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epicondylitis

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https://www.readbyqxmd.com/read/28094190/three-or-more-preoperative-injections-is-the-most-significant-risk-factor-for-revision-surgery-after-operative-treatment-of-lateral-epicondylitis-an-analysis-of-3863-patients
#1
Ryan M Degen, Jourdan M Cancienne, Christopher L Camp, David W Altchek, Joshua S Dines, Brian C Werner
BACKGROUND: This study was conducted to identify the rate of failure of operative treatment of lateral epicondylitis, defined as progression to ipsilateral revision surgery, and associated patient-specific risk factors for failure. METHODS: A national database was used to identify patients undergoing surgical treatment of lateral epicondylitis from 2005 to 2012. Patients undergoing concomitant procedures were excluded. Patients who then required subsequent ipsilateral extensor carpi radialis brevis débridement or release within 2 years were identified using similar methods...
January 13, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28089807/ultrasonography-detects-ulnar-nerve-dislocation-despite-normal-electrophysiology-and-magnetic-resonance-imaging
#2
Jared M Pisapia, Zarina S Ali, Eric D Hudgins, Viviane Khoury, Gregory G Heuer, Eric L Zager
BACKGROUND: Dislocation of the ulnar nerve (UN) occurs in a subset of patients with ulnar neuropathy. Electrodiagnostic and magnetic resonance imaging (MRI) studies are performed to support the clinical diagnosis. We report the case of a patient with ulnar neuropathy with normal electrodiagnostic and MRI studies but with ultrasound (US) showing UN dislocation, which prompted successful treatment by UN submuscular transposition. CASE DESCRIPTION: A healthy 15 year-old female softball player presented with right medial elbow pain and paresthesias of the fourth and fifth digits...
January 12, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28089495/assessment-of-the-isometry-of-the-anterolateral-ligament-in-a-3-dimensional-weight-bearing-computed-tomography-simulation
#3
Karl Wieser, Philipp Fürnstahl, Fabio Carrillo, Sandro F Fucentese, Lazaros Vlachopoulos
PURPOSE: To simulate the most isometric insertion points of the anterolateral ligament (ALL) in a weight-bearing 3-dimensional computed tomography (CT) model using previously published anatomic landmarks and to define radiographic landmarks, which make for an easier identification of the optimal insertion points. METHODS: The most isometric femoral insertion points were analyzed for 10 individuals, using data of weight-bearing CT scans in increasing knee flexion positions...
January 12, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28060194/chronic-lateral-epicondylalgia-does-not-exhibit-mechanical-pain-modulation-in-response-to-noxious-conditioning-heat-stimulus
#4
Edwin Choon Wyn Lim, Michele Sterling, Bill Vicenzino
The impaired attenuation of pain by the application of a noxious conditioning stimulus at a segmentally distinct site, known as conditioned pain modulation, has been implicated in clinical pain states. Chronic lateral epicondylalgia (LE), which is characterized by lower pressure pain thresholds at sites remote to the affected elbow and spinal cord hyperexcitability, is a clinical pain state that might plausibly involve less efficacious conditioned pain modulation. This study aimed to determine if LE exhibits a less efficacious conditioned pain modulation compared to healthy controls...
January 3, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28058481/extensor-tendinopathy-of-the-elbow-assessed-with-sonoelastography-histologic-correlation
#5
Andrea S Klauser, Mathias Pamminger, Ethan J Halpern, Mohamed M H Abd Ellah, Bernhard Moriggl, Mihra S Taljanovic, Christian Deml, Judit Sztankay, Guenther Klima, Werner R Jaschke
PURPOSE: To compare agreement between conventional B-mode ultrasound (US) and compression sonoelastography (SEL) of the common extensor tendons of the elbow with histological evaluation. MATERIALS AND METHODS: Twenty-six common extensor tendons were evaluated in 17 cadavers (11 females, median age 85 years and 6 males, median age 80 years). B-mode US was graded into: Grade 1, homogeneous fibrillar pattern; grade 2, hypoechoic areas and/or calcifications <30%; and grade 3 > 30%...
January 5, 2017: European Radiology
https://www.readbyqxmd.com/read/28032001/sensory-reanimation-of-the-hand-by-transfer-of-the-superficial-branch-of-the-radial-nerve-to-the-median-and-ulnar-nerve
#6
Thilo L Schenck, Shenyu Lin, Jessica K Stewart, Konstantin C Koban, Michaela Aichler, Farid Rezaeian, Riccardo E Giunta
BACKGROUND: It remains a surgical challenge to treat high-grade nerve injuries of the upper extremity. Extra-anatomic reconstructions through the transfer of peripheral nerves have gained clinical importance over the past decades. This contribution outlines the anatomic and histomorphometric basis for the transfer of the superficial branch of the radial nerve (SBRN) to the median nerve (MN) and the superficial branch of the ulnar nerve (SBUN). METHODS: The SBRN, MN, and SBUN were identified in 15 specimens and the nerve transfer performed...
