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https://www.readbyqxmd.com/read/28098055/nonsurgical-treatment-of-mason-type-ii-radial-head-fractures-in-athletes-a-retrospective-study
#1
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/28095359/gait-deviations-associated-with-plantar-heel-pain-a-systematic-review
#2
REVIEW
Adam Phillips, Shane McClinton
BACKGROUND: Plantar heel pain is a common foot disorder associated with significant pain and gait-related disability. The aim of this systematic review was to identify gait deviations associated with plantar heel pain. METHODS: A systematic review of articles with quantitative gait variables in individuals with plantar heel pain was conducted using the CINAHL, MEDLINE, Scopus, and Embase databases. Methodological quality was assessed using the modified Downs and Black criteria and used along with the number of studies per gait variable to determine level of evidence...
December 24, 2016: Clinical Biomechanics
https://www.readbyqxmd.com/read/28089825/clinical-and-radiographic-outcome-of-revision-surgery-of-total-elbow-prosthesis-midterm-results-in-19-cases
#3
Jetske Viveen, Ante Prkic, Koen L M Koenraadt, Izaäk F Kodde, Bertram The, Denise Eygendaal
BACKGROUND: The aim of this study is to report on the midterm outcomes and complications of revision surgery of total elbow arthroplasty. METHODS: All patients who had undergone total elbow arthroplasty revision surgery between 2009 and 2014 with semiconstrained total elbow prostheses were prospectively enrolled in the study. Records were reviewed for demographic data; baseline measurements; and several follow-up assessments including the Mayo Elbow Performance Score (MEPS), visual analog scale (VAS) score for pain, Oxford Elbow Score, range of motion, satisfaction, and radiographs...
January 13, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28072734/closed-reduction-using-the-percutaneous-leverage-technique-and-internal-fixation-with-k-wires-to-treat-angulated-radial-neck-fractures-in-children-case-report
#4
Hai Jiang, Yongtao Wu, Youting Dang, Yusheng Qiu
: Pediatric radial neck fractures are uncommon. Severely displaced and angulated fractures usually require treatment. Our goals for treatment are to avoid incision, reduce the fracture adequately with no reduction loss, and achieve good postoperative function. We aimed to observe the clinical outcomes of closed reduction with the percutaneous leverage technique and internal fixation with Kirschner-wires (K-wires) to treat angulated radial neck fractures in children.From January 2011 to April 2013, we treated 16 cases of angulated radial neck fracture in 12 boys and 4 girls...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28069028/robot-aided-developmental-assessment-of-wrist-proprioception-in-children
#5
Francesca Marini, Valentina Squeri, Pietro Morasso, Claudio Campus, Jürgen Konczak, Lorenzo Masia
BACKGROUND: Several neurodevelopmental disorders and brain injuries in children have been associated with proprioceptive dysfunction that will negatively affect their movement. Unfortunately, there is lack of reliable and objective clinical examination protocols and our current knowledge of how proprioception evolves in typically developing children is still sparse. METHODS: Using a robotic exoskeleton, we investigated proprioceptive acuity of the wrist in a group of 49 typically developing healthy children (8-15 years), and a group of 40 young adults...
January 9, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28061779/a-motion-classification-strategy-based-on-semg-eeg-signal-combination-for-upper-limb-amputees
#6
Xiangxin Li, Oluwarotimi Williams Samuel, Xu Zhang, Hui Wang, Peng Fang, Guanglin Li
BACKGROUND: Most of the modern motorized prostheses are controlled with the surface electromyography (sEMG) recorded on the residual muscles of amputated limbs. However, the residual muscles are usually limited, especially after above-elbow amputations, which would not provide enough sEMG for the control of prostheses with multiple degrees of freedom. Signal fusion is a possible approach to solve the problem of insufficient control commands, where some non-EMG signals are combined with sEMG signals to provide sufficient information for motion intension decoding...
January 7, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28058967/the-value-of-computed-tomography-in-detecting-distal-radio-ulnar-joint-instability-after-a-distal-radius-fracture
#7
R H van Leerdam, M M E Wijffels, M Reijnierse, W Stomp, P Krijnen, I B Schipper
: This study evaluated the value of computed tomography scans for the diagnosis of distal radioulnar joint instability. A total of 46 patients, conservatively treated for a unilateral distal radius fracture, were evaluated. Clinical instability was tested using the stress test and clunk test. A computed tomography scan of both wrists was performed in pronation and supination. Two independent observers reviewed the computed tomography scans using: the radioulnar line, subluxation ratio, epicentre and radioulnar ratio methods...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28052833/cadaveric-study-of-insertional-anatomy-of-distal-biceps-tendon-and-its-relationship-to-the-dynamic-proximal-radioulnar-space
#8
Deepak N Bhatia, Vikram Kandhari, Bibhas DasGupta
PURPOSE: To quantify and assess the relationship between the insertional dimensions of the distal biceps tendon (DBT) and radioulnar space (RUS) in 3 rotational positions. We hypothesized that in all positions RUS would be adequate for the DBT and would remain adequate even after an incremental increase (1 to 3 mm) in tendon thickness. METHODS: Eleven fresh-frozen cadaveric elbows were dissected; DBT dimensions and bicipital tuberosity measurements were performed and insertional footprints were quantified using a distal biceps footprint index...
