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https://www.readbyqxmd.com/read/27919024/trigger-points-are-associated-with-widespread-pressure-pain-sensitivity-in-people-with-tension-type-headache
#1
María Palacios-Ceña, Kelun Wang, Matteo Castaldo, Amparo Guillem-Mesado, Carlos Ordás-Bandera, Lars Arendt-Nielsen, César Fernández-de-Las-Peñas
OBJECTIVE: To investigate the association between trigger points (TrPs) and widespread pressure pain sensitivity in people with tension-type headache (TTH) and to determine if this association is different between frequent episodic (FETTH) or chronic (CTTH) headache. DESIGN: A cross-sectional study. METHODS: One hundred and fifty-seven individuals (29% male) with TTH participated. Clinical features of headache, i.e., intensity, duration, and frequency, were recorded in a headache diary...
November 14, 2016: Cephalalgia: An International Journal of Headache
https://www.readbyqxmd.com/read/27909133/the-use-of-the-distal-radius-and-ulna-classification-for-the-prediction-of-growth-peak-growth-spurt-and-growth-cessation
#2
J P Y Cheung, P W H Cheung, D Samartzis, K M C Cheung, K D K Luk
AIMS: We report the use of the distal radius and ulna (DRU) classification for the prediction of peak growth (PG) and growth cessation (GC) in 777 patients with idiopathic scoliosis. We compare this classification with other commonly used parameters of maturity. PATIENTS AND METHODS: The following data were extracted from the patients' records and radiographs: chronological age, body height (BH), arm span (AS), date of menarche, Risser sign, DRU grade and status of the phalangeal and metacarpal physes...
December 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27906469/corrective-osteotomy-of-a-metacarpal-deviation-caused-by-fracture-in-a-9-month-old-german-fleckvieh-heifer
#3
Theresa S Tschoner, Roberto G Köstlin, Melanie Feist
OBJECTIVE: To describe the surgical treatment of a metacarpal deviation caused by an untreated Salter-Harris type I fracture in a heifer. STUDY DESIGN: Case report. ANIMAL: 9-month-old German Fleckvieh heifer. METHODS: A closing wedge osteotomy was performed to correct deviation of fused metacarpal III and IV. A triangular bone wedge was removed and the proximal and distal fragments of the bone were brought into apposition and stabilized with an 11-hole T-plate...
December 1, 2016: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/27904227/synostosis-of-proximal-phalangeal-bases-for-loss-of-distal-metacarpal
#4
Pankaj Jindal
A finger rendered unstable due to loss of metacarpal head can be stabilized by creating a synostosis at the base of the proximal phalanx of the affected finger with the adjacent normal finger. A cortico cancellous graft bridges the two adjacent proximal phalanges at their bases which are temporarily stabilized with an external fixator. The procedure can be done for, recurrence of giant cell tumor of metacarpal and for traumatic metacarpal loss. The procedure and long term follow up of one patient is presented who had giant cell tumor...
November 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27886832/thumb-injuries-in-athletes
#5
REVIEW
Tiffany R Kadow, John R Fowler
Thumb injuries are common in athletes and present a challenging opportunity for upper extremity physicians. Common injuries include metacarpal base fractures (Bennett and Rolando types), ulnar and radial collateral ligament injuries, dislocation of the carpometacarpal and metacarpophalangeal joints, and phalanx fractures. This review, although not exhaustive, highlights some of the most common thumb injuries in athletes. The treating physician must balance pressure from athletes, parents, coaches, and executives to expedite return to play with the long-term well-being of the athlete...
February 2017: Hand Clinics
https://www.readbyqxmd.com/read/27862238/validation-of-distal-limb-mounted-inertial-measurement-unit-sensors-for-stride-detection-in-warmblood-horses-at-walk-and-trot
#6
F M Bragança, S Bosch, J P Voskamp, M Marin-Perianu, B J Van der Zwaag, J C M Vernooij, P R van Weeren, W Back
BACKGROUND: Inertial-measurement-unit (IMU)-sensor-based techniques are becoming more popular in horses as a tool for objective locomotor assessment. OBJECTIVES: To describe, evaluate and validate a method of stride detection and quantification at walk and trot using distal limb mounted IMU-sensors. STUDY DESIGN: Prospective validation study comparing IMU-sensors and motion capture with force plate data. METHODS: Seven Warmblood horses equipped with metacarpal/metatarsal IMU-sensors and reflective markers for motion capture were hand walked and trotted over a force plate...
November 12, 2016: Equine Veterinary Journal
https://www.readbyqxmd.com/read/27861839/widespread-pressure-pain-hypersensitivity-is-similar-in-women-with-frequent-episodic-and-chronic-tension-type-headache-a-blinded-case-control-study
#7
María Palacios Ceña, Matteo Castaldo, Kelun Wang, Paola Torelli, Paolo Pillastrini, César Fernández-de-Las-Peñas, Lars Arendt-Nielsen
OBJECTIVE: To investigate differences in widespread pressure pain hyperalgesia in the trigemino-cervical and extra-trigeminal (distant pain-free) regions in women with frequent episodic (FETTH) and chronic (CTTH) tension-type headache. BACKGROUND: It seems that people with tension-type headache exhibit central sensitization. No study has investigated differences between FETTH and CTTH in terms of widespread pressure pain hypersensitivity. METHODS: Forty-three women with FETTH, 42 with CTTH, and 45 women without headache diagnosis were recruited...
