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0 | Perceptual completion across the vertical meridian and the role of early visual cortex | Upper Eyelid and Brow Surgery | Perceptual completion can link widely separated contour fragments and interpolate illusory contours (ICs) between them. The mechanisms underlying such long-range linking are not well understood. Here we report that completion is much poorer when ICs cross the vertical meridian than when they reside entirely within the ... |
0 | Classification and management of carpal dislocations | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A classification and plan of management for carpal dislocations are presented, based upon the following basic premises: perilunate and lunate dislocations are different stages of the same injury and are therefore managed identically; displacement may be either dorsal or volar; anatomic restoration of the 3 key elements... |
0 | Primary total knee arthroplasty infected with Serratia marcescens | Surgical Management of Osteoarthritis of the Knee CPG | We report an unusual case of a Serratia marcescens infection of total knee arthroplasty 4 weeks after the procedure following aspiration carried out on the ward (contrary to local protocol). This was successfully treated with thorough wound debridement, irrigation, change of the polyethylene liner and systemic antibiot... |
0 | Deformation of articular cartilage during static loading of a knee joint - Experimental and finite element analysis | AMP (Acute Meniscal Pathology) | Novel conical beam CT-scanners offer high resolution imaging of knee structures with i.a. contrast media, even under weight bearing. With this new technology, we aimed to determine cartilage strains and meniscal movement in a human knee at 0, 1, 5, and 30. min of standing and compare them to the subject-specific 3D fin... |
0 | Infusion of ibandronate once every 3 months effectively decreases bone resorption markers and increases bone mineral density in Chinese postmenopausal osteoporotic women: A 1-year study | Management of Hip Fractures in the Elderly | The efficacy and safety of intravenous ibandronate were evaluated in postmenopausal osteoporosis women in China. In this multicenter, positive drug-controlled study, 158 postmenopausal osteoporotic women were randomized to receive 2 mg ibandronate given intravenously once every 3 months or 70 mg alendronate given orall... |
0 | Patient-Controlled Drug Delivery for Acute Postoperative Pain Management: A Review of Current and Emerging Technologies | AAHKS (4) Acetaminophen | Postoperative pain management has dramatically improved with the advent of patient-controlled analgesia (PCA) delivery. The optimal PCA system would encompass several key characteristics, including consistent efficacy across a number of surgeries; safety of both the analgesic drug delivered and the delivery system; eas... |
1 | Unipolar hemiarthroplasty versus bipolar hemiarthroplasty in the most elderly patients with displaced femoral neck fractures: a randomised, controlled trial | Management of Hip Fractures in the Elderly | PURPOSE: Hemiarthroplasty (HA) is generally considered to be the treatment of choice in the most elderly patients with a displaced fracture of the femoral neck. However, there is inadequate evidence to support the choice between unipolar HA or bipolar HA. The primary aim of this study was to analyse the outcome regardi... |
1 | Platelet-rich plasma injections for knee osteoarthritis: Systematic review of duration of clinical benefit | PRP (Platelet-Rich Plasma) | Both researchers and clinicians have exhibited growing interest in the use of platelet-rich plasma (PRP) and other autologous products for a variety of clinical conditions. Newly published data suggest that PRP injections can be an effective complement to conventional management strategies for knee osteoarthritis (OA) ... |
0 | Comparison of Bone Mineral Density Changes Around Short, Metaphyseal-Fitting, and Conventional Cementless Anatomical Femoral Components | Management of Hip Fractures in the Elderly | We investigated the incidence and degree of stress shielding and clinical and radiographic results in 2 groups of patients. Fifty patients (60 hips) in each group were enrolled for a randomized study. One group received a short, metaphyseal-fitting femoral component and another group received a conventional metaphyseal... |
0 | The anti-nociceptive action of magnesium during continuous femoral nerve block. Is it associated with prophylactic anticoagulant or adverse hypotensive effects following TKR surgery? | AAHKS (8) Anesthetic Infiltration | Objectives: The aim of this study was to evaluate the effect of using magnesium in conjunction with bupivacaine following unilateral Total Knee Replacement (TKR) on onset and duration of femoral block and to find out whether its local absorption can affect the serum level of magnesium, the hemodynamic parameters and co... |
0 | A staged approach with vincristine, adriamycin, and dexamethasone followed by bortezomib, thalidomide, and dexamethasone before autologous hematopoietic stem cell transplantation in the treatment of newly diagnosed multiple myeloma | MSTS 2022 - Metastatic Disease of the Humerus | Bortezomib-based regimens have significant activities in multiple myeloma (MM). In this study, we tested the efficacy of a total therapy with a staged approach where newly diagnosed MM patients received vincristine/adriamycin/ dexamethsone (VAD). VAD-sensitive patients (=75% paraprotein reduction) received autologous h... |
1 | A comparison of sensory and motor loss after a femoral nerve block conducted with ultrasound versus ultrasound and nerve stimulation | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Controversy exists regarding the need for nerve stimulation when performing an ultrasound (US)-guided peripheral nerve block. We tested the hypothesis that the quality of a femoral nerve block (FNB) performed with US is equivalent to an FNB performed with US and nerve stimulation.
