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https://www.readbyqxmd.com/read/28319502/remitting-seronegative-symmetrical-synovitis-with-pitting-edema-appearance-on-fdg-pet-ct
#1
Jianjie Wang, Chaoyu Pu, Zhenchang Wang, Jigang Yang
Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a rare condition in the elderly and can appear as a first presentation of various types of rheumatic and malignant diseases. We presented a 62-year-old man with the diagnosis of RS3PE based on the clinical sign and laboratory data. Because of the possibility of associated malignancies in RS3PE, FDG PET/CT was performed to exclude occult tumors. The images showed multiple, symmetrically, diffusely increased F-FDG uptake in the soft tissue around joints and bones in the shoulders, hips, knees, and ankles...
March 17, 2017: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/28298051/a-systematic-review-and-appraisal-of-clinical-practice-guidelines-for-musculoskeletal-soft-tissue-injuries-and-conditions
#2
Daniel Pincus, John E Kuhn, Ujash Sheth, Katie Rizzone, Kristi Colbenson, Tim Dwyer, Ashley Karpinos, Paul H Marks, David Wasserstein
BACKGROUND: Clinical practice guidelines (CPGs) are published by several sports medicine institutions. A systematic evaluation can help identify the highest quality CPGs for clinical use and identify any deficiencies that remain. PURPOSE: To identify and appraise CPGs relevant to clinical sports medicine professionals. STUDY DESIGN: Systematic review. METHODS: Predetermined selection criteria were utilized by 2 reviewers who independently identified published CPGs before January 1, 2014...
October 1, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28271947/health-assessment-questionnaire-disability-index-haq-di-score-at-the-start-of-biological-disease-modifying-antirheumatic-drug-bdmard-therapy-is-associated-with-radiographic-progression-of-large-joint-damage-in-patients-with-rheumatoid-arthritis
#3
Arata Nakajima, Yasuchika Aoki, Keiichiro Terayama, Masato Sonobe, Hiroshi Takahashi, Masahiko Saito, Koichi Nakagawa
OBJECTIVES: Radiographic progression of damage (RPD) to large joints in patients with rheumatoid arthritis (RA) has not been fully studied. We previously demonstrated that Larsen grade of the large joints was associated with RPD of large joints in patients treated with biological disease-modifying anti-rheumatic drugs (bDMARDs); however, no factors associated with background characteristics of patients were identified. METHODS: A total of 400 large joints in the upper and lower extremities, including the shoulder, elbow, knee, and ankle, of 88 patients with RA treated with bDMARDs for 1-3 years were investigated...
March 8, 2017: Modern Rheumatology
https://www.readbyqxmd.com/read/28271091/osteochondritis-dissecans-of-the-humeral-head-a-case-report-and-review-of-the-literature
#4
Davod Jafari, Hooman Shariatzadeh, Farid Najd Mazhar, Mohammad Ali Okhovatpour, Mehran Razavipour
Osteochondritis dissecans (OCD) is a common joint disorder in knee, ankle and elbow, however it can be rarely found in glenohumeral joint. In this study, we report an asymptomatic case of humeral head OCD, which was detected incidentally following a trauma. X-rays showed an area of lucency around an oval bony fragment measuring about 1 cm on the superior aspect of the humeral head. However, the patient was pain-free and the shoulder range of motion was normal.
January 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28269656/automated-classification-of-pathological-gait-after-stroke-using-ubiquitous-sensing-technology
#5
Elham Dolatabadi, Babak Taati, Alex Mihailidis
This study uses machine learning methods to distinguish between healthy and pathological gait. Examples of multi-dimensional pathological and normal gait sequences were collected from post-stroke and healthy individuals in a real clinical setting and with two Kinect sensors. The trajectories of rotational angle and global velocity of selected body joints (hips, spine, shoulders, neck, knees and ankles) over time formed the gait sequences. The combination of k nearest neighbor (kNN) and dynamic time warping (DTW) was used for classification...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28255335/the-clinical-characteristics-of-sarcoid-arthropathy-based-on-a-prospective-cohort-study
#6
Senol Kobak, Fidan Sever, Ozan Usluer, Tuncay Goksel, Mehmet Orman
BACKGROUND: Sarcoidosis is known as a Th1-mediated disease, which can mimic many primary rheumatologic diseases or sometimes co-exist with them. Clinical characteristics of sarcoid arthropathy are not well described and the studies reported in the literature so far are mostly based on data from referrals. The aim of this study was to evaluate the incidence and clinical characteristics of sarcoid arthropathy. METHODS: All our patients were prospectively evaluated in our rheumatology outpatient center from 2011 to 2015...
