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https://www.readbyqxmd.com/read/29452717/evaluation-of-the-mobility-of-the-shoulder-and-quality-of-life-after-perforator-flaps-for-recalcitrant-axillary-hidradenitis
#1
R Nail-Barthelemy, N Stroumza, Q Qassemyar, M Delage, A Nassif, M Atlan
BACKGROUND: Hidradenitis suppurativa is a very debilitating disease, treated by antibiotics and excision. The reconstruction is usually done by secondary wound healing and/or split-thichness skin graft. The aim of this study was to evaluate the reconstruction of the axilla with local perforator flaps as a single stage surgical treatment. METHODS: This was a monocentric retrospective study conducted between November 2013 and June 2015. We included the patients with a severe axillary localization of the disease...
February 13, 2018: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29446814/nerve-surgery-in-obstetric-brachial-plexus-palsy-report-of-68-cases
#2
Maher Barsaoui, Hatem Safi, Walid Said, Med Nabil Nessib
BACKGROUND: Obstetric brachial plexus palsy aredue to elongation of the brachial plexus during delivery by increasing thedistance between the head and shoulder. The majority of paralysis recoverspontaneously, but in some cases, nerve repair is necessary. The timing of thisnerve surgery and criteria for its indication are topics of discussion in theworld literature.The aim of this study is to askdirections and to evaluate the contribution of nerve surgery in improving theprognosis of this disease...
March 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29437062/mid-term-outcomes-of-routine-proximal-row-carpectomy-compared-with-proximal-row-carpectomy-with-dorsal-capsular-interposition-arthroplasty-for-the-treatment-of-late-stage-arthropathy-of-the-wrist
#3
COMPARATIVE STUDY
M P Gaspar, P P Pham, C D Pankiw, S M Jacoby, E K Shin, A L Osterman, P M Kane
AIMS: The aims of this study were to compare the mid-term outcomes of patients with late-stage arthritis of the wrist treated with proximal row carpectomy (PRC) and dorsal capsular interposition (DCI) arthroplasty with a matched cohort treated with routine PRC alone. PATIENTS AND METHODS: A total of 25 arthritic wrists (24 patients) with pre-existing degenerative changes of the proximal capitate and/or the lunate fossa of the radius were treated with PRC + DCI over a ten-year period...
February 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29425836/the-impact-of-a-daily-smartphone-based-feedback-system-among-women-with-gestational-diabetes-on-compliance-glycemic-control-satisfaction-and-pregnancy-outcome-a-randomized-controlled-trial
#4
Hadas Miremberg, Tal Ben-Ari, Tal Betzer, Hagit Raphaeli, Rose Gasnier, Giulia Barda, Jacob Bar, Eran Weiner
BACKGROUND: Patient compliance and tight glycemic control have been demonstrated to improve pregnancy outcome in pregnancies complicated by gestational diabetes mellitus (GDM). The use of advanced technological tools, including smartphone-based platforms, to improve medical care and outcomes has been demonstrated in various fields of medicine, but only few small studies were performed with GDM patients. OBJECTIVE: We aimed to study the impact of introducing a smartphone-based daily feedback and communication platform between GDM patients and their physicians, on patient compliance, glycemic control, pregnancy outcome, and patient satisfaction...
February 6, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29423865/short-term-outcomes-of-subacromial-injection-of-combined-corticosteroid-with-low-volume-compared-to-high-volume-local-anesthetic-for-rotator-cuff-impingement-syndrome-a-randomized-controlled-non-inferiority-trial
#5
Manusak Boonard, Sermsak Sumanont, Alisara Arirachakaran, Punyawat Apiwatanakul, Artit Boonrod, Wichan Kanchanatawan, Jatupon Kongtharvonskul
BACKGROUND: In symptomatic tendinosis, a corticosteroid injection into the subacromial space is a palliative treatment option. This study compares high volumes (10 cc) of local anesthetic (LA) combined with triamcinolone acetate (TA) with low volumes (4 cc) of LA combined with TA to see whether the latter would provide similar pain, function and complication outcomes for subacromial injections in patients with impingement syndrome. MATERIALS AND METHODS: This single-center, randomized, single-blind, non-inferiority trial included patients with shoulder pain and positive multiple clinical tests supporting the diagnosis of impingement syndrome...