METHODS: One hundred seven... |
0 | Definitive management of open pilon fractures with fine wire fixation | DoD SSI (Surgical Site Infections) | INTRODUCTION: The BOAST (British Orthopaedic Association Standards for Trauma) guidelines advise that open pilon fractures amongst other open lower limb fractures need to be treated at a specialist centre with Orthoplastic care. The purpose of this study was to determine clinical outcomes in patients with open pilon fr... |
0 | Reducing the economic impact of carpal tunnel surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A nurse-led carpal tunnel service was started in Leicester in 1999. Many developments in the service have been patient-driven. A large proportion of our patients are not salaried and many had expressed concerns about the amount of time taken off work after surgery. This therefore prompted us to encourage immediate hand... |
0 | Rofecoxib for osteoarthritis | Management of Hip Fractures in the Elderly | BACKGROUND: Editor's note: The anti-inflammatory drug rofecoxib (Vioxx) was withdrawn from the market at the end of September 2004 after it was shown that long-term use (greater than 18 months) could increase the risk of heart attack and stroke. Further information is available at www.vioxx.com.Osteoarthritis is a chro... |
0 | Carpal tunnel syndrome caused by cysticercosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We present a case of carpal tunnel syndrome (CTS) due to compression of the median nerve within the carpal tunnel, caused by cysticercosis. Nerve conduction studies revealed severe CTS. Magnetic resonance imaging suggested an inflammatory mass compressing the median nerve in carpal tunnel. The histological diagnosis wa... |
0 | Patients with impending abdominal compartment syndrome do not respond to early volume loading | DOD - Acute Comp Syndrome CPG | BACKGROUND: It is recommended that patients with impending abdominal compartment syndrome (ACS) should be volume loaded to insure the adequate preload. We evaluated our prospective resuscitation database to determine how patients who developed ACS differ from non-ACS patients in response to early volume loading.
METHOD... |
0 | Comparative adherence to weekly oral and quarterly intravenous bisphosphonates among patients with limited heath literacy who sustained distal radius fractures | Distal Radius Fractures | Individuals with limited health literacy (HL) are less likely to obtain preventive care. We designed a study to compare adherence to weekly oral and quarterly intravenous bisphosphonates among patients with low HL. The study enrolled a total of 432 female patients who presented with a distal radius fracture caused by l... |
0 | The direct and indirect costs to society of treatment for end-stage knee osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Although total knee arthroplasty for end-stage osteoarthritis is a cost-effective procedure, payers are focusing on its indications and cost because of its high and growing use. Improvements in pain and physical function from total knee arthroplasty could yield benefits in the form of increased work life an... |
0 | Geriatric-specific triage criteria are more sensitive than standard adult criteria in identifying need for trauma center care in injured older adults | Hip Fx in the Elderly 2019 | Study objective We evaluate the sensitivity of Ohio's 2009 emergency medical services (EMS) geriatric trauma triage criteria compared with the previous adult triage criteria in identifying need for trauma center care among older adults. Methods We studied a retrospective cohort of injured patients aged 16 years or olde... |
0 | A novel scale for describing visual outcomes in patients following resection of lesions affecting the optic apparatus: the Unified Visual Function Scale | Upper Eyelid and Brow Surgery | OBJECTIVE Historically, descriptions of visual acuity and visual field change following intracranial procedures have been very rudimentary. Clinicians and researchers have often used basic descriptions, such as "improved," "worsened," and "unchanged," to describe outcomes following resections of tumors affecting the op... |
0 | Posttraumatic stress disorder among Cambodian refugees in New Zealand | DoD PRF (Psychosocial RF) | The author's objective was to determine the amount of trauma, prevalence and diagnostic features of posttraumatic stress disorder (PTSD), and to study the relationship between PTSD and demographic variables, trauma experiences, coping style and post-migration stresses among adult Cambodian refugees in New Zealand. Info... |
0 | Short-Term Results after Total Trapeziectomy with a Poly-L/D-Lactide Spacer | Glenohumeral Joint OA | Background Proximal migration of the first metacarpal can be seen after total trapeziectomy and various techniques have been described to prevent this subsidence. Purpose We hypothesized the insertion of a poly-L/D-lactide spacer to prevent proximal migration of the first metacarpal without the need of an additional li... |
0 | Patella pain syndromes and chondromalacia patellae | Surgical Management of Osteoarthritis of the Knee CPG | Patellar pain must be separated from other causes of internal derangement of the knee by a careful history and precise examination followed by appropriate investigations. Once the cause of the pain is determined, malalignment or malposition of the patella must be sought. The Merchant view of the patellar femoral joint ... |
0 | An approach for the treatment of penile carcinoma | MSTS 2018 - Femur Mets and MM | One hundred cases were studied in detail using lymphangiograms (LAG), anatomic dissections, and/or microscopic evaluation. LAG performed via the dorsal lymphatics of the penis demonstrate the existence of specific lymph node center, the so-called sentinel lymph node (SLN). This appears to be the primary site of metasta... |
