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https://www.readbyqxmd.com/read/29453728/single-site-port-robotic-assisted-hysterectomy-an-update
#1
REVIEW
Christos Iavazzo, Evelyn Eleni Minis, Ioannis D Gkegkes
Single-incision approach in robotic gynecology is a relatively new concept. The role of single-port systems in robotic hysterectomy, their advantages and disadvantages, as well as the technical challenges, are still under investigation. A systematic review was performed by searching in PubMed and Scopus databases. In 810 out of 1225 patients, hysterectomy was performed for non-neoplastic disease. Single-Site ® was the most common port system. Duration of the procedure and relative blood loss ranged from 60 to 311 min and 7 to 750 ml, respectively...
February 16, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29453500/isolated-greater-tuberosity-fractures-of-the-proximal-humerus-anatomy-injury-patterns-multimodality-imaging-and-approach-to-management
#2
Eric A White, Matthew R Skalski, Dakshesh B Patel, Jordan S Gross, Anderanik Tomasian, Nathanael Heckmann, George R Matcuk
The greater tuberosity is an important anatomic structure and its integrity is important for shoulder abduction and external rotation. Isolated fractures of the greater tuberosity are often subtle and may not be detected on initial radiographs. Clinically, these patients display symptoms which mimic a full thickness rotator cuff tear. It is important to differentiate these two entities, as their treatment is different (typically nonsurgical management for minimally displaced fractures versus rotator cuff repair for acute full thickness rotator cuff tears)...
February 16, 2018: Emergency Radiology
https://www.readbyqxmd.com/read/29452899/influence-of-dominant-as-compared-with-nondominant-side-symptoms-on-disabilities-of-the-arm-shoulder-and-hand-and-western-ontario-rotator-cuff-scores-in-patients-with-rotator-cuff-tendinopathy
#3
David Høyrup Christiansen, Lori Michener, Jean-Sébastien Roy
HYPOTHESIS AND BACKGROUND: The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and the Western Ontario Rotator Cuff (WORC) index are 2 widely used patient-reported questionnaires in individuals with rotator cuff (RC) tendinopathy. In contrast to the WORC index, for which the items are specific to the affected shoulder, the items of the DASH questionnaire assess the ability to perform activities regardless of the arm used. The objective of this study is to determine whether scores on the DASH questionnaire and WORC index are affected if the symptoms are on the dominant or nondominant side in individuals with RC tendinopathy...
February 13, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29452896/do-subscapularis-tears-really-result-in-superior-humeral-migration
#4
Mehmet Cetinkaya, Muhammet Baybars Ataoglu, Mustafa Ozer, Tacettin Ayanoglu, Ali Yusuf Oner, Ulunay Kanatli
OBJECTIVES: The aim of this study was to analyse the effect of subscapularis tear on superior humeral excursion (SHE) and acromiohumeral distance (AHD). The hypothesis was that subscapularis tears do not result in superior humeral excursion. METHODS: Patients who underwent shoulder arthroscopy between August of 2011 and 2015 were reevaluated. Those with isolated Bankart lesion were used as control group and included in the Group 1, isolated full-thickness supraspinatus tear in the Group 2, isolated subscapularis tear in the Group 3, and combined subscapularis and supraspinatus tear in the Group 4...
February 13, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29452331/reproducibility-of-sub-acromial-impingement-tests-including-a-new-clinical-manoeuver
#5
Antoine Ferenczi, Agnès Ostertag, Sandra Lasbleiz, David Petrover, Alain Yelnik, Pascal Richette, Thomas Bardin, Philippe Orcel, Johann Beaudreuil
BACKGROUND: The Neer, Hawkins, and Yocum clinical tests detect sub-acromial impingement as a pathogenic process of degenerative rotator cuff disease. Their reproducibility has been little investigated. OBJECTIVES: We tested the reproducibility of the Neer, Hawkins, and Yocum clinical tests for detecting this sub-acromial impingement and also an original clinical manoeuver, the countertest with elevation with lateral rotation (CELR), which is a test of sub-acromial impingement...
February 13, 2018: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29451939/reverse-shoulder-arthroplasty-in-the-weight-bearing-versus-non-weight-bearing-shoulder-mid-term-outcomes-with-minimum-5-year-follow-up
#6
Derek J Cuff, Brandon G Santoni
This retrospective review evaluated the mid-term outcomes of cemented reverse shoulder arthroplasty in patients who use the shoulder for weight bearing (WB) vs non-weight-bearing (NWB) patients. Twenty-five shoulders of 21 patients who used their upper extremity for WB (WB group) were treated with cemented reverse shoulder arthroplasty and followed for a minimum of 5 years postoperatively (average, 73 months). Seventy-five consecutive shoulders of 72 patients who were NWB (NWB group) were treated and matched for duration of follow-up (average, 72 months) to serve as a control group...
February 16, 2018: Orthopedics
https://www.readbyqxmd.com/read/29447402/intraoperative-endotracheal-cuff-pressure-study-how-education-and-availability-of-manometers-help-guide-safer-pressures
#7
Gregory J Stevens, Joel W Warfel, James K Aden, Scott D Blackwell
Introduction: Endotracheal intubation is a medical procedure that is often indicated in both the perioperative and critical care environments. Cuffed endotracheal tubes (ETT) allow for safer and more efficient delivery of positive pressure ventilation, as well as create a barrier to reduce the risk of micro-aspiration and anesthetic pollution in the operating room environment. Over-inflation of the endotracheal cuff can lead to serious and harmful sequelae. This study aimed to assess if departmental education paired with ready access to a manometer to assess cuff pressure would result in an improvement in the proportion of ETT cuff pressures in the goal range...
February 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29447302/in-throwers-with-posterior-instability-rotator-cuff-tears-are-common-but-do-not-affect-surgical-outcomes
#8
Justin W Arner, Michael P McClincy, James P Bradley
In a previous study, compared with throwing athletes with superior labral anterior posterior (SLAP) tears, those with concomitant SLAP tears and rotator cuff tears (RCTs) had significantly poorer outcome scores and return to play. Posterior shoulder instability also occurs in throwing athletes, but no studies currently exist regarding outcomes of these patients with concomitant RCTs. The authors hypothesized that throwing athletes treated with arthroscopic capsulolabral repair for posterior shoulder instability with coexistent rotator cuff pathology would have poorer outcome scores and return to play...
January 2018: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29447092/evolution-of-muscular-fatigue-in-periscapular-and-rotator-cuff-muscles-during-isokinetic-shoulder-rotations
#9
Sylvain Gaudet, Jonathan Tremblay, Fabien Dal Maso
To this day, how shoulder muscles react to a strong fatigue stimulus during dynamic shoulder rotations remains unknown. The aims of this study were to assess the effect of repeated maximal internal-external isokinetic shoulder rotations on shoulder strength and muscle activity. Twenty-four individuals completed a 50-repetition fatiguing isokinetic protocol while electromyography was recorded on eleven muscles of the shoulder girdle. Time-frequency transformation and an ANOVA model using statistical parametric mapping methods were used to analyze shifts in instantaneous median frequency (MDF) between each 10-repetition Blocks...
February 15, 2018: Journal of Sports Sciences
https://www.readbyqxmd.com/read/29447021/release-of-pro-inflammatory-cytokines-from-muscle-and-bone-causes-tenocyte-death-in-a-novel-rotator-cuff-in-vitro-explant-culture-model
#10
Brianne K Connizzo, Alan J Grodzinsky
Tendinopathy is a significant clinical problem thought to be associated with altered mechanical loading. Explant culture models allow researchers to alter mechanical loading in a controlled in vitro environment while maintaining tenocytes in their native matrix. However, current models do not accurately represent commonly injured tendons, ignoring contributions of associated musculature and bone, as well as regional collagen structure. This study details the characterization of a mouse rotator cuff explant culture model, including bone, tendon, and muscle (BTM)...
