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Orthopaedics, hand

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https://www.readbyqxmd.com/read/27919565/examination-of-the-promis-upper-extremity-item-bank
#1
Man Hung, Maren W Voss, Jerry Bounsanga, Anthony B Crum, Andrew R Tyser
STUDY DESIGN: Clinical measurement. INTRODUCTION: The psychometric properties of the PROMIS v1.2 UE item bank were tested on various samples prior to its release, but have not been fully evaluated among the orthopaedic population. PURPOSE OF THE STUDY: This study assesses the performance of the UE item bank within the UE orthopaedic patient population. METHODS: The UE item bank was administered to 1197 adult patients presenting to a tertiary orthopaedic clinic specializing in hand and UE conditions and was examined using traditional statistics and Rasch analysis...
December 2, 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/27900200/inter-rater-reliability-of-the-shoulder-symptom-modification-procedure-in-people-with-shoulder-pain
#2
Jeremy S Lewis, Karen McCreesh, Eva Barratt, Eric J Hegedus, Julius Sim
BACKGROUND: Musculoskeletal conditions involving the shoulder are common and, because of the importance of the upper limb and hand in daily function, symptoms in this region are commonly associated with functional impairment in athletic and non-athletic populations. Deriving a definitive diagnosis as to the cause of shoulder symptoms is fraught with difficulty. Limitations have been recognised for imaging and for orthopaedic special tests. 1 solution is to partially base management on the response to tests aimed at reducing the severity of the patient's perception of symptoms...
2016: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/27896290/do-clinical-results-and-return-to-sport-rates-after-ulnar-collateral-ligament-reconstruction-differ-based-on-graft-choice-and-surgical-technique
#3
Brandon J Erickson, Gregory L Cvetanovich, Rachel M Frank, Bernard R Bach, Mark S Cohen, Charles A Bush-Joseph, Brian J Cole, Anthony A Romeo
BACKGROUND: Ulnar collateral ligament reconstruction (UCLR) has become a common procedure performed in overhead-throwing athletes of many athletic levels. PURPOSE/HYPOTHESIS: The purpose of this study was to determine whether clinical outcomes and return-to-sport (RTS) rates differ among patients undergoing UCLR based on graft choice, surgical technique, athletic competition level, handedness, and treatment of the ulnar nerve. We hypothesized that no differences would exist in clinical outcomes or RTS rates between technique, graft choice, or other variables...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27875344/patient-centred-hand-hygiene-information-in-orthopaedics-units-an-evidence-based-implementation-project
#4
Arielle Yi Jia Ong, Joanne Tan, Hui Ling Yeo, Mien Li Goh
AIM: This project aimed to improve patients' knowledge on the importance of hand hygiene. It involved providing patients with a patient and family education on the importance of hand hygiene using a patient information leaflet that introduces the rationale of hand hygiene, possible consequences of poor hand hygiene, and the seven steps of hand hygiene. METHODS: This projected used a preimplementation and postimplementation audit strategy using the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research Into Practice programs...
November 21, 2016: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/27861212/the-interobserver-and-intraobserver-reliability-of-the-sanders-classification-versus-the-risser-stage
#5
Shaleen Vira, Qasim Husain, Cyrus Jalai, Justin Paul, Gregory W Poorman, Caroline Poorman, Richard S Yoon, Christopher Looze, Baron Lonner, Peter G Passias
BACKGROUND: Estimation of skeletal maturity, classically performed using Risser sign, plays a crucial role in the treatment of AIS. Recent data, however, has shown the simplified Tanner-Whitehouse (Sanders) classification, based on an anteriorposterior (AP) hand radiographs, to correlate more closely to the rapid growth phase and thus curve progression. This study evaluated the interobserver and intraobserver reliability of the Sanders and Risser classifications among clinicians at different levels of training...
