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Shoulder OA

Anne J Spaans, L Paul van Minnen, Assa Braakenburg, Aebele B Mink van der Molen
OBJECTIVE: The purpose of this pilot study was to evaluate the feasibility of joint distraction of the first carpometacarpal (CMC1) joint in patients with CMC1 osteoarthritis (OA). METHODS: An external joint distractor was placed over the CMC1 joint by K-wire fixation in the trapezium and the metacarpal. The joint was distracted 3 mm during surgery. The device was then kept in place for 8 weeks. Disabilities of the Arm, Shoulder, and Hand (DASH) score, Michigan Hand Outcome Questionnaire (MHQ), Visual Analogue Scale (VAS), and grip strength were recorded preoperatively and at set postoperative intervals...
October 19, 2016: Journal of Plastic Surgery and Hand Surgery
Elizabeth Salt, Amanda T Wiggins, Mary Kay Rayens, Brent J Morris, David Mannino, Andrew Hoellein, Ryan P Donegan, Leslie J Crofford
OBJECTIVE: Inconclusive findings about infection risks, importantly the use of immunosuppressive medications in patients who have undergone large-joint total joint arthroplasty, challenge efforts to provide evidence-based perioperative total joint arthroplasty recommendations to improve surgical outcomes. Thus, the aim of this study was to describe risk factors for developing a post-operative infection in patients undergoing TJA of a large joint (total hip arthroplasty, total knee arthroplasty, or total shoulder arthroplasty) by identifying clinical and demographic factors, including the use of high-risk medications (i...
August 24, 2016: Seminars in Arthritis and Rheumatism
Valerie F Williams, Leslie L Clark, Gi-Taik Oh
During the 6-year surveillance period, a total of 56,935 incident diagnoses of osteoarthritis (OA) and 60,968 incident diagnoses of spondylosis were identified. Age-specific rates of OA and spondylosis increased markedly with age and were higher among Army members and those in armor/motor transport occupations, compared to their respective counterparts. Among service members aged 25 years or older, the rate of OA overall was higher among black, non-Hispanic than other race/ethnicity group members, and the rate of shoulder OA was higher among males than females...
September 2016: MSMR
Галина С Хайменова, Людмила Н Шилкина, Марина Ю Бабанина, Григорий В Волченко, Максим В Ткаченко, Вячеслав Н Ждан
INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a disease that is characterized by chronic airflow limitation, a variety of pathological changes in the lungs, significant extrapulmonary manifestations, and severe comorbidities which may further aggravate the course of COPD [GOLD, 2013]. Intensity of systemic manifestations increases with the progression of obstruction, therefore the abovementioned symptoms are often overlooked and become apparent in the later stages of the disease...
2016: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
Jiong Jiong Guo, Kailun Wu, Huaqing Guan, Lei Zhang, Cheng Ji, Huilin Yang, Tiansi Tang
Little is known about the mid-term results of nonsurgical treatment for shoulder osteoarthritis (OA), especially in a Chinese population. This study sought to determine the efficacy of nonsurgical management in older patients with shoulder OA. A total of 129 conservatively treated unilateral shoulder OA patients who were older than 65 years were evaluated prospectively at the initial office visit and then subsequently at 3, 6, 12, 18, 24, and 36 months later. During the 36-month follow-up period, all patients could receive conventional therapy, such as nonsteroidal anti-inflammatory medication, corticosteroid injection, sodium hyaluronate, and education, at the discretion of treating physicians...
July 1, 2016: Orthopedics
A Migliore, E Bizzi, O De Lucia, A Delle Sedie, S Tropea, M Bentivegna, A Mahmoud, C Foti
OBJECTIVES: The aim of the current study is to collect scientific data on all branded hyaluronic acid (HA) products in Italy that are in use for intra-articular (IA) injection in osteoarthritis (OA) compared with that reported in the leaflet. METHODS: An extensive literature research was performed for all articles reporting data on the IA use of HA in OA. Selected studies were taken into consideration only if they are related to products based on HAs that are currently marketed in Italy with the specific joint indication for IA use in patients affected by OA...
2016: Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders
Ioannis Polyzois, Rupen Dattani, Rohit Gupta, Ofer Levy, A Ali Narvani
Management of first shoulder dislocation following reduction remains controversial. The two main options are immobilisation and arthroscopic stabilisation. The aim of this article is to highlight some of the issues that influence decision making when discussing management options with these patients, including natural history of the first time dislocation, outcomes of surgery and non-operative management particularly on the risk of future osteoarthritis (OA), the effects of delaying surgery and the optimal method of immobilisation...
