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Shoulder elbow knee hip orthopaedic

Kevin J DiSilvestro, Adam J Santoro, Fotios P Tjoumakaris, Eric A Levicoff, Kevin B Freedman
BACKGROUND: Patients often ask their doctors when they can safely return to driving after orthopaedic injuries and procedures, but the data regarding this topic are diverse and sometimes conflicting. Some studies provide observer-reported outcome measures, such as brake response time or simulators, to estimate when patients can safely resume driving after surgery, and patient survey data describing when patients report a return to driving, but they do not all agree. We performed a systematic review and quality appraisal for available data regarding when patients are safe to resume driving after common orthopaedic surgeries and injuries affecting the ability to drive...
December 2016: Clinical Orthopaedics and related Research
Ilse Degreef
Background The elbow joint is a complex compound articulation, with a linking role within the upper limb kinematics. Its hinge function allows for proper placement of our working instrument (the hand) in the space surrounding us, directed by the shoulder joint. Both reliable mobility and stability are essential elements to allow for consistent bridging of the distance we aim to achieve in common daily activities. Sufficient flexion and extension are required to ensure both the patients' independence and the dignity...
April 2016: Acta Chirurgica Belgica
Christopher J Centeno, Hasan Al-Sayegh, Michael D Freeman, Jay Smith, William D Murrell, Rostyslav Bubnov
INTRODUCTION: The purpose of the present investigation is to report on detailed complications among a much larger group of 2372 orthopaedic patients treated with stem cell injections who were followed in a treatment registry for up to nine years. METHODS: All patients underwent an MSC-based, percutaneous injection treatment of an orthopaedic condition between December 2005 and September 2014 at one of 18 clinical facilities. Treated areas of the body included the knee, hip, ankle/foot, hand/wrist, elbow, shoulder, and spine...
August 2016: International Orthopaedics
Joseph A Gil, Gregory R Waryasz, Brett D Owens, Alan H Daniels
PURPOSE: To examine orthopaedic surgery case logs for arthroscopy case volume during residency training and to evaluate trends in case volume and variability over time. METHODS: Publicly available Accreditation Council for Graduate Medical Education surgical case logs from 2007 to 2013 for orthopaedic surgery residency were assessed for variability and case volume trends in shoulder, elbow, wrist, hip, knee, and ankle arthroscopy. The national average number of procedures performed in each arthroscopy category reported was directly compared from 2009 to 2013...
May 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
K P M van Galen, K Meijer, H C Vogely, J Eikenboom, R E G Schutgens, M H Cnossen, K Fijnvandraat, J G van der Bom, B A P Laros-van Gorkom, F W G Leebeek, E P Mauser-Bunschoten
BACKGROUND: Joint bleeds are reported by 23% of von Willebrand disease (VWD) patients and associated with orthopaedic surgery. Limited data are available on joint surgery in VWD. AIM: To assess the prevalence, indications, management and complications of joint surgery in VWD patients. METHODS: 804 VWD patients with historically lowest von Willebrand factor (VWF) activity ≤30 U dL(-1) completed a questionnaire on joint bleeds, joint damage and orthopaedic surgery...
November 9, 2015: Haemophilia: the Official Journal of the World Federation of Hemophilia
Ibraheim El-Daly, Hajir Ibraheim, Karthig Rajakulendran, Paul Culpan, Peter Bates
BACKGROUND: Patient-reported outcome measures (PROMs) are commonly used by healthcare providers as means of assessing health-related quality of life and function at any given time. The complexity of PROMs can differ and when combined with varying degrees of adult literacy, error can be introduced if patients fail to understand questions. With an average adult literacy level of 11-year-old students in the United Kingdom, it is unclear to what degree PROMs can be read and understood by most patients (readability); to our knowledge, this has not been evaluated...
January 2016: Clinical Orthopaedics and related Research
K Ayadi, M Trigui, A Abid, A Cheniour, M Zribi, H Keskes
INTRODUCTION: Arthrogryposis is a condition existing at birth, seen in different diseases that have in common the existence of multiple joint stiffness. The clinical presentation is diversified and the functional prognosis depends on the etiology, which makes therapeutic options different from one case to another. The objective of this study was to describe clinical manifestations observed in arthrogrypotic patients and show the different therapeutic methods and functional results. METHODS: This was a retrospective study over a period of 12 years from 2000 to 2012, based on clinical examinations of 23 patients with arthrogryposis...