November 11, 2016: Headache
https://www.readbyqxmd.com/read/27843661/metastatic-prostate-cancer-of-hand
#8
Akihito Nagano, Takatoshi Ohno, Koji Oshima, Daichi Ishimaru, Yutaka Nishimoto, Yoshiyuki Ohno, Akihiro Hirakawa, Tatsuhiko Miyazaki, Haruhiko Akiyama
Soft tissue metastases of prostate cancer to other sites are extremely rare, and, to our best knowledge, there have been no reports of metastasis to soft tissue of the hand. A 63-year-old man was diagnosed with prostatic cancer. During treatment, bone and soft tissue metastases to the right hand, appearing in the first web space, were observed. The tumor was resected, along with both the first and second metacarpal bones. The thumb was reconstructed by pollicization of the remaining index finger, enabling the patient to use the pollicized thumb for activities of daily living...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27830887/anatomical-transverse-mri-study-of-ligaments-in-palmar-surface-of-metacarpus-miniature-donkey-introduce-a-new-ligament
#9
Mohammad Naser Nazem, Sayed Mohsen Sajjadian
BACKGROUND: Palmar region of metacarpus in the horses and donkeys is an important region because of its tendons and ligaments which contribute to stay apparatus. This study was done on forelimbs of six healthy Miniature donkeys to detect the tendons, ligaments and their accessories on the palmar surface of metacarpus in this animal. MATERIALS AND METHODS: Based on that MRI is a good technique to evaluate the soft tissues such as tendons and ligaments, palmar aspects of metacarpus in 6 euthanatized Miniature donkeys were prepared for anatomical and trans sectional MRI studies to determine the tendons and ligaments in this region...
November 10, 2016: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/27810154/algorithmic-approach-to-the-prevention-of-unnecessary-fasciotomy-in-extremity-snake-bite
#10
Arif Türkmen, Metin Temel
BACKGROUND: In the literature, there is a lack of a consensus about the occurrence of the compartment syndrome due to the snake bites. There are different concepts for the surgical treatment of the threshold value of the chamber pressure. There are many different classifications and assessment criteria for the snakebites. PURPOSE: There is not any appropriate classification in order to the assessment of extremity snake bites while making a decision for fasciotomy...
December 2016: Injury
https://www.readbyqxmd.com/read/27806538/epidemiology-of-the-upper-extremity-trauma-in-a-traumatic-center-in-iran
#11
Maryam Ameri, Kamran Aghakhani, Ebrahim Ameri, Shahrokh Mehrpisheh, Azadeh Memarian
INTRODUCTION: Orthopedic injuries are the most common types of traumatic injuries and present as fractures of the limbs, pelvis, and vertebrae or lesions in soft tissues, muscles, ligaments, and tendons. The upper limb fractures occur in distal radius and ulna, metacarpals, fingers, scapula, and carpal bones, Proximal, diaphysis, distal humerus, clavicle, proximal ulna and radio and distal humero and humero, radio, ulna, and metacarpo. The objective of this project was to accurately describe the occurrence of injuries of the upper extremity and the mechanisms of such injuries in a representative sample of Iranian population...
August 10, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27804078/assessment-of-the-2d-4d-ratio-in-aggression-related-injuries-in-children-attending-a-paediatric-emergency-department
#12
D E O'Briain, P H Dawson, J C Kelly, P Connolly
BACKGROUND: The 2D:4D ratio is a sexually dimorphic trait. A lower ratio is correlated with sporting prowess, successful financial trading, risk taking behaviour, aggression, and aggression-related injuries, such as the fifth metacarpal fractures. AIMS: We aimed to assess if the ratio correlates to skeletally immature patient aggression. METHODS: Radiology reports were searched for the terms "5th metacarpal" or "boxer". Of 537 X-rays, 142 had fractures...
November 1, 2016: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/27800460/metacarpal-neck-fractures-a-review-of-surgical-indications-and-techniques
#13
REVIEW
Eric M Padegimas, William J Warrender, Christopher M Jones, Asif M Ilyas
CONTEXT: Hand injuries are a common emergency department presentation. Metacarpal fractures account for 40% of all hand fractures and can be seen in the setting of low or high energy trauma. The most common injury pattern is a metacarpal neck fracture. In this study, the authors aim to review the surgical indications for metacarpal neck fractures, the fixation options available along with the risk and benefits of each. EVIDENCE ACQUISITION: Literature review of the different treatment modalities for metacarpal neck fractures...
