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https://www.readbyqxmd.com/read/30317000/effectiveness-of-splinting-for-pain-and-function-in-people-with-thumb-carpometacarpal-osteoarthritis-a-systematic-review-with-meta-analysis
#1
REVIEW
Miranda Buhler, Cathy M Chapple, Simon Stebbings, Bahram Sangelaji, G David Baxter
OBJECTIVE: To examine the effectiveness of splinting for reducing pain and improving function and health-related quality of life (HR-QoL) in people with thumb carpometacarpal osteoarthritis (CMC OA). DESIGN: The Cochrane Library, MEDLINE, Embase, CINAHL, ISI Web of Science, Scopus and Google Scholar, 3 trial registries and 4 conference proceedings were systematically searched for randomised and non-randomised controlled trials up to March 17th , 2018. Two reviewers independently applied the inclusion criteria to select potential studies and assess risk of methodologic bias using the Cochrane Collaboration's Risk of Bias Tool...
October 11, 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/30316958/predicting-outcome-after-hand-orthosis-and-hand-therapy-for-thumb-carpometacarpal-osteoarthritis-a-prospective-study
#2
Jonathan Tsehaie, Kim R Spekreijse, Robbert M Wouters, Reinier Feitz, Steven Hovius, Harm Slijper, Ruud W Selles
OBJECTIVE: 1 to identify predictive factors for outcome after splinting and hand therapy for CMC OA and to identify predictive factors for conversion to surgical treatment, and 2) to determine how many patients that have not improved in outcome within six weeks after start of treatment will eventually improve after three months. DESIGN: Observational prospective multi-center cohort study. SETTING: & participants: Between 2011 and 2014, 809 patients with CMC OA received splinting and weekly hand therapy for three months...
October 11, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/30314935/does-clinical-exam-and-ultrasound-compare-with-mri-findings-when-assessing-tendon-approximation-in-acute-achilles-tendon-tears-a-clinical-study
#3
Justin J Ernat, John D Johnson, Claude D Anderson, Paul M Ryan, Duke G Yim
The purpose of this study was to determine if clinical palpation and ultrasound determination of apposition compares with magnetic resonance imaging (MRI) findings in patients with an acute Achilles tendon rupture. A review of 18 consecutive patients presenting with an acute Achilles tendon tear was performed. All tears were diagnosed by clinical exam and confirmed by ultrasound. Ankles were then plantarflexed to a point where tendon apposition was achieved as determined by palpation and ultrasound. Dorsally based equinus splints were applied, and approximation was reconfirmed by palpation and ultrasound...
October 9, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30313086/a-morel-lavall%C3%A3-e-lesion-of-the-proximal-calf-in-a-young-trauma-patient-a-case-report
#4
Woo Jong Kim, Hong Seop Lee, Sung Hun Won, Yong Cheol Hong, Dhong Won Lee, Ji-Hye Lee, Chang Hyun Kim
RATIONALE: The Morel-Lavallée lesion (MLL) is a closed degloving injury developing when shear force acts between the muscle fascia and the subcutaneous layer. MLLs develop principally in the trochanteric area or the pelvis; lesions in the proximal calf are rare. Acute lesions can be treated conservatively, but chronic lesions are best treated surgically because of a high rate of recurrence. To the best of our knowledge, this is a rare case of successful treatment of an MLL in the proximal calf associated with tibio-fibular shaft fracture...
October 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30312970/laser-assisted-fluorescent-angiography-to-assess-tissue-perfusion-in-the-setting-of-traumatic-elbow-dislocation
#5
Matthews J Dietz, Joseph T Hare, Cristiane Ueno, Bonhomme J Prud'homme, Jonathan W Boyd
INTRODUCTION: In the surgical setting, the most accepted technique for measuring tissue perfusion includes subjective identification, with visual and tactile inspections of the tissue, performed by a surgeon. Recently, fields such as ophthalmology, plastic surgery, and other surgical specialties, such as cardiac, vascular, and transplant surgery, have seen the emergence of laser-assisted fluorescent angiography (LAFA) to visualize real-time tissue perfusion during procedures. CASE REPORT: The case of an 80-year-old woman, who presented with a wound over the left medial elbow following a subacute recurrent elbow dislocation, illustrates the use of this technology in the field of orthopedics...
