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https://www.readbyqxmd.com/read/29032901/bosworth-and-modified-phemister-techniques-revisited-a-comparison-of-intraarticular-vs-extraarticular-fixation-methods-in-the-treatment-of-acute-rockwood-type-iii-acromioclavicular-dislocations
#1
Engin Cetinkaya, Yavuz Arıkan, Kubilay Beng, Harun Mutlu, Merter Yalçınkaya, Onat Üzümcügil
OBJECTIVE: The aim of this study was to compare the long-term clinical and radiological results of Acromioclavicular (AC) fixation with K-wires (the modified Phemister procedure) and Coracoclavicular (CC) fixation with the Bosworth screw in the surgical treatment of Type 3 AC joint dislocations. METHODS: Thirty-two patients with complete set of medical records and who received surgical treatment between September 2005 and January 2009 due to acute Rockwood Type 3 AC joint dislocation and properly attended their follow-ups were retrospectively evaluated...
October 9, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28971082/open-versus-arthroscopic-approach-in-the-treatment-of-femoroacetabular-impingement-a-case-control-study-with-two-years-follow-up
#2
Bruno Dutra Roos, Milton Valdomiro Roos, Antero Camisa Júnior, Ezequiel Moreno Ungaretti Lima, Maurício Domingos Betto
OBJECTIVE: To compare clinical and imaging results and complications between patients treated for femoroacetabular impingement (FAI) who underwent either anterior open surgery or an arthroscopic approach, with a minimum follow-up of two years. METHODS: This retrospective case-control study included patients submitted to FAI surgical treatment between November 2007 and March 2012. Patients treated with open surgery were compared with those treated with arthroscopy...
2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28918787/-running-and-causes-of-running-related-injuries
#3
Camilla Kjær Cullum, Peter Hung Thanh Tran, Simon Døssing
Running is one of the most popular sports among the adult Danish population. Overuse injuries of the knee, such as runners knee, jumpers knee, patello-femoral pain syndrome and patello-femoral pre-arthrosis, are common and cause reduction of the health beneficial physical activity. Treatment should primarily focus on adjustment of training habits and physiotherapeutic guided rehabilitation. Other treatment options include changing landing pattern during running, corticosteroid injections, non-steroid anti-inflammatory drugs and ultimately surgery...
September 18, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28918660/factors-associated-with-radiographic-trapeziometacarpal-arthrosis-in-patients-not-seeking-care-for-this-condition
#4
Suzanne C Wilkens, Matthew A Tarabochia, David Ring, Neal C Chen
BACKGROUND: A common adage among hand surgeons is that the symptoms of trapeziometacarpal (TMC) arthrosis vary among patients independent of the radiographic severity. We studied factors associated with radiographic severity of TMC arthrosis, thumb pain, thumb-specific disability, pinch strength, and grip strength in patients not seeking care for TMC arthrosis. Our primary null hypothesis was that there are no factors independently associated with radiographic severity of TMC arthrosis according to the Eaton classification among patients not seeking care for TMC arthrosis...
September 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28899587/gradual-onset-diseases-misperception-of%C3%A2-disease-onset
#5
Bastiaan T van Hoorn, Suzanne C Wilkens, David Ring
PURPOSE: Gradual onset diseases (eg, carpal tunnel syndrome, cubital tunnel syndrome, and trapeziometacarpal arthrosis) tend to go unnoticed for years. When a slowly progressive disease transitions from asymptomatic to symptomatic, it may seem like an acute event. The primary aim of this study was to determine the percentage of patients who perceive the slowly progressive disease as having started within 1 year. We also hypothesized that (1) there would be no factors associated with perception of an onset of disease within 1 year, more specifically among patients with advanced disease; and (2) there would be no difference in a decision to pursue operative treatment between patients who perceived the onset of the disease to be recent and those who perceived it to be long-standing...
September 9, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28890330/a-comparative-analysis-of-resource-utilization-between-proximal-row-carpectomy-and-partial-wrist-fusion-a-population-study
#6
Paymon Rahgozar, Lin Zhong, Kevin C Chung
PURPOSE: We conducted a population-level analysis comparing proximal row carpectomy (PRC) and partial wrist arthrodesis (PWA) for treatment of chronic wrist arthritis to (1) characterize national practice patterns, (2) determine the rate of conversion to total wrist arthrodesis (TWA), and (3) calculate the associated direct cost of care. METHODS: Using the Truven MarketScan databases from 2009 to 2015, we identified patients 18 years or older with a diagnosis of wrist osteoarthritis who had a PRC or PWA and were followed for 18 months...
August 31, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28883689/lateral-column-lengthening-for-adolescent-idiopathic-pes-planovalgus-deformity-systematic-review
#7
REVIEW
Sanjay Kumar, S V Sonanis
Pes planovalgus is the commonest foot deformity in children and presents with wide range of severity and symptoms. Surgery is mostly indicated for significant malalignment, resistant to non-surgical management. Lateral column lengthening is considered an appealing option as does not involve arthrodesis and allows for further growth and foot development. METHODS: We conducted a systematic review on lateral column lengthening for pes planovalgus deformity in line with PRISMA-P Checklist...