April 2016: Archives of Bone and Joint Surgery
Rafi Raja, Bright Dube, Elizabeth M A Hensor, Sarah F Hogg, Philip G Conaghan, Sarah R Kingsbury
BACKGROUND: Chronic multiple-site joint pain (MSJP) is common in older people and associated with poor outcomes, yet under-researched. Our aim was to detail the clinical characteristics of people with MSJP and their utilisation of therapies. METHODS: MSJP was defined as pain in at least one large joint and one other joint for >6 weeks in the last three months. A mixed community, primary and secondary care cohort of people >50 years old underwent detailed history and examination by a single clinician...
2016: BMC Musculoskeletal Disorders
Anne J Spaans, L Paul van Minnen, Marieke E Weijns, Assa Braakenburg, Aebele B Mink van der Molen
Background Many surgical treatment options for osteoarthritis (OA) of the trapeziometacarpal (TMC) joint exist. However, no procedure has been proven superior. Good results have been described for TMC joint replacement. Purpose To analyze the results of the Ivory prosthesis in the treatment of symptomatic TMC OA. Patients and Methods A retrospective single-center follow-up study was performed. Visual analogue scale (VAS) for pain, Disabilities of the Arm, Shoulder and Hand (DASH) score, Michigan Hand Outcomes Questionnaire (MHQ), active range of motion, strength, and radiological outcomes were assessed and analyzed...
May 2016: Journal of Wrist Surgery
Matthijs Jacxsens, Alexander Van Tongel, Heath B Henninger, Brecht De Coninck, Andreas M Mueller, Lieven De Wilde
BACKGROUND: Eccentric loading due to humeral translation is associated with worse clinical outcomes in hemiarthroplasty and total shoulder arthroplasty. The purpose of this study was to evaluate the 3-dimensional relationship of the humeral head to the scapula (scapulohumeral relationship) in nonpathologic shoulders and in shoulders with primary osteoarthritis. MATERIALS AND METHODS: Three-dimensional reconstructions of computed tomography scans of 151 nonpathologic shoulders (control group) and 110 shoulders with primary glenohumeral arthritis (OA group) were analyzed by measuring the anterior-posterior, inferior-superior, and medial-lateral position of the humeral head in relation to the scapula...
October 2016: Journal of Shoulder and Elbow Surgery
V B Kraus, G McDaniel, J L Huebner, T V Stabler, C F Pieper, S W Shipes, N A Petry, P S Low, J Shen, T A McNearney, P Mitchell
OBJECTIVE: Through binding to folate receptor-β (FR-β), the new (99m)Tc-EC20 (Etarfolatide) imaging technique detects activated but not resting macrophages in vivo. The goal of this study was to investigate macrophage-related inflammation in osteoarthritis (OA). METHODS: Twenty-five individuals (50 knees) with symptomatic OA of at least one knee underwent SPECT-CT imaging of both knees and planar imaging of the whole body after injection of Etarfolatide. Scans and knee radiographs were scored blinded to clinical information including knee and other joint site pain severity...
September 2016: Osteoarthritis and Cartilage
Antonio Montero, Juan-Francisco Mulero, Carlos Tornero, Jordi Guitart, Mar Serrano
The authors aimed to test potential relations between osteoarthritis (OA) features, disability and health-related quality of life (HR-QoL) at different body locations. Outpatients consulting for pain associated to self-reported OA at varied healthcare settings were evaluated in a 3-month observational non-controlled follow-up study. Socio-demographic/anthropometric and medical data were collected at three time points. Lequesne's indices, quick-disabilities of arm, shoulder and hand (DASH) and Oswestry questionnaires provided measures of physical function and disability...
September 2016: Clinical Rheumatology
Kevin Lutsky, Nayoung Kim, Juana Medina, Mitchell Maltenfort, Pedro K Beredjiklian
The goals of this study were to (1) assess how frequently patients present for evaluation of common hand disorders in relation to hand dominance and (2) evaluate the effect of hand dominance on function in patients with these conditions. The authors hypothesized that (1) the majority of patients who seek evaluation would have a condition that affects the dominant hand, and (2) disability scores would be worse if the dominant hand is involved. They retrospectively reviewed the records of consecutive patients who presented for treatment to their institution with unilateral symptoms of 5 common disorders of the hand: carpal tunnel syndrome (CTS), de Quervain's tenosynovitis (DEQ), lateral epicondylitis (LE), hand osteoarthritis (OA), and trigger finger (TF)...
