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https://www.readbyqxmd.com/read/29156071/arthroscopic-repair-of-full-thickness-rotator-cuff-tears-in-active-patients-younger-than-40-years-2-to-5-year-clinical-outcomes
#1
Nata Parnes, Nicole R Bartoszewski, Michael J Defranco
This study characterized injury patterns and reported clinical outcomes of all-arthroscopic management of full-thickness rotator cuff tears among military patients younger than 40 years. A retrospective review was performed of prospective data for 42 patients younger than 40 years who underwent arthroscopic rotator cuff repair and, in some cases, concomitant labral repair. Preoperative and postoperative evaluations (minimum follow-up, 2 years; mean, 41 months; range, 24-66 months) included range of motion, visual analog scale (VAS) score, Subjective Shoulder Value (SSV), and American Shoulder and Elbow Surgeons (ASES) Shoulder Score...
November 20, 2017: Orthopedics
https://www.readbyqxmd.com/read/29125819/how-successful-are-turkish-orthopedists-in-complying-with-time-limit-in-scientific-presentations
#2
Nadir Yalçın, Enes Uluyardımcı, İbrahim Bozkurt
OBJECTIVES: This study aims to investigate the durations of scientific presentations and factors affecting the rates of exceeding the time limit in presentations at 26th Turkish National Congress of Orthopedics and Traumatology, which is one of Turkey's largest nationally organized orthopedics and traumatology meetings in terms of the numbers of speakers and participators. MATERIALS AND METHODS: Speech durations of Turkish orthopedists and the rates of these durations against the durations specified in the schedule were calculated...
December 2017: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/29120006/manufactured-brace-modalities-for-elbow-stiffness
#3
Nipun Sodhi, Anton Khlopas, Michael D Vaughn, Jaiben George, George Yakubek, Assem A Sultan, Steven F Harwin, Michael A Mont
Multiple surgical and nonsurgical treatment options exist for patients with elbow stiffness. Many nonsurgical mobilization bracing options have been implemented to increase elbow range of motion. Three of the main bracing options for these patients are turnbuckle, static progressive stretch, and dynamic bracing. The purpose of this study was to review the current literature on turnbuckle, static progressive stretch, and dynamic bracing to provide information for practitioners and patients regarding which brace is more appropriate to use for elbow stiffness...
November 8, 2017: Orthopedics
https://www.readbyqxmd.com/read/29120003/a-novel-method-of-patient-positioning-using-shoulder-arthroscopy-equipment-for-elbow-arthroscopy
#4
Julianne M Kowalski, James T Monica
Indications for elbow arthroscopy are expanding; however, it is uncommon compared with shoulder arthroscopy. Elbow arthroscopy can be complicated by positioning, including the need to obtain specific arm holders required by most operating rooms. Surgery can be performed in the supine, prone, or lateral position. Arm traction allows for distraction of the joint space, full insufflation, and therefore visualization of intra-articular anatomy. This article outlines a new technique using previously available shoulder arthroscopy equipment to avoid increased cost incurred by procuring new, elbow-specific equipment...
November 8, 2017: Orthopedics
https://www.readbyqxmd.com/read/29091151/preferences-of-orthopedic-surgeons-for-treating-midshaft-clavicle-fracture-in-adults
#5
Adilson Sanches de Oliveira, Bruno Braga Roberto, Mario Lenza, Guilherme Figueiredo Pintan, Benno Ejnisman, Breno Schor, Eduardo da Frota Carrera, Joel Murachovsky
OBJECTIVE: To determine the current clinical practice in Latin America for treating midshaft clavicle fractures, including surgical and non-surgical approaches. METHODS: A cross-sectional study using a descriptive questionnaire. Shoulder and elbow surgeons from the Brazilian Society of Shoulder and Elbow Surgery and from the Latin American Society of Shoulder and Elbow were contacted and asked to complete a short questionnaire (SurveyMonkey®) on the management of midshaft fractures of the clavicle...
July 2017: Einstein
https://www.readbyqxmd.com/read/29037822/how-does-level-and-type-of-experience-affect-measurement-of-joint-range-of-motion
#6
Russell R Russo, Matthew B Burn, Sabir K Ismaily, Brayden J Gerrie, Shuyang Han, Jerry Alexander, Christopher Lenherr, Philip C Noble, Joshua D Harris, Patrick C McCulloch
OBJECTIVES: Comparison of range of motion measurements by 3 types of investigators with different levels and types of training using three different measurement techniques. The study hypothesis was that the accuracy and precision of range of motion measurements would vary based on (1) the level and type of experience of the investigator and (2) the measurement technique used. DESIGN/SETTING: Descriptive laboratory study. PARTICIPANTS: Ten fresh frozen cadavers (20 upper and 20 lower extremities)...
