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https://www.readbyqxmd.com/read/29238734/platelet-rich-plasma-injection-with-percutaneous-needling-for-recalcitrant-lateral-epicondylitis-comparison-of-tenotomy-and-fenestration-techniques
#1
Michael P Gaspar, Michael A Motto, Sarah Lewis, Sidney M Jacoby, Randall W Culp, A Lee Osterman, Patrick M Kane
Background: Recalcitrant lateral epicondylitis (LE) is a common debilitating condition, with numerous treatment options of varying success. An injection of platelet-rich plasma (PRP) has been shown to improve LE, although it is unclear whether the method of needling used in conjunction with a PRP injection is of clinical importance. Purpose: To determine whether percutaneous needle tenotomy is superior to percutaneous needle fenestration when each is combined with a PRP injection for the treatment of recalcitrant LE...
December 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29224986/the-effectiveness-of-a-modified-metaizeau-technique-in-fixation-of-adult-radial-neck-fractures-a-prospective-study-with-a-modification-of-the-broberg-morrey-classification
#2
Nagmani Singh, Chakra Raj Pandey, Rakesh John, Rajesh Singh, Bhupal Tamang, Sandeep Bhandari
BACKGROUND: The incidence of adult radial neck fractures is lower compared with its pediatric counterpart. The literature on adult radial neck fracture management is limited; also, there is a lack of a detailed fracture classification system. In our study, we are evaluating the modified Metaizeau technique for the treatment of adult radial neck fractures. We also describe a modification to the existing fracture classification proposed by Broberg and Morrey to make it more inclusive of different fracture patterns...
December 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29224233/review-article-methodology-for-the-rapid-review-series-on-musculoskeletal-injuries-in-the-emergency-department
#3
REVIEW
Kirsten Strudwick, Megan McPhee, Anthony Bell, Melinda Martin-Khan, Trevor Russell
Musculoskeletal injuries are a common presentation to the ED, with significant costs involved in the management of these injuries, variances in care within the ED and associated morbidity. A series of rapid review papers were completed to guide best practice for the assessment and management of common musculoskeletal injuries presenting to the ED. This paper presents the methodology used across the rapid reviews. PubMed, CINAHL, EMBASE, TRIP and the grey literature, including relevant organisational websites, were searched in 2015...
December 10, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29219789/oberlin-transfer-compared-with-nerve-grafting-for-improving-early-supination-in-neonatal-brachial-plexus-palsy
#4
Kate W C Chang, Thomas J Wilson, Miriana Popadich, Susan H Brown, Kevin C Chung, Lynda J S Yang
OBJECTIVE The use of nerve transfers versus nerve grafting for neonatal brachial plexus palsy (NBPP) remains controversial. In adult brachial plexus injury, transfer of an ulnar fascicle to the biceps branch of the musculocutaneous nerve (Oberlin transfer) is reportedly superior to nerve grafting for restoration of elbow flexion. In pediatric patients with NBPP, recovery of elbow flexion and forearm supination is an indicator of resolved NBPP. Currently, limited evidence exists of outcomes for flexion and supination when comparing nerve transfer and nerve grafting for NBPP...
December 8, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29214702/skin-injuries-and-joint-contractures-of-the-upper-extremities-in-rett-syndrome
#5
D Hirano, T Taniguchi
OBJECTIVES: The purpose of this study was to investigate the incidence and type of skin injuries and joint contractures of the upper extremities in individuals with Rett syndrome. METHODS: In 2016, a questionnaire regarding skin injuries and joint contractures was sent to 1016 directors of schools for special needs education and 204 directors of departments of rehabilitation [consisting of 130 facilities for persons with severe motor and intellectual disabilities (SMID), 73 wards for patients with SMID, and the National Hospital Organisation and National Centre Hospital, National Centre of Neurology and Psychiatry] in Japan...
January 2018: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/29205217/analysis-of-upper-limb-muscle-strength-in-the-early-phase-of-brain-stroke
#6
Michał Starosta, Joanna Kostka, Justyna Redlicka, Elżbieta Miller
PURPOSE: The aim of this study was to determine the muscles with the lowest strength in non-affected (non-A) and affected upper limb (A), to assess differences between men and women and to correlate these values with age in patients after stroke. METHODS: Sixty patients (40 male, 20 female), hospitalized in Neurorehabilitation Ward, 1-2 weeks after stroke, were included in the study. Their age ranged from 50 to 80 years with a mean (sd) of 65.5 (18.7) years. Muscle force values from upper limb muscles were measured using the MicroFet 2 hand-held dynamometer...
