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https://www.readbyqxmd.com/read/28808982/radial-head-prosthesis-results-overview
#1
E Carità, A Donadelli, L Cugola, P Perazzini
BACKGROUND/PURPOSE: Radial head replacement is frequently used in treatment of radial head fractures or sequela. Impossibility to restore a correct anatomy, acute elbow traumatic instability and failure of osteosynthesis hardware are the most common indications. The authors describe their case studies and results on the implantation of various radial head prostheses. MATERIALS: Between June 2005 and June 2016, 28 radial head prostheses were implanted in the same number of patients with an average follow-up of 49 months (6-104)...
August 14, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28782076/shoulder-arthroplasty-in-patients-with-osteo-chondrodysplasias
#2
Bradley Schoch, Jean-David Werthel, Joaquin Sanchez-Sotelo, John W Sperling, Robert H Cofield, Mark Morrey
PURPOSE: Osteo-chondrodysplasias are a rare cause of limb malalignment, deformity and degenerative joint disease. Earlier in life, deformities may be managed with bony realignment and soft tissue releases; however, as degenerative changes progress, arthroplasty may be considered. There are limited reports examining shoulder arthroplasty in this population. This study aims to assess pain relief, function, and re-operation rate of shoulder arthroplasty in patients with osteo-chondrodysplasias...
August 7, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28763415/clinical-and-radiographic-outcomes-of-the-ream-and-run-procedure-for-primary-glenohumeral-arthritis
#3
Jeremy S Somerson, Moni B Neradilek, Benjamin C Service, Jason E Hsu, Stacy M Russ, Frederick A Matsen
BACKGROUND: The ream-and-run procedure can provide improvement in shoulder function and comfort for selected patients with primary glenohumeral arthritis who wish to avoid a prosthetic glenoid component. The purpose of this study was to evaluate factors associated with medialization of the humeral head after this procedure as well as the relationship of medialization to the clinical outcome. METHODS: We collected patient, shoulder, and procedure characteristics along with Simple Shoulder Test (SST) scores before surgery and at the time of follow-up...
August 2, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28761710/differential-expression-of-alarmins-s100a9-il-33-hmgb1-and-hif-1%C3%AE-in-supraspinatus-tendinopathy-before-and-after-treatment
#4
Michael J Mosca, Andrew J Carr, Sarah J B Snelling, Kim Wheway, Bridget Watkins, Stephanie G Dakin
BACKGROUND: Alarmins, endogenous molecules released on tissue damage have been shown to play an important role in inflammatory musculoskeletal conditions including fracture repair andrheumatoid arthritis. However, the contribution of alarmins to the pathogenesis of tendon disease is not fully understood. METHODS: We investigated expression of alarmin proteins (S100A9, high-mobility group box 1 (HMGB1) and interleukin-33 (IL-33) and hypoxia-inducible factor 1α (HIF-1α), a subunit of an oxygen sensitive transcription factor, in three cohorts of human supraspinatus tissues: healthy (n=6), painful diseased (n=13) and post-treatment pain-free tendon samples (n=5)...
2017: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/28747276/tobacco-use-predicts-a-more-difficult-episode-of-care-after-anatomic-total-shoulder-arthroplasty
#5
Daniel B Wells, Andrew M Holt, Richard A Smith, Tyler J Brolin, Frederick M Azar, Thomas W Throckmorton
BACKGROUND: In the current health care environment, it is becoming increasingly important to recognize risks factors that may affect a patient's postoperative outcome. To determine the potential impact of tobacco as a risk factor, we evaluated postoperative pain, narcotic use, length of stay, reoperations, and complications in the global 90-day episode of care for patients undergoing anatomic total shoulder arthroplasty (TSA) who were current tobacco users, former users, or nonusers. METHODS: Database search identified 163 patients with primary anatomic TSA done for glenohumeral arthritis; these were divided into 3 groups: current tobacco users (28), nonusers (88), and former users (47)...
