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https://www.readbyqxmd.com/read/28106463/long-term-results-after-arthroscopic-repair-of-isolated-subscapularis-tears
#1
Gernot Seppel, Johannes E Plath, Christopher Völk, Wolfgang Seiberl, Stefan Buchmann, Simone Waldt, Andreas B Imhoff, Sepp Braun
BACKGROUND: Although some reports have presented short- to midterm results after arthroscopic repair of isolated subscapularis (SSC) tendon tears, long-term evaluation is still lacking. HYPOTHESIS: Long-term results after arthroscopic repair of isolated SSC tears are comparable with the functional and radiological short- to midterm outcomes described in the literature. STUDY DESIGN: Case series, Level of evidence, 4. METHODS: This study assessed 17 patients (5 females and 12 males; mean age, 45...
December 1, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28101197/multiple-large-xanthomas-a-case-report
#2
Chen Zhao, Mingxiang Kong, Li Cao, Qiong Zhang, Yong Fang, Weiwei Ruan, Xiaofan Dou, Xiaohui Gu, Qing Bi
A 23-year-old male patient presented with multiple large masses in his elbows, buttocks, knees, Achilles tendons, feet, shoulders and hands. The large masses in the elbows and buttocks measured ~6×5×5 cm and ~7×5×4 cm, respectively. The patient presented with an elevated level of low-density lipoprotein cholesterol, and had been previously diagnosed with homozygous familial hypercholesterolemia (FH) and multiple xanthomas. Local surgical excisions were performed to remove the massive xanthomas from the elbows and buttocks, and histological analysis of the surgical specimens confirmed the previous diagnosis of homozygous FH (HoFH)...
December 2016: Oncology Letters
https://www.readbyqxmd.com/read/28099360/aggressive-intramuscular-hemangiomas-in-the-upper-extremity-a-case-report
#3
Hui Lu, Qiang Chen, Hu Yang, Hui Shen
INTRODUCTION: Intramuscular hemangioma (IMH) is a rare congenital soft tissue tumor. Here, we report a case of IMH patient who had undergone several surgeries and other treatments that were all ineffective before he visited us. CLINICAL FINDINGS: This IMH patient was a 16-yearold male who was born with a tumor of unknown size in his right hand and forearm. On physical examination, the tumor and skin flap complex was seen with a size of 14 cm_12 cm in his right hand, and the multiple postoperative scars were shown on his right hand and forearm...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28098706/current-trends-in-ulnar-collateral-ligament-reconstruction-surgery-among-newly-trained-orthopaedic-surgeons
#4
Ryan M Degen, Christopher L Camp, Johnathan A Bernard, David M Dines, David W Altchek, Joshua S Dines
INTRODUCTION: Ulnar collateral ligament (UCL) reconstructions are being performed with an increasing annual incidence. The purpose of this study was to evaluate trends in UCL surgery among recently trained orthopaedic surgeons. METHODS: The American Board of Orthopaedic Surgeons (ABOS) database was used to identify all UCL reconstructions from 2004 to 2013. Procedures were identified by Current Procedural Terminology (CPT) codes and verified by International Classification of Disease, Ninth Revision (ICD-9) codes...
February 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28098055/nonsurgical-treatment-of-mason-type-ii-radial-head-fractures-in-athletes-a-retrospective-study
#5
M Guzzini, A Vadalà, A Agrò, V Di Sanzo, D Pironi, A Redler, P Serlorenzi, L Proietti, C Civitenga, D Mazza, R M Lanzetti, Andrea Ferretti
OBJECTIVE: The best treatment for moderately displaced radial head fractures (Mason type II) still remains controversial. In cases of isolated fractures, there is no evidence that a fragment displacement of ≥ 2 mm gives poor results in conservatively treated fractures. PATIENTS AND METHODS: We retrospectively reviewed 52 patients (31M, 21F) affected by an isolated Mason type II fracture, treated with a long arm cast for two weeks between 2008 and 2013. All patients had practiced sports before being injured...
