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https://www.readbyqxmd.com/read/29470237/primary-shoulder-hemiarthroplasty-what-can-be-learned-from-359-cases-that-were-surgically-revised
#1
Daniel J Hackett, Jason E Hsu, Frederick A Matsen
BACKGROUND: Primary shoulder hemiarthroplasty is used to address a range of glenohumeral disorders, including fracture, arthritis, avascular necrosis, and capsulorrhaphy arthropathy; some patients with hemiarthroplasties undergo revision surgery for persistent pain or residual shoulder dysfunction. The literature does not clarify the features of the hemiarthroplasties having repeat surgery in a way that can guide surgeons' efforts to minimize the need for revision. To help address this gap, we analyzed the characteristics of patients from our region for whom we performed surgical revision of a prior humeral hemiarthroplasty QUESTIONS/PURPOSES: (1) What are the common characteristics of shoulder hemiarthroplasties having a revision? (2) What are the common characteristics of the subset of revised shoulder hemiarthroplasties that were performed for fracture? (3) What are characteristics of the subset of all revised hemiarthroplasties that were associated with glenoid bone erosion? METHODS: Data for 983 patients for whom we performed a surgical revision of any type of shoulder arthroplasty between January 1991 and January 2017 were identified in our longitudinally maintained institutional arthroplasty revision database...
February 21, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29469548/pectoral-nerve-block-and-persistent-pain-following-breast-cancer-surgery-an-observational-cohort-study
#2
Guillaume Besch, Caroline Lagrave-Safranez, Fiona Ecarnot, Valentine de Larminat, Catherine Gay, Francis Berthier, Emmanuel Samain, Sebastien Pili-Floury
No abstract text is available yet for this article.
February 15, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/29457228/usefulness-of-ultrasonography-in-diagnosis-percutaneous-management-and-follow-up-of-post-traumatic-scalp-pseudoaneurysms
#3
Sivasubramanian Srinivasan, Rahul Lohan, Hsien Khai Tan, Raymond Chung, Suresh B Babu
Pseudoaneurysms of the scalp are rare. Most common etiology is trauma. The patients usually present clinically with persistent painful swelling in the scalp few days after the trauma. The lesion may or may not be pulsatile clinically. Ultrasonography (US) is the best modality to assess these pseudoaneurysms. It not only helps in the diagnosis, but also to trace the offending arterial branch and helps in treatment. We present two cases of post-traumatic scalp pseudoaneurysms which were diagnosed with US and were managed by US-guided thrombin injection...
February 19, 2018: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/29445517/autonomic-components-of-complex-regional-pain-syndrome-crps-are-favourably-affected-by-electrical-twitch-obtaining-intramuscular-stimulation-etoims-effects-on-blood-pressure-and-heart-rate
#4
Jennifer Chu, Frans Bruyninckx, Duncan V Neuhauser
Introduction: Favourable pain relief results on evoking autonomous twitches at myofascial trigger points with Electrical Twitch Obtaining Intramuscular Stimulation (ETOIMS). Aim: To document autonomic nervous system (ANS) dysfunction in Complex Regional Pain Syndrome (CRPS) from blood pressure (BP) and pulse/heart rate changes with ETOIMS. Methods and materials: A patient with persistent pain regularly received serial ETOIMS sessions of 60, 90, 120 or ≥150 min over 24 months...
July 2017: BMJ Innovations
https://www.readbyqxmd.com/read/29443087/a-quantitative-sensory-testing-paradigm-to-obtain-measures-of-pain-processing-in-patients-undergoing-breast-cancer-surgery
#5
Noud van Helmond, Hans Timmerman, Søren S Olesen, Asbjørn M Drewes, Joris Kleinhans, Oliver H Wilder-Smith, Kris C Vissers, Monique A Steegers
Chronic pain following surgery, persistent postsurgical pain, is an important highly prevalent condition contributing to significant symptom burden and lower quality of life. Persistent postsurgical pain is relatively refractory to treatment hence generating a high need for preventive strategies and treatments. Therefore, the identification of patients at risk of developing persistent pain is an area of active ongoing research. Recently it was demonstrated that peri-operative disruptions in central pain processing may be able to predict persistent postsurgical pain at long term follow-up in breast cancer patients...
January 18, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29436161/cumulative-effects-of-multiple-pains-sites-in-youth-with-chronic-pain
#6
Molly C Basch, Erika T Chow, Deirdre E Logan, David Borsook, Neil L Schechter, Laura E Simons
BACKGROUND: The experience of persistent pain in multiple locations is common in youth. Based on current literature, youth with multiple pain sites (MPS) are at risk of experiencing poorer emotional outcomes and a spread of symptoms into late adolescence and adulthood. Little is known regarding the association between MPS with physical and school functioning domains, particularly after initiation of multidisciplinary pain treatment. Therefore, the objective of this study was to examine the association of MPS with disability and school functioning among youth with chronic pain...
