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https://www.readbyqxmd.com/read/28412059/a-systematic-review-of-tennis-elbow-surgery-open-versus-arthroscopic-versus-percutaneous-release-of-the-common-extensor-origin
#1
REVIEW
Todd P Pierce, Kimona Issa, Benjamin T Gilbert, Brian Hanly, Anthony Festa, Vincent K McInerney, Anthony J Scillia
PURPOSE: To compare complications, function, pain, and patient satisfaction after conventional open, percutaneous, or arthroscopic release of the extensor origin for the treatment of lateral epicondylitis. METHODS: A thorough review of 4 databases-PubMed, EBSCOhost, CINAHL (Cumulative Index to Nursing and Allied Health Literature) Plus, and Scopus-was performed to identify all studies that addressed surgical management of lateral epicondylitis. We included (1) studies published between 2000 and 2015 and (2) studies with clearly defined surgical techniques...
April 12, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28410936/radiographic-and-clinical-analysis-of-lateral-epicondylitis
#2
Matthew Shillito, Maximillian Soong, Nicholas Martin
PURPOSE: The literature suggests that radiographs may be unnecessary in the initial evaluation of lateral epicondylitis because treatment is rarely altered as a result of the radiographic findings. The most commonly reported radiographic finding is calcification at the lateral epicondyle. Our goal was to perform a quantitative and qualitative analysis of this finding to determine its importance and possible relationship with various clinical factors and patient-reported measures. METHODS: All patients diagnosed with lateral epicondylitis by a single surgeon during a 5-year period were retrospectively reviewed...
April 12, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28397457/a-retrospective-evaluation-of-anatomical-reinsertion-of-the-distal-biceps-brachii-tendon-using-an-acl-tightrope%C3%A2-rt-with-a-titanium-cortical-button-and-ultra-high-molecular-weight-polyethylene-suture-a-preliminary-report
#3
Jarosław Witkowski, Maciej Kentel, Aleksandra Królikowska, Paweł Reichert
BACKGROUND: Various surgical techniques for treating distal biceps brachii tendon injury have been described, and to date there is no consensus regarding the preferred fixation method for the anatomic reinsertion of the ruptured tendon. OBJECTIVES: The aim of the study was to clinically and functionally evaluate the upper limb after surgical anatomic reinsertion of the distal biceps brachii tendon using an ACL TightRope® RT with a titanium cortical button and ultra high molecular weight polyethylene (UHMWPE) suture, and to assess postoperative complications...
July 2016: Polimery W Medycynie
https://www.readbyqxmd.com/read/28391518/discovery-elbow-system-clinical-and-radiological-results-after-2-to-10-year-follow-up
#4
Patrik Hänninen, Tuukka Niinimäki, Tapio Flinkkilä, Jaakko Niinimäki, Pasi Ohtonen, Susanna Yli-Luukko, Juhana Leppilahti
BACKGROUND: Discovery Elbow System (DES) is a semi-constrained prosthesis, mainly used for patients with rheumatoid arthritis (RA). METHODS: Records from 79 patients with RA (90 DES arthroplasties) were reviewed; 47 patients with 55 DES elbows were re-examined. Range of motion (ROM) of both elbows, upper limb function, and quality of life (Disabilities of the Arm, Shoulder, and Hand [DASH] score, Mayo Elbow Performance Score [MEPS], and the RAND 36-Item Health Survey [RAND-36]) were assessed...
April 8, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28384945/excision-versus-fixation-of-the-radial-head-a-comparative-study-of-the-functional-outcomes-of-the-two-techniques
#5
Sanath Kumar Shetty, Ashwin Shetty, Bijith Balan, Arjun Ballal, H Ravindranath Rai, Anoop Hegde
INTRODUCTION: The management of displaced and comminuted radial head fractures has been a matter of debate amongst surgeons for many years. Radial head excision formed the mainstay of surgical management of these injuries. Over the years, there have been improvements in the surgical techniques and availability of better implants and instrumentation techniques, hence, open reduction and internal fixation of these fractures is gaining popularity. AIM: To compare the outcome of elbow function between radial head excision and open reduction and internal fixation of the radial head with mini screws of Mason Type II and Type III radial head fractures and to assess the complications that occur in both techniques...