November 18, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27852902/overlapping-surgery-in-the-ambulatory-orthopaedic-setting
#6
Alan L Zhang, David C Sing, Debbie Y Dang, C Benjamin Ma, Dennis Black, Thomas P Vail, Brian T Feeley
BACKGROUND: The practice of a surgeon performing procedures in two operating rooms during overlapping time frames has been described as concurrent surgery if critical portions occur simultaneously, or overlapping surgery if they do not. Although recent media reports have focused on the potential adverse effects of these practices, to our knowledge, there has been no previous research investigating outcomes of overlapping procedures in orthopaedic surgery. METHODS: A retrospective review of an institutional clinical database from 2012 to 2015 was utilized to collect data from all surgical cases (including sports medicine, hand, and foot and ankle) performed at an ambulatory orthopaedic surgery center...
November 16, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27851674/hang-them-high-a-hands-free-technique-for-upper-extremity-limb-holding-during-surgical-preparation
#7
Arun Aneja, Patrick Leung, Alejandro Marquez-Lara
Lifting and holding upper and lower limbs during the "prep and drape" portion of certain orthopaedic procedures exert strong forces on the holder and may lead to musculoskeletal disorders. To address these challenges during upper extremity procedures, this article describes a hand-free elevation and traction technique of the upper limbs during preoperative skin preparation with the use of items readily available within the operating room (OR). This technique is particularly useful for heavy or fractured limbs that may impose a physical challenge to lift and maintain in a stable position...
November 2016: Orthopaedic Nursing
https://www.readbyqxmd.com/read/27848247/hospital-rehabilitation-for-patients-with-obesity-a-scoping-review
#8
Jennifer C Seida, Arya M Sharma, Jeffrey A Johnson, Mary Forhan
PURPOSE: To explore the evidence on rehabilitation for hospitalized patients with obesity. METHODS: Medline, Embase, CENTRAL, CINAHL, and PubMed were searched from 1994 to May 2016. Grey literature was hand-searched. Two reviewers independently selected studies examining patients with obesity receiving hospital-based therapy for a physical impairment. One reviewer extracted the data and a second reviewer verified a random sample. RESULTS: Thirty-nine studies (two trials, 37 observational) were included...
November 16, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27801643/arthroscopic-skills-assessment-and-use-of-box-model-for-training-in-arthroscopic-surgery-using-sawbones-fast-workstation
#9
Saumitra Goyal, Mohamed Abdel Radi, Islam Karam-Allah Ramadan, Hatem Galal Said
PURPOSE: Arthroscopic skills training outside the operative room may decrease risks and errors by trainee surgeons. There is a need of simple objective method for evaluating proficiency and skill of arthroscopy trainees using simple bench model of arthroscopic simulator. The aim of this study is to correlate motor task performance to level of prior arthroscopic experience and establish benchmarks for training modules. METHODS: Twenty orthopaedic surgeons performed a set of tasks to assess a) arthroscopic triangulation, b) navigation, c) object handling and d) meniscus trimming using SAWBONES "FAST" arthroscopy skills workstation...
2016: SICOT-J
https://www.readbyqxmd.com/read/27796802/patients-with-limited-health-literacy-ask-fewer-questions-during-office-visits-with-hand-surgeons
#10
Mariano E Menendez, Bastiaan T van Hoorn, Michael Mackert, Erin E Donovan, Neal C Chen, David Ring
BACKGROUND: In the midst of rapid expansion of medical knowledge and decision-support tools intended to benefit diverse patients, patients with limited health literacy (the ability to obtain, process, and understand information and services to make health decisions) will benefit from asking questions and engaging actively in their own care. But little is known regarding the relationship between health literacy and question-asking behavior during outpatient office visits. QUESTIONS/PURPOSES: (1) Do patients with lower levels of health literacy ask fewer questions in general, and as stratified by types of questions? (2) What other patient characteristics are associated with the number of questions asked? (3) How often do surgeons prompt patients to ask questions during an office visit? METHODS: We audio-recorded office visits of 84 patients visiting one of three orthopaedic hand surgeons for the first time...
