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Claudia Brogna, Lara Cristiano, Tommaso Tartaglione, Tommaso Verdolotti, Lavinia Fanelli, Luana Ficociello, Giorgio Tasca, Roberta Battini, Giorgia Coratti, Nicola Forcina, Roberto De Santis, Giulia Norcia, Sara Carnicella, Cesare Colosimo, Pierre Carlier, Marika Pane, Eugenio Mercuri
The aim of the study was to evaluate the spectrum of upper limb functional activities and imaging finding in a cohort of patients affected by Duchenne muscular dystrophy. Thirty-one patients of age between 5 and 29 years were included in the study (17 ambulant and 14 non-ambulant). They were all assessed using the Performance of Upper Limb (PUL) test and muscle MRI of shoulder, arm and forearm in order to establish if the functional scores obtained at shoulder, mid and distal level related to specific patterns of involvement in each upper limb segment on muscle MRI...
2018: PloS One
André Duprat, Juan José Hidalgo Diaz, Paul Vernet, Stéphanie Gouzou, Sybille Facca, Yuka Igeta, Philippe Liverneaux
Background  The goal of this study was to demonstrate that the use of a splint after performing an osteosynthesis of the distal radius with a volar locking plate is unnecessary. The main hypothesis was that postoperative flexion of the wrist was greater without a splint. Secondary hypothesis was that patients who were allowed immediate mobilization got better results in terms of pain, Quick Disabilities of the Arm, Shoulder and Hand (DASH), Patient-Rated Wrist Evaluation (PRWE), strength, extension, pronation, and supination...
July 2018: Journal of Wrist Surgery
Brent R DeGeorge, Nicholas Pulos, Alexander Y Shin
A simple, reproducible technique for assessing the scaphotrapeziotrapezoid joint radiographically is described. In addition to its diagnostic value, the technique is simple to perform with a minifluoroscopy unit, allowing for image-guided injections of the scaphotrapeziotrapezoid joint.
June 16, 2018: Techniques in Hand & Upper Extremity Surgery
Todd A Rubin, Matthew J Gluck, Michael R Hausman
Essex-Lopresti Lesions are rare injuries that are often missed in the acute setting. Delayed intervention may lead to chronic wrist and elbow pain and overall poor outcomes. The literature currently supports treatments that involve shortening of the ulna to reduce the relative degree of ulnar impaction, followed by attempted reduction of the distal radioulnar joint. Although such techniques may help to temporarily reduce wrist pain secondary to ulnar impaction, they do not address the proximal migration of the radius and ipsilateral radial head dislocation at the elbow...
June 14, 2018: Techniques in Hand & Upper Extremity Surgery
Paolo Caravaggi, Giada Lullini, Lisa Berti, Sandro Giannini, Alberto Leardini
BACKGROUND: Flexible flatfoot (FFF) is a common alteration of the foot diagnosed in the pediatric population causing pain and decreased quality of life. Surgical treatment via arthroereisis of the subtalar joint can be recommended when non-invasive options do not result in sufficient pain relief. While clinical outcome of subtalar joint arthroereisis is generally positive, no functional evaluation has thus far been reported following surgery. RESEARCH QUESTION: The aim of this study was to assess the effects of two arthroereisis implants for the correction of bilateral FFF on foot and lower limb biomechanics during gait...
June 11, 2018: Gait & Posture
Chun'an Qu, Yue Liu, Xiaoyu Wang, Min Li, Dongyue Li, Shengjian Tang
Objective: To investigate the effectiveness of levator muscle resection combined with Mustarde's double Z-plasty to correct blepharophimosis-ptosis-epicanthus inversus syndrome (BPES). Methods: Between March 2015 and June 2017, one-stage operation of levator muscle resection combined with Mustarde's double Z-plasty were performed on 26 children with bilateral BPES. There were 16 boys and 10 girls with an average age of 7 years (range, 4-14 years). All patients marked the four typical signs of BPES...
