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https://www.readbyqxmd.com/read/28722614/identification-of-risk-factors-associated-with-transmission-of-plague-disease-in-eastern-zambia
#1
Stanley S Nyirenda, Bernard M Hang'ombe, Robert Machangu, Jackson Mwanza, Bukheti S Kilonzo
Plague is a fatal, primarily rodent-flea-borne zoonotic disease caused by Yersinia pestis. The identification of risk factors of plague was investigated through questionnaire interview and conducting focus group discussion (FGD) in Sinda and Nyimba of eastern Zambia. A total of 104 questionnaires were administered to individual respondents and 20 groups consisting of 181 discussants, which comprised FGD team in this study. The study revealed that trapping, transportation, and preparation of rodents for food exposed the community to rodent and their fleas suggesting that plague may have occurred primarily by either flea bites or contact with infected wild rodents...
June 12, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28721447/direct-repair-of-the-sagittal-band-for-extensor-tendon-subluxation-caused-by-finger-flicking
#2
In Tae Hong, Chi Hoon Oh, Young Suk Sim, Soo Hong Han
PURPOSE: For patients with metacarpophalangeal (MCP) extensor tendon subluxation caused by finger flicking injury, we performed an extensor tendon realignment and direct repair technique. The purpose of this study was to evaluate the clinical outcome after direct repair of the sagittal band in patients with MCP extensor tendon subluxation caused by finger flicking injury and to introduce the repair technique. METHODS: A total of 26 patients with a mean age of 39...
July 18, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28719990/radiographic-and-clinical-assessment-of-intramedullary-nail-fixation-for-the-treatment-of-unstable-metacarpal-fractures
#3
Ather Mirza, Justin Mirza, Chris Healy, Vishaaq Mathew, Brian Lee
BACKGROUND: The purpose of the article was to evaluate clinical and radiographic outcomes in a case series of unstable metacarpal fractures treated with flexible intramedullary nail (IMN) fixation. METHODS: A total of 55 patients with unstable metacarpal fractures between 2003 and 2010 were treated with IMN fixation and followed for a minimum of 1 year. The outcomes were assessed via a radiological study of longitudinal and angular collapse, Disabilities of the Arm, Shoulder, and Hand (DASH) score, total active range of motion (ROM) of the wrist, and grip strength testing...
March 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28719752/return-to-sport-after-shoulder-arthroplasty-in-recreational-athletes-a-systematic-review-and-meta-analysis
#4
Florence Aim, Jean-David Werthel, Julien Deranlot, Marie Vigan, Geoffroy Nourissat
BACKGROUND: One of the most frequent demands from patients after shoulder replacement surgery is to return to sport. PURPOSE: To determine the rate of return to sport after shoulder arthroplasty (total shoulder arthroplasty, reverse shoulder arthroplasty, hemiarthroplasty) in recreational athletes. STUDY DESIGN: Meta-analysis and systematic review. METHODS: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to perform this systematic review and meta-analysis of the results in the literature as well as the presentation of results...
July 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28716796/clinical-and-cost-effectiveness-of-progressive-exercise-compared-with-best-practice-advice-with-or-without-corticosteroid-injection-for-the-treatment-of-rotator-cuff-disorders-protocol-for-a-2x2-factorial-randomised-controlled-trial-the-grasp-trial
#5
Sally Hopewell, David J Keene, Michael Maia Schlüssel, Melina Dritsaki, Susan Dutton, Andrew Carr, William Hamilton, Zara Hansen, Anju Jaggi, Chris Littlewood, Hessam Soutakbar, Peter Heine, Lucy Cureton, Karen Barker, Sarah E Lamb
INTRODUCTION: Shoulder pain is very common, with around 70% of cases due to disorders of the rotator cuff. Despite widespread provision of physiotherapy, there is uncertainty about which type of exercise and delivery mechanisms are associated with best outcomes. There is also uncertainty around the long-term benefits and harms of corticosteroid injection therapy, which is often used in addition to physiotherapy. The Getting it Right: Addressing Shoulder Pain trial will assess the clinical and cost-effectiveness of individually tailored, progressive exercise compared with best practice advice, with or without corticosteroid injection, in adults with a rotator cuff disorder...