February 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28378990/pain-involving-the-motor-system-and-serum-vitamin-d-concentration-in-postmenopausal-women-working-in-agriculture
#6
Dorota Raczkiewicz, Alfred Owoc, Beata Sarecka-Hujar, Iwona Bojar
INTRODUCTION AND OBJECTIVE: Since the role of vitamin D is essential in numerous biological processes its deficiency was suggested to be a risk factor for e.g. osteoporosis, musculoskeletal pain and spine pain. The purpose of the study was to analyse whether serum vitamin D concentration is related to pain involving the motor system in Polish postmenopausal women working in agriculture. MATERIAL AND METHODS: The study group consisted of 1,751 post-menopausal women, aged 45-65, at least 12 months from the last menstrual period, living in rural areas and working in agriculture...
March 22, 2017: Annals of Agricultural and Environmental Medicine: AAEM
https://www.readbyqxmd.com/read/28365401/reverse-shoulder-arthroplasty-in-patients-with-amputation-or-paralysis-of-the-contralateral-upper-extremity-one-arm-patients
#7
Eduard Alentorn-Geli, Nathan R Wanderman, Andrew T Assenmacher, Bassem T Elhassan, Joaquín Sánchez-Sotelo, Robert H Cofield, John W Sperling
BACKGROUND: Theoretically, patients with only one functional arm secondary to contralateral amputation or paralysis will subject their only functional upper extremity to increased loads. This could become an issue after reverse shoulder arthroplasty (RSA). However, there are no reported data on the implant survival or function for patients with a nonfunctional contralateral upper extremity. OBJECTIVE: To report the outcomes of RSA in patients with contralateral upper extremity amputation or paralysis...
March 29, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28363483/restoration-of-reaching-and-grasping-movements-through-brain-controlled-muscle-stimulation-in-a-person-with-tetraplegia-a-proof-of-concept-demonstration
#8
A Bolu Ajiboye, Francis R Willett, Daniel R Young, William D Memberg, Brian A Murphy, Jonathan P Miller, Benjamin L Walter, Jennifer A Sweet, Harry A Hoyen, Michael W Keith, P Hunter Peckham, John D Simeral, John P Donoghue, Leigh R Hochberg, Robert F Kirsch
BACKGROUND: People with chronic tetraplegia, due to high-cervical spinal cord injury, can regain limb movements through coordinated electrical stimulation of peripheral muscles and nerves, known as functional electrical stimulation (FES). Users typically command FES systems through other preserved, but unrelated and limited in number, volitional movements (eg, facial muscle activity, head movements, shoulder shrugs). We report the findings of an individual with traumatic high-cervical spinal cord injury who coordinated reaching and grasping movements using his own paralysed arm and hand, reanimated through implanted FES, and commanded using his own cortical signals through an intracortical brain-computer interface (iBCI)...
March 28, 2017: Lancet
https://www.readbyqxmd.com/read/28361653/hand-function-in-muscular-dystrophies
#9
Mariana C Artilheiro, Cristina Dos Santos Cardoso de Sá, Francis M Fávero, Hanna C Wutzki, Maria Bernadete Dutra de Resende, Fátima A Caromano, Mariana C Voos
The aim of this study was to investigate the relationship between Performance of Upper Limb (PUL) and Jebsen-Taylor Test (JTT) to assess and monitor upper limb function progression in patients with muscular dystrophy. Thirty patients diagnosed with Duchenne muscular dystrophy, limb-girdle muscular dystrophy, Becker muscular dystrophy, myotonic dystrophy Type 1, and fascioscapulohumeral dystrophy were submitted to the shoulder, elbow, and wrist domains of PUL, and to JTT subtests. Spearman tests investigated the relationships between PUL and JTT total scores and domains...
April 2017: Perceptual and Motor Skills
https://www.readbyqxmd.com/read/28356482/representation-of-individual-forelimb-muscles-in-primary-motor-cortex
#10
Heather M Hudson, Michael C Park, Abderraouf Belhaj-Saif, Paul D Cheney
Stimulus-triggered averaging (StTA) of forelimb muscle electromyographic (EMG) activity was used to investigate individual forelimb muscle representation within the primary motor cortex (M1) of rhesus macaques with the objective of determining the extent of intra-areal somatopic organization. Two monkeys were trained to perform a reach-to-grasp task requiring multi-joint coordination of the forelimb. EMG activity was simultaneously recorded from 24 forelimb muscles including 5 shoulder, 7 elbow, 5 wrist, 5 digit, and 2 intrinsic hand muscles...