January 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28052827/perioperative-glucocorticoid-administration-improves-elbow-motion-in-terrible-triad-injuries
#9
Mihir J Desai, Andrew P Matson, David S Ruch, Fraser J Leversedge, J Mack Aldridge, Marc J Richard
PURPOSE: Among patients who undergo surgical treatment of terrible triad elbow injuries (TTEI), we hypothesized that those who received perioperative glucocorticoid (GC) therapy would have improved postoperative pain and range of motion (ROM) and a similar complication rate compared with patients who did not receive GC therapy. METHODS: We retrospectively identified 26 patients who underwent surgical treatment of TTEI from 2009 to 2015. Thirteen patients received a single intraoperative dose of 10 mg intravenous dexamethasone followed with a 6-day oral methylprednisolone taper course (GC group), and 13 did not (control group)...
January 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28050354/a-case-report-on-unilateral-accessory-humeral-head-of-pronator-teres
#10
Suman Verma, Sulochana Sakthivel
The presence of an accessory muscle in the forearm is likely to compress on the neurovascular structures and has clinical implications. We encountered an accessory humeral head of pronator teres during routine dissection of left upper limb in a male cadaver. The accessory head had fleshy origin from medial supracondylar line, medial intermuscular septum and brachialis fascia. It coursed downwards in the cubital region covering brachial artery and median nerve. Further, it narrowed becoming mostly tendinous and joined with the humeral head of pronator teres...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28045690/clinical-case-of-the-month-a-49-year-old-man-who-presents-with-left-sided-weakness-an-update-on-ischemic-stroke
#11
Najy Masri, Rikki Weems, Falon Brown, Ben Andres, Fred Lopez
A 49 year-old man with a past medical history significant for essential hypertension, hyperlipidemia, and coronary artery disease status post percutaneous coronary intervention and stent placement in the right coronary artery in 2010 presented for evaluation of left hemiplegia. He was feeling well until three hours prior to presentation, at which time he fell while walking from his bedroom into the kitchen. After falling, he noticed that his left upper and lower extremities felt weak. He denied any symptoms preceding the fall or any loss of consciousness...
November 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/28040075/results-of-geriatric-distal-radius-fractures-treated-by-intramedullary-fixation
#12
Steffi S I Falk, Thomas Mittlmeier, Georg Gradl
INTRODUCTION: Distal radius fracture are common injuries but no gold standard for their therapy exists. The aim of this study was to evaluate the quality of fracture care in distal radius fractures using an intramedullary implant (Targon DR interlocking nail). The nail had been developed to minimize the surgical exposure, increase fixation strength, to prevent tendon irritations and to allow for a fast return to activity. PATIENTS AND METHODS: Prospective study reports the result of 43 patients with an age over 70 years (range 70-91 years) treated by closed reduction and intramedullary fixation...
December 2016: Injury
https://www.readbyqxmd.com/read/28038673/feature-visualization-and-classification-for-the-discrimination-between-individuals-with-parkinson-s-disease-under-levodopa-and-dbs-treatments
#13
Alessandro R P Machado, Hudson Capanema Zaidan, Ana Paula Souza Paixão, Guilherme Lopes Cavalheiro, Fábio Henrique Monteiro Oliveira, João Areis Ferreira Barbosa Júnior, Kheline Naves, Adriano Alves Pereira, Janser Moura Pereira, Nader Pouratian, Xiaoyi Zhuo, Andrew O'Keeffe, Justin Sharim, Yvette Bordelon, Laurice Yang, Marcus Fraga Vieira, Adriano O Andrade
BACKGROUND: Over the years, a number of distinct treatments have been adopted for the management of the motor symptoms of Parkinson's disease (PD), including pharmacologic therapies and deep brain stimulation (DBS). Efficacy is most often evaluated by subjective assessments, which are prone to error and dependent on the experience of the examiner. Our goal was to identify an objective means of assessing response to therapy. METHODS: In this study, we employed objective analyses in order to visualize and identify differences between three groups: healthy control (N = 10), subjects with PD treated with DBS (N = 12), and subjects with PD treated with levodopa (N = 16)...
December 30, 2016: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28033053/the-effect-of-walking-speed-on-foot-kinematics-is-modified-when-increased-pronation-is-induced
#14
Joana F Hornestam, Thales R Souza, Paula Arantes, Juliana Ocarino, Paula L Silva
BACKGROUND: The relation between walking speed and foot kinematics during gait is not well established, and neither is it clear whether this relation is modified in the presence of factors expected to increase pronation (eg, abnormal foot alignment). Understanding how foot kinematics is affected by walking speed under varying conditions could contribute to our understanding of stresses to the musculoskeletal system during walking. We evaluated the effect of walking speed on foot kinematics in the frontal plane during gait and determined whether this effect is modified by using medially inclined insoles that force the foot into increased pronation...
