keyword
https://read.qxmd.com/read/38507504/heated-tobacco-products-have-detrimental-effects-on-rotator-cuff-healing-similar-to-conventional-cigarettes
#21
JOURNAL ARTICLE
Tae-Hwan Yoon, Jee-Hoon Choi, Joon-Ryul Lim, Hsien-Hao Chang, Yong-Min Chun
BACKGROUND: Cigarette smoking impairs rotator cuff healing, but no study, to our knowledge, has focused on the association between heated tobacco products and rotator cuff tears. METHODS: This study retrospectively investigated 1,133 patients who underwent arthroscopic repair of symptomatic rotator cuff tears between March 2011 and April 2021. Patients were grouped on the basis of their smoking patterns as nonsmokers, cigarette smokers, and heated tobacco smokers...
March 20, 2024: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/38506784/individual-attributes-and-environmental-conditions-of-registered-nurses-working-in-freestanding-emergency-departments-in-the-united-states-a-descriptive-exploratory-study
#22
JOURNAL ARTICLE
Lisa Wolf, Altair Delao, Francine M Jodelka, Claire Simon
INTRODUCTION: Freestanding emergency departments (FSEDs) are emergency facilities not connected to inpatient services. The percentage of FSEDs of all EDs grew from 1% in 2001 to 12% in 2017, making FSEDs a substantial subset of US emergency care. The purpose of this study was to describe the individual attributes and environmental conditions of registered nurses working in FSEDs in the US. METHODS: A quantitative descriptive exploratory design with cross-sectional survey methodology...
March 19, 2024: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://read.qxmd.com/read/38506233/distal-femoral-stress-fractures-has-high-operation-rates-in-adolescent-and-young-adult-athletes
#23
JOURNAL ARTICLE
Mikalyn T DeFoor, Edmund P Mullin, Rachel A Cuenca, Sarah N Pierrie
BACKGROUND: Although stress fractures of the distal femur are rare, symptoms can overlap with other peri-articular knee pathology, delaying diagnosis. Untreated stress fractures have the potential to progress into completed fractures with a higher likelihood for requiring surgery and longer recovery times in otherwise healthy adolescents and young adults. This case series represents the largest cohort of adolescent athletes with distal femoral stress fractures who presented with activity-related knee pain...
March 20, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38506183/comparison-of-the-clinical-outcomes-between-all-inside-and-standard-technique-in-anterior-cruciate-ligament-reconstruction-with-6-strand-hamstring-tendon-autograft
#24
JOURNAL ARTICLE
Juncai Xu, Yanfeng Jia, Boxuan Zhang, Xiaofeng Wang, Ran Sun
OBJECTIVE: All-inside and standard techniques with 4-strand hamstrings graft have been widely used in anterior cruciate ligament (ACL) reconstruction. However, the graft diameter of less than 8 mm will significantly increase the rate of surgical failure, and the 6-strand graft can solve this problem. The purpose of this study is to compare all-inside ACL reconstruction using suspensory cortical button fixation on both tibia and femur with standard ACL reconstruction using suspensory femoral fixation and a bioabsorbable tibial interference screw with a 6-strand hamstring tendon autograft in postoperative clinical outcomes...
March 20, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38505136/utility-of-platelet-rich-plasma-therapy-in-the-management-of-meniscus-injuries-a-narrative-review
#25
JOURNAL ARTICLE
Anas El Zouhbi, Jeffrey Yammine, Maya Hemdanieh, Elie Toni Korbani, Mohamad Nassereddine
Menisci are crucial for knee joint functions and meniscal tears are common injuries, especially in sports activities. Platelet-rich plasma (PRP), which enhances healing, has emerged as a promising additive treatment for meniscus injuries, utilizing the regenerative properties of platelets and growth factors for improved clinical outcomes. In studies with a follow-up period of less than one year, the use of platelet-rich plasma (PRP) therapy for meniscus injuries showed significant improvements in knee symptoms and daily activity...
2024: Orthopedic Reviews
https://read.qxmd.com/read/38503164/the-onset-of-intermetatarsal-bursitis-in-patient-with-rheumatoid-arthritis-case-report-of-surgical-treatment
#26
Yuya Kimura, Ichiro Kikkawa, Hideharu Sugimoto, Shigeo Kawai, Katsushi Takeshita
INTRODUCTION: Mono-arthritis and intermetatarsal bursitis according to rheumatoid arthritis aren't aware among general orthopedic surgeon. This report describes a case of surgical treatment of intermetatarsal bursitis. PRESENTATION OF CASE: A 50-year-old female presented with three years of metatarsophalangeal joint pain and deformity. MRI showed bursitis and synovial proliferation around the joint. Synovectomy reduced pain and foot deformity. After surgery, the patient was administered methotrexate...
