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https://www.readbyqxmd.com/read/29778827/intra-and-inter-reliability-of-fleximetry-in-individuals-with-chronic-shoulder-pain
#1
Iran Henrique da Silva, José Mariedson da Silva Junior, Aldair Darlan Santos-de-Araújo, Cid André Fidelis de Paula Gomes, Cesário da Silva Souza, Priscila Helena Vanin Alves de Souza Matias, Almir Vieira Dibai-Filho
OBJECTIVE: To evaluate the intra- and inter-rater reliability of fleximetry in the measurement of range of motion (ROM) in individuals with chronic shoulder pain. DESIGN: Reliability study. SETTING: Physiotherapy clinic. PARTICIPANTS: Thirty individuals of both genders, ages between 18 and 45 years, with chronic shoulder pain. MAIN OUTCOME MEASURES: Fleximetry was used to measurement shoulder ROM (flexion, hyperextension, abduction, medial and lateral rotation, and horizontal abduction and adduction)...
May 17, 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29776819/corrective-osteotomy-for-hyperextended-elbow-with-limited-flexion-due-to-supracondylar-fracture-malunion
#2
Keiichiro Oura, Atsuo Shigi, Kunihiro Oka, Hiroyuki Tanaka, Tsuyoshi Murase
BACKGROUND: Extension deformity of the distal humerus after a malunited supracondylar fracture can restrict elbow flexion. Here we report a computer-assisted operative procedure and review the results of clinical cases in which corrective surgery was performed. METHODS: The medical records of the patients who underwent corrective osteotomy for hyperextended elbow malunion of the distal humerus with limited elbow flexion (flexion angle ≤100°) were reviewed retrospectively...
May 15, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29755840/treatment-of-mallet-finger-deformity-with-a-modified-palmaris-longus-tendon-graft-through-a-bone-tunnel
#3
Zengbing Liu, Kai Ma, Dong Huang
OBJECTIVE: To investigate the clinical effect of treating mallet finger deformity using a modified palmaris longus tendon graft through a bone tunnel. METHODS: Altogether, 21 patients with mallet finger deformity (16 men, 5 women; average age 31 years, range 19-47 years) were treated with a modified palmaris longus tendon graft through a bone tunnel during 18 months (2014-2016). Four index fingers, seven middle fingers, eight ring fingers, and two little fingers were treated for four cutting injuries, eleven finger sprains, four crush injuries, and two twist injuries (7 open and 14 closed injuries)...
2018: International Journal of Burns and Trauma
https://www.readbyqxmd.com/read/29734891/hemi-hamate-autograft-arthroplasty-for-the-proximal-interphalangeal-joint-revisited-a-new-surgical-approach
#4
Patrick K Y Goon, Kalpesh R Vaghela, Shirley Stougie, Jan H Coert
The hemi-hamate arthroplasty for proximal interphalangeal joint (PIPJ) dorsal fracture dislocations relies on complete dislocation of the joint using the 'shotgun' approach which provides excellent exposure but damages the delicate intrinsic joint stabilisers. We present a new approach to the PIPJ when performing the hemi-hamate arthroplasty. The volar surgical approach involves freeing up the whole tendon sheath-periosteal unit as a single layer, and retracting this to one side. The articular surface of the joint can then be accessed with a little distraction and hyperextension...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29729467/the-efficacy-of-thoracolumbar-bracing-on-spinal-immobilization-a-precise-assessment-of-gross-intersegmental-and-segmental-spinal-motion-restriction-by-a-3d-kinematic-system
#5
Gernot Lang, Anja Hirschmüller, Stefanie Patermann, Patric Eichelberger, Peter Strohm, Heiner Baur, Norbert P Südkamp, Georg W Herget
BACKGROUND: Various diseases of the spine are treated by immobilization via orthoses, although detailed evidence on the efficiency of orthotic bracing remains elusive. The present study sought to investigate the impact of three different orthoses on spinal immobilization utilizing three dimensional (3D) kinematic measurements. METHODS: Twelve healthy volunteers performed different motion tasks such as trunk flexion/extension and bilateral trunk bending, respectively...