June 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Syunsuke Yamanaka, Ran D Goldman
Question Our practice is seeing children with relatively minor injuries to their elbows, with a history of "swinging" them when their hands are being held to cross the road. Nothing is usually found on a physical examination. I know that this is likely a "pulled elbow." Can we manage this in the clinic setting rather than sending the family to the emergency department? What would be the best course of action in the clinic setting? Answer Pulled elbow, also called nursemaid's elbow , is a radial head subluxation caused by axial traction or a sudden pull of the extended pronated arm, and it is a very common phenomenon...
June 2018: Canadian Family Physician Médecin de Famille Canadien
Justin L Hodgins, David P Trofa, Steve Donohue, Mark Littlefield, Michael Schuk, Christopher S Ahmad
BACKGROUND: Despite evidence highlighting the importance of the forearm flexor muscles of elite baseball players, no studies have reported on the epidemiology of flexor strains and their associated outcomes. PURPOSE: To examine the incidence, associated injuries, and outcomes associated with forearm flexor injuries among major and minor league baseball players. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Injury data attributed to forearm flexor injuries among Major League Baseball (MLB) and minor league teams between 2010 and 2014 were obtained from the professional baseball Health and Injury Tracking System...
June 1, 2018: American Journal of Sports Medicine
Dave R Shukla, Matthias K D Vanhees, James S Fitzsimmons, Kai-Nan An, Shawn W O'Driscoll
PURPOSE: A simple overlay device (SOD) was developed to measure radial head implant length. The purpose of this study was to determine the accuracy and reliability of this device for measuring experimental radial head implant length. METHODS: Five fresh frozen cadavers were implanted with sequentially longer implants, adjusted by neck length (0, 2, 4, and 8 mm). Fluoroscopic images were obtained in 4 forearm positions: anteroposterior in supination in full extension, anteroposterior in pronation in full extension, supinated in 45° of flexion, and neutral in 45° of flexion...
June 8, 2018: Journal of Hand Surgery
Jason R Kang, Anthony W Behn, Joseph Messana, Amy L Ladd
PURPOSE: This study examined a palmar beak fracture model to determine which thumb carpometacarpal (CMC) joint ligament is the primary ligament relevant to the pattern of injury. METHODS: Six fresh-frozen cadaveric wrists were used. The radius, ulna, and first metacarpal were secured and tested with a materials testing system, holding the wrist in 20° extension, 20° ulnar deviation, and 30° palmar abduction of the first metacarpal. Testing consisted of preconditioning cycles followed by compressive loading at 100 mm/s...
June 8, 2018: Journal of Hand Surgery
Shan-Qiang Xu, Yu Zhang, Wen-Ju Zhang, Ping Li
OBJECTIVE: To evaluate the short-term result for the treatment of distal radius fracture with manual resetting and fixing with small splint. METHODS: From January 2015 to December 2016, 60 cases of distal radial fractures were treated by manual resetting and small splint fixation including 39 males and 21 females with an average age of (43.50±10.56) years old ranging from 18 to 65 years old. According to AO classification, 38 cases were type A, 19 cases were type B, 3 cases were type C...
May 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Charles H Adler, M'hamed Temkit, Debra Crews, Troy McDaniel, Jennifer Tucker, Joseph G Hentz, Christian Marquardt, Dale Abraham, John N Caviness
PURPOSE: To determine whether quantitative methods could separate golfers with a possible dystonic cause of the "yips" from those that appear to be non-dystonic. METHODS: 27 golfers completed 10 two-handed and 10 right hand only putts. Surface EMG assessed forearm muscle co-contraction and motion detectors monitored wrist and putter movements. Based on videotape review, golfers were grouped into those with yips of dystonic etiology, those with the yips non-dystonic, and those with no yips...
June 8, 2018: Medicine and Science in Sports and Exercise
Shigeki Kubota, Tadashi Kubo, Hiromi Kameda, Yoshiyasu Itoh
The modified Steindler procedure-a reconstructive surgery used to restore elbow flexion following upper brachial plexus injuries-involves shifting the origins of the muscle groups responsible for wrist flexion and forearm pronation originating from the medial epicondyle to the proximal direction to be used as flexors of the elbow. In the postoperative rehabilitation, we focused on strengthening not only the transferred muscle but also the wrist extensor muscles as antagonist muscles. After reconstruction surgery for elbow flexion via the modified Steindler procedure for traumatic brachial plexus injury, we performed long-term rehabilitation to strengthen the antagonist muscles...