0 | Evaluation of pregnancy outcomes from the Tysabri® (natalizumab) pregnancy exposure registry: A global, observational, follow-up study | Developmental Dysplasia of the Hip 2020 Review | Background: Patients with multiple sclerosis (MS) or Crohn's disease (CD) being treated with natalizumab (Tysabri®, Biogen) who are planning to become pregnant or discover they are pregnant after exposure to natalizumab are currently advised to balance the potential benefits and potential risks of exposure when consid... |
0 | Preoperative imaging in the planning of deep inferior epigastric artery perforator flap surgery | Panniculectomy & Abdominoplasty CPG | Breast reconstruction with adipocutaneous free flap from the abdominal wall combines the benefits of abdominoplasty to those of a prosthesis-free breast reconstruction. The deep inferior epigastric artery perforator (DIEP) flap is supplied by intramuscular perforators from the deep inferior epigastric artery (DIEA). It... |
0 | Unicondylar unicompartmental replacement for osteoarthritis of the knee | AAHKS (8) Anesthetic Infiltration | Unicompartmental knee replacement is an attractive concept that offers several potential advantages over bicompartmental or tricompartmental replacement, including preservation of bone stock, of the anterior and posterior cruciate ligaments, of the patellofemoral joint, and of the normal opposite compartment. Of our fi... |
0 | Uncemented total hip arthroplasty in osteonecrosis: a 2- to 10-year evaluation | AAHKS (2) Corticosteroids | All patients undergoing uncemented total hip arthroplasty for end stage hip disease related to osteonecrosis of the femoral head were assessed prospectively between November 1983 and October 1992. The results of clinical evaluation using the Harris Hip score and radiographic assessment of fixation were analyzed to iden... |
0 | Efficacy of oral etidronate for skeletal diseases in Japan | MSTS 2018 - Femur Mets and MM | Etidronate is an oral bisphosphonate compound that is known to reduce bone resorption through the inhibition of osteoclastic activity. The efficacy of etidronate for involutional (postmenopausal and senile) and glucocorticoid-induced osteoporosis, as well as that for other skeletal diseases, was reviewed in Japanese pa... |
1 | Application of medial column classification in treatment of intra-articular calcaneal fractures | DoD SSI (Surgical Site Infections) | BACKGROUND: There are many types of treatments for calcaneal fractures, including conservative treatment, conventional surgical treatment, and minimally invasive surgery. The choice of specific treatment options is still controversial. Open reduction and internal fixation are currently the most commonly used surgical p... |
0 | Young women's social and occupational development and mental health in the aftermath of child sexual abuse | DoD PRF (Psychosocial RF) | We examined social role functioning and depressive symptoms of young adults who were abused as children in data from a longitudinal community sample. Sexually abused women and men were more depressed during their senior year of high school, and this difference was more pronounced 2 years later. We then examined a media... |
0 | The impact of music therapy versus music medicine on psychological outcomes and pain in cancer patients: a mixed methods study | DoD PRF (Psychosocial RF) | Purpose: The purpose of this study was to compare the impact of music therapy (MT) versus music medicine (MM) interventions on psychological outcomes and pain in cancer patients and to enhance understanding of patients' experiences of these two types of music interventions. Methods: This study employed a mixed methods ... |
0 | Operative treatment of distal radial fractures with locking plate system-a prospective study | Distal Radius Fractures | The aim of this study was to determine the results of operative treatment of distal radial fractures with a 2.4-mm locking plate system in a single tertiary teaching hospital. Seventy-five patients were recruited into the study between May 2004 and November 2006. There were 41 males and 34 females, with a mean age of 5... |
0 | Osteoporosis: from early fracture prevention to better bone health with strontium ranelate | Management of Hip Fractures in the Elderly | Given its increasing incidence and serious complications, osteoporosis requires safe and effective long-term treatment. Strontium ranelate (SR) is an osteoporosis treatment with a unique mode of action, which was launched in 2004. It has been investigated in the Spinal Osteoporosis Therapeutic Intervention (SOTI) and t... |
0 | Bone scanning with 99Tc(m) compounds in metastasizing mammary carcinoma | MSTS 2018 - Femur Mets and MM | A comparison of 3 compounds for bone scanning was carried out in 9 patients with metastatic mammary carcinoma for evaluating their effectiveness. The best results were obtained with 99Tc(m) diphosphonate. For the other 2 compounds tested, 99Tc(m) polyphosphate and 99Tc(m) pyrophosphate, no difference could be demonstra... |
0 | Predictive value of bone scintigraphy for the detection of joint involvement in Behcet's disease: Dermatologists' perspectives | Glenohumeral Joint OA | BACKGROUND: Behcet's disease (BD) is a multisystemic inflammatory disease with articular involvement. Non-specific arthralgia without objective signs of arthritis, such as swelling or effusion, is common in such patients. Thus, an accurate diagnosis of joint involvement may be challenging for dermatologists.