March 29, 2017: Journal of Neurophysiology
https://www.readbyqxmd.com/read/28349041/influence-of-expectations-plus-mobilization-with-movement-in-patient-with-lateral-epicondylalgia-a-pilot-randomized-controlled-trial
#11
Francisco Vicente Martínez-Cervera, Theodor Emanuel Olteanu, Alfonso Gil-Martínez, Belén Díaz-Pulido, Raúl Ferrer-Peña
The aim of this study was to determine the influence of expectations plus mobilization with movement (MWM) in kinesiophobia, perceived disability and sensorimotor variables in patients with lateral epicondylalgia. A pilot randomized controlled trial in 24 patients with lateral epicondylalgia was conducted. Perceived pain, pain-free grip strength, pressure pain detection threshold, kinesiophobia measured with the short version of Tampa Scale of Kinesiophobia, perceived disability of the upper limb measured with disability of the arm, hand and shoulder questionnaire, and perceived disability specifically for the elbow joint measured with patient-rating tennis elbow evaluation, and also satisfaction were assessed...
February 2017: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/28341102/bicolumnar-90-90-plating-of-ao-13c-type-fractures
#12
Cemal Kural, Ersin Ercin, Mehmet Erkilinc, Evren Karaali, Mustafa Gokhan Bilgili, Suleyman Altun
OBJECTIVE: The aim of this study was to evaluate functional results and complication rate of patients who underwent medial-dorsolateral plating for intra-articular distal humeral fracture (Müller AO type 13C). METHODS: Twenty-four patients (14 men, 10 women; mean age: 47 years) with AO type 13C distal humerus fracture were included in the study. Mean follow-up time was 28 months. Nine patients were in 13C1 subgroup, according to AO classification system, 11 patients were categorized as 13C2, and 4 patients were 13C3...
March 21, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28337591/arthroscopic-r-lcl-plication-for-symptomatic-minor-instability-of-the-lateral-elbow-smile
#13
Paolo Arrigoni, Davide Cucchi, Riccardo D'Ambrosi, Alessandra Menon, Alberto Aliprandi, Pietro Randelli
PURPOSE: Minor instability has been proposed as a possible aetiology of lateral elbow pain. This study presents the results of the arthroscopic plication of the radial component of the lateral collateral ligament (R-LCL) to reduce minor instability of the lateral elbow. METHODS: Twenty-seven patients with recalcitrant lateral epicondylitis who had failed conservative therapy and who had no previous trauma or overt instability, were included. R-LCL plication was performed in the presence of at least one sign of lateral ligamentous patholaxity and one intra-articular abnormal finding...
March 23, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28326443/radiological-clinical-and-functional-evaluation-using-the-quick-disabilities-of-the-arm-shoulder-and-hand-questionnaire-of-children-with-medial-epicondyle-fractures-treated-surgically
#14
Federico Canavese, Lorenza Marengo, Alexandru Tiris, Mounira Mansour, Marie Rousset, Antoine Samba, Antonio Andreacchio, Alain Dimeglio
PURPOSE: The main goal of this study was to retrospectively evaluate the clinical, functional and radiographic outcomes of displaced medial epicondyle fractures with or without associated elbow dislocation in children undergoing surgical treatment and to evaluate upper-extremity function with the Quick Disbilities of the Arm, Shoulder and Hand (Quick DASH) questionnaire. The hypothesis was that patients with associated elbow dislocation would have similar functional outcome to patients with displaced fractures with or without intra-articular entrapment of the medial epicondyle...
March 22, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28325692/arthroscopic-repair-of-isolated-partial-and-full-thickness-upper-third-subscapularis-tendon-tears-minimum-2-year-outcomes-after-single-anchor-repair-and-biceps-tenodesis
#15
J Christoph Katthagen, Alexander R Vap, Dimitri S Tahal, Marilee P Horan, Peter J Millett
PURPOSE: To investigate outcomes of arthroscopic single-anchor repair and biceps tenodesis of partial- and full-thickness tears of the upper third subscapularis (SSC). METHODS: Thirty-three patients with arthroscopically confirmed isolated SSC tears, Lafosse type I (>50% of the tendon thickness involved), or type II were included. All patients underwent arthroscopic subcoracoid decompression, coracoplasty if the coracohumeral distance was narrowed, biceps tenodesis, and a single-anchor repair of the upper third SSC...
