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https://www.readbyqxmd.com/read/27910103/reliability-and-concurrent-validity-of-a-new-iphone-%C3%A2-goniometric-application-for-measuring-active-wrist-range-of-motion-a-cross-sectional-study-in-asymptomatic-subjects
#1
Mohammad Reza Pourahmadi, Ismail Ebrahimi Takamjani, Javad Sarrafzadeh, Mehrdad Bahramian, Mohammad Ali Mohseni-Bandpei, Fatemeh Rajabzadeh, Morteza Taghipour
Measurement of wrist range of motion (ROM) is often considered to be an essential component of wrist physical examination. The measurement can be carried out through various instruments such as goniometers and inclinometers. Recent smartphones have been equipped with accelerometers and magnetometers, which, through specific software applications (apps) can be used for goniometric functions. This study, for the first time, aimed to evaluate the reliability and concurrent validity of a new smartphone goniometric app (Goniometer Pro©) for measuring active wrist ROM...
December 2, 2016: Journal of Anatomy
https://www.readbyqxmd.com/read/27890220/-complications-of-volar-locking-plates-used-to-treat-distal-radius-fractures
#2
G Herzberg, A Marc, M Burnier
About 10 years after volar locking plates were introduced to treat acute distal radius fractures, several papers have reported short-term complications. The aim of this paper was to report our complication rate over a 2-year period and to compare it to the literature. We found similar complication rates despite different classification systems. Because of the prospective nature of our study, we were able to demonstrate that extra-articular and/or intra-articular scores exceeding 8 points on a 12-points scale were statistically associated with more complications, irrespective of the patient's overall health and age...
December 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27890219/-over-reduction-after-distal-radius-fracture-pinning-in-young-active-patients-prevention-by-multiple-mixed-pinning
#3
O Delattre, G Greffe, L Stratan, F Duroux, J Donatien
Over-reduction is a classical complication following pinning of distal radius fractures. Indeed, the pinning techniques derived from Kapandji's technique do not allow anterior stabilization. A literature review and our experience show that it is an underestimated complication that can affect up to one-third of cases, but that is well tolerated if the anterior tilt is less than 20°. Excessive angulation of the dorsal intrafocal K-wires becomes a significant risk factor beyond 60°. Volar comminution of the fracture is an obvious predisposing factor...
December 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27890218/-is-external-or-internal-distraction-useful-for-treating-distal-radial-fractures
#4
M Rongières
The use of external fixation or internal plating to bridge communitive fractures of the distal radius is discussed based on a review of prospective and meta-analysis studies. Distraction by an external fixator is not advised (ligamentotaxis) because of the high incidence of complex regional pain syndrome and the destabilization of bone and ligaments surrounding the intra-articular fracture site. The external fixator must be used as a neutralization device and supplemented with K-wire or volar plate fixation...
December 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27890217/-outcomes-of-minimally-invasive-plate-osteosynthesis-mipo-with-volar-locking-plates-in-distal-radius-fractures-a-review
#5
P Liverneaux, S Ichihara, S Facca, J J Hidalgo Diaz
Minimally invasive plate osteosynthesis (MIPO) has been used in recent years to treat fractures of the distal radius with volar locking plates. Its advantages are the preservation of the pronator quadratus and good esthetics. The MIPO technique was described originally with two incisions: one distal transverse or longitudinal incision and one proximal longitudinal incision. The trend is now to use a single longitudinal incision less than 20mm long. Functional and radiological outcomes are comparable to those of conventional techniques...
December 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27890200/-are-there-any-indications-for-surgery-of-distal-radius-malunion-in-elderly-patients
#6
M Rongières
Malunions of the distal radius are associated most of the time with disturbances of the distal radioulnar (DRU) joint. While a corrective osteotomy of the distal radius is a well-known procedure in younger patients, manual workers and active patients, is it justified in independent elderly patients above 70 years of age? These techniques improve function, reorient the articular surfaces, protect against complications such as degenerative osteoarthritis and stiffness of the wrist, and they improve DRU balance...
December 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27890198/-treatment-of-extra-articular-distal-radius-fractures-in-active-elderly-patients
#7
F Loisel, C Menez, E Boyer, S Huard, L Obert
Extra-articular distal radius fractures in active elderly patients are common and predominantly affect females. The high number of patients lost to follow-up compromises the evaluation of outcomes. Treatment aims to control the comminution and allow fast recovery of pre-injury activity levels. Fixation with volar locking plates is the gold standard. The role of bone substitutes in this type of injury is unclear.