July 24, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28741973/characteristics-of-functional-impairment-in-patients-with-long-standing-rheumatoid-arthritis-based-on-range-of-motion-of-joints-baseline-data-from-a-multicenter-prospective-observational-cohort-study-to-evaluate-the-effectiveness-of-joint-surgery-in-the-treat
#6
Toshihisa Kojima, Hajime Ishikawa, Sakae Tanaka, Nobuhiko Haga, Keiichiro Nishida, Masao Yukioka, Jun Hashimoto, Hisaaki Miyahara, Yasuo Niki, Tomoatsu Kimura, Hiromi Oda, Shuji Asai, Koji Funahashi, Masayo Kojima, Naoki Ishiguro
OBJECTIVE: To explore the characteristics of functional impairment in patients with established rheumatoid arthritis (RA) based on the range of motion (ROM) of joints in a prospective observational study of RA patients undergoing joint surgery. METHODS: We collected data on demographics, Health Assessment Questionnaire Disability Index (HAQ-DI), and the ROM of large joints including the shoulder, elbow, wrist, hip, knee, and ankle. Associations between the ROM of each joint and disability in the eight HAQ-DI categories were determined using receiver operating characteristic (ROC) and logistic regression analyses...
July 25, 2017: Modern Rheumatology
https://www.readbyqxmd.com/read/28733100/long-term-outcomes-after-distal-scaphoid-fractures-a-10-year-follow-up
#7
Martin Clementson, Niels Thomsen, Jack Besjakov, Peter Jørgsholm, Anders Björkman
PURPOSE: The aim of this study was to evaluate the functional, clinical, and radiological outcome 10 years after distal scaphoid fractures. METHODS: From a prospective epidemiological study on posttraumatic radial-sided wrist pain, we evaluated 41 cases of distal scaphoid fractures. All cases had been treated nonsurgically in a thumb spica cast. Patients were examined using radiographs, magnetic resonance imaging and computed tomography at the time of injury and with computed tomography after a median of 10 years (range, 8-11 years)...
July 18, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28721628/disease-activity-handgrip-strengths-and-hand-dexterity-in-patients-with-rheumatoid-arthritis
#8
D Palamar, G Er, R Terlemez, I Ustun, G Can, M Saridogan
Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting the hand joints and leading to impairment in hand functions. Evaluation of functional impairment is necessary for assessing patient's quality of life, disease activity, and treatment outcome. To date, many scientific studies assessed the disease activity of patients with RA, but little attention has been carried out to assess these patients' hand functions and dexterity. The purposes of this study were to determine the clinical relevance of the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH), hand dexterity with the Purdue Pegboard Test (PPT), and handgrip strength and pinch strengths of RA patients and to look into their relation between each other...
July 18, 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/28720007/extensor-pollicis-brevis-spiral-tenodesis-for-combined-metacarpophalangeal-instability-and-trapeziometacarpal-arthritis
#9
Mark Henry
BACKGROUND: In more advanced stages of trapeziometacarpal arthritis, the thumb metacarpal may develop an adduction contracture, leading to secondary hyperextension instability of the metacarpophalangeal joint. Following trapeziometacarpal arthroplasty, uncorrected substantial metacarpophalangeal hyperextension may contribute to ongoing Z-collapse deformity, weakness of pinch and grip, and patient perception of diminished function. METHODS: We prospectively analyzed a consecutive case series of 55 trapeziometacarpal arthroplasty patients (mean age, 60 years; 7 males) who received simultaneous extensor pollicis brevis spiral tenodesis for thumb metacarpophalangeal hyperextension of at least 50°...
March 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28712926/glenohumeral-arthritis-after-latarjet-procedure-progression-and-it-s-clinical-significance
#10
Young Moon Kee, Hwan Jin Kim, Jung Youn Kim, Yong Girl Rhee
BACKGROUND: The risk factors of glenohumeral arthritis after the Latarjet procedure remain relatively unexplored. The purposes of this study are to evaluate the clinical significance of glenohumeral arthritis after the Latarjet procedure, and to investigate risk factors associated with arthritis progression. METHODS: We evaluated 110 patients (110 shoulders) who underwent the Latarjet procedure for recurrent anterior shoulder instability. Patients had a mean age of 23...
