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0 | Sacral nerve stimulation for faecal incontinence and constipation in adults | PJI DX Updated Search | BACKGROUND: Faecal incontinence (FI) and constipation are both socially-embarrassing and physically-disabling conditions that impair quality of life. For both, surgery may be required in a minority of people when more conservative measures fail. However, the invasiveness and irreversible nature of direct surgery on bow... |
0 | Stefins and lysosomal cathepsins B, L and D in human breast carcinoma | MSTS 2018 - Femur Mets and MM | In the study of 50 matched pairs of breast carcinoma and normal breast tissue, the activities of cysteine proteinases (CPs), cathepsin (Cat) B and Cat L in tumors were increased on average by 18.5-fold and 52.5-fold respectively. The differences in activity of cysteine proteinase inhibitors (CPIs) between tumor and con... |
0 | Inertial sensor based gait analysis: A clinical application in patients with osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Commonly used patient reported outcome scores demonstrate poor/moderate correlations with objective performance-based measures such as gait analysis. Recent advances in miniaturization and cost of ambulatory motion sensors has made accelerometer based gait analysis (AGA) suitable for clinical research. The use... |
0 | Comprehensive review of the anatomy, function, and imaging of the popliteus and associated pathologic conditions | PJI DX Updated Search | The popliteus is a relatively small but unique muscle of the knee. It is a component of the posterolateral corner of the knee and acts as a major stabilizer of the posterolateral knee. It is important to be aware of the normal magnetic resonance (MR) imaging appearance of the popliteus musculotendinous complex and its ... |
0 | Paget disease of bone - an update | DoD SSI (Surgical Site Infections) | BACKGROUND: Paget disease of bone is the most common metabolic bone disease after osteoporosis, affecting 2-4% of adults over 55 years of age. Its aetiology is only partly understood, but includes both genetic and environmental factors.
OBJECTIVE: This article outlines the clinical features, diagnosis and management op... |
0 | Clodronate news of efficacy in osteoporosis | MSTS 2018 - Femur Mets and MM | Clodronate belongs to Bisphosphonates family and it has been studied especially for osteoporosis treatment, Paget's disease, osteolytic metastases, hypercalcemia malignancy and some childhood skeletal diseases. Besides the osteoporosis treatment, it has been successfully used for treating tumoral osteolysis and for bon... |
0 | Optimal stimulation duration of tens in the management of osteoarthritic knee pain | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: This study examined the optimal stimulation duration of transcutaneous electrical nerve stimulation (TENS) for relieving osteoarthritic knee pain and the duration (as measured by halfâ?life) of postâ?stimulation analgesia. SUBJECTS: Thirtyâ?eight patients received either: (i) 20 minutes (TENS20); (ii) 40 ... |
0 | Safety assessment of the conversion from mycophenolate mofetil to enteric-coated mycophenolate sodium in stable renal transplant recipients | Reconstruction After Skin Cancer | The immunosuppressant mycophenolate mofetil (MMF; CellCept) has greatly improved transplant recipients' clinical outcomes, but its efficacy may be limited by dose adjustments due to adverse events (AEs). An enteric-coated formulation of mycophenolate sodium (EC-MPS; myfortic), designed to improve gastrointestinal toler... |
1 | Early structural and functional outcomes for arthroscopic double-row transosseous-equivalent rotator cuff repair | Optimizing the Management of Full-Thickness Rotator Cuff Tears | BACKGROUND: The arthroscopic double-row transosseous-equivalent (TOE) rotator cuff repair is growing in popularity. The current body of literature supports this technique; however, the number of patients in these studies is relatively small. The authors conducted this study to learn more about the natural history of th... |
0 | Social cognitive or learning theory use to improve self-efficacy in musculoskeletal rehabilitation: A systematic review and meta-analysis | Hip Fx in the Elderly 2019 | OBJECTIVE: To review the rehabilitation research methodological quality and intervention effectiveness of studies that used social cognitive or learning theory principles to improve self-efficacy in patients with orthopedic or musculoskeletal conditions.
DESIGN: A systematic literature review and meta-analysis of peer ... |
0 | Activity of cathepsin D and alpha(1)-antitrypsin in the blood serum of patients with mammary carcinoma | MSTS 2018 - Femur Mets and MM | UNLABELLED: THE AIM of this study was to determine the activity of cathepsin D and alpha(1)-antitrypsin in the blood serum of patients with mammary carcinoma.
PATIENTS AND METHODS: The study was conducted on 52 women operated for a unilateral breast tumor, divided into two groups, according to the number of metastases ... |
0 | Impaction Syndromes About the Wrist | AMP (Acute Meniscal Pathology) | Purpose of Review: Impaction syndromes are frequently a source of ulnar-sided wrist pain and patient disability. Differentiating between these entities can be difficult due to significant overlap in their clinical presentations. This manuscript reviews the diagnosis and treatment of three different impaction syndromes:... |
0 | A study of biplanar crossed pin construct in the management of displaced pediatric supracondylar humeral fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | PURPOSE: Study of a biplanar crossed pin construct by two crossed Kirschner wires in the management of displaced extension type supracondylar humeral fractures in children. METHODS: Sixty-four patients with such fractures were included and treated according to the study protocol: after achieving closed reduction under ... |
0 | Exchange nailing for femoral diaphyseal fracture non-unions: Risk factors for failure | DoD SSI (Surgical Site Infections) | The aim of this study was to identify risk factors for failure of exchange nailing for femoral diaphyseal fracture non-unions. The study cohort comprised 40 patients with femoral diaphyseal non-unions treated by exchange nailing, of which six were open injuries. The median time to exchange nailing from primary fixation... |
0 | The impact of occupational hazards and traumatic events among Belgian emergency physicians | DoD PRF (Psychosocial RF) | BACKGROUND: Emergency Physicians (EPs) are regularly confronted with work related traumatic events and hectic work conditions. Several studies mention a high incidence of post-traumatic stress disorder (PTSD) and psychosomatic complaints in EP. The main objective of this study is to examine the contribution of demograp... |
0 | Effects of concurrent use of an ankle support with a laterally wedged insole for medial knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine the biomechanical and symptomatic effects of concurrent use of an ankle support and a laterally wedged insole on adults with symptomatic medial compartment knee osteoarthritis. DESIGN: Randomized, crossover clinical trial. SETTING: Outpatient gait analysis laboratory. PARTICIPANTS: Fourteen adul... |
0 | Open fractures and infection | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Open fractures still represent a major challenge for the treating surgeon and frequently demand a complex of soft tissue and bone procedures to achieve an undisturbed healing with adequate limb function. However, despite improvement in operative techniques and antibiotic therapy septic complications still occur in seve... |
0 | Osteoprotegerin is associated with hip fracture incidence: The Tromso study | Management of Hip Fractures in the Elderly | Background Osteoprotegerin (OPG) is a cytokine essential for the regulation of bone resorption, but large longitudinal studies on its relationship to fracture risk in humans are lacking. In this population-based study of 2740 men and 2857 post-menopausal women, it was examined whether serum OPG was associated with hip ... |
1 | Cemented or uncemented hemiarthroplasty for displaced intracapsular fractures of the hip: a randomized trial of 400 patients | Hip Fx in the Elderly 2019 | AIMS: Debate continues about whether it is better to use a cemented or uncemented hemiarthