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https://www.readbyqxmd.com/read/29659428/rotator-cuff-tear-morphologic-parameters-at-magnetic-resonance-imaging-relationship-with-muscle-atrophy-and-fatty-infiltration-and-patient-reported-function-and-health-related-quality-of-life
#1
Nathalie J Bureau, Maguy Deslauriers, Marianne Lepage-Saucier, Dominique M Rouleau, André Roy, Patrice Tétreault, Nicola Hagemeister
OBJECTIVE: The aim of this study was to determine the relationship between rotator cuff tear (RCT) morphologic parameters and muscle atrophy and fatty infiltration, and patient-reported outcome measures, in patients with symptomatic full-thickness RCT. METHODS: Rotator cuff tear location, length, width, thickness, and musculotendinous junction position were assessed in 57 magnetic resonance imaging scans and correlated to the outcome measures using multivariate regression analysis...
April 13, 2018: Journal of Computer Assisted Tomography
https://www.readbyqxmd.com/read/29649485/occult-globe-rupture-diagnostic-and-treatment-challenge
#2
REVIEW
Argyrios Chronopoulos, Jong Min Ong, Gabriele Thumann, James S Schutz
Occult globe rupture is a traumatic dehiscence of the sclera at or posterior to the rectus muscle insertions without a visible eye wall defect on slit lamp examination. Occult scleral ruptures are important because they can be difficult to diagnose, but normally require preoperative protection against external pressure to reduce risk of herniation of ocular contents through the rupture and then urgent surgical repair to restore eye wall structural integrity and achieve optimum prognosis. A deeper than normal anterior chamber with posteriorly retracted plateau iris seen immediately after acute ocular trauma is virtually pathognomonic of posterior globe dehiscence...
April 9, 2018: Survey of Ophthalmology
https://www.readbyqxmd.com/read/29629813/summative-report-on-time-out-of-play-for-major-and-minor-league-baseball-an-analysis-of-49-955-injuries-from-2011-through-2016
#3
Christopher L Camp, Joshua S Dines, Jelle P van der List, Stan Conte, Justin Conway, David W Altchek, Struan H Coleman, Andrew D Pearle
BACKGROUND: Recent epidemiologic reports have demonstrated rising injury rates in Major League Baseball (MLB) and Minor League Baseball (MiLB). Although several studies have recently been published on specific injuries, the majority of injuries have not yet been formally studied. PURPOSE: The purpose of this study is to (1) generate a summative analysis of all injuries that occur in MLB and MiLB, (2) identify the 50 most common injuries, and (3) generate focused reports and fact sheets on the characteristics of each of those diagnoses...
April 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29624450/national-athletic-trainers-association-position-statement-evaluation-management-and-outcomes-of-and-return-to-play-criteria-for-overhead-athletes-with-superior-labral-anterior-posterior-injuries
#4
Lori A Michener, Jeffrey S Abrams, Kellie C Huxel Bliven, Sue Falsone, Kevin G Laudner, Edward G McFarland, James E Tibone, Charles A Thigpen, Timothy L Uhl
OBJECTIVE:   To present recommendations for the diagnosis, management, outcomes, and return to play of athletes with superior labral anterior-posterior (SLAP) injuries. BACKGROUND:   In overhead athletes, SLAP tears are common as either acute or chronic injuries. The clinical guidelines presented here were developed based on a systematic review of the current evidence and the consensus of the writing panel. Clinicians can use these guidelines to inform decision making regarding the diagnosis, acute and long-term conservative and surgical treatment, and expected outcomes of and return-to-play guidelines for athletes with SLAP injuries...
March 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29623750/considerations-in-the-diagnosis-and-accelerated-return-to-sport-of-a-professional-basketball-player-with-a-triceps-surae-injury-a-case-report
#5
Philip A Anloague, Donald S Strack
Study Design Case report. Background Acute injuries of the triceps surae and Achilles tendon are common in sports. Rupture of the plantaris tendon can be challenging to diagnose. There is limited evidence detailing the diagnosis, rehabilitation, and accelerated return to sport of elite professional basketball players who have suffered calf injuries. Case Description A 25-year-old male professional basketball player sustained injury to his calf during a professional basketball game. This case report details the presumptive diagnosis, graduated progression of intervention, and return to play of a professional sports person with a likely isolated plantaris tendon tear...
