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https://www.readbyqxmd.com/read/29759125/common-soft-tissue-musculoskeletal-pain-disorders
#1
REVIEW
Matthew J Hubbard, Bernard A Hildebrand, Monica M Battafarano, Daniel F Battafarano
Soft tissue musculoskeletal pain disorders are common in the primary care setting. Early recognition and diagnosis of these syndromes minimizes patient pain and disability. This article gives a brief overview of the most common soft tissue musculoskeletal pain syndromes. The authors used a regional approach to organize the material, as providers will encounter these syndromes with complaints of pain referring to an anatomic location. The covered disorders include myofascial pain syndrome, rotator cuff tendinopathy, bicipital tendinopathy, subacromial bursitis, olecranon bursitis, epicondylitis, De Quervain disease, trigger finger, trochanteric bursitis, knee bursitis, pes anserine bursitis, Baker cyst, plantar fasciitis, and Achilles tendinopathy...
June 2018: Primary Care
https://www.readbyqxmd.com/read/29746921/anatomical-study-of-the-first-dorsal-extensor-compartment-for-the-treatment-of-de-quervain-s-disease
#2
Yong Seok Nam, GyeongHyeon Doh, Ki Yong Hong, SooA Lim, SuRak Eo
INTRODUCTION: Anatomical variations of the first dorsal extensor compartment (1st EC) are commonly noted. MATERIALS AND METHODS: Forty cadaver hands were dissected to define the 1st EC. Through the gross findings, we classified the contents according to the presence of septation, subcompartment, and variation of tendons. Bony cross-section of the wrist was performed to reveal any bony pattern within the 1st EC. We also measured the anatomical structures of the 1st EC...
May 7, 2018: Annals of Anatomy, Anatomischer Anzeiger: Official Organ of the Anatomische Gesellschaft
https://www.readbyqxmd.com/read/29734907/omega-%C3%AE-pulley-plasty-for-surgical-management-of-dequervain-s-disease
#3
Joseph Bakhach, Bachar Chaya, Nazareth Papazian
BACKGROUND: DeQuervain tenosynovitis, refractory to medical conservative treatment, has been traditionally treated by a simple division of the pulley, a procedure associated with several complications. Many authors attempted to prevent these complications by describing techniques of pulley reconstruction after its release necessitating suturing the different flaps and subsequently promoting extensor tendons adhesions. The authors present an alternative procedure for the first extensor compartment pulley decompression: "Omegaplasty"...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29730702/ultrasound-guided-steroid-injection-for-the-treatment-of-de-quervain-s-disease-an-anatomy-based-approach
#4
Jong-Hyun Bing, Soo-Jung Choi, Seung-Moon Jung, Dae-Shick Ryu, Jae-Hong Ahn, Chae-Hoon Kang, Dong-Rock Shin
OBJECTIVE: To suggest different ultrasound-guided steroid injection (USI) techniques based on anatomical variations of the first extensor compartment (FEC), and to evaluate the usefulness of it, in patients with de Quervain's disease. MATERIALS AND METHODS: Twenty-eight patients who underwent USI for de Quervain's disease were included. Anatomical variations were classified into complete sub-compartmentalization (n = 11), distal incomplete sub-compartmentalization (n = 5), and no sub-compartmentalization (n = 12) on ultrasound...
May 5, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29686830/cytomorphological-spectrum-of-thyroiditis-a-review-of-110-cases
#5
Shirish S Chandanwale, Rahul Nair, Anushree Gambhir, Supreet Kaur, Aditi Pandey, Abhinav Shetty, Piyusha Naragude
Introduction: Different types of thyroiditis may share some parallel clinical and biochemical features. Timely intervention can significantly reduce morbidity and mortality. Aim: Aim of this study is to find the frequency of various thyroiditis, study the cytomorphological features and correlate with clinical findings including radiological findings, thyroid function test, and anti-thyroid peroxidase antibodies (Anti-TPO antibodies). Materials and Methods: The study included consecutive 110 cases of thyroiditis...