2017: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29202633/arthroscopic-management-of-posterior-instability-of-the-shoulder-a-systematic-review-of-predictive-factors-associated-with-poorer-surgical-outcomes
#7
Sachin Ramesh Jain, Andrew Arjun Sayampanathan, Andrew Hwee Chye Tan
INTRODUCTION: We aimed to perform a systematic review to identify factors that may lead to poorer outcomes in arthroscopic surgery for posterior shoulder instability. METHODS: We searched MEDLINE, Embase and the Cochrane Database of Systematic Reviews for 757 unique articles. We eventually included 22 articles. Data were analysed using Review Manager 5.3. RESULTS: The presence of chondral damage was associated with poorer outcomes as reflected in a higher post-operative Quick Disabilities of theArm, Shoulder and Hand score (mean difference (MD) = 17...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29201303/bridging-graft-in-irreparable-massive-rotator-cuff-tears-autogenic-biceps-graft-versus-allogenic-dermal-patch-graft
#8
Sung Min Rhee, Joo Han Oh
Background: Few comparative studies have reported on the use of biologic grafts for irreparable massive rotator cuff tears. The purpose of this study was to assess the results of arthroscopic bridging graft in irreparable massive rotator cuff tears using an autogenic long head of biceps tendon (LHBT) or an allogenic dermal patch (ADP). Methods: We retrospectively reviewed 24 patients treated using the LHBT (group I) and eight patients with complete rupture of the LHBT treated using an ADP (group II) since 2011...
December 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29199471/outcomes-of-triceps-rupture-in-the-us-military-minimum-2-year-follow-up
#9
John C Dunn, Nicholas Kusnezov, Austin Fares, Kelly Kilcoyne, E'stephan Garcia, Justin D Orr, Brian R Waterman
BACKGROUND: The objective of this study was to examine the subjective and objective midterm functional clinical outcomes of surgically repaired triceps injuries in a moderate- to high-demand population. METHODS: The US Military Health System was queried to identify all surgically treated triceps tendon ruptures between 2008 and 2013. Primary endpoints included rates of rerupture, perioperative complications, or significant persistent elbow dysfunction; Disability of the Arm, Shoulder and Hand (DASH) score, Mayo Elbow score, and ability to do push-ups were also extracted...
December 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29195898/outcomes-of-displaced-olecranon-fractures-treated-with-the-olecranon-sled
#10
Andrew J Lovy, Isaiah Levy, Aakash Keswani, Todd Rubin, Michael R Hausman
BACKGROUND: Tension-band wiring is largely considered the gold standard for fixation of displaced olecranon fractures despite high rates of hardware complications. The purpose of this study was to report the outcomes of displaced olecranon fractures treated with the Olecranon Sled. METHODS: We retrospectively reviewed all displaced olecranon fractures from 2011-2015 treated with the Olecranon Sled. Inclusion was limited to functionally independent patients with Mayo type II fractures and minimum 12-month follow-up...
November 28, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29182994/motor-fatigability-in-persons-with-multiple-sclerosis-relation-between-different-upper-limb-muscles-and-with-fatigue-and-the-perceived-use-of-the-arm-in-daily-life
#11
Deborah Severijns, Fanny Van Geel, Peter Feys
BACKGROUND: Motor fatigability is increasingly acknowledged in persons with MS (pwMS). It is unknown whether fatigability is generalized across upper limb muscles and relates to fatigue and perceived difficulties in upper limb use. METHODS: This observational case-controlled study included twenty PwMS (median EDSS = 3, range 1.5-6.5) and twenty healthy controls who performed 30″ sustained maximal muscle contractions for index finger abduction, hand grip, elbow flexion and shoulder abduction...
November 22, 2017: Multiple Sclerosis and related Disorders
https://www.readbyqxmd.com/read/29179033/validation-of-the-arm-profile-score-in-assessing-upper-limb-functional-impairments-in-people-with-multiple-sclerosis
#12
Federica Corona, Elisa Gervasoni, Giancarlo Coghe, Eleonora Cocco, Maurizio Ferrarin, Massimiliano Pau, Davide Cattaneo
BACKGROUND: Although upper limb (UL) impairments are widespread in people with Multiple Sclerosis (pwMS), there is limited quantitative evidence concerning their specific features. The aim of this study is to validate a synthetic measure based on kinematic data to define the degree of deviation from a physiologic pattern during the "hand to mouth" (HTM) task. METHODS: Twenty pwMS (mean age 51.2 SD 11.1) years, Expanded Disability Status Scale (EDSS) score in the range 2-6...
November 22, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/29171976/right-versus-left-side-bridge-static-endurance-ability-among-healthy-collegiate-students-at-taibah-university
#13
Tarek M El-Gohary, Samiha M Abd Elkader, Hatem A Emara, Mahmoud I Ibrahim, Osama A Khaled, Mostafa S Ahmed
BACKGROUND: Spinal muscles endurance is fundamental for providing adequate trunk stability. OBJECTIVE: The purpose of this study was to compare the side bridge static endurance ability of the right versus left side. METHODS: Forty right hand dominant students, aged between 18 and 25 years, were recruited from Taibah University. Every participant had to lie down on his side and bear trunk weight on the arm with shoulder abducted to 90∘ and elbow flexed to 90∘...