October 2018: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/30311941/peri-implant-soft-tissue-status-and-crestal-bone-levels-around-adjacent-implants-placed-in-cigarette-smokers-and-never-smokers-5-years-follow-up-results
#6
Aws S ArRejaie, Khulud Abdulrahman Al-Aali, Mohammed Alrabiah, Sameer A Mokeem, Fahim Vohra, Tariq Abduljabbar
BACKGROUND: It is hypothesized that peri-implant soft tissue inflammation and crestal bone loss (CBL) are higher around adjacent implants placed in cigarette-smokers compared with never-smokers. The aim of the present 5 years' follow-up retrospective clinical study was to compare the peri-implant soft tissue status and crestal bone loss (CBL) around adjacent implants placed in cigarette-smokers and never-smokers. METHODS: Cigarette-smokers (Group-1) and never-smokers (Group-2) with adjacent dental implants were included...
October 12, 2018: Journal of Periodontology
https://www.readbyqxmd.com/read/30309823/emergency-medical-services-and-remote-medical-oversight-in-sequoia-and-kings-canyon-national-parks-2011-2013
#7
Megann Young, Thomas Kim, Eli Lessard, Danielle Campagne, Susanne Spano, Leyla Farshidpour, Geoff Stroh
INTRODUCTION: The University of California San Francisco Fresno Department of Emergency Medicine provides base hospital support for the Sequoia and Kings Canyon National Parks (SEKI) emergency medical services (EMS) system. This descriptive epidemiologic study reports reasons the park EMS system is used and interventions provided, detailing the nature of patient encounters, type and frequency of injuries and interventions, reasons for base hospital contact, and patient dispositions. METHODS: Patient charts for all EMS encounters in SEKI from 2011 to 2013 were included, and relevant data were extracted by a single reviewer...
October 8, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/30304153/side-effects-of-mandibular-advancement-splints-for-the-treatment-of-snoring-and-obstructive-sleep-apnea-a-systematic-review
#8
Olivia de Freitas Mendes Martins, Cauby Maia Chaves Junior, Rowdley Robert Pereira Rossi, Paulo Afonso Cunali, Cibele Dal-Fabbro, Lia Bittencourt
INTRODUCTION: Occlusal side effects or development of pain and/or functional impairment of the temporomandibular complex are potential reasons for poor compliance or abandonment of mandibular advancement splints treatment for snoring and obstructive sleep apnea. OBJECTIVE: This study aimed at providing a comprehensive review evaluating the craniofacial side effects of oral appliance therapy for snoring and obstructive sleep apnea. METHODS: An electronic search was systematically conducted in PubMed and Virtual Health Library from their inception until October 2016...
August 1, 2018: Dental Press Journal of Orthodontics
https://www.readbyqxmd.com/read/30304070/periodontal-regeneration-and-orthodontic-treatment-of-severely-periodontally-compromised-teeth-10-year-results-of-a-prospective-study
#9
Mario Roccuzzo, Sissi Marchese, Paola Dalmasso, Andrea Roccuzzo
The aim of this study was to investigate the long-term clinical conditions of periodontally compromised teeth treated by means of orthodontics after periodontal regeneration (GTR). Forty-eight patients affected by severe periodontitis who presented at least one nonmolar, malpositioned tooth with a pocket depth (PD) ≥ 7 mm, were consecutively enrolled in a private specialist practice. The treatment consisted of the following steps: infection control, provisional splinting, GTR, orthodontic treatment, final splinting, and supportive periodontal therapy (SPT)...