2018: Journal of Thyroid Research
https://www.readbyqxmd.com/read/29622410/soft-tissue-atrophy-related-to-corticosteroid-injection-review-of-the-literature-and-implications-for-hand-surgeons
#6
REVIEW
Collier S Pace, Nadia P Blanchet, Jonathan E Isaacs
Corticosteroid injections (CIs) are frequently used by hand surgeons to treat a wide range of pathology including de Quervain tenosynovitis and lateral epicondylitis. Although generally viewed as a benign modality, and a way to potentially avoid or postpone surgical intervention, common complications from CI should be considered and discussed with patients before the procedure. One such complication is local soft tissue atrophy and hypopigmentation after injection. We discuss the incidence of soft tissue-related adverse effects from CI, the pathophysiology and influence of different steroid preparations on soft tissues, and potential treatment options once atrophy has occurred...
April 3, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29619521/us-guided-percutaneous-release-of-the-first-extensor-tendon-compartment-using-a-21-gauge-needle-in-de-quervain-s-disease-a-prospective-study-of-35-cases
#7
Franck Lapègue, Aymeric André, Etienne Pasquier Bernachot, Ezin Jocelyn Akakpo, Pierre Laumonerie, Hélène Chiavassa-Gandois, Omar Lasfar, Christophe Borel, Marine Brunet, Olivia Constans, Hubert Basselerie, Nicolas Sans, Marie Faruch-Bilfeld
PURPOSE: To evaluate the efficacy of ultrasonography-guided percutaneous treatment of de Quervain tenosynovitis with the combination of a corticosteroid injection and release of the retinaculum of the first extensor compartment tendons with a 21-gauge needle. MATERIALS AND METHODS: The first part of our study consisted of ten procedures on cadaver wrists followed by dissection to analyse the effectiveness of the retinaculum release and detect any collateral damage...
April 4, 2018: European Radiology
https://www.readbyqxmd.com/read/29576916/deferring-routine-wrist-radiography-does-not-affect-management-of-de-quervain-tendinopathy-patients
#8
Nikolas H Kazmers, Tiffany C Liu, Chia H Wu, David R Steinberg, David J Bozentka, L Scott Levin, Benjamin L Gray
Background  Obtaining wrist radiographs prior to surgeon evaluation may be wasteful for patients ultimately diagnosed with de Quervain tendinopathy (DQT). Questions/Purpose  Our primary question was whether radiographs directly influence treatment of patients presenting with DQT. A secondary question was whether radiographs influence the frequency of injection and surgical release between cohorts with and without radiographs evaluated within the same practice. Patients and Methods  Patients diagnosed with DQT by fellowship-trained hand surgeons at an urban academic medical center were identified retrospectively...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29469625/mri-in-de-quervain-tenosynovitis-is-making-the-diagnosis-sufficient
#9
Ankur Goyal, Deep Narayan Srivastava, Tahir Ansari
No abstract text is available yet for this article.
March 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29469623/reply-to-mri-in-de-quervain-tenosynovitis-is-making-the-diagnosis-sufficient
#10
Michael S Brown, Seema Meraj, Daniel Walz
No abstract text is available yet for this article.
March 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29464194/identification-of-two-distinct-working-memory-related-brain-networks-in-healthy-young-adults
#11
Tobias Egli, David Coynel, Klara Spalek, Matthias Fastenrath, Virginie Freytag, Angela Heck, Eva Loos, Bianca Auschra, Andreas Papassotiropoulos, Dominique J-F de Quervain, Annette Milnik
Working memory (WM) is an important cognitive domain for everyday life functioning and is often disturbed in neuropsychiatric disorders. Functional magnetic resonance imaging (fMRI) studies in humans show that distributed brain areas typically described as fronto-parietal regions are implicated in WM tasks. Based on data from a large sample of healthy young adults ( N = 1369), we applied independent component analysis (ICA) to the WM-fMRI signal and identified two distinct networks that were relevant for differences in individual WM task performance...