September 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/28092567/inter-joint-coordination-deficits-revealed-in-the-decomposition-of-endpoint-jerk-during-goal-directed-arm-movement-after-stroke
#6
Jozsef Laczko, Robert Arthur Scheidt, Lucia S Simo, Davide Piovesan
It is well-documented that neurological deficits after stroke can disrupt motor control processes that affect the smoothness of reaching movements. The smoothness of hand trajectories during multi-joint reaching depends on shoulder and elbow joint angular velocities and their successive derivatives as well as on the instantaneous arm configuration and its rate of change. Right-handed survivors of unilateral hemiparetic stroke and neurologically-intact control participants held the handle of a two-joint robot and made horizontal planar reaching movements...
January 16, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28065478/a-comparison-of-the-open-reduction-internal-fixation-and-resection-arthroplasty-techniques-in-treatment-of-mason-type-3-radial-head-fractures
#7
Yunus Emre Akman, Erhan Sukur, Esra Circi, Osman Nuri Ozyalvac, Fatih Ozyer, Yusuf Ozturkmen
OBJECTIVE: The aim of this study was to retrospectively compare a series of patients surgically treated with ORIF or early resection arthroplasty due to isolated comminuted radial head fractures. METHODS: Between the years 2009 and 2013, 34 patients with isolated comminuted fractures of the radial head (Mason Type 3) had been operated (ORIF in 19 patients, resection arthroplasty in 15 patients). The mean age of the patients in the ORIF group was 38.5 years and 54 years in the resection group...
January 5, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28043748/subpectoral-biceps-tenodesis-for-tenosynovitis-of-the-long-head-of-the-biceps-in-active-patients-younger-than-45%C3%A2-years-old
#8
Dimitri S Tahal, J Christoph Katthagen, Alexander R Vap, Marilee P Horan, Peter J Millett
PURPOSE: The objective of this study was to assess the outcomes after subpectoral biceps tenodesis (BT) for long head of the biceps (LHB) tenosynovitis in active patients <45 years old. METHODS: This was an Institutional Review Board-approved, retrospective outcomes study with prospectively collected data. Patients treated with subpectoral BT were included if they met the following criteria: age <45 years, anterior shoulder pain with arthroscopically confirmed LHB tenosynovitis, no concomitant procedures other than debridement and decompression procedures, and minimum 2 years out from surgery...
December 30, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28027238/free-functioning-gracilis-muscle-transfer-for-elbow-flexion-reconstruction-after-traumatic-adult-brachial-pan-plexus-injury-where-is-the-optimal-distal-tendon-attachment-for-elbow-flexion
#9
Andrés A Maldonado, Santiago Romero-Brufau, Michelle F Kircher, Robert J Spinner, Allen T Bishop, Alexander Y Shin
BACKGROUND: Reconstruction after pan-plexus root avulsions often includes gracilis free functioning muscle transfer. For elbow flexion reconstruction, the free functioning muscle transfer distal tendon is inserted into the biceps tendon or more distally (i.e., flexor digitorum profundus/flexor pollicis longus tendons) for combined elbow and finger flexion; the theoretical drawback of the latter approach is weaker elbow flexion. The authors compared elbow flexion strength with a biceps tendon versus a flexor digitorum profundus/flexor pollicis longus tendon attachment to determine which insertion point resulted in better elbow flexion...
January 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27994627/protocol-for-acupuncture-treatment-of-lateral-elbow-pain-a-multisite-randomised-controlled-trial-in-china-hong-kong-australia-and-italy
#10
Christopher Zaslawski, Christine Berle, Marcus Gadau, Wei Hong Li, Tie Li, Fu Chun Wang, Sergio Bangrazi, Lei Li, Stefano Liguori, Yan Song Liu, Yuan Sheng Tan, Shi Ping Zhang
Background. Lateral elbow pain is one of the most common musculoskeletal pains associated with the upper limb and has an estimated population incidence of 1-3%. Methods/Design. This study protocol is for a multisite randomised controlled study and is designed to evaluate the clinical efficacy of acupuncture in the treatment of chronic (over three months' duration) lateral elbow pain. Four study sites, in the People's Republic of China, Hong Kong, Italy, and Australia, will recruit 24 participants each. A total of 96 participants will be randomised to either an acupuncture group or a sham laser control group...