OBJECTIVES... |
0 | Vibration absorbing brace for study of work-related upper extremity musculoskeletal disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The use of hand-held power tools can result in absorption of significant vibration energy by the worker's hand and arm, and is a causal factor in the development of various muskuloskeletal disorders (MSD's) such as carpal tunnel syndrome (CTS) and hand-arm vibration syndrome (HAYS). A novel brace incorporating vibratio... |
0 | MRI study of medial meniscus degeneration of osteoarthritic knees with or without posterior root tear | AMP (Acute Meniscal Pathology) | PURPOSE: The purpose of this study was to compare the medial meniscus (MM) degeneration, meniscus extrusion, and tibial joint inclination by using MRI to consider the pathogenesis of posterior root tear (PRT) in medial-type knee osteoarthritis (KOA) both with and without medial meniscus posterior root tear (MMPRT).
MET... |
0 | Board Certification in Cosmetic Surgery: An Evaluation of Training Backgrounds and Scope of Practice | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The American Board of Cosmetic Surgery (ABCS) offers a certification process for physicians desiring third-party credentials in aesthetic surgery. This study aims to examine the training backgrounds and scope of practice of ABCS-certified physicians. METHODS: The ABCS online directory was used to identify d... |
1 | Rehabilitation following carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Various rehabilitation treatments may be offered following carpal tunnel syndrome (CTS) surgery. The effectiveness of these interventions remains unclear. OBJECTIVES: To review the effectiveness of rehabilitation following CTS surgery compared with no treatment, placebo, or another intervention. SEARCH METH... |
0 | Execution accuracy of bone resection and implant fixation in computer assisted minimally invasive total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | While computer assisted total knee arthroplasty (TKA) has been documented to increase the surgical accuracy in the planning process, there is little information about the accuracy in execution processes. We aimed to determine the accuracy of execution processes for bone resections and implant fixation in TKAs performed... |
0 | Myobacterium bovis peri-prosthetic hip infection with successful prosthesis retention following intravesical BCG therapy for bladder carcinoma | PJI DX Updated Search | Systemic dissemination and peri-prosthetic infection of Mycobacterium bovis (M. bovis) following intravesical Bacillus Calmette-Guerin (BCG) therapy presents a rare but significant complication of treatment for non-muscle invasive bladder carcinoma. We present a patient with Mycobacterium bovis infection of a prostheti... |
0 | Laboratory and clinical characteristics of Staphylococcus lugdunensis prosthetic joint infections | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Staphylococcus lugdunensis is a coagulase-negative staphylococcus that has several similarities to Staphylococcus aureus. S. lugdunensis is increasingly being recognized as a cause of prosthetic joint infection (PJI). The goal of the present retrospective cohort study was to determine the laboratory and clinical charac... |
0 | Radiation therapy for heterotopic ossification prophylaxis acutely after elbow trauma: a prospective randomized study | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: Heterotopic ossification around the elbow can result in pain, loss of motion, and impaired function. We hypothesized that a single dose of radiation therapy could be administered safely and acutely after elbow trauma, could decrease the number of elbows that would require surgical excision of heterotopic os... |
0 | TSG-6 - a double-edged sword for osteoarthritis (OA) | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To explore mechanisms underlying the association of TSG-6 with osteoarthritis (OA) progression.
METHODS: TSG-6-mediated heavy chain (HC) transfer (TSG-6 activity) and its association with inflammatory mediators were quantified in knee OA (n=25) synovial fluids (SFs). Paired intact and damaged cartilages from t... |
0 | Variability in the Approach to Total Hip Arthroplasty in Patients With Displaced Femoral Neck Fractures | PJI DX Updated Search | The aim of this study was to determine the degree of variability in implants, approaches, and associated complication rates in randomized controlled trials (RCTs) evaluating primary total hip arthroplasty (THA) as an intervention for displaced femoral neck fractures. We searched 2 medical databases for RCTs involving T... |
0 | Effect of mucin and glucose on proteolytic and glycosidic activities of Streptococcus oralis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The production of glycosidase and protease activities, which may play a role in the degradation of human glycoproteins, by Streptococcus oralis strains isolated from endocarditis, septicaemia or the oral cavity was investigated with a range of fluorogenic substrates. The pH optima of the proteases ranged from 6.0 to 9.... |
1 | Clinical and MRI findings associated with false-positive knee MR diagnoses of medial meniscal tears | AMP (Acute Meniscal Pathology) | OBJECTIVE: The objective of our study was to determine if false-positive MR diagnoses of a medial meniscal tear are more common with specific clinical variables, tear type or location, or MRI findings of a longitudinal tear.
