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Hand Trauma

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https://www.readbyqxmd.com/read/28632575/clinical-profile-etiology-and-outcome-of-infantile-ocular-trauma-a-developing-country-perspective
#1
Vedang D Shah, Madhu Uddaraju, Amitabh Singh, Rashmi Ranjan Das
OBJECTIVE: The aim of this article was to study the clinical profile, etiology, and outcome of infantile ocular trauma in a developing country setting. METHODS: A retrospective study on corneal trauma in infants (≤12 months old) was undertaken in a tertiary care hospital during a 2-year period. An analysis of clinical profile, etiology, microbiological profile, clinical course, and outcome was studied. RESULTS: Seventy-six infants were included...
June 20, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28627349/-clinical-application-of-cardiopulmonary-resuscitation-with-abdominal-lifting-and-compression-in-emergency-treatment
#2
Jie Wang, Guolan Wu, Ronghua Yang, Yonghong Wang, Shunping Wang, Honglin Li, Shouhui Wang, Manguo Zhao, Xusheng Li, Yan Peng
OBJECTIVE: To investigate the clinical value of cardiopulmonary resuscitation (CPR) with abdominal lifting and compression on patients with breathing and cardiac arrest induced by severe chest trauma. METHODS: Sixty-six breathing and cardiac arrest patients induced by severe chest trauma admitted to the General Hospital of Jingyuan Coal Industry Group Company from October 2011 to October 2016 were enrolled, and they were divided into abdominal lifting and compression group (n = 32) and unarmed abdominal compression group (n = 34) by random number table...
March 2017: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/28624042/wound-management-and-outcome-of-595-electrical-burns-in-a-major-burn-center
#3
Haisheng Li, Jianglin Tan, Junyi Zhou, Zhiqiang Yuan, Jiaping Zhang, Yizhi Peng, Jun Wu, Gaoxing Luo
BACKGROUND: Electrical burns are important causes of trauma worldwide. This study aims to analyze the clinical characteristics, wound management, and outcome of electric burns. METHODS: This retrospective study was performed at the Institute of Burn Research of the Third Military Medical University during 2013-2015. Data including the demographics, injury patterns, wound treatment, and outcomes were collected and analyzed. RESULTS: A total of 595 electrical burn patients (93...
June 15, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28622552/fornix-microalterations-associated-with-early-trauma-in-panic-disorder
#4
Seung-Taek Yu, Kang-Soo Lee, Sang-Hyuk Lee
BACKGROUND: It is well accepted that panic disorder (PD) is associated with early trauma, and that the limbic systems are one of the main structures involved in PD pathophysiology. However, previous studies have not addressed the relationship between early trauma and major limbic white-matter (WM) structures in PD. METHODS: Participants enrolled in the study consisted of 53 right-handed patients with PD and 21 healthy controls (HC). The Early Trauma Inventory Self Report-Short Form (ETISR-SF), Anxiety Sensitivity Inventory-Revised (ASI-R), and the Albany Panic and Phobia Questionnaire (APPQ) were applied in the study...
May 30, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28620932/fiber-type-composition-of-the-palmaris-brevis-muscle-implications-for-palmar-function
#5
Colin W Moore, Tyler S Beveridge, Charles L Rice
The palmaris brevis (PB) is a small muscle of variant morphology located on the ulnar aspect of the palm, superficial to the hypothenar eminence. Functionally, the PB has been proposed to protect the neurovasculature of the ulnar canal from compressive forces during repetitive or intermittent trauma associated with grasping. Although PB function has been inferred from cadaveric observations, it is unknown whether it has the contractile capacity and fatigue-resistance necessary to withstand these functional demands...
June 16, 2017: Journal of Anatomy
https://www.readbyqxmd.com/read/28611995/an-update-on-the-disappearing-nail-bed
#6
Ralph Daniel, Babaev Meir, Shemer Avner
BACKGROUND: The nail bed may epithelialize and develop dermatoglyphics after long-standing onycholysis. We have called this phenomenon the disappearing nail bed (DNB). DNB may present as a shortened or narrow nail bed. METHODS: Examination of all 20 nails was performed in each patient enrolled to the study. DNB was defined as the presence of a nail which is at least 20% shorter and/or narrower than the identical nail on the opposite hand or foot. Age, sex, and nail history were recorded...
March 2017: Skin Appendage Disorders
https://www.readbyqxmd.com/read/28609119/risk-factors-for-tear-progression-in-symptomatic-rotator-cuff-tears-a-prospective-study-of-174-shoulders
#7
Nobuyuki Yamamoto, Mitsuyoshi Mineta, Jun Kawakami, Hirotaka Sano, Eiji Itoi
BACKGROUND: The risk factors for tear progression in symptomatic rotator cuff tears have not been clarified yet. It is important for orthopaedic surgeons to know the natural course of tear progression when nonoperative management is to be chosen. HYPOTHESIS: Tears in younger patients, high-activity patients, or heavy laborers would progress in size more than those in older patients, low-activity patients, or light laborers. STUDY DESIGN: Case-control study; Level of evidence, 3...
