keyword
https://read.qxmd.com/read/38464436/arthroscopic-assisted-brachial-plexus-catheter-placement-an-alternative-to-the-percutaneous-interscalene-approach
#1
JOURNAL ARTICLE
Amy He, Kathryn S Handlogten, Benjamin T Kor, Michael J Brown, Bassem T Elhassan, Timothy B Curry, Todd M Kor, Thomas M Stewart
BACKGROUND: Brachial plexus catheter placement at the interscalene level is beneficial for shoulder analgesia but presents logistical challenges due to the superficial nature of the plexus at this level, increased patient movement in the neck, and therefore higher likelihood for catheter dislodgement. METHODS: Patients requiring shoulder arthroscopy and suprascapular nerve decompression were identified. Under arthroscopic guidance, a catheter was placed percutaneously into the scalene medius muscle next to the suprascapular nerve and the upper trunk of the brachial plexus...
March 2024: JSES international
https://read.qxmd.com/read/38333903/a-rare-case-of-overlapping-thoracic-outlet-syndrome-attributed-to-an-anatomical-variation-in-the-anterior-scalene-muscle-diagnostic-challenges-and-treatment-approaches
#2
Thuan Quan Lam, Anh Dac-Quynh Nguyen, Thoai Minh Tran, Duc Van Hoang, Trung Huu Quach
Mixed thoracic outlet syndrome, which compresses arteries and nerves, is a rare disorder. Mixed thoracic outlet syndrome due to anatomical abnormalities of the anterior scalene muscle is even more sporadic. We report a case of mixed thoracic outlet syndrome in a patient with no history of trauma or vigorous exercise. We reviewed the medical literature, emphasizing the clinical role and the role of diagnostic imaging methods in a sequential approach to this syndrome.
April 2024: Radiology Case Reports
https://read.qxmd.com/read/38313921/the-neuromechanics-of-inspiratory-muscles-in-mechanical-ventilation-liberation-success-and-failure
#3
JOURNAL ARTICLE
Hassan Aljohani, Derek Russell, Young-Il Kim, John Bassler, John Lowman
BACKGROUND: Assessing the neuromechanical coupling of inspiratory muscles during mechanical ventilation (MV) could reveal the physiological mechanism of MV failure. This study examined the respiratory neuromechanical characteristics between MV liberation success and failure. METHODS: This is an observational prospective study that included patients during their ventilator liberation process. Assessment of surface electromyography (sEMG) of inspiratory muscles, including the diaphragm and extra-diaphragmatic (scalene, sternocleidomastoid, and parasternal) muscles, was performed 15 minutes after the initiation of spontaneous breathing trials...
January 2024: Curēus
https://read.qxmd.com/read/38304291/thoracic-outlet-syndrome-single-center-experience-on-the-transaxillary-approach-with-the-aid-of-the-trimano-arthrex-arm
#4
JOURNAL ARTICLE
Mohammed Alkhani, Matthieu Arsicot, Alexandre Oliny, Antoine Millon, Nellie Della Schiava, Marine Bordet
Thoracic outlet syndrome (TOS) is a pathology caused by compression on the neurovascular bundle by the first rib. The treatment of TOS is conservative management by analgesia and physiotherapy; however, if there is no response to conservative treatment, surgery is indicated through thoracic outlet decompression by first rib resection. Several surgical techniques are available, including supraclavicular, transaxillary, and transthoracic first rib resection approaches. The transaxillary approach provides better visualization on the neurovascular bundle and, thus, is sometimes the preferred method of treatment...
April 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38249887/surgical-approaches-for-thoracic-outlet-decompression-in-the-treatment-of-thoracic-outlet-syndrome
#5
REVIEW
Stijn B J Teijink, Jens Goeteyn, Niels Pesser, Bart F L van Nuenen, Robert W Thompson, Joep A W Teijink
Thoracic outlet syndrome (TOS) is a controversial and uncommon syndrome. Three different diagnoses can be made based on the compressed structure: arterial TOS, venous TOS, and neurogenic TOS. Diagnosing TOS, especially neurogenic TOS, remains difficult since a single diagnostic tool does not exist. Although this resulted in a lot of confusion, standardization of care and outcome improved daily care practice measures in the last decade. Current treatment algorithms consist of both conservative and surgical treatment approaches, which should be chosen depending on the type of TOS and extend of the complaints...