April 6, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29614968/biological-clocks-and-physical-functioning-in-monozygotic-female-twins
#6
Elina Sillanpää, Eija K Laakkonen, Elina Vaara, Taina Rantanen, Vuokko Kovanen, Sarianna Sipilä, Jaakko Kaprio, Miina Ollikainen
BACKGROUND: Biomarkers of biological aging - DNA methylation age (DNAm age) and leukocyte telomere length (LTL)- correlate strongly with chronological age across the life course. It is, however, unclear how these measures of cellular wear and tear are associated with muscle strength and functional capacity, which are known to decline with older age and are associated with mortality. We investigated if DNAm age and LTL were associated with body composition and physical functioning by examining 48 monozygotic twin sisters...
April 4, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29608475/percutaneous-autologous-fat-injection-following-2-layer-flap-lower-blepharoplasty-for-the-correction-of-tear-trough-deformity
#7
Jeenam Kim, Hyojeong Shin, Myungchul Lee, Donghyeok Shin, Soonheum Kim, Dongin Jo, Cheolkeun Kim, Heonjoon Kim, Hyungon Choi
Tear trough deformity has been an area that has received much attention in terms of esthetic improvements. Fat transposition has been commonly used for the treatment of tear trough deformity. As some patients have had minimal improvement by that method, we propose the use of fat grafting combined with open blepharoplasty to complement the sunken area, including some of anterior maxilla region, and evaluate and precisely remove the excessive tissue.Lower blepharoplasty was performed by separating the skin and muscle flap...
March 30, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29607761/arthroscopic-surgical-procedures-versus-sham-surgery-for-patients-with-femoroacetabular-impingement-and-or-labral-tears-study-protocol-for-a-randomized-controlled-trial-hiparti-and-a-prospective-cohort-study-harp
#8
May Arna Risberg, Eva Ageberg, Agnethe Nilstad, Bent Lund, Lars Nordsletten, Sverre Løken, Tom Ludvigsen, Signe Kierkegaard, Sasha Carsen, Ioannis Kostogiannis, Kay M Crossley, Sion Glyn-Jones, Joanne L Kemp
Study Design Study protocol for a randomized controlled trial and a prospective cohort. Background The number of arthroscopic surgical procedures for patients with femoroacetabular impingement syndrome (FAIS) has significantly increased worldwide, but high-quality evidence of the effect of such interventions is lacking. Objectives The primary objective will be to determine the efficacy of hip arthroscopic procedures compared to sham surgery on patient-reported outcomes for patients with FAIS (HIP ARThroscopy International [HIPARTI] Study)...
April 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29595993/factors-predictive-of-healing-in-large-rotator-cuff-tears-is-it-possible-to-predict-retear-preoperatively
#9
Ho Yeon Jeong, Hwan Jin Kim, Yoon Sang Jeon, Yong Girl Rhee
BACKGROUND: Many studies have identified risk factors that cause retear after rotator cuff repair. However, it is still questionable whether retears can be predicted preoperatively. PURPOSE: To determine the risk factors related to retear after arthroscopic rotator cuff repair and to evaluate whether it is possible to predict the occurrence of retear preoperatively. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: This study enrolled 112 patients who underwent arthroscopic rotator cuff repair with single-row technique for a large-sized tear, defined as a tear with a mediolateral length of 3 to 5 cm...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29591320/lumbrical-muscle-tear-clinical-presentation-imaging-findings-and-outcome
#10
Christoph Lutter, Andreas Schweizer, Volker Schöffl, Frank Römer, Thomas Bayer
The incidence of lumbrical muscle tear is increasing due to the popularity of climbing sport. We reviewed data from 60 consecutive patients with a positive lumbrical stress test, including clinical examination, ultrasound and clinical outcomes in all patients, and magnetic resonance imaging in 12 patients. Fifty-seven patients were climbers. Lumbrical muscle tears were graded according to the severity of clinical and imaging findings as Grade I-III injuries. Eighteen patients had Grade I injuries (microtrauma), 32 had Grade II injuries (muscle fibre disruption) and 10 had Grade III injuries (musculotendinous disruption)...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29577777/factors-associated-with-spontaneous-perineal-lacerations-in-deliveries-without-episiotomy-in-a-university-maternity-hospital-in-the-city-of-recife-brazil-a-cohort-study
#11
Vanessa Maria Laranjeiras Lins, Fernanda Barros Lima Vasconcelos, Leila Katz, Isabela Coutinho, Melania Amorim
OBJECTIVES: To determine factors associated with spontaneous perineal laceration in low-risk pregnant women who delivered vaginally without episiotomy in a university maternity hospital in Recife, Pernambuco, Brazil. METHODS: A prospective cohort study was conducted with 222 low-risk, full-term pregnant women admitted in labor with a single fetus in cephalic presentation. Women with malformed fetuses were excluded from the study. The variables analyzed were: the frequency and severity of lacerations, the women's biological, sociodemographic, clinical and obstetrical characteristics, neonatal characteristics and data on their deliveries and procedures...