MATERIALS AND METHODS: We reviewed the records of 559 patients who underwent knee MR examinatio... |
1 | Knee function after arthroscopic meniscectomy. A prospective study | AMP (Acute Meniscal Pathology) | In a prospective study, operation under arthroscopy was done in 100 consecutive patients (11 women and 89 men) with a lesion of one meniscus. Meniscectomy was done in 86 patients with medial meniscus tears and in 14 with lateral tears. After 2 weeks, 85 patients were back at work. |
0 | A Novel Supra-Brow Combined with Infra-Brow Lift Approach for Asian Women | Upper Eyelid and Brow Surgery | BACKGROUND: Direct brow lift surgery remains popular among Asian women despite its disadvantages. The traditional direct brow lift by a supra-brow incision is not suitable for Asian women because of their unique facial features, such as higher eyebrows, wider upper eyelids, and more orbital fat. Therefore, we designed ... |
1 | Comparison of Clinical and Radiologic Results Between Partial Meniscectomy and Refixation of Medial Meniscus Posterior Root Tears: A Minimum 5-Year Follow-up | AMP (Acute Meniscal Pathology) | PURPOSE: To compare the clinical and radiologic results of partial meniscectomy with those of refixation in patients with medial meniscus posterior root tears (MMPRTs) at a minimum 5-year follow-up.
METHODS: Between 2005 and 2009, patients with MMPRTs who had been followed up for at least 5 years after a partial menisc... |
0 | Sensory deficits of a nerve root lesion can be objectively documented by somatosensory evoked potentials elicited by painful infrared laser stimulations: A case study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Somatosensory evoked potentials (SEPs) in response to painful laser stimuli were measured in a patient with a unilateral sensory deficit due to radiculopathy at cervical levels C7 and C8. Laser evoked potentials (LEPs) were compared with SEPs using standard electrical stimulation of median and ulnar nerves at the wrist... |
0 | Uveal Melanoma Therapies: quality of Life Effects | Reconstruction After Skin Cancer | Purpose: To assess quality of life after different treatments for uveal melanoma. Methods: Quality of life questionnaires were given to a randomized sample of 80 patients stratified according to the treatment (enucleation, 1131 plaque, helium irradiation, iridocyclochoroidectomy), and visual acuity. All patients were l... |
1 | Clinical quality indicators: infection prophylaxis for total knee arthroplasty | PJI DX Updated Search | Clinical quality indicators have a strong influence on reducing the overall financial impact, improving the outcomes, and minimizing the adverse events among patients undergoing elective total knee arthroplasty. In today's era of healthcare reform and increasing healthcare costs, it is important for orthopaedic nurses ... |
0 | The mark coventry award: Patellofemoral arthroplasty results in better range of movement and early patient-reported outcomes than TKA | OAK 3 - Non-arthroplasty tx of OAK | Background: Controversy exists over the surgical treatment for severe patellofemoral osteoarthritis. We therefore wished to compare the outcome of patellofemoral arthroplasty (PFA) with TKA in a blinded randomized controlled trial. Questions/purposes: In the first 2 years after surgery: (1) Does the overall gain in qua... |
0 | Survival of patients with hormone refractory prostate cancer in the prostate specific antigen era | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: The historically reported 12 to 18-month duration of survival of patients with hormone refractory prostate cancer is not consistent with current clinical experience. Furthermore, to our knowledge patient survival after serum prostate specific antigen (PSA) progressively increases from a nadir despite castrate ... |
0 | Osteochondral Allograft Transplantation of the Knee: Analysis of Failures at 5 Years | AMP (Acute Meniscal Pathology) | BACKGROUND: Osteochondral allograft transplantation (OAT) is being performed with increasing frequency, and the need for reoperations is not uncommon.
PURPOSE: To quantify survival for OAT and report findings at reoperations.
STUDY DESIGN: Case series; Level of evidence, 4.
METHODS: A review of prospectively collected ... |
0 | Carpal tunnel syndrome: reconciling "demand management" with clinical need | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purchasers of surgical services are seeking justification for operative interventions with increasing frequency. This paper seeks to identify all relevant data currently available for carpal tunnel decompression; one of the commonest operative interventions in hand surgery. Such data, as is available, would suggest car... |
0 | Popliteal artery injury: Royal Perth experience and literature review | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Popliteal artery injury is uncommon but poses a significant challenge in Australian trauma care. Blunt trauma and knee dislocations appear to be associated with higher amputation rates. The aim of the present study was to review the authors' experience with this condition and discuss the best approach to in... |
0 | Severe bilateral carpal tunnel syndrome in juvenile chronic arthritis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome, although rare, is known to occur in children mainly because of genetic or metabolic disorders. The clinical findings are variable and include symptoms of burning pain, tingling, numbness, and weakness or atrophy in the hands of the patients. It is usually diagnosed by demonstration of prolonged ... |
0 | Anaesthesia for joint replacement surgery | AAHKS (9/10) Regional Nerve Blocks | With the ageing population, there is increasing demand for joint replacement surgery. Common joint replacement surgeries include hip, knee, elbow and ankle replacement. Elderly patients with multiple co-morbidities presenting for joint replacement surgery often pose challenges to our anaesthetic management. Careful pre... |
0 | Stress moderates the effect of childhood trauma and adversity on recent drinking in treatment-seeking alcohol-dependent men | DoD PRF (Psychosocial RF) | OBJECTIVE: This study sought to clarify the relationship between childhood trauma and adversity with later alcohol consumption and the moderating effects of adult psychosocial stress.