July 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28716019/glenohumeral-and-scapulothoracic-strength-impairments-exists-in-patients-with-subacromial-impingement-but-these-are-not-reflected-in-the-shoulder-pain-and-disability-index
#6
M B Clausen, A Witten, K Holm, K B Christensen, M L Attrup, P Hölmich, K Thorborg
BACKGROUND: Pain and loss of function are cardinal symptoms associated with Subacromial impingement syndrome (SIS), while the presence and magnitude of deficits in strength and range of motion (ROM) are largely undescribed in non-athletic patients with SIS. Moreover, the relevance of impairments in strength and ROM to patient-reported shoulder function is not well described, even though testing of strength is recommended in clinical guidelines. The purpose of this study was, first, to investigate impairments in glenohumeral and scapulothoracic strength and in abduction and internal rotation ROM in patients with SIS...
July 17, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28714759/effects-of-rigid-and-kinesio-taping-on-shoulder-rotation-motions-posterior-shoulder-tightness-and-posture-in-asymptomatic-overhead-athletes-a-randomized-controlled-trial
#7
Damla Gulpinar, Sibel Tekeli Ozer, Sevgi S Yesilyaprak
CONTEXT: Alterations in posture and motion patterns are thought to play a role in developing shoulder injuries in overhead athletes. Taping is widely used in the sporting population, but there are limited empirical data regarding its effectiveness. OBJECTIVES: To determine and compare the effects of rigid and kinesio taping on shoulder rotation motions, posterior shoulder tightness (PST) and posture in overhead athletes. DESIGN: Randomized controlled trial...
July 17, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28714658/the-effect-of-progressive-shoulder-neck-exercise-on-cervical-muscle-functions-of-middle-aged-and-senior-patients-with-chronic-neck-pain-a-randomized-controlled-trial
#8
I Hsien Lin, Kwang H Chang, Tsan H Liou, Chih M Tsou, Yi C Huang
BACKGROUNDː Although neck pain is a common musculoskeletal disorder, there is no consensus on suitable exercise methods for middle-aged and senior patients with chronic neck pain. Therefore, this study investigated the effectiveness of a 6-week shoulder-neck exercise intervention program on cervical muscle function improvement in ≥45-year old patients with chronic neck pain. AIM: To evaluated the effects of progressive shoulder-neck exercise on cervical muscle functions of middle-aged and senior patients with chronic neck pain...
July 17, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28712922/utilization-of-manipulative-treatment-for-spine-and-shoulder-conditions-between-different-medical-providers-in-a-large-military-hospital
#9
Daniel Rhon, Tina Greenleee, Julie Fritz
OBJECTIVE: Describe the use of manipulative treatment for shoulder and spine conditions between various provider types. DESIGN: Retrospective observational cohort SETTING: Single military hospital PARTICIPANTS: Consecutive sample of 7,566 patients seeking care for an initial spine or shoulder condition from 1 January to 31 December 2009. INTERVENTIONS: Manipulative treatment (e.g. manual therapy, spinal and joint manipulation, etc). MAIN OUTCOME MEASURE: Manipulation treatment was identified with procedure billing codes in medical records...
July 13, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28712331/feasibility-and-efficacy-of-mat-pilates-on-people-with-mild-to-moderate-parkinson-s-disease-a-preliminary-study
#10
Jose Maria Cancela, Irimia Mollinedo, Carlos Ayán Perez, Iris Machado de Oliveira
OBJECTIVES: This pilot study aimed at assessing the feasibility and efficacy of a Mat Pilates program in people with mild to moderate Parkinson's disease. Equipment and methods: The participants carried out a Mat Pilates program twice a week for 12 weeks. The Senior Fitness Test battery and the 39-item Parkinson's Disease Questionnaire were used to assess the effects of the program on the participants' fitness level and quality of life. RESULTS: A total of 16 patients with mild to moderate Parkinson's disease volunteered and finished the study...