December 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27885386/wrist-denervation-of-the-posterior-interosseous-nerve-through-a-volar-approach-a-new-technique-with-anatomical-considerations
#8
Stephan Grechenig, Surjit Lidder, Manuel Dreu, Claudia Dolcet, Lucy Marguerite Cooper, Georg Feigl
PURPOSE: Full or selective wrist denervation is an effective treatment for chronic wrist pain. In this cadaveric study, a volar approach for prophylactic denervation of the posterior interosseous nerve (PIN) and the anterior interosseous nerve (AIN) was assessed, which can simultaneously be performed during volar approaches for distal radius fracture fixation or in combination with metalwork removal. MATERIALS AND METHODS: In total 40 adult upper limbs, embalmed using Thiel's method, were investigated...
November 24, 2016: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/27875258/sweat-lipid-mediator-profiling-a-non-invasive-approach-for-cutaneous-research
#9
Karan Agrawal, Lauren A Hassoun, Negar Foolad, Theresa L Pedersen, Raja K Sivamani, John William Newman
Recent advances in analytical and sweat collection techniques provide new opportunities to identify non-invasive biomarkers for the study of skin inflammation and repair. This study aims to characterize the lipid mediator profile including oxygenated lipids, endocannabinoids and ceramides/sphingoid bases in sweat and identify differences in these profiles between sweat collected from non-lesional sites on the unflared volar forearm of subjects with and without atopic dermatitis (AD). Adapting routine procedures developed for plasma analysis, over 100 lipid mediators were profiled using liquid chromatography-tandem mass spectrometry and 58 lipid mediators were detected in sweat...
November 8, 2016: Journal of Lipid Research
https://www.readbyqxmd.com/read/27861209/comparison-of-percutaneous-reduction-and-pin-fixation-in-acute-and-chronic-pediatric-mallet-fractures
#10
Manoj Reddy, Christine A Ho
BACKGROUND: Although pediatric mallet fractures are more common than adult fractures, no techniques have focused on surgical fixation of pediatric mallet fractures. This study aims to describe the technique and results of percutaneous reduction and fixation in acute and chronic pediatric mallet fractures. METHODS: This is a retrospective review of 51 pediatric mallet fractures treated with percutaneous wire fixation from 2007 to 2014; 38 were acute fractures and 13 were chronic (>4 wk from injury)...
November 17, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27852665/sensory-nerve-supply-of-the-distal-radio-ulnar-joint-with-regard-to-wrist-denervation
#11
G M Hohenberger, M J Maier, C Dolcet, A H Weiglein, A Schwarz, V Matzi
The objective of this study was to determine the precise departure points of the articular branches innervating the distal radio-ulnar joint from the anterior and posterior interosseous nerves. The study sample consisted of 116 upper limbs from adult human cadavers. The articular branches were prepared under the dissection microscope to take measurements using the radial styloid process as point of reference. The articular branch departed from the anterior interosseous nerve at a mean distance of 2.9 cm proximal to the styloid for a radius length of 20...
November 15, 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27849675/brachioradialis-tendon-coverage-in-volar-distal-radius-plating
#12
Nicholas B Jew, John W Karl, Evan Trupia, Robert J Strauch, James H Calandruccio
Volar plate fixation of unstable distal radius fractures has become the preferred technique by most surgeons for the operative treatment of displaced distal radius fractures. Flexor tendon rupture is a rare but serious complication associated with this operation that is thought to be due to irritation of the flexor tendons over the prominent distal edge of the plate. We describe a novel technique of using the brachioradialis tendon to cover the distal edge of the plate to help prevent tendon irritation and rupture...
December 2016: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/27847680/distal-radius-fracture-outcomes-and-rehabilitation
#13
Tochukwu C Ikpeze, Heather C Smith, Daniel J Lee, John C Elfar
Distal radius fractures account for nearly 1 of every 5 fractures in individuals aged 65 or older. Moreover, increased susceptibility to vertebral and hip fractures has been documented in patients a year after suffering a distal radius fracture. Although women are more susceptible to hip fractures, men experience a higher mortality rate in the 7 years following a distal radius fracture. Traditional approaches to distal radius fractures have included both surgical and nonsurgical treatments, with predominant complaints involving weakness, stiffness, and pain...
December 2016: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/27847146/skin-autofluorescence-a-marker-for-advanced-glycation-end-products-and-erectile-dysfunction-in-diabetes
#14
Youssef Kouidrat, Ahmad Zaitouni, Ali Amad, Momar Diouf, Rachel Desailloud, Gwenole Loas, Jean-Daniel Lalau
AIM: Although diabetes-related erectile dysfunction (ED) has many etiological factors, little is known about the putative pathophysiological role of advanced glycation end products (AGEs). Skin autofluorescence is a noninvasive marker of AGEs. Recent studies have evidenced a relationship between skin autofluorescence and several complications of diabetes. We hypothesized that AGEs (assessed by skin autofluorescence) are associated with ED in diabetes patients. METHODS: Between March 2014 and April 2015, 42 patients with type 1 diabetes (T1D) and 44 patients with type 2 diabetes (T2D) were consecutively enrolled in a descriptive, cross-sectional study and compared to 54 healthy controls...
