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https://www.readbyqxmd.com/read/28057478/developments-in-ambulatory-surgery-in-orthopedics-in-france-in-2016
#1
REVIEW
C Hulet, G Rochcongar, C Court
Under the new categorization introduced by the Health Authorities, ambulatory surgery (AS) in France now accounts for 50% of procedures, taking all surgical specialties together. The replacement of full hospital admission by AS is now well established and recognized. Health-care centers have learned, in coordination with the medico-surgical and paramedical teams, how to set up AS units and the corresponding clinical pathways. There is no single model handed down from above. The authorities have encouraged these developments, partly by regulations but also by means of financial incentives...
November 15, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28047444/mo-fg-campus-jep3-02-a-novel-setup-approach-to-improve-c-spine-curvature-reproducibility-for-head-and-neck-radiotherapy-using-optical-surface-imaging-with-two-regions-of-interest
#2
K Ryan, M Gil, C Della Biancia, G Li
PURPOSE: To develop a novel approach to improve cervical spine (c-spine) curvature reproducibility for head and neck (HN) patients using optical surface imaging (OSI) with two regions of interests (ROIs). METHODS: The OSI-guided, two-step setup procedure requires two ROIs: ROI-1 of the shoulders and ROI-2 of the face. The neck can be stretched or squeezed in superior-inferior (SI) direction using a specially-designed sliding head support. We hypothesize that when these two ROIs are aligned, the c-spine should fall into a naturally reproducible position under same setup conditions...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/27957404/effects-of-real-world-versus-virtual-environments-on-joint-excursions-in-full-body-reaching-tasks
#3
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/27881628/normative-reference-values-for-strength-and-flexibility-of-1-000-children-and-adults
#4
Marnee J McKay, Jennifer N Baldwin, Paulo Ferreira, Milena Simic, Natalie Vanicek, Joshua Burns
OBJECTIVE: To establish reference values for isometric strength of 12 muscle groups and flexibility of 13 joint movements in 1,000 children and adults and investigate the influence of demographic and anthropometric factors. METHODS: A standardized reliable protocol of hand-held and fixed dynamometry for isometric strength of ankle, knee, hip, elbow, and shoulder musculature as well as goniometry for flexibility of the ankle, knee, hip, elbow, shoulder, and cervical spine was performed in an observational study investigating 1,000 healthy male and female participants aged 3-101 years...
January 3, 2017: Neurology
https://www.readbyqxmd.com/read/27792040/variation-in-pediatric-orthopedic-case-volume-among-residents-an-assessment-of-accreditation-council-for-graduate-medical-education-case-logs
#5
Richard M Hinds, Donna Phillips, Kenneth A Egol, John T Capo
The aim of this investigation was to examine graduating orthopedic resident case logs to evaluate trends in performing pediatric orthopedic procedures and compare pediatric orthopedic case volume among residents in the 90th, 50th, and 10th percentiles (by case volume) to identify caseload variation. Accreditation Council for Graduate Medical Education orthopedic resident case logs were examined for graduating years 2007-2013. Linear regression analyses were carried out to assess temporal trends in pediatric orthopedic case volume...
October 27, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27707741/injuries-among-weightlifters-and-powerlifters-a-systematic-review
#6
REVIEW
Ulrika Aasa, Ivar Svartholm, Fredrik Andersson, Lars Berglund
BACKGROUND: Olympic weightlifting and powerlifting are two sports that expose the body to great forces. Injury characteristics have not been systematically reviewed for these two growing sports. OBJECTIVE: The purpose of this study was to systematically review the literature regarding various definitions of injuries used, injury localisation, the prevalence and incidence of injuries and the associated risk factors for injuries in weightlifting and powerlifting. DESIGN: Systematic review...
October 4, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27634561/effects-of-visual-display-on-joint-excursions-used-to-play-virtual-dodgeball
#7
James S Thomas, Christopher R France, Megan E Applegate, Samuel T Leitkam, Peter E Pidcoe, Stevan Walkowski
BACKGROUND: Virtual reality (VR) interventions hold great potential for rehabilitation as commercial systems are becoming more affordable and can be easily applied to both clinical and home settings. OBJECTIVE: In this study, we sought to determine how differences in the VR display type can influence motor behavior, cognitive load, and participant engagement. METHODS: Movement patterns of 17 healthy young adults (8 female, 9 male) were examined during games of Virtual Dodgeball presented on a three-dimensional television (3DTV) and a head-mounted display (HMD)...
September 15, 2016: JMIR Serious Games
https://www.readbyqxmd.com/read/27564793/perioperative-vision-loss-in-spine-surgery-and-other-orthopaedic-procedures
#8
Alvin W Su, Shuai-Chun Lin, A Noelle Larson
Perioperative vision loss is a rare complication of orthopaedic surgery and has been documented after spine, knee, hip, and shoulder procedures. It is associated with several ophthalmologic diagnoses, most commonly ischemic optic neuropathy. Although the pathophysiology remains unclear, current evidence suggests that systemic hemodynamic compromise and altered balance of intraocular perfusion contribute to the development of ischemic optic neuropathy. Although vision recovery has been reported, the prognosis of perioperative vision loss is poor, and no proven effective treatment is available...