June 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28608597/perineal-techniques-during-the-second-stage-of-labour-for-reducing-perineal-trauma
#8
REVIEW
Vigdis Aasheim, Anne Britt Vika Nilsen, Liv Merete Reinar, Mirjam Lukasse
BACKGROUND: Most vaginal births are associated with trauma to the genital tract. The morbidity associated with perineal trauma can be significant, especially when it comes to third- and fourth-degree tears. Different interventions including perineal massage, warm or cold compresses, and perineal management techniques have been used to prevent trauma. This is an update of a Cochrane review that was first published in 2011. OBJECTIVES: To assess the effect of perineal techniques during the second stage of labour on the incidence and morbidity associated with perineal trauma...
June 13, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28606638/retrospective-cohort-study-on-radial-head-replacements-comparing-results-between-smooth-and-porous-stem-designs
#9
Mélissa Laflamme, Pierre-Philippe Grenier-Gauthier, Alexandre Leclerc, Stéphanie Antoniades, Anne-Marie Bédard
BACKGROUND: When necessary, radial head integrity after a fracture can be re-created by the use of a radial head arthroplasty if the radial head is judged irreparable. The purpose of this study was to compare the clinical and radiographic outcomes of metal modular radial head replacements with a smooth vs. a porous stem. METHODS: A retrospective cohort study of radial head replacements performed in the first 4 weeks after a trauma in an adult patient at our institution between 2000 and 2014 was completed...
June 9, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28605949/venous-flaps-for-coverage-of-traumatic-soft-tissue-defects-of-the-hand-a-systematic-review
#10
R Wharton, H Creasy, C Bain, M James, A Fox
A PRISMA-guided systematic review was performed of all published cases that detail the use of venous flaps for soft tissue reconstruction of the hand following trauma. Outcome measures examined included flap survival rates, venous congestion, and return to theatre. Database searches were performed on Medline, Embase, AHMED, CINAHL. A total of 381 articles were identified. Data were extracted from 45 articles that met inclusion criteria. A total of 756 flaps were described and their data analysed. A total of 75% of flaps were arterialized and 25% were pure venous flaps...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28604547/the-crisis-of-deficiency-in-emergency-coverage-for-hand-and-facial-trauma-exploring-the-discrepancy-between-availability-of-elective-and-emergency-surgical-coverage
#11
Lauren A Whipple, Tara Kelly, Oluseyi Aliu, Malcolm Z Roth, Ashit Patel
INTRODUCTION: Injuries are one of the most common reasons for emergency department visits, with approximately 40.2 million injury-related visits occurring in 2011. Facial, hand, and wrist injuries make up a large portion of these visits. Despite the high demand for specialists to attend to these injury-related emergency department visits, recent studies have suggested a discrepancy between elective surgical coverage and trauma care in general. The goal of this study was to determine if there was a difference between access to elective surgical procedures in comparison with on-call emergency care for facial and hand/wrist conditions in New York State...
June 9, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28601332/the-surgeon-performed-ultrasound-a-curriculum-to-improve-residents-basic-ultrasound-knowledge
#12
Ibrahim Nassour, M Chance Spalding, Linda S Hynan, Aimee K Gardner, Brian H Williams
BACKGROUND: Despite the development of ultrasound courses by the American College of Surgeons two decades ago, many residencies lack formal ultrasound training. The aim of this study was to assess the previous ultrasound experience of residents and the efficacy of a new ultrasound curriculum by comparing pre- and post-course tests. METHODS: A pre-course survey and test were sent to all residents at the University of Texas Southwestern Medical Center. Pre-interns and junior residents received a didactic lecture on ultrasound basics and the extended focused assessment with sonography for trauma and were given hands-on practice...
June 1, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28601206/prolonged-field-care-beyond-the-golden-hour
#13
REVIEW
Sean Keenan, Jamie C Riesberg
Prolonged field care (PFC) has emerged as a recent area of focus for US military Special Operations Forces (SOF) medical experts. Focused on the current reality of providing medical care to military forces often deployed in remote and austere locations far from medical support or a robust casualty evacuation chain, PFC encompasses evolving operational situations not unlike many wilderness medicine practice environments. SOF currently operates in all areas of the world and on a variety of different missions, which finds these small teams far from the accustomed practice environment of robust deployed medical infrastructure commonly seen during the last 15 years of military conflicts...
