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https://www.readbyqxmd.com/read/29780951/multi-drug-resistant-mycobacterium-chelonae-scleral-buckle-infection
#1
Daniel S Churgin, Kimberly D Tran, Ninel Z Gregori, Ryan C Young, Chrisfouad Alabiad, Harry W Flynn
Purpose: To describe a case of Multi-drug resistant Mycobacterium chelonae scleral buckle infection. Observations: A 56 year-old male with history of retinal detachment repair with scleral buckle 20 years prior presented with 8 months of intermittent pain and redness in the left eye. The patient was diagnosed with scleral buckle infection, the buckle was removed, and cultures revealed multi-drug resistant Mycobacterium chelonae. The postoperative course included orbital cellulitis treated with systemic linezolid, clarithromycin, and imipenem...
June 2018: American Journal of Ophthalmology Case Reports
https://www.readbyqxmd.com/read/29779994/suture-anchor-fixation-for-fifth-metatarsal-tuberosity-avulsion-fractures-a-case-series-and-review-of-literature
#2
Choon Chiet Hong, Kushal Nag, Huifen Yeow, Adrian Zhigao Lin, Ken Jin Tan
Fifth metatarsal tuberosity avulsion fractures are common. Despite good outcomes with nonoperative treatment, acute fractures with displacement, intra-articular involvement, comminution, or painful nonunion have been reported to benefit from early open reduction and internal fixation, especially in athletes. No consensus has been reached regarding the best surgical fixation technique. We present a case series of 4 patients with displaced fifth metatarsal tuberosity avulsion fractures and an innovative technique of fixation for the tuberosity avulsion fractures using a suture anchor...
May 17, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29779221/nasojejunal-stent-technique-njst-a-new-system-to-prevent-fully-covered-metal-stent-migration-in-the-treatment-of-benign-esophageal-diseases
#3
Oscar Víctor Hernández Mondragón, Raquel Palos Cuellar, Enrique Murcio Pérez
Fully covered self-expandable metal stents (FCSEMS) have been used for the treatment of benign esophageal conditions such as perforation, leaks, and strictures [1]; high clinical success is reported [2]. Different anchoring methods have been described (clips, suturing devices, over-the-scope clips and Shim technique [2]), because of high migration rates (4-36%) [3,4]. However, not all cases are candidates, mostly in "difficult" cases where enteral feeding is needed [5]. We report the use of the nasojejunal-stent technique (NJST) to prevent migration of FCSEMS in three difficult cases...
May 19, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29763339/the-v-shaped-distal-triceps-tendon-repair-a-comparative-biomechanical-analysis
#4
Bastian Scheiderer, Florian B Imhoff, Daichi Morikawa, Lucca Lacheta, Elifho Obopilwe, Mark P Cote, Andreas B Imhoff, Augustus D Mazzocca, Sebastian Siebenlist
BACKGROUND: Restoring footprint anatomy, minimizing gap formation, and maximizing the strength of distal triceps tendon repairs are essential factors for a successful healing process and return to sport. HYPOTHESIS: The novel V-shaped distal triceps tendon repair technique with unicortical button fixation closely restores footprint anatomy, provides minimal gap formation and high ultimate failure load, and minimizes iatrogenic fracture risk in acute/subacute distal triceps tendon tears...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29761748/transfemoral-amputation-adductor-myodesis-using-fibertape-and-knotless-anchors
#5
Andrew R Hsu
Transfemoral amputation is considered the last treatment option for severe infection, vascular disease, trauma, and malignant tumors of the lower extremity that have failed limb salvage. Unopposed pull of the hip abductors causes a flexion-abduction thigh deformity that results in abnormal biomechanics and increased oxygen consumption during ambulation. Myodesis of the adductor tendons is a critical component of transfemoral amputation that creates dynamic muscle balance, enhances prosthetic fitting and function, and improves clinical outcomes...
May 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29754193/mr-arthrogram-of-the-postoperative-glenoid-labrum-normal-postoperative-appearance-versus-recurrent-tears
#6
Christin A Tiegs-Heiden, Nicholas G Rhodes, Mark S Collins, Quintin A Fender, Benjamin M Howe
OBJECTIVE: The purpose of this study is to describe the MR arthrogram appearance of the postoperative glenoid labrum and to describe the features consistent with recurrent tear. MATERIALS AND METHODS: We identified 30 patients who had undergone glenoid labral repair, had a subsequent MR arthrogram of his or her shoulder, and went on to repeat shoulder arthroscopy. Each MR arthrogram was reviewed blindly, and the glenoid labrum was described as normal, irregular, or torn...
May 13, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29752501/it-is-safe-and-effective-to-use-all-inside-meniscal-repair-devices-for-posteromedial-meniscal-ramp-lesions
#7
Giles Heilpern, Jo Stephen, Simon Ball, Andrew Amis, Andy Williams
PURPOSE: Recently, it has been recognized that meniscocapsular ('ramp') lesions of the posterior one-third of the medial meniscus frequently occur during injuries causing ACL rupture, and that these lesions are easily missed at arthroscopy. Furthermore, it is clear that these lesions are biomechanically significant, adding to the deficits caused by ACL rupture, and that their repair can reverse this. The efficacy of an all inside repair technique has been questioned by some authors and by those who advocate a suture shuttle technique via an accessory posteromedial portal...