May 2, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29706732/reliability-of-metacarpal-subsidence-measurements-after-thumb-carpometacarpal-joint-arthroplasty
#6
Andrew J Miller, Christopher M Jones, Dennis P Martin, Fred E Liss, Jack Abboudi, William H Kirkpatrick, Pedro K Beredjiklian
Background: Thumb metacarpal subsidence after trapeziectomy can affect clinical function over time. Methods for measuring subsidence after trapeziectomy have been described, and they rely on an intact thumb metacarpal or proximal phalanx for measurement. The authors evaluated the reliability and reproducibility of measuring the trapezial space ratio, using previously described methods. In addition, the authors evaluated a new method that measures trapezial space on a posteroanterior (PA) hand/wrist radiograph that does not rely on an intact thumb metacarpal or proximal phalanx for measurement, which can often be altered by degenerative changes or in cases in which metacarpophalangeal arthrodesis is performed during carpometacarpal (CMC) joint arthroplasty to correct excessive hyperextension...
April 2018: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/29688959/arthroscopic-management-of-tibial-spine-avulsion-fractures-principles-and-techniques
#7
Eric J Strauss, Daniel James Kaplan, Maxwell E Weinberg, Jonathan Egol, Laith M Jazrawi
Tibial spine fractures are uncommon injuries affecting the insertion of the anterior cruciate ligament on the tibia. They typically occur in skeletally immature patients aged 8 to 14 years and result from hyperextension of the knee with a valgus or rotational force. Diagnosis is based on history, physical examination, and standard radiographs. The use of MRI can identify entrapped soft tissue that may prevent reduction. Open or arthroscopic repair is indicated in patients with partially displaced fractures (>5 mm) with one third to one half of the avulsed fragment elevated, in patients who have undergone unsuccessful nonsurgical reduction and long leg casting or bracing, and in patients with completely displaced fractures...
May 15, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29682039/chalkstick-fracture-a-catastrophic-injury
#8
Suryapratap Singh Tomar
Cervical spine region is known as very prone for injury because it is great mobility. Hyperflexion or hyperextension may create life-threatening injury to ankylosed cervical spine vertebra and spinal cord. The posttrauma result can range from neurological damage to the death. We present a case of a 52-year-old male patient, came to the emergency department with a history of road traffic accident induced quadriplegia and shock. The final diagnosis was chalkstick fracture of spine with complete cord transaction...
April 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29644317/a-rare-case-of-hoffa-fracture-combined-with-lateral-patellar-dislocation
#9
Martin C Jordan, Leonie A Bittrich, Kai Fehske, Rainer H Meffert, Hendrik Jansen
The coronal unicondylar fracture of the distal femur (AO 33-B3) is a rare intraarticular injury within the weight bearing area of the knee, initially described by Albert Hoffa in 1904. We report an unusual combination of a Hoffa fracture with lateral patellar dislocation in a young adult. Our patient sustained the injury by a sudden twist of his leg during sports. He presented clinically with knee swelling, dislocation of the patella, and localized tenderness; unable to bare weight. After plane radiograph confirmed the injury, manual reduction of the patella was done by hyperextension of the knee and medialward pressure...
June 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29644282/teriparatide-and-vertebral-fracture-healing-in-ankylosing-spondylitis
#10
Izolda Biro, Judith Bubbear, Simon Donnelly, Zozik Fattah, James Sarkodieh, Arun Ranganathan, Hasan Tahir
Patients with Ankylosing Spondylitis (AS) are four times more likely to sustain spinal fractures. Due to the associated risk of neurological complications treatment is complex. We present the case of a 56-year-old Caucasian gentleman with AS who sustained a fracture of T2 vertebra following a traumatic hyperextension injury. He declined surgery in fear of complications and started treatment with subcutaneous Teriparatide at a dose of 20 mg daily for six months. There was complete healing of the vertebral fracture at 6 months without any complications...