December 2016: Brain and Behavior
https://www.readbyqxmd.com/read/28026735/-quantitative-analysis-of-power-doppler-images-in-lateral-humeral-enthesopathy
#7
P Walder, L Paša, L Pavliska
PURPOSE OF THE STUDY The evaluation of efficiency of power Doppler sonography in the diagnosis of lateral humeral enthesopathy, role of correct assessment of Doppler sonographic images with the method of quantitative analysis, assessment of statistical differences between a group of patients with lateral humeral enthesopathy and a control group of healthy subjects and assessment of the diagnostic power of this test. In addition, consideration of the relevance of each area of the lateral compartment for assessment and diagnosis making in lateral humeral enthesopathy...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28002866/botulinum-toxin-injections-in-musculoskeletal-disorders
#8
Ivan R B Godoy, Dean M Donahue, Martin Torriani
Botulinum toxin (BTX) is used for multiple clinical indications due to its ability to induce temporary chemodenervation and muscle paralysis. This property has supported its application in treating a variety of musculoskeletal conditions, especially those involving muscular hyperactivity and contractures such as cerebral palsy and dystonia. However, off-label use of BTX injection in other musculoskeletal disorders is gaining increased acceptance, such as in neurogenic thoracic outlet syndrome, epicondylitis, and shoulder pain after stroke...
November 2016: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/27998023/clinical-enthesitis-in-a-prospective-longitudinal-psoriatic-arthritis-cohort-incidence-prevalence-characteristics-and-outcome
#9
Ari Polachek, Suzanne Li, Vinod Chandran, Dafna Gladman
OBJECTIVES: The aim of our study was to evaluate the incidence, prevalence, characteristics, disease associations, risk factors and outcome of clinical enthesitis in patients with PsA. METHODS: The study included patients with PsA followed prospectively. Enthesitis was defined as the presence of at least one tender enthesis at one of the 18 entheseal sites of the Spondyloarthritis Research Consortium of Canada enthesitis index. RESULTS: Between 2008 and 2014, 281 of 803 patients had enthesitis providing a prevalence of 35%...
December 20, 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/27971428/safety-and-effectiveness-of-autologous-platelet-rich-plasma-therapy-for-lateral-epicondylitis-systematic-reviews
#10
S Y Kim
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27971426/the-safety-and-effectiveness-of-autologous-platelet-rich-plasma-prp-therapy-for-lateral-epicondylitis-systematic-reviews
#11
S Y Kim
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27942148/the-effects-of-high-intensity-laser-therapy-on-pain-and-function-in-patients-with-knee-osteoarthritis
#12
Gook-Joo Kim, Jioun Choi, Sangyong Lee, Chunbae Jeon, Kwansub Lee
[Purpose] The purpose of this study was to examine the effects of high intensity laser therapy (HILT) on pain and function in patients with knee osteoarthritis. [Subjects and Methods] In this study, an experiment was conducted on 20 subjects who were divided into the control group (n=10), which would receive conservative physical therapy (CPT), and the experimental group (n=10), which would receive effects of high intensity laser therapy after conservative physical therapy. All patients received their respective therapies three times each week over a four-week period...
November 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27916338/efficacy-of-a-forearm-band-in-addition-to-exercises-compared-with-exercises-alone-for-lateral-epicondylitis-a-multicenter-randomized-controlled-trial
#13
Takanobu Nishizuka, Katsuyuki Iwatsuki, Shigeru Kurimoto, Michiro Yamamoto, Hitoshi Hirata
BACKGROUND: A forearm band is frequently used for lateral epicondylitis worldwide. However, evidence regarding its efficacy has been insufficient. The objective of this prospective, randomized, controlled trial was to analyze the effects of a forearm band for treatment of lateral epicondylitis at 1, 3, 6, and 12 months. METHODS: Patients with lateral epicondylitis were randomly allocated into a band (n = 55) or non-band (n = 55) group. Patients in the band group were instructed to wear a forearm band for more than 6 h daily for at least 6 months...