2016: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/27986735/assessing-the-exposure-of-street-sweeping-and-potential-risk-factors-for-developing-musculoskeletal-disorders-and-related-disabilities-a-cross-sectional-study
#11
Pradeep S Salve, Praveen Chokhandre
OBJECTIVE: This study aims to assess the exposure of those involved in street sweeping to the development of musculoskeletal disorders (MSDs) and related disabilities and tries to identify the individual risk factors thereof. DESIGN: A cross-sectional survey was conducted among street sweepers together with a comparison group. A modified Standardized Nordic Questionnaire was adopted to measure the prevalence of MSDs and related disabilities. The impact of the occupation of sweeping on the development of MSDs and related disabilities was assessed using the propensity score matching (PSM) method...
December 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27984832/-injuries-in-karate-sports-a-survey-performed-during-the-world-championship-2014
#12
T Tischer, B Lembcke, M Ellenrieder, Ä Glass, W Weigert, W Mittelmeier
Background: In literature, the competitive sport of modern karate is almost always characterised as a combat sport involving injuries caused by impact effects and physical contact with opponents. There is a lack of data regarding the outcome after karate injuries, specifically with a view to the contact-free Kata karate. Methods: Performing a random test using a questionnaire, we collected data concerning regular medical treatment, prior surgeries of the locomotor system, and medical care. This study included 300 athletes from 65 countries (average age: 24...
December 2016: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
https://www.readbyqxmd.com/read/27974948/utilizing-chair-massage-to-address-one-woman-s-health-in-rural-ghana-west-africa-a-case-report
#13
Cathy J Meryanos
BACKGROUND AND OBJECTIVES: There is limited access to health care in rural Ghana and virtually no rehabilitative services available. This situation presents a unique opportunity to utilize chair massage in addressing women's health in rural Ghana, particularly when it comes to muscle pain and fatigue from heavy labor. The objective of this case report is to determine the results of chair massage as a strategy to reduce neck, shoulder, and back pain, while increasing range of motion. CASE PRESENTATION: The patient is a 63-year-old Ghanaian female, who was struck by a public transport van while carrying a 30-50 pound load on her head, two years prior...
December 2016: International Journal of Therapeutic Massage & Bodywork
https://www.readbyqxmd.com/read/27955805/arthroscopic-treatment-of-snapping-scapula-syndrome-outcomes-at-minimum-of-2%C3%A2-years
#14
Travis J Menge, Marilee P Horan, Dimitri S Tahal, Justin J Mitchell, J Christoph Katthagen, Peter J Millett
PURPOSE: To investigate clinical outcomes after primary and revision arthroscopic treatment for snapping scapula syndrome (SSS) and identify predictive factors associated with outcomes. METHODS: Patients who underwent arthroscopic treatment for SSS between October 2005 and December 2013 were identified in a prospectively collected database. The inclusion criteria were patients with a diagnosis of symptomatic SSS, in whom extensive nonoperative modalities failed, who underwent arthroscopic surgery for SSS, and who had undergone surgery a minimum of 2 years earlier...
December 7, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27942735/total-humeral-endoprosthesis-replacement-to-salvage-periprosthetic-fractures-in-rheumatoid-arthritis
#15
Andy Tanagho, Barnes Morgan, Matt Ravenscroft
The authors report their experience in the management of a 53-year-old woman with rheumatoid arthritis who presented with bilateral asynchronous traumatic periprosthetic fractures of the humerus after bilateral elbow replacements. One side was treated with a long-stem revision and internal fixation with bone graft, while the other side was treated with a long-stem distal humeral replacement. She sustained pathological periprosthetic fractures on top of the long-stemmed implants. Total humeral endoprosthesis replacements were performed bilaterally as salvage procedures to provide a stable platform for her elbow and hand function...
