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Tendon manual treatment

Hesham Saleh, Stephen Yu, Jonathan Vigdorchik, Ran Schwarzkopf
AIM: To review and report functional outcomes, complications, and survivorship associated with total knee arthroplasty (TKA) in the treatment of post-traumatic arthritis (PTA). METHODS: We conducted a systematic review according to the PRISMA guidelines. We searched PubMed, Cochrane Library, and SCOPUS in December 2015 for English-language clinical research studies, both prospective and retrospective, examining the use of TKA for the treatment of PTA. All relevant articles were accessed in full...
September 18, 2016: World Journal of Orthopedics
Renée Keijsers, Michel P J van den Bekerom, Koen L M Koenraadt, Ronald L A W Bleys, C Niek van Dijk, Denise Eygendaal
PURPOSE: Different injection therapies are used in the treatment of lateral epicondylitis (LE). Usually, the extensor carpi radialis brevis (ECRB) tendon is affected. Therefore, an injection should be aimed at the origin of this tendon. This study demonstrates the accuracy of manual injections in the treatment of LE. METHODS: Ten surgeons have injected a cadaver elbow with acrylic paint, using the same injection technique (i.e. number of perforations, amount of injected fluid) that they in daily practice would use in the treatment of LE...
July 2, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Stefan M Zimmermann, Lukas W Schwitter, Max J Scheyerer, Thorsten Jentzsch, Hans-Peter Simmen, Clément M L Werner
BACKGROUND: Heterotopic ossification (HO) is a frequent complication following orthopedic and trauma surgery. It often leads to substantial morbidity as many affected patients suffer from pain and joint contractures. Current prophylactic measures include nonsteroidal anti-inflammatory drugs (NSAID) and local radiation. However, several disadvantages such as delayed fracture healing and impaired ossification have been reported. For this reason, a novel approach for prevention of HO was searched for...
2016: BMC Surgery
Takuji Iwamoto, Yu Sakuma, Shigeki Momohara, Noboru Matsumura, Kensuke Ochi, Kazuki Sato
PURPOSE: To assess the outcomes of a modified extensor pollicis longus (EPL) rerouting technique for boutonniere deformity of the thumb in patients with rheumatoid arthritis. METHODS: A total of 21 thumbs in 18 patients with a mean age of 63 years were retrospectively analyzed after an average follow-up period of 3.2 years. The preoperative deformities were classified as either mild (5 thumbs) or moderate (16 thumbs). After either metacarpophalangeal (MCP) joint synovectomy or implant arthroplasty, the ulnarly dislocated EPL tendon was reduced dorsally and sutured to the dorsal base of the proximal phalanx...
April 23, 2016: Journal of Hand Surgery
Su Jian-cai
OBJECTIVE: To investigate the effect of U-shaped gypsum functional fixation after closed manipulative reduction for treatment of Colles' fractures. METHODS: From January 2011 to April 2014,47 cases of Colles fracture were treated by closed reduction and U-shaped gypsum functional fixation including 12 males and 35 females with an average age of 54.8 years old ranging from 8 to 72 years old. The time from injury to treatment was 40 min to 3 d. The patients were closed fractures without neurovascular injury...
January 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Francesco Sartorio, Fabiola Garzonio, Stefano Vercelli, Elisabetta Bravini, Carolina Ruella, Roberto Maglio, Carlo Cisari, Giorgio Ferriero
BACKGROUND: In the last few years, the incidence of upper limbs tendon injuries has seen a dramatic increase among workers. Conservative treatment is the first choice to relieve symptoms, allowing a safe return to work. However, the scientific evidence of its  efficacy is widely debated. OBJECTIVE AND METHODS: Research and literature review on the efficacy of conservative treatment of upper limbs tendon injuries in occupational settings. RESULTS: A total of 271 references were found on Medline and Embase up to May 2015...
March 2016: La Medicina del Lavoro
Jennifer S Ruano, Michael R Sitler, Jeffrey B Driban
: Reference: Claes S, Hermie L, Verdonk R, Bellemans J, Verdonk P. Is osteoarthritis an inevitable consequence of anterior cruciate ligament reconstruction? A meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2013;21(9):1967-1976. CLINICAL QUESTION:  What is the prevalence of radiographic knee osteoarthritis (OA) at a mean follow-up equal to or greater than 10 years after autologous anterior cruciate ligament (ACL) reconstruction, with or without meniscectomy? DATA SOURCES:  The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines were used to conduct this meta-analysis...