October 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27511203/can-surgeons-adequately-capture-adverse-events-using-the-spinal-adverse-events-severity-system-saves-and-orthosaves
#9
Brian P Chen, Katie Garland, Darren M Roffey, Stephane Poitras, Geoffrey Dervin, Peter Lapner, Philippe Phan, Eugene K Wai, Stephen P Kingwell, Paul E Beaulé
BACKGROUND: Physicians have consistently shown poor adverse-event reporting practices in the literature and yet they have the clinical acumen to properly stratify and appraise these events. The Spine Adverse Events Severity System (SAVES) and Orthopaedic Surgical Adverse Events Severity System (OrthoSAVES) are standardized assessment tools designed to record adverse events in orthopaedic patients. These tools provide a list of prespecified adverse events for users to choose from-an aid that may improve adverse-event reporting by physicians...
January 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27492688/when-can-i-drive-after-orthopaedic-surgery-a-systematic-review
#10
REVIEW
Kevin J DiSilvestro, Adam J Santoro, Fotios P Tjoumakaris, Eric A Levicoff, Kevin B Freedman
BACKGROUND: Patients often ask their doctors when they can safely return to driving after orthopaedic injuries and procedures, but the data regarding this topic are diverse and sometimes conflicting. Some studies provide observer-reported outcome measures, such as brake response time or simulators, to estimate when patients can safely resume driving after surgery, and patient survey data describing when patients report a return to driving, but they do not all agree. We performed a systematic review and quality appraisal for available data regarding when patients are safe to resume driving after common orthopaedic surgeries and injuries affecting the ability to drive...
December 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27486512/postoperative-respiratory-failure-necessitating-transfer-to-the-intensive-care-unit-in-orthopedic-surgery-patients-risk-factors-costs-and-outcomes
#11
Roman Melamed, Lori L Boland, James P Normington, Rebecca M Prenevost, Lindsay Y Hur, Leslie F Maynard, Molly A McNaughton, Tyler G Kinzy, Adnan Masood, Mehdi Dastrange, Joseph A Huguelet
BACKGROUND: Postoperative pulmonary complications in orthopedic surgery patients have been associated with worse clinical outcomes. Identifying patients with respiratory risk factors requiring enhanced monitoring and management modifications is an important part of postoperative care. Patients with unanticipated respiratory decompensation requiring transfer to the intensive care unit (ICU) have not been studied in sufficient detail. METHODS: A retrospective case-control study of elective orthopedic surgery patients (knee, hip, shoulder, or spine, n = 51) who developed unanticipated respiratory failure (RF) necessitating transfer to the ICU over a 3-year period was conducted...
2016: Perioperative Medicine
https://www.readbyqxmd.com/read/27464898/the-prevalence-of-musculoskeletal-disorders-in-the-retail-sector-an-italian-cross-sectional-study-on-3380-workers
#12
Giulia Stucchi, Natale Battevi, Silvia Cairoli, Dario Consonni
BACKGROUND: Cashiers are not the only workers in the Retail Sector (RS) who are exposed to biomechanical overload risk of the upper limbs and spine. OBJECTIVES: To investigate the prevalence of musculoskeletal disorders among employees in the RS. METHODS: 3380 Italian workers were asked to complete a standardized medical history questionnaire to collect data on symptoms and diagnosed disorders affecting upper limbs, spine and knees. These were then compared with data on subjects not exposed to biomechanical overload risk...
2016: La Medicina del Lavoro
https://www.readbyqxmd.com/read/27392569/musculoskeletal-manifestations-in-mucopolysaccharidosis-type-i-hurler-syndrome-following-hematopoietic-stem-cell-transplantation
#13
Mona Schmidt, Sandra Breyer, Ulrike Löbel, Sinef Yarar, Ralf Stücker, Kurt Ullrich, Ingo Müller, Nicole Muschol
BACKGROUND: Hematopoietic stem cell transplantation (HSCT) is the treatment of choice for young Hurler patients. Despite halting of neurocognitive decline and improvement of life expectancy, the beneficial effect on the skeletal system is limited. As orthopedic complications are one of the most disabling factors following HSCT, this points to the need for new treatment strategies. The study summarizes musculoskeletal manifestations in 19 transplanted Hurler patients. METHODS: Data were obtained retrospectively...
July 8, 2016: Orphanet Journal of Rare Diseases
https://www.readbyqxmd.com/read/27380122/adult-contractures-in-burn-injury-a-burn-model-system-national-database-study
#14
Jeremy Goverman, Katie Mathews, Richard Goldstein, Radha Holavanahalli, Karen Kowalske, Peter Esselman, Nicole Gibran, Oscar Suman, David Herndon, Colleen M Ryan, Jeffrey C Schneider
As the overall survival rate for burn injury has improved, increased emphasis is placed on postburn morbidity and the optimization of functional and cosmetic outcomes. One major cause of morbidity and functional deficits is that of joint contractures. The true incidence of postburn contractures and their associated risk factors remains unknown. This study examines the incidence and severity of contractures in a large, multicenter, burn population. The associated risk factors for the development of contractures are determined...