October 28, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27792116/characteristics-of-residual-symptoms-following-laminoplasty-in-diabetic-patients-with-cervical-spondylotic-myelopathy-a-prospective-cohort-study
#11
Masaaki Machino, Shiro Imagama, Kei Ando, Kazuyoshi Kobayashi, Tetsuro Hida, Kenyu Ito, Mikito Tsushima, Akiyuki Matsumoto, Satoshi Tanaka, Masayoshi Morozumi, Keigo Ito, Fumihiko Kato, Yoshihiro Nishida, Naoki Ishiguro
STUDY DESIGN: A prospective cohort study OBJECTIVE.: The purpose of this study was to compare cervical laminoplasty outcomes between diabetic and non-diabetic patients with cervical spondylotic myelopathy (CSM), and to characterize residual symptoms of diabetic patients. METHODS: A total of 505 consecutive patients with CSM (331 males, 189 females; mean age, 66.6 years; range, 41-91 years; > 1-year follow-up after laminoplasty) were enrolled and divided into diabetic group (n = 105) and non-diabetic group (n = 400)...
October 25, 2016: Spine
https://www.readbyqxmd.com/read/27742247/fresh-osteochondral-allograft-transplantation-for-osteochondritis-dissecans-of-the-capitellum-in-baseball-players
#12
Raffy Mirzayan, Michael J Lim
BACKGROUND: Osteochondritis dissecans (OCD) of the capitellum is a rare yet debilitating injury seen in young athletes. This is the first report in the literature describing fresh osteochondral allograft transplantation (FOCAT) to treat OCD of the capitellum. METHODS: Nine male baseball players (mean age, 15.3; range, 14-18 years), with OCD of the capitellum were treated with FOCAT. There were 6 pitchers and 3 position players. A ligament-sparing, mini-open approach was used...
November 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27720405/construct-validity-assessment-of-the-learning-curve-and-experience-of-using-a-low-cost-arthroscopic-surgical-simulator
#13
Henry B Colaco, Katie Hughes, Eyiyemi Pearse, Magnus Arnander, Duncan Tennent
OBJECTIVE: We have developed a low-cost, portable shoulder simulator designed to train basic arthroscopic skills. This study aimed to establish the construct validity of the simulator by determining which parameters discriminated between experience levels and to assess the experience of using the simulator. DESIGN: Participants were given an introductory presentation and an untimed practice run of a 6-step triangulation task using hooks and rubber bands. A total of 6 consecutive attempts at the task were timed, and the number of times the participant looked at their hands during the task was recorded...
October 5, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27703939/bbilateral-neglected-anterior-shoulder-dislocation-with-greater-tuberosity-fractures
#14
Tejas Upasani, Abhinav Bhatnagar, Sonu Mehta
INTRODUCTION: Shoulder dislocations are a very common entity in routine orthopaedic practice. Chronic unreduced anterior dislocations of the shoulder are not very common. Neurological and vascular complications may occur as a result of an acute anterior dislocation of the shoulder or after a while in chronic unreduced shoulder dislocation. Open reduction is indicated for most chronic shoulder dislocations. We report a case of neglected bilateral anterior shoulder dislocation with bilateral displaced greater tuberosity fracture...
April 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27699081/fear-of-falling-correlates-with-subtle-neuromuscular-balance-and-strength-deficits-of-fragility-fracture-patients
#15
Corinne E Wee, Tyler D Ames, Khoi M Le, Tiffany Wang, Laura S Phieffer, Carmen E Quatman
Fragility fractures, or fractures occurring from a low-trauma event, are extremely prevalent among the elderly population worldwide and associated with significant mortality and morbidity. This study evaluated the relationship between FES-I Fear of Falling Survey results, self-reported activity restrictions via the SF-36 survey, and scores recorded by portable, inexpensive clinical assessment tools (CATs) during dynamic functional tasks. Low scores during these tasks may indicate functional deficits that put patients at risk for falls and subsequent fragility fractures...
