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https://www.readbyqxmd.com/read/28914699/ergonomics-in-surgery-a-review
#1
Tatiana Catanzarite, Jasmine Tan-Kim, Emily L Whitcomb, Shawn Menefee
OBJECTIVE: Work-related musculoskeletal disorders (WMSDs) are prevalent among surgeons and may result in practice modification. We aimed to perform a comprehensive review of the English-language literature regarding ergonomic risk, prevalence of WMSDs, and unique ergonomic considerations by route of surgery. METHODS: Multiple searches were performed of PubMed and University library resources to access English-language publications related to surgeon ergonomics. Combinations of keywords were used for each mode of surgery, including the following: "ergonomics," "guidelines," "injury," "operating room," "safety," "surgeon," and "work-related musculoskeletal disorders...
September 13, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28902754/wrist-pain-in-gymnasts-a-review-of-common-overuse-wrist-pathology-in-the-gymnastics-athlete
#2
Holly J Benjamin, Sean C Engel, Debra Chudzik
Injury rates among gymnasts are among the highest of any sport at the high school and collegiate level per athletic exposure. The wrist has increased injury risk due to repetitive physical stresses predisposing it to acute injury, overuse, and degenerative damage. This article will review the most common overuse wrist injuries seen in gymnasts. Prompt evaluation and management is necessary to avoid the negative sequelae that can often accompany these injuries. Little is known about effective sport-specific injury prevention strategies, but general guidelines for overuse injury prevention including limiting excessive loading of the wrist, maintaining wrist joint flexibility, an emphasis on proper technique, and incorporating wrist and general core strengthening seem beneficial...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28902098/repair-of-the-thumb-ulnar-collateral-ligament-with-suture-tape-augmentation
#3
Anthony F De Giacomo, Steven S Shin
One of the most commonly injured structures of the thumb metacarpophalangeal (MCP) joint is the ulnar collateral ligament (UCL). An acute injury of this ligament is often amenable to primary repair. Despite the favorable outcomes of primary repair, the thumb is often restricted during initial healing of the ligament with immobilization and delayed rehabilitation. We present a novel technique to augment the repair of the UCL with suture tape to provide immediate biomechanical support and strength during the critical time of ligament healing...
September 8, 2017: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/28884097/perilunate-carpal-dislocation-clinical-evaluation-of-patients-operated-with-reduction-and-percutaneous-fixation-without-capsular-ligament-repair
#4
Adriano Bastos Pinho, Roberto Luiz Sobania
OBJECTIVE: To qualitatively assess surgeries performed in patients with perilunate dislocations without associated fractures, who were operated using the closed reduction and percutaneous fixation method. The follow-up time ranged from one to seven years. METHODS: 628 patient records with traumatic wrist injuries, operated by the same group of Hand Surgeons between 2008 and 2014 due to acute trauma were collected, with a mean follow-up of 3.2 years. Of these, 51 were cases of perilunate fracture-dislocations, and 38 were pure perilunate dislocations without associated fractures; of these, only 32 underwent percutaneous fixation without ligamentous repair, thus meeting the inclusion criteria...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28878888/cardiovascular-and-thermal-strain-during-3-4%C3%A2-days-of-a-metabolically-demanding-cold-weather-military-operation
#5
John W Castellani, Marissa G Spitz, Anthony J Karis, Svein Martini, Andrew J Young, Lee M Margolis, J Phillip Karl, Nancy E Murphy, Xiaojiang Xu, Scott J Montain, Jamie A Bohn, Hilde K Teien, Pål H Stenberg, Yngvar Gundersen, Stefan M Pasiakos
BACKGROUND: Cardiovascular (CV) and thermal responses to metabolically demanding multi-day military operations in extreme cold-weather environments are not well described. Characterization of these operations will provide greater insights into possible performance capabilities and cold injury risk. METHODS: Soldiers from two cold-weather field training exercises (FTX) were studied during 3-day (study 1, n = 18, age: 20 ± 1 year, height: 182 ± 7 cm, mass: 82 ± 9 kg) and 4-day (study 2, n = 10, age: 20 ± 1 year, height: 182 ± 6 cm, mass: 80...
2017: Extreme Physiology & Medicine
https://www.readbyqxmd.com/read/28878540/bare-medial-epicondyle-physeal-fracture-of-the-humerus-a-case-report
#6
Takashi Oda, Kenji Watanabe
We identified an unusual case of the medial epiondyle physeal fracture, which has been caused by a direct blow, accompanied with complete stripping of soft tissue. Surgery was performed for open reduction and internal fixation of the medial epicondyle and reattachment of the anterior oblique bundle of medial collateral ligament and flexor muscle origin. Six months after the surgery, strength of wrist flexion and forearm pronation, range of motion and valgus stability of the left elbow had recovered. One year after the injury, radiographs showed atrophy and sclerosis of the medial epicondylar apophysis...
