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https://www.readbyqxmd.com/read/29933309/the-effectiveness-of-the-sport-dragon-boat-racing-in-reducing-the-risk-of-lymphedema-incidence-an-observational-study
#1
Laura Iacorossi, Francesca Gambalunga, Simona Molinaro, Rosaria De Domenico, Diana Giannarelli, Alessandra Fabi
BACKGROUND: Upper extremity lymphedema is a complication that often occurs in women with breast cancer as a result of surgery and/or radiotherapy. Some studies report that a boating activity known as the "dragon boat" sport can benefit these women. AIM: The aim of this study was to assess whether this type of sport prevents or reduces lymphedema, its impact on quality of life (QoL), and the possible predictors of this condition. METHODS: This was an observational study of 2 groups: group A (women who participated in dragon boat racing for at least 6 months) and group B (women who participated in other forms of physical exercise biweekly)...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29932875/perceptions-of-rehabilitation-and-return-to-sport-among-high-school-athletes-with-acl-reconstruction-a-qualitative-research-study
#2
Justin DiSanti, Caroline Lisee, Karl Erickson, David Bell, Michael Shingles, Christopher Kuenze
Study Design Phenomenographic, cross-sectional. Background Adolescent athletes struggle to return to sport (RTS) following ACL reconstruction (ACLR) for a number of physical and psychosocial reasons. The ability to incorporate contextual evidence obtained directly from patients with the growing body of quantitative rehabilitation research may aid clinicians in taking an evidence-based approach to rehabilitation and return to sports within the adolescent population.. Objectives To assess perceived barriers to RTS as well as positive and negative factors influencing recovery among high school athletes with recent history of ACLR...
June 22, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29931483/changes-in-the-sensorimotor-system-and-semitendinosus-muscle-morphometry-after-arthroscopic-anterior-cruciate-ligament-reconstruction-a-prospective-cohort-study-with-1-year-follow-up
#3
Marialuisa Gandolfi, Matteo Ricci, Elena Sambugaro, Nicola Valè, Eleonora Dimitrova, Andrea Meschieri, Silvano Grazioli, Alessandro Picelli, Calogero Foti, Francesco Rulli, Nicola Smania
PURPOSE: To evaluate the time course of sensorimotor integration processes involved in balance capability during 1-year follow-up after arthroscopic anterior cruciate ligament (ACL) reconstruction. To evaluate whether an association exists between balance performance and semitendinosus muscle morphometry features. METHODS: Twenty-seven patients (mean age 29.6 ± 10.8 years) were prospectively followed with stabilometry and ultrasound at 3 months (T0), 6 months (T1), and 1 year (T2) after arthroscopic ACL reconstruction...
June 21, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29927793/validated-pediatric-functional-outcomes-of-all-epiphyseal-acl-reconstructions-does-reinjury-affect-outcomes
#4
Sheena C Ranade, Christian A Refakis, Aristides I Cruz, Kelly L Leddy, Lawrence Wells, John Todd Lawrence, Theodore J Ganley
BACKGROUND: Greater frequency and intensity level of sports participation may be contributing to an increasing incidence of anterior cruciate ligament (ACL) tears in skeletally immature athletes. Prior studies have assessed the functional outcomes of physeal-respecting ACL reconstruction in this patient population based on adult functional outcomes scoring systems; however, there is only sparse literature evaluating functional outcomes of this specific patient population. This study aimed to retrospectively evaluate a cohort of pediatric patients who had undergone all-epiphyseal ACL reconstruction (AEACLR) with a set of clinically validated, pediatric-specific patient-reported functional outcomes scores (PRFOS)...
June 20, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29924630/in-search-of-the-spherical-femoroplasty-cam-overresection-leads-to-inferior-functional-scores-before-and-after-revision-hip-arthroscopic-surgery
#5
Yosif Mansor, Itay Perets, Mary R Close, Brian H Mu, Benjamin G Domb
BACKGROUND: Femoroplasty performed for the treatment of cam-type femoroacetabular impingement (FAI) has become a common procedure. Underresection may result in residual FAI. Conversely, overresection may disrupt the labral seal, which is responsible for chondroprotective fluid dynamics of the hip. Hypothesis/Purpose: It was hypothesized that cam overresection negatively affects hip function. The purpose was to examine the effect of the accuracy of previous femoroplasty on hips presenting for revision hip arthroscopic surgery...
