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https://www.readbyqxmd.com/read/27904970/reliability-of-magnetic-resonance-imaging-versus-arthroscopy-for-the-diagnosis-and-classification-of-superior-glenoid-labrum-anterior-to-posterior-lesions
#1
Fatih Yıldız, Kerem Bilsel, Anıl Pulatkan, Gökçer Uzer, Ayşe Aralaşmak, Musa Atay
PURPOSE: The physical examination of the shoulder is usually not reliable for the true diagnosis of superior glenoid labrum anterior to posterior (SLAP) lesions. Magnetic resonance imaging (MRI) has been routinely used for the diagnosis. This prospective study investigates the radiological diagnosis of the SLAP lesions and compares accuracy of arthroscopic and MRI classifications. METHODS: One hundred thirty-two patients with positive physical examination signs using O'Brien, Yergason, resistance supination external rotation and Krank tests and MRI findings are included in the study...
November 30, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27878826/a-multifaceted-risk-analysis-of-fathers-self-reported-physical-violence-toward-their-children
#2
Noora Ellonen, Kirsi Peltonen, Tarja Pösö, Staffan Janson
Existing research has shown that child maltreatment is carried out by both mothers and fathers. There is also an extensive body of literature analyzing reasons for mothers' violent behavior. Among fathers, reasons are less well studied, resulting in the lack of a comprehensive picture of paternal child abuse. In this study, 20 child-, parent-, and family-related factors have been included in a combined analysis to assess which of these may pose a risk for fathers' severe violent behavior toward their children...
November 23, 2016: Aggressive Behavior
https://www.readbyqxmd.com/read/27872991/shoulder-manual-muscle-resistance-test-cannot-fully-detect-muscle-weakness
#3
Takayuki Nagatomi, Tatsuo Mae, Teruyoshi Nagafuchi, Shin-Ichi Yamada, Koutatsu Nagai, Minoru Yoneda
PURPOSE: The shoulder manual resistance test is one of the common clinical assessments for patients with muscle weakness. However, there have been no studies investigating the threshold for muscle weakness. The purpose of this study was to clarify the threshold for muscle weakness in the shoulder manual muscle resistance test. METHODS: Fifty-three patients (37.9 ± 20.6 years old) with either rotator cuff tear (21 patients), superior labrum anterior-to-posterior (SLAP) lesion (7 patients), or Bankart lesion (25 patients) of one shoulder were administered three manual muscle resistance tests (abduction strength, external rotation, and belly press tests)...
November 21, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27852328/a-pilot-program-of-knowledge-translation-and-implementation-for-newborn-resuscitation-using-us-peace-corps-volunteers-in-rural-madagascar
#4
Kristin Close, Michele Karel, Michelle White
BACKGROUND: Prevention of adverse perinatal outcome using the Helping Babies Breathe (HBB) neonatal resuscitation algorithm can reduce perinatal mortality in low income settings. Mercy Ships is a non-governmental organisation providing free healthcare education in sub-Saharan Africa and in an attempt to reach more rural areas of Madagascar with our neonatal resuscitation training we designed a novel approach in collaboration with US Peace Corps Volunteers (PCV). PCVs work in rural areas and contribute to locally determined public health initiatives...
November 16, 2016: Globalization and Health
https://www.readbyqxmd.com/read/27836534/the-use-and-out-of-pocket-cost-of-urgent-care-clinics-and-retail-based-clinics-by-adolescents-and-young-adults-compared-with-children
#5
Charlene A Wong, Alexander Bain, Daniel Polsky, Raina M Merchant, Yaa Akosa Antwi, Gail Slap, David Rubin, Carol A Ford
PURPOSE: We describe the use and out-of-pocket cost of urgent care clinics (UCCs) and retail-based clinics (RBCs) as ambulatory care alternatives to physician offices among children, adolescents, and young adults, and examine differences in use by age. METHODS: Cross-sectional analysis describing diagnoses and out-of-pocket costs for 8.9 million UCC, RBC, and physician office encounters by privately insured child (aged <11 years), adolescent (aged 11-18 years), and young adult (aged 19-30 years) beneficiaries in a U...
November 8, 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/27829728/mr-arthrography-evaluation-in-patients-with-traumatic-anterior-shoulder-instability
#6
Luca Saba, Massimo De Filippo
INTRODUCTION: To evaluate retrospectively the diagnostic accuracy of MR arthrography, compared with arthroscopy, in research of the glenoid labrum tear in patients with a first episode of traumatic anterior shoulder instability (TUBS). MATERIAL AND METHODS: We retrospectively reviewed the MR arthrography shoulder images of 118 patients with a first episode of TUBS, between June 2014 and May 2016. RESULTS: The overall accuracy of MR arthrography compared with arthroscopy of the glenoid labrum lesions was 94%, sensitivity 93%, and specificity 96%...