December 2016: Therapeutic Advances in Musculoskeletal Disease
https://www.readbyqxmd.com/read/28227914/automated-classification-of-pathological-gait-after-stroke-using-ubiquitous-sensing-technology
#7
Elham Dolatabadi, Babak Taati, Alex Mihailidis, Elham Dolatabadi, Babak Taati, Alex Mihailidis, Babak Taati, Alex Mihailidis, Elham Dolatabadi
This study uses machine learning methods to distinguish between healthy and pathological gait. Examples of multi-dimensional pathological and normal gait sequences were collected from post-stroke and healthy individuals in a real clinical setting and with two Kinect sensors. The trajectories of rotational angle and global velocity of selected body joints (hips, spine, shoulders, neck, knees and ankles) over time formed the gait sequences. The combination of k nearest neighbor (kNN) and dynamic time warping (DTW) was used for classification...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28219656/ultrasound-abnormalities-in-septic-arthritis-are-associated-with-functional-outcomes
#8
Emeline Gaigneux, Grégoire Cormier, Stéphane Varin, Oriane Mérot, Yves Maugars, Benoit Le Goff
OBJECTIVES: To describe the ultrasound abnormalities seen in septic arthritis and to assess their associations with clinical, biological, and radiological outcomes. METHODS: We prospectively included 34 patients with septic arthritis of a native joint (knee, n=19; shoulder, n=6; hip, n=4; ankle, n=3; or wrist, n=2). Ultrasonography was performed to record synovial-membrane thickness and vascularity, joint effusion, and abnormalities of adjacent soft tissues, at baseline then 4days, 2weeks, and 3months later...
February 17, 2017: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/28203142/development-and-feasibility-assessment-of-a-rotational-orthosis-for-walking-with-arm-swing
#9
Juan Fang, Qing Xie, Guo-Yuan Yang, Le Xie
Interlimb neural coupling might underlie human bipedal locomotion, which is reflected in the fact that people swing their arms synchronously with leg movement in normal gait. Therefore, arm swing should be included in gait training to provide coordinated interlimb performance. The present study aimed to develop a Rotational Orthosis for Walking with Arm Swing (ROWAS), and evaluate its feasibility from the perspectives of implementation, acceptability and responsiveness. We developed the mechanical structures of the ROWAS system in SolidWorks, and implemented the concept in a prototype...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28128085/antiphospholipid-syndrome-with-anti%C3%AE-2glicoprotein-1-antibodies-as-the-cause-of-recurrent-tibial-vein-thrombosis-in-sapho-syndrome
#10
Hanna Przepiera-Będzak, Marek Brzosko
The antiphospholipid antibody syndrome is defined by the presence of antiphospholipid antibodies in patients with recurrent venous or arterial thromboembolism (1). SAPHO syndrome is a rare disease, characterized by specific clinical manifestations of synovitis, acne pustulosis, hyperostosis, and osteitis. It is a disease that manifests with a combination of osseous and articular manifestations associated with skin lesions (2). Venous thrombosis complicating SAPHO syndrome seems to be uncommon with an unclear pathogenesis (3-9)...
