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epicondylitis

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https://www.readbyqxmd.com/read/29339062/the-effect-of-humeral-tunnel-locations-on-radiographic-tunnel-changes-in-baseball-players-following-medial-ulnar-collateral-ligament-reconstruction-comparison-of-anatomic-and-nonanatomic-locations
#1
Jin-Young Park, Seok Won Chung, Jun Gyu Lee, Jae-Hyung Lee, Soo Kyung Lee, Hyun Jun Ji, Kyung-Soo Oh
BACKGROUND: There has been no study on radiologic changes after medial ulnar collateral ligament (MUCL) reconstruction and related clinical features. METHODS: Data from 39 baseball players who underwent MUCL reconstruction were collected and analyzed. The baseball players were classified into 2 groups according to the starting point of the humeral tunnel: (1) the lower tip of the medial epicondyle (group NA, n = 21) and (2) the remnant of the MUCL (group A, n = 18)...
January 12, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29325834/a-computed-tomography-scan-based-template-to-place-the-femoral-component-in-accurate-rotation-with-respect-to-the-surgical-epicondylar-axis-in-total-knee-arthroplasty
#2
Yasushi Oshima, Norishige Iizawa, Tatsunori Kataoka, Tokifumi Majima, Shinro Takai
BACKGROUND: Femoral rotational alignment is considered an essential factor for total knee arthroplasty because malrotation of femoral components results in poor outcomes. To obtain proper alignment, we developed a superimposable computed tomography (CT) scan-based template to intraoperatively determine the accurate surgical epicondylar axis (SEA), and evaluated the effectiveness of this CT template. METHODS: In the experimental group (n=55), three serial slices of CT images, including medial and lateral epicondyles, were merged into a single image, and SEA was overlaid...
January 9, 2018: Knee
https://www.readbyqxmd.com/read/29320964/autologous-us-guided-prp-injection-versus-us-guided-focal-extracorporeal-shock-wave-therapy-for-chronic-lateral-epicondylitis-a-minimum-of-2-year-follow-up-retrospective-comparative-study
#3
Mattia Alessio-Mazzola, Ilaria Repetto, Besmir Biti, Roberto Trentini, Matteo Formica, Lamberto Felli
PURPOSE: To compare the efficacy of two independent groups of patients treated with ultrasound (US)-guided extracorporeal shock wave (ESW) therapy and with US-guided injection of platelet-rich plasma (PRP) for chronic lateral epicondylitis (LE) with a minimum of 2-year follow-up. METHODS: We retrospectively evaluated 63 patients treated for chronic LE (31 patients with autologous US-guided PRP injection and 32 patients with US-guided focal ESW therapy) from 2009 to 2014...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29315453/a-partial-posterior-bundle-ulnar-collateral-ligament-tear-in-a-10-year-old-boy
#4
Todd P Pierce, Jennifer Kurowicki, Kimona Issa, Anthony Festa, Vincent K McInerney, Anthony J Scillia
Medial-sided elbow pain is becoming more common among pediatric overhead sport athletes. One potential cause of this is a partial or complete tear of the ulnar collateral ligament (UCL). Because the growth plate remains open in many of these athletes, the most common injury experienced is an avulsion at the medial epicondyle. However, although rare, there is a potential to tear the UCL, with the most common tears occurring at the anterior bundle. However, tears to the posterior bundle are quite rare in pediatric patients...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29310333/epidemiologic-features-and-management-of-elbow-dislocation-with-associated-fracture-in-pediatric-population
#5
Xuemin Lu, Guisen Yan, Ming Lu, Yuan Guo
This study was conducted to explore epidemiologic features of traumatic elbow dislocation with associated fractures in pediatric population following appropriate treatment options.Incidence of elbow dislocation with associated fractures was analyzed in 67 children using elbow radiographs. Treatment for the displaced elbow joint was performed by closed reduction and proper immobilization. Surgical intervention was applied to restore the correct alignment of the fracture. Mayo Elbow Performance Score (MEPS) was used to measure elbow joint function...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29308180/a-rare-case-of-elbow-dislocation-with-medial-epicondyle-fracture-associated-to-ulnar-neuropraxia
#6
Francisco Alonzo, Moisés Arévalo, Mario Cahueque
The association between elbow dislocation, medial epicondyle fracture with intra-articular fragment entrapment and ulnar neuropraxia is very unfrequent with only a few cases reported in the literature, the mechanism of injury of the ulnar nerve is still unknown. This injury requires surgical management with stable fixation of the medial epicondyle fragment to allow early range of motion, the choice whether or not to perform an ulnar decompression and nerve transposition remains a controversy between orthopedic surgeons...
October 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29286358/is-wrist-splint-more-effective-than-forearm-band-for-lateral-epicondylitis
#7
Arturo Meissner, María Ignacia Vives, Javier Román, Arturo Meissner
INTRODUCTION: Lateral epicondylitis is a common cause of lateral elbow pain. There are many treatments able to improvement symptoms, including orthotic devices. The main available orthosis are wrist splint and forearm band. However, it is not clear which one constitutes the best alternative for symptomatic treatment. METHODS: To answer this question we used Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others...