June 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29923073/perioperative-platelet-rich-plasma-prp-in-total-hip-arthroplasty-through-the-hardinge-approach-protocol-to-study-the-effectiveness-for-gluteus-medius-healing
#6
Anni Aavikko, J Puhakka, J Haapala, J Kukkonen, K Mäkelä, J Kosola
BACKGROUND: Platelet-rich plasma (PRP) has been used to support tendon regeneration mainly in sports medicine. PRP is a concentrate of platelet-rich plasma proteins derived from whole blood by centrifugation to remove erythrocytes and leukocytes. PRP has high amounts of platelets which may promote healing tendons affected by degenerative conditions. These platelets contain growth factors and are known to facilitate the regeneration of injured tendon structures. Total hip arthroplasty (THA) through the Hardinge approach may leave the patient with impaired gait and poor regeneration of the gluteus medius tendon if the tendon is not reattached properly after closure of the surgical wound...
June 19, 2018: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/29917007/changes-in-the-practice-of-pediatric-orthopaedic-surgeons-over-the-past-decade-analysis-of-the-database-of-the-american-board-of-orthopaedic-surgery
#7
Pooya Hosseinzadeh, Clarabelle A DeVries, Ena Nielsen, Lindsay A Andras, Megan Mignemi, Jeffrey R Sawyer, John M Flynn, Stephen A Albanese
BACKGROUND: There has been an increase in the number of the graduates of pediatric orthopaedic fellowship programs over the past decade creating the potential for increased competition in the field. The purpose of this study was to analyze the effect of increased number of pediatric orthopaedic fellowship graduates on case volume as well as the type of procedures performed by recent graduates of pediatric orthopaedic fellowship programs from 2004 to 2014. METHODS: Case logs submitted for the American Board of Orthopaedic Surgery Part II examination by applicants with the self-declared subspecialty of pediatric orthopaedics from 2004 to 2014 were analyzed...
June 18, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29909296/anterior-cruciate-ligament-reconstruction-with-the-tape-locking-screw-tls-and-a-short-hamstring-graft-clinical-evaluation-of-61-cases-with-a-minimum-12-months-follow-up
#8
Benoît Orfeuvre, Régis Pailhé, Loïc Sigwalt, Brice Rubens Duval, Gabriel Lateur, Stéphane Plaweski, Dominique Saragaglia
INTRODUCTION: The TLS® technique for anterior cruciate ligament (ACL) reconstruction has the advantages of using only one hamstring tendon (semitendinosus) by preparing a short graft secured with screws and braided strips. The theoretical pitfall of this technique is that the graft length is determined arbitrarily. Thus, if the blind tunnels are not long enough, it will be impossible to tension the graft properly upon fixation. The primary objective of this study was to determine the postoperative side-to-side difference in knee laxity...
June 14, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29904825/the-effect-of-residency-training-on-arthroscopic-knot-tying-and-knot-stability-which-knot-is-best-tied-by-orthopaedic-surgery-residents
#9
Kevin J Cronin, Jacob L Cox, Timothy M Hoggard, Scott T Marberry, Brandon G Santoni, Charles C Nofsinger
BACKGROUND: The aim of this study is to evaluate which of three arthroscopic knots are most reliably taught to and executed by residents at varying levels of training. METHODS: Three arthroscopic knots, the Samsung Medical Center (SMC), the Weston, and the surgeon's knot, were taught to 16 orthopaedic surgery residents. Each knot was tied in triplicate at two sessions 1 week apart. The knots were then biomechanically tested for strength. Corresponding knots tied by a sports medicine fellow served as the respective controls...
June 15, 2018: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/29903386/measuring-quality-and-outcomes-in-sports-medicine
#10
REVIEW
Joseph J Ruzbarsky, Niv Marom, Robert G Marx
Patient-reported outcome measures (PROMs) are objective metrics critical to evaluating outcomes throughout orthopedic surgery. New instruments continue to emerge, increasing the breadth of information required for those intending to use these measures for research or clinical care. Although earlier metrics were developed using the principles of classic test theory, newer instruments constructed using item response theory are amenable to computer-adaptive testing and may change the way these instruments are administered...