METHOD: Seventy-seven recently abstinent alcohol-dependent men attending residential treatment programs were assessed. Childhood trauma/... |
0 | Degenerative arthritis of the knee secondary to ochronosis: A case report | Surgical Management of Osteoarthritis of the Knee CPG | Alkaptonuria is a rare disease in which a deficiency in the homogentisate 1, 2-dioxygenase enzyme results in a buildup of homogentisic acid. Ochronosis, the deposition of excess homogentisic acid in connective tissue, causes brownish-black pigmentation and weakening of the tissue ultimately resulting in chronic inflamm... |
0 | No Learning Curve of the Direct Superior Approach in Total Hip Arthroplasty | Hip Fx in the Elderly 2019 | OBJECTIVES: To assess the learning curve of the direct superior approach (DSA) for total hip arthroplasty (THA) and to compare surgical, clinical, and radiological results with a matched control group using the mini posterior approach (MPA).
METHODS: A prospective cohort study was performed from October 2016 to May 201... |
0 | Comparative analysis of visual field and image distortion in 30° and 70° arthroscopes | AMP (Acute Meniscal Pathology) | PURPOSE: There have been very few attempts to compare the visual fields and image distortion in arthroscopes. To better understand the images generated using existing arthroscopes, we performed image-mapping experiments to assess field of view and image distortion. The purpose of this study was to quantify and compare ... |
1 | What Is the Failure Rate After Arthroscopic Repair of Bucket-Handle Meniscal Tears? A Systematic Review and Meta-analysis | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscal repair has become the treatment of choice for meniscal tears, especially in the subset of bucket-handle meniscal tears (BHMTs). However, a comprehensive estimate of the corresponding failure rate is not available, thus maintaining doubts about the healing potential of these tears. Furthermore, a wi... |
0 | An in vivo histopathological comparison of single and double pulsed modes of a fractionated CO(2) laser | Panniculectomy & Abdominoplasty CPG | INTRODUCTION: Studies examining the histopathological changes that occur in human skin following fractional laser treatment have been performed mainly in animals or abdominal tissue prior to abdominoplasty. This study looks at the effect of double pulse fractional CO(2) laser compared to single pulse treatments to asse... |
0 | Primary cemented hemiarthroplasty for unstable intertrochanteric fractures in elderly severe osteoporotic patients | Hip Fx in the Elderly 2019 | OBJECTIVE: To evaluate the outcome of unstable intertrochanteric fractures with primary cemented hemiarthroplasty (HA) in elderly severe osteoporotic patients.
MATERIAL AND METHODS: In January 2009 to July 2017, 277 patients were selected according to inclusion criteria and results were analyzed prospectively. Accordin... |
0 | Pediatric running injuries | Osteochondritis Dissecans 2020 Review | As more children have become involved in athletic activities and running, there has been a significant increase in overuse injuries. The young athlete with open growth plates is vulnerable to unique overuse injuries involving the apophyses, articular cartilage, and growth plate. The physician caring for these young ath... |
0 | Three-Dimensional Bioprinting of Cartilage by the Use of Stem Cells: A Strategy to Improve Regeneration | AMP (Acute Meniscal Pathology) | Cartilage lesions fail to heal spontaneously, leading to the development of chronic conditions which worsen the life quality of patients. Three-dimensional scaffold-based bioprinting holds the potential of tissue regeneration through the creation of organized, living constructs via a "layer-by-layer" deposition of smal... |
0 | A coordination project for improvement of osteoporosis medication use among patients who sustained an osteoporotic fracture: The Israeli experience | Hip Fx in the Elderly 2019 | Objectives: The aim of this study was to examine whether coordination between healthcare providers at an inpatient rehabilitation facility and healthcare providers in a community setting improves osteoporosis medication use in the community. Methods: In 2012, a coordination project between an inpatient geriatric rehabi... |
0 | Old displaced fracture of the scaphoid. An unusual cause of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The case of a 37-year-old man with carpal tunnel syndrome and a palpable mass in the proximal wrist is reported. Roentgenograms revealed an old middle-third scaphoid fracture with the proximal pole displaced into the proximal carpal tunnel. Excision of this mass led to a complete resolution of the patient's carpal tunn... |
0 | The rationale for the new infective endocarditis guidelines | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Given the terrible consequences of infectious endocarditis (IE), it has become a time-honored strategy to use antibiotics as prophylaxis against IE for invasive procedures associated with bacteremia with endocarditis-causing organisms. The evidence supporting this approach has come predominantly from animal models of e... |
1 | Carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | INTRODUCTION: Carpal tunnel syndrome is a neuropathy caused by compression of the median nerve within the carpal tunnel. However, the severity of symptoms and signs does not often correlate well with the extent of nerve damage. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following cli... |
0 | 3D Printing of a Double Network Hydrogel with a Compression Strength and Elastic Modulus Greater than those of Cartilage | AMP (Acute Meniscal Pathology) | This article demonstrates a two-step method to 3D print double network hydrogels at room temperature with a low-cost ($300) 3D printer. A first network precursor solution was made 3D printable via extrusion from a nozzle by adding a layered silicate to make it shear-thinning. After printing and UV-curing, objects were ... |