March 18, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28272092/chest-pain-from-hypermobility-responding-to-physical-therapy-in-an-adolescent
#16
Megan N Nash, Chloe A Liu, Brienna Maestas, Kristine U Layugan, Catherine C Culver, Jennifer King, David Kurahara
Hypermobility syndrome usually causes pain in limbs from extension type injuries. The authors report on a 16-yr-old female adolescent with incapacitating chest pain secondary to extreme hypermobility of the chest. This pain led the patient to see multiple specialists without improvement or diagnosis. Physical examination results revealed a very hypermobile patient who was able to internally rotate her shoulders inward until her elbows touched. This unusual hyperextension maneuver was achieved by holding the shoulders in anteversion with her hands on her hips (see figures in the article)...
March 6, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28270752/neuronal-correlates-of-functional-coupling-between-reach-and-grasp-related-components-of-muscle-activity
#17
Shashwati Geed, Martha L McCurdy, Peter L E van Kan
Coordinated reach-to-grasp movements require precise spatiotemporal synchrony between proximal forelimb muscles (shoulder, elbow) that transport the hand toward a target during reach, and distal muscles (wrist, digit) that simultaneously preshape and orient the hand for grasp. The precise mechanisms through which the redundant neuromuscular circuitry coordinates reach with grasp, however, remain unclear. Recently, Geed and Van Kan (2016) demonstrated, using exploratory factor analysis (EFA), that limited numbers of global, template-like transport/preshape- and grasp-related muscle components underlie the complexity and variability of intramuscular electromyograms (EMGs) of up to 21 distal and proximal muscles recorded while monkeys performed reach-to-grasp tasks...
2017: Frontiers in Neural Circuits
https://www.readbyqxmd.com/read/28269367/spring-operated-wearable-enhancer-for-arm-rehabilitation-springwear-after-stroke
#18
Ji Chen, Peter S Lum
A 5-DOF spring actuated exoskeleton, called SpringWear, was developed to increase range of motion in the affected arms of stroke patients. Theoretically perfect gravity compensation is provided at the shoulder elevation DOF. Additional torque is provided to assist weakness in forearm supination and elbow extension. Three stroke patients were tested. All of the assisted joints increased in range of motion, and larger gains should be possible with refinements in the available torque profiles. Additionally, finger range of motion was increased in one subject when asked to open the hand while holding the shoulder at 90 degrees of elevation...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28265688/from-reaching-to-reach-to-grasp-the-arm-posture-difference-and-its-implications-on-human-motion-control-strategy
#19
Zhi Li, Dejan Milutinović, Jacob Rosen
Reach-to-grasp arm postures differ from those in pure reaching because they are affected by grasp position/orientation, rather than simple transport to a position during a reaching motion. This paper investigates this difference via an analysis of experimental  data collected on reaching and reach-to-grasp motions. A seven-degree-of-freedom (DOFs) kinematic arm model with the swivel angle is used for the motion analysis. Compared to a widely used anatomical arm model, this model distinguishes clearly the four grasping-relevant DOFs (GR-DOFs) that are affected by positions and orientations of the objects to be grasped...
March 6, 2017: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/28249790/free-functioning-gracilis-muscle-transfer-with-and-without-simultaneous-intercostal-nerve-transfer-to-musculocutaneous-nerve-for-restoration-of-elbow-flexion-after-traumatic-adult-brachial-pan-plexus-injury
#20
Andrés A Maldonado, Michelle F Kircher, Robert J Spinner, Allen T Bishop, Alexander Y Shin
PURPOSE: After complete 5-level root avulsion brachial plexus injury, the free-functioning muscle transfer (FFMT) and the intercostal nerve (ICN) to musculocutaneous nerve (MCN) transfer are 2 potential reconstructive options for restoration of elbow flexion. The aim of this study was to determine if the combination of the gracilis FFMT and the ICN to MCN transfer provides stronger elbow flexion compared with the gracilis FFMT alone. METHODS: Sixty-five patients who underwent the gracilis FFMT only (32 patients) or the gracilis FFMT in addition to the ICN to MCN transfer (33 patients) for elbow flexion after a pan-plexus injury were included...
February 27, 2017: Journal of Hand Surgery
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