July 13, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28697046/perimenopausal-arthralgia-in-the-shoulder
#11
Seunghyun Yoon, Doo-Hyung Lee, Junyoung Bang
OBJECTIVE: To evaluate perimenopausal arthralgia in the shoulder and treatment thereof. METHODS: Participants with perimenopausal (n = 197) or premenopausal (n = 113) shoulder arthralgia were included in the study. The prevalences of synovitis, adhesive capsulitis, rotator cuff disorder, arthritis, and other pathologies in the two groups were compared. Participants diagnosed with synovitis were treated with oral prednisolone for 9 to 12 weeks. RESULTS: The most common diagnosis in the perimenopausal and premenopausal groups was adhesive capsulitis (35...
July 10, 2017: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/28684231/mid-term-to-long-term-outcome-of-the-open-bankart-repair-for-recurrent-traumatic-anterior-dislocation-of-the-shoulder
#12
Robert J Neviaser, Michael T Benke, Andrew S Neviaser
BACKGROUND: The purpose of this study was to assess the long-term outcome of the open Bankart repair for traumatic, recurrent anterior dislocation of the shoulder by evaluation of recurrence, range of motion, return to sports, arthritis, patient satisfaction, and outcome measures. METHODS: Of 162 patients, 127 patients (mean age, 31 years) were evaluated at a mean follow-up of 17.1 years (5-24) after undergoing an open Bankart repair using suture anchors. An independent orthopedic surgeon obtained a history and examined each for range of motion...
July 3, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28676727/-effects-on-the-elbow-of-radial-head-resection-following-isolated-radial-head-fracture-in-young-patients
#13
C Á González Roldán, Á M Hidalgo Ovejero, J Ruiz Ruiz, P Mateo Sebastian
ackground. Radial head resection has been a widely used procedure in cases of non-reconstructable radial head fracture. Some authors propose the use of radial head arthroplasty. The purpose of this study was to evaluate the long-term outcome of radial head resection for isolated fracture, without instability at the time of the fracture, and its radiological and functional repercussions at the elbow level. METHODS: We reviewed 44 clinical records with acute resection of the radial head following isolated radial head fracture, with absence of associated injuries, younger than forty, with a minimum follow-up of 15 years...
July 4, 2017: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/28668181/arthroscopic-joint-preservation-in-severe-glenohumeral-arthritis-using-interpositional-human-dermal-allograft
#14
Robert U Hartzler, Sabelo Melapi, Joe F de Beer, Stephen S Burkhart
PURPOSE: To investigate the outcomes of arthroscopic glenoid resurfacing (AGR) for severe glenohumeral arthritis at short- to medium-term follow-up. METHODS: We performed a multicenter retrospective review of consecutive patients undergoing AGR (2005-2013) with a minimum of 2 years' follow-up or until revision. Patients lost to follow-up and those included in a prior study were excluded. The indications for AGR were severe primary shoulder osteoarthritis without significant bone loss in younger, higher-demand patients...
June 28, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28665804/septic-arthritis-of-the-shoulder-a-comparison-of-treatment-methods
#15
Jimmy J Jiang, Hristo I Piponov, Daniel P Mass, Jovito G Angeles, Lewis L Shi
INTRODUCTION: In-hospital outcomes were compared among patients with shoulder septic arthritis treated with arthrocentesis, open irrigation and débridement, or arthroscopic irrigation and débridement. METHODS: The Nationwide Inpatient Sample database was queried for all cases of native shoulder septic arthritis between 2002 and 2011. Patient demographics, comorbidities, and hospitalization complications were compared for the shoulder arthrocentesis (nonsurgical) and open or arthroscopic irrigation and débridement (surgical) groups...
