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https://www.readbyqxmd.com/read/29446814/nerve-surgery-in-obstetric-brachial-plexus-palsy-report-of-68-cases
#1
Maher Barsaoui, Hatem Safi, Walid Said, Med Nabil Nessib
BACKGROUND: Obstetric brachial plexus palsy aredue to elongation of the brachial plexus during delivery by increasing thedistance between the head and shoulder. The majority of paralysis recoverspontaneously, but in some cases, nerve repair is necessary. The timing of thisnerve surgery and criteria for its indication are topics of discussion in theworld literature.The aim of this study is to askdirections and to evaluate the contribution of nerve surgery in improving theprognosis of this disease...
March 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29444754/clinical-rating-systems-in-elbow-research-a-systematic-review-exploring-trends-and-distributions-of-use
#2
REVIEW
Jonathan P Evans, Chris D Smith, Nicola F Fine, Ian Porter, Jaheeda Gangannagaripalli, Victoria A Goodwin, Jose M Valderas
BACKGROUND: Clinical rating systems are used as outcome measures in clinical trials and attempt to gauge the patient's view of his or her own health. The choice of clinical rating system should be supported by its performance against established quality standards. METHODS: A search strategy was developed to identify all studies that reported the use of clinical rating systems in the elbow literature. The strategy was run from inception in Medline Embase and CINHAL...
February 12, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29442159/open-reduction-and-fixation-with-a-locking-plate-without-bone-grafting-is-a-reasonable-and-safe-option-for-treating-proximal-humerus-nonunion
#3
Stefan Quadlbauer, Georg J Hofmann, Martin Leixnering, Rudolf Rosenauer, Thomas Hausner, Jürgen Reichetseder
AIM OF THE STUDY: The aim of this study was to evaluate union rate and clinical outcome in patients with proximal humeral nonunions treated by open reduction and locking plate fixation without bone grafting. METHODS: From 2011 to 2016, nine patients were treated using open reduction and locking plate stabilization without bone grafting. They were examined both clinically and radiologically, with a mean follow-up period of 31 months. Outcome was evaluated using pain and range of motion (ROM) parameters...
February 13, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29437064/the-challenge-of-monteggia-like-lesions-of-the-elbow-mid-term-results-of-46-cases
#4
P Jungbluth, S Tanner, J Schneppendahl, J-P Grassmann, M Wild, M Hakimi, J Windolf, R Laun
AIMS: The aim of this retrospective multicentre study was to evaluate mid-term results of the operative treatment of Monteggia-like lesions and to determine the prognostic factors that influence the clinical and radiological outcome. PATIENTS AND METHODS: A total of 46 patients (27 women and 19 men), with a mean age of 57.7 years (18 to 84) who had sustained a Monteggia-like lesion were followed up clinically and radiologically after surgical treatment. The Mayo Modified Wrist Score (MMWS), Mayo Elbow Performance Score (MEPS), Broberg and Morrey Score, and Disabilities of the Arm, Shoulder and Hand (DASH) score were used for evaluation at a mean of 65 months (27 to 111) postoperatively...
February 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29436758/perception-of-dental-students-on-risk-factors-of-musculoskeletal-disorders
#5
A C Botta, C D Presoto, D Wajngarten, J A D B Campos, P P N S Garcia
OBJECTIVE: To evaluate the validity and reliability of the Job Factors Questionnaire, and the influence of gender, academic level and pain/discomfort on dental students' perception regarding risk factors of musculoskeletal disorders. METHODS: One hundred forty-five dental students from Stony Brook School of Dental Medicine participated voluntarily in this study. The survey was organised in two sections: (i) Job Factors Questionnaire with 15 items that evaluated students' perceptions about job/study environmental risk factors and their potential contribution to musculoskeletal disorders...
