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https://www.readbyqxmd.com/read/29415223/a-maisonneuve-fracture-in-an-active-duty-sailor-a-case-report
#1
Ryan R Richmond, Andrew D Henebry
Maisonneuve fractures are relatively well known in the sports medicine, and orthopedic communities, however, can be commonly missed among primary care providers. The following case outlines an active duty 35-yr-old female patient who presented with acute pain on the left ankle and lower leg after she misjudged a step. The injury is a combination of high fibular and medial malleolar fractures with a disruption of the tibiofibular syndesmosis ligaments. This is a result of extreme external rotation and pronation of a fixed foot...
February 5, 2018: Military Medicine
https://www.readbyqxmd.com/read/29173965/complications-and-patient-injury-after-ankle-fracture-surgery-a-closed-claim-analysis-with-data-from-the-patient-compensation-association-in-denmark
#2
Naja Bjørslev, Lars Bo Ebskov, Camilla Mersø, Christian Wong
BACKGROUND: The Patient Compensation Association (PCA) receives claims for financial compensation from patients who believe they have sustained damage from their treatment in the Danish health care system. In this study, we have analysed closed claims in which patients suffered injuries due to the surgical treatment of their ankle fracture. We identified causalities contributing to these injuries and malpractices, as well as the economic consequences of these damages. METHODS: Fifty-one approved closed claims from the PCA database from the years 2004-2009 were analysed in a retrospective systematic review...
November 21, 2017: Injury
https://www.readbyqxmd.com/read/28659858/biometric-digital-health-technology-for-measuring-motor-function-in-parkinson-s-disease-results-from-a-feasibility-and-patient-satisfaction-study
#3
Georgia Mitsi, Enrique Urrea Mendoza, Benjamin D Wissel, Elena Barbopoulou, Alok K Dwivedi, Ioannis Tsoulos, Athanassios Stavrakoudis, Alberto J Espay, Spyros Papapetropoulos
OBJECTIVES: To assess the feasibility, predictive value, and user satisfaction of objectively quantifying motor function in Parkinson's disease (PD) through a tablet-based application (iMotor) using self-administered tests. METHODS: PD and healthy controls (HCs) performed finger tapping, hand pronation-supination and reaction time tasks using the iMotor application. RESULTS: Thirty-eight participants (19 with PD and 17 HCs) were recruited in the study...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28648893/assessment-of-self-determination-in-adolescents-with-neonatal-brachial-plexus-palsy
#4
Donna Bergman, Lynnette Rasmussen, Kate Wan-Chu Chang, Lynda J-S Yang, Virginia S Nelson
BACKGROUND: The term self-determination refers to decision-making, goal setting, and perseverance to achieve those goals. Numerous studies have established the importance of self-determination to enhance learning and improve postschool outcomes. However, most studies evaluate students with learning disabilities, cognitive impairment, or behavioral disabilities. There is an absence of research on self-determination for adolescents with physical disabilities. OBJECTIVE: To assess self-determination of adolescents with neonatal brachial plexus palsy (NBPP) compared with their typically developing peers via self-reported measures of function...
June 23, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28571218/functional-results-of-communited-intra-articular-distal-humerus-fractures-treated-with-bicolumnar-plating
#5
Siddharth Rashmikant Virani, Sandeep Sonone, Aditya Anand Dahapute, Inayat Panda, Kunal Dwijen Roy
INTRODUCTION: Communited intra-articular distal humerus fractures are commonly encountered in orthopaedic practice and they are present with unique difficulties for internal fixation. This problem is especially worse in the elderly due to osteoporotic bone. AIM: To evaluate the intermediate term results (minimum follow up of two years) of communited intra-articular distal humerus fractures treated with bicolumnar plating with or without olecranon osteotomy in elderly Indian population...
April 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28473958/posterior-interosseous-nerve-localization-within-the-proximal-forearm-a-patient-normalized-parameter
#6
Srinath Kamineni, Crystal R Norgren, Evan M Davidson, Ellora P Kamineni, Andrew S Deane
AIM: To provide a "patient-normalized" parameter in the proximal forearm. METHODS: Sixty-three cadaveric upper extremities from thirty-five cadavers were studied. A muscle splitting approach was utilized to locate the posterior interosseous nerve (PIN) at the point where it emerges from beneath the supinator. The supinator was carefully incised to expose the midpoint length of the nerve as it passes into the forearm while preserving the associated fascial connections, thereby preserving the relationship of the nerve with the muscle...
April 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28284770/point-of-care-ultrasonography-to-assist-in-the-diagnosis-and-management-of-subluxation-of-the-radial-head-in-pediatric-patients-a-case-series
#7
Faruk Güngör, Taylan Kılıç
BACKGROUND: A subluxation of the radial head (SRH) is a clinical condition that commonly occurs in children under 6 years of age. History and physical examination findings typically include a child who presents with an elbow held in extension and with forearm pronation, after having suffered significant longitudinal traction on the arm, or after a fall on an outstretched hand. The diagnosis is often clinically obvious. The injury responds dramatically to closed reduction, and usually no imaging is required...