December 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29625636/treating-the-proximal-interphalangeal-joint-in-swan-neck-and-boutonniere-deformities
#11
REVIEW
Paige M Fox, James Chang
Swan neck and boutonniere deformities of the proximal interphalangeal (PIP) joint are challenging to treat. In a swan neck deformity, the PIP joint is hyperextended with flexion at the distal interphalangeal (DIP) joint. In a boutonniere deformity, there is flexion the PIP joint with hyperextension of the DIP joint. When the deformities are flexible, treatment begins with splinting. However, when the deformity is fixed, serial casting or surgery is often necessary to restore joint motion before surgical correction...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29624914/fragile-x-checklists-a-meta-analysis-and-development-of-a-simplified-universal-clinical-checklist
#12
Toni Kasole Lubala, Aimé Lumaka, Gray Kanteng, Léon Mutesa, Olivier Mukuku, Stanislas Wembonyama, Randi Hagerman, Oscar Numbi Luboya, Prosper Lukusa Tshilobo
BACKGROUND: Clinical checklists available have been developed to assess the risk of a positive Fragile X syndrome but they include relatively small sample sizes. Therefore, we carried out a meta-analysis that included statistical pooling of study results to obtain accurate figures on the prevalence of clinical predictors of Fragile X syndrome among patients with intellectual disability, thereby helping health professionals to improve their referrals for Fragile X testing. METHODS: All published studies consisting of cytogenetic and/or molecular screening for fragile X syndrome among patients with intellectual disability, were eligible for the meta-analysis...
April 6, 2018: Molecular Genetics & Genomic Medicine
https://www.readbyqxmd.com/read/29620588/atlas-fractures-diagnosis-current-treatment-recommendations-and-implications-for-elderly-patients
#13
Richard M Smith, Amit K Bhandutia, Julio J Jauregui, Mark Shasti, Steven C Ludwig
Fractures of the C1 vertebrae (atlas) are commonly the result of falls and other trauma, which cause hyperextension, or axial compression of the cervical spine. Although historically thought as a benign injury with lower neurological risks, current data suggests that this may not hold true for geriatric patients (aged 65 y and older) who may be predisposed to these fractures even after lower-energy trauma such as ground-level falls. Advancements in orthopedic trauma care has increased our diagnostic abilities to identify and manage patients with C1 fractures and other upper cervical spine trauma...
April 3, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29606302/bi-allelic-alterations-in-aebp1-lead-to-defective-collagen-assembly-and-connective-tissue-structure-resulting-in-a-variant-of-ehlers-danlos-syndrome
#14
Patrick R Blackburn, Zhi Xu, Kathleen E Tumelty, Rose W Zhao, William J Monis, Kimberly G Harris, Jennifer M Gass, Margot A Cousin, Nicole J Boczek, Mario V Mitkov, Mark A Cappel, Clair A Francomano, Joseph E Parisi, Eric W Klee, Eissa Faqeih, Fowzan S Alkuraya, Matthew D Layne, Nazli B McDonnell, Paldeep S Atwal
AEBP1 encodes the aortic carboxypeptidase-like protein (ACLP) that associates with collagens in the extracellular matrix (ECM) and has several roles in development, tissue repair, and fibrosis. ACLP is expressed in bone, the vasculature, and dermal tissues and is involved in fibroblast proliferation and mesenchymal stem cell differentiation into collagen-producing cells. Aebp1-/- mice have abnormal, delayed wound repair correlating with defects in fibroblast proliferation. In this study, we describe four individuals from three unrelated families that presented with a unique constellation of clinical findings including joint laxity, redundant and hyperextensible skin, poor wound healing with abnormal scarring, osteoporosis, and other features reminiscent of Ehlers-Danlos syndrome (EDS)...
