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https://www.readbyqxmd.com/read/30649909/innervation-pattern-of-lumbrical-muscles-of-the-foot-in-human-fetuses
#1
Betül Asena Kara, Deniz Uzmansel, Orhan Beger
BACKGROUND: The main objective of this study is to describe the innervation patterns of foot lumbrical muscles and its morphological properties in human fetuses. Another objective is to define the communicating branches between medial (MPN) and lateral (LPN) plantar nerves, which play a part in innervation of those muscles. METHODS: Thirty formalin-fixed fetuses (13 males - 17 females) with a mean gestational age of 25.5±3.8 (range, 18-36) weeks within the inventory of Mersin University Faculty of Medicine Anatomy Department were bilaterally dissected...
January 16, 2019: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/30648754/evaluation-of-the-acquisition-of-ultrasound-proficiency-in-hand-surgery-fellows
#2
Justin W Zumsteg, Jason G Ina, Greg A Merrell
OBJECTIVES: To evaluate hand surgery fellow ultrasound (US) evaluations and performance of clinically relevant tasks after brief instruction. METHODS: Six hand surgery fellows completed an US assessment and a survey on US use before and 1 month after a 30-minute US course. RESULTS: The time to obtain an adequate image decreased from 4 minutes 42 seconds (4:42; range, 3:57-7:55) to 0:52 (range, 0:30-1:14; P < .001). Participants' performance for structure identification improved from 9...
January 16, 2019: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/30633006/novel-axillary-block-management-for-tendon-transfer-surgery-a-case-report
#3
Thierry Garnaud, Julien Toulemonde
The outcome of upper limb tendon transfer surgery is improved when the patient is able to voluntarily contract specific muscles during the surgical procedure. Tumescent local anesthesia is suitable, but we describe an alternative option that involves the novel management of an axillary block. A 47-year-old man, injured in a motor vehicle crash, exhibited a thumb extensor deficit because of severe muscular trauma to the forearm. He underwent a tendon transfer of the fourth superficial flexor tendon to the extensor pollicis longus under an axillary block...
January 3, 2019: A&A practice
https://www.readbyqxmd.com/read/30632333/comparison-of-outcome-of-1-and-2-knot-4-strand-doublemodified-kessler-flexor-tendon-repair-with-early-active-mobilization-protocol-in-patients-with-flexor-tendon-lacerations-of-hand
#4
Abdul Malik Mujahid, Muhammad Saleem, Shohreh Ahmadi, Farrukh Aslam Khalid, Muhammad Younas Mehrose, Zain Ul Abidin, Moazzam Nazeer Tarar
BACKGROUND: Hand is unique for the dexterity of its function and flexor tendons have most important function in hand. Its injury is a challenging treatment. Purpose of this study is to compare the success of 1- and 2-knot, flexor tendon repair (good to excellent results) with early active mobilization in terms of total active motion (TAM) of affected hand postoperatively. METHODS: Hundred patients with age range of 5-70 years of age presenting with flexor tendon lacerations of hand were included in the study...
October 2018: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/30631915/acute-atraumatic-carpal-tunnel-syndrome-due-to-flexor-tendon-rupture-following-palmar-plate-osteosynthesis-in-a-patient-taking-rivaroxaban
#5
Wolfram Weschenfelder, Reinhard Friedel, Gunther O Hofmann, Mark Lenz
INTRODUCTION: Few case reports describe the development of a hematoma under oral anticoagulation as the cause of an atraumatic carpal tunnel syndrome. CASE REPORT: A 76 years old woman presented an acute atraumatic carpal tunnel syndrome of her left hand under oral anticoagulation with rivaroxaban due to atrial fibrillation. 12 years ago, palmar plate osteosynthesis of a distal radius fracture had been performed on the affected wrist. Open decompression of the carpal canal was performed due to persistent severe pain under intense pain therapy and progressive neurological symptoms...