June 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28599578/antimicrobial-and-bone-forming-activity-of-a-copper-coated-implant-in-a-rabbit-model
#14
Cornelia Prinz, Mohamed Elhensheri, Joachim Rychly, Hans-Georg Neumann
Current strategies in implant technology are directed to generate bioactive implants that are capable to activate the regenerative potential of the surrounding tissue. On the other hand, implant-related infections are a common problem in orthopaedic trauma patients. To meet both challenges, i.e. to generate a bone implant with regenerative and antimicrobial characteristics, we tested the use of copper coated nails for surgical fixation in a rabbit model. Copper acetate was galvanically deposited with a copper load of 1 µg/mm(2) onto a porous oxide layer of Ti6Al4V nails, which were used for the fixation of a tibia fracture, inoculated with bacteria...
January 1, 2017: Journal of Biomaterials Applications
https://www.readbyqxmd.com/read/28590356/plasma-succinate-is-a-predictor-of-mortality-in-critically-injured-patients
#15
Angelo D'Alessandro, Hunter B Moore, Ernest E Moore, Julie A Reisz, Matthew J Wither, Arsen Ghasabyan, James Chandler, Christopher C Silliman, Kirk C Hansen, Anirban Banerjee
BACKGROUND: Trauma is the leading cause of mortality under the age of 40. Recent observations on metabolic reprogramming during hypoxia and ischemia indicate that hypoxic mitochondrial uncoupling promotes the generation of succinate, which in turn mediates reperfusion injury and inflammatory sequelae upon reoxygenation. Plasma levels of succinate significantly increase in response to trauma and hemorrhage in experimental models and clinical samples, suggesting that succinate may represent a candidate marker of systemic perfusion in trauma...
June 6, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28590350/does-prehospital-management-by-doctors-affect-outcome-in-major-trauma-a-systematic-review
#16
Stephanie Wilson, Vinay Gangathimmaiah
BACKGROUND: There is substantial variation worldwide in prehospital management of trauma and the role of doctors is controversial. The objective of this review was to determine whether prehospital management by doctors affects outcomes in major trauma, including the pre-specified subgroup of severe traumatic brain injuries (TBI) when compared to management by other advanced life support providers. METHODS: EMBASE, MEDLINE(R), PubMed, SciELO, Trip, Web of Science and Zetoc were searched for published articles...
June 6, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28584425/osseo-integrated-finger-prosthesis-with-a-custom-abutment
#17
Benny Thomas, Chalakuzhiyil Abraham Mathew, Mahendra Perumal, Maheshwaran Marappan
One of the most regularly encountered forms of partial hand loss causing physical, psychosocial and financial burden to an individual is the finger amputation followed by trauma. The prosthetic rehabilitation of amputated finger is a good treatment option, when compared to all other means of complex and unaffordable options. Osseointegrated implant retained silicone finger prosthesis with innovative prosthetic designs can provide the patient a life changing experience.
April 2017: Journal of Indian Prosthodontic Society
https://www.readbyqxmd.com/read/28573554/-prevention-of-postoperative-infections-risk-factors-and-the-current-who-guidelines-in-musculoskeletal-surgery
#18
REVIEW
Christian Willy, Hayo Rieger, Marcus Stichling
BACKGROUND: Despite the many scientific and technological advances postoperative infection continues to be a large problem for trauma and orthopedic surgeons. Based on a review of the current literature, this study provides a comprehensive overview of the risk factors (RF) and possible preventive measures to control surgical site infections. METHODS: Medline search and analysis from 1968-2017 (as of 01 March 2017). Selection of trauma and orthopedic relevant RFs and comparison with WHO recommendations (global guidelines for the prevention of surgical site infection, Nov...
June 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28571088/emergency-and-trauma-of-hand-and-wrist
#19
Rik B Kraan, Frances E Walstra, Teun Teunis, Frank Smithuis, Cornelis F Van Dijke, Mario Maas
No abstract text is available yet for this article.
July 2017: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/28560551/repetitive-blunt-trauma-and-arterial-injury-in-the-hand
#20
REVIEW
Geoffrey A Gardiner, Allison Tan
INTRODUCTION/PURPOSE: Arterial injury in the hand is most often due to repetitive blunt trauma. Although not always associated with significant impairment, it may cause serious ischemic damage or considerable disability. As a cause of digital ischemia, the frequency of this disorder is widely under appreciated. This study reviews the clinical and angiographic features of this condition. MATERIALS/METHODS: An extensive literature review combined with the authors experience with arterial injury in the hand due to repetitive blunt hand trauma is summarized with emphasis on mechanisms of injury and pathologic changes to explain the angiographic findings and clinical presentations...
May 30, 2017: Cardiovascular and Interventional Radiology
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