January 2018: ENeuro
https://www.readbyqxmd.com/read/29432267/effectiveness-of-preoperative-antibiotics-in-preventing-surgical-site-infection-after-common-soft-tissue-procedures-of-the-hand
#12
Kevin Li, Tanmaya D Sambare, Sam Y Jiang, Emily J Shearer, Nathan P Douglass, Robin N Kamal
BACKGROUND: Antibiotic prophylaxis is a common but controversial practice for clean soft tissue procedures of the hand, such as carpal tunnel release or trigger finger release. Previous studies report no substantial reduction in the risk of surgical site infection (SSI) after antibiotic prophylaxis, yet are limited in power by low sample sizes and low overall rates of postoperative infection. QUESTIONS/PURPOSES: Is there evidence that antibiotic prophylaxis decreases the risk of SSI after soft tissue hand surgery when using propensity score matching to control for potential confounding variables such as demographics, procedure type, medication use, existing comorbidities, and postoperative events? METHODS: This retrospective analysis used the Truven Health MarketScan databases, large, multistate commercial insurance claims databases corresponding to inpatient and outpatient services and outpatient drug claims made between January 2007 and December 2014...
April 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29398330/perioperative-antibiotics-for-clean-hand-surgery-a-national-study
#13
Shepard P Johnson, Lin Zhong, Kevin C Chung, Jennifer F Waljee
PURPOSE: Given that surgical site infections remain a common performance metric in assessing the quality of health care, we hypothesized that prophylactic antibiotics are overutilized in soft tissue hand surgery when antimicrobials are not indicated. METHODS: We studied insurance claims from the Truven MarketScan Databases to identify patients who underwent 1 of 5 outpatient hand surgery procedures: open or endoscopic carpal tunnel release, trigger finger release, de Quervain release, and wrist ganglion excision between 2009 and 2015 (n = 305,946)...
February 2, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29395600/ultrasound-assessment-of-extensor-pollicis-brevis-tendon-excursion-in-different-wrist-positions-in-healthy-people
#14
Edel Kelly, Richard Ellis, Wayne Hing
STUDY DESIGN: Cross-sectional, observational study. INTRODUCTION: There is little reported on the in vivo mechanics and behavior of extensor pollicis brevis (EPB) in relation to wrist position. Wrist position is known to significantly influence tendon excursion and therefore function of the digits. Ultrasound imaging (USI) can be used to assess in vivo tendon behavior and excursion. An improved knowledge of the excursion of the EPB tendon is important in understanding normal tendon mechanics and potentially pathological tendon disorders such as de Quervains tenosynovitis...
January 29, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29383273/pulley-reconstruction-for-symptomatic-instability-of-the-tendons-of-the-first-extensor-compartment-following-de-quervain-s-release
#15
Daan Renson, Koen Mermuys, Bert Vanmierlo, Francis Bonte, Petrus Van Hoonacker, Diederick Kerckhove, Bart Berghs, Jean F Goubau
Background  Surgical management of de Quervain's tenosynovitis is based on decompression of the first extensor compartment. A simple release of the first compartment can cause instability of the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons in zone seven of the extensors. The WHAT test (wrist hyperflexion and abduction of the thumb) is very effective in diagnosing this instability. Patients and Methods  In this retrospective monocentric study, we analyzed a case series of 10 patients all of whom underwent a reconstruction of the first extensor compartment using a retinacular graft because of symptomatic instability after decompression surgery...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29382824/genetic-estimators-of-dna-methylation-provide-insights-into-the-molecular-basis-of-polygenic-traits
#16
Virginie Freytag, Vanja Vukojevic, Holger Wagner-Thelen, Annette Milnik, Christian Vogler, Markus Leber, Leonie Weinhold, Anne C Böhmer, Steffi Riedel-Heller, Wolfgang Maier, Dominique J-F de Quervain, Alfredo Ramirez, Andreas Papassotiropoulos
The large biological distance between genetic risk loci and their mechanistic consequences in the tissue of interest limits the ability to establish functionality of susceptibility variants for genetically complex traits. Such a biological gap may be reduced through the systematic study of molecular mediators of genomic action, such as epigenetic modification. Here, we report the identification of robust genetic estimators of whole-blood CpG methylation, which can serve as intermediate molecular traits amenable to association testing with other genetically complex traits...