August 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28659057/anatomical-shoulder-arthroplasty-in-epileptic-patients-with-instability-arthropathy-and-persistent-seizures
#16
Tanujan Thangarajah, Mark Falworth, Simon M Lambert
PURPOSE: Epileptic seizures can cause shoulder dislocation, recurrent instability and eventually arthritis. The purpose of this study was to report the results, complications and rate of revision surgery following anatomical shoulder arthroplasty in epileptic patients with instability arthropathy. METHODS: A consecutive series of eight patients with epilepsy underwent anatomical shoulder arthroplasty for recurrent shoulder instability and were retrospectively reviewed after a mean of 4...
May 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28644943/failure-of-wrist-hemiarthroplasty
#17
Eric G Huish, Zachary Lum, H Brent Bamberger, Marc A Trzeciak
BACKGROUND: Wrist hemiarthroplasty has emerged as a motion-sparing option for severe wrist arthritis. It is technically easy with advantages of limited bone resection and no risk of nonunion. Given the relative infancy of the procedure in clinical practice, there are limited data on patient outcomes. METHODS: Eleven patients were treated with wrist reconstructive hemiarthroplasty. Indications included 1 patient with scaphoid nonunion advanced collapse, 9 patients with scapholunate advanced collapse, and 1 patient with capitolunate arthritis...
July 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28640086/diagnostic-value-of-18f-fluorodeoxyglucose-uptake-parameters-to-differentiate-rheumatoid-arthritis-from-other-types-of-arthritis
#18
Anu Bhattarai, Takahito Nakajima, Santosh Sapkota, Yukiko Arisaka, Azusa Tokue, Yukio Yonemoto, Yoshito Tsushima
We aimed evaluate F-fluorodeoxyglucose uptake at major joints for differentiating patients with rheumatoid arthritis (RA) from those with non-RA arthritis using F-fluorodeoxyglucose (FDG)-positron emission tomography (PET).Eighteen patients with RA (13 women; age, 66.8 ± 13.2 years) and 17 patients with non-RA (6 women; age, 50.8 ± 12.5 years) were included. Twelve joints of each patient were examined: shoulder, elbow, wrist, hip, knee, and ankle on both sides. A visual scoring (VS) system was used; quantitative parameters such as maximum standardized uptake value (SUVmax), metabolic active volume (MAV), and total lesion glycolysis (TLG) were evaluated...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28634854/micrornas-associated-with-inflammation-in-shoulder-tendinopathy-and-glenohumeral-arthritis
#19
Finosh G Thankam, Chandra S Boosani, Matthew F Dilisio, Devendra K Agrawal
Inflammation is associated with glenohumeral arthritis and rotator cuff tendon tears. Epigenetically, miRNAs tightly regulate various genes involved in the inflammatory response. Alterations in the expression profile of miRNAs and the elucidation of their target genes with respect to the pathophysiology could improve the understanding of their regulatory role and therapeutic potential. Here, we screened key miRNAs that mediate inflammation and linked with JAK2/STAT3 pathway with respect to the coincidence of glenohumeral arthritis in patients suffering from rotator cuff injury (RCI)...
June 20, 2017: Molecular and Cellular Biochemistry
https://www.readbyqxmd.com/read/28616779/-arthrodesis-of-the-distal-interphalangeal-joint-using-the-headless-compression-screw
#20
REVIEW
C K Spies, B Hohendorff, S Löw, L P Müller, J Oppermann, P Hahn, F Unglaub
OBJECTIVE: Arthrodesis of the distal interphalangeal joint of the fingers and interphalangeal joint of the thumb in order to gain reliable stability and function. INDICATIONS: Primary and secondary osteoarthritis, rheumatoid arthritis, defect lesions, septic joint destruction, posttraumatic joint deviation, fatal joint instability, fatal tendon lesions. CONTRAINDICATIONS: Persistent infections (empyema, osteomyelitis, phlegmon), deficient soft tissue mantle, bone/screw mismatch...
June 14, 2017: Operative Orthopädie und Traumatologie
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