December 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/28875154/structural-and-anatomic-restoration-of-the-anterior-cruciate-ligament-is-associated-with-less-cartilage-damage-1-year-after-surgery-healing-ligament-properties-affect-cartilage-damage
#8
Ata M Kiapour, Braden C Fleming, Martha M Murray
BACKGROUND: Abnormal joint motion has been linked to joint arthrosis after anterior cruciate ligament (ACL) reconstruction. However, the relationships between the graft properties (ie, structural and anatomic) and extent of posttraumatic osteoarthritis are not well defined. HYPOTHESES: (1) The structural (tensile) and anatomic (area and alignment) properties of the reconstructed graft or repaired ACL correlate with the total cartilage lesion area 1 year after ACL surgery, and (2) side-to-side differences in anterior-posterior (AP) knee laxity correlate with the total cartilage lesion area 1 year postoperatively...
August 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28865581/the-rotoglide%C3%A2-total-replacement-of-the-first-metatarso-phalangeal-joint-a-prospective-series-with-7-15-years-clinico-radiological-follow-up-with-survival-analysis
#9
Hakon Kofoed, Lasse Danborg, Jacob Grindsted, Søren Merser
BACKGROUND: The Rotoglide total replacement of the MTP-1 joint. 15 years survival analysis. The purpose of this prospective study was to evaluate the long-term performance clinico-radiographically of an uncemented three-component total replacement for the first metatarso-phalangeal joint (MTP-1) used for hallux rigidus (primary osteoarthritis grades 3 and 4). The follow-up was median 11.5 years (7-15). METHODS: The AOFAS forefoot score was used preoperatively and at follow-up...
September 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28845301/limited-evidence-that-the-presence-of-a-bone-bruise-alone-affects-the-clinical-outcome-of-surgically-reconstructed-anterior-cruciate-ligaments-a-systematic-review
#10
Brian E Walczak, Cody Lukes, Ned Amendola, Warren R Dunn
IMPORTANCE: Anterior cruciate ligament (ACL) injury can be a devastating injury that without surgery may lead to chronic instability. Although surgical reconstruction recreates the stabilising constraint of the native ACL, postoperative pain and subsequent arthrosis may follow. OBJECTIVES: The primary objective of this systematic review is to determine whether the presence of a bone bruise following ACL rupture adversely affects the clinical outcomes following surgical reconstruction...
July 2017: Journal of ISAKOS
https://www.readbyqxmd.com/read/28844682/transfer-of-the-lesser-tuberosity-for-reverse-hill-sachs-lesions-after-neglected-posterior-dislocations-of-the-shoulder-a-retrospective-clinical-study-of-13-cases
#11
Mehmet Demirel, Ali Erşen, Gökhan Karademir, Ata Can Atalar, Mehmet Demirhan
OBJECTIVE: This study aimed to present middle-term functional and radiological outcomes of the transfer of the lesser tuberosity in the management of reverse Hill-Sachs lesions following posterior dislocations of the shoulder. PATIENTS AND METHODS: With a diagnosis of neglected posterior shoulder dislocation (8 locked, 5 recurrent), 13 male patients (age range: 28-72; mean age: 39.3 years) who underwent the transfer of the lesser tuberosity due to reverse Hill-Sachs lesions, were retrospectively reviewed based on functional and radiological data...
August 24, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28842101/navicular-stress-fracture-outcomes-in-athletes-analysis-of-62-injuries
#12
Amol Saxena, Shontal A Behan, Dallas L Valerio, Dominick L Frosch
The optimal treatment modalities for navicular stress fractures in athletes is currently unknown for this season-ending injury. The present study evaluated factors that might be significant and affect healing outcomes, specifically focusing on the return to activity (RTA) time and a decreased desired activity (DDA) after treatment in athletes. Such considerations included previous navicular stress fractures, patient demographic data and type of sport, and initiation time of treatment. The data from 59 patients with 62 fractures were prospectively analyzed from May 2005 through July 2016...
September 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28832210/quickdash-score-is-associated-with-treatment-choice-in-patients-with-trapeziometacarpal-arthrosis
#13
Suzanne C Wilkens, Mariano E Menendez, David Ring, Neal Chen
BACKGROUND: Trapeziometacarpal (TMC) arthrosis has a variety of treatment options, including nonoperative (eg, education, splint, injection) and operative management. Symptoms and limitations vary greatly among patients. The purpose of this study was to determine an association of symptoms and limitations, quantified using the Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score, with treatment choice in patients newly diagnosed with TMC arthrosis. We also addressed the association of the QuickDASH score with radiographic severity and sought factors associated with higher QuickDASH scores...