April 5, 2018: American Journal of Human Genetics
https://www.readbyqxmd.com/read/29581889/non-traumatic-myelopathy-associated-with-prolonged-hyperextension-during-swimming-an-unusual-variation-of-surfer-s-myelopathy
#15
Edward Green, Umme Sara Zishan, Nicola Robertson, Joseph Papanikitas, Sarah Yanny, Richard Hughes, David McKean
Introduction: Surfer's myelopathy (SM) is a rare cause on non-traumatic acute myelopathy. This has classically been described in novice surfers however has been reported in other scenarios. Case presentation: We present a case of non-traumatic paraparesis associated with prolonged cervical hyperextension during swimming with imaging characteristics consistent with an unusual variation of SM in a swimmer. Discussion: SM and its variants should be considered in the differential diagnosis of any patient presenting with an anterior spinal cord syndrome with a history of either sustained or repeated spinal hyperextension...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29578302/smooth-velvety-hyperextensible-skin-in-a-young-patient
#16
Johanna Kratzsch, Rami Abou Jamra, Mirjana Ziemer, Jan-Christoph Simon, Regina Treudler
No abstract text is available yet for this article.
March 26, 2018: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/29567061/influence-of-stem-length-on-component-flexion-and-posterior-condylar-offset-in-revision-total-knee-arthroplasty
#17
Max Ettinger, Peter Savov, Omar Balubaid, Henning Windhagen, Tilman Calliess
BACKGROUND: Hyperextension of the femoral component and excessive slope of the tibial component may delay the cam-post engagement in semi-constrained revision total knee arthroplasty (TKA). Further, it may compromise the posterior condylar offset (PCO). No prior study has determined whether a short 50-mm stem, or longer stems (100mm and 150mm) lead to less hyperextension of the femoral component or excessive slope and its influence on the posterior condylar offset. METHODS: Flexion/extension of the femoral component with respect to the sagittal femoral anatomic axis of the distal diaphysis (SFAA) and the tibial slope were measured from rotationally controlled lateral X-rays of 126 consecutive patients with a one- or two-stage revision TKA...
March 19, 2018: Knee
https://www.readbyqxmd.com/read/29536137/-mediocarpal-instability-of-the-wrist
#18
REVIEW
A L Sander, K Sommer, K Eichler, I Marzi, J Frank
Typical lesions of the carpal ligaments are mostly found after a fall on the wrist in hyperextension or as complex injuries after severe trauma, e. g. after a fall from a significant height, motorcycle accident or as accompanying lesions in multiple trauma. The typical mechanisms, patterns and diagnostic algorithms are well known for the common ligamentous injuries (e.g. scapholunate, lunotriquetral and perilunate); therefore, consistent diagnostic procedures and adequate therapy are increasingly performed after such lesions, e...
May 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29520887/evaluation-of-a-patient-with-classical-ehlers-danlos-syndrome-due-to-a-9q34-duplication-affecting-col5a1
#19
Yukiko Kuroda, Ikuko Ohashi, Takuya Naruto, Kazumi Ida, Yumi Enomoto, Toshiyuki Saito, Jun-Ichi Nagai, Kenji Kurosawa
Ehlers-Danlos syndrome classical type is a connective tissue disorder characterized by skin hyperextensibility, atrophic scarring, and joint hypermobility. The condition typically results from mutations in COL5A1 or COL5A2 leading to the functional haploinsufficiency. Here, we report of a 24-year-old male with mild intellectual disability, dysmorphic features, and a phenotype consistent with Ehlers-Danlos syndrome classical type. A copy number variant-calling algorithm from panel sequencing data identified the deletions exons 2-11 and duplications of exons 12-67 within COL5A1...
March 9, 2018: Congenital Anomalies
https://www.readbyqxmd.com/read/29507951/restoration-of-full-shoulder-range-of-motion-after-application-of-the-fascial-distortion-model
#20
Joshua D Boucher, Jose Figueroa
Decreased active and passive range of motion (ROM) accompanied by pain in the shoulder is a common presentation for patients with frozen shoulder, and it can be difficult to restore normal function. Through the fascial distortion model, physicians can apply a manual technique to rapidly and effectively increase ROM and decrease pain. A 28-year-old man presented 18 months after sustaining a shoulder hyperextension injury. On active and passive ROM examination, he had approximately 90° of shoulder abduction and moderately reduced internal rotation associated with 8/10 pain...
May 1, 2018: Journal of the American Osteopathic Association
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