December 30, 2023: Journal of Thoracic Disease
https://read.qxmd.com/read/38081387/can-three-dimensional-models-enhance-understanding-and-knowledge-of-rotator-cuff-tears
#6
JOURNAL ARTICLE
Guilherme Augusto Stirma, Paulo Santoro Belangero, Carlos Vicente Andreoli, Alberto de Castro Pochini, Nitamar Abdala, André Fukunishi Yamada, Benno Ejnisman
OBJECTIVES: Magnetic resonance imaging (MRI) is currently the standard diagnostic tool for rotator cuff tears. However, its two-dimensional (2D) output, displayed on a monitor, can complicate the interpretation of anatomy. Three-dimensional (3D) imaging may offer a solution to this issue. This study aimed to demonstrate the diagnostic and interpretive value of a 3D model in assessing lesion anatomy. The hypothesis was that 3D models, compared to 2D MRI, can enhance the comprehension and knowledge of rotator cuff injuries, improve the application of classifications for total tears, and provide a more precise definition of the size and type of tear...
December 9, 2023: Journal of ISAKOS
https://read.qxmd.com/read/38071444/rebound-pain-after-interscalene-brachial-plexus-block-for-shoulder-surgery-a-randomized-clinical-trial-of-the-effect-of-different-multimodal-analgesia-regimens
#7
RANDOMIZED CONTROLLED TRIAL
Tayfun Et, Betul Basaran, Aysegul Bilge, Rafet Yarımoğlu, Muhammet Korkusuz, İbrahim Tülüce
BACKGROUND: Rebound pain is characterized by sudden, significant acute postoperative pain occurring after the resolution of inter-scalene block (ISB); it affects the quality of recovery postoperatively. Dexamethasone increases ISB resolution time and decreases opioid consumption and the incidence of rebound pain. OBJECTIVE: Evaluate whether multimodal analgesia including intravenous dexamethasone administration with preoperative ISB reduces the incidence of rebound pain...
2023: Annals of Saudi Medicine
https://read.qxmd.com/read/38000908/reproducibility-of-anterior-scalene-stiffness-measurement-with-shear-wave-elastography-an-inter-examiner-reliability-study
#8
JOURNAL ARTICLE
Umut Varol, Elena Sánchez-Jiménez, Juan Antonio Valera-Calero, Gustavo Plaza-Manzano, César Fernández-de-Las-Peñas, Marcos José Navarro-Santana, Sandra Sanchez-Jorge, Ricardo Ortega-Santiago
PURPOSE: Although previous studies highlighted the clinical relevance of the anterior scalene muscle (AS) in patients with neck pain or nerve compressive syndromes, evidence reporting the diagnostic accuracy of shear wave elastography (SWE) for assessing the AS stiffness properties is lacking. This study aimed to analyze the SWE inter-examiner reliability for calculating the Young's modulus and shear wave speed of the AS muscle in asymptomatic subjects. MATERIAL AND METHODS: Using a linear transducer, ultrasound images of the antero-lateral neck region at C7 level were acquired in 35 healthy volunteers by one experienced examiner and one novel examiner...
November 24, 2023: Ultraschall in der Medizin
https://read.qxmd.com/read/37923886/intermittent-neck-flexion-induces-greater-sternocleidomastoid-deoxygenation-than-inspiratory-threshold-loading
#9
JOURNAL ARTICLE
Melissa Miles, Paul Davenport, Sunita Mathur, Ewan C Goligher, Dmitry Rozenberg, W Darlene Reid
PURPOSE: To compare deoxygenation of the sternocleidomastoid, scalenes, and diaphragm/intercostals (Dia/IC) during submaximal intermittent neck flexion (INF) versus submaximal inspiratory threshold loading (ITL) in healthy adults. METHODS: Fourteen participants performed a randomized, cross-over, repeated measures design. After evaluation of maximal inspiratory pressures (MIP) and maximum voluntary contraction (MVC) for isometric neck flexion, participants were randomly assigned to submaximal ITL or INF until task failure...
November 4, 2023: European Journal of Applied Physiology
https://read.qxmd.com/read/37889957/efficient-and-accurate-computed-tomography-based-stone-volume-determination-development-of-an-automated-artificial-intelligence-algorithm
#10
JOURNAL ARTICLE
Andrei D Cumpanas, Chanon Chantaduly, Kalon L Morgan, Wei Shao, Antonio R H Gorgen, Candices Minh Tran, Yi Xi Wu, Amanda McCormac, Zachary E Tano, Roshan M Patel, Peter Chang, Jaime Landman, Ralph V Clayman
PURPOSE: Given the shortcomings of current stone burden characterization (maximum diameter or ellipsoid formulas), we sought to investigate the diagnostic accuracy and precision of a University of California, Irvine-developed artificial intelligence (AI) algorithm for determining stone volume determination. MATERIALS AND METHODS: A total of 322 noncontrast CT scans were retrospectively obtained from patients with a diagnosis of urolithiasis. The largest stone in each noncontrast CT scan was designated the "index stone...