1 | Fasciotomy wounds associated with acute compartment syndrome: A systematic review of effective treatment | DOD - Acute Comp Syndrome CPG | Background: Compartment syndrome of the limbs can occur in patients following limb trauma. The only definitive treatment is fasciotomy, i.e. a surgical procedure where the fascia is cut to relieve tension or pressure. The fasciotomy wounds created must be left open until the swelling has reduced enough to allow for clo... |
0 | Unipolar versus bipolar hemiarthroplasty for the treatment of femoral neck fractures in the elderly | HipFx Supplemental Cost Analysis | This paper presents the short term results of an ongoing prospective randomized trial comparing a cemented unipolar with a cemented bipolar hemiarthroplasty for the treatment of displaced femoral neck fractures in the elderly. Forty-seven patients with an average age of 77 years completed 6-month followup. Outcomes at ... |
0 | Relationship between years in the trade and the development of radiographic knee osteoarthritis and MRI-detected meniscal tears and bursitis in floor layers. A cross-sectional study of a historical cohort | OAK 3 - Non-arthroplasty tx of OAK | Objectives: An increased risk of developing knee disorders including radiographic knee osteoarthritis (OA) have been shown among workers with kneeling working demands. There may also be a dose-related association between duration of employment in occupations with kneeling work and development of radiographic knee OA an... |
0 | The Patella Pro study - effect of a knee brace on patellofemoral pain syndrome: design of a randomized clinical trial (DRKS-ID:DRKS00003291) | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Patellofemoral pain syndrome (PFPS) is a frequent cause of anterior knee pain predominantly affecting young female patients who do not have significant chondral damage. Development of PFPS is probably multifactorial, involving various knee, hip, and foot kinematic factors. Biomechanical studies have describ... |
0 | Long-term assessment of gait biomechanics in patients with total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Clinical and radiographic improvements following Total Knee Arthroplasty (TKA) are sustained for up to 15 years following surgery. In contrast, much less is known about the knee biomechanics in the longterm after TKA. Biomechanical characteristics of gait may be associated with functional outcome and longevity... |
0 | Meniscus Tears: Treatment in the Stable and Unstable Knee | AMP (Acute Meniscal Pathology) | Basic science research and follow-up studies after meniscectomy have provided convincing evidence of the importance of preservation of the meniscus in decreasing the risk of late degenerative changes. Whether in a stable or an unstable knee, if a meniscus tear cannot be repaired, a conservative partial meniscectomy sho... |
0 | Epidemiology of highly endemic multiply antibiotic-resistant shigellosis in children in the peruvian amazon | Patrick’s pharmacoepidemiology project | OBJECTIVE. Our goal was to estimate the impact of a Shigella vaccine in an area where shigellosis is endemic by characterizing the disease burden and antibiotic-resistance profiles of isolates and by determining the prevalence of Shigella flexneri serotypes. PATIENTS AND METHODS. We conducted a 43-month-long prospectiv... |
0 | Surface Arthroplasty for Treating Primary and/or Secondary Shoulder Osteoarthrosis by Means of the Hemicap-Arthrosurface() System | Glenohumeral Joint OA | OBJECTIVE: To present the surgical technique for the He-miCAP-Arthrosurface() system and evaluate our results from this technique for treating primary and/or secondary shoulder osteoarthrosis.
METHOD: Between June 2007 and June 2009, 10 shoulders of 10 patients (nine with primary osteoarthrosis and one with avascular n... |
0 | Periprosthetic knee infection: ten strategies that work | PJI DX Updated Search | Periprosthetic joint infection (PJI) is one of the most serious complications following total knee arthroplasty (TKA). The demand for TKA is rapidly increasing, resulting in a subsequent increase in infections involving knee prosthesis. Despite the existence of common management practices, the best approach for several... |
0 | Management of stroke in cancer | MSTS 2022 - Metastatic Disease of the Humerus | Cerebrovascular disorders, including brain infarction, brain hemorrhage, and cerebral venous thrombosis, can occur as an early sign of cancer, but typically occur late in the clinical course. These disorders are due to a variety of pathogenic mechanisms, including coagulation disorders associated with the cancer, invas... |
0 | Corrective osteotomy for volar instability of the distal radioulnar Joint associated with radial shaft malunion | Distal Radius Fractures | Volar instability of the distal radioulnar joint is an uncommon wrist disorder. We report three cases of recurrent volar instability of the distal radioulnar joint secondary to fracture of the radial shaft. In all cases, X-rays showed a volar apex deformity of the radial shaft. Opening wedge osteotomy and iliac bone gr... |
1 | Association between thigh muscle strength four years after partial meniscectomy and radiographic features of osteoarthritis 11 years later | AMP (Acute Meniscal Pathology) | BACKGROUND: Meniscus injury and meniscectomy both entail increased risk of knee osteoarthritis (OA). Thigh muscle weakness is a suggested mediator of OA but there is little evidence of its importance for knee OA development after meniscectomy. This study aimed to examine the association between thigh muscle strength af... |