December 28, 2017: Medwave
https://www.readbyqxmd.com/read/29276537/open-release-versus-radiofrequency-microtenotomy-in-the-treatment-of-lateral-epicondylitis-a-prospective-randomized-controlled-trial
#8
Katharine Hamlin, Christopher Munro, Scott L Barker, Sean McKenna, Kapil Kumar
Background: Optimal surgical treatment of lateral epicondylitis remains uncertain. Recently, radiofrequency microtenotomy (RFMT) has been proposed as a suitable treatment. We compared RFMT with standard open release (OR) in this prospective randomized controlled trial. Methods: In total, 41 patients with symptoms for at least 6 months were randomized into two groups: 23 patients had RFMT and 18 had OR. Two patients from RFMT withdrew. Each patient underwent Numerical Rating Scale (NRS) pain score, grip strength and Disabilities of the Arm, Shoulder and Hand (DASH) scores pre-operatively and at 6 weeks...
January 2018: Shoulder & Elbow
https://www.readbyqxmd.com/read/29276460/management-of-chronic-lateral-epicondylitis-with-manual-therapy-and-local-cryostimulation-a-pilot-study
#9
Nadia Richer, Andrée-Anne Marchand, Martin Descarreaux
Objective: The purpose of this pilot study was to evaluate the feasibility and efficacy of adding cryostimulation to manual therapy in patients with chronic lateral epicondylitis. Methods: The control group (n = 19) was treated with manual therapy consisting of soft-tissue therapy and radial head mobilizations. The experimental group (n = 18) received cryostimulation in addition to manual therapy care similar to that for the control group. Both protocols consisted of 8 treatments over a 4-week period...
December 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29276039/diagnosis-and-treatment-of-osteochondritis-dissecans-of-the-humeral-capitellum
#10
Masahiro Maruyama, Masatoshi Takahara, Hiroshi Satake
Osteochondritis dissecans (OCD) of the humeral capitellum is a critical elbow injury in adolescent overhead throwing athletes. However, its etiology remains unknown. Medical examinations using ultrasonography found that the prevalence of capitellar OCD among adolescent baseball players was approximately from 1% to 3%. A plain anteroposterior radiograph with the elbow in 45° of flexion is essential for the diagnosis of an OCD lesion. The stability of OCD lesions is evaluated on plain radiographs, computed tomography, and magnetic resonance imaging (MRI)...
December 21, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29250475/retraction-radiological-and-functional-outcome-of-medial-epicondyle-fracture-treated-surgically-in-children-and-adolescents-a-retrospective-study
#11
Sagar Panthi, Kishor Khatri, Krishna Kharel, Raju Vaishya, Amit Kumar Agarwal, Vipul Vijay
[This retracts the article DOI: 10.7759/cureus.953.].
December 13, 2017: Curēus
https://www.readbyqxmd.com/read/29238734/platelet-rich-plasma-injection-with-percutaneous-needling-for-recalcitrant-lateral-epicondylitis-comparison-of-tenotomy-and-fenestration-techniques
#12
Michael P Gaspar, Michael A Motto, Sarah Lewis, Sidney M Jacoby, Randall W Culp, A Lee Osterman, Patrick M Kane
Background: Recalcitrant lateral epicondylitis (LE) is a common debilitating condition, with numerous treatment options of varying success. An injection of platelet-rich plasma (PRP) has been shown to improve LE, although it is unclear whether the method of needling used in conjunction with a PRP injection is of clinical importance. Purpose: To determine whether percutaneous needle tenotomy is superior to percutaneous needle fenestration when each is combined with a PRP injection for the treatment of recalcitrant LE...
December 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29234659/accessory-muscle-of-the-flexor-digitorum-superficialis-and-its-clinical-implications
#13
Edie Benedito Caetano, João José Sabongi Neto, Lucas Augusto Ayres Ribas, Edson Vinícius Milanello
Anatomical variations of the flexor digitorum superficialis (FDS) muscle and tendon unit are frequently reported by anatomists and clinicians. Anatomical muscle variations of the FDS and its tendons may include variations of muscle belly, presence of accessory or duplicate tendons, abnormal tendon connections, and absence of muscle or tendon components. Such variations may or may not have clinical implications. This report presents a case not described previously: a unilateral accessory muscle of the flexor digitorum superficialis which was connected by a thick tendon to the flexor digitorum superficialis muscle; it was directed proximally to the insertion of the medial epicondyle of the humerus, next to the superficialis head of the pronator teres muscle...
November 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29234558/length-change-of-the-short-external-rotators-of-the-hip-in-common-stretch-positions-a-cadaveric-study
#14
Ryan P McGovern, Benjamin R Kivlan, RobRoy L Martin
Background: Stretching of the deep rotators of the hip is commonly employed in patients with lumbosacral, sacroiliac, posterior hip, and buttock pain. There is limited research demonstrating the effectiveness of common stretching techniques on the short external rotators of the hip. Purpose: The objective of this study was to evaluate length change during stretching of the superior and inferior fibers of the piriformis, superior gemellus, obturator internus, and inferior gemellus...