February 2024: Journal of Urology
https://read.qxmd.com/read/37868146/effects-of-inspiratory-muscle-training-on-exertional-breathlessness-in-patients-with-unilateral-diaphragm-dysfunction-a-randomised-trial
#11
JOURNAL ARTICLE
Michele R Schaeffer, Zafeiris Louvaris, Antenor Rodrigues, Diego Poddighe, Ghislaine Gayan-Ramirez, Tin Gojevic, Linde Geerts, Elise Heyndrickx, Marine Van Hollebeke, Luc Janssens, Rik Gosselink, Dries Testelmans, Daniel Langer
BACKGROUND: Unilateral diaphragm dysfunction (UDD) is an underdiagnosed cause of dyspnoea. Inspiratory muscle training (IMT) is the only conservative treatment for UDD, but the mechanisms of improvement are unknown. We characterised the effects of IMT on dyspnoea, exercise tolerance and respiratory muscle function in people with UDD. METHODS: 15 people with UDD (73% male, 61±8 years) were randomised to 6 months of IMT (50% maximal inspiratory mouth pressure ( P I,max ), n=10) or sham training (10% P I,max , n=5) (30 breaths twice per day)...
September 2023: ERJ Open Research
https://read.qxmd.com/read/37859163/optimized-array-nanostructure-for-plasmonically-induced-motion-force-generation
#12
JOURNAL ARTICLE
Sergio Balestrieri, Gianluigi Zito, Mario Iodice, Giuseppe Coppola
The growing demand to manipulate objects with long-range techniques has increasingly called for the development of techniques capable of intensifying and spatially concentrating electromagnetic fields with the aim of improving the electromagnetic forces acting on objects. In this context, one of the most interesting techniques is based on the use of plasmonic phenomena that have the ability to amplify and structure the electric field in very small areas. In this paper, we report the simulation analysis of a plasmonic nanostructure useful for optimizing the profile of the induced plasmonic field distribution and thus the motion dynamics of a nanoparticle, overcoming some limitations observed in the literature for similar structures...
October 9, 2023: Optics Express
https://read.qxmd.com/read/37790061/the-aberrant-origin-of-the-suprascapular-artery-may-hide-neural-covariants-a-cadaveric-finding
#13
George Tsakotos, George Triantafyllou, Christos Koutserimpas, Vasileios Karampelias, Maria Piagkou
The axillary artery is the continuation of the subclavian artery. Occasionally, some of the subclavian artery's distal branches may atypically originate from the axillary artery, such as the suprascapular artery. The suprascapular artery's distal (low) origin from the axillary artery, instead of the subclavian artery, may also be characterized as an aberrant suprascapular artery. The current cadaveric report describes the coexistence of an aberrant suprascapular artery (of axillary origin), variant course, and termination with atypically formatted nerves originating from the cervical (the phrenic nerve) and the brachial (the long thoracic and the median nerves) plexus...
September 2023: Curēus
https://read.qxmd.com/read/37782285/vibration-comfort-assessment-of-tractor-drivers-based-on-semg-and-vibration-signals
#14
JOURNAL ARTICLE
Qingyang Huang, Mengyu Gao, Mingyang Guo, Yuning Wei, Jingyuan Zhang, Xiaoping Jin
In order to comprehensively evaluate the driver's vibration comfort under different vibration conditions, eighteen subjects were required to drive a tractor at different speeds on field and asphalt roads respectively in the real vehicle experiment. The sEMG signals and vibration acceleration signals of the subjects were recorded. And the time-frequency domain analysis of sEMG signals and acceleration signals were used to determine the relationship among the characteristic indexes, tractor speed and road surfaces...
October 2, 2023: Computer Methods in Biomechanics and Biomedical Engineering
https://read.qxmd.com/read/37747340/surgical-management-of-neurogenic-thoracic-outlet-syndrome-exploring-the-efficacy-of-the-posterior-intermuscular-approach-in-cases-involving-bone-anomalies
#15
JOURNAL ARTICLE
Gediz Tolga, Yalçın Çavuşoğlu Nilay, Mutlucan Ogün Umut, Türk Cezmi Çağrı
BACKGROUND AND OBJECTIVES: This article presents a cohort study focusing on neurogenic thoracic outlet syndrome (NTOS) caused by bone anomalies in the cervicothoracic region, specifically the extraforaminal area and the scalene triangle. Our aim was to contribute to understanding NTOS diagnosis and management, particularly in patients with bone anomalies, and to highlight the potential benefits of the posterior intermuscular approach as a surgical option in this particular patient group...