July 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29900181/use-of-posterior-hamstring-harvest-during-anterior-cruciate-ligament-reconstruction-in-the-pediatric-and-adolescent-population
#11
Krishn Khanna, Abhinav Janghala, Nirav K Pandya
Background: Posterior hamstring harvest has been described in the adult population in a limited fashion, but no study is available describing the use of posterior hamstring harvest in an active pediatric and adolescent cohort. At times, surgeons may be faced with a challenging anterior harvest due to patient anatomic characteristics, particularly the anatomic features and size of the pes tendons. Clinicians need to have multiple harvest approaches at their disposal. Complications with hamstring harvest such as premature graft transection are more problematic in this population due to higher failure rates with allograft tissue...
June 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29898474/incidence-of-concurrent-peroneal-nerve-injury-in-multiligament-knee-injuries-and-outcomes-after-knee-reconstruction
#12
John R Worley, Olubusola Brimmo, Clayton W Nuelle, James L Cook, James P Stannard
The purpose of this study was to determine incidence of concurrent peroneal nerve injury and to compare outcomes in patients with and without peroneal nerve injury after surgical treatment for multiligament knee injuries (MLKIs). A retrospective study of 357 MLKIs was conducted. Patients with two or more knee ligaments requiring surgical reconstruction were included. Mean follow-up was 35 months (0-117). Incidence of concurrent peroneal nerve injury was noted and patients with and without nerve injury were evaluated for outcomes...
June 13, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29897309/great-toe-drop-following-knee-ligament-reconstruction-a-case-report
#13
David A Boyce, Chantal Prewitt
CASE DESCRIPTION: A 17-year-old male post anterior cruciate ligament reconstruction complained of the inability to extend his great toe immediately following surgery. BACKGROUND: Neurological injuries following knee arthroscopy have been reported to occur between 0.6%-2.5%. The most commonly injured nerves are the saphenous and common fibular nerve (CFN). Great toe-drop secondary to isolated denervation of the extensor hallucis longus (EHL), has only been reported one time in the literature...
June 13, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29892594/mixed-type-femoroacetabular-impingement-associated-with-subspine-impingement-recognizing-the-trifocal-femoropelvic-impingement
#14
Bruno Gonçalves Schröder E Souza, Ranieri Monteiro Cardoso, Rodrigo Silva Loque, Luiz Fernando Ribeiro Monte, José Paulo Sabino, Valdeci Manoel de Oliveira
To describe the arthroscopic surgical technique for subspine impingement (SSI) of the anterior inferior iliac spine (AIIS) associated with mixed type femoroacetabular impingement (FAI), through two standard arthroscopic portals (anterolateral and distal mid-anterior) in two patients with trifocal impingement. The authors report the cases of two young male patients, aged 32 and 36 years old, with trifocal femoropelvic impingement (TFPI). The technique consists of segmental capsulectomy, arthroscopic dissection of the AIIS, partial release of the direct head of the rectus femoris, resection of the AIIS projection with a burr and with fluoroscopic aid, correction of the pincer deformity, repair of the labrum with bioabsorbable anchors, and femoral osteoplasty...
May 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29883508/participation-in-work-and-sport-following-reverse-and-total-shoulder-arthroplasty
#15
Jennifer Kurowicki, Samuel Rosas, Tsun Yee Law, Johnathan C Levy
Both anatomical total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA) are routinely performed for patients who desire to continuously work or participate in sports. This study analyzes and compares the ability of patients to work and partake in sports following shoulder arthroplasty based on responses to clinical outcome surveys. A retrospective review of the shoulder surgery repository was performed for all patients treated with TSA and RSA and who completed questions 9 and 10 on the activity patient self-evaluation portion of the American Shoulder and Elbow Surgeons (ASES) Assessment Form...