July 16, 2017: Rejuvenation Research
https://www.readbyqxmd.com/read/28712103/randomised-controlled-trial-of-analgesic-effectiveness-of-three-different-techniques-of-single-shot-interscalene-brachial-plexus-block-using-20-ml-of-0-5-ropivacaine-for-shoulder-arthroscopy
#11
Michał Jan Stasiowski, Michał Kolny, Marek Zuber, Radosław Marciniak, Ewa Chabierska, Przemysław Jałowiecki, Aleksandra Pluta, Bartłomiej Możdżyński
Background Shoulder arthroscopic procedures impose a challenge to anaesthesiologists in terms of postoperative analgesia. Proper pain management after arthroscopic procedures improves patient satisfaction and facilitates early rehabilitation. METHODS: We performed a randomized, prospective clinical study to assess the influence of anthropometric parameters and IBPB technique on the quality of postoperative analgesia. A total of 106 randomly selected patients of ASA I-III status scheduled for elective shoulder arthroscopy ...
July 16, 2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28711169/the-risk-of-suprascapular-and-axillary-nerve-injury-in-reverse-total-shoulder-arthroplasty-an-anatomic-study
#12
Tim Leschinger, Michael Hackl, Eduard Buess, Sebastian Lappen, Martin Scaal, Lars Peter Müller, Kilian Wegmann
PURPOSE: Implantation of a reverse total shoulder arthroplasty (rTSA) places the axillary and suprascapular nerves at risk. The aim of this anatomic study was to digitally analyse the location of these nerves in relation to bony landmarks in order to predict their path and thereby help to reduce the risk of neurological complications during the procedure. METHODS: A total of 22 human cadaveric shoulder specimens were used in this study. The axillary and suprascapular nerves were dissected, and radiopaque threads were sutured onto the nerves without mobilizing the nerves from their native paths...
June 28, 2017: Injury
https://www.readbyqxmd.com/read/28711157/ma%C3%A3-a-trapeziometacarpal-joint-arthroplasty-clinical%C3%A2-and-radiological-outcomes-of-80-patients-with%C3%A2-more-than-6-years-of-follow-up
#13
Adriano Toffoli, Jacques Teissier
PURPOSE: Trapeziometacarpal (TMC) total joint replacement is increasingly being performed in Europe. MAÏA TMC total joint arthroplasty is a modular uncemented ball-and-socket hydroxyapatite-coated implant. This study assessed the midterm clinical and radiological results of the MAÏA TMC prosthesis. METHODS: This single-center retrospective study involved 80 patients who underwent 96 MAÏA TMC prosthesis implantations from February 2006 to April 2009, and who had a minimum of 5 years' follow-up...
July 13, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28710344/position-of-immobilization-after-first-time-traumatic-anterior-glenohumeral-dislocation-a-literature-review
#14
Olga Gutkowska, Jacek Martynkiewicz, Jerzy Gosk
Anterior glenohumeral dislocation affects about 2% of the general population during the lifetime. The incidence of traumatic glenohumeral dislocation ranges from 8.2 to 26.69 per 100 000 population per year. The most common complication is recurrent dislocation occurring in 17-96% of the patients. The majority of patients are treated conservatively by closed reduction and immobilization in internal rotation for 2-3 weeks. However, no clear conservative treatment protocol exists. Immobilization in external rotation can be considered an alternative...
July 15, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28708779/midshaft-fracures-of-the-clavicle-a-meta-analysis-comparing-surgical-fixation-via-anteroinferior-plating-versus-superior-plating
#15
Alex Nourian, Satvinder Dhaliwal, Sitaram Vangala, Peter S Vezeridis
OBJECTIVE: Tto compare the outcomes of clavicle fracture fixation using anteroinferior versus superior plate placement. METHODS: We performed a meta-analysis of studies that have reported on outcomes following superior or anteroinferior plate fixation for acute midshaft clavicle fractures (OTA 15-B). A computerized literature search in the Pubmed, Scopus, and Cochrane Library databases was utilized to identify relevant articles. Only full text articles without language restrictions were evaluated...