March 8, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28149661/biomechanical-podiatric-evaluation-in-an-italian-cohort-of-patients-with-systemic-sclerosis-a-pilot-study
#8
Susanna Maddali Bongi, Giovanni Ravenni, Benedetta Ciampi, Angela Del Rosso, Khadija El Aoufy
OBJECTIVE: Foot problems are often present in Systemic Sclerosis (SSc) patients, however studies regarding podiatric problems related to SSc are lacking and there are no data evaluating the foot biomechanical changes. The aim of the present pilot study was to evaluate podiatric problems in an Italian cohort of SSc patients by assessing received podiatric services, foot pain and disability and biomechanical foot deformity. MATERIAL AND METHODS: 25 consecutive SSc patients were enrolled from the Division of Rheumatology, University of Florence...
December 2016: European Journal of Rheumatology
https://www.readbyqxmd.com/read/28040075/results-of-geriatric-distal-radius-fractures-treated-by-intramedullary-fixation
#9
Steffi S I Falk, Thomas Mittlmeier, Georg Gradl
INTRODUCTION: Distal radius fracture are common injuries but no gold standard for their therapy exists. The aim of this study was to evaluate the quality of fracture care in distal radius fractures using an intramedullary implant (Targon DR interlocking nail). The nail had been developed to minimize the surgical exposure, increase fixation strength, to prevent tendon irritations and to allow for a fast return to activity. PATIENTS AND METHODS: Prospective study reports the result of 43 patients with an age over 70 years (range 70-91 years) treated by closed reduction and intramedullary fixation...
December 2016: Injury
https://www.readbyqxmd.com/read/27682293/analysis-of-soft-tissue-complications-of-volar-plate-fixation-for-managing-distal-radius-fractures-and-clinical-effect-while-preserving-pronator-quadratus
#10
J Fan, B Jiang, B Wang, K Chen, F Yuang, J Mei, G-R Yu
The aim of the study was to analysis soft-tissue complications of volar plate fixation and it's prevention strategies along with exploring clinical effects of preserving pronator quadratus (PQ) muscle. From February 2011 to February 2013, sixty-five patients with distal radius fracture underwent open reduction and internal fixation with the volar locking palmar plates. The group with preserving PQ involved 30 patients and group with PQ repair involved 35 patients. Surgeons must took great care of not -letting drill pierce dorsal cortical bone rapidly and dorsal carpal tangential fluoroscopy was also taken in addition to lateral fluoroscopy to get accurate screw length...
August 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/27288800/mirror-movements-in-parkinson-s-disease-an-under-appreciated-clinical-sign
#11
Payel Chatterjee, Rebecca Banerjee, Supriyo Choudhury, Banashree Mondal, Marium Umme Kulsum, Koustav Chatterjee, Hrishikesh Kumar
INTRODUCTION: Mirror movements (MM) have been previously reported in patients with Parkinson's disease (PD). Despite being potentially relevant in PD, MM as a neurological sign have remained less recognized. In this study we critically evaluated the characteristic features of MM and their attributes among a cohort of PD patients from a tertiary care center of eastern part of India. METHODS: In this analytical cross-sectional study, 70 patients with PD were evaluated using Unified Parkinson's Disease Rating Scale (UPDRS) and a previously used scale to score MM in the OFF and ON phases of l-Dopa therapy...
July 15, 2016: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/27218046/outcome-of-radial-head-arthroplasty-in-comminuted-radial-head-fractures-short-and-midterm-results
#12
Arash Moghaddam, Tim Friedrich Raven, Eike Dremel, Stefan Studier-Fischer, Paul Alfred Grutzner, Bahram Biglari
BACKGROUND: Comminuted radial head fractures are often associated with secondary injuries and elbow instability. OBJECTIVES: The aim of this retrospective study was to evaluate how well the modular metallic radial head implant EVOLVE® prosthesis restores functional range of motion (ROM) and stability of the elbow in acute care. PATIENTS AND METHODS: Eighty-five patients with comminuted radial head fractures and associated injuries received treatment with an EVOLVE® prosthesis between May 2001 and November 2009...
February 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27118525/the-inter-rater-reliability-of-the-modified-finger-goniometer-for-measuring-forearm-rotation
#13
COMPARATIVE STUDY
Mike Szekeres, Joy C MacDermid, Trevor Birmingham, Ruby Grewal
STUDY DESIGN: Prospective cohort study. PURPOSE OF THE STUDY: To compare the inter-rater reliability of using a modified finger goniometer (MFG) for the measurement of isolated forearm rotation for patients with distal radius fractures to the currently accepted technique for isolated forearm measurement. INTRODUCTION: The currently accepted method of forearm measurement requires the assessor to visually estimate vertical for the stationary arm and placement of the moveable arm while placing a straight edge along a curved surface...