May 2018: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29881922/cholesterol-profile-in-women-with-premature-menopause-after-risk-reducing-salpingo-oophorectomy
#16
Natalia Teixeira, Marian J Mourits, Jan C Oosterwijk, Ingrid E Fakkert, Anthony R Absalom, Stephan J L Bakker, Peter van der Meer, Geertruida H de Bock
This cross-sectional study aimed to investigate the effect of premenopausal risk reducing salpingo-oophorectomy (RRSO) on the cholesterol profile of women at increased ovarian cancer risk and to assess possible effects of age at and time since RRSO. We included 207 women who underwent RRSO before menopausal age (52 years) attending the family cancer clinic of an academic hospital and 828 age-matched women from a general population cohort (PREVEND). Participants filled out a questionnaire on socio-demographic characteristics, lifestyle and medical history, had anthropometric measurements and provided blood samples for assessment of serum levels of total cholesterol, HDL-cholesterol and non-HDL-cholesterol...
June 7, 2018: Familial Cancer
https://www.readbyqxmd.com/read/29881203/long-term-outcome-after-all-inside-meniscal-repair-using-the-fast-fix-system
#17
Alexander Zimmerer, Christian Sobau, Rainer Nietschke, Marco Schneider, Andree Ellermann
Purpose: Meniscal surgery is one of the most performed orthopaedic procedures. Because of its chondroprotective properties, meniscal repair should be attempted whenever possible. Several techniques are described in literature, e.g. all-inside repair using FasT-Fix System from Smith & Nephew. The aim of this study was to evaluate the outcome at a minimum of 12 years following meniscal repair using FasT-Fix System. Materials and Methods: Patients who underwent meniscal repair using FasT-Fix System in the time from 2001 to 2003 were analyzed...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29877995/considering-spine-surgery-a-web-based-calculator-for-communicating-estimates-of-personalized-treatment-outcomes
#18
Haley Moulton, Tor D Tosteson, Wenyan Zhao, Loretta Pearson, Kristina Mycek, Emily Scherer, James N Weinstein, Adam Pearson, William Abdu, Susan Schwarz, Michael Kelly, Kevin McGuire, Alden Milam, Jon D Lurie
STUDY DESIGN: Prospective evaluation of an informational web-based calculator for communicating estimates of personalized treatment outcomes. OBJECTIVE: To evaluate the usability, effectiveness in communicating benefits and risks, and impact on decision quality of a calculator tool for patients with intervertebral disc herniations, spinal stenosis, and degenerative spondylolisthesis who are deciding between surgical and non-surgical treatments. SUMMARY OF BACKGROUND DATA: The decision to have back surgery is preference-sensitive and warrants shared decision-making...
June 5, 2018: Spine
https://www.readbyqxmd.com/read/29876134/simultaneous-acetabular-labrum-and-ligamentum-teres-reconstruction-a-case-report
#19
Brian J White, Alexandra M Scoles, Mackenzie M Herzog
This study aims to present the surgical technique for reconstructing both the acetabular labrum and the ligamentum teres and to describe the early outcomes of this procedure in a 15-year-old male with recurrent hip instability. A 15-year-old patient with recurrent left hip dislocation, hip joint instability and failed non-operative intervention presented following two left hip dislocations. A labral reconstruction was performed utilizing an iliotibial band allograft tissue with a concomitant ligamentum teres reconstruction using a tibialis anterior allograft...
July 2018: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/29876131/do-young-female-dancers-improve-symptoms-and-return-to-dancing-after-periacetabular-osteotomy-for-the-treatment-of-symptomatic-hip-dysplasia
#20
Eduardo N Novais, Songkiat Thanacharoenpanich, Ali Seker, Matthew J Boyle, Patricia E Miller, Garrett Bowen, Michael B Millis, Young-Jo Kim
Although preservation of high activity level has been reported in active young patients after periacetabular osteotomy (PAO) for the treatment of symptomatic hip dysplasia, there is limited evidence whether a dancer may be able to resume dancing after PAO. We asked whether female dancers experience improvement in pain and sports-related activities and return to dance following PAO. Between 1997 and 2014 we performed a total of 44 PAOs in 33 female dancers with symptomatic hip dysplasia. The mean age was 20...
July 2018: Journal of Hip Preservation Surgery
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