December 2016: Acta Dermatovenerologica Croatica: ADC
https://www.readbyqxmd.com/read/28124724/number-of-positive-radiographic-findings-in-pediatric-trauma-patients
#11
Thomas Ruffing, Tim Danko, Thomas Henzler, Christel Weiss, Alexander Hofmann, Markus Muhm
PURPOSE: Conventional radiography is frequently performed in pediatric patients in whom fractures and dislocations are suspected. However, until now, the rate of positive findings of the most commonly performed radiographic examinations in pediatric patients is unknown. The aim of this study was to evaluate the number of positive findings in the 20 most frequently requested standard radiographic examinations in pediatric patients in a level 1 trauma center systematically. METHODS: A transversal cohort study was conducted at a level 1 trauma center in Germany (2008-2014)...
January 26, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28121204/efficacy-of-golimumab-for-preventing-large-joint-destruction-in-patients-with-rheumatoid-arthritis-as-determined-by-the-arashi-score
#12
Katsuaki Kanbe, Koei Oh, Junji Chiba, Yasuo Inoue, Masashi Taguchi, Akiko Yabuki
OBJECTIVES: To investigate the inhibitory effect of golimumab on large joint destruction in patients with rheumatoid arthritis. METHODS: We recruited 45 patients with rheumatoid arthritis and evaluated the radiographic severity of large joint destruction using the ARASHI (assessment of rheumatoid arthritis by scoring of large joint destruction and healing in radiographic imaging) score. We evaluated 450 large joints including the elbow, shoulder, hip, knee and ankle at baseline and 52 weeks after treatment with golimumab...
January 25, 2017: Modern Rheumatology
https://www.readbyqxmd.com/read/28059962/intraoperative-micro-breaks-with-targeted-stretching-enhance-surgeon-physical-function-and-mental-focus-a-multicenter-cohort-study
#13
Adrian E Park, Hamid R Zahiri, M Susan Hallbeck, Vedra Augenstein, Erica Sutton, Denny Yu, Bethany R Lowndes, Juliane Bingener
OBJECTIVE: The aim of this study was to investigate the effect of intraoperative targeted stretching micro breaks (TSMBs) on the experienced pain and fatigue, physical functions, and mental focus of surgeons. BACKGROUND: Surgeons are routinely subject to mental and physical stresses through the course of their work in the operating room. One of the factors most contributory to the shortening of a surgeon's career is work-related pain and its effects on patient safety and personal relationships...
February 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28045690/clinical-case-of-the-month-a-49-year-old-man-who-presents-with-left-sided-weakness-an-update-on-ischemic-stroke
#14
Najy Masri, Rikki Weems, Falon Brown, Ben Andres, Fred Lopez
A 49 year-old man with a past medical history significant for essential hypertension, hyperlipidemia, and coronary artery disease status post percutaneous coronary intervention and stent placement in the right coronary artery in 2010 presented for evaluation of left hemiplegia. He was feeling well until three hours prior to presentation, at which time he fell while walking from his bedroom into the kitchen. After falling, he noticed that his left upper and lower extremities felt weak. He denied any symptoms preceding the fall or any loss of consciousness...
November 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/28002339/delayed-treatment-of-septic-arthritis-in-the-neonate-a-review-of-52-cases
#15
REVIEW
YiQiang Li, QingHe Zhou, YuanZhong Liu, WeiDong Chen, JingChun Li, Zhe Yuan, BiCheng Yong, HongWen Xu
There is still controversy on the management of septic arthritis in neonates. This study aims to investigate the treatment of septic arthritis in neonates.We reviewed 52 neonates (37 males and 15 females) with septic arthritis in our hospital during 2004 to 2015. The mean age at onset of infection was 17.5 ± 7.6 days, mean age at admission was 32.6 ± 10.7 days. A total of 56 joints were involved (22 knees, 18 shoulders, 13 hips, and 3 other joints). Thiryt-six patients underwent surgical drainage, 14 patients were treated nonoperatively, 2 families refused treatment...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27989355/knee-shoulder-and-fundamentals-of-arthroscopic-surgery-training-validation-of-a-virtual-arthroscopy-simulator
#16
Josef N Tofte, Brian O Westerlind, Kevin D Martin, Brian L Guetschow, Bastián Uribe-Echevarria, Chamnanni Rungprai, Phinit Phisitkul
PURPOSE: To validate the knee, shoulder, and virtual Fundamentals of Arthroscopic Training (FAST) modules on a virtual arthroscopy simulator via correlations with arthroscopy case experience and postgraduate year. METHODS: Orthopaedic residents and faculty from one institution performed a standardized sequence of knee, shoulder, and FAST modules to evaluate baseline arthroscopy skills. Total operation time, camera path length, and composite total score (metric derived from multiple simulator measurements) were compared with case experience and postgraduate level...