February 8, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29422391/stress-shielding-of-the-humerus-in-press-fit-anatomic-shoulder-arthroplasty-review-and-recommendations-for-evaluation
#6
REVIEW
Patrick J Denard, Patric Raiss, Reuben Gobezie, T Bradley Edwards, Evan Lederman
Uncemented press-fit humeral stems were developed with the goal of decreasing operative time, preserving bone stock, and easing revision. In recent years, short stems and stemless humeral implants have also become available. These press-fit humeral implants have varying designs that can lead to changes in stress distribution in the proximal humerus. Such stress shielding manifests as bony adaptations and may affect long-term functional outcome and the ability to perform revision. However, current studies of humeral fixation during total shoulder arthroplasty are complicated because a variety of classification systems have been used to report findings...
February 5, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29416250/a-study-of-the-efficacy-of-stellate-ganglion-blocks-in-complex-regional-pain-syndromes-of-the-upper-body
#7
Rashmi Datta, Jyotsna Agrawal, Amit Sharma, Vikram Singh Rathore, Shivesh Datta
Background and Aims: The effect of stellate ganglion blocks (SGBs) was examined in complex regional pain syndromes (CRPS) of the upper body. Material and Methods: A total of 287 SGB were given to patients with documented CRPS on medications. Spontaneous and provoked pain assessment was done with numeric pain rating scale (NPRS). The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and range of motion (ROM) was recorded before and after each blockade...
October 2017: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29411080/clinical-and-anatomic-results-of-rotator-cuff-repair-at-10%C3%A2-years-depend-on-tear-type
#8
Charles Agout, Julien Berhouet, Yves Bouju, Arnaud Godenèche, Philippe Collin, Jean-François Kempf, Luc Favard
PURPOSE: Although good short-term and mid-term outcomes are reported for rotator cuff repair, few studies have investigated long-term outcome with clinical and MRI evaluation. The hypothesis was that 10 years following repair of rotator cuff tear, the clinical and anatomic results depend on the extension of the tear. METHODS: The records of all 965 patients who underwent repair of rotator cuff tears in 2003 were retrieved. The patients were reviewed in 2014 for evaluation at a minimum follow-up of 10 years...
February 6, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29398990/revision-total-shoulder-arthroplasty-is-associated-with-increased-thirty-day-postoperative-complications-and-wound-infections-relative-to-primary-total-shoulder-arthroplasty
#9
Venkat Boddapati, Michael C Fu, William W Schairer, Lawrence V Gulotta, David M Dines, Joshua S Dines
Background: With an increasing volume of primary total shoulder arthroplasties (TSA), the number of revision TSA cases is expected to increase as well. However, the postoperative medical morbidity of revision TSA has not been clearly described. Questions/Purposes: The purpose of this study was to determine the rate of postoperative complications following revision TSA, relative to primary TSA. In addition, we sought to identify independent predictors of complications, as well as to compare operative time and postoperative length of stay between primary and revision TSA...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398987/shoulder-arthroplasty-for-humeral-head-avascular-necrosis-is-associated-with-increased-postoperative-complications
#10
M Tyrrell Burrus, Jourdan M Cancienne, Jeffrey D Boatright, Scott Yang, Stephen F Brockmeier, Brian C Werner
Background: Humeral head avascular necrosis (AVN) of differing etiologies may lead to shoulder arthroplasty due to subchondral bone collapse and deformity of the articular surface. There have been no large studies evaluating the complications for these patients after they undergo total shoulder arthroplasty (TSA). Questions/Purposes: The first objective of this study is to evaluate the complication rate after TSA in patients with humeral head AVN. The secondary objective is to compare the complication rates among the different etiologies of the AVN...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398394/outcomes-of-an-anatomic-total-shoulder-arthroplasty-with-a-contralateral-reverse-total-shoulder-arthroplasty
#11
Ryan M Cox, Eric M Padegimas, Joseph A Abboud, Charles L Getz, Mark D Lazarus, Matthew L Ramsey, Gerald R Williams, John G Horneff
BACKGROUND: It is common for patients to require staged bilateral shoulder arthroplasties. There is a unique cohort of patients who require an anatomic total shoulder arthroplasty (TSA) and a contralateral reverse shoulder arthroplasty (RSA). This study compared the outcomes of patients with a TSA in 1 shoulder and an RSA in the contralateral shoulder. METHODS: Our institutional database was queried to identify all patients with a TSA and a contralateral RSA. Data collection included patient demographics, preoperative and latest follow-up shoulder range of motion, radiographic analysis, and postoperative complications...