March 1, 2016: Journal of Athletic Training
Jeffrey D Seybold, John T Campbell, Clifford L Jeng, Kelly W Short, Mark S Myerson
BACKGROUND: Concomitant tears of the peroneus longus and brevis tendons are rare injuries, with literature limited to case reports and small patient series. Only 1 recent study directly compared the results of single-stage lateral deep flexor transfer, and no previous series objectively evaluated power and balance following transfer. The purpose of this study was to evaluate clinical outcomes, patient satisfaction, and objective power and balance data following single-stage flexor hallucis longus (FHL) and flexor digitorum longus (FDL) tendon transfers for treatment of concomitant peroneus longus and brevis tears...
June 2016: Foot & Ankle International
Frederico Barra de Moraes, Mário Yoshihide Kwae, Ricardo Pereira da Silva, Celmo Celeno Porto, Daniel de Paiva Magalhães, Matheus Veloso Paulino
OBJECTIVE: To evaluate sociodemographic and clinical aspects of patients undergoing operations due to traumatic lesions of the brachial plexus. METHOD: This was a retrospective study in which the medical files of a convenience sample of 48 patients operated between 2000 and 2010 were reviewed. The following were evaluated: (1) range of motion (ROM) of the shoulder, elbow and wrist/hand, in degrees; (2) grade of strength of the shoulder, elbow and wrist/hand; (3) sensitivity; and (4) visual analogue scale (VAS) (from 0 to 10)...
September 2015: Revista Brasileira de Ortopedia
J Langstone, J Ellis, C Cunliffe
REASONS FOR PERFORMING STUDY: A quantifiable measure of muscle activity related to the cervical spine may provide further understanding and evidence based support for chiropractic techniques. Surface electromyography (sEMG) is a noninvasive method of measuring muscle activity of the splenius muscle when the horse is at rest. OBJECTIVES: To determine if there is a relationship between objective measurable muscle parameters and misalignments and muscle tension in the equine cervical spine...
September 2015: Equine Veterinary Journal
Jeffrey M DeLong, Brian R Waterman
PURPOSE: To systematically review reconstruction techniques of the medial collateral ligament (MCL) and associated medial structures of the knee (e.g., posterior oblique ligament). METHODS: A systematic review of Medline/PubMed Database (1966 to November 2013), reference list scanning and citation searches of included articles, and manual searches of high-impact journals (2000 to July 2013) and conference proceedings (2009 to July 2013) were performed to identify publications describing MCL reconstruction techniques of the knee...
November 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
Peter Ueblacker, Bryan English, Hans-Wilhelm Mueller-Wohlfahrt
PURPOSE: To assess the outcome of nonoperative treatment after complete avulsion of the proximal adductor longus tendon in high-performance athletes. METHODS: Six consecutive athletes were included. Treatment was conservative following a strict rehabilitation plan. Following parameters were analysed: basic data, mechanism of injury, classification, tendon retraction, size of defect in MRI and return to play (RTP). RESULTS: Mean age at injury was 28 ± 5 (range 20-32) years...
June 9, 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
René Pelletier, Johanne Higgins, Daniel Bourbonnais
Present interventions utilized in musculoskeletal rehabilitation are guided, in large part, by a biomedical model where peripheral structural injury is believed to be the sole driver of the disorder. There are, however, neurophysiological changes across different areas of the peripheral and central nervous systems, including peripheral receptors, dorsal horn of the spinal cord, brain stem, sensorimotor cortical areas, and the mesolimbic and prefrontal areas associated with chronic musculoskeletal disorders, including chronic low back pain, osteoarthritis, and tendon injuries...
November 2015: Physical Therapy
Alexander W Hooke, Kurt Pettersson, Marcus Sagerfors, Kai-Nan An, Marco Rizzo
Background Total wrist arthroplasty (TWA) is a viable surgical treatment for disabling wrist arthritis. While current designs are a notable improvement from prior generations, radiographic loosening and failures remain a concern. Purpose The purpose of this investigation is to evaluate a new total wrist arthroplasty design kinematically. The kinematic function of a native, intact cadaveric wrist was compared with that of the same wrist following TWA. Method Six, fresh-frozen wrist cadaveric specimens were utilized...