March 25, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29573934/influence-of-muscle-fatty-degeneration-on-functional-outcomes-after-endoscopic-gluteus-medius-repair
#12
Mathieu Thaunat, Gilles Clowez, Antoine Desseaux, Colin G Murphy, Mouhcine Sbiyaa, Eric Noël, Bertrand Sonnery-Cottet
PURPOSE: To report the early outcomes of endoscopic repair of tears of the gluteus medius tendon and to determine whether the fatty degeneration had an influence on clinical results. METHODS: Between October 2012 and June 2014, data were prospectively collected and retrospectively reviewed for all patients who underwent endoscopic gluteus medius repair. Patients were assessed pre- and postoperatively using the modified Harris hip score, the nonarthritic hip score, and visual analog scale for pain...
March 21, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29573902/computed-tomography-underestimates-rotator-cuff-pathology-in-patients-with-glenohumeral-osteoarthritis
#13
Megan Fitzgerald, Sarah M Lawler, Jeremiah T Lowe, Ryan Nelson, Matthew T Mantell, Andrew Jawa
BACKGROUND: Computed tomography (CT) is the standard assessment of glenoid morphology before shoulder arthroplasty and is commonly used to evaluate rotator cuff pathology in patients with glenohumeral osteoarthritis (GHOA). Magnetic resonance imaging (MRI) is not routinely used in this setting but has higher sensitivity in diagnosing full-thickness rotator cuff tears (RCT) and is considered the gold standard. The purpose of this study was to determine the sensitivity and specificity of CT in diagnosing full-thickness RCTs and compare the evaluation of fatty infiltration and muscle atrophy on CT vs...
March 21, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29569063/-arthroscopic-double-row-reconstruction-of-high-grade-subscapularis-tendon-tears
#14
F Plachel, S Pauly, P Moroder, M Scheibel
OBJECTIVE: Reconstruction of tendon integrity to maintain glenohumeral joint centration and hence to restore shoulder functional range of motion and to reduce pain. INDICATIONS: Isolated or combined full-thickness subscapularis tendon tears (≥upper two-thirds of the tendon) without both substantial soft tissue degeneration and cranialization of the humeral head. CONTRAINDICATIONS: Chronic tears of the subscapularis tendon with higher grade muscle atrophy, fatty infiltration, and static decentration of the humeral head...
March 22, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29565960/prevalence-and-risk-factors-of-neuropathic-pain-in-patients-with-a-rotator-cuff-tear
#15
Sangbong Ko, Changhyuk Choi, Sungguk Kim, Seungbum Chae, Wonkee Choi, Jaebum Kwon
BACKGROUND: Until now, few studies had investigated the neuropathic pain component in patients with a rotator cuff tear (RCT). OBJECTIVES: The aim of the study was to identify the neuropathic pain component in patients with RCT and to determine the factors correlated with neuropathic pain in patients with RCT. STUDY DESIGN: Prospective, cohort, prognostic study. SETTING: Study patients who required arthroscopic rotator cuff repair were analyzed in a hospital setting...