November 2018: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/30303052/three-dimensional-printed-degradable-splint-in-the-treatment-of-pulmonary-artery-sling-associated-with-severe-bilateral-bronchus-stenosis
#10
Yuehu Han, Qiang Yin, Yuan Wang, Hongliang Zhao, Jiankang He, Chunhu Gu
Pulmonary artery sling is a congenital cardiovascular disease and is usually accompanied by tracheobronchial stenosis. Generally, infants diagnosed with pulmonary artery sling should have surgery. However, the treatment of tracheobronchial stenosis is still controversial. Our team developed a customised, degradable, three-dimensional printed splint and successfully applied it in the treatment of pulmonary artery sling associated with severe bilateral bronchus stenosis. We suggested that three-dimensional printing may be a novel and effective way to treat tracheobronchial stenosis and other diseases in children...
October 10, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/30302497/extensor-hallucis-longus-transfer-for-tibialis-anterior-tendon-rupture-repair
#11
REVIEW
L Fraissler, K Horas, S Bölch, P Raab, M Rudert, M Walcher
OBJECTIVE: Restore the function of the tibialis anterior muscle, which is responsible for dorsiflexion and inversion of the foot. INDICATIONS: Spontaneous or traumatic rupture of the tibialis anterior tendon. CONTRAINDICATIONS: Patients with multimorbidity or lack of functional demands. SURGICAL TECHNIQUE: Direct repair of the tibialis anterior tendon with fiber-wire suture and augmentation with extensor hallucis longus tendon, potentially in combination with reinsertion of the tibialis anterior tendon in the medial cuneiform...
October 9, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30302292/osseointegrated-transcutaneous-device-for-amputees-a-pilot-large-animal-model
#12
Brian T Grisez, Andrew E Hanselman, Karim W Boukhemis, Trapper A J Lalli, Brock A Lindsey
Traditional above-the-knee amputation prosthetics utilize a stump-socket interface that is well-known for skin/socket problems, sitting difficulty, disuse osteopenia, and increased work of ambulation. As a result, we evaluated a novel osseointegrated transcutaneous implant in a large animal. The implant was designed to promote osseointegration at the bone-implant interface and minimize complications. As proof of concept, four Dorset sheep underwent a two-stage surgery for forelimb placement of an osseointegrated transcutaneous implant utilizing Compress® technology (Biomet, Inc...
2018: Advances in Orthopedics
https://www.readbyqxmd.com/read/30300248/an-eco-conscious-alternative-material-for-splinting-in-hand-surgery
#13
Justin C R Wormald, Catherine Millar, Bran Sivakumar
No abstract text is available yet for this article.
October 8, 2018: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/30297554/digital-evaluation-of-the-dimensional-accuracy-of-four-different-implant-impression-techniques
#14
T B Ozcelik, I Ozcan, O Ozan
Aims: The aim of this study was to compare the dimensional accuracy of four different implant impression techniques of a mandibular edentulous model with five parallel implants. Materials and Methods: Five dental implants were placed in an edentulous mandibular model in parallel. A total of forty impressions were obtained using four different impression techniques. In Group 1 (G1) and Group 2 (G2), closed tray impressions with and without plastic caps, respectively, were used...
October 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/30286966/management-of-joint-contractures-in-the-spastic-upper-extremity
#15
REVIEW
Kristi S Wood, Aaron Daluiski
Upper extremity contractures in the spastic patient may result from muscle spasticity, secondary muscle contracture, or joint contracture. Knowledge of the underlying cause is critical in planning successful treatment. Initial management consists of physical therapy and splinting. Botulinum toxin can be helpful, as a therapeutic treatment in relieving spasticity and as a diagnostic tool in determining the underlying cause of the contracture. Surgical management options include release or lengthening of the causative muscle/tendon unit and joint capsular release, as required...