January 10, 2019: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/30629477/the-effect-of-habitual-foot-strike-pattern-on-the-gastrocnemius-medialis-muscle-tendon-interaction-and-muscle-force-production-during-running
#6
Wannes Swinnen, Wouter Hoogkamer, Tijs Delabastita, Jeroen Aeles, Friedl De Groote, Benedicte Vanwanseele
The interaction between Gastrocnemius medialis (GM) muscle and Achilles tendon, i.e. muscle-tendon unit (MTU) interaction, plays an important role in minimizing the metabolic cost of running. Foot strike pattern (FSP) has been suggested to alter MTU interaction and subsequently the metabolic cost of running. However, metabolic data from experimental studies on FSP is inconsistent and a comparison of MTU interaction between FSP is still lacking. We therefore investigated the effect of habitual rearfoot and mid-/forefoot striking on MTU interaction, ankle joint work and plantar flexor muscle force production while running at 10 and 14 km/h...
January 10, 2019: Journal of Applied Physiology
https://www.readbyqxmd.com/read/30616413/incidence-of-flexor-pollicis-longus-complications-following-volar-locking-plate-fixation-of-distal-radius-fractures
#7
Alyssa Cook, Paul Baldwin, John R Fowler
BACKGROUND: Distal radius fractures are among the most common orthopedic injuries presenting to emergency departments. The complications of distal radius open reduction and internal fixation (ORIF) range from paresthesia to tendon ruptures. The Soong grading system was designed to evaluate volar plate position to predict postoperative flexor pollicis longus (FPL) ruptures. This study evaluates post-distal radius volar fixation FPL ruptures and other postoperative complication rates relative to Soong grade, surgical training, and plate design...
January 8, 2019: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30612865/calcific-insertional-achilles-tendinopathy-achilles-repair-with-flexor-hallucis-longus-tendon-transfer-case-series-and-surgical-technique
#8
Michael A Howell, Timothy P McConn, Karl R Saltrick, Alan R Catanzariti
Calcific insertional Achilles tendinopathy (CIAT) is a relatively common musculoskeletal entity that results in significant pain and disability, as well as posterior muscle group weakness. There is a lack of evidence criteria to support the timing of operative intervention, choice of procedures, or whether equinus requires treatment. The purpose of this study was to retrospectively review 45 patients (48 feet) who have undergone surgical management of CIAT with concomitant posterior muscle group weakness with the single heel rise testing...
January 3, 2019: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30608439/trigger-finger-secondary-to-a-neglected-flexor-tendon-rupture
#9
Malrey Lee, Young-Ran Jung, Young-Keun Lee
Secondary trigger finger caused by trauma to the hand, especially associated with partial flexor tendon rupture, is not a common condition. Thus, the clinical manifestations of these patients are not well-known. The aim of this study is to present secondary trigger finger caused by a neglected partial flexor tendon rupture including discussion of the mechanism and treatment.We retrospectively reviewed the records of 6 patients with trigger finger caused by a neglected partial flexor tendon rupture who had been treated with exploration, debridement, and repairing of the ruptured tendon from August 2010 to May 2015...
January 2019: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30608408/proximal-migration-of-retained-pencil-lead-along-a-flexor-tendon-in-the-hand-a-case-report
#10
Jae Ha Hwang, Dong Gyu Lee, Kwang Seog Kim, Sam Yong Lee
RATIONALE: The hand is the most common site for foreign body injuries. Pencil lead penetration mainly occurs in school-age children.We report a case of proximal migration of a retained pencil lead in the hand, emphasizing the importance of adequate imaging and prompt removal of the foreign body. PATIENT CONCERNS: We report the case of an 8-year-old boy who visited our outpatient clinic for a retained foreign body in the right palm. Removal was planned under general anesthesia...