October 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28971653/-total-elbow-replacement-as-an-alternative-to-severely-comminuted-fractures-around-the-elbow
#7
Eyal Ginesin, Yaniv Keren, Ofer Zachs, Doron Norman
BACKGROUND: Intra-articular elbow fractures are considered to be one of the most complex injuries in orthopedic trauma. Some are too comminuted for open reduction and internal fixation. Recently, total elbow replacement (TER) has gained popularity for the treatment of comminuted elbow trauma when other treatment options are not possible. METHODS: Since 2007-2013 we treated 18 patients with TER due to comminuted distal humeral fractures. We used the Disabilities of the Arm, Shoulder and Hand scoring system (DASH) to evaluate the patient's satisfaction...
September 2017: Harefuah
https://www.readbyqxmd.com/read/28968475/arthroscopic-cortical-button-stabilization-of-isolated-acute-neer-type-ii-fractures-of-the-distal-clavicle
#8
Matthew H Blake, Michael T Lu, Brandon S Shulman, David L Glaser, G Russell Huffman
Neer type II distal clavicle fractures are inherently unstable. The purpose of this study was to review the outcome of Neer type II distal clavicle fractures arthroscopically treated using a suspensory cortical button technique. Between 2008 and 2012, a total of 17 Neer type IIB fractures were managed operatively at the authors' institution. Functional outcomes were assessed using the pain score, the Disabilities of the Arm, Shoulder and Hand score, the Penn Shoulder Score, and the American Shoulder and Elbow Surgeons score...
October 2, 2017: Orthopedics
https://www.readbyqxmd.com/read/28954499/injuries-treated-in-hospital-among-urban-and-rural-inhabitants-of-eastern-poland
#9
Marek Kos, Bartłomiej Drop, Agnieszka Dziewa, Marian Jędrych
INTRODUCTION AND OBJECTIVE: Injuries are a serious medical and social problem, especially when accompanied by distant or deferred effects, often causing serious dysfunctions and permanent disability for life. The study aimed at presenting the incidence of injuries of urban and rural population treated in a district hospital in eastern Poland. MATERIAL AND METHODS: The study was carried out in the Independent Public Health Care Institution in Kraśnik in 2011 among patients hospitalized in the Department of Trauma Surgery and Orthopedic Unit who sustained injuries...
September 21, 2017: Annals of Agricultural and Environmental Medicine: AAEM
https://www.readbyqxmd.com/read/28885965/olecranon-bursitis-in-a-military-population-epidemiology-and-evidence-for-prolonged-morbidity-in-combat-recruits
#10
Haggai Schermann, Isabella Karakis, Oleg Dolkart, Eran Maman, Assaf Kadar, Ofir Chechik
INTRODUCTION: Olecranon bursitis (OB) is a benign but disturbing condition that may adversely affect a military recruit's combat preparedness. This study was designed to assess incidence, risk factors, and associated medical burden of OB in the Israel Defense Forces. MATERIALS AND METHODS: This is a retrospective study drawing on medical records of all Israel Defense Forces soldiers diagnosed as having OB between 2005 and 2015. OB was classified as septic and noninfectious...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28856351/biceps-tenodesis-an-evolution-of-treatment
#11
Brandon J Erickson, Akshay Jain, Gregory L Cvetanovich, Gregory P Nicholson, Brian J Cole, Anthony A Romeo, Nikhil N Verma
The long head of the biceps (LHB) tendon is a potential generator of pain within the shoulder. Tenodesis of the LHB is a treatment option for several pathologic shoulder conditions. We conducted a study to determine trends in LHB tenodesis at a subspecialty-focused shoulder orthopedic practice. We hypothesized that the rate of LHB tenodesis would increase significantly over time and that there would be no significant change in the age of patients who underwent LHB tenodesis. Records of 4 fellowship-trained sports or shoulder/elbow orthopedic surgeons were used to identify total number of common arthroscopic shoulder surgeries performed between 2004 and 2014...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28844418/early-results-of-latitude-primary-total-elbow-replacement-with-a-minimum-follow-up-of-2-years
#12
Saurabh S Mehta, Adam C Watts, Sumedh C Talwalkar, Ann Birch, David Nuttall, Ian A Trail
BACKGROUND: The aim of this study was to present outcomes of primary Latitude total elbow replacement (TER) with a minimum follow-up of 2 years. METHODS: A retrospective cohort study was undertaken with prospective outcome data collection for the latest outcome. Included were 63 consecutive primary Latitude TERs in 58 patients performed during a period of 5 years at a specialist orthopedic hospital. RESULTS: The mean age of the patients was 62 years (33-85 years)...
August 22, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28817534/radius-regeneration-after-open-fracture-and-extrusion-a-case-report
#13
Kristopher B McCall, David Y Chong
A pediatric patient presenting with an open forearm fracture with segmental defect is rare, and the pediatric orthopedic literature to guide treatment is sparse. There are several described methods to treat the defect, including bone grafting and bone transport techniques. In addition, there are reports of fibular regeneration after resection if the periosteum is left intact. We present a case report of complete regeneration of over half of a pediatric radial shaft with an intact periosteum, after traumatic extrusion from an open fracture...