February 1, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29397294/a-prospective-study-of-coracoclavicular-ligament-reconstruction-with-autogenous-peroneus-longus-tendon-for-acromioclavicular-joint-dislocations
#12
Yu Zhu, Peilin Hsueh, Bingfang Zeng, Yimin Chai, Changqing Zhang, Yunfeng Chen, Yuchen Wang, Tuerxun Maimaitiaili
BACKGROUND: Anatomic coracoclavicular (CC) ligament reconstruction (ACCR) provides good outcomes for Rockwood type III and VI acromioclavicular (AC) joint dislocations. Various grafts have been used, but complications from graft harvesting are not uncommon. This study examined the clinical and radiographic outcomes of patients with AC joint dislocations repaired with the autogenous anterior half of the peroneus longus tendon (AHPLT) to achieve ACCR. METHODS: Patients with a Rockwood type III to V AC joint dislocation and magnetic resonance imaging of the disruption of the CC ligaments, as well as the AC capsule, were prospectively recruited...
January 31, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29394904/operative-treatment-of-intra-articular-distal-radius-fractures-with-versus-without-arthroscopy-study-protocol-for-a-randomised-controlled-trial
#13
Marjolein A M Mulders, Caroline A Selles, Joost W Colaris, Rolf W Peters, Mark van Heijl, Berry I Cleffken, Niels W L Schep
BACKGROUND: In the past several years, an increase in open reduction and internal fixation (ORIF) for intra-articular distal radius fractures has been observed. This technique leads to a quicker recovery of function compared to non-operative treatment. However, some patients continue to have a painful and stiff wrist postoperatively. Arthroscopically assisted removal of intra-articular fracture haematoma and debris may improve the functional outcomes following operative treatment of intra-articular distal radius fractures...
February 2, 2018: Trials
https://www.readbyqxmd.com/read/29389219/outcomes-of-latarjet-versus-distal-tibia-allograft-for-anterior-shoulder-instability-repair-a-matched-cohort-analysis
#14
Rachel M Frank, Anthony A Romeo, Catherine Richardson, Shelby Sumner, Nikhil N Verma, Brian J Cole, Gregory P Nicholson, Matthew T Provencher
BACKGROUND: Anterior glenoid reconstruction with fresh distal tibia allograft (DTA) has been described for management of recurrent shoulder instability, with encouraging early outcomes; however, no comparative data with the Latarjet procedure are available. PURPOSE: The purpose of this study was to compare the clinical outcomes between patients undergoing DTA and a matched cohort of patients undergoing Latarjet. STUDY DESIGN: Cohort study; Level of evidence, 3...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29383276/long-term-outcome-and-secondary-operations-after-proximal-row-carpectomy-or-four-corner-arthrodesis
#15
John Barton Williams, Hadley Weiner, Andrew R Tyser
Background  Proximal row carpectomy (PRC) and four-corner arthrodesis (FCA) are common surgical procedures used to treat degenerative wrist conditions; however, complications and failures can occur. Purpose  This study aimed to investigate and compare the long-term rate of secondary surgeries including conversion to total wrist arthrodesis in patients who underwent PRC or FCA. Materials and Methods  A retrospective chart review of all patients who underwent PRC or FCA in the past 20 years at a tertiary referral institution and associated Veterans Affairs (VA) hospital was performed...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29377052/long-term-outcomes-of-partial-trapeziectomy-with-capsular-interposition-arthroplasty-for-osteoarthritis-of-the-thumb-basal-joint
#16
Moheb S Moneim, Christina Salas, Andrea B Lese, Norfleet B Thompson, Deana M Mercer
The purpose of this study was to describe long-term outcomes of partial trapeziectomy with capsular interposition (PTCI) arthroplasty for patients with osteoarthritis of the basal joint of the thumb. A total of 27 patients (20 women, 7 men; 32 thumbs) with a mean age of 61 years (range, 47-74 years) agreed to return for follow-up and were included in the study. Mean postoperative follow-up was 64.3 months (range, 28-112 months). Evaluation included tests for grip and pinch strength; range of motion of the metacarpophalangeal joint; measurement of the first web space; completion of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire; visual analog scale (VAS) measurements; and radiographic examination of the hand...