August 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Anthony V Perruccio, Rajiv Gandhi, Y Raja Rampersaud
BACKGROUND: Health status is an important predictor of patient outcomes. Consequently, identifying patient predictors of health status is essential. In musculoskeletal orthopaedic care, the majority of work examining the association between patient characteristics and health status has been undertaken among hip/knee cohorts. We investigate these associations comparing findings across four musculoskeletal cohorts (hip/knee; foot/ankle; neck/back; elbow/shoulder). METHODS: Patients seeking elective musculoskeletal orthopaedic care were recruited prior to consultation...
2013: BMC Musculoskeletal Disorders
C Geary, G E O'Donnell, E Jones, D FitzPatrick, C Birkinshaw
This investigation presents the design and preliminary validation of a single station simulator with biaxial motion and loading designed to mimic the kinematics of the glenohumeral joint during arm abduction in the scapular plane. Although the design of the glenoid holder allows the glenoid component to translate in all three axes, it is primarily loaded axially, which brings it into contact with the oscillating humeral head, but is also loaded superiorly to simulate common subluxation of the humeral head. Simulating arm abduction in the scapular plane simplifies component alignment and removes the need for anterior-posterior loading, thereby creating a stable joint without the need to simulate capsular constraints...
November 2010: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
Moon Seok Park, Sung Ju Kim, Chin Youb Chung, In Ho Choi, Sang Hyeong Lee, Kyoung Min Lee
BACKGROUND: Statistical independence means that one observation is not affected by another; however, the principle of statistical independence is violated if left and right-side measures within a subject are considered to be independent, because they are usually correlated and can affect each other. The purpose of the present study was to analyze the violation of statistical independence in recent orthopaedic research papers and to demonstrate the effect of statistical analysis that considered the data dependency within a subject...
July 21, 2010: Journal of Bone and Joint Surgery. American Volume
Kai Kisielinski, Dirk Bremer, Anders Knutsen, Peter Röttger, Josef G Fitzek
OBJECTIVES: In the literature, radiosynoviorthesis (RSO) has been associated only with a small number of complications. There is a trend towards increasing the use of RSO in diverse indications. After repeatedly observing several complications following RSO, a retrospective evaluation was undertaken to estimate the safety of this method. METHODS: Between 1995-2007, we evaluated the outcome of RSO in 93 patients (143 knees, seven hips, seven shoulders, three elbows, one ankle) who presented to our orthopaedic department after joint treatment with yttrium-90((90)Y) or Rhenium-186((186)Re) colloid in an external nuclear medicine institution...
May 2010: Joint, Bone, Spine: Revue du Rhumatisme
Yuji Hirano, Toshihisa Kojima, Yasuhide Kanayama, Tomone Shioura, Masatoshi Hayashi, Daihei Kida, Atsushi Kaneko, Yoshito Eto, Naoki Ishiguro
The aim of this study is to investigate the influences of the anti-tumour necrosis factor (TNF) agents infliximab and etanercept on the postoperative recovery of patients with rheumatoid arthritis (RA). We also investigated the effects of biologics on wound healing. Patients with RA were split into a TNF group (n = 39) that underwent 39 operations and were treated with anti-TNF agents, and a non-TNF group (n = 74) that underwent 74 operations and were treated only with conventional disease-modifying antirheumatic drugs...
May 2010: Clinical Rheumatology
Patrick N Siparsky, Mininder S Kocher
Arthroscopy continues to grow as a treatment modality for pediatric and adolescent orthopaedic pathologies. In recent years arthroscopic procedures previously reserved for adult patients have become more frequently used in the treatment of younger individuals. Advancements in arthroscopic instrumentation including smaller arthroscopes and tools have made the constraint of smaller joint spaces in the pediatric and adolescent populations less of a limiting factor when addressing surgical options for care. This is valuable considering the consistent increase in pediatric sports- and activity-related injuries, of which many are treatable arthroscopically...