February 13, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29414757/effect-of-physical-exercise-on-musculoskeletal-pain-in-multiple-body-regions-among-healthcare-workers-secondary-analysis-of-a-cluster-randomized-controlled-trial
#6
Markus D Jakobsen, Emil Sundstrup, Mikkel Brandt, Lars L Andersen
BACKGROUND: While physical exercise is beneficial for back and neck-shoulder pain, only few intervention studies have evaluated effects on pain in multiple body regions. Furthermore, direct measurement of pain threshold can provide additional information to self-reported pain intensity. OBJECTIVES: To evaluate the effect of workplace versus home-based physical exercise on pressure pain threshold (PPT) and musculoskeletal pain intensity in multiple body regions. STUDY DESIGN: Secondary analysis of an examiner-blinded, cluster randomized controlled trial with allocation concealment...
January 12, 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29394909/long-term-results-after-non-operative-and-operative-treatment-of-radial-neck-fractures-in-adults
#7
Holger Keil, Marc Schnetzke, Arpine Kocharyan, Sven Yves Vetter, Nils Beisemann, Benedict Swartman, Paul-Alfred Grützner, Jochen Franke
BACKGROUND: The aim of this study is to determine the functional long-term outcome after non-operative and operative treatment of radial neck fractures in adults. METHODS: Thirty-four consecutive patients with a mean age of 46.4 (18.0 to 63.0) years with a fracture of the radial neck who were treated between 2000 and 2014 were examined regarding the clinical and radiological outcome. Twenty patients were treated non-operatively, and 14 patients underwent surgery...
February 2, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29375261/terrible-triad-of-the-elbow-functional-results-of-surgical-treatment
#8
Roberto Yukio Ikemoto, Joel Murachovsky, Rogério Serpone Bueno, Luis Gustavo Prata Nascimento, Adriano Bordini Carmargo, Vitor Elias Corrêa
Objective: To evaluate the functional and radiographic results of patients who underwent surgical treatment for terrible triad-type elbow injuries (TTE). Methods: We retrospectively evaluated 20 patients, including one case with bilateral injuries (total of 21 elbows) that were surgically treated from January 2004 to July 2014. We evaluated the functional results of treatment by measuring the restored range of motion (ROM) of the elbow, using the DASH (Disabilities of the Arm, Shoulder and Hand) and MEPS (Mayo Elbow Performance Score) scores...
November 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/29366739/a-comparison-of-radiofrequency-based-microtenotomy-and-arthroscopic-release-of-the-extensor-carpi-radialis-brevis-tendon-in-recalcitrant-lateral-epicondylitis-a-prospective-randomized-controlled-study
#9
Jae-Hoo Lee, In Park, Hwan-Sub Hyun, Sang-Jin Shin
PURPOSE: To compare the clinical effects of radiofrequency (RF)-based microtenotomy and arthroscopic release of the extensor carpi radialis brevis (ECRB) tendon in patients with recalcitrant lateral epicondylitis through a prospective randomized controlled study. METHODS: A total of 46 patients were randomly assigned to receive arthroscopic release (group A, 24 patients) or RF-based microtenotomy (group B, 22 patients). The visual analog scale (VAS) score for pain, flexion-extension arc, operation time, Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH), Mayo Elbow Performance Score (MEPS), and grip power of groups A and B were compared during the recovery phases for up to 2 postoperative years...
January 20, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29360674/reconstruction-of-a-circumferential-upper-extremity-soft-tissue-defect-with-a-dermal-regeneration-template-and-skin-grafting
#10
Ji H Son, Blaine Bafus, Anjay Khandelwal, Kyle J Chepla
Extensive degloving injuries of the upper extremity are rare and pose unique reconstructive challenges. Circumferential loss of soft tissue coverage over the elbow treated by skin grafting is often complicated by elbow contracture and decreased range of motion, requiring secondary contracture release and free-flap reconstruction to restore function. As an alternative approach, we report a good outcome after the use of a dermal regenerative template and subsequent split-thickness skin grafting. A 38-year-old right hand dominant man presented with circumferential degloving injury of the entire right upper extremity to the level of the chest wall after an industrial accident...