December 8, 2016: Orthopedics
https://www.readbyqxmd.com/read/27940806/treatment-for-ulnar-neuritis-around-the-elbow-in-adolescent-baseball-players-factors-associated-with-poor-outcome
#16
Masahiro Maruyama, Hiroshi Satake, Masatoshi Takahara, Mikio Harada, Tomohiro Uno, Nariyuki Mura, Michiaki Takagi
BACKGROUND: Ulnar neuritis around the elbow is one of the injuries seen in throwing athletes. Outcomes of nonsurgical treatment and factors associated with failure outcomes have not been reported. PURPOSE: To investigate the outcomes of treatments for ulnar neuritis in adolescent baseball players. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: We assessed 40 male baseball players with a mean age of 15.0 years (range, 13-17 years) who presented with ulnar neuritis...
December 9, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27939280/multicenter-trial-of-an-internal-joint-stabilizer-for-the-elbow
#17
Jorge L Orbay, David Ring, Amir R Kachooei, Jose Santiago-Figueroa, Luis Bolano, Miguel Pirela-Cruz, Michael Hausman, Rick F Papandrea
BACKGROUND: Our primary efficacy objective was to evaluate the effectiveness of the internal joint stabilizer of the elbow (IJS-E) in maintaining concentric location of the elbow during and after removal of the device in the treatment of persistent or recurrent instability after elbow fracture or dislocations, or both. The secondary study objectives were to assess range of motion, Broberg-Morrey functional score, Broberg-Morrey categorical rating, the Disabilities of the Arm, Shoulder and Hand score, and the rate of complications and adverse events after the use of IJS-E...
January 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27938361/evaluation-of-the-efficacy-of-a-short-course-personalized-self-management-and-intensive-spa-therapy-intervention-as-active-prevention-of-musculoskeletal-disorders-of-the-upper-extremities-muska-a-research-protocol-for-a-randomized-controlled-trial
#18
Charlotte Lanhers, Bruno Pereira, Chloé Gay, Christian Hérisson, Christine Levyckyj, Arnaud Dupeyron, Emmanuel Coudeyre
BACKGROUND: Musculoskeletal disorders (MSDs) constitute a major occupational health problem in the working population, substantially impacting the quality of life of employees. They also cause considerable economic cost to the healthcare system, with, notably, the reimbursement of treatments and compensation for lost income. MSDs manifest as localized pain or functional difficulty in one or more anatomical areas, such as the cervical spine, shoulder, elbow, hand, and wrist. Although prevalence varies depending on the region considered and the method of assessment, a prevalence of 30% is found in different epidemiological studies...
December 9, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27930278/for-love-not-money-the-financial-implications-of-surgical-fellowship-training
#19
Paul M Inclan, Adam S Hyde, Michael Hulme, Jeffrey E Carter
Surgical residents cite increased income potential as a motivation for pursuing fellowship training, despite little evidence supporting this perception. Thus, our goal is to quantify the financial impact of surgical fellowship training on financial career value. By using Medical Group Management Association and Association of American Medical Colleges physician income data, and accounting for resident salary, student debt, a progressive tax structure, and forgone wages associated with prolonged training, we generated a net present value (NPV) for both generalist and subspecialist surgeons...
September 2016: American Surgeon
https://www.readbyqxmd.com/read/27914843/hemiarthroplasty-for-the-treatment-of-distal-humeral-fractures-midterm-clinical-results
#20
Mark Schultzel, Karl Scheidt, Christopher C Klein, Steven J Narvy, Brian K Lee, John M Itamura
BACKGROUND: Total elbow arthroplasty is a treatment for unreconstructable distal humeral fractures; however, longevity of the implant remains a concern in younger, more active patients. Distal humeral hemiarthroplasty (DHH) offers an alternative with multiple advantages. METHODS: This is a retrospective study of 10 patients who underwent DHH for distal humeral fractures during a 4-year period (2008-2012) by a single surgeon. Patients underwent testing of range of motion, Mayo Elbow Performance Score, Disabilities of Arm, Shoulder and Hand, visual analog scale, Single Assessment Numeric Evaluation, and American Shoulder and Elbow Surgeons scores...
November 30, 2016: Journal of Shoulder and Elbow Surgery
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