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Juliette Hurtier, Leh Van Dokkum, Sami Dalhoumi, Aodhan Coffey, Stéphane Perrey, Claire Jourdan, Gérard Dray, Tomas Ward, Jerôme Froger, Isabelle Laffont
OBJECTIVE: Rehabilitation of the upper-limb by means of a brain computer interface (BCI) is based on detecting an "intention to act" in the brain and transforming this intention into actual movement by using a motorized orthesis. The visual and proprioceptive feedback that results from the systems' generated movement following the subjects' captured intention, is thought to close the sensori-motor loop. Closing the loop is a key feature of BCI-systems that is thought to induce cerebral plasticity and thereby facilitating rehabilitation...
September 2016: Annals of Physical and Rehabilitation Medicine
Sana Salah, Mariem Rekik, Iheb Bel Haj Youssef, Soumaya Boudokhane, Houda Migaou, Anis Jellad, Zohra Ben Salah Frih
OBJECTIVE: The objective of this study was to assess the musculoskeletal disorders (MSD) of diabetes mellitus (DM) patients in a Physical Medicine and Rehabilitation (PMR) department. MATERIAL/PATIENTS AND METHODS: We carried out a retrospective study (January-December 2013) in which we enrolled 193 patients with DM. General (epidemic and clinical) characteristics were measured. Statistical analysis was performed using the statistical software SPSS 16. RESULTS: The participants' median age was 58 years (20-86), 98 men (50...
September 2016: Annals of Physical and Rehabilitation Medicine
Pietro Persiani, Filippo Maria Ranaldi, Lorena Martini, Anna Zambrano, Mauro Celli, Patrizia D'Eufemia, Ciro Villani
BACKGROUND: Osteogenesis imperfecta (OI) is a rare congenital genetic osteodystrophy, which has a prevalence of 1:20,000. OI is caused by the mutation of the COL1A1/COL1A2 genes, leading to a deficit of quality and/or quantity in the synthesis of procollagen-α type 1. Seven different forms of diverse clinical entity have been classified by Sillence and Glorieux, although, recently, up to 11 forms characterized by different genetic mutations have been recognized. Patients with OI suffer from extreme bone fragility and osteoporosis, which often predisposes them to frequent fractures...
August 2016: Medicine (Baltimore)
J Pogorzelski, S Braun, A B Imhoff, K Beitzel
OBJECTIVE: Treatment of posterior shoulder instability with increased retroversion of the glenoid using open-wedge osteotomy of the glenoid neck stabilized with an autologous bone block. INDICATIONS: Symptomatic, atraumatic posterior shoulder instability with increased retroversion (>20°) of the glenoid and previously failed conservative or surgical treatment. CONTRAINDICATIONS: General contraindications against surgery. Relative contraindications: osteoporosis, nicotine abuse, or suspected patient noncompliance...
June 29, 2016: Operative Orthopädie und Traumatologie
Sergio B Sesia, Stefan Holland-Cunz, Frank-Martin Häcker
Background Several nonoperative treatments are currently available for the correction of pectus carinatum (PC). Objective The objective of this study is to report our single center experience with the dynamic compression system (DCS). Materials and Methods The DCS is a rigid aluminum brace. PC is reshaped into a normal appearance through anterior-posterior pressure and lateral expansion of the chest. Patients with chondrogladiolar PC were considered suitable for the nonoperative treatment with DCS. Results In this study, 53 of 68 children (78%) with chondrogladiolar PC were assessed retrospectively: 2 children were corrected by surgery, 12/53 (23%) treated by a conventional orthesis, 11/53 (21%) remained without therapy because of minor PC, and 36/53 (68%) were treated using the DCS...
January 8, 2016: European Journal of Pediatric Surgery
Tugrul Ormeci, Mahir Mahirogulları, Fikret Aysal
INTRODUCTION: Various causes influence the etiology of tarsal tunnel syndrome including systemic diseases with progressive neuropathy, such as diabetes. PRESENTATION OF CASE: We describe a 52-year-old male patient with complaints of numbness, burning sensation and pain in both feet. The laboratory results showed that the patient had uncontrolled diabetes, and the EMG showed distal symmetrical sensory-motor neuropathy and nerve entrapment at the right. Ultrasonography and MRI showed the cyst in relation to medial plantar nerve, and edema- moderate atrophy were observed at the distal muscles of the foot...