January 23, 2018: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/29329123/golf-injuries-epidemiology-pathophysiology-and-treatment
#11
Ioannis C Zouzias, Jeff Hendra, Jason Stodelle, Orr Limpisvasti
Increasing numbers of people are playing golf. Golf is a unique sport in that the ability to participate at a high level is not limited by age. In addition, participants tend to play more rather than less as they grow older. Injuries can occur at any point during the golf swing, from takeaway through follow-through. Upper extremity injuries can affect the hands, elbow, and shoulder and are usually a result of the golf swing at impact. Injuries are also common in the lower back as well as the lower extremities...
January 11, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29325704/psychometrics-of-the-patient-reported-outcomes-measurement-information-system-physical-function-instrument-administered-by-computerized-adaptive-testing-and-the-disabilities-of-arm-shoulder-and-hand-in-the-orthopedic-elbow-patient-population
#12
Man Hung, Maren W Voss, Jerry Bounsanga, Yushan Gu, Erin K Granger, Robert Z Tashjian
BACKGROUND: This study evaluated the psychometric properties of the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) instrument administered through computerized adaptive testing (CAT) compared with the traditional full-length Disabilities of the Arm, Shoulder and Hand (DASH). METHODS: The PROMIS PF CAT and the DASH were administered to 1759 patients seeking care for elbow conditions. This study used Rasch partial credit modeling to analyze the instruments with item fit, internal reliability, response category thresholds, dimensionality, local independence, gender differential item functioning, and floor and ceiling effects...
January 9, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29323925/the-responsiveness-of-patient-reported-outcome-tools-in-shoulder-surgery-is-dependent-on-the-underlying-pathological-condition
#13
R Zackary Unger, Jeremy M Burnham, Lee Gammon, Chaitu S Malempati, Cale A Jacobs, Eric C Makhni
BACKGROUND: Given the high number of available patient-reported outcome (PRO) tools for patients undergoing shoulder surgery, comparative information is necessary to determine the most relevant forms to incorporate into clinical practice. PURPOSE: To determine the utilization and responsiveness of common PRO tools in studies involving patients undergoing arthroscopic rotator cuff repair or operative management of glenohumeral instability. STUDY DESIGN: Systematic review...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29320964/autologous-us-guided-prp-injection-versus-us-guided-focal-extracorporeal-shock-wave-therapy-for-chronic-lateral-epicondylitis-a-minimum-of-2-year-follow-up-retrospective-comparative-study
#14
Mattia Alessio-Mazzola, Ilaria Repetto, Besmir Biti, Roberto Trentini, Matteo Formica, Lamberto Felli
PURPOSE: To compare the efficacy of two independent groups of patients treated with ultrasound (US)-guided extracorporeal shock wave (ESW) therapy and with US-guided injection of platelet-rich plasma (PRP) for chronic lateral epicondylitis (LE) with a minimum of 2-year follow-up. METHODS: We retrospectively evaluated 63 patients treated for chronic LE (31 patients with autologous US-guided PRP injection and 32 patients with US-guided focal ESW therapy) from 2009 to 2014...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29318178/outcomes-after-dermal-allograft-reconstruction-of-chronic-or-subacute-pectoralis-major-tendon-ruptures
#15
Julie A Neumann, Christopher M Klein, Carola F van Eck, Hithem Rahmi, John M Itamura
Background: Avoiding delay in the surgical management of pectoralis major (PM) ruptures optimizes outcomes. However, this is not always possible, and when a tear becomes chronic or when a subacute tear has poor tissue quality, a graft can facilitate reconstruction. Purpose: The primary aim was to evaluate the clinical outcomes of PM reconstruction with dermal allograft augmentation for chronic tears or for subacute tears with poor tissue quality. A second aim was to determine patient and surgical factors affecting outcome...