March 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27826700/a-systematic-review-and-meta-analysis-of-diagnostic-test-of-mra-versus-mri-for-detection-superior-labrum-anterior-to-posterior-lesions-type-ii-vii
#7
REVIEW
Alisara Arirachakaran, Manusak Boonard, Kornkit Chaijenkij, Kwanchai Pituckanotai, Akom Prommahachai, Jatupon Kongtharvonskul
OBJECTIVE: To determine the diagnostic performance of magnetic resonance arthrography (MRA) and magnetic resonance imaging (MRI) in superior labrum anterior to posterior lesions (type II-VII) of the shoulder. MATERIAL AND METHODS: PubMed and Scopus search engines, an electronic search of articles was performed from inception to February 19, 2016. Diagnostic performance of index tests was compared by the summary area under receiver operator characteristic curve (AUROC)...
November 8, 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27810732/tailored-poly-ethylene-glycol-dimethacrylate-based-shape-memory-polymer-for-orthopedic-applications
#8
G Jerald Maria Antony, Chethan S Jarali, S T Aruna, S Raja
Shape-memory polymers (SMPs) are stimuli-responsive materials known for their outstanding ability to be actuated from temporary shape into original shape. Because of this unique functionality SMPs are promising materials for diverse technological applications including smart biomedical devices. In this article, the work has been focused towards tailoring the SMP precursor and crosslinker wt% to obtain biocompatible acrylate based shape memory polymer with glass transition temperature (Tg) close to human body temperature...
October 19, 2016: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/27793805/superior-labrum-anterior-posterior-tears-in-the-national-football-league
#9
Caitlin C Chambers, T Sean Lynch, Daniel B Gibbs, Jason H Ghodasra, Shawn Sahota, Kristina Franke, Christina D Mack, Gordon W Nuber
BACKGROUND: Shoulder disorders are common in football players, with up to 50% of National Football League (NFL) recruits reporting a history of shoulder injuries. Superior labrum anterior-posterior (SLAP) tears are an entity with well-described detrimental effects on return to play in overhead-throwing athletes but with minimal data in contact athletes. PURPOSE: To identify the incidence, predisposing factors, and effect of SLAP tears in NFL athletes and prospects as well as the treatment patterns of NFL team physicians...
October 28, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27785555/clinical-and-radiologic-outcomes-of-arthroscopic-suture-bridge-repair-for-the-greater-tuberosity-fractures-of-the-proximal-humerus
#10
Jong-Hun Ji, Jae-Jung Jeong, Young-Yul Kim, Se-Won Lee, Do-Yeol Kim, Sang-Eun Park
PURPOSE: To report the clinical and radiological outcomes of arthroscopic suture bridge repair for the GT fractures of the shoulder joint. METHODS: From March 2008 to July 2013, we performed arthroscopic suture bridge repair of the GT fractures displaced more than 5 mm superiorly or posteriorly, but less than 2 cm in 40 cases [20 men, 20 women; mean age, 56 (27-80) years] with the average 32 (24-48) months follow-up. At the final follow-up, clinical (ASES, UCLA, SST, KSS score and range of motions) and radiological outcomes using post-operative MRI or CT scan were evaluated...
October 26, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27765830/superior-labral-anterior-posterior-slap-tears-in-the-military-a-clinical-review-of-incidence-diagnosis-and-treatment-compared-with-the-civilian-population
#11
William Rossy, George Sanchez, Anthony Sanchez, Matthew T Provencher
CONTEXT: Given the notable physical demands placed on active members of the military, comprehension of recent trends in management and outcomes of superior labral anterior-posterior (SLAP) tears in this patient population is critical for successful treatment. EVIDENCE ACQUISITION: Electronic databases, including PubMed, MEDLINE, and Embase, were reviewed for the years 1985 through 2016. STUDY DESIGN: Database review. LEVEL OF EVIDENCE: Level 5...
October 7, 2016: Sports Health
https://www.readbyqxmd.com/read/27737608/a-prospective-cohort-study-investigating-the-effect-of-generalized-joint-hypermobility-on-outcomes-after-arthroscopic-anterior-shoulder-stabilization
#12
Loukas Koyonos, Matthew J Kraeutler, Daniel F O'Brien, Michael G Ciccotti, Christopher C Dodson
OBJECTIVES: Generalized joint laxity has been proposed as a significant risk factor for failure after arthroscopic anterior shoulder stabilization. The purpose of this study was to prospectively measure joint mobility in patients undergoing arthroscopic anterior shoulder stabilization and to determine whether hypermobility is a risk factor for worse outcomes compared with patients having normal joint mobility. METHODS: Patients with anterior shoulder instability were prospectively enrolled...