January 2019: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30607501/anatomic-and-histological-analyses-of-chiasma-plantare-and-long-flexor-tendons-of-the-foot-on-human-fetuses
#11
Özlem Elvan, Orhan Beger, Meryem İlkay Karagül, Deniz Uzmansel, Necat Şakir Yılmaz, Zeliha Kurtoğlu Olgunus
PURPOSE: The aim of present study was to reveal slip transfers related to flexor hallucis longus (FHL) and flexor digitorum longus (FDL) by dissection and to investigate detailed structure of chiasma plantare composed of FHL-FDL tendons and quadratus plantae (QP), with precise composition of the long flexor tendons of lesser toes by histological sections in human fetuses. METHOD: Slip transfers related to FHL and FDL tendons were identified and the related morphometric measurements were taken with dissection in 28 formalin-fixed fetuses (25-40 weeks)...
January 3, 2019: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/30593214/carpal-tunnel-syndrome-caused-by-synovial-osteochondromatosis-of-the-finger-flexor-tendon-a-case-report
#12
Dong Rak Kwon, SeungBum Chae, Yong Suk Moon, In Ho Woo
RATIONALE: Carpal tunnel syndrome (CTS) is the most common peripheral nerve neuropathy resulting from compression of the median nerve as it traverses the carpal tunnel. The pathophysiology of this condition is multifactorial, and majority of cases of CTS are idiopathic. We report cases of CTS caused by synovial osteochondromatosis (SOC), which has rarely been reported. PATIENT CONCERNS: A 45-year-old female was admitted to the clinic due to right hand tingling sensation for 4 months...
December 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30592543/sonography-of-wrist-ganglion-cysts-which-location-is-most-common
#13
Andrew Zhang, Anna L Falkowski, Jon A Jacobson, Sung Moon Kim, Sung Hye Koh, Kara Gaetke-Udager
OBJECTIVES: The literature states that wrist ganglion cysts are most commonly dorsal; however, our experience suggests a volar location is more common. The purpose of this study was to identify the locations of ganglion cysts of the wrist as imaged with sonography. METHODS: After Institutional Review Board approval with informed consent waived, retrospective review of wrist sonography reports from January to April 2016 was completed. Only patients who had a comprehensive evaluation that included the dorsal and volar wrist were included...
December 28, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/30591871/endoscopic-synovectomy-of-the-ulnar-bursa-of-the-palm-of-the-hand
#14
Tun Hing Lui, Jeffrey Chun Yin Lee
Synovitis of the ulnar bursa is associated with tenosynovitis of the flexor tendons. Reported causes include suppurative or tuberculous infection, rheumatoid arthritis, and pigmented villonodular synovitis. Open synovectomy requires extensive soft-tissue dissection and may result in extensive scarring. The purpose of this Technical Note is to describe the technical details of endoscopic synovectomy of the ulnar bursa of the palm of the hand. This minimally invasive approach with small incisions allows aggressive postoperative hand therapy and avoids the complications of tendon adhesions, joint contractures, and hand stiffness...
December 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/30589792/discussion-wide-awake-flexor-pollicis-longus-tendon-reconstruction-with-evaluation-of-the-active-voluntary-contraction-of-the-ruptured-muscle-tendon
#15
Donald H Lalonde
No abstract text is available yet for this article.
January 2019: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30589453/ultrasound-guided-release-of-the-tibial-nerve-and-its-distal-branches-a-cadaveric-study
#16
Álvaro Iborra Marcos, Manuel Villanueva-Martínez, Stephen L Barrett, Edgardo R Rodríguez-Collazo, Pablo Sanz-Ruiz
OBJECTIVES: The purpose of the study was to determine whether ultrasound (US)-guided surgery is a viable type of surgery for performing an effective release/decompression of the constricting structures that are responsible for focal nerve compression in tarsal tunnel syndrome. METHODS: Ultrasound guidance was used on cadaveric specimens to delineate the anatomic course of the nerves and vessels in the medial ankle that comprise the structures involved in tarsal tunnel syndrome...