September 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28803339/dual-energy-computed-tomography-has-limited-diagnostic-sensitivity-for-short-term-gout
#14
Ertao Jia, Junqing Zhu, Wenhui Huang, Xiaoguang Chen, Juan Li
The aim of this study was to discuss the diagnostic value of dual-energy computed tomography (DECT) in patients with gout during different disease phases. Two hundred twenty-one patients (136 with gout and 85 with other arthritic diseases) were recruited to the study. Arthrosis pain was evaluated in all patients by DECT scans. We calculated the sensitivity and specificity of DECT for the diagnosis of gout, including the first onset period, less than 24 months period, and more than 24 months period. We then investigated the related risk factors of urate crystals volume in the foot...
August 12, 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/28797874/factors-affecting-articular-cartilage-repair-after-open-wedge-high-tibial-osteotomy
#15
Chang-Wan Kim, Seung-Suk Seo, Chang-Rack Lee, Heui-Chul Gwak, Jung-Han Kim, Sun-Gyu Jung
BACKGROUND: To evaluate the factors that affect articular cartilage repair after open-wedge high tibial osteotomy (OWHTO) and the relationship between regeneration of articular cartilage repair and clinical outcomes. METHODS: Among the cases of OWHTO that were performed from March 2005 to February 2012, the patients who followed up for >2years and received a second-look arthroscopy were retrospectively reviewed. For clinical evaluation, the Knee Society scores and Western Ontario and McMaster Universities Osteoarthritis Index score were measured...
August 8, 2017: Knee
https://www.readbyqxmd.com/read/28779806/did-failure-occur-because-of-medial-column-instability-that-was-not-recognized-or-did-it-develop-after-surgery
#16
REVIEW
Anish R Kadakia, Armen S Kelikian, Mauricio Barbosa, Milap S Patel
Medial column instability is a primary deforming force in the setting of pes planovalgus deformity. Consideration for medial column stabilization only after correction of the hindfoot deformity may result in creating a rigid hindfoot, compromising clinical outcomes. Careful analysis of the lateral radiograph to determine whether the deformity is secondary to the medial column or true peritalar subluxation may allow superior outcomes. Iatrogenic creation of an excessively rigid medial column may lead to significant instability of the remaining joints in the short term and arthrosis in the long term...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28746949/-dislocation-of-the-pip-joint-treatment-of-a-common-ball-sports-injury
#17
Wibke Müller-Seubert, Gregor Bührer, Raymund E Horch
Background Fractures or fracture dislocations of the proximal interphalangeal joint often occur during sports or accidents. Dislocations of the PIP-joint are the most common ligamentary injuries of the hand. As this kind of injury is so frequent, hand surgeons and other physicians should be aware of the correct treatment. Objectives This paper summarises the most common injury patterns and the correct treatment of PIP-joint dislocations. Materials and Methods This paper reviews the current literature and describes the standardised treatment of PIP-joint dislocations...
September 2017: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
https://www.readbyqxmd.com/read/28737072/the-effect-of-metatarsal-padding-on-pain-and-functional-ability-in-metatarsalgia
#18
K Männikkö, J Sahlman
BACKGROUND AND AIMS: Many kinds of insoles and pads are commonly used as a conservative treatment of metatarsalgia. However, earlier studies of insole treatment provide contradictory results, and the natural progression of metatarsalgia is still unknown. The aims of this study were to (1) determine whether simple custom-made metatarsal pad insoles reduce pain and improve functional ability, (2) find out patients' satisfaction with padding treatment, and (3) investigate predisposing factors for metatarsalgia...
March 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28719974/the-accuracy-of-common-hand-injections-with-and-without-ultrasound-an-anatomical-study
#19
Philip To, Kaylan N McClary, Micah K Sinclair, Brittany A Stout, Mohab Foad, Shannon Hiratzka, Peter J Stern
BACKGROUND: The aim of the study is to determine the accuracy of hand injections with and without the aid of ultrasound (U/S) into the carpal tunnel, thumb carpometacarpal (CMC) joint, first dorsal compartment (DC) and the radiocarpal (RC) joint. METHODS: Four participants of various level of experience injected the carpal tunnel, thumb CMC, first DC, and RC joint into 40 fresh frozen cadaver specimens with blue dye and radiographic contrast. Participants 1 and 2 were injected without U/S guidance, and participants 3 and 4 were injected with U/S guidance...
February 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28699681/occurrence-of-signs-of-osteoarthritis-arthrosis-in-the-temporomandibular-joint-on-panoramic-radiographs-in-swedish-women
#20
Karin Bäck, Margareta Ahlqwist, Magnus Hakeberg, Lars Dahlström
OBJECTIVES: To determine the prevalence and incidence of radiographic signs of osteoarthritis/osteoarthrosis (OA) in the temporomandibular joint (TMJ) among middle-aged and older women. METHODS: Data were collected from ongoing representative, longitudinal and repeated cross-sectional studies in Gothenburg, Sweden. Panoramic radiographs (PAN) have been taken regularly since 1968. The cohorts were systematically selected from the female population at the ages of 38, 50, 62 and 74...
July 12, 2017: Community Dentistry and Oral Epidemiology
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