March 16, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38502896/the-iliopsoas-anatomy-clinical-evaluation-and-its-role-in-hip-pain-in-the-athlete-a-scoping-review
#27
JOURNAL ARTICLE
Joseph S Tramer, Per Holmich, Marc R Safran
Disability due to iliopsoas (IP) pain and dysfunction is underdiagnosed in the athletic population. The IP unit consists of the psoas major and iliacus muscles converging to form the IP tendon and is responsible primarily for hip flexion strength but has a number of secondary contributions such as femoral movement, trunk rotation, core stabilization, and dynamic anterior stability to the hip joint. As the IP passes in front of the anterior acetabulum and labrum, the diagnosis of IP pain may be confused with labral tearing seen on magnetic resonance imaging...
March 19, 2024: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/38497117/executive-functioning-behavior-and-white-matter-microstructure-in-the-chronic-phase-after-pediatric-mild-traumatic-brain-injury-results-from-the-adolescent-brain-cognitive-development-study
#28
JOURNAL ARTICLE
Anja K Betz, Suheyla Cetin-Karayumak, Elena M Bonke, Johanna Seitz-Holland, Fan Zhang, Steve Pieper, Lauren J O'Donnell, Yorghos Tripodis, Yogesh Rathi, Martha E Shenton, Inga K Koerte
BACKGROUND: Mild traumatic brain injury (mTBI) is common in children. Long-term cognitive and behavioral outcomes as well as underlying structural brain alterations following pediatric mTBI have yet to be determined. In addition, the effect of age-at-injury on long-term outcomes is largely unknown. METHODS: Children with a history of mTBI ( n = 406; M age = 10 years, SD age = 0.63 years) who participated in the Adolescent Brain Cognitive Development (ABCD) study were matched (1:2 ratio) with typically developing children (TDC; n = 812) and orthopedic injury (OI) controls ( n = 812)...
March 18, 2024: Psychological Medicine
https://read.qxmd.com/read/38496199/closed-degloving-injury-of-the-foot-caused-by-a-high-impact-force-a-case-report
#29
Pragya Sinha, Virendra S Chauhan, Asif M Wani
An 18-year-old male subject was referred to our MRI scanning center, by an orthopedic surgeon, for a swelling over the plantar region of the foot. He had been in a motor vehicle accident a few weeks back, with no evidence of fracture at the time of injury. In subsequent weeks, he developed a swelling over his foot. MRI showed the presence of a fluid intensity lesion in the subdermal and dermal layers of his foot. Unguarded motor vehicle accidents often tend to cause severe injuries. Sometimes, they even need operative management since a motor vehicle collision is a high-impact accident...
February 2024: Curēus
https://read.qxmd.com/read/38493893/short-term-clinical-and-radiographic-evaluation-of-patients-treated-with-expandable-and-static-interbody-spacers-following-lumbar-lateral-interbody-fusion
#30
JOURNAL ARTICLE
Yawara Eguchi, Noritaka Suzuki, Sumihisa Orita, Kazuhide Inage, Miyako Narita, Yasuhiro Shiga, Masahiro Inoue, Noriyasu Toshi, Soichiro Tokeshi, Kohei Okuyama, Shuhei Ohyama, Satoshi Maki, Yasuchika Aoki, Junichi Nakamura, Shigeo Hagiwara, Yuya Kawarai, Tsutomu Akazawa, Masao Koda, Hiroshi Takahashi, Seiji Ohtori
OBJECTIVE: The goal of this study was to evaluate, using computed tomography (CT) and magnetic resonance imaging (MRI), patients who underwent oblique lateral interbody fusion (OLIF) using either expandable or static interbody spacers. METHODS: Thirty-five patients with degenerative disc disease were surgically treated with one-level OLIF and were followed up for more than six months. The Static group consisted of 22 patients, and 13 patients were in the Expandable group...