June 22, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28706796/arthroscopic-removal-of-a-loose-polyethylene-glenoid-component-with-bone-grafting-and-patch-augmentation-for-glenoid-osseous-defect
#16
Jeffrey T Abildgaard, Jared C Bentley, Richard J Hawkins, John M Tokish
Glenoid component loosening is a common cause of failed total shoulder arthroplasty. Many different treatment options exist for the management of a symptomatic loose polyethylene glenoid component, ranging from component removal to revision arthroplasty. Arthroscopic removal and conversion to hemiarthroplasty provides a minimally invasive management option that avoids takedown of the subscapularis and allows for humeral prosthesis retention. Frequently, however, osteolysis is encountered concomitantly leading to cavitary glenoid bone deficits at the time of glenoid implant removal, limiting both immediate and future treatment options...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28706100/medical-service-use-and-usual-care-of-common-shoulder-disorders-in-korea-a-cross-sectional-study-using-the-health-insurance-review-and-assessment-service-national-patient-sample
#17
Hwansoo Joo, Yoon Jae Lee, Joon-Shik Shin, Jinho Lee, Me-Riong Kim, Wonil Koh, Yeoncheol Park, Yun Kyung Song, Jae-Heung Cho, In-Hyuk Ha
OBJECTIVES: This study examined National Health Insurance claims data to investigate the epidemiology of shoulder disorders in Korea. Detailed information on medical services and related costs was assessed by major shoulder disorder category. DESIGN AND SETTING: The 2014 National Patient Sample dataset provided by the Health Insurance Review and Assessment Service was analysed. Among shoulder-related diagnosis codes, adhesive capsulitis of the shoulder (ACS), rotator cuff syndrome (RCS) and shoulder impingement syndrome (SIS) categories were of highest prevalence...
July 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/28705918/in-vivo-quantification-of-er-%C3%AE-expression-by-pharmacokinetic-modeling-studies-with-18-f-fhnp-pet
#18
Inês F Antunes, Antoon T M Willemsen, Jurgen W A Sijbesma, Ate S Boerema, Aren van Waarde, Andor W J M Glaudemans, Rudi A Dierckx, Elisabeth G E de Vries, Geke A P Hospers, Erik F de Vries
The estrogen receptor (ER) is a target for endocrine therapy in breast cancer patients. Individual quantification of ERα and ERβ expression, rather than total ER levels, might enable better prediction of the response to treatment. We recently developed the tracer 2-(18)F-fluoro-6-(6-hydroxynaphthalen-2-yl)pyridin-3-ol ((18)F-FHNP) for assessment of ERβ levels with positron emission tomography (PET). Here we investigated several pharmacokinetic analysis methods to quantify changes in ERβ availability with (18)F-FHNP-PET...
July 13, 2017: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
https://www.readbyqxmd.com/read/28705693/erratum-to-clinical-outcome-of-reverse-total-shoulder-arthroplasty-combined-with-latissimus-dorsi-transfer-for-the-treatment-of-chronic-combined-pseudoparesis-of-elevation-and-external-rotation-of-the-shoulder-j-shoulder-elbow-surg-2014-23-49-57
#19
https://www.readbyqxmd.com/read/28704683/visual-targeting-one-step-before-force-plates-has-no-effect-on-gait-parameters-in-orthopaedic-patients-during-level-walking
#20
Katrin Bracht-Schweizer, Marie Freslier, Sebastian Krapf, Jacqueline Romkes
In clinical gait analysis, it is challenging to acquire usable force plate data for a patient in a limited amount of time. The aim of this study was to compare three measurement protocols, to investigate if any one of them was more time-efficient than the others at collecting kinetic data. Three conditions were compared for 15 orthopaedic patients: 1) approaching the force plate with four steps, 2) approaching the force plate with six steps, and 3) approaching the force plate with four steps while stepping on a target one step before the first force plate...
July 8, 2017: Gait & Posture
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