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Wrist injuries

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https://www.readbyqxmd.com/read/28730946/contribution-of-upper-limb-muscles-to-two-different-gripping-styles-in-elite-indoor-tug-of-war-athletes
#1
Wen-Tzu Tang, Wei-Chih Liao, Hsin-Min Lee
To investigate characteristic upper limb muscle use between two common tug of war (TOW) gripping styles, 20 elite athletes from two high school TOW teams were recruited. Under conditioned attack pulling (with 90% maximal force) on a tug machine, participants used their own habitual gripping style to pull for five 15-s trials. Force and kinematic measurements showed a significantly better force performance and higher centre-of-gravity tilting angle with the gripping style one than with the gripping style two (GS2) (both p < 0...
July 21, 2017: Sports Biomechanics
https://www.readbyqxmd.com/read/28725503/patient-rated-wrist-evaluation-spanish-version-and-evaluation-of-its-psychometric-properties-in-patients-with-acute-distal-radius-fracture
#2
Veronica Alfie, Gerardo Gallucci, Jorge Boretto, Agustin Donndorff, Juieta Puig Dubois, Sonia Benitez, Diego Giunta, Pablo de Carli
Purpose  The purpose of this paper is to validate a Spanish version of patient-rated wrist evaluation (PRWE) and evaluate its psychometric attributes in a population of patients with distal radius fracture. Material and Methods  A translation and cross-cultural adaptation of the PRWE to Spanish (PRWE-S) was performed according to standardized guidelines. A total of 50 patients with a distal radius fracture were included during the different steps of the study. The reliability of the new instrument was assessed in terms of construct validity with the Quick DASH (Disability of the Arm, Shoulder, and Hand)...
August 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28725501/functional-outcomes-of-24-hour-thumb-immobilization-in-healthy-volunteers-prospective-comparative-study
#3
Raghuveer C Muppavarapu, Lyubov Tsytsikova, Michael B Gottschalk, Poonam P Dalwadi, Charles Cassidy
Background  Immobilization is often needed for the treatment of wrist and hand injuries. The current best method of immobilization for several types of injuries has yet to be elucidated with little being reported on the functional differences of each type of immobilization. Purpose  The purpose of this study is to compare the functional outcome between healthy young volunteers with a 24-hour short arm cast (SAC) versus thumb spica cast (TSC) immobilization. Methods  A total of 50 healthy volunteers completed a baseline typing assessment and a Patient-Reported Outcomes Measurement Information System (PROMIS) upper extremity functional scoring assessment...
August 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28720637/intersection-syndrome-the-subtle-squeak-of-an-overused-wrist
#4
Thomas M Skinner
Patient histories that include wrist pain can be pivotal in the distinction between intersection syndrome (IS) and the more common de Quervain's tenosynovitis (DQT). Presented here is a 26-year-old pregnant woman with a history of rowing who developed left radial/dorsal wrist pain and a rubbing/squeaking sensation. Nine months of conservative DQT therapy and a landmark-guided corticosteroid injection failed to relieve her symptoms. An in-clinic ultrasound showed tenosynovitis at the intersection of the first and second compartments, confirming a diagnosis of IS...
July 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28720003/current-trends-in-the-management-of-ballistic-fractures-of-the-hand-and-wrist-experiences-of-a-high-volume-level-i-trauma-center
#5
Paul A Ghareeb, Charles Daly, Albert Liao, Diane Payne
BACKGROUND: Ballistic fractures of the carpus and hand are routinely treated in large urban centers. These injuries can be challenging due to many factors. Various treatment options exist for these complicated injuries, but there are limited data available. This report analyzes patient demographics, treatments, and outcomes at a large urban trauma center. METHODS: All ballistic fractures of the hand and wrist of the patients who presented to a single center from 2011 to 2014 were retrospectively reviewed...
March 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28706861/nutech-functional-score-a-novel-scoring-system-to-assess-spinal-cord-injury-patients
#6
Geeta Shroff, Jitendra Kumar Barthakur
AIM: To develop a new scoring system, nutech functional scores (NFS) for assessing the patients with spinal cord injury (SCI). METHODS: The conventional scale, American Spinal Injury Association's (ASIA) impairment scale is a measure which precisely describes the severity of the SCI. However, it has various limitations which lead to incomplete assessment of SCI patients. We have developed a 63 point scoring system, i.e., NFS for patients suffering with SCI. A list of symptoms either common or rare that were found to be associated with SCI was recorded for each patient...