February 15, 2018: Connective Tissue Research
https://www.readbyqxmd.com/read/29446224/comparative-effects-of-small-intestinal-glucose-on-blood-pressure-heart-rate-and-noradrenaline-responses-in-obese-and-healthy-subjects
#11
Laurence G Trahair, Tongzhi Wu, Christine Feinle-Bisset, Chinmay S Marathe, Christopher K Rayner, Michael Horowitz, Karen L Jones
Meal consumption leads to an increase in sympathetic output to compensate for hemodynamic changes and maintain blood pressure (BP). Obesity is associated with a blunting of the sympathetic response to meal ingestion, but interpretation of studies investigating these responses is compromised by their failure to account for the rate of gastric emptying, which is an important determinant of postprandial cardiovascular and sympathetic responses and, in both health and obesity, exhibits a wide interindividual variation...
February 2018: Physiological Reports
https://www.readbyqxmd.com/read/29445933/multimodality-imaging-of-subacromial-impingement-syndrome
#12
REVIEW
Lionel Pesquer, Sophie Borghol, Philippe Meyer, Mickael Ropars, Benjamin Dallaudière, Pierre Abadie
Subacromial impingement syndrome results from irritation of the tendons of the rotator cuff muscles in the subacromial space and may manifest as a range of pathologies. However, subacromial impingement is a dynamic condition for which imaging reveals predisposing factors but no pathognomonic indicators. Also, the usual imaging features of subacromial impingement may be seen in symptomatic and asymptomatic patients. Therefore, imaging is able to detect tears and describe the risk factors of impingement but cannot confirm subacromial impingement...
February 14, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29443643/comprehensive-examination-of-the-athlete-s-shoulder
#13
Eric J Cotter, Charles P Hannon, David Christian, Rachel M Frank, Bernard R Bach
CONTEXT: Shoulder pain and dysfunction are common, with patients presenting complaints to both primary and orthopaedic physicians. History and physical examination remain essential to creating a differential diagnosis, even as noninvasive imaging has improved. EVIDENCE ACQUISITION: Literature was obtained through keyword searches based on the pathology in question (eg, rotator cuff) and the keywords physical examination using PubMed from January 1, 1980, through September 20, 2017...
February 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29442181/do-functional-outcomes-and-cuff-integrity-correlate-after-single-versus-double-row-rotator-cuff-repair-a-systematic-review-and-meta-analysis-study
#14
Mohamed H Sobhy, Ahmed Hany Khater, Medhat Ragab Hassan, Ossama El Shazly
PURPOSE: The purpose of this study is to perform a systematic review and meta-analysis of all available level I prospective randomized controlled trials comparing arthroscopic single-row (SR) with double-row (DR) rotator cuff repairs by both clinical outcomes and radiological re-tear rates. METHODS: PubMed, EMBASE, Google Scholar, and Cochrane databases search was done for level I RCTs comparing clinical and radiological outcomes after SR versus DR rotator cuff repair...
February 13, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29441569/epidemiologic-associations-of-hpv-positive-oropharyngeal-cancer-and-pre-cancerous-cervical-lesions
#15
M M Rietbergen, A A J D van Bokhoven, B I Lissenberg-Witte, D A M Heideman, C R Leemans, R H Brakenhoff, E Bloemena
PURPOSE: Human papillomavirus (HPV)- induced oropharyngeal squamous cell carcinoma (OPSCC) is still increasing worldwide. We aimed to investigate if the HPV-prevalence of OPSCC in the Netherlands is rising as well, especially in female patients. In addition, we evaluated the association between HPV-positive OPSCC and suspicious Pap results of the cervix in these female patients. PATIENTS AND METHODS: Patients with OPSCC treated in the period 2000-2015 at the VU University Medical Center Amsterdam, were included (n=926)...