1 | Loss of normal knee motion after anterior cruciate ligament reconstruction is associated with radiographic arthritic changes after surgery | Anterior Cruciate Ligament Injuries CPG | BACKGROUND: Meniscectomy and articular cartilage damage have been found to increase the prevalence of osteoarthritis after anterior cruciate ligament reconstruction, but the effect of knee range of motion has not been extensively studied. HYPOTHESIS: The prevalence of osteoarthritis as observed on radiographs would be ... |
0 | Revision total hip arthroplasty in younger patients: indications, reasons for failure, and survivorship | PJI DX Updated Search | Increasing numbers of total hip arthroplasty (THA) procedures are being performed on younger patients, and the incidence of revision THA in this population is also increasing. The goals of our retrospective study were to survey the surgical indications and reasons for failure and survivorship of revision THA in patient... |
0 | Randomized comparison between sevoflurane anaesthesia and unilateral spinal anaesthesia in elderly patients undergoing orthopaedic surgery | Management of Hip Fractures in the Elderly | BACKGROUND AND OBJECTIVE: This prospective, randomized study was conducted to compare unilateral spinal block using small doses of hyperbaric bupivacaine and single-agent anaesthesia with sevoflurane in elderly patients undergoing hip surgery. METHODS: Thirty patients (> 65 yr) undergoing hip fracture repair were rando... |
0 | Active treatment of segmental defects of long bones with established infection: A prospective study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Twenty-nine patients with chronically infected segmental defects of the tibia (15 cases), femur (7 cases), humerus (5 cases), and radius (2 cases) were treated during a six-year period (1975-1980). The defects were due to hematogenous osteomyelitis in six cases and trauma (vehicular accidents, crushing injuries, and gu... |
0 | Pilates increases isokinetic muscular strength of the elbow flexor and extensor muscles of older women: A randomized controlled clinical trial | Pediatric Supracondylar Humerus Fracture 2020 Review | Introduction The number of elderly people is growing and the practice of physical exercise, such as Pilates, contributes to increased muscular strength and functional autonomy in this population. Objective: To verify the influence of Pilates on the isokinetic muscular strength of the elbow flexors and extensors, and on... |
0 | Superior pedicle technique of reduction mammaplasty: a stepwise approach | Reduction Mammoplasty for Female Breast Hypertrophy | Numerous surgical options for breast reduction have been described, but in the current healthcare environment, efficiency is of the utmost importance. In this Featured Operative Technique, the authors describe an efficient, reproducible, and simple method for minimal to moderate reduction mammaplasty that utilizes a su... |
0 | Rehabilitation of the Knee Following Sports Injury | AMP (Acute Meniscal Pathology) | Rehabilitation of a knee injury is done in a criterion-based progression that is based on individual progress from one phase to another and not on a prespecified period of time. If the rehabilitation deviates from this approach, the body will react with adverse affects such as inflammation, pain, and further injury. De... |
0 | Compensatory growth of adipose tissue after partial lipectomy: involvement of serum factors | Panniculectomy & Abdominoplasty CPG | The regulation of body weight/fat was studied by investigating mechanisms for compensatory adipose tissue growth after removal of bilateral epididymal fat pads from male adult Wistar rats. Food intake during the first 4 weeks and energy expenditure on Days 8-10 postsurgery were not different between lipectomized and sh... |
0 | Long-term results of arthroscopic excision of unstable osteochondral lesions of the lateral femoral condyle | Diagnosis and Treatment of Osteochondritis Dissecans AUC | The purpose of this study was to evaluate the long-term functional and radiological outcomes of arthroscopic removal of unstable osteochondral lesions with subchondral drilling in the lateral femoral condyle. We reviewed the outcome of 23 patients (28 knees) with stage III or IV osteochondritis dissecans lesions of the... |
0 | A risk assessment tool (OsteoRisk) for identifying Latin American women with osteoporosis | Management of Hip Fractures in the Elderly | OBJECTIVE: To develop a simple and easy-to-use tool for identifying osteoporotic women (femoral neck bone mineral density [BMD] T-scores<or=-2.5) in Latin America. DESIGN: Retrospective study involving review of medical records. SETTING: Osteoporosis clinics in 6 Latin American countries. PATIENTS: Postmenopausal women... |
0 | Aberdeen Colles' fracture brace as a treatment for Colles' fracture. A multicentre, prospective, randomised, controlled trial | Distal Radius Fractures | We carried out a randomised, prospective, multicentre clinical trial of the treatment of Colles' fractures. A total of 339 patients was placed into two groups, those with minimally displaced fractures not requiring manipulation (151 patients) and those with displaced fractures which needed manipulation (188 patients). ... |
0 | Radiographic wear assessment in a total knee prosthesis. 5- to 9-year follow-up study of 158 knees | Surgical Management of Osteoarthritis of the Knee CPG | One hundred fifty-eight Porous-Coated Anatomic (Howmedica, Rutherford, NJ) primary total knee prostheses were evaluated clinically and radiographically to measure the remaining thickness of the plastic insert. Anteroposterior radiographs were taken with the beam guided parallel to the tibial plate by a fluoroscope. The... |
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