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Outpatient joint

David W Lee, Christopher Huston
BACKGROUND: There is a paucity of literature studying therapeutic intraarticular zygapophyseal (commonly referred to as facet) joint injections in the atraumatic patient population. As a result of this, intraarticular injections have been dismissed as a possible treatment for cervical zygapophyseal joint-mediated pain. Radiofrequency neurotomy (RFN) is currently the accepted treatment for facet joint neck pain. OBJECTIVE: This prospective observational study investigated injection response in an atraumatic population to determine treatment viability and whether injections reduce the need for RFN in neck pain patients...
November 2018: Pain Physician
O Hibberd, P Bhomra, A Ahmad
Behçet's disease is a chronic, relapsing, systemic inflammatory disease affecting the orogenital mucosa, eyes, joints, blood vessels, nervous system and intestines. The prevalence of neurological involvement varies geographically and can include psychiatric manifestations. Current evidence for a causal association between Behçet's disease and bipolar disorder is limited to a small number of case reports. We report a case of a patient with a recent diagnosis of bipolar disorder who was subsequently diagnosed with Behçet's disease...
December 2018: Journal of the Royal College of Physicians of Edinburgh
Norio Goto, Ken Okazaki, Takenori Akiyama, Yukio Akasaki, Hideki Mizu-Uchi, Satoshi Hamai, Shunsuke Nakamura, Yasuharu Nakashima
PURPOSE: Varus alignment is known as one of the major causes of medial compartment osteoarthritis (OA). Medial meniscus extrusion also plays a critical role in the in the development of OA. However, studies on the exact relationship between alignment parameters and medial meniscus extrusion are limited. Therefore, this study aimed to investigate this relationship in patients with knee OA. METHODS: Based on a retrospective analysis of the outpatient magnetic resonance imaging (MRI) database, 190 knees were identified to be examined using weight-bearing, whole-leg radiographs and MRIs within 3 months from the first consultation...
November 19, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Richard F Pollock, Gorden Muduma
INTRODUCTION: The incidence of inflammatory bowel disease (IBD) in Denmark is among the highest in the world, with Crohn's disease and ulcerative colitis occurring at rates of 9.1 and 18.6 per 100,000 person-years respectively in 2010-2013. Anemia is the most prevalent extraintestinal complication of IBD, most commonly caused by iron deficiency. In treating IBD-associated iron deficiency anemia (IDA), intravenous iron is more effective and better tolerated and shows a faster response than oral iron...
November 19, 2018: Advances in Therapy
Vicente Vanaclocha-Vanaclocha, Juan Manuel Herrera, Nieves Sáiz-Sapena, Marlon Rivera-Paz, Francisco Verdú-López
PURPOSE: Effective treatment of medical conditions relies on proper diagnosis. Clinical trials show the safety and effectiveness of sacroiliac joint (SIJ) fusion in patients with chronic SI joint dysfunction. To what extent is the condition under recognised? OBJECTIVE: To determine whether under recognition of SIJ pain affects healthcare trajectories in Spanish patients with low back pain. METHODS: Retrospective study of characteristics and consequences of 189 patients with persistent SIJ pain seen in an outpatient neurosurgery clinic...
November 19, 2018: British Journal of Neurosurgery
R Meneghini, Wilford Gibson, David Halsey, Douglas Padgett, Keith Berend, Craig J Della Valle
No abstract text is available yet for this article.
December 2018: Journal of Arthroplasty
Narissa Andrew, Katherine A Barraclough, Karrie Long, Timothy N Fazio, Steve Holt, Kudzai Kanhutu, Peter D Hughes
Royal Melbourne Hospital (RMH) performs over 140 kidney transplant operations annually. Kidney transplant recipients require regular medical review, which results in loss of time and costs from travel, particularly for regional patients, and places high demand on the hospital outpatient service. The RMH renal transplant unit initiated a telehealth service in 2016 to provide cost effective, patient-centred clinical care for regional patients. To date, 263 clinical reviews have been conducted via telehealth, potentially saving 203,202 kilometres in travel distance; 2771 hours in car travel time; an estimated AUD $31,048 in petrol savings and 51 tonnes CO2 equivalents of greenhouse gas emissions...