November 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/28032001/sensory-reanimation-of-the-hand-by-transfer-of-the-superficial-branch-of-the-radial-nerve-to-the-median-and-ulnar-nerve
#15
Thilo L Schenck, Shenyu Lin, Jessica K Stewart, Konstantin C Koban, Michaela Aichler, Farid Rezaeian, Riccardo E Giunta
BACKGROUND: It remains a surgical challenge to treat high-grade nerve injuries of the upper extremity. Extra-anatomic reconstructions through the transfer of peripheral nerves have gained clinical importance over the past decades. This contribution outlines the anatomic and histomorphometric basis for the transfer of the superficial branch of the radial nerve (SBRN) to the median nerve (MN) and the superficial branch of the ulnar nerve (SBUN). METHODS: The SBRN, MN, and SBUN were identified in 15 specimens and the nerve transfer performed...
December 2016: Brain and Behavior
https://www.readbyqxmd.com/read/28027667/do-structural-changes-of-the-foot-influence-plantar-pressure-patterns-during-various-stages-of-pregnancy-and-postpartum
#16
Preetha Ramachandra, Pratap Kumar, Asha Kamath, Arun G Maiya
BACKGROUND: The foot of a pregnant woman undergoes morphological changes with the advancement of pregnancy. It is important to understand the structural changes of the foot during pregnancy and postpartum because any such change may alter the plantar pressure pattern and the entire foot biomechanics. METHOD: Primigravidae with a gestational age of 12 weeks or less, aged between 18 and 35 years were included in the study. They were prospectively studied across 5 time periods during pregnancy and postpartum...
December 1, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28024680/politics-policies-pronatalism-and-practice-availability-and-accessibility-of-abortion-and-reproductive-health-services-in-turkey
#17
Katrina A MacFarlane, Mary Lou O'Neil, Deniz Tekdemir, Elvin Çetin, Barış Bilgen, Angel M Foster
Turkey has maintained liberal contraception and abortion policies since the 1980s. In 2012, the government proposed to restrict abortion; a bill limiting abortion was later drafted but never passed into law. Since the proposed restriction, women have reported difficulty accessing abortion services across Turkey. We aimed to better understand the current availability of abortion and reproductive health services in Istanbul and explore whether access to services has changed since 2012. In 2015, we completed 14 in-depth interviews with women and 11 semi-structured interviews with key informants...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28011412/electromyographic-analysis-of-muscle-activation-during-pull-up-variations
#18
James A Dickie, James A Faulkner, Matthew J Barnes, Sally D Lark
This study sought to identify any differences in peak muscle activation (EMGPEAK) or average rectified variable muscle activation (EMGARV) during supinated grip, pronated grip, neutral grip and rope pull-up exercises. Nineteen strength trained males (24.9±5y; 1.78±0.74m; 81.3±11.3kg; 22.7±2.5kgm(-2)) volunteered to participate in the study. Surface electromyography (EMG) was collected from eight shoulder-arm-forearm complex muscles. All muscle activation was expressed as a percentage of maximum voluntary isometric contraction (%MVIC)...
November 28, 2016: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/28011034/interosseous-ligament-and-transverse-forearm-stability-a-biomechanical-cadaver-study
#19
Christina J Gutowski, Kurosh Darvish, Asif M Ilyas, Christopher M Jones
PURPOSE: The interosseous ligament (IOL) is known to be an important longitudinal stabilizer of the forearm. We hypothesize that it may also contribute to transverse stability, with pronosupination tensioning of the radius relative to the ulna. Therefore, when injured, we predict the interosseous space should widen in the transverse plane, enough to be appreciable on plain radiographs. A measurable difference in interosseous space, comparing an injured with an uninjured forearm, can potentially be of diagnostic and clinical value...
December 20, 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27999462/radial-artery-forearm-flap-anomaly-a-rare-anomaly-and-the-importance-of-the-proximal-exploratory-incision
#20
Aniketh Venkataram, Sunderraj Ellur, Deepak Muninarayana, Vijay Joseph
During a free radial forearm flap harvest, we encountered a variant anatomy of the arterial system. The brachial artery was found to travel with the median nerve and bifurcate 10 cm below the antecubital fossa, under cover of the pronator teres. The radial artery then emerged from the pronator and continued on its usual path. This anomaly has been reported only once thus far. We report this case to highlight our practice of always starting with a proximal exploratory incision to identify the anatomy before raising the flap, which is what enabled us to adapt to this variation with a satisfactory outcome...
December 2016: Journal of Hand and Microsurgery
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