January 25, 2018: Orthopedics
https://www.readbyqxmd.com/read/29375261/terrible-triad-of-the-elbow-functional-results-of-surgical-treatment
#17
Roberto Yukio Ikemoto, Joel Murachovsky, Rogério Serpone Bueno, Luis Gustavo Prata Nascimento, Adriano Bordini Carmargo, Vitor Elias Corrêa
Objective: To evaluate the functional and radiographic results of patients who underwent surgical treatment for terrible triad-type elbow injuries (TTE). Methods: We retrospectively evaluated 20 patients, including one case with bilateral injuries (total of 21 elbows) that were surgically treated from January 2004 to July 2014. We evaluated the functional results of treatment by measuring the restored range of motion (ROM) of the elbow, using the DASH (Disabilities of the Arm, Shoulder and Hand) and MEPS (Mayo Elbow Performance Score) scores...
November 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/29373801/long-term-clinical-outcomes-after-microfracture-of-the-glenohumeral-joint-average-10-year-follow-up
#18
Kevin C Wang, Rachel M Frank, Eric J Cotter, Annabelle Davey, Maximilian A Meyer, Charles P Hannon, Timothy Leroux, Anthony A Romeo, Brian J Cole
BACKGROUND: Microfracture is an effective surgical treatment for full-thickness cartilage defects of the knee; however, little is known regarding long-term outcomes after microfracture in the shoulder. PURPOSE: To present long-term clinical outcomes of patients undergoing microfracture of full-thickness articular cartilage defects of the glenohumeral joint. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Sixteen consecutive patients (17 shoulders) were retrospectively reviewed who underwent arthroscopic microfracture of the humeral head and/or glenoid surface, with or without additional procedures between 2001 and 2008 and with a minimum follow-up of 8...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29368045/long-term-survivorship-of-stemless-anatomical-shoulder-replacement
#19
Sascha Beck, Verena Beck, Alexander Wegner, Marcel Dudda, Theodor Patsalis, Marcus Jäger
PURPOSE: Like in many other joints, current shoulder replacement designs aim at bone preservation. According to the literature available, stemless total shoulder arthroplasty (TSA) compares favourably with stemmed designs in terms of function and survivorship of the implant. However, long-term results of stemless shoulder arthroplasty are still missing. Therefore, the aim of the present study was to evaluate long-term results of stemless anatomical TSA. METHODS: Between 2006 and 2009, 51 shoulders in 46 patients were resurfaced using the Biomet Total Evolutive Shoulder System (TESS)...
January 24, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29351268/use-of-different-methods-of-intramedullary-nailing-for-fixation-of-distal-radius-fractures-a-retrospective-analysis-of-clinical-and-radiological-outcomes
#20
Murat Çalbıyık, Deniz Ipek
BACKGROUND We aimed to evaluate the clinical and radiologic outcomes of using Sonoma WRx versus Micronail intramedullary nailing for the fixation of distal radius fractures. MATERIAL AND METHODS A total of 68 patients with primarily extra-articular and simple intra-articular fractures of the distal radius who underwent intramedullary distal radius fixation using Sonoma WRx (n=39) or Micronail (n=29) intramedullary nails were enrolled in the study. The clinical outcome measures included the range of motion (ROM), visual analog scale (VAS), functional outcomes (patient-reported Disabilities of the Arm, Shoulder and Hand [DASH] score and clinician-based Gartland-Werley score), radiographic scores (Stewart score), and parameters related to the quality of radiographic reduction and complications (radial inclination, volar tilt, radial height, and radio-ulnar variance)...
January 19, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
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