March 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27984832/-injuries-in-karate-sports-a-survey-performed-during-the-world-championship-2014
#17
T Tischer, B Lembcke, M Ellenrieder, Ä Glass, W Weigert, W Mittelmeier
Background: In literature, the competitive sport of modern karate is almost always characterised as a combat sport involving injuries caused by impact effects and physical contact with opponents. There is a lack of data regarding the outcome after karate injuries, specifically with a view to the contact-free Kata karate. Methods: Performing a random test using a questionnaire, we collected data concerning regular medical treatment, prior surgeries of the locomotor system, and medical care. This study included 300 athletes from 65 countries (average age: 24...
December 2016: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
https://www.readbyqxmd.com/read/27979366/does-the-saline-load-test-still-have-a-role-in-the-orthopaedic-world-a-systematic-review-of-the-literature
#18
REVIEW
Benjamin B Browning, Anthony V Ventimiglia, Anant Dixit, Emmanuel Illical, William P Urban, Julio J Jauregui
INTRODUCTION: The aim of this systematic review was to assess the efficacy of Saline load tests (SLTs) to evaluate extension of periarticular wounds into capsule in emergent settings. METHODS: We systematically reviewed the literature to evaluate the accuracy of the SLT in diagnosing penetrating joint injuries in the elbow, wrist, shoulder, knee, or ankle. RESULTS: The SLT values to determine knee arthrotomies vary from 73.8 mL to 194 mL with sensitivities ranging between 91% and 99% depending on the size of the laceration...
December 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27957404/effects-of-real-world-versus-virtual-environments-on-joint-excursions-in-full-body-reaching-tasks
#19
James S Thomas, Christopher R France, Samuel T Leitkam, Megan E Applegate, Peter E Pidcoe, Stevan Walkowski
Starting from an upright standing posture and reaching for a target that requires some forward bending of the trunk can involve many different configurations of the trunk and limb segments. We sought to determine if configurations of the limb and trunk segments during our standardized full-body reaching tasks were influenced by the visual environment. This paper examined movement patterns of healthy participants ([Formula: see text], eight female and nine male) performing full body reaching tasks to: 1) real-world targets; 2) virtual targets presented on a 3-D television; and 3) virtual targets presented using a head-mounted display...
2016: IEEE Journal of Translational Engineering in Health and Medicine
https://www.readbyqxmd.com/read/27919199/predictive-factors-associated-with-the-progression-of-large-joint-destruction-in-patients-with-rheumatoid-arthritis-after-biologic-therapy-a-post-hoc-analysis-using-fdg-pet-ct-and-the-arashi-assessment-of-rheumatoid-arthritis-by-scoring-of-large-joint-destruction
#20
Takahito Suto, Yukio Yonemoto, Koichi Okamura, Chisa Okura, Tetsuya Kaneko, Tsutomu Kobayashi, Masahiro Tachibana, Yoshito Tsushima, Kenji Takagishi
OBJECTIVE: To investigate the associations between large-joint damage and findings on fluorodeoxyglucose positron emission tomography combined with computed tomography (FDG-PET/CT) using the "assessment of rheumatoid arthritis by scoring of large-joint destruction and healing in radiographic imaging (ARASHI)" scoring system. METHODS: A total of 270 large joints (shoulders, elbows, hips, knees, and ankles) in 27 rheumatoid arthritis patients were assessed. FDG-PET/CT was performed at the initiation of biologics...
December 23, 2016: Modern Rheumatology
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