October 29, 2016: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/27836497/flexor-tendon-complications-in-comminuted-distal-radius-fractures-treated-with-anatomic-volar-rim-locking-plates
#15
Adnan Kara, Haluk Celik, Yunus Oc, Metin Uzun, Mehmet Erdil, Cihangir Tetik
OBJECTIVE: Anatomic volar rim locking plates are designed with the aim of treating intraarticular distal radius fractures. When used to treat comminuted distal radius fractures, these plates can damage the flexor tendons. In this study, we sought to determine the radiological and functional results and rate of complications of these plates. METHODS: We retrospectively reviewed the records of 36 patients (28 males, 8 females; mean age: 46.4 years) with AO/OTA Type C2-C3 distal radius fractures treated with anatomic volar rim distal radius plates between January 2011 and December 2014...
November 8, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27836019/glove-and-mitten-protection-in-extreme-cold-weather-an-antarctic-study
#16
Kenneth V Iserson
BACKGROUND: Myths, misconceptions and a general lack of information surround the use of gloves and mittens in extreme cold environments. OBJECTIVE: This study assessed how well an assortment of gloves and mittens performed in a very cold environment. METHODS: A convenience sample of gloves and mittens were tested in Antarctica during the winter of 2016 using a calibrated thermometer (range: -148°F to +158°F/-100°C to +70°C) three times over a 0...
2016: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/27833279/free-toe-pulp-flap-for-finger-pulp-and-volar-defect-reconstruction
#17
Jyoshid R Balan
BACKGROUND: Fingertip injury requiring flap cover is very common in the modern era. The ideal cover should fulfill both functional and aesthetic improvement. MATERIALS AND METHODS: From June 2015 to April 2016, we performed seven free toe pulp flaps for finger defect reconstruction. All patients were males. Five flaps were done in emergency post-traumatic cases, and two were done in elective set up. The cases included reconstruction of three thumbs, one index and one ring finger in an emergency set up and two ring fingers in the elective...
May 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/27832017/elastic-stable-intramedullary-nailing-in-paediatric-forearm-fractures-the-rate-of-open-reduction-and-complications
#18
Daoud Makki, Hosam E Matar, Mark Webb, David M Wright, Leroy A James, David M Ricketts
The aim of this study was to evaluate the rate of open reduction and complications of elastic stable intramedullary nailing (ESIN) in treating unstable diaphyseal forearm fractures in children. We performed a retrospective review of a consecutive series of 102 paediatric patients with a mean age of 9 years (range: 7-14 years) who underwent ESIN of unstable closed forearm fractures at three different centres. Closed reduction of one or both bones was achieved in 68 (67%) patients and open reduction was required in 34 (33%) patients...
November 9, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27829508/the-role-of-seeing-blood-in-non-suicidal-self-injury-in-female-patients-with-borderline-personality-disorder
#19
Janina Naoum, Sarah Reitz, Annegret Krause-Utz, Nikolaus Kleindienst, Franziska Willis, Sarah Kuniss, Ulf Baumgärtner, Falk Mancke, Rolf-Detlef Treede, Christian Schmahl
Patients with Borderline Personality Disorder (BPD) often engage in non-suicidal self-injury (NSSI), to reduce arousal levels under stress. However, the importance of seeing blood for the effect of NSSI is yet unknown. The present pilot study examined 20 female BPD patients and 20 healthy controls (HC) to assess the role of seeing blood on arousal, pain, urge for NSSI (ratings) and heart rate (continuously measured). Participants completed two sessions consisting of stress induction (forced mental arithmetics with white noise), followed by a seven second non-invasive pain stimulus with a blade to the volar forearm...
November 2, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27826652/treatment-of-physeal-fractures-of-the-distal-radius-by-volar-intrafocal-kapandji-method-surgical-technique
#20
Guy Rubin, Hagay Orbach, Avi Chezar, Nimrod Rozen
BACKGROUND: Distal radial physeal fractures with volar displacement are rare. Several methods of operative treatment include volar plate without inserting distal screws, percutaneous technique using two anterior skin incisions and reversed Kapandji technique with pins introduced through a posterior approach and locked at the anterior cortex of the fracture. METHODS: We report three cases along with a literature review of the surgical techniques described in the past and a novel surgical technique for this uncommon fracture termed "Volar Kapandji"...
November 8, 2016: Archives of Orthopaedic and Trauma Surgery
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