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https://www.readbyqxmd.com/read/29913431/five-decade-delayed-closed-flexor-tendon-rupture-due-to-galeazzi-dislocation-fracture-associated-with-beh%C3%A3-et-syndrome-a-case-report
#1
Masato Ohara, Ryo Oda, Shogo Toyama, Yusei Katsuyama, Hiroyoshi Fujiwara, Toshikazu Kubo
INTRODUCTION: Closed flexor tendon rupture after a malunited distal radius fracture is rare and usually becomes apparent early after the fracture. Most cases are accompanied by a severe distal radio-ulnar joint capsule injury, wherein bone protrusion (as a spur) directly stresses the tendons. We experienced a nonspecific flexor tendon rupture associated with an old fracture and the presence of collagen disease. PRESENTATION OF CASE: A 63-year-old woman presented with delayed complete rupture of the flexor digitorum profundus (FDP) of the fifth digit...
May 29, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29913024/laser-pointer-induced-maculopathy-more-than-meets-the-eye
#2
Kamal Mtanes, Michael Mimouni, Shiri Zayit-Soudry
PURPOSE: To describe the clinical findings in patients with laser-induced retinal injury. METHODS: Consecutive patients presenting to a tertiary center between January 2014 and December 2015 following inadvertent ocular exposure to a laser pointer were included. Evaluation included a full ophthalmic examination and spectral-domain optical coherence tomography (SD-OCT). RESULTS: Seven young patients (8 eyes) were identified. Their mean age was 18...
June 18, 2018: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29909385/rotator-cuff-tear-following-long-standing-axillary-neuropathy-in-a-female-motocross-racer
#3
John G Skedros, Tanner R Henrie, Mitchell D Peterson
A 'terrible triad' of anterior shoulder dislocation, axillary nerve damage and rotator cuff tear has been previously described. However, we are unaware of any report of anterior shoulder dislocation, humeral fracture, axillary neuropathy and subsequent rotator cuff tear requiring surgery when the axillary neuropathy was deemed permanent. We report the case of a 20-year-old woman who fell in a motocross accident and had an anterior shoulder dislocation, humeral fracture and axillary neuropathy. The fracture was treated surgically with open reduction and internal fixation...
June 15, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29908624/vaginoplasty-complications
#4
REVIEW
Cecile A Ferrando
Complications after vaginoplasty surgery for the transgender woman exist. These adverse outcomes can be minor and easily treatable, whereas others are considered major events and require ongoing care. Adverse outcomes can be immediate or remote after surgery and include bleeding, hematoma, infection, delayed wound healing, neovaginal stenosis, visceral injury, and fistula. Patients may also experience pelvic floor disorders after surgery. Providers performing these surgeries and those providers caring for postoperative patients should be aware of the incidence of these complications and the treatment options that exist to manage them...
July 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29902162/youth-risk-behavior-surveillance-united-states-2017
#5
Laura Kann, Tim McManus, William A Harris, Shari L Shanklin, Katherine H Flint, Barbara Queen, Richard Lowry, David Chyen, Lisa Whittle, Jemekia Thornton, Connie Lim, Denise Bradford, Yoshimi Yamakawa, Michelle Leon, Nancy Brener, Kathleen A Ethier
PROBLEM: Health-risk behaviors contribute to the leading causes of morbidity and mortality among youth and adults in the United States. In addition, significant health disparities exist among demographic subgroups of youth defined by sex, race/ethnicity, and grade in school and between sexual minority and nonsexual minority youth. Population-based data on the most important health-related behaviors at the national, state, and local levels can be used to help monitor the effectiveness of public health interventions designed to protect and promote the health of youth at the national, state, and local levels...