November 17, 2018: Journal of Telemedicine and Telecare
Deniz Akar, Cenk Köroğlu, Serkan Erkus, Ali Turgut, Önder Kalenderer
Introduction Distal radius fractures are the most frequent fractures seen in pediatric population and usually treated with closed reduction and casting. However, there is a risk of reduction loss and/or angulations in distal radial metaphyseal fractures. The purpose of this study is to evaluate the radiological and functional results of pediatric patients with distal radius metaphyseal fractures in which excessive displacement and/or angulations were accepted and to question upper acceptable limits in light of current literature...
September 5, 2018: Curēus
Zoé Cavalli, Agathe Becker, Alexie Bosch, Anne Conrad, Claire Triffault-Filit, Florent Valour, Frederic Laurent, Sabine Cohen, Christian Chidiac, Tristan Ferry
We reviewed all outpatients with bone and joint infection treated with cefoxitin in continuous intravenous infusion using mobile elastomeric infusors in our regional reference center between 2014 and 2017. The stability of cefoxitin provides an interesting and well-tolerated alternative for continuous infusion in outpatients with polymicrobial bone and joint infection.
2018: Journal of Bone and Joint Infection
Erin K Buysman, Rachel Halpern, David W Polly
Purpose: To assess real-world expenditures on surgical and non-surgical treatment for sacroiliac joint (SIJ) pain by comparing direct health care costs before and after surgery in patients who underwent an SIJ fusion (SIJF) procedure. Materials and methods: This retrospective observational study examined administrative claims data (January 1, 2010 to February 28, 2017) for adult commercial health plan members with a medical claim for SIJF. Identified patients were included if they had continuous enrollment in the health plan for 12 months pre-SIJF (baseline period) and 12 months post-SIJF (follow-up period)...
2018: ClinicoEconomics and Outcomes Research: CEOR
K Rizza, G Mathis
BACKGROUND: Due to the demographic development the need for palliative care in the outpatient setting will increase and challenge general practitioners and community nurses. AIM: This study investigated the state of outpatient palliative care in Vorarlberg, Austria from the perspective of outpatient community nurses. The key points of the survey covered the burden of symptoms suffered by palliative patients. Another key focus was the cooperation and communication between community nurses and general practitioners...
November 6, 2018: Zeitschrift Für Gerontologie und Geriatrie
Rubén Queiro, Andrés Lorenzo, Patricia Tejón, Estefanía Pardo, Pablo Coto, Javier Ballina
BACKGROUND AND AIMS: Patients with psoriatic arthritis (PsA) have high prevalence of cardiovascular risk factors (CVRF), and they also show higher rates of cardiovascular disease (CVD). We aimed to corroborate these findings and identify factors associated with these events in our clinical setting. METHODS: This cross-sectional study included 340 consecutive patients seen in a tertiary care hospital. The prevalence of CVRF was compared to that of 600 outpatients without inflammatory conditions...
November 5, 2018: International Journal of Rheumatic Diseases
M Fuchs, B Effenberger, S Märdian, A Berner, S Kirschbaum, M Pumberger, C Perka, P VON Roth
PURPOSE OF THE STUDY There is limited evidence on survival and complication rates in patients after total knee arthroplasty for posttraumatic osteoarthritis. The failure mechanisms leading to revision remain an issue of constant debate. The purpose of this study was to analyze the mid-term survival of primary total knee arthroplasties as well as to evaluate complications and failure mechanisms in patients with posttraumatic knee osteoarthritis. MATERIAL AND METHODS This retrospective study included 79 patients with an average age of 59 years at the time of primary total knee arthroplasty...
2018: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
S Ebert-Fillmer, U T Bloos, S El Masri, R Stangl
OBJECTIVE: Is transfer of the latissimus dorsi muscle (LDT) a good option in older patients with irreparable posterosuperior rotator cuff tears? MATERIAL AND METHOD: In 2010-2016 a total of 25 patients without glenohumeral arthritis and non-reconstructable supraspinatus and infraspinatus tendons, a recentered glenohumeral joint with remaining function in anteversion and irreparable posterosuperior rotator cuff defects were treated using LDT at the Rummelsberg Hospital...