December 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29233691/enthesopathy-in-rheumatoid-arthritis-and-spondyloarthritis-an-ultrasound-study
#15
Esther Ebstein, Baptiste Coustet, Vanina Masson-Behar, Marine Forien, Elisabeth Palazzo, Philippe Dieudé, Sébastien Ottaviani
OBJECTIVE: We aimed to compare the prevalence of enthesopathy seen on ultrasonography (US) in spondyloarthritis (SpA) and rheumatoid arthritis (RA) and compared it to healthy controls. METHODS: All included patients with RA (2010 ACR/EULAR criteria) and SpA (ASAS criteria) and healthy controls underwent clinical and US evaluation of enthesis at seven sites (quadriceps, proximal and distal patellar, Achilles and triceps tendons, plantar aponeurosis and lateral epicondyle enthesis)...
December 9, 2017: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/29230426/lateral-patellofemoral-ligament-an-anatomic-study
#16
Kalpit N Shah, Steven F DeFroda, James Kristopher Ware, Sarath C Koruprolu, Brett D Owens
Background: Medial instability of the patellofemoral joint is a rare but known phenomenon that may result from an incompetent lateral patellofemoral ligament (LPFL). Surgical reconstruction of the LPFL has been described. However, anatomic details of the ligament have not been the subject of scrutiny. Purpose: To describe the anatomic origin and insertion of the LPFL. Study Design: Descriptive laboratory study. Methods: Ten fresh-frozen, unpaired human cadaveric knees (mean age, 57 years) were dissected to identify the LPFL...
December 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29228442/a-novel-boswellic-acids-delivery-form-casperome%C3%A2-in-the-management-of-musculoskeletal-disorders-a-review
#17
A Riva, P Allegrini, F Franceschi, S Togni, L Giacomelli, R Eggenhoffner
Standard pharmacological treatment of musculoskeletal conditions is often associated with relevant side effects. Botanical preparations endowed with a good tolerability profile, therefore, could have a role in the management of these disorders. Among different natural products, Boswellia serrata extracts have long been used for the treatment of musculoskeletal disorders, given their marked anti-inflammatory activity and their ability to promote tissue regeneration. However, standard preparations of Boswellia serrata show overall modest pharmacokinetic properties, a limitation which may ultimately lead to reduced efficacy...
November 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/29224991/femoral-component-axial-rotation-in-the-gap-balancing-approach-to-total-knee-arthroplasty-measurement-by-computed-tomography
#18
André Y Aihara, Fabiano N Cardoso, Pedro Debiex, Antonio M Castro, Marcus V M Luzo, Artur R C Fernandes
BACKGROUND: Rotational malalignment of total knee arthroplasty (TKA) is a potential cause for revision surgery; therefore, it is important to have valid criteria for evaluation of normal component rotational alignment. Because computed tomography (CT) is considered the most accurate method to assess the rotational alignment of prosthetic components, the objectives in this study were define the femoral component (FC) rotation by measuring the posterior condylar angle (PCA) and the condylar twist angle (CTA) in a patient population that underwent gap-balancing TKA; determine the reliability of the FC rotation by using these measurements; evaluate the inter-relationship between the PCA and CTA; and finally evaluate the frequency and agreement in identification of the medial epicondyle sulcus (MES)...
December 7, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29220355/adults-with-patellofemoral-pain-do-not-exhibit-manifestations-of-peripheral-and-central-sensitization-when-compared-to-healthy-pain-free-age-and-sex-matched-controls-an-assessor-blinded-cross-sectional-study
#19
Michael Skovdal Rathleff, Camilla Rams Rathleff, Aoife Stephenson, Rebecca Mellor, Mark Matthews, Kay Crossley, Bill Vicenzino
Patellofemoral Pain (PFP) is highly prevalent among adults and adolescents. Localized mechanical hyperalgesia around the knee and tibialis anterior have been observed in people with PFP, but limited knowledge of potential manifestations of central sensitisation exists. The aims of this study were to study conditioned pain modulation (CPM) and wide-spread hyperalgesia in adults with PFP. This assessor-blinded cross-sectional study design compared CPM and mechanical pressure pain thresholds (PPT) between 33 adults (23 females) diagnosed with PFP and 32 age and sex matched pain-free controls...
2017: PloS One
https://www.readbyqxmd.com/read/29216764/quantifying-the-center-of-elbow-rotation-implications-for-medial-collateral-ligament-reconstruction
#20
Kraig S Graham, Sara Golla, Sebastian V Gehrmann, Robert A Kaufmann
BACKGROUND: Medial collateral ligament (MCL) reconstruction of the elbow mandates precise characterization of where the centerline of elbow rotation projects onto the medial epicondyle (ME). A muscle-splitting approach allows the flexor-pronator muscles to remain attached to the ME and facilitates visualization of the MCL remnant, the sublime tubercle, and the ulnohumeral joint line. Knowledge of where the centerline of rotation intersects the ME relative to the ulnohumeral joint line may assist the surgeon during placement of the proximal drill hole...
December 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
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