June 15, 2018: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
https://www.readbyqxmd.com/read/29901767/posterior-shoulder-dislocation-during-morning-pt-a-case-report
#6
Stefanie E Williams, Anthony J Hackett, Christian Jensen, Mark L Riddle
Posterior shoulder dislocation should be considered in the differential diagnosis of acute shoulder pain and immobility following trauma. Although far less common then the anterior dislocation, it is associated with high rates of comorbidity. Seventy-nine percent of posterior shoulder dislocations are missed on initial presentation, which is partially responsible for the high rate of comorbidity associated with these injuries. The mechanism of injury is varied from generalized seizure to minor trauma, which adds to the complexity of the diagnosis...
June 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29901746/brain-mri-fiber-tracking-reveals-white-matter-alterations-in-hypertensive-patients-without-damage-at-conventional-neuroimaging
#7
Lorenzo Carnevale, Valentina D'Angelosante, Alessandro Landolfi, Giovanni Grillea, Giulio Selvetella, Marianna Storto, Giuseppe Lembo, Daniela Carnevale
Aims: Hypertension is one of the main risk factor for dementia. The subtle damage provoked by chronic high blood pressure in the brain is usually evidenced by conventional magnetic resonance imaging (MRI), in terms of white matter (WM) hyperintensities or cerebral atrophy. However, it is clear that by the time brain damage is visible, it may be too late hampering neurodegeneration. Aim of this study was to characterize a signature of early brain damage induced by hypertension, before the neurodegenerative injury manifests...
June 12, 2018: Cardiovascular Research
https://www.readbyqxmd.com/read/29898959/myeloid-cell-restricted-stat3-signaling-controls-a-cell-autonomous-antifibrotic-repair-program
#8
Nhu-Nguyen Do, Sebastian Willenborg, Beate Eckes, Christian Jüngst, Gerhard Sengle, Frank Zaucke, Sabine A Eming
Myeloid cells can be beneficial as well as harmful in tissue regenerative responses. The molecular mechanisms by which myeloid cells control this critical decision of the immune system are not well understood. Using two different models of physiological acute or pathological chronic skin damage, in this study we identified myeloid cell-restricted STAT3 signaling as important and an injury context-dependent regulator of skin fibrosis. Targeted disruption of STAT3 signaling in myeloid cells significantly accelerated development of pathological skin fibrosis in a model of chronic bleomycin-induced tissue injury, whereas the impact on wound closure dynamics and quality of healing after acute excision skin injury was minor...
June 13, 2018: Journal of Immunology: Official Journal of the American Association of Immunologists
https://www.readbyqxmd.com/read/29898933/pulled-elbow-in-children
#9
Syunsuke Yamanaka, Ran D Goldman
Question Our practice is seeing children with relatively minor injuries to their elbows, with a history of "swinging" them when their hands are being held to cross the road. Nothing is usually found on a physical examination. I know that this is likely a "pulled elbow." Can we manage this in the clinic setting rather than sending the family to the emergency department? What would be the best course of action in the clinic setting? Answer Pulled elbow, also called nursemaid's elbow , is a radial head subluxation caused by axial traction or a sudden pull of the extended pronated arm, and it is a very common phenomenon...
June 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29898372/forearm-flexor-injuries-among-major-league-baseball-players-epidemiology-performance-and-associated-injuries
#10
Justin L Hodgins, David P Trofa, Steve Donohue, Mark Littlefield, Michael Schuk, Christopher S Ahmad
BACKGROUND: Despite evidence highlighting the importance of the forearm flexor muscles of elite baseball players, no studies have reported on the epidemiology of flexor strains and their associated outcomes. PURPOSE: To examine the incidence, associated injuries, and outcomes associated with forearm flexor injuries among major and minor league baseball players. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Injury data attributed to forearm flexor injuries among Major League Baseball (MLB) and minor league teams between 2010 and 2014 were obtained from the professional baseball Health and Injury Tracking System...
June 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29898232/fireworks-related-injury-in-children
#11
M Denise Dowd
Many children are attracted to the color, noise, light, and excitement generated by fireworks. Both home and public displays of fireworks are a festive part of American culture, enjoyed on holidays, during sporting events, and on a variety of other occasions. However, fireworks pose a risk of serious injury to children and youth. Each year, thousands of children sustain major and minor injuries due to fireworks, with many resulting in permanent disability. Regulations concerning private sales and use of fireworks vary greatly from state to state, so children's exposure varies geographically...