March 15, 2024: World Neurosurgery
https://read.qxmd.com/read/38492061/the-potential-of-posterior-cruciate-ligament-buckling-phenomenon-as-a-sign-for-partial-anterior-cruciate-ligament-tears
#31
JOURNAL ARTICLE
Mehmet Ali Tokgoz, Ethem Burak Oklaz, Oguzhan Ak, Elif Banu Guler Oklaz, Muhammet Baybars Ataoglu, Ulunay Kanatli
INTRODUCTION: Diagnosis of a partial tear of the anterior cruciate ligament (ACL) can be challenging with physical examination and imaging techniques. Although magnetic resonance imaging (MRI) has high sensitivity and specificity for diagnosing complete ACL tears, its effectiveness may be limited when it is used to diagnose for partial tears. The hypothesis of the present study is that the posterior cruciate ligament (PCL) buckling phenomenon, which is a secondary sign of complete ACL tears on MRI, may be a useful method for diagnosing partial ACL tears...
March 16, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38490967/radiology-reports-do-not-accurately-portray-the-severity-of-cervical-neural-foraminal-stenosis
#32
JOURNAL ARTICLE
Yunsoo Lee, Tariq Ziad Issa, Aditya S Mazmudar, Omar H Tarawneh, Gregory R Toci, Mark J Lambrechts, Eric J DiDomenico, Daniel Kwak, Alexander N Becsey, Tyler W Henry, Ameer A Haider, Collin J Larkin, Ian David Kaye, Mark F Kurd, Jose A Canseco, Alan S Hilibrand, Alexander R Vaccaro, Christopher K Kepler, Gregory D Schroeder
STUDY DESIGN: Retrospective study. OBJECTIVE: (1) To compare cervical magnetic resonance imaging (MRI) radiology reports to a validated grading system for cervical foraminal stenosis (FS) and (2) to evaluate whether the severity of cervical neural FS on MRI correlates to motor weakness or patient-reported outcomes. BACKGROUND: Radiology reports of cervical spine MRI are often reviewed to assess the degree of neural FS. However, research looking at the association between these reports and objective MRI findings, as well as clinical symptoms, is lacking...
March 12, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38485458/a-modified-arthroscopic-triple-row-repair-technique-for-l-shaped-delaminated-rotator-cuff-tears
#33
JOURNAL ARTICLE
Yushun Fang, Shaohua Zhang, Jun Xiong, Qingsong Zhang
OBJECTIVE: To compare the clinical outcomes of a modified arthroscopic triple-row (TR) repair technique with the suture bridge (SB) repair technique in treating L-shaped delaminated rotator cuff tears. Various surgical techniques for L-shaped delaminated rotator cuff tears have been reported, many of which aid in increasing the contact area and pressure of the rotator cuff. However, there is still debate over which technique yields superior results. METHODS: From January 2017 to March 2020, 61 cases of L-shaped delaminated rotator cuff tears were included in this study...
March 14, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38481893/a-rare-case-of-garre-s-osteomyelitis-of-tibia-in-an-adult
#34
Kushagra Kaushik, Gopal T Pundkare, Anish Tawde, Kannan A
To explore a rare case of Garre's osteomyelitis in an adult, typically observed in children, and detail its diagnostic and treatment approach, we conducted a case study of a 40-year-old male presenting with persistent right tibial pain. Through diagnostic procedures, including radiography and MRI, a broad differential diagnosis was established. Histopathological examination post-surgical intervention confirmed Garre's osteomyelitis. The treatment, which included corticotomy debridement, saucerization, ceramic granules insertion, and targeted antibiotic therapy, resulted in significant improvement over one year...
February 2024: Curēus
https://read.qxmd.com/read/38480556/assessment-of-fatty-infiltration-of-the-hamstring-muscles-in-chronic-proximal-hamstring-ruptures-and-effect-on-clinical-outcomes-after-surgical-repair-a-novel-application-of-the-goutallier-classification
#35
JOURNAL ARTICLE
Zachary I Li, Michael Buldo-Licciardi, Michael Moore, Ajay Kanakamedala, Christopher J Burke, Mohammad M Samim, Thomas Youm
INTRODUCTION: Increased time to surgery has been previously associated with poorer clinical outcomes after surgical treatment of proximal hamstring ruptures, though the etiology remains unclear. The purpose of this study was to evaluate whether degree of muscle atrophy, as assessed using the Goutallier classification system, is associated with worse outcomes following surgical treatment of chronic proximal hamstring ruptures. MATERIALS AND METHODS: This was a retrospective case series of patients who underwent repair of proximal hamstring ruptures from 2012 to 2020 with minimum 2-year follow-up...