May 12, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29752152/vascularized-dermal-autograft-for-the-treatment-of-irreparable-rotator-cuff-tears
#8
Michael A Stone, Antoine Carre, Nicholas Trasolini, Michael Minneti, Reza Omid
BACKGROUND: Irreparable rotator cuff tears (IRCTs) are a challenging problem with diverse treatment modalities. We propose a technique for the treatment of IRCTs in which a vascularized dermal autograft is transferred to the posterosuperior region of the rotator cuff using the supraclavicular artery (SCA) island flap. MATERIALS AND METHODS: Dissection of 11 fresh cadavers (19 shoulders) was performed, and the SCA island flap was harvested in all specimens. A full-thickness posterosuperior rotator cuff defect was created, and the flap was tunneled under the acromion and secured into position over the defect using multiple suture anchors...
May 8, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29731123/the-improved-oval-forceps-suture-guiding-method-for-minimally-invasive-achilles-tendon-repair
#9
Yang Liu, Lixiang Lin, Chuanlu Lin, Qihao Weng, Jianjun Hong
OBJECTIVE: To discuss the effect and advantage of the improved oval forceps suture-guiding method combined with anchor nail in the treatment of acute Achilles tendon rupture. METHODS: A retrospective research was performed on 35 cases of acute Achilles tendon rupture treated with the improved oval forceps suture-guiding method from January 2013 to October 2016. Instead of the Achillon device, we perform the Achillon technique with the use of simple oval forceps, combined with absorbable anchor nail, percutaneously to repair the acute Achilles tendon rupture...
May 2, 2018: Injury
https://www.readbyqxmd.com/read/29729751/editorial-commentary-can-we-do-better-while-spending-less-how-many-shoulder-rotator-cuff-anchors-are-enough
#10
EDITORIAL
Evan L Flatow
We have published that shoulder rotator cuff tear is a highly cost-effective procedure, and to continue to improve value, a goal is to contain cost while maintaining or improving outcome. To bend the cost curve, reduction in direct costs (number of suture anchors used) could be a goal, and because rotator cuff repair failures are as much biologic as they are mechanical, the effect of adding anchors to improve outcomes has an obvious limit.
May 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29729750/editorial-commentary-shoulder-glenoid-suture-anchor-insertion-depth-the-tip-of-an-iceberg
#11
EDITORIAL
James H Lubowitz
The term "translational research" means that the results of a bench-top analysis could quickly be applied, or translated, to the clinical setting. Nevertheless, cadaveric analysis is applicable primarily to the conditions tested. Care should be taken to consider that when it comes to investigation of shoulder glenoid suture anchor insertion, there are many variables and outcome measures to consider.
May 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29728259/shortcut-assessment-can-residents-operative-performance-be-determined-in-the-first-five-minutes-of-an-operative-task
#12
Hossein Mohamadipanah, Jay Nathwani, Katherine Peterson, Katherine Forsyth, Lakita Maulson, Shannon DiMarco, Carla Pugh
BACKGROUND: The aim was to validate the potential use of a single, early procedure, operative task as a predictive metric for overall performance. The authors hypothesized that a shortcut psychomotor assessment would be as informative as a total procedural psychomotor assessment when evaluating laparoscopic ventral hernia repair performance on a simulator. METHODS: Using electromagnetic sensors, hand motion data were collected from 38 surgery residents during a simulated laparoscopic ventral hernia repair procedure...
May 1, 2018: Surgery
https://www.readbyqxmd.com/read/29725745/accelerated-rehabilitation-results-in-good-outcomes-following-acute-repair-of-proximal-hamstring-ruptures
#13
Benjamin Léger-St-Jean, Zylyftar Gorica, Robert A Magnussen, W Kelton Vasileff, Christopher C Kaeding
PURPOSE: To assess outcomes of patients who underwent proximal hamstring repair utilizing an accelerated rehabilitation protocol with immediate weight bearing as tolerated and no bracing. METHODS: Retrospective chart review identified 47 proximal hamstring tendon repairs with suture anchors in 43 patients performed during 2008-2015. Rehabilitation included no immobilization or limited weightbearing. Patients were contacted by phone to assess outcomes utilizing the lower extremity functional score (LEFS), single-assessment numeric evaluation (SANE), and Marx activity scale...