November 2018: Hand Clinics
https://www.readbyqxmd.com/read/30282417/volar-plate-avulsion-fracture-alone-or-concomitant-with-collateral-ligament-rupture-of-the-proximal-interphalangeal-joint-a-comparison-of-surgical-outcomes
#16
Yong Woo Kim, Si Young Roh, Jin Soo Kim, Dong Chul Lee, Kyung Jin Lee
BACKGROUND: Volar plate avulsion fracture of the proximal interphalangeal (PIP) joint is one of the most common hand injuries. In this study, we divided patients into two groups: patients with pure volar plate avulsion fracture, and patients with volar plate avulsion fracture concomitant with collateral ligament rupture. The purpose of this study was to compare long-term surgical outcomes between the two groups. As a secondary measure, the Mitek bone anchoring and polydioxanone (PDS) bone suturing techniques were compared...
September 2018: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/30282088/radiographic-assessment-of-crestal-bone-loss-in-tissue-level-implants-restored-by-platform-matching-compared-with-bone-level-implants-restored-by-platform-switching-a-randomized-controlled-split-mouth-trial-with-3-year-follow-up
#17
Laura Lago, Luis da Silva, Isabel Martinez-Silva, Benito Rilo
PURPOSE: This randomized, controlled, split-mouth trial with 3-year follow-up was carried out to compare radiologic changes of crestal bone level (CBL) between splinted tissue-level implants restored by platform matching and bone-level implants restored by platform switching. MATERIALS AND METHODS: Periapical radiographs were taken to evaluate the peri-implant crestal bone changes at baseline (implant restoration), at 1 year, and at 3 years after the definitive restoration...
October 3, 2018: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/30275308/bypassing-a-8-5-cyclo-2-deoxyadenosine-lesion-by-human-dna-polymerase-%C3%AE-at-atomic-resolution
#18
Peter J Weng, Yang Gao, Mark T Gregory, Pengcheng Wang, Yinsheng Wang, Wei Yang
Oxidatively induced DNA lesions 8,5'-cyclopurine-2'-deoxynucleosides (cdPus) are prevalent and cytotoxic by impeding DNA replication and transcription. Both the 5' R - and 5' S -diastereomers of cdPu can be removed by nucleotide excision repair; however, the 5' S -cdPu is more resistant to repair than the 5' R counterpart. Here, we report the crystal structures of human polymerase (Pol) η bypassing 5' S -8,5'-cyclo-2'-deoxyadenosine (cdA) in insertion and the following two extension steps. The cdA-containing DNA structures vary in response to the protein environment...
October 1, 2018: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/30273986/symptomatic-venous-thromboembolism-after-non-operatively-treated-foot-or-ankle-injury
#19
Robert M Prince, Bart Lubberts, Matteo Buda, Daniel Guss, Christopher W DiGiovanni
The purpose was to assess the incidence and risk factors associated with symptomatic venous thromboembolism in patients undergoing below knee immobilization for non-operative foot or ankle injury. We included all foot and ankle patients between January 2005 and May 2016 who underwent non-operative management using below knee immobilization with cast, splint, brace, and/or boot. The primary outcome was the development of a venous thromboembolism within 90 days of immobilization initiation. Of 6,088 patients, twenty-three (0...
October 1, 2018: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/30269880/the-number-of-implants-required-to-support-a-maxillary-overdenture-a-systematic-review-and-meta-analysis
#20
REVIEW
Fabrizio Di Francesco, Gennaro De Marco, Ugo Antonello Gironi Carnevale, Michele Lanza, Alessandro Lanza
PURPOSE: The number of implants needed to support a maxillary overdenture is still a controversial issue. The aim of this systematic review was to investigate the number of implants required to support a maxillary overdenture in order to obtain optimal treatment outcomes in terms of implant survival, overdenture longevity and patient satisfaction. STUDY SELECTION: Pubmed and EMBASE databes were systematically searched and complemented by hand searching from 2000 to 2017...
September 27, 2018: Journal of Prosthodontic Research
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