August 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28877548/sonoanatomy-of-sensory-branches-of-the-ulnar-nerve-below-the-elbow-in-healthy-subjects
#7
Ki Hoon Kim, Seok Jun Lee, Byung Kyu Park, Dong Hwee Kim
INTRODUCTION: To identify sensory branches of the ulnar nerve - palmar ulnar cutaneous nerve (PUCN), dorsal ulnar cutaneous nerve (DUCN), and superficial sensory branch - using ultrasonography. METHODS: In 60 forearms of 30 healthy adult volunteers, the origin and size of the PUCN, DUCN, and superficial sensory branch were measured using ultrasonography. The relative pathway of the DUCN to the ulnar styloid process was also investigated. RESULTS: The PUCN was observed in 47 forearms (78%), and DUCN in all...
September 6, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28867908/using-the-rasch-model-to-develop-a-measure-of-participation-capturing-the-full-range-of-participation-characteristics-for-the-patients-with-hand-injuries
#8
Maryam Farzad, Fereydoun Layeghi, Ali Hosseini, Gale Whiteneck, Ali Asgari
Objective  The purpose of this paper was to report on the first step in the development of a new instrument to measure participation including the full range of its characteristics. Methods  The 30-item participation behavior questionnaire (PBQ) was developed from four main sources (a literature review of the theatrical basis of participation, available participation measures, and interviews with patients and experts about participation). Item selection and the reliability and validity of the measure were explored using Rasch measurement modeling for analysis...
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28856021/wrist-ultrasound-examination-scanning-technique-and-ultrasound-anatomy-part-2-ventral-wrist
#9
REVIEW
Cyprian Olchowy, Daniel Soliński, Mateusz Łasecki, Paweł Dąbrowski, Szymon Urban, Urszula Zaleska-Dorobisz
Ultrasound imaging of the musculoskeletal system is an important element of the diagnostic and therapeutic protocol. Clinical decisions, including those regarding surgical procedures, are often based solely on ultrasound imaging. However, detailed knowledge on the anatomy and a correct scanning technique are crucial for an accurate diagnosis. Modern ultrasonographic equipment allows obtaining detailed anatomical images of muscle tendons, ligaments, nerves and vessels of the carpal area. Ventral wrist ultrasound is one of the most common diagnostic procedures in patients with suspected carpal tunnel syndrome...
June 2017: Journal of Ultrasonography
https://www.readbyqxmd.com/read/28852335/proximal-humerus-fracture-dislocation-with-laceration-of-the-axillary-artery-a-case-report
#10
Steven J Cotman, Thai Q Trinh, Stephen Vincent, Jeffrey R Backes
BACKGROUND: Proximal humerus fractures account for approximately 4-6% of all fractures. While the majority of these fractures are treated non-operatively, the amount of fracture displacement, concomitant injuries, and patient factors often result in the need for surgical stabilization. Although concomitant neurovascular injury in the setting of low-energy trauma is rare, injury to the surrounding neurovascular structures have previously been reported. METHODS: We report a case of a 79-year-old male who sustained a low energy fall resulting in a two-part fracture dislocation of the proximal humerus with an associated brachial plexopathy and axillary artery laceration...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28832215/a-clinical-study-of-the-modified-thread-carpal-tunnel-release
#11
Danqing Guo, Danzhu Guo, Joseph Guo, Steven C Schmidt, Rachel M Lytie
BACKGROUND: Previous studies have indicated that the thread carpal tunnel release (TCTR) is a safe and effective technique. Through a study on 11 cadaveric wrists, the TCTR procedure was modified and the needle control accuracy was improved to 0.15 to 0.2 mm, which is precise enough to preserve superficial palmar aponeurosis (SupPA), Berrettini branch, and common digital nerves. The aim of the present study was to verify the modified TCTR clinically. METHODS: The modified TCTR was performed on 159 hands of 116 patients...
September 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28832214/painful-pseudotendon-of-the-flexor-carpi-radialis-tendon-a-literature-review-and-case-report
#12
Robert E Van Demark, Elizabeth Helsper, Meredith Hayes, Matthew Hayes, Vanessa J S Smith
BACKGROUND: Flexor tendon ruptures in the wrist are uncommon. Flexor carpi radialis (FCR) tendon rupture can occur in rheumatoid patients, following cortisone injection for tenosynovitis, and following trauma. Following tendon rupture, tethering of the ruptured FCR tendon, or pseudotendon, can form which may or may not be symptomatic. METHODS: A literature review was done reviewing treatment and outcomes of FCR tendon lesions. A case report of painful FCR pseudotendon following a fall is presented...
September 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28832213/combined-perihamate-peripisiform-and-peritrapezium-open-axial-carpal-dislocation-description-of-a-new-pattern-of-crush-injury
#13
Isidro Jiménez, Martine Dury
BACKGROUND: Axial carpal dislocations and fracture-dislocations remain difficult to understand and to treat. The outcome is directly related to the injury pattern and long-term results are not good in most cases. METHODS: 39-year-old male admitted to our emergency department after his left hand was caught between 2 rollers for 10 minutes. He was diagnosed of an open axial carpal dislocation type B (perihamate peripisiform) and type E (peritrapezium) of Garcia-Elias...