February 13, 2018: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29429475/-osteosynthesis-of-rib-fractures-unstable-chest-wall-pseudoarthroses-and-acquired-defects-of-the-chest-wall
#7
Kirsten Neckelmann, Rikke Hagelberg
Several patients suffer from rib fractures after traumas, and in severe cases it can be life-threatening. Until recently, attempts to perform surgical fixation in patients with instability have been unsuccessful. Chronic non-union causes persistent pain, disability and loss of quality of life. Implementation of surgical stabilization of rib fractures with tailored plates seems to improve pain relief, especially in cases of non-union but also in patients with instability of the chest wall after severe traumas, where advanced pain treatment (epidural catheter) is insufficient or weaning off fails...
February 5, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29426749/identifying-criteria-for-diagnosis-of-post-traumatic-pain-and-altered-sensation-of-the-maxillary-and-mandibular-branches-of-the-trigeminal-nerve-a-systematic-review
#8
REVIEW
Maria Devine, Murtaza Hirani, Justin Durham, Donald R Nixdorf, Tara Renton
OBJECTIVE: The aim of the study was to systematically identify criteria used to diagnose patients with trigeminal nerve injury. STUDY DESIGN: A systematic review of the literature registered in the PROSPERO database. Inclusion criteria were patients diagnosed with nerve injury of the sensory divisions of the maxillary or mandibular branches of the trigeminal nerve, with reported tests and criteria used for diagnosis and persistent pain or unpleasant sensation associated with nerve injury...
January 5, 2018: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/29426732/predictive-value-of-modic-type-ii-changes-in-the-choice-of-surgical-treatment-of-lumbar-disc-herniation
#9
R Figa, C Morera-Dominguez
OBJECTIVE: To evaluate the predictive value of Modic typeII changes on nuclear magnetic resonance (NMR) prior to intervention by discectomy for lumbar disc herniation in patients with radicular symptoms. MATERIAL AND METHOD: Retrospective descriptive study of 190 patients (58.2% men and 41.8% women) with a mean age of 43.5 years, treated between December 2005 and January 2013. They were divided into group 1, single disc herniation (n=85), and group 2, with disc herniation and changes Modic typeII (n=80)...
February 6, 2018: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29423022/comprehensive-analysis-of-gene-expression-and-dna-methylation-datasets-identify-valuable-biomarkers-for-rheumatoid-arthritis-progression
#10
Gang Fang, Qing Huai Zhang, Qianqian Tang, Zuling Jiang, Shasha Xing, Jianying Li, Yuzhou Pang
Rheumatoid arthritis (RA) represents a common systemic autoimmune disease which lays chronic and persistent pain on patients. The purpose of our study is to identify novel RA-related genes and biological processes/pathways. All the datasets of this study, including gene expression and DNA methylation datasets of RA and OA samples, were obtained from the free available database, i.e. Gene Expression Omnibus (GEO). We firstly identified the differentially expressed genes (DEGs) between RA and OA samples through the limma package of R programming software followed by the functional enrichment analysis in the Database for Annotation, Visualization and Integrated Discovery (DAVID) for the exploring of potential involved biological processes/pathways of DEGs...
January 9, 2018: Oncotarget
https://www.readbyqxmd.com/read/29414142/rationale-and-design-of-a-pilot-study-examining-acceptance-and-commitment-therapy-for-persistent-pain-in-an-integrated-primary-care-clinic
#11
Kathryn E Kanzler, Patricia J Robinson, Donald D McGeary, Jim Mintz, Jennifer Sharpe Potter, Mariana Muñante, Eliot J Lopez, Donald M Dougherty, Willie J Hale, Dawn I Velligan
Most of the 100 million Americans with persistent pain are treated in primary care clinics, but evidence-based psychosocial approaches targeting pain-related disability are not usually provided in these settings. This manuscript describes the rationale and methods for a protocol to pilot test the feasibility and effectiveness of Acceptance and Commitment Therapy (ACT), an evidence-based psychological treatment for persistent pain, delivered by a Behavioral Health Consultant in primary care. Eligible patients are identified through electronic health record registries and invited to participate via secure messaging, letters and a follow-up phone call...
January 27, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29413770/results-of-subtalar-arthroereisis-for-posterior-tibial-tendon-dysfunction-stage-iia1-based-on-35-patients
#12
Antonio Viladot Voegeli, Nicolás Fontecilla Cornejo, Juan Andrés Serrá Sandoval, Fernando Alvarez Goenaga, Ramón Viladot Pericé
BACKGROUND: The aim of the study was to evaluate the clinical and radiological results obtained in the treatment of adult flexible flatfoot secondary to posterior tibial dysfunction with subtalar arthroereisis using a Kalix ® endorthesis. METHODS: 35 patients (37 feet) were studied, having been operated between January 2010 and January 2015 for reducible flatfoot secondary to posterior tibial tendon dysfunction stage IIA1 of Bluman. RESULTS: The average follow up was 47...