March 13, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38477331/clinical-utility-of-repeat-magnetic-resonance-imaging-studies-among-children-with-acute-hematogenous-osteomyelitis
#36
JOURNAL ARTICLE
Abby Thorne, Angela Moss, Julia S Sanders, Jill Stein, Justin B Searns
BACKGROUND AND OBJECTIVES: There is limited guidance for whether repeat magnetic resonance imaging (MRI) studies are clinically impactful among children with acute hematogenous osteomyelitis (AHO) who fail to improve as expected. This study aimed to determine whether repeat MRIs changed management among children with AHO and identify clinical characteristics predictive of which patients benefit from repeat MRIs. METHODS: Children admitted to a quaternary care pediatric hospital with AHO were identified during a 9-year period...
March 13, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38471002/microwave-ablation-of-the-pig-growth-plate-proof-of-concept-for-minimally-invasive-epiphysiodesis
#37
JOURNAL ARTICLE
Samuel O Noonan, Kyle J Miller, Stephanie Goldstein, Ellen Leiferman, James White, Chris Brace, Kenneth J Noonan
BACKGROUND: Different surgical methods for epiphysiodesis of limb length discrepancy (LLD) have been described. Although these methods are variably effective, they are associated with morbidity (pain and limp) and potential complications. Microwave ablation is a less-invasive opportunity to halt growth by selectively destroying the growth plate via thermal energy to treat LLD in children. QUESTIONS/PURPOSES: In this proof-of-concept study using an in vivo pig model, we asked: (1) What is the durability of response 2 to 4 months after microwave ablation of the tibial growth plate as measured by length and angulation of the tibia via a CT scan? (2) Was articular cartilage maintained as measured by standard histologic staining for articular cartilage viability? METHODS: To develop an in vivo protocol for microwave ablation, we placed microwave antennas adjacent to the proximal tibia growth plate in the cadaveric hindlimbs of 18 3-month-old pigs...
March 12, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38466986/extrapulmonary-chronic-septic-arthritis-from-mycobacterium-tuberculosis-in-the-ankle-and-subtalar-joints
#38
JOURNAL ARTICLE
Tyson Compton, Nicholas Andrew Ferguson, Laura Certain, Devon Nixon
In the United States, rates of Mycobacterium tuberculosis infection have been declining for decades. Osteoarticular tuberculosis of the ankle is rarely observed. We present the case of a 65-year-old man who immigrated to the United States from India 24 years before the onset of symptoms. The patient initially reported atraumatic swelling and pain of the left ankle and foot and was treated for venous insufficiency. Later, the patient was referred to a nonsurgical orthopaedic clinic for additional workup and was found to have elevated inflammatory markers...
March 1, 2024: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
https://read.qxmd.com/read/38466684/the-association-between-a-rotator-cuff-tendon-tear-and-a-tear-of-the-long-head-of-the-biceps-tendon-chart-review-study
#39
JOURNAL ARTICLE
Abdulrahman Alraddadi, Bader Aldebasi, Bander Alnufaie, Mohammed Almuhanna, Mohammed Alkhalifah, Motaz Aleidan, Yousef Murad, Awad M Almuklass, Altayeb A Ahmed
Rotator cuff (RC) and long head of the biceps tendon (LHBT) tears are common shoulder problems presented to the orthopedic clinic. The aim of this study was to assess the association between RC and LHBT tears among a Saudi population sample. A total of 243 patients who were diagnosed with shoulder pain due to RC or LHBT tear between 2016 and 2018 using a magnetic resonance imaging scan were included in this study. Females comprised 66% of the sample, and 59% (n = 143) of the shoulders were on the right side...
2024: PloS One
https://read.qxmd.com/read/38464444/preoperative-planning-with-three-dimensional-ct-vs-three-dimensional-magnetic-resonance-imaging-does-not-change-surgical-management-for-shoulder-instability
#40
JOURNAL ARTICLE
Alexandra V Paul, Imoh Udoh, Ananyaa Bharadwaj, Steven Bokshan, Brett D Owens, William N Levine, Grant E Garrigues, Jeffrey S Abrams, Patrick J McMahon, Anthony Miniaci, Sameer Nagda, Jonathan P Braman, Peter MacDonald, Jonathan C Riboh, Scott Kaar, Brian Lau
BACKGROUND: This study aims to determine the effect of time and imaging modality (three-dimensional (3D) CT vs. 3D magnetic resonance imaging (MRI)) on the surgical procedure indicated for shoulder instability. The hypothesis is there will be no clinical difference in procedure selection between time and imaging modality. METHODS: Eleven shoulder surgeons were surveyed with the same ten shoulder instability clinical scenarios at three time points. All time points included history of present illness, musculoskeletal exam, radiographs, and standard two-dimensional MRI...
March 2024: JSES international
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