December 27, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/30570563/a-test-for-the-clinical-evaluation-of-the-flexor-digitorum-superficialis-of-the-fifth-finger
#17
Everardo Valdés-Flores, Edgar García-Álvarez, Mauricio M García-Pérez, Yanko Castro-Govea, Alejandro Santos-Ibarra, Hernán Chacón-Martínez, Lizbeth Betancourt-Espericueta, Gabriel A Mecott
Physical examination is essential in diagnosing tendinous lesions. This is particularly true of the flexor digitorum superficialis of the little finger (FDS5), which is functionally absent in approximately 30% of the population. The objective of our study was to determine the diagnostic value of 3 clinical tests commonly used to assess the function of this tendon. METHODS: Patients with wounds of the FDS5 were included in this study. Under local or regional anesthesia, 3 described clinical tests were performed to assess the function of the FDS5: (i) the classic test; (ii) Stein's modified test, and (iii) Mecott's modified test...
December 18, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/30569440/symptomatic-psoriatic-dactylitis-is-associated-with-ultrasound-determined-extra-synovial-inflammatory-features-and-shorter-disease-duration
#18
Nicolò Girolimetto, Luisa Costa, Luana Mancarella, Olga Addimanda, Paolo Bottiglieri, Francesco Santelli, Riccardo Meliconi, Rosario Peluso, Antonio Del Puente, Pierluigi Macchioni, Carlo Salvarani, Dennis McGonagle, Raffaele Scarpa, Francesco Caso
OBJECTIVES: To explore the link between ultrasonographic features of dactylitis in psoriatic arthritis (PsA) and symptoms, digital tenderness and duration of dactylitis. METHODS: Forty-eight cases of PsA dactylitis were investigated using high frequency ultrasound (US) both in grey scale (GS) and Power Doppler (PD), evaluating the presence and the degree of flexor tenosynovitis, peri-tendinous oedema, subcutaneous PD, extensor tendon involvement, GS synovitis and intra-articular PD signal (PDS) of the involved digits...
December 19, 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/30560073/tendon-harvest-for-treatment-of-radial-nerve-palsy-using-endoscopic-technique
#19
Mohammad-Reza Akhoondinasab, Sharyar Sadeghi, Iraj Mirzaii-Dizgah
BACKGROUND: Endoscopic method for many surgeries with minimal access is proposed to be effective for preventing the excessive scar formation, reducing pain, cosmesis, and the early return to work. Surgical outcomes of endoscopic and open methods for tendon harvest in treatment of radial nerve palsy were evaluated. METHODS: In a randomized single-blind clinical trial study, 10 patients with radial nerve palsy who referred to the Plastic Surgery Department of the Fatimah Zahra Hospital, Iran University of Medical Sciences, Tehran, Iran were divided into two equal groups...
September 2018: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/30558934/the-influence-of-maximum-isometric-muscle-force-scaling-on-estimated-muscle-forces-from-musculoskeletal-models-of-children-with-cerebral-palsy
#20
Hans Kainz, Marije Goudriaan, Antoine Falisse, Catherine Huenaerts, Kaat Desloovere, Friedl De Groote, Ilse Jonkers
BACKGROUND: Musculoskeletal models do not include patient-specific muscle forces but rely on a scaled generic model, with muscle forces left unscaled in most cases. However, to use musculoskeletal simulations to inform clinical decision-making in children with cerebral palsy (CP), inclusion of subject-specific muscle forces is of utmost importance in order to represent each child's compensation mechanisms introduced through muscle weakness. RESEARCH AIM: The aims of this study were to (i) evaluate if maximum isometric muscle forces (MIMF) in musculoskeletal models of children with CP can be scaled based on strength measurements obtained with a hand-held-dynamometer (HHD), (ii) evaluate the impact of the HHD based scaling approach and previously published MIMF scaling methods on computed muscle forces during gait, and (iii) compare maximum muscle forces during gait between CP and typically developing (TD) children...
September 2018: Gait & Posture
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