February 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29408834/longitudinal-profiles-of-back-pain-across-adulthood-and-their-relationship-with-childhood-factors-evidence-from-the-1946-british-birth-cohort
#13
Stella G Muthuri, Diana Kuh, Rachel Cooper
This study aimed to (1) characterise long-term profiles of back pain across adulthood and (2) examine whether childhood risk factors were associated with these profiles, using data from 3271 participants in the Medical Research Council National Survey of Health and Development. A longitudinal latent class analysis was conducted on binary outcomes of back pain at ages 31, 36, 43, 53, 60 to 64, and 68 years. Multinomial logistic regression models were used to examine associations between selected childhood risk factors and class membership; adjusted for sex, adult body size, health status and behaviours, socioeconomic position, and family history of back pain...
February 2, 2018: Pain
https://www.readbyqxmd.com/read/29405811/the-effect-of-pain-neuroscience-education-on-sports-therapy-and-rehabilitation-students-knowledge-attitudes-and-clinical-recommendations-towards-athletes-with-chronic-pain
#14
Neil Maguire, Paul Chesterton, Cormac Ryan
CONTEXT: Pain education is a fundamental part of a holistic approach to athlete injury management. OBJECTIVE: Investigate the effect of Pain Neuroscience Education (PNE) on Sports Therapy and Rehabilitation (STR) students: 1) knowledge of persistent pain; 2) attitudes towards athletes with persistent pain; 3) clinical recommendations for athletes with persistent pain. DESIGN: Parallel groups, single-blind randomised control trial. SETTING: A UK University...
February 6, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29404844/breast-cancer-and-chronic-pain-a-mixed-methods-review
#15
Lorraine R Feeney, Shona M Tormey, Dominic C Harmon
BACKGROUND: More patients are surviving breast cancer; however, many complain of persistent pain, which significantly impacts on their lives. Studies have predominantly examined risk factors alone. This mixed methods study will systematically compare prospective and retrospective studies of chronic pain following breast cancer treatment. A wider scope than risk factors alone is included in a narrative review element. RESULTS: Common risk factors and themes were identified, and these were compared with some of the retrospective literature available...
February 5, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29404685/-persisting-pain-and-cortical-reorganization-after-macroreplantation-of-the-upper-extremity
#16
K Blume, C Dietrich, G O Hofmann, W H R Miltner, T Weiss
No abstract text is available yet for this article.
February 5, 2018: Der Schmerz
https://www.readbyqxmd.com/read/29402425/surgical-treatment-of-rib-fracture-nonunion-a-single-center-experience
#17
M B de Jong, R M Houwert, S van Heerde, M de Steenwinkel, F Hietbrink, L P H Leenen
INTRODUCTION: In contrast to the emerging evidence on the operative treatment of flail chest, there is a paucity of literature on the surgical treatment of rib fracture nonunion. The purpose of this study was to describe our standardized approach and report the outcome (e.g. patient satisfaction, pain and complications) after surgical treatment of a rib fracture nonunion. METHODS: A single centre retrospective cohort study was performed at a level 1 trauma centre...
February 2, 2018: Injury
https://www.readbyqxmd.com/read/29399462/lesser-trochanter-osteoplasty-for-ischiofemoral-impingement
#18
Jill A Goodwin, Anikar Chhabra, Karan A Patel, David E Hartigan
Ischiofemoral impingement is a newly recognized cause of extra-articular hip pain, and is caused by contact between the lesser trochanter and ischium. Surgical intervention has been proven successful for patients with persistent pain and disability after failure of nonoperative management. This technique article provides a reliable method for endoscopic lesser trochanter osteoplasty using an anterior approach.
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29399461/figure-of-8-reconstruction-technique-for-chronic-posterior-sternoclavicular-joint-dislocation
#19
Dean Wang, Christopher L Camp, Brian C Werner, Joshua S Dines, David W Altchek
Dislocation of the sternoclavicular joint is a rare injury and typically requires high-energy forces applied through the joint. Initial treatment is dependent on the direction of dislocation, with acute reduction indicated for posterior dislocations presenting with signs of tracheal, esophageal, or neurovascular compression. Although most patients do well with conservative treatment after the initial trauma, some can have persistent pain and scapular dyskinesia due to instability or locked dislocation of the sternoclavicular joint...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29398311/natural-history-of-spontaneous-isolated-celiac-artery-dissection-after-conservative-treatment
#20
So Ree Kim, Taek Kyu Park, Seung-Hyuk Choi, Sung Mok Kim, Yeon Hyeon Choe, Seon-Hee Heo, Yang-Jin Park, Dong-Ik Kim, Young-Wook Kim, Duk-Kyung Kim
OBJECTIVE: Optimal treatment of spontaneous isolated celiac artery dissection (SICAD) is not well established because the natural history of this rare disease is poorly understood. We analyzed the natural history of patients who underwent conservative treatment. METHODS: The study included 28 patients with SICAD from December 2008 to January 2017. Our institutional policy of first-line treatment for SICAD patients was conservative, and invasive procedures were reserved for unstable complications such as severe persistent pain, significant organ malperfusion, rapid aneurysmal change, and rupture or concealed rupture...
February 1, 2018: Journal of Vascular Surgery
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