September 2016: Archives of Trauma Research
https://www.readbyqxmd.com/read/27800079/-osteosynthesis-of-fractures-of-the-metacarpals-and-phalanges-of-the-hand-with-mini-plate-about-12-cases
#14
Erraji Moncef, Derfoufi Abdelhafid, Kharraji Abdessamad, Agoumi Omar, Abdeljaouad Najib, Daoudi Abdelkrim, Yacoubi Hicham
Treatment of unstable fractures of metacarpals and phalanges remains subject of controversy. Few series have been reported in the literature, making their analysis difficult. We provide a retrospective study involving 12 patients, operated on by this technique for displaced fractures of the metacarpals and phalanges, over a two year period. The final overall results were good in 75% of the cases, average in 16,5% of the cases and bad in 8,5% of the cases. Stability of mini plates in unstable fractures of the metacarpals and phalanges allowed early mobilization of hand joints, thus avoiding stiffness...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27787923/age-and-sex-dependent-changes-of-intra-articular-cortical-and-trabecular-bone-structure-and-the-effects-of-rheumatoid-arthritis
#15
David Simon, Arnd Kleyer, Fabian Stemmler, Christoph Simon, Andreas Berlin, Axel J Hueber, Judith Haschka, Nina Renner, Camille Figueiredo, Winfried Neuhuber, Thomas Buder, Matthias Englbrecht, Juergen Rech, Klaus Engelke, Georg Schett
The objective of this cross-sectional study was to define normal sex- and age-dependent values of intra-articular bone mass and microstructures in the metacarpal heads of healthy individuals by high-resolution peripheral quantitative computed tomography (HR-pQCT) and test the effect of rheumatoid arthritis (RA) on these parameters. Human cadaveric metacarpal heads were used to exactly define intra-articular bone. Healthy individuals of different sex and age categories and RA patients with similar age and sex distribution received HR-pQCT scans of the second metacarpal head and the radius...
October 27, 2016: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/27782850/psoriatic-arthritis-is-associated-with-bone-loss-of-the-metacarpals
#16
Alexander Pfeil, Laura Krojniak, Diane M Renz, Lisa Reinhardt, Marcus Franz, Peter Oelzner, Gunter Wolf, Joachim Böttcher
BACKGROUND: BoneXpert (BX) is a newly developed medical device based on digital X-ray radiogrammetry to measure human cortical bone thickness. The aim of this study was to quantify cortical bone loss of the metacarpals in patients with psoriatic arthritis (PsA) and compare these findings with other radiological scoring methods. METHODS: The study includes 104 patients with verified PsA. The BX method was used to measure the Metacarpal Index (MCI) at the metacarpal bones (II-IV)...
October 25, 2016: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/27781997/custom-made-silicone-hand-prosthesis-a-case-study
#17
S Nayak, P K Lenka, A Equebal, A Biswas
Up to now, a cosmetic glove was the most common method for managing transmetacarpal (TMC) and carpometacarpal (CMC) amputations, but it is devoid of markings and body color. At this amputation level, it is very difficult to fit a functional prosthesis because of the short available length, unsightly shape, grafted skin, contracture and lack of functional prosthetic options. A 30-year-old male came to our clinic with amputation at the 1st to 4th carpometacarpal level and a 5th metacarpal that was projected laterally and fused with the carpal bone...
September 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27781984/an-articular-spacer-for-metacarpophalangeal-fracture-the-story-of-a-crocodile-bite
#18
G Pomares, N Pauchard, F Dap, G Dautel
Choosing the best option for reconstructing comminuted joint fractures in hand surgery raises technical challenges due to the small size of the anatomical structures and the required early mobilization. Single-stage reconstructions are clearly preferable, but when the infection risk is high, two-stage alternatives are needed. We report a case of fracture of the head of the 2nd metacarpal resulting from a crocodile bite treated by implanting an articular spacer.
October 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27777818/trapeziometacarpal-ligaments-biomechanical-study-implications-in-arthroscopy
#19
Mireia Esplugas, Alex Lluch-Bergada, Nathalie Mobargha, Manuel Llusa-Perez, Elisabet Hagert, Marc Garcia-Elias
Purpose In the presence of early osteoarthritis, changes to the trapeziometacarpal joint (TMJ) often result in pain and is associated with joint instability and a tendency of dorsoradial subluxation. In these instances, arthroscopy may be indicated to: (1) assess the extent of cartilage disease and the laxity of ligaments and to (2) treat TMJ instability. The purpose of our study was to biomechanically analyze which ligaments are the primary stabilizers of the TMJ. Methods Overall, 11 fresh-frozen human cadaver specimens were dissected and attached to a testing device with the thumb positioned in neutral abduction, neutral flexion, and neutral opposition...
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27777817/accessory-slip-of-the-extensor-carpi-ulnaris-a-cadaveric-assessment
#20
Richard M Hinds, Michael B Gottschalk, Eitan Melamed, John T Capo, S Steven Yang
Background An accessory slip arising from the extensor carpi ulnaris (ECU) tendon that inserts on the fifth metacarpal bone has been identified. We describe the frequency of this accessory slip arising from the ECU tendon and provide both qualitative and quantitative description of the slip via cadaveric examination. Methods Fifty (28 males and 22 females) cadaveric upper extremity specimens were examined after loupe-aided dissection of the dorsoulnar wrist and hand with identification of the ECU tendon...
November 2016: Journal of Wrist Surgery
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