June 1, 2018: Pediatric Annals
https://www.readbyqxmd.com/read/29895875/lymphedema-techniques-to-manage-edema-after-sci-a-retrospective-analysis
#12
Rebecca Hammad, Catherine Furbish, W Mark Sweatman, Edelle C Field-Fote
STUDY DESIGN: Retrospective analysis of treatment data for a cohort of clients with spinal cord injury (SCI) who received therapy for management of edema. OBJECTIVE: To evaluate the safety, feasibility, and benefit of a modified lymphedema treatment approach for treatment of chronic lower extremity edema in persons with SCI. SETTING: A specialty rehabilitation hospital in Atlanta, GA, USA. METHODS: Certified lymphedema therapists with experience in SCI rehabilitation modified standard complete decongestive therapy (CDT) techniques to accommodate sensory and motor impairments and ensure skin safety...
June 12, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29895352/direct-comparison-of-the-thioacetamide-and-azoxymethane-models-of-type-a-hepatic-encephalopathy-in-mice
#13
Stephanie Grant, Matthew McMillin, Gabriel Frampton, Anca D Petrescu, Elaina Williams, Victoria Jaeger, Jessica Kain, Sharon DeMorrow
Acute liver failure is a devastating consequence of hepatotoxic liver injury that can lead to the development of hepatic encephalopathy. There is no consensus on the best model to represent these syndromes in mice and therefore the aim of this study was to classify hepatic and neurological consequences of azoxymethane- and thioacetamide-induced liver injury. Azoxymethane-treated mice were euthanized at time points representing absence of, minor and significant stages of neurological decline. Thioacetamidetreated mice had tissue collected at up to 3 days following daily injections...
June 12, 2018: Gene Expression
https://www.readbyqxmd.com/read/29894490/biopsychosocial-factors-associated-with-non-recovery-after-a-minor-transport-related-injury-a-systematic-review
#14
Stella Samoborec, Rasa Ruseckaite, Darshini Ayton, Sue Evans
BACKGROUND: Globally, road transport accidents contribute significantly to mortality and burden of disability. Up to 50 million people suffer a transport-related non-fatal injury each year, which often leads to long-term disability. A substantial number of people with minor injuries struggle to recover and little is known about the factors leading to poor or non-recovery. The aim of this paper is to present a systematic review of biopsychosocial factors related to poor or non-recovery after a minor transport-related injury...
2018: PloS One
https://www.readbyqxmd.com/read/29894429/an-analysis-of-the-incidence-and-outcomes-of-major-versus-minor-neurological-decline-after-complex-adult-spinal-deformity-surgery-a-subanalysis-of-scoli-risk-1-study
#15
So Kato, Michael G Fehlings, Stephen J Lewis, Lawrence G Lenke, Christopher I Shaffrey, Kenneth M C Cheung, Leah Y Carreon, Mark B Dekutoski, Frank J Schwab, Oheneba Boachie-Adjei, Khaled M Kebaish, Christopher P Ames, Yong Qiu, Yukihiro Matsuyama, Benny T Dahl, Hossein Mehdian, Ferran Pellisé, Sigurd H Berven
STUDY DESIGN: A subanalysis from a prospective, multicenter, international cohort study in 15 sites (Scoli-RISK-1). OBJECTIVE: To report detailed information regarding the severity of neurological decline related to complex adult spine deformity (ASD) surgery and to examine outcomes based on severity. SUMMARY OF BACKGROUND DATA: Postoperative neurological decline after ASD surgeries can occur due to nerve root(s) or spinal cord dysfunction...