January 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29306664/coonrad-morrey-total-elbow-arthroplasty-for-patients-with-rheumatoid-arthritis-54-prostheses-reviewed-at-7-years-average-follow-up-maximum-16-years
#16
Thuy Trang Pham, Stéphanie Delclaux, Sandrine Huguet, Matthieu Wargny, Nicolas Bonnevialle, Pierre Mansat
BACKGROUND: Total elbow arthroplasty is a therapeutic option for severe rheumatoid arthritis. We hypothesized that the semiconstrained characteristics of the Coonrad-Morrey prosthesis do not compromise the survival rate of the implant in a rheumatoid elbow. METHODS: Between 1997 and 2012, there were 54 Coonrad-Morrey total elbow prostheses performed for rheumatoid arthritis in 46 patients. Minimum follow-up was 2 years. There were 35 women and 11 men with a mean age of 60 years (29-83 years)...
January 4, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29299498/epidemiology-of-joint-dislocations-and-ligamentous-tendinous-injuries-among-2-700-patients-five-year-trend-of-a-tertiary-center-in-iran
#17
Mohammad H Nabian, Shayan Abdollah Zadegan, Leila Oryadi Zanjani, Saeed R Mehrpour
Background: The epidemiology of traumatic dislocations and ligamentous/tendinous injuries is poorly understood. In this study, we aimed to evaluate the prevalence and distribution of various dislocations and ligamentous/tendinous injuries in a tertiary orthopedic hospital in Iran. Methods: Musculoskeletal injuries in an academic tertiary health care center in Tehran February 2005 to October 2010 were recorded. The demographic details of patients with pure dislocations and ligamentous/tendinous injuries were extracted and the type and site of injuries were classified according to their specific age/gender groups...
November 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29298708/case-study-of-a-user-driven-prosthetic-arm-design-bionic-hand-versus-customized-body-powered-technology-in-a-highly-demanding-work-environment
#18
Wolf Schweitzer, Michael J Thali, David Egger
BACKGROUND: Prosthetic arm research predominantly focuses on "bionic" but not body-powered arms. However, any research orientation along user needs requires sufficiently precise workplace specifications and sufficiently hard testing. Forensic medicine is a demanding environment, also physically, also for non-disabled people, on several dimensions (e.g., distances, weights, size, temperature, time). METHODS: As unilateral below elbow amputee user, the first author is in a unique position to provide direct comparison of a "bionic" myoelectric iLimb Revolution (Touch Bionics) and a customized body-powered arm which contains a number of new developments initiated or developed by the user: (1) quick lock steel wrist unit; (2) cable mount modification; (3) cast shape modeled shoulder anchor; (4) suspension with a soft double layer liner (Ohio Willowwood) and tube gauze (Molnlycke) combination...
January 3, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29291296/acute-repair-of-traumatic-pan-brachial-plexus-injury-technical-considerations-and-approaches
#19
Hussam Abou-Al-Shaar, Michael Karsy, Vijay Ravindra, Evan Joyce, Mark A Mahan
Particularly challenging after complete brachial plexus avulsion is reestablishing effective hand function, due to limited neurological donors to reanimate the arm. Acute repair of avulsion injuries may enable reinnervation strategies for achieving hand function. This patient presented with pan-brachial plexus injury. Given its irreparable nature, the authors recommended multistage reconstruction, including contralateral C-7 transfer for hand function, multiple intercostal nerves for shoulder/triceps function, shoulder fusion, and spinal accessory nerve-to-musculocutaneous nerve transfer for elbow flexion...
January 2018: Neurosurgical Focus
https://www.readbyqxmd.com/read/29285664/pectoralis-minor-transfer-for-elbow-flexion-restoration-in-late-obstetric-brachial-plexus-palsy
#20
Vanessa Costil, Claudia Romana, Frank Fitoussi
PURPOSE: Obstetric brachial plexus palsy (OBPP) may result in a severe impairment of upper limb function, especially when major motor functions do not recover with or without early microsurgical reconstruction. Various methods to restore elbow flexion have been described. The aim of this study was to report the results after pectoralis minor transfer for elbow flexion restoration in late OBPP. METHODS: Nineteen patients were included. Mean age at surgery was six years (range, 2...
December 28, 2017: International Orthopaedics
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