2015: International Journal of Surgery Case Reports
Răzvan Ene, Ruxandra Diana Sinescu, Patricia Ene, Dan Popescu, Monica Mihaela Cîrstoiu, Florin Cătălin Cîrstoiu
Osteosarcoma is the most common bone tumor that occurs in children and young adults with prevalence of teenage. There can be identified many subtypes of osteosarcoma by how they look on X-rays and under the microscope. Osteosarcoma can be classified as high-grade, intermediate grade, or low-grade. This has a significant prognostic value of tumor development suggesting the growth rate and the potential for expansion. Between 2009-2013, in the Department of Orthopedics and Traumatology, University Emergency Hospital of Bucharest, Romania, were treated seven cases of osteosarcoma of the proximal third of the tibia in young, early-diagnosed cases without metastasis...
2015: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
N Hartig, S Krenn, H-J Trnka
BACKGROUND: Because of extensive bone loss and the associated complex instability and deformity of the feet, Charcot arthropathy or neuroosteoarthropathy is a challenge for the orthopedic surgeon. Ulcerations offer entry of various bacteria; thus, infections are a frequent serious issue and complication. The careful choice of treatment is not only very important for the correct alignment of the foot and the loading capacity, but also contributes significantly to the prevention of skin irritation or the healing of existing ulcers...
January 2015: Der Orthopäde
Cristiane Maria Carvalho Costa Dias, Luciana Bilitario Macedo, Lilian Tapioca Jones Cunha Gomes, Paula Luzia Seixas Pereira de Oliveira, Iana Verena Santana Albuquerque, Amanda Queiroz Lemos, Cristina Aires Brasil, Eloisa Pires Ferreira Prado, Pedro Santiago Macedo, Francisco Tiago Oliveira de Oliveira, Helena Franca Correia Dos Reis, Eduardo Sahade Darze, Armenio Costa Guimaraes
BACKGROUND: The acute coronary syndrome (ACS) has a high morbi-mortality rate, including physical deficiencies and functional limitations with impact on quality of life. Cardiovascular rehabilitation 1 (CVR1) should begin as early as possible, to enable improvement in functional capacity and quality of life. Previous studies have shown association of cardiovascular diseases with quality of life, in which depression and anxiety are the domains most altered. The aim of the study is to verify the impact of an acute coronary event on quality of life at the moment of hospital discharge...
October 2014: Journal of Clinical Medicine Research
B Preininger, F Haschke, C Perka
BACKGROUND: Luxation following endoprosthetic hip replacement represents a frequent and severe complication and is the reason for a relevant number of hip arthroplasty revision interventions. The probability of occurrence of luxation of a total hip arthroplasty is associated with the indications, patient and operation-specific risk factors. Approximately 50 % of luxations after total hip arthroplasty occur within 3 months of the operation (early luxation). DIAGNOSTICS: The diagnostics of luxation of total hip arthroplasty are carried out by clinical and radiological methods...
January 2014: Der Orthopäde
K-D Heller
BACKGROUND: Intraoperative damage to the medial collateral ligament is a rather rare condition given only scant attention in the literature. Observing international medical journals (over the recent years), one finds very few case histories. What is more, these case histories vary significantly with regards to their approaches to the problem at hand. MATERIAL AND METHODS: This survey lists essential publications and case histories in question and - following their analysis and in light of the fairly low number of respective cases - attempts to create a 'treatment algorithm'...
December 2013: Zeitschrift Für Orthopädie und Unfallchirurgie
C Setacci, P Sirignano, G Mazzitelli, F Setacci, G Messina, G Galzerano, G de Donato
Introduction. Critical limb lschemia (CLI) and particularly diabetic foot (DF) are still considered "Cinderella" in our departments. Anyway, the presence of arterial obstructive disease increases the risk of amputation by itself; when it is associated with foot infection, the risk of amputation is greatly increased. Methods. From January 2007 to December 2011, 375 patients with DF infection and CLI have been admitted to our Unit; from 2007 to 2009, 192 patients (Group A) underwent surgical debridement of the lesion followed by a delayed revascularization; from 2010 to 2011, 183 patients (Group B) were treated following a new 4-step protocol: (1) early diagnosis with a 24 h on call DF team; (2) urgent treatment of severe foot infection with an aggressive surgical debridement; (3) early revascularization within 24 hours; (4) definitive treatment: wound healing, reconstructive surgery, and orthesis...