March 2018: Pain Physician
https://www.readbyqxmd.com/read/29565953/unique-complications-of-percutaneous-endoscopic-lumbar-discectomy-and-percutaneous-endoscopic-interlaminar-discectomy
#16
Chuanli Zhou, Guoqing Zhang, Ripul R Panchal, Xianfeng Ren, Hongfei Xiang, Ma Xuexiao, Xiaoliang Chen, Gu Tongtong, Wang Hong, Alana D Dixson
BACKGROUND: Percutaneous endoscopic discectomy (PED) includes 2 main procedures: percutaneous endoscopic lumbar discectomy (PELD) and percutaneous endoscopic interlaminar discectomy (PEID), both of which are minimally invasive surgical procedures that effectively deal with lumbar degenerative disorders. Because of the challenging learning curve for the surgeon and the individual characteristics of each patient, preventing and avoiding complications is difficult. The most common complications, such as nucleus pulposus omission, nerve root injury, dural tear, visceral injury, nerve root induced hyperalgesia or burning-like nerve root pain, postoperative dysesthesia, posterior neck pain, and surgical site infection, are difficult to avoid; however, more focus on these issues perioperatively may be in order...
March 2018: Pain Physician
https://www.readbyqxmd.com/read/29564511/it-is-the-first-birth-that-does-the-damage-a-cross-sectional-study-20-years-after-delivery
#17
Ixora Kamisan Atan, Sylvia Lin, Hans Peter Dietz, Peter Herbison, Peter Donald Wilson
INTRODUCTION AND HYPOTHESIS: Levator ani muscle (LAM) and anal sphincter tears are common after vaginal birth and are associated with female pelvic organ prolapse and anal incontinence. The impact of subsequent births on LAM and external anal sphincter (EAS) integrity is less well defined. The objective of this study was to determine the prevalence of LAM and EAS trauma in primiparous (VP1) and multiparous (VP2+) women who had delivered vaginally to assess if there were differences between the two groups...
March 21, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29564048/can-a-single-sagittal-magnetic-resonance-imaging-slice-represent-whole-fatty-infiltration-in-chronic-rotator-cuff-tears-at-the-supraspinatus
#18
Yong-Beom Lee, Cheol-Jung Yang, Cheng Zhen Li, Zhong Zhuan, Seung-Cheol Kwon, Kyu-Cheol Noh
Background: This study aimed to investigate whether fatty infiltration (FI) measured on a single sagittal magnetic resonance imaging (MRI) slice can represent FI of the whole supraspinatus muscle. Methods: This study retrospectively reviewed the MRIs of 106 patients (age 50-79 years) divided into three rotator cuff tear-size groups: medium, large, and massive. Fat mass and muscle mass on all T1-weighted sagittal MRI scans (FA and MA) were measured. Of the total MRI scans, the Y-view was defined as the most lateral image of the junction of the scapular spine with the scapular body on the oblique sagittal T1-weighted image...
March 2018: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29558167/what-is-the-appropriate-reference-for-evaluating-the-recovery-of-supraspinatus-muscle-atrophy-after-arthroscopic-rotator-cuff-repair-the-occupation-ratio-of-the-supraspinatus-may-change-after-rotator-cuff-repair-without-volumetric-improvement
#19
Tsuyoshi Sasaki, Hitoshi Shitara, Atsushi Yamamoto, Noritaka Hamano, Tsuyoshi Ichinose, Daisuke Shimoyama, Tsutomu Kobayashi, Toshihisa Osawa, Yoshito Tsushima, Kenji Takagishi, Hirotaka Chikuda
BACKGROUND: Supraspinatus muscle atrophy is typically assessed by the occupation ratio of the cross-sectional area of the muscle belly to the supraspinatus fossa at the medial border of the coracoid process in a slice along the oblique-sagittal plane on MRI. Previous studies have shown that the occupation ratio of the supraspinatus changed soon after rotator cuff repair compared with before surgery. However, no studies have examined the perioperative change in the muscle volume assessed with 3-dimensional measurement...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29552476/latissimus-dorsi-tendon-transfer-with-acromial-osteotomy-for-massive-irreparable-rotator-cuff-tear
#20
Nicholas R Pagani, Antonio Cusano, Xinning Li
Latissimus dorsi tendon transfer is an effective option for young and active patients with massive irreparable posterosuperior rotator cuff tears and intact subscapularis tendon. This approach has been shown to relieve pain and improve shoulder function in both the short and long term. We describe a surgical technique using an acromial osteotomy to better expose the greater tuberosity for the tendon transfer without disrupting the deltoid muscle. The latissimus dorsi tendon is reinforced with a human dermal collagen matrix (GraftJacket; Wright Medical Group) for additional augmentation of the muscle to gain more excursion for the tendon transfer to the greater tuberosity...
February 2018: Arthroscopy Techniques
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