August 16, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28795018/in-vivo-fluoroscopic-kinematography-of-dynamic-radio-ulnar-incongruence-in-dogs
#14
Thomas Rohwedder, Martin Fischer, Peter Böttcher
Aim of the study was to investigate dynamic radio-ulnar incongruence (dRUI) in the canine elbow joint comparing orthopedic healthy and dysplastic dogs in a prospective in vivo study design. In 6 orthopedic sound elbow joints (5 dogs, median age 17 months & mean body weight 27.9 kg) and 7 elbow joints with medial coronoid disease (6 dogs, median age 17.5 months & mean body weight 27.6 kg) 0.8 mm Ø tantalum beads were surgically implanted into radius, ulna and humerus for dynamic radiosteriometric analysis (RSA) using high-speed biplanar fluoroscopy with the dogs walking on a treadmill...
2017: Open veterinary journal
https://www.readbyqxmd.com/read/28776630/metal-allergy-as-a-cause-of-implant-failure-in-shoulder-arthroplasty
#15
Jia-Wei Kevin Ko, Thema A Nicholson, C Edward Hoffler, Gerald Williams, Charles Getz
Metal allergy is an uncommon and poorly understood cause of failure of orthopedic implants. To the authors' knowledge, there have been no reports of the management of shoulder arthroplasty patients with metal allergy. The authors present their experience with the diagnosis and management of patients with metal allergy. Patients with metal allergy undergoing shoulder arthroplasty were identified through retrospective chart review from January 1, 2012, to January 31, 2015. Case characteristics collected included patient risk factors (age, sex, prior cutaneous reactions to metal), metal allergy factors (type of metal allergy, method of diagnosis), and surgery factors (implant type, primary/revision, type of shoulder arthroplasty)...
September 1, 2017: Orthopedics
https://www.readbyqxmd.com/read/28760123/is-locked-compressive-intramedullary-nailing-for-adult-humerus-shaft-fractures-advantageous
#16
Fatih Duygun, Cengiz Aldemir
OBJECTIVES: This study aims to evaluate the radiological and functional outcomes of locked compressive intramedullary nailing (IMN) cases in adult humerus shaft fractures. PATIENTS AND METHODS: A total of 24 patients (12 males, 12 females; mean age 42 years; range 23 to 55 years) with humerus fractures were treated with locked compressive IMN at the Orthopedics and Traumatology Clinic, Antalya Training and Research Hospital between December 2009 and March 2015. Fluoroscopy was used only to check fracture reduction before the reaming procedure...
August 2017: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/28749050/-please-amputate-my-child-s-arms
#17
Mary Devereaux, Dennis John Kuo
Jeremy sustained bilateral complete brachial plexus injuries in an auto collision on an icy road a month before his third birthday. The accident rendered both upper extremities completely flail and insensate: he has no motor or sensory function of his shoulders, elbows, wrists, or digits. Jeremy does, however, have normal function of the lower extremities. Physical therapists have worked with the child for over a year with no noted improvement in arm function. Jeremy falls frequently, causing injury to his face and head, and occasionally, his arms get twisted or caught in his crib and his fingers turn blue...
July 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28747275/classifying-glenohumeral-synovitis-a-novel-intraoperative-scoring-system
#18
Daniel E Davis, Mitchell Maltenfort, Joseph A Abboud, Charles Getz
BACKGROUND: Synovitis of the shoulder is a common entity that is poorly described. This study aims to create a simple and reliable classification system for glenohumeral synovitis, which would benefit further research related to synovitis and outcomes. METHODS: Twenty 30-second shoulder arthroscopy videos were distributed to 19 fellowship-trained orthopedic surgeons. The observers responded with their years in practice, fellowship type, whether synovitis affects outcomes, and whether synovitis affects plans...
July 24, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28718317/hand-surgeons-and-orthopedic-trauma-surgeons-call-coverage-of-acute-upper-extremity-injuries-where-should-the-line-be-drawn
#19
Matthew B Cantlon, Andrew J Miller, Asif M Ilyas
BACKGROUND: There is a lack of consensus as to which subspecialty service should cover acute upper extremity injuries in the emergency department (ED). The purpose of the present study is to understand how upper extremity injuries are currently triaged to specialists and to assess the current opinion among hand and orthopedic trauma specialists as to how these injuries should be best triaged based on injury location and severity. METHODS: The American Association for Hand Surgery (AAHS) membership and Orthopaedic Trauma Association (OTA) membership were surveyed using a 28-item online questionnaire...
January 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28713525/orthopedic-in-training-examination-question-metrics-and-resident-test-performance
#20
John Mason DePasse, Jack Haglin, Adam E M Eltorai, Mary K Mulcahey, Craig P Eberson, Alan H Daniels
First administered in November 1963, the orthopedic in-training examination (OITE) is now distributed to more than 4000 residents in over 20 countries and has become important for evaluation of resident fund of knowledge. Several studies have assessed the effect of didactic programs on resident performance, but only recently has it become possible to assess detailed testtaking metrics such as time spent per question. Here, we report the first assessment of resident OITE performance utilizing this full electronic dataset from two large academic institutions...
June 23, 2017: Orthopedic Reviews
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