July 1, 2018: Spine
https://www.readbyqxmd.com/read/29892605/subcutaneous-administration-of-low-molecular-weight-heparin-to-horses-inhibits-ex-vivo-equine-herpesvirus-type-1-induced-platelet-activation
#16
Tracy Stokol, Priscila B S Serpa, Marjory B Brooks, Thomas Divers, Sally Ness
Equine herpesvirus type 1 (EHV-1) is a major cause of infectious respiratory disease, abortion and neurologic disease. Thrombosis in placental and spinal vessels and subsequent ischemic injury in EHV-1-infected horses manifests clinically as abortion and myeloencephalopathy. We have previously shown that addition of heparin anticoagulants to equine platelet-rich plasma (PRP) can abolish ex vivo EHV-1-induced platelet activation. The goal of this study was to test whether platelets isolated from horses treated with unfractionated heparin (UFH) or low-molecular-weight heparin (LMWH) were resistant to ex vivo EHV-1-induced activation...
2018: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/29887283/an-interprofessional-learning-experience-for-trainee-general-practitioners-in-an-academic-urban-minor-injuries-unit-with-advanced-nurse-practitioners-emergency
#17
Laserina O'Connor, Bernadette Carpenter, Cora O'Connor, Julie O'Driscoll
BACKGROUND: There is a body of empirical literature indicating that interprofessional education (IPE) not only enriches students' understanding of their own discipline but of other disciplines. However, giving the on-going emphasis on the importance of IPE to healthcare processes and outcomes, on-going attention is needed to advancing the research evidence related to the emergency department setting. The aim of this qualitative descriptive study was to determine the clinical learning experiences of GPs who rotated through an academic urban minor injuries unit as part of their training, led by advanced nurse practitioners (emergency)...
June 7, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29887262/resection-of-gallbladder-remnants-after-subtotal-cholecystectomy-presentation-and-management
#18
Seth J Concors, Matthew L Kirkland, Alan L Schuricht, Daniel T Dempsey, Jon B Morris, Charles M Vollmer, Jeffery A Drebin, Major K Lee
BACKGROUND: Subtotal cholecystectomy (SC) involves removal of a portion of the gallbladder typically due to hazardous inflammation. While this technique reliably prevents common bile duct (CBD) injury, future procedures can be required if the gallbladder remnant becomes symptomatic. The morbidity associated with resection of gallbladder remnants in patients that previously underwent SC is reviewed. METHODS: Records for patients having undergone redo cholecystectomy for symptomatic gallbladder remnants in a tertiary care system from 2013 to 2017 were retrospectively reviewed...
June 7, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/29886445/work-related-injuries-resulting-in-death-in-chile-a-cross-sectional-study-on-2014-and-2015-registries
#19
Vivienne C Bachelet
OBJECTIVE: To characterise work-related fatal events that occurred in Chile in 2014 and 2015 in workers covered by the Occupational Accidents and Professional Disease No 16.744 Act. DESIGN: Cross-sectional on registries of the Chilean Worker's Health and Safety National Information System, specifically focusing on the Fatal Work Accidents Registry of the Social Security Superintendence. STUDY POPULATION: Secondary data analysis on all 815 cases of occupational injury-related deaths registered in 2014 and 2015 in Chile and that were accredited by the Social Security Superintendence up to March 2016...
June 9, 2018: BMJ Open
https://www.readbyqxmd.com/read/29884595/the-incidence-and-burden-of-time-loss-injury-in-australian-men-s-sub-elite-football-soccer-a-single-season-prospective-cohort-study
#20
Matthew Whalan, Ric Lovell, Robert McCunn, John A Sampson
OBJECTIVES: This study aimed to conduct the first injury surveillance study in sub-elite football in Australia, using methods from the international football consensus statement. DESIGN: Descriptive epidemiological study. METHODS: 1049 sub-elite football players were recruited during the 2016 season. Injury and exposure data was collected by trained Primary Data Collectors (PDCs) who attended every training session and match. RESULTS: There were 1041 time loss injuries recorded during 52,127h of exposure resulting in an injury incidence rate of 20 injuries/1000h (95% Confidence Interval [CI]: 15...
May 31, 2018: Journal of Science and Medicine in Sport
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