July 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/27080272/-effect-of-radiotherapy-and-indomethacin-together-in-the-prevention-of-recurrence-of-ectopic-ossification-around-the-elbow-after-resection
#14
X H Liu, X Y Jiang, M Q Gong, Y J Zha
OBJECTIVE: To discuss the effect of single low dose local radiotherapy and indomethacin together in the prevention of recurrence of ectopic ossification around the elbow after resection. METHODS: From Jun. 2009 to Dec. 2011, we performed excision of ectopic ossification around the elbow in 78 stiff elbows. For each case, we used both medial and lateral approaches, and we performed both anterior and posterior capsulectomies and removal of ectopic ossification. In the lateral approach, we started proximally, the lateral supracondylar ridge of the humerus was exposed from the interval between extensor carpi radialis longus (ECRL) and triceps, and then distally passed the interval between ECRL and extensor carpi radialis brevis (ECRB)...
April 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/27016647/locked-volar-distal-radioulnar-joint-dislocation
#15
Fadi Bouri, Mazhar Fuad, Ayman Elsayed Abdolenour
INTRODUCTION: Volar dislocation of the distal radioulnar joint is a rare injury which is commonly missed in the emergency departments. A thorough review of literature showed very few reported cases and the cause for irreducibility varied in different cases, Lack of suspicion and improper X-ray can delay the diagnosis. CASE PRESENTATION: Our article discusses a case 40 year old construction worker, who presented to the Emergency with work-related injury, complaining of left wrist pain, deformity and inability to rotate his forearm...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27015408/possibility-of-fixation-of-a-distal-radius-fracture-with-a-volar-locking-plate-through-a-10-mm-approach
#16
Kiyohito Naito, Ahmed Zemirline, Yoichi Sugiyama, Hiroyuki Obata, Philippe Liverneaux, Kazuo Kaneko
The management of distal radius fractures has dramatically improved due to the development of a locking plate system. In addition, mini-invasive surgery has been performed in a lot of surgical fields in recent years. The aim of the present study is to investigate the possibility of fixation of a distal radius fracture with a volar locking plate through a 10 mm approach. Eighteen patients with distal radius fracture (mean age: 66 y; range, 28 to 88 y; 8 males and 10 females) were operated on using a volar locking plate...
June 2016: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/26984018/bizarre-parosteal-osteochondromatous-proliferation-nora-s-lesion-affecting-the-distal-end-of-the-ulna-a-case-report
#17
Yuichiro Matsui, Tadanao Funakoshi, Hideyuki Kobayashi, Tomoko Mitsuhashi, Tamotsu Kamishima, Norimasa Iwasaki
BACKGROUND: Bizarre parosteal osteochondromatous proliferation (BPOP), first described by Nora et al. in 1983 and therefore termed "Nora's lesion", is a rare lesion that occurs in the short bones of the hands and feet and eventually presents as a parosteal mass. Reports of BPOP in the long bones are very rare. A benign disease, BPOP does not become malignant, although a high rate of recurrence following surgical resection is reported. Because of its atypical imaging findings and histopathological appearance, a BPOP might be misdiagnosed as a malignant tumor such as an osteochondroma with malignant transformation, a parosteal osteosarcoma, or a periosteal osteosarcoma...
March 16, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/26947732/distal-radius-fracture-malunion-importance-of-managing-injuries-of-the-distal-radio-ulnar-joint
#18
S Delclaux, T T Trang Pham, N Bonnevialle, C Aprédoaei, M Rongières, P Bonnevialle, P Mansat
BACKGROUND: Distal radius malunion is a major complication of distal radius fractures, reported in 0 to 33% of cases. Corrective osteotomy to restore normal anatomy usually provides improved function and significant pain relief. We report the outcomes in a case-series with special attention to the potential influence of the initial management. MATERIAL AND METHODS: This single-centre retrospective study included 12 patients with a mean age of 35years (range, 14-60years) who were managed by different surgeons...
May 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/26866320/adipose-flap-versus-fascial-sling-for-anterior-subcutaneous-transposition-of-the-ulnar-nerve
#19
Caroline J Verveld, Jonathan R Danoff, Joseph M Lombardi, Melvin P Rosenwasser
Perineural scarring is a major cause of recurrent symptoms after anterior subcutaneous transposition secured with a fascial sling. Use of a vascularized adipose flap to secure the anteriorly transposed ulnar nerve can help reduce nerve adherence and may enhance nerve recovery. In the study reported here, we retrospectively reviewed the long-term outcomes of ulnar nerve anterior subcutaneous transposition secured with either an adipose flap (16 patients) or a fascial sling (17 patients). The 33 patients underwent physical examinations and completed the DASH (Disabilities of the Arm, Shoulder, and Hand) questionnaire, visual analog scales (VASs), and the Modified Bishop Rating Scale (MBRS)...
February 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/26777713/on-table-reconstruction-and-fixation-of-mason-type-iii-radial-head-fractures
#20
G N Kiran Kumar, Gaurav Sharma, Kamran Farooque, Vijay Sharma, Vaibhav Jain, Ravijot Singh, Vivek Morey
PURPOSE: To evaluate the functional and radiological outcome of comminuted radial head fractures, which were not amenable for classical open reduction with internal fixation, treated by on-table reconstruction and fixation using low profile plates. METHODS: We reviewed 6 patients of Mason type III radial head fractures treated by on-table reconstruction technique between 2011 and 2013. There were 5 men and 1 woman with a mean age of 35 years (range 25-46 years)...
2015: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
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