January 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/27293281/results-of-arthrospine-assisted-percutaneous-technique-for-lumbar-discectomy
#15
Mohinder Kaushal
BACKGROUND: Avaialable minimal invasive arthro/endoscopic techniques are not compatible with 30 degree arthroscope which orthopedic surgeons uses in knee and shoulder arthroscopy. Minimally invasive "Arthrospine assisted percutaneous technique for lumbar discectomy" is an attempt to allow standard familiar microsurgical discectomy and decompression to be performed using 30° arthroscope used in knee and shoulder arthroscopy with conventional micro discectomy instruments. MATERIALS AND METHODS: 150 patients suffering from lumbar disc herniations were operated between January 2004 and December 2012 by indiginously designed Arthrospine system and were evaluated retrospectively...
May 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27260566/small-female-ribcage-fracture-in-frontal-sled-tests
#16
Greg Shaw, David Lessley, Joseph Ash, Jerry Poplin, Tim McMurry, Mark Sochor, Jeff Crandall
OBJECTIVES: The two objectives of this study are to 1) examine the rib and sternal fractures sustained by small stature elderly females in simulated frontal crashes and 2) determine how the findings are characterized by prior knowledge and field data. METHODS: A test series was conducted to evaluate the response of five elderly (average age 76 years) female PMHS subjects, similar in mass and size to a 5th percentile female, in 30 km/h frontal sled tests. The subjects were restrained on a rigid planar seat by bilateral rigid knee bolsters, pelvic blocks, and a custom force-limited three-point shoulder and lap belt...
June 3, 2016: Traffic Injury Prevention
https://www.readbyqxmd.com/read/27026621/a-multi-center-analysis-of-adverse-events-among-two-thousand-three-hundred-and-seventy-two-adult-patients-undergoing-adult-autologous-stem-cell-therapy-for-orthopaedic-conditions
#17
Christopher J Centeno, Hasan Al-Sayegh, Michael D Freeman, Jay Smith, William D Murrell, Rostyslav Bubnov
INTRODUCTION: The purpose of the present investigation is to report on detailed complications among a much larger group of 2372 orthopaedic patients treated with stem cell injections who were followed in a treatment registry for up to nine years. METHODS: All patients underwent an MSC-based, percutaneous injection treatment of an orthopaedic condition between December 2005 and September 2014 at one of 18 clinical facilities. Treated areas of the body included the knee, hip, ankle/foot, hand/wrist, elbow, shoulder, and spine...
August 2016: International Orthopaedics
https://www.readbyqxmd.com/read/26920073/a-quantitative-measurement-method-for-comparison-of-seated-postures
#18
COMPARATIVE STUDY
Susan J Hillman, James Hollington
This technical note proposes a method to measure and compare seated postures. The three-dimensional locations of palpable anatomical landmarks corresponding to the anterior superior iliac spines, clavicular notch, head, shoulders and knees are measured in terms of x, y and z co-ordinates in the reference system of the measuring apparatus. These co-ordinates are then transformed onto a body-based axis system which allows comparison within-subject. The method was tested on eleven unimpaired adult participants and the resulting data used to calculate a Least Significant Difference (LSD) for the measure, which is used to determine whether two postures are significantly different from one another...
May 2016: Medical Engineering & Physics
https://www.readbyqxmd.com/read/26844634/orthopedic-manifestations-of-ochronosis-pathophysiology-presentation-diagnosis-and-management
#19
REVIEW
Joseph A Gil, Joseph Wawrzynski, Gregory R Waryasz
Ochronotic arthropathy occurs in patients with alkaptonuria, manifesting first in the intervertebral discs of the lumbar spine, with subsequent degeneration most often observed in the knee, hip, and shoulder joints. Efforts at treatment are targeted at minimizing the damaging effects of the underlying metabolic disorder on the articular cartilage. Vitamin E and N-acetyl cysteine are potential therapies because of their scavenging of free radicals and consequent limitation of oxidative damage to joint tissue...
May 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/26792244/an-analysis-of-permanent-work-disability-among-construction-sheet-metal-workers
#20
Gavin H West, Jaime Dawson, Claire Teitelbaum, Rebecca Novello, Katherine Hunting, Laura S Welch
BACKGROUND: Causes of permanent work disability in the sheet metal industry are not well characterized. METHODS: Pension records were used to compare causes of disability among sheet metal workers and the U.S. working population. Subgroup analysis examined the major causes of sheet metal worker disability. RESULTS: Musculoskeletal disorders (MSDs), circulatory disease, and injuries were leading causes of sheet metal worker disability (47.2%, 13...
March 2016: American Journal of Industrial Medicine
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