October 31, 2018: Der Unfallchirurg
Aaron Legler, Megan Price, Megha Parikh, Jonathan R Nebeker, Merry C Ward, Linda Wedemeyer, Steven D Pizer
PURPOSE: To examine associations between patient perceptions that their provider was knowledgeable of their medical history and clinicians' early adoption of an application that presents providers with an integrated longitudinal view of a patient's electronic health records (EHR) from multiple healthcare systems. METHOD: This retrospective analysis utilizes provider audit logs from the Veterans Health Administration Joint Legacy Viewer (JLV) and patient responses to the Survey of Patient Healthcare Experiences Patient-Centered Medical Home (SHEP/PCMH) patient satisfaction survey (FY2016) to assess the relationship between the primary care provider being an early adopter of JLV and patient perception of the provider's knowledge of their medical history...
October 18, 2018: Journal of General Internal Medicine
Samuel O Ewalefo, Malcolm Dombrowski, Takashi Hirase, Jorge L Rocha, Mitchell Weaver, Alex Kline, Dwayne Carney, MaCalus V Hogan
PURPOSE OF REVIEW: Trauma is the principle cause of osteoarthritis in the ankle, which is associated with significant morbidity. This review highlights the current literature for the purpose of bringing the reader up-to-date on the management of posttraumatic ankle arthritis, describing treatment efficacy, indications, contraindications, and complications. RECENT FINDINGS: Recent studies on osteoarthritis have demonstrated variability among anatomic locations regarding the mechanisms and rates of development for posttraumatic osteoarthritis, which are attributed to newly discovered biological differences intrinsic to each joint...
December 2018: Current Reviews in Musculoskeletal Medicine
Masatoshi Morimoto, Kosaku Higashino, Hiroaki Manabe, Fumitake Tezuka, Kazuta Yamashita, Yoichiro Takata, Shoichiro Takao, Toshinori Sakai, Takashi Chikawa, Akihiro Nagamachi, Koichi Sairyo
BACKGROUND: Despite facet joints being three-dimensional structures, previous computed tomography and magnetic resonance imaging studies have evaluated facet joint orientation in only the axial plane. Facet joint orientation in the sagittal plane has rarely been studied using these imaging techniques. The aim of this study was to elucidate facet joint orientation in both the axial and sagittal planes on computed tomography. METHODS: A total of 568 patients (343 men, 225 women) (excluding orthopedic outpatients) for whom abdominal and pelvic computed tomography scans were obtained at our hospital between September 2010 and October 2012 were included...
October 11, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Alexandros P Apostolopoulos, R K Yallapragada, I Katsougrakis, S Khan, G Tselentakis
The frequency of anterior cruciate ligament (ACL) reconstruction performed worldwide has been significantly increasing per year. Despite the common nature of the procedure, controversy remains regarding the natural history of ACL injuries, surgical technique, graft choice, and long-term outcomes. We present a case report of a 33-year-old male who had a history of an ACL reconstruction that was performed 12 years ago using bone patella tendon bone (BPTB) graft, by using a press-fit femoral technique. He was referred to our outpatient department due to a re-rupture of his ACL following a football injury...
2018: Journal of Long-term Effects of Medical Implants
Louis McCusky Gendron, Andre Nyberg, Didier Saey, François Maltais, Yves Lacasse
BACKGROUND: Active mind-body movement therapies (AMBMTs), including but not limited to yoga, tai chi, and qigong, have been applied as exercise modalities for people with chronic obstructive pulmonary disease (COPD). AMBMT strategies have been found to be more effective than usual care; however, whether AMBMT is inferior, equivalent, or superior to pulmonary rehabilitation (PR) in people with COPD remains to be determined. OBJECTIVES: To assess the effects of AMBMTs compared with, or in addition to, PR in the management of COPD...
October 10, 2018: Cochrane Database of Systematic Reviews
Eirik Ikdahl, Silvia Rollefstad, Grunde Wibetoe, Anne Salberg, Frode Krøll, Kjetil Bergsmark, Tore K Kvien, Inge C Olsen, Dag Magnar Soldal, Gunnstein Bakland, Åse Lexberg, Clara G Gjesdal, Christian Gulseth, Glenn Haugeberg, Anne Grete Semb
Objective: The European League Against Rheumatism recommends implementing cardiovascular disease (CVD) risk assessments for patients with inflammatory joint diseases (IJDs) into clinical practice. Our goal was to design a structured programme for CVD risk assessments to be implemented into routine rheumatology outpatient clinic visits. Methods: The NOrwegian Collaboration on Atherosclerosis in patients with Rheumatic joint diseases (NOCAR) started in April 2014 as a quality assurance project including 11 Norwegian rheumatology clinics...
2018: RMD Open
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