June 26, 2017: World Journal of Methodology
https://www.readbyqxmd.com/read/28706838/endoscopic-decompression-of-a-gouty-tophus-at-the-hand-dorsum
#7
Tun Hing Lui
Medical treatment including lifestyle and dietary modifications and drug therapy remains the mainstay of treatment for gouty arthritis of the hand and wrist. Without proper and timely treatment, tophi develop approximately 10 years after the onset of the disease. Open surgery for tophaceous gout is associated with a relatively high rate of complications particularly related to the surgical wound and overlying skin necrosis. Intralesional shaving of the tophi through small incisions has been reported and has the advantage of fewer wound complications...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28705590/comparative-study-of-type-b-distal-radius-fractures-with-and-without-lunate-facet-involvement-treated-by-volar-locking-plate-an-observational-study
#8
Xiong Zhang, Yan Zhao, Chunhe Hu, Kunlun Yu, Jiangbo Bai, Dehu Tian, Yi Xu, Bing Zhang
PURPOSE: This study aimed to evaluate the results of volar locking plate for treatment of type B distal radius fractures involving the lunate facet and compare them with those without involvement in lunate facet. METHOD: s: This was a retrospective study. A total of 93 patients with type B distal radius were treated by single volar locking plate between January 2014 and December 2015. Preoperative digital radiographs were used to initially diagnose and further classify this injury according to AO/OTA classification system...
July 10, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28702389/correlation-between-the-elbow-flexion-and-the-hand-and-wrist-flexion-after-neurotization-of-the-fascicles-of-the-ulnar-nerve-to-the-motor-branch-to-the-biceps
#9
Ricardo Boso Escudero, Marcelo Rosa de Rezende, Erick Yoshio Wataya, Fernando Vicente de Pontes, Álvaro Baik Cho, Marina Justi Pisani
OBJECTIVE: Gain in elbow flexion in patients with brachial plexus injury is extremely important. The transfer of a fascicle from the ulnar nerve to the motor branch of the musculocutaneous nerve (Oberlin surgery) is a treatment option. However, in some patients, gain in elbow flexion is associated with wrist and finger flexion. This study aimed to assess the frequency of this association and the functional behavior of the limb. METHODS: Case-control study of 18 patients who underwent the Oberlin surgery...
May 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28696958/rock-climbing-related-bone-marrow-edema-of-the-hand-a-follow-up-study
#10
Christoph Lutter, Thomas Hochholzer, Thomas Bayer, Volker Schöffl
OBJECTIVE: Sport climbers strain passive and active anatomical structures of their hands and fingers to the maximum during training or competition. This study was designed to investigate bone marrow edema (BME) in rock climbing athletes. DESIGN: Systematic detection, treatment, and follow-up investigation of rock climbing athletes with BME of the hand. SETTING: Primary-level orthopedic surgery and sports medicine division of a large academic medical center...
July 6, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28690470/equivalent-clinical-outcomes-following-favored-treatments-of-chronic-scapholunate-ligament-tear
#11
REVIEW
Pengcheng Wang, Jeffrey G Stepan, Tonya An, Daniel A Osei
BACKGROUND: Optimal treatment of chronic scapholunate (SL) instability remains controversial. Many surgical techniques have been proposed with varied results in subsequent case series; however, there is limited evidence demonstrating the relative effectiveness of the different treatment options. QUESTIONS/PURPOSES: We conducted a systematic review of the English literature to compare outcomes from capsulodesis and ligament reconstruction for treatment of chronic scapholunate instability...
July 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28687543/injury-epidemiology-of-tennis-players-at-the-2011-2016-australian-open-grand-slam
#12
Danielle T Gescheit, Stuart J Cormack, Rob Duffield, Stephanie Kovalchik, Tim O Wood, Melanie Omizzolo, Machar Reid
AIM: To examine the epidemiology and in-event treatment frequency of injury at the 2011-2016 Australian Open tournaments. METHODS: Injury incidence was defined as a medical consultation by a tournament physician and in-event treatment frequency as the mean total number of follow-up medical/physiotherapy consultations (2013-2016 tournaments only). Data were collated by sex, injury region and type and reported as frequencies per 10 000 game exposures. Incidence rate s± 95% CI and rate ratios were used to test effects for injury, sex and year...
July 7, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28684196/force-transmission-through-the-wrist-during-performance-of-push-ups-on-a-hyperextended-and-a-neutral-wrist
#13
Olga Polovinets, Alon Wolf, Ronit Wollstein
STUDY DESIGN: Cross-sectional cohort. INTRODUCTION: Push-ups are used ubiquitously to evaluate and strengthen the upper body. They are usually performed in 1 of 2 main ways: with the wrist in hyperextension and with the wrist in a neutral position. PURPOSE OF THE STUDY: The purpose of our study was to compare the dynamic forces in the wrist during the 2 push-up styles. METHODS: Fourteen volunteers performed push-ups in 2 different patterns: on a hyperextended wrist and a neutral wrist (NW)...
July 3, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28673743/-ice-axe-wrist-a-case-report-of-intersection-syndrome-in-2-climbers
#14
Anna L Tobin
Intersection syndrome is an inflammatory condition located at the crossing point between the first and second dorsal compartments in the wrist. It is an uncommon presentation but has been recognized as an injury typical of rowers (when it is named oarsman's wrist) and other sports such as racquet sports, baseball, cycling, hockey, golf, ice hockey, skiing, and softball. It has not been previously described in climbers. This report details 2 cases of intersection associated with the use of an ice axe. The first presentation was in a female climber who was using an ice axe for climbing in the Nepal Himalayas and the second was in a male climber using an ice axe for winter climbing training in the Alps...