May 2015: Journal of Wrist Surgery
Thor-Magnus Sveen, Anders Troelsen, Kristoffer Weisskirchner Barfod
INTRODUCTION: Acute Achilles tendon rupture (ATR) can be treated either surgically or non-surgically. High-quality meta-analyses show a lower re-rupture rate, but a higher overall complication rate among surgically treated patients. No studies have evaluated the socio-economic impact of different complications. The aim of this study was to investigate: 1) the socio-economic impact of complications after ATR through the utilisation of the Danish Patient Insurance Association (DPIA) database, 2) correlations between treatment and complications...
April 2015: Danish Medical Journal
Fernando Sepúlveda, Luis Baerga, William Micheo
Historically, the foundation of physical medicine and rehabilitation training has provided the capabilities to optimize nonoperative treatments of a variety of musculoskeletal conditions, including acute and chronic muscle, tendon, ligament, and cartilage disorders. Such treatments include the use of nonsteroidal anti-inflammatory drugs (NSAIDs), therapeutic modalities (eg, thermal and manual therapies), and corticosteroid injections in conjunction with specific rehabilitation exercises. Although NSAIDs, modalities, and corticosteroids may be helpful for short-term pain reduction and early recovery of function, they do not typically reverse the structural changes associated with degenerative conditions and may contribute to worse long-term outcomes by potentially interfering with tissue healing...
April 2015: PM & R: the Journal of Injury, Function, and Rehabilitation
Edmund Ganal, Charles P Ho, Katharine J Wilson, Rachel K Surowiec, W Sean Smith, Grant J Dornan, Peter J Millett
PURPOSE: Quantitative MRI T2 mapping is a non-invasive imaging technique sensitive to biochemical changes, but no studies have evaluated T2 mapping in pathologic rotator cuff tendons. It was sought to evaluate the efficacy of T2 mapping in detecting differences in the supraspinatus tendon (SST) among patients with tendinosis, partial tears and minimally retracted full-thickness tears, relative to asymptomatic volunteers. METHODS: The pathologic cohort consisted of two arthroscopically verified groups: tendinosis and a tear group of partial tears or minimally retracted full-thickness tears, and was compared to an asymptomatic cohort with no prior history of shoulder pathology...
July 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Thanh V Cao, Michael R Hicks, Manal Zein-Hammoud, Paul R Standley
CONTEXT: Myofascial release (MFR) is one of the most commonly used manual manipulative treatments for patients with soft tissue injury. However, a paucity of basic science evidence has been published to support any particular mechanism that may contribute to reported clinical efficacies of MFR. OBJECTIVE: To investigate the effects of duration and magnitude of MFR strain on wound healing in bioengineered tendons (BETs) in vitro. METHODS: The BETs were cultured on a deformable matrix and then wounded with a steel cutting tip...
February 2015: Journal of the American Osteopathic Association
Zhongkui Wang, Kan Imai, Masamitsu Kido, Kazuya Ikoma, Shinichi Hirai
Flatfoot is a foot condition caused by the collapse of the medial arch of the foot, and it can result in problems such as severe pain, swelling, abnormal gait, and difficulty walking. Despite being a very common foot deformity, flatfoot is one of the least understood orthopaedic problems, and the opinions regarding its optimal treatment vary widely. In this paper, an FE model of a flatfoot is proposed that is based on CT measurements. Surface meshes of the bones and soft tissue were generated from CT images and then simplified to reduce the node density...
2014: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Olle Månsson, Ninni Sernert, Lars Rostgard-Christensen, Jüri Kartus
BACKGROUND: The risk of further intra-articular damage associated with nonoperative or delayed anterior cruciate ligament (ACL) reconstruction must be considered against the risk of growth disturbance with early reconstruction and transphyseal drilling. Long-term follow-ups after the surgical treatment of ACL injuries in adolescents are rare. PURPOSE: To evaluate results 10 to 20 years after ACL reconstruction in terms of the radiographic presence of osteoarthritis, clinical assessments, and health-related quality of life in patients who were adolescents at the time of surgery...
January 2015: American Journal of Sports Medicine
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