finding of malignancy as the cause of the pathological VCF...
December 1, 2020: Spine
https://read.qxmd.com/read/32699769/schmorl-node-a-cause-of-acute-thoracic-pain-a-case-report-and-pathophysiological-mechanism
#20
JOURNAL ARTICLE
Oded Hershkovich, Jonathan E J Koch, Michael P Grevitt
PURPOSE: We report a case of a patient with an acute symptomatic Schmorl node (SN) that spontaneously resolved with characteristic imaging findings. The extensive hematological investigations also allow some insight as to the likely pathophysiology of the painful lesion. METHODS: Case report of an acute symptomatic SN. RESULTS: A fit and athletic 44-year-old female participant in a competitive paddling event developed atypical thoracic pain and was admitted for further investigation...
June 2020: International Journal of Spine Surgery
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