October 13, 2016: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/27699906/stable-isotope-analyses-of-oxygen-18-o-17-o-16-o-and-chlorine-37-cl-35-cl-in-perchlorate-reference-materials-calibrations-and-interferences
#13
J K Böhlke, Stanley J Mroczkowski, Neil C Sturchio, Linnea J Heraty, Kent W Richman, Donald B Sullivan, Kris N Griffith, Baohua Gu, Paul B Hatzinger
RATIONALE: Perchlorate (ClO4(-) ) is a common trace constituent of water, soils, and plants; it has both natural and synthetic sources and is subject to biodegradation. The stable isotope ratios of Cl and O provide three independent quantities for ClO4(-) source attribution and natural attenuation studies: δ(37) Cl, δ(18) O, and δ(17) O (or Δ(17) O or (17) Δ) values. Documented reference materials, calibration schemes, methods, and interferences will improve the reliability of such studies...
October 3, 2016: Rapid Communications in Mass Spectrometry: RCM
https://www.readbyqxmd.com/read/27697179/editorial-commentary-the-not-so-benign-nature-of-an-isolated-slap-repair
#14
Matthew T Provencher
Although superior labrum anterior posterior (SLAP) repairs have a relatively high success rate, emerging evidence suggests that this is not always the case. The authors of "Subsequent Shoulder Surgery Following Isolated Arthroscopic SLAP Repair" reveal that 1 in 10 people needed additional surgery within 3 years after SLAP repair-mainly for disorders of the rotator cuff, biceps, and distal clavicle. This underscores the fact that SLAP tears rarely occur in isolation and that the initial diagnosis and management may require more than just SLAP work...
October 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27680535/safety-and-pain-in-electrodiagnostic-studies
#15
REVIEW
Zachary N London
Discomfort is an unavoidable part of electrodiagnostic (EDX) studies. The most readily modifiable mediator of electromyography (EMG)-associated pain is muscle selection. Interventions that may reduce pain include vapocoolant spray, ibuprofen, and techniques such as slapping or stretching the skin. Needlestick injuries to health care workers carry the risk of transmitting bloodborne illnesses, but other infectious complications of EDX studies are very rare. EMG probably contributes to asymptomatic hemorrhage in approximately 1% of patients, but clinically significant bleeding has only been reported a few times...
September 28, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/27641488/a-slap-on-the-back-and-a-pat-on-the-head
#16
EDITORIAL
Matthew Smuck
No abstract text is available yet for this article.
September 15, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27592402/safe-landing-strategies-during-a-fall-systemic-review-and-meta-analysis
#17
Yaejin Moon, Jacob J Sosnoff
OBJECTIVE: To systematically synthesize information on safe landing strategies for a fall and quantitatively examine the effects of the strategies to reduce risk of injury from a fall. DATA SOURCES: PubMed, Web of science, Cumulative Index to Nursing and Allied Health Literature, and Cochrane Library STUDY SELECTION: Databases were searched using the combinations of keywords of "falls", "strategy", "impact" and "load". Randomized control trials, cohort studies, pre-post studies, or cross-sectional studies were included...
August 31, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27548782/reliability-of-triaxial-accelerometry-for-measuring-load-in-men-s-collegiate-ice-hockey
#18
Erik H Van Iterson, John S Fitzgerald, Calvin C Dietz, Eric M Snyder, Ben J Peterson
Wearable microsensor technology incorporating triaxial accelerometry is used to quantify an index of mechanical stress associated with sport-specific movements termed PlayerLoad™. The test-retest reliability of PlayerLoad™ in the environmental-setting of ice-hockey is unknown. The primary aim of this study was to quantify the test-retest reliability of PlayerLoad™ in ice-hockey players during performance of tasks simulating game-conditions. Division I collegiate male ice-hockey players (N=8) wore Catapult Optimeye S5 monitors during repeat performance of 9 ice-hockey tasks simulating game-conditions...
August 18, 2016: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/27548262/knowledge-discovery-from-biomedical-ontologies-in-cross-domains
#19
Feichen Shen, Yugyung Lee
In recent years, there is an increasing demand for sharing and integration of medical data in biomedical research. In order to improve a health care system, it is required to support the integration of data by facilitating semantic interoperability systems and practices. Semantic interoperability is difficult to achieve in these systems as the conceptual models underlying datasets are not fully exploited. In this paper, we propose a semantic framework, called Medical Knowledge Discovery and Data Mining (MedKDD), that aims to build a topic hierarchy and serve the semantic interoperability between different ontologies...
2016: PloS One
https://www.readbyqxmd.com/read/27543399/return-to-play-after-shoulder-surgery-in-throwers
#20
REVIEW
Robert Thorsness, Jeremy A Alland, Colin B McCulloch, Anthony Romeo
The throwing athlete's shoulder is a unique, complex entity with challenges in diagnosis and management. The shoulders in these athletes possess unique biomechanics and pathologic conditions. Unfortunately, return to play outcomes are often poor when specifically evaluating overhead athletes, especially with regard to SLAP repair. It is imperative for the surgeon to be cautious when indicating these athletes for surgery, because although they may demonstrate improvements in pain and general function, subtle changes in accuracy or velocity as a result of surgery can significantly affect the success of an overhead throwing athlete at the competitive level...
October 2016: Clinics in Sports Medicine
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