December 2009: Arthroscopy: the Journal of Arthroscopic & related Surgery
Helen M Horstmann, Harish Hosalkar, Mary Ann Keenan
AIMS: Orthopaedic care of adults with cerebral palsy (CP) has not been well documented in orthopaedic literature. This paper focuses on some of the common problems which present themselves when adults with CP seek orthopaedic intervention. In particular, we review the most common orthopaedic issues which present to the Penn Neuro-Orthopaedics Program. METHOD: A formal review of consecutive surgeries performed by the senior author on adults with CP was previously conducted...
October 2009: Developmental Medicine and Child Neurology
Benjamin Risner, John Nyland, Charles H Crawford, Charles Crawford, Craig S Roberts, John R Johnson
BACKGROUND: The Orthopaedic In-Training Examination (OITE) provides an objective way for both the residency program and the resident to monitor progress. METHODS: This longitudinal descriptive study tracks the OITE performance of 16 residents from one orthopaedic surgery residency program over nine years (1997-2005). Domain comparisons are made to national averages (N > 3000) by mean difference and split middle celeration line assessment trend analysis to evaluate program strengths and weaknesses...
August 2008: Southern Medical Journal
D Jahoda, O Nyc, J Simsa, E Kucera, P Hanek, P Chrz, D Pokorný, N Tawa, I Landor, A Sosna
PURPOSE OF THE STUDY: To design a prophylactic strategy for late hematogenous infection is not an easy task. It requires the assessment of risk factors for the patient as well as of a potential source of bacteremia. Cost effectiveness, efficacy of the antibiotic selected and complications associated with antibiotic treatment, such as allergic reactions and development of resistance to the antibiotic given, should also be considered. The aim of this retrospective study is to evaluate the occurrence of late hematogenous infection in our large group of patients, to analyze risk factors and to suggest an optimal system of antibiotic prophylaxis in order to prevent the development of this unwelcome complication...
December 2007: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
M C Kapetanovic, E Lindqvist, T Saxne, K Eberhardt
OBJECTIVE: To study the prevalence of orthopaedic surgery and to evaluate possible predictive factors for large joint replacements in patients with early rheumatoid arthritis (RA). PATIENTS AND METHODS: A cohort of 183 patients (116 (63.4%) female) with early RA was monitored for 16-20 years after recruitment during 1985-9. Mean (SD) age of patients 51.4 (12.4) years; mean (SD) duration of symptoms before inclusion 12 (7) months and mean (SD) duration of follow-up 16 (4) years...
October 2008: Annals of the Rheumatic Diseases
M Dauty, J Letenneur
OBJECTIVE: To recommand sports activities after joint arthroplasty from the literature analysis, the French surgeon's opinion and wish patients. METHOD: From the Medline data base interrogation according to keywords: Sports, Arthroplasty, Athletics, Physical training, two different readers, an orthopedic surgeon and a Physical Medicine and Rehabilitation physician selected articles in French or English language according to the level of proofs of the french classification of the Accreditation and Health Evaluation National Agency (Anaes)...
December 2007: Annales de Réadaptation et de Médecine Physique
D Jahoda, J Simsa, O Nyc, D Pokorný, I Landor, N Tawa, A Sosna
INTRODUCTION: Late hematogenic infections of joint replacements represent a serious complication. The aim of the study is to assess a patient group with late hematgenic infections of allografts and to propose preventive measures. METHODS: The restrospective study included patients treated for infectious complications of their joint implants in the 1st Orthopaedic Clinic of the 1st LF UK and FN Motol during the 1991-2004 period. The study included 229 patients in total, of which 149 subjects were females and 80 were males...
November 2006: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Mark Lafave, Larry Katz, Dale Butterwick
INTRODUCTION: Content validation of an instrument that measures student performance in OSCE-type practical examinations is a critical step in a tool's overall validity and reliability [Hopkins (1998), Educational and Psychological Measurement and Evaluation (8th ed.). Toronto: Allyn & Bacon]. PURPOSE: The purpose of the paper is to outline the process employed to create a content-valid Standardized Orthopedic Assessment Tool (SOAT). Orthopedic assessment skills are employed by athletic therapists, physiotherapists and physicians...
November 2008: Advances in Health Sciences Education: Theory and Practice
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