November 17, 2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29166890/continuous-passive-motion-and-physical-therapy-cpm-versus-physical-therapy-pt-versus-delayed-physical-therapy-dpt-after-surgical-release-for-elbow-contractures-a-study-protocol-for-a-prospective-randomized-controlled-trial
#14
Jetske Viveen, Job N Doornberg, Izaak F Kodde, Pjotr Goossens, Koen L M Koenraadt, Bertram The, Denise Eygendaal
BACKGROUND: The elbow is prone to stiffness after trauma. To regain functional elbow motion several conservative- and surgical treatment options are available. Conservative treatment includes physical therapy, intra-articular injections with corticosteroids and a static progressive or dynamic splinting program. If conservative treatment fails, an operative release of the posttraumatic stiff elbow is often performed. The best Evidence-Based rehabilitation protocol for patients after an operative release is unknown to date and differs per surgeon, hospital and country...
November 22, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29162306/osteosynthesis-of-ao-ota-13-c3-distal-humeral-fractures-in-patients-older-than-70-years
#15
Steven F Shannon, Eric R Wagner, Matthew T Houdek, Daniel Mascarenhas, Raymond A Pensy, Walter A Eglseder
OBJECTIVE: The purpose of this retrospective case series was to examine the AO Foundation and Orthopaedic Trauma Association (AO/OTA) 13-C3 distal humeral fractures treated with open reduction-internal fixation (ORIF) in patients older than 70 years. METHODS: During an 8-year period, 21 patients older than 70 years with AO/OTA 13-C3 distal humeral fractures were treated with ORIF performed by 2 senior upper extremity traumatologists. There were 16 patients with >1 year of follow-up, with a mean age of 78 (70-84) years...
November 18, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29162296/early-outcomes-of-vein-grafting-for-reconstruction-of-brachial-arterial-injuries-in-children
#16
Kristin Alves, Hillard Spencer, Carol E Barnewolt, Peter M Waters, Donald S Bae
PURPOSE: We postulated that, with microsurgical technique, vascular reconstruction with interpositional vein grafts in the pediatric population is safe and results in sustained vascular patency and excellent midterm outcomes. METHODS: Twenty children with brachial artery injuries were treated with interpositional vein grafting at a tertiary pediatric hospital from 1995 to 2013. Medical records were evaluated for demographic, clinical, and radiographic data. Ten patients were available for longer-term follow-up...
November 18, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29156445/autologous-tenocyte-implantation-into-shoulder-tendon-pathology-in-an-elite-swimmer
#17
Laura M Schwab, Peter Blanch, Mark Young
INTRODUCTION: The use of novel bioengineer treatment techniques such as Autologous Tenocyte Implantation (ATI) have shown promising improvements in both pain ratings and functional outcomes in elbow, gluteal and shoulder tendon pathology. This case will review the injury timeline of ATI intervention in an elite male swimmer with subscapularis tendon pathology and investigate whether ATI has a concomitant healing effect associated with improved functional outcomes. METHODS: A palmaris longus tendon biopsy was performed and cells were expanded by in-vitro culture...
October 13, 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29128376/radial-head-replacement-with-a-bipolar-system-an-average-10-year-follow-up
#18
Robert A Sershon, Timothy J Luchetti, Mark S Cohen, Robert W Wysocki
BACKGROUND: We report the long-term results of a cohort of patients after radial head replacement with a bipolar design and a smooth cementless stem at a mean follow-up of 10.4 years. METHODS: Of 17 possible patients from a previous minimum 2-year follow-up study, 16 were available for review. Patients were assessed using clinical and radiographic examination and with standardized outcome measures. Range of motion, stability, and radiographic evaluation of implant loosening and joint degeneration were assessed...
November 8, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29103305/lower-trapezius-transfer-for-patients-with-brachial-plexus-injury
#19
Bruno E Crepaldi, José Queiroz L Neto, Marcelo R Rezende, Rames M Júnior, Daniele S Scarcella
BACKGROUND: Brachial plexus injury is a complex entity that often results in partial recovery. Most studies to date have focused on improving shoulder abduction. However, a recent technique has been outlined-one that transfers the lower trapezius to improve the external rotation of the shoulder. The primary objective of this study was to evaluate the gains in external rotation of the shoulder in patients who have undergone transfer of the lower trapezius; secondarily, we assessed the range of motion in the elbow and shoulder joints, as well as the muscle strength and quality of life...
November 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29103062/intrapersonal-and-interpersonal-evaluation-of-upper-extremity-kinematics
#20
Artūras Linkel, Inga Raudonytė, James Shippen, Barbara May, Kristina Daunoravičienė, Aleksander Sawicki, Julius Griškevičius
BACKGROUND: The quality of upper extremity (UE) function can be evaluated by measuring the kinematic parameters of patient movements. OBJECTIVE: This investigation focused on finding the angles and angular velocity amplitudes of UE motions in healthy participants to compare with the experimental results of patients with a UE disability who are trying to recover previous movement conditions. METHODS: The UE motions of 23 healthy adult volunteers were tested using a three-dimensional motion capture system and measuring hand segment motions...
October 23, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
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