January 31, 2018: Translational Psychiatry
https://www.readbyqxmd.com/read/29355747/proximal-linear-extension-of-skin-hypopigmentation-after-ultrasound-guided-corticosteroid-injection-for-de-quervain-tenosynovitis-a-case-presentation
#17
Carlo Milani, Cindy Lin
de Quervain tenosynovitis is a stenosing tenosynovitis of the first dorsal compartment of the wrist that can lead to painful functional impairment of the upper limb. This case presentation describes a rare adverse effect of corticosteroid injection, involving local skin atrophy and hypopigmentation with proximal linear extension. In this case, hypopigmentation developed from the wrist to beyond the elbow after corticosteroid injection with ultrasound guidance and targeted placement of the injectate in the extensor tendon sheath of the first dorsal compartment...
March 28, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29274661/perioperative-celecoxib-and-postoperative-opioid-use-in-hand-surgery-a-prospective-cohort-study
#18
Jeffrey G Stepan, Daniel A London, Daniel A Osei, Martin I Boyer, Agnes Z Dardas, Ryan P Calfee
PURPOSE: Prescription opioid abuse is an epidemic in the United States; multimodal analgesia has been suggested as a potential solution to decrease postoperative opioid use. The primary aim of this study was to determine the effect of perioperative celecoxib on opioid intake. Secondary goals were to determine whether perioperative administration of celecoxib decreased postoperative patient-reported pain and whether patient demographic characteristics could predict postoperative pain and opioid intake...
April 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29175611/resting-state-functional-connectivity-remains-unaffected-by-preceding-exposure-to-aversive-visual-stimuli
#19
Léonie Geissmann, Leo Gschwind, Nathalie Schicktanz, Gunnar Deuring, Timm Rosburg, Kyrill Schwegler, Christiane Gerhards, Annette Milnik, Marlon O Pflueger, Ralph Mager, Dominique J F de Quervain, David Coynel
While much is known about immediate brain activity changes induced by the confrontation with emotional stimuli, the subsequent temporal unfolding of emotions has yet to be explored. To investigate whether exposure to emotionally aversive pictures affects subsequent resting-state networks differently from exposure to neutral pictures, a resting-state fMRI study implementing a two-group repeated-measures design in healthy young adults (N = 34) was conducted. We focused on investigating (i) patterns of amygdala whole-brain and hippocampus connectivity in both a seed-to-voxel and seed-to-seed approach, (ii) whole-brain resting-state networks with an independent component analysis coupled with dual regression, and (iii) the amygdala's fractional amplitude of low frequency fluctuations, all while EEG recording potential fluctuations in vigilance...
February 15, 2018: NeuroImage
https://www.readbyqxmd.com/read/29062653/ascot-autologous-bone-marrow-stem-cell-use-for-osteoarthritis-of-the-thumb-first-carpometacarpal-joint
#20
Matthew P Murphy, Christina Buckley, Conor Sugrue, Emma Carr, Aine O'Reilly, Shane O'Neill, Sean M Carroll
BACKGROUND: The first carpometacarpal joint (CMCJ) in the hand is a commonly affected joint by osteoarthritis. It causes significant thumb base pain, limiting functional capacity. Microfracturing and application of autologous stem cells has been performed on large joints such as the knee but has never been evaluated for use in the smaller joints in the hand. Our aim was to determine the potential benefit of microfracturing and autologous bone marrow stem cells for treatment of osteoarthritis of the first CMCJ in the hand...
September 2017: Plastic and Reconstructive Surgery. Global Open
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