September 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28832202/radial-plate-fixation-a-novel-technique-for-distal-radius-fractures
#14
Jeffrey D Hoffmann, Jeremy Stewart, Nicholas Kusnezov, John Dunn, Miguel Pirela-Cruz
BACKGROUND: Distal radius fractures represent a common fracture pattern frequently treated with volar locked plating for fixation. However, other methods may provide equivalent outcomes and minimize risks associated with the volar approach and hardware placement. One such method is the radial plate. METHODS: After confirmation of institutional board review, we retrospectively reviewed data from 7 patients with our primary functional outcomes measured by Mayo wrist and Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores...
September 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28832200/use-of-particulated-juvenile-articular-cartilage-allograft-for-osteochondral-lesions-of-the-wrist
#15
Daniel E Hess, Brian C Werner, D Nicole Deal
BACKGROUND: Articular cartilage injuries are a common injury among young, active patients, and the most appropriate treatment for these injuries remains controversial. A promising new technology in the treatment of high-grade cartilage injuries is particulated juvenile articular cartilage (PJAC) allograft (DeNovo NT, Zimmer, Warsaw, Indiana). This has been shown to be successful in multiple joints including the knee, talus, and elbow. No studies or case reports exist in supporting or discouraging its use in injuries of the wrist, in specific, the scaphoid...
September 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28829651/experiences-with-osteoligamentoplasty-according-to-weiss-for-the-treatment-of-scapholunate-dissociation
#16
W Petersen, J Rothenberger, H E Schaller, A Rahmanian-Schwarz, M Held
BACKGROUND: In post-traumatic, dynamic, or static scapholunate (SL) instability, an SL ligament reconstruction is advisable to avoid long-term complications. However, a sufficient primary reconstruction is best achieved in acute injuries. For chronic SL dissociation, there is still no satisfying standard surgical technique. In this context, we evaluated the clinical outcome of Weiss's osteoligamentoplasty as a treatment option. METHODS: Over a three-year period, 16 patients with chronic and symptomatic SL dissociation Grade-II and III, without the signs of osteoarthrosis were, surgically treated using a bone-retinaculum-bone autograft from the distal radius...
August 22, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/28828602/association-of-lunate-morphology-sex-and-lunotriquetral-interosseous-ligament-injury-with-radiologic-measurement-of-the-capitate-triquetrum-joint
#17
Marissa Borgese, Robert D Boutin, Christopher O Bayne, Robert M Szabo, Abhijit J Chaudhari
OBJECTIVE: Radiologic presentation of carpal instability at the radial side of the carpus, e.g. scapholunate diastasis following scapholunate interosseous ligament injury, has been studied extensively. By comparison, presentation at the ulnar-sided carpus has not. The purpose of this study was to assess the effects of lunate morphology, sex, and lunotriquetral interosseous ligament (LTIL) status on the radiologic measurement of the capitate-triquetrum joint (C-T distance). Further, we sought to evaluate the diagnostic accuracy of C-T distance for assessing LTIL injuries...
August 21, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28819519/simultaneous-ipsilateral-fractures-of-distal-and-proximal-ends-of-the-radius
#18
Khalid Ibn El Kadi, Mounir Benabid, Sarr Saliou, Oussama El Assil, Amine Marzouki, Kamal Lahrach, Fawzi Boutayeb
We treated a patient with a rare combination of ipsilateral fractures of the distal and proximal ends of the radius. A man aged 42 years had simultaneous fractures of the distal and proximal ends of the radius (radial neck) following a roadside accident. The distal end fracture of the radius was treated with surgical reduction and T-plate volar fixation, and the undisplaced radial neck fracture was treated by an above elbow splintage for 2 weeks. The elbow mobilization was started at 2 weeks. The distal radius was protected for another 4 weeks in a below elbow functional brace...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28817534/radius-regeneration-after-open-fracture-and-extrusion-a-case-report
#19
Kristopher B McCall, David Y Chong
A pediatric patient presenting with an open forearm fracture with segmental defect is rare, and the pediatric orthopedic literature to guide treatment is sparse. There are several described methods to treat the defect, including bone grafting and bone transport techniques. In addition, there are reports of fibular regeneration after resection if the periosteum is left intact. We present a case report of complete regeneration of over half of a pediatric radial shaft with an intact periosteum, after traumatic extrusion from an open fracture...
August 16, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28814022/estimating-anatomical-wrist-joint-motion-with-a-robotic-exoskeleton
#20
Chad G Rose, Claudia K Kann, Ashish D Deshpande, Marcia K O'Malley
Robotic exoskeletons can provide the high intensity, long duration targeted therapeutic interventions required for regaining motor function lost as a result of neurological injury. Quantitative measurements by exoskeletons have been proposed as measures of rehabilitative outcomes. Exoskeletons, in contrast to end effector designs, have the potential to provide a direct mapping between human and robot joints. This mapping rests on the assumption that anatomical axes and robot axes are aligned well, and that movement within the exoskeleton is negligible...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
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