May 1, 2016: Orthopedics
Nathan N O'Hara, Gerard P Slobogean, Tima Mohammadi, Carlo A Marra, Milena R Vicente, Amir Khakban, Michael D McKee
BACKGROUND: Total shoulder arthroplasty (TSA) is a common treatment to decrease pain and improve shoulder function in patients with severe osteoarthritis (OA). In Canada, patients requiring this procedure often wait a year or more. Our objective was to determine patient preferences related to accessing TSA, specifically comparing out-of-pocket payments for treatment, travel time to hospital, the surgeon's level of experience and wait times. METHODS: We administered a discrete choice experiment among patients with endstage shoulder OA currently waiting for TSA...
April 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Thelonius Hawellek, Jan Hubert, Sandra Hischke, Eik Vettorazzi, Karl Wegscheider, Jessica Bertrand, Thomas Pap, Matthias Krause, Klaus Püschel, Wolfgang Rüther, Andreas Niemeier
Articular cartilage calcification is considered a pathological albeit incompletely understood process which is known to be associated with osteoarthritis of the knee and hip. The goal of this study was to determine the prevalence of articular cartilage calcification of the shoulder as a non-weight-bearing joint and to analyze the interrelationship of calcification with age and histological severity of shoulder osteoarthritis in the general population. In a cross-sectional study of 180 humeral heads from 90 donors (n = 49 male, n = 41 female; mean age 62...
March 11, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Grant H Garcia, Joseph N Liu, Gregory T Mahony, Alec Sinatro, Hao-Hua Wu, Edward V Craig, Russell F Warren, David M Dines, Lawrence V Gulotta
BACKGROUND: Return to activity is a commonly used indication for shoulder hemiarthroplasty (HA) compared with total shoulder arthroplasty (TSA). Despite clinical studies demonstrating better functional outcomes after TSA, the literature has failed to show a difference in return to sports. PURPOSE: To compare rates of return to sports in a matched cohort of TSA and HA patients with a preoperative diagnosis of glenohumeral osteoarthritis (OA). STUDY DESIGN: Cohort study; Level of evidence, 3...
March 9, 2016: American Journal of Sports Medicine
Giuseppe Porcellini, Giovanni Merolla, Nicola Giordan, Paolo Paladini, Andrea Burini, Eugenio Cesari, Alessandro Castagna
PURPOSE: numerous experimental and clinical studies in osteoarthritis (OA) have demonstrated that intra-articular (IA) administration of hyaluronic acid can improve the altered rheological properties of the synovial fluid and exert protective and reparative effects on the joint structure. The objective of this study was to evaluate the safety and performance of HYADD®4-G (Hymovis®) in patients with glenohumeral joint OA. METHODS: forty-one patients with shoulder pain and limited shoulder function resulting from concentric glenohumeral joint OA were enrolled in a multicenter clinical trial...
July 2015: Joints
Nikolas K Knowles, Louis M Ferreira, George S Athwal
The number of shoulder arthroplasty procedures has increased dramatically in recent years, with the primary indication being osteoarthritis (OA). Thus, morphology and subchondral bone changes associated with OA may be important factors to consider when choosing a replacement component. For surgical treatment, many implant options exist and survivability is often dependent on patient age, activity level, and progression of OA. In the placement of these replacement components, patient-specific guides now exist to improve component positioning, with the goal to improve long-term survivability by ensuring that intra-operative placement meets component design...
March 2016: Current Reviews in Musculoskeletal Medicine
Arnd F Viehöfer, Jess G Snedeker, Daniel Baumgartner, Christian Gerber
Osteoarthritis (OA) of the glenohumeral joint constitutes the most frequent indication for nontraumatic shoulder joint replacement. Recently, a small critical shoulder angle (CSA) was found to be associated with a high prevalence of OA. This study aims to verify the hypothesis that a small CSA leads to higher glenohumeral joint reaction forces during activities of daily living than a normal CSA. A shoulder simulator with simulated deltoid (DLT), supraspinatus (SSP), infraspinatus/teres minor (ISP/TM), and subscapularis (SSC) musculotendinous units was constructed...
June 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Fereydoun Davatchi, Mahnaz Sandoughi, Nasrin Moghimi, Ahmad-Reza Jamshidi, Arash Tehrani Banihashemi, Zahra Zakeri, Bahar Sadeghi Abdollahi
AIM: To calculate the epidemiology of Rheumatic Diseases in Iran. MATERIALS AND METHODS: The data of Tehran, Zahedan, Sanandaj (urban) and Tuyserkan (rural) stage Community Oriented Program for the Control of Rheumatic Diseases (COPCORD) studies were gathered. The data were adjusted to the population number of the studied areas to represent Iran. RESULTS: The population of Iran is 75 149 669 (71.5% urban areas, males 50.4%) and of the mentioned area were respectively 10 000 000, 580 071, 311 444 and 109 262...
December 1, 2015: International Journal of Rheumatic Diseases
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