2018: Case Reports in Orthopedics
S R Sundararajan, Abdul Azeem Badurudeen, R Ramakanth, Shanmuganathan Rajasekaran
Fractures of talar body are uncommon injuries often associated with fractures of other long bones and in polytraumatized patients. The integrity of the talus is essential for the normal function of the ankle, subtalar, and midtarsal joints. The relative infrequency of this injury limits the number of studies available to guide treatment. They occur as a result of high-velocity trauma and are therefore associated with considerable soft tissue damage. Axial compression with supination or pronation is the common mechanism of injury...
May 2018: Indian Journal of Orthopaedics
T Poujade, N Balagué, J-Y Beaulieu
The aim of this study was to assess distal radioulnar joint stability after unipolar ulnar head replacement for post-Darrach instability. All the patients who underwent ulnar head replacement between1999 and 2015 for post-Darrach procedure instability at our clinic were reviewed. Seven Hebert-type and two uHead (SBI/Stryker) prostheses were implanted. None of the implants were cemented. We assessed stability, pain, range of motion and strength pre- and postoperatively. The changes in the radiographic appearance between immediate postoperative and the last follow-up were determined...
June 4, 2018: Hand Surgery and Rehabilitation
Marion Helin, Manon Bachy, Claire Stanchina, Frank Fitoussi
The objective of this study was to evaluate the results after selective pronator teres (PT) neurectomy in children with spastic hemiplegia. Patients with PT spasticity without contracture and an active supination improvement after PT botulinum toxin injection were included. Hand function and deformities were evaluated with the House score, Gschwind and Tonkin pronation deformity classification and Zancolli's classification. Twenty-two patients (mean age 11.6 years) were included in this study. The average follow-up was 32...
January 1, 2018: Journal of Hand Surgery, European Volume
C K Spies, M Langer, L P Müller, J Oppermann, S Löw, F Unglaub
BACKGROUND: The functionality of the upper extremity is decisively based on rotation of the forearm. The rotation depends on the extent of motion of the distal radioulnar joint. Rotation enables complete and focused usability of the hand in order to cope with daily activities. The configuration of the distal radioulnar joint has developed over millions of years of evolution. ANATOMIC CONDITIONS: The triangular fibrocartilage complex is the crucial stabiliser of the latter joint since osseous structures are limited...
June 5, 2018: Der Orthopäde
Hosein Kouhzad Mohammadi, Mohammad Mehravar, Khosro Khademi Kalantari, Sedighe Sadat Naimi, Alireza Akbarzadeh Baghban, Farshad Okhovatian, Asghar Rezasoltani, Mohammad Ali Mohseni Bandpei, Navid Taheri
BACKGROUND: Pronated of the foot is one of the important factors contributing to musculoskeletal problems affecting the lower extremities. It is known that in a pronated foot, excessive mechanical load is applied to the lower limb structures which may result in altered biomechanics and muscle activation patterns. The aim of this study was to determine changes in the muscle activation pattern of the lower extremities in individuals with pronated, compared to normal, feet, using the voluntary response index (VRI)...
April 2018: Journal of Bodywork and Movement Therapies
Gabriel Gijon-Nogueron, Inmaculada Palomo-Toucedo, Alejandro Gil-Tinoco, Ana Belen Ortega-Avila, Pedro Vicente Munuera-Martínez
BACKGROUND: The aim of this study is to explore the changes in ground reaction force (GRF) produced by custom-made weight-bearing and nonweight-bearing foot orthoses and by a prefabricated foot orthosis, in the control of the pronated foot. METHODS: Thirty-nine participants were recruited. All were in good health, aged 18 to 25 years, and presented pronated foot. Three different types of foot orthosis were studied: prefabricated, weight-bearing, and nonweight-bearing...
June 2018: Medicine (Baltimore)
Ying Liang Low, Salil Babla Singbal, Junwei Zhang
Not Applicable for Visual Vignette.
May 25, 2018: American Journal of Physical Medicine & Rehabilitation
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