September 25, 2023: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/37707421/lateral-displacement-of-the-phrenic-nerve-in-c5-tumors
#16
JOURNAL ARTICLE
Nikita Lakomkin, Kitty Y Wu, Marie-Noëlle Hébert-Blouin, Robert J Spinner
BACKGROUND AND OBJECTIVES: Nerve sheath tumors of the brachial plexus frequently distort the local anatomy, increasing the difficulty of safe exposure and resection. However, lateral displacement of the phrenic nerve has not been previously described. The purpose of this study was thus to illustrate the abnormal lateral displacement of the phrenic nerve in 2 cases of patients undergoing brachial plexus tumor resection and provide a possible mechanism for this observation. METHODS: Two patients underwent surgical resection of clinically progressing C5 schwannomas...
September 14, 2023: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/37666785/neurogenic-thoracic-outlet-syndrome-when-to-consider-the-diagnosis-and-current-management-options
#17
REVIEW
Kelvin Kam Fai Ho, Lucy Guazzo, Juanita Muller
BACKGROUND: Thoracic outlet syndrome (TOS) refers to a group of compressive disorders that occur in the thoracic outlet and can affect the brachial plexus, subclavian artery and vein. Neurogenic TOS (nTOS) is the most common form of TOS, accounting for approximately 97% of cases. nTOS and its resulting compressive brachial plexopathy can lead to potentially disabling symptoms and reduced quality of life. OBJECTIVE: This article reviews the current literature on nTOS and summarises the pathophysiology, diagnostic pathways and the management options for nTOS...
September 2023: Australian Journal of General Practice
https://read.qxmd.com/read/37658538/pancoast-syndrome-due-to-pulmonary-metastasis-of-sarcomatoid-hepatocellular-carcinoma
#18
JOURNAL ARTICLE
R Hoo, V G Shelat
INTRODUCTION: Hepatocellular carcinoma is the most common primary liver malignancy, and sarcomatoid hepatocellular carcinoma is a rare malignancy containing both carcinomatous and sarcomatous components. CASE REPORT: We report a 64-year-old male patient treated with open right trisectionectomy for a 16cm right hemiliver tumour. The diagnosis of sarcomatoid hepatocellular carcinoma was confirmed on histology. Five months after hepatic resection, patient had symptoms suggestive of Horner's syndrome along with left sided shoulder pain, hand weakness, reduced power of the intrinsic hand muscles and reduced pain perception over the C8/T1 dermatome...
August 2023: Malaysian Journal of Pathology
https://read.qxmd.com/read/37627789/body-composition-and-demographic-features-do-not-affect-the-diagnostic-accuracy-of-shear-wave-elastography
#19
JOURNAL ARTICLE
Umut Varol, Juan Antonio Valera-Calero, César Fernández-de-Las-Peñas, Jorge Buffet-García, Gustavo Plaza-Manzano, Marcos José Navarro-Santana
Shear-wave elastography (SWE) is an imaging method that can be used to estimate shear wave speed and the Young's modulus based on the measured shear wave speed under certain conditions. Up to date, no research has analyzed whether body composition factors contribute to ultrasound attenuation, refraction, reflection, and, consequently, SWE measurement errors. Therefore, this study aimed to analyze the association between demographic and body composition features with SWE errors for assessing the anterior scalene stiffness (which is a key structure in patients with neck pain and nerve compressive syndromes)...
July 30, 2023: Bioengineering
https://read.qxmd.com/read/37583921/immediate-effect-of-craniocervical-flexion-exercise-and-mulligan-mobilisation-in-patients-with-mechanical-neck-pain%C3%A2-a-randomised-clinical-trial
#20
JOURNAL ARTICLE
Ashwini Shelke, Anupama Prabhu B, Ganesh Balthillaya M, Senthil D Kumaran, Prabu Raja G
BACKGROUND: Mechanical neck pain (MNP) is one of the most prevalent musculoskeletal pathologies in the present time. Physiotherapy management strategies comprising manual therapy and exercise therapy are routinely administered in patients with MNP. OBJECTIVE: To compare the immediate effect of craniocervical flexion (CCF) exercise and Mulligan mobilisation on pain, active cervical range of motion (CROM) and CCF test performance in patients with MNP. METHODS: This prospective, randomised, single-blinded study involved 26 patients with MNP (16 females; mean age; <mml:math xmlns:mml="https://www...
December 2023: Hong Kong Physiotherapy Journal
keyword
keyword
105627
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.