December 1, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27900340/retropatellar-accessory-portals-for-improved-access-to-the-patella-anatomic-description-and-evaluation-of-safety
#14
Jason L Koh, Anthony L Logli
BACKGROUND: Standard knee arthroscopy portals are frequently used to address retropatellar chondral pathology. Alternative portals may offer a safe and simple substitute, particularly when reaching the base of deep lesions is required. PURPOSE: To describe and assess the safety of accessory retropatellar portals. STUDY DESIGN: Descriptive laboratory study. METHODS: An anatomic study was performed on 10 fresh-frozen cadaveric knees...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27891243/a-comprehensive-musculoskeletal-and-peripheral-nervous-system-assessment-of-war-related-bilateral-upper-extremity-amputees
#15
Mostafa Allami, Batool Mousavi, Mehdi Masoumi, Ehsan Modirian, Hadi Shojaei, Fatemeh Mirsalimi, Maryam Hosseini, Pirouz Pirouzi
BACKGROUND: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation. METHODS: The study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb...
2016: Military Medical Research
https://www.readbyqxmd.com/read/27875620/a-reliable-technique-for-us-guided-perineural-injection-in-ulnar-neuropathy-at-the-elbow
#16
Ulrike M Hamscha, Ines Tinhofer, Stefan Heber, Wolfgang Grisold, Wolfgang J Weninger, Stefan Meng
INTRODUCTION: Ulnar neuropathy at the elbow (UNE) is a common peripheral compression neuropathy and in most cases occurs at 2 sites, the retroepicondylar groove or the cubital tunnel. With regard to a potential therapeutic approach with perineural corticosteroid injection the aim of this study was to evaluate the distribution of injection fluid applied at a standard site. METHODS: We performed ultrasound-guided (US-guided) perineural injections to the ulnar nerve halfway between the olecranon and the medial epicondyle in 21 upper limbs from 11 non-embalmed cadavers...
November 22, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/27867309/gender-differences-in-symptoms-health-related-quality-of-life-sleep-quality-mental-health-cognitive-performance-pain-cognition-and-positive-health-in-spanish-fibromyalgia-individuals-the-al-%C3%A3-ndalus-project
#17
Víctor Segura-Jiménez, Fernando Estévez-López, Alberto Soriano-Maldonado, Inmaculada C Álvarez-Gallardo, Manuel Delgado-Fernández, Jonatan R Ruiz, Virginia A Aparicio
Objective. To test the gender differences in tenderness, impact of fibromyalgia, health-related quality of life, fatigue, sleep quality, mental health, cognitive performance, pain-cognition, and positive health in Spanish fibromyalgia patients and in age-matched nonfibromyalgia individuals from the same region. To test the optimal cut-off score of the different tender points for women and men. Methods. A total of 405 (384 women) fibromyalgia versus 247 (195 women) nonfibromyalgia control participants from southern Spain (Andalusia) took part in this cross-sectional study...
2016: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/27861213/what-s-new-in-pediatric-medial-epicondyle-fractures
#18
Jennifer J Beck, Richard E Bowen, Mauricio Silva
BACKGROUND: Medial epicondyle fractures are predominantly seen in adolescent, male patients. Historically, nonoperative intervention was the mainstay of treatment. With increasing upper extremity demands of young athletes and reports of valgus instability after nonoperative treatment, there has been an increased interest in operative indications. Controversy regarding proper imaging and measurement of displacement complicates decision-making algorithms. Review of recent literature is required for improved decision making...
November 17, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27859367/complete-dislocation-of-the-ulnar-nerve-at-the-elbow-a-protective-effect-against-neuropathy
#19
A Arturo Leis, Benn E Smith, Heidi E Kosiorek, Gregor Omejec, Simon Podnar
INTRODUCTION: Recurrent complete ulnar nerve dislocation has been perceived as a risk factor for development of ulnar neuropathy at the elbow (UNE). However, the role of dislocation in the pathogenesis of UNE remains uncertain. METHODS: We studied 133 patients with complete ulnar nerve dislocation to determine if this condition is a risk factor for UNE. In all, the nerve was palpated as it rolled over the medial epicondyle during elbow flexion. RESULTS: Of 56 elbows with unilateral dislocation UNE localized contralaterally in 17 (30...
November 18, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/27847851/surgical-treatment-of-tennis-elbow-minimal-incision-technique
#20
Morteza Nakhaei Amroodi, Ali Mahmuudi, Mostafa Salariyeh, Arash Amiri
BACKGROUND: When non-operative treatment of tennis elbow fails; a surgical procedure can be performed to improve the associated symptoms. Different surgical techniques for treatment of lateral epicondylitis are prescribed. The purpose of this study was to evaluate the clinical outcomes of surgical treatment for tennis elbow based on small incision techniques. METHODS: This technique was performed on 24 consecutive patients between June 2011 and July 2013. Outcomes were assessed using the Patient-Rated Tennis Elbow Evaluation (PRTEE), Nirschl's staging system and visual analog scale (VAS) for pain and satisfaction criteria...
October 2016: Archives of Bone and Joint Surgery
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