June 30, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28670666/epidemiologic-comparisons-of-soccer-related-injuries-presenting-to-emergency-departments-and-reported-within-high-school-and-collegiate-settings
#15
Zachary Y Kerr, Lauren A Pierpoint, Dustin W Currie, Erin B Wasserman, R Dawn Comstock
BACKGROUND: Few studies compare sports injury patterns in different settings. This study described the epidemiology of soccer injuries presenting to emergency departments (EDs) and compared injuries presenting to EDs to injuries presenting to collegiate and high school athletic trainers (ATs). METHODS: Soccer-related injuries (product code 1267) in the National Electronic Injury Surveillance System (NEISS) that were sustained by individuals at least two years of age in 2004-2013 were included...
December 2017: Injury Epidemiology
https://www.readbyqxmd.com/read/28669300/contralateral-c-7-transfer-is-direct-repair-really-superior-to-grafting
#16
Anil Bhatia, Piyush Doshi, Ashok Koul, Vitrag Shah, Justin M Brown, Mahmoud Salama
It is not uncommon for a severe traumatic brachial plexus injury to involve all 5 roots, resulting in a flail upper limb. In such cases, surgical reconstruction is often palliative, providing only rudimentary function. Nerve transfers are the mainstay of reconstructive strategies due to the predominance of root avulsions. Consistent results are obtained only for restoration of shoulder stability and elbow flexion, whereas restoring useful hand function remains a challenge. The transfer of the contralateral C-7 (cC-7) is commonly used in an attempt to restore basic hand function, but results are notoriously unreliable and inconsistent...
July 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28660002/does-total-wrist-arthroplasty-for-treatment-of-posttraumatic-wrist-joint-osteoarthritis-in-young-patients-always-lead-to-restriction-of-high-demand-activities-of-daily-living-case-report-and-brief-review-of-recent-literature
#17
Ingo Schmidt
BACKGROUND: Posttraumatic ulnar carpal translocation is a very rare condition that is caused either by fracture-dislocation injury or by purely ligamentous injury of the wrist. Its prognosis is poor and development of posttraumatic pancarpal wrist joint osteoarthritis is inevitable, and options for treatment are total wrist fusion or total wrist arthroplasty. METHODS: A 24-year-old male sustained a fracture-related injury in his left wrist that was accompanied with a second ligamentous distorsion-related injury 1 year later in the same wrist...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28659784/effects-of-assist-as-needed-upper-extremity-robotic-therapy-after-incomplete-spinal-cord-injury-a-parallel-group-controlled-trial
#18
John Michael Frullo, Jared Elinger, Ali Utku Pehlivan, Kyle Fitle, Kathryn Nedley, Gerard E Francisco, Fabrizio Sergi, Marcia K O'Malley
BACKGROUND: Robotic rehabilitation of the upper limb following neurological injury has been supported through several large clinical studies for individuals with chronic stroke. The application of robotic rehabilitation to the treatment of other neurological injuries is less developed, despite indications that strategies successful for restoration of motor capability following stroke may benefit individuals with incomplete spinal cord injury (SCI) as well. Although recent studies suggest that robot-aided rehabilitation might be beneficial after incomplete SCI, it is still unclear what type of robot-aided intervention contributes to motor recovery...
2017: Frontiers in Neurorobotics
https://www.readbyqxmd.com/read/28656318/efficiency-of-fragment-specific-fixation-plates-in-the-treatment-of-comminuted-distal-radial-fractures
#19
Elhadi Musaab Elhadi Babikir, Eyad Daood Al-Maqdassy, Khalid Hasan, Shamsi Abdul Hameed, Abduljabbar Alhammoud, Mohammed Mubarak Al-Ateeq Al-Dosari
PURPOSE: The purpose of this study was to assess the clinical, radiologic and functional outcome of treating comminuted intra-articular distal radius fractures with fragment specific fixation. METHODS: This was a retrospective chart review of 25 unstable intra-articular distal radius fractures (type C2 AO) that had fragment specific fixation done in the orthopaedic department of the Hamad General Hospital (level 1 trauma center) over three years (2010-2013), with a follow up of one year post-operatively...
June 27, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28656159/the-prevalence-of-unanticipated-hamate-hook-abnormalities-in-computed-tomography-scans-a-retrospective-study
#20
Silke A Spit, Stéphanie J E Becker, Michiel G J S Hageman, David Ring
BACKGROUND: It is possible that some hamate hook fractures are not diagnosed or treated, thereby affecting the study of their natural history. Study of the prevalence of incidental hamate hook fractures, nonunions, and other abnormalities on computed tomography (CT) ordered for another reason could document a subset of undiagnosed and untreated hamate hook fractures which might change our understanding about the natural history. METHODS: Reports of 2489 hand, wrist, and forearm CT scans for hamate hook abnormalities were searched...
May 2017: Archives of Bone and Joint Surgery
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