May 3, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29723036/patellar-redislocation-rates-and-clinical-outcomes-after-medial-patellofemoral-ligament-reconstruction-suture-anchor-versus-double-transpatellar-tunnel-fixation
#14
Jae-Won Heo, Kyung-Han Ro, Dae-Hee Lee
BACKGROUND: Few studies to date have compared clinical outcomes in patients who have undergone medial patellofemoral ligament (MPFL) reconstruction using the suture anchor and double transpatellar tunnel fixation methods. This meta-analysis therefore compared the clinical results, including the patellar redislocation rate and improvement in functional scores, of suture anchor and double transpatellar tunnel fixation. HYPOTHESIS: The recurrence rate and improvement in functional outcomes after surgery would be similar using the suture anchor and double transpatellar tunnel fixation methods...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29719157/oronasal-transfixion-suture-to-prevent-uplifted-nasal-floor-deformity-in-cleft-lip-and-palate-patients-a-5-year-follow-up
#15
Yuta Nakajima, Shunsuke Yuzuriha, Fumio Nagai, Kenya Fujita, Masahiko Noguchi
OBJECTIVE: In unilateral cleft lip and palate, the reconstructed nasal floor is sometimes uplifted regardless of the reconstructive method used. We used a 5-0 absorbable anchoring suture, the oronasal transfixion suture (ONT suture), to fasten the reconstructed nasal floor to the orbicularis oris muscle to prevent this deformity. This study was performed to evaluate the effects of the ONT suture. DESIGN: Blind retrospective study of photography and chart review...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29704275/the-smart-approach-feasibility-of-lentigo-maligna-superficial-margin-assessment-with-handheld-reflectance-confocal-microscopy-technology
#16
G Pellacani, N De Carvalho, S Ciardo, B Ferrari, A M Cesinaro, F Farnetani, S Bassoli, P Guitera, P Star, R Rawson, E Rossi, C Magnoni, G Gualdi, C Longo, A Scope
BACKGROUND: Lentigo maligna may be challenging to clear surgically. OBJECTIVE: To evaluate feasibility of using superficial skin cuts as RCM imaging anchors for attaining negative surgical margins in lentigo maligna. METHODS: Included patients presented with lentigo maligna near cosmetically-sensitive facial structures. We evaluated, with handheld-RCM, microscopic clearance of melanoma beyond its dermoscopically-detected edges. Evaluated margins were annotated using shallow skin-cuts...
April 28, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/29701103/results-of-primary-repair-of-distal-triceps-tendon-ruptures-in-a-general-population
#17
G Giannicola, G Bullitta, R Rotini, L Murena, D Blonna, M Iapicca, G Restuccia, G Merolla, M Fontana, A Greco, M Scacchi, G Cinotti
Aims The aim of the study was to analyze the results of primary tendon reinsertion in acute and chronic distal triceps tendon ruptures (DTTRs) in the general population. Patients and Methods A total of 28 patients were operated on for primary DTTR reinsertions, including 21 male patients and seven female patients with a mean age of 45 years (14 to 76). Of these patients, 23 sustained an acute DTTR and five had a chronic injury. One patient had a non-simultaneous bilateral DTTR. Seven patients had DTTR-associated ipsilateral fracture or dislocation...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29683338/ulnar-nerve-complications-after-ulnar-collateral-ligament-reconstruction-of-the-elbow-a-systematic-review
#18
Jason B Clain, Mark A Vitale, Christopher S Ahmad, David E Ruchelsman
BACKGROUND: While ulnar collateral ligament reconstruction (UCLR) of the elbow is an increasingly commonly performed procedure with excellent results reported in the published literature, less attention has been paid to specifically on the characterization of postoperative ulnar nerve complications, and it is unclear what operative strategies may influence the likelihood of these complications. PURPOSE: The purpose of this study is to examine the prevalence and type of ulnar nerve complications after UCLR of the elbow based on the entirety of previously published outcomes in the English literature...
April 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29682378/simultaneous-bilateral-quadriceps-tendon-rupture-in-a-patient-with-diffuse-idiopathic-skeletal-hyperostosis-after-minimal-trauma-eight-year-follow-up
#19
Sevan Sıvacıoğlu, Ahmet Salduz, Ufuk Öztürk, Serkan Bayram, Fevzi Birişik
Introduction: The purpose of this report was to describe a very rare case of simultaneous bilateral quadriceps tendon rupture seen in a patient who was diagnosed as having diffuse idiopathic skeletal hyperostosis. Case Presentation: A man aged 64 years presented to the emergency department with bilateral quadriceps tendon rupture. Surgical repair was performed with suture anchors and a stainless steel cable. His legs were immobilized in casts for six weeks. After removal of the casts, physiotherapy was started...
2018: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29675510/isolated-subscapularis-tendon-tear-in-a-skeletally-immature-soccer-player
#20
Paolo Avanzi, Luca Dei Giudici, Roberto Giovarruscio, Antonio Gigante, Claudio Zorzi
Subscapularis injury in adolescents, usually associated to an avulsion fracture of the lesser humeral tuberosity, accounts for less than 2% of all fractures of the proximal humerus. Isolated tears of the subscapularis tendon without a history of dislocation and associated avulsion fractures are an even rarer occurrence, and treatment is controversial. This article describes a rare case of a 12-year-old suffering from an isolated subscapularis tear and discusses its management. The patient was evaluated at presentation, and at 1 to 2...
March 2018: Joints
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