October 2016: Aging and Disease
https://www.readbyqxmd.com/read/27698634/linking-of-the-american-academy-of-orthopaedic-surgeons-distal-radius-fracture-clinical-practice-guidelines-to-the-international-classification-of-functioning-disability-and-health-international-classification-of-diseases-and-icf-core-sets-for-hand-conditions
#16
Saravanan Esakki, Joy MacDermid, Saipriya Vajravelu
Background: American Academy of Orthopaedic Surgeons (AAOS) distal radius fracture (DRF) clinical practice guidelines (CPG) are readily available to clinicians, patients, and policymakers. International Classification of Functioning, Disability, and Health (ICF) provides a framework for describing the impact of health conditions. The International Classification of Diseases-10th Revision (ICD-10) is a classification system to classify health conditions as specific disease or disorders. The aim of this study is to analyze and describe the scope and focus of the AAOS DRF CPG using the ICF and ICD-10 as a basis for content analysis, and to compare the content of the CPG with the ICF hand core sets as the reference standard...
September 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/27676966/predictive-value-of-the-fear-avoidance-model-on-functional-capacity-evaluation-fce-after-orthopaedic-trauma
#17
Cyrille Burrus, Johanne Tuscher, Philippe Vuistiner, Gilles Rivier, Bertrand Léger, François Luthi
OBJECTIVE: Functional capacity evaluation (FCE) based on a safe maximal performance (kinesiophysical criteria), is used to evaluate abilities of a patient to accomplish work-related tasks that may help precise functional limitations. As known in chronic pain, psychosocial factors and behavioral factors have been shown to influence FCE. The influence of the "fear-avoidance" model on FCE is debated (van Abbema, 2011) and has never been studied with a full model. The goal of this study was to evaluate the influence of the fear-avoidance model on FCE performance in patients admitted for vocational rehabilitation after orthopaedic trauma...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676796/an-alternative-treatment-for-contractures-of-the-elderly-institutionalized-persons-microinvasive-percutaneous-needle-tenotomy-of-the-finger-flexors
#18
Alexis Schnitzler, Aurelie Diebold, Bernard Parratte, Laurent Tliba, Francois Genêt, Philippe Denormandie
OBJECTIVE: Almost 10% of older adults in nursing homes have a fixed flexion deformity of the fingers (claw hand). Such contractures have important functional consequences, often leading to hygiene difficulties. Medical treatment (such as botulinum toxin injections, physiotherapy or positioning) is not always effective and surgery is often not possible in such fragile patients. Microinvasive tenotomy with a large needle could be a useful alternative because it can be carried out in an ambulatory setting under local anaesthesia...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27638757/-orthobot-to-your-station-the-application-of-the-remote-presence-robotic-system-in-orthopaedic-surgery-in-ireland-a-pilot-study-on-patient-and-nursing-staff-satisfaction
#19
Zubin J Daruwalla, D Ronan Collins, David P Moore
The remote presence robotic system (RPRS) enables an individual to "be in two places at once". Its application includes various uses in medicine and surgery. However, its usefulness in the field of orthopaedic surgery has not been described. The objective of our pilot study was to determine patient and nursing staff satisfaction with the RPRS in an orthopaedic clinical setting in Ireland. We performed evening and weekend ward rounds to gain feedback and determine patient and nursing staff satisfaction with this innovative system...
September 2010: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27579949/an-evaluation-of-the-utility-of-an-orthopaedic-surgery-rotation-for-emergency-medicine-residents
#20
Joseph A Gil, Steven F DeFroda, Adam Janicki, Jessica Smith, Craig Eberson
OBJECTIVES: In collaboration with the Department of Emergency Medicine, we designed a hands-on orthopaedic rotation for emergency residents in their first postgraduate year (PGY1) to introduce them to the appropriate evaluation and management of common orthopaedic injuries and conditions. Our hypothesis was that after the rotation, emergency medicine residents would be more comfortable with the evaluation and management of these injuries and conditions. METHODS: We designed a survey for the emergency medicine residents to query the pre- and post-rotation level of comfort in the management of some of the most commonly encountered orthopaedic injuries and conditions that present to the emergency department...
2016: Rhode Island Medical Journal
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