2013: International Journal of Vascular Medicine
F I Dehlinger, C Ries, B Hollinger
OBJECTIVE: Re-establishment of radial stability within the elbow joint in cases of arthroscopically or clinically confirmed posterolateral rotatory instability. INDICATIONS: Posttraumatic or chronic degenerative posterolateral rotatory instability at least grade I-II according to O'Driscoll. CONTRAINDICATIONS: Elbow stiffness or elbow arthritis and lateral epicondylitis, if a posterolateral rotatory instability has been excluded as the reason for the symptoms...
August 2014: Operative Orthopädie und Traumatologie
Rafael Sellés Dechent, Camilo Rueda Alcárcel, Vicent Primo Romaguera, Asunción Martínez Caamaño, Francisco Asencio Arana
INTRODUCTION: The Charcot foot (CF) consists of a progressive deterioration of the bones and joints, most common in diabetic patients with advanced neuropathy. The great problem is that can be confused with other processes, delaying the diagnosis and specific treatment. The aim is to analyze the cases of CF diagnosed in our hospital and especially to highlight the role of the general surgeon. MATERIAL AND METHODS: Retrospective study of all registered cases diagnosed of CF between the diabetic population of our Department of Health...
May 2015: Cirugía Española
C F Lang, J M Greipel
A 30-year-old non-German speaking patient suffered an ankle sprain while playing beach volleyball. Conventional radiography did not reveal any fractures. The patient was treated with a Geisha cast for immobilization and relief and was also informed about pain-dependent weight bearing using an illustrated information sheet. In the course of the healing process the patient consulted the orthopedic department a second time. During a third visit he left before consultation as he felt that the waiting time was too long...
December 2013: Der Unfallchirurg
(no author information available yet)
No abstract text is available yet for this article.
August 7, 2013: Annals of Physical and Rehabilitation Medicine
Y Gugger, K-H Kalb, K-J Prommersberger, J van Schoonhoven
OBJECTIVE: Improvement of active forearm supination or pronation. Reduction of paralytic pronation or supination posture. INDICATIONS: Disability or impairment of active supination or pronation due to cerebral palsy, obstetric palsy or traumatic brachial plexus palsy, quadriplegia or paralysis from other causes. CONTRAINDICATIONS: Inadequate passive range of motion of forearm supination or pronation. Insufficient power of brachioradialis muscle < M4...
August 2013: Operative Orthopädie und Traumatologie
P Herrmann, P Thoele, V Heppert
OBJECTIVE: Treatment of late and chronic infections, which require the replacement of all the infected implant material. INDICATIONS: All infections lasting more than 4 weeks that have been proven to be bacterial and/or obvious signs of infection. CONTRAINDICATIONS: Unsuitable for anesthesia, high acute infection with sepsis and risk for bacteremia with danger to life, large soft tissue damage where plastic surgery coverage is not possible...
June 2013: Operative Orthopädie und Traumatologie
W C Flowers, R W Mann
A new approach for evaluating advanced concepts for knee-joint control in above-knee prostheses involves the use of a simulator prosthesis which can be worn by an amputee and controlled electronically to emulate proposed future prostheses. A critical element in this system is the knee-torque controller. Realization of a powerful, lightweight, easily controlled transducer was essential to the successful development of the simulator system. This paper presents the design of such a controller and evaluates its performance...
February 1, 1977: Journal of Biomechanical Engineering
Michel Amoric
The benefits of the Herbst thermoformed advancement splint in the treatment of obstructive breathing disorders during sleep have been assessed in numerous studies. Unfortunately, like all other mandibular advancement devices, patients fail to wear it regularly in the long-term. Injuries, discomfort or pain caused by errors in manufacture or adjustment are generally blamed for this. After a critical review of the literature, some solutions are proposed to improve production of the orthesis and patient management...
June 2013: International Orthodontics
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