February 14, 2018: International Journal of Cancer. Journal International du Cancer
https://www.readbyqxmd.com/read/29439309/the-relationships-between-shoulder-pain-range-of-motion-and-disability-in-patients-with-shoulder-dysfunction
#16
Shahnawaz Anwer, Ahmad H Alghadir, Einas S Al-Eisa, Zaheen Ahmad Iqbal
BACKGROUND: Shoulder dysfunction is a major cause of musculoskeletal pain in general population. A variety of shoulder disorders can cause a reduction in shoulder range of motion and subsequent disability. OBJECTIVE: To investigate the relationship between the shoulder pain, range of motion, and disability in patients with shoulder dysfunction. METHODS: Sixty-four patients (49 men and 15 women) with shoulder disorders with a varying diagnosis including, adhesive capsulitis, rotator cuff injury, impingement syndrome, acromio-clavicular pain, and instability, participated in this cross-sectional study...
February 6, 2018: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29438628/rotator-cuff-repair-in-adolescent-athletes
#17
Michael G Azzam, Jeffrey R Dugas, James R Andrews, Samuel R Goldstein, Benton A Emblom, E Lyle Cain
BACKGROUND: Rotator cuff tears are rare injuries in adolescents but cause significant morbidity if unrecognized. Previous literature on rotator cuff repairs in adolescents is limited to small case series, with few data to guide treatment. HYPOTHESIS: Adolescent patients would have excellent functional outcome scores and return to the same level of sports participation after rotator cuff repair but would have some difficulty with returning to overhead sports. STUDY DESIGN: Case series; Level of evidence 4...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29436164/investigation-of-estimated-glomerular-filtration-rate-and-its-perioperative-change-in-patients-with-upper-urinary-tract-urothelial-carcinoma-a-multi-institutional-retrospective-study
#18
Dai Koguchi, Kazumasa Matsumoto, Masaomi Ikeda, Yoshinori Taoka, Takahiro Hirayama, Yasukiyo Murakami, Takuji Utsunomiya, Daisuke Matsuda, Norihiko Okuno, Akira Irie, Masatsugu Iwamura
AIM: To investigate the association of perioperative estimated glomerular filtration rate (eGFR) with prognosis in patients with upper urinary tract urothoelial caicinoma (UTUC). METHODS: A total of 433 patients underwent radical nephroureterectomy with excision of the bladder cuff (RNU) at six hospitals affiliated with Kitasato University in Japan. Patients were divided into three groups each in terms of preoperative eGFR: normal eGFR (>60 mL/min/1.73 m 2 ; n = 172), moderately reduced eGFR (45-60 mL/min/1...
February 12, 2018: Asia-Pacific Journal of Clinical Oncology
https://www.readbyqxmd.com/read/29435813/expectations-following-rotator-cuff-surgery
#19
REVIEW
Alejandro Novoa-Boldo, Lawrence V Gulotta
PURPOSE OF REVIEW: To outline the radiographic and clinical outcomes after a rotator cuff surgery in order to set the expectations with the patient before the surgery to obtain a better outcome, taking into account the factors that can affect the outcome and the technique used for the repair. RECENT FINDINGS: The majority of surgeons use arthroscopic repair. The double-row repair has better biomechanical strength, footprint coverage, and radiographic healing rates...
February 13, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29433980/fatty-infiltration-and-muscle-atrophy-of-the-rotator-cuff-in-stemless-total-shoulder-arthroplasty-a-prospective-cohort-study
#20
Arkan S Sayed-Noor, Raymond Pollock, Bassem T Elhassan, Bakir Kadum
BACKGROUND: The influence of preoperative rotator cuff fatty infiltration (FI) and muscle atrophy (MA) on the postoperative outcome of total shoulder arthroplasty (TSA) has only rarely been investigated and reported in the literature. We hypothesized that more FI and MA would be associated with a worse postoperative functional outcome. METHODS: This prospective cohort study included 63 patients (31 female and 32 male patients; mean age, 71 years [range, 53-89 years; standard deviation, 7 years]) with primary osteoarthritis of the shoulder operated on with anatomic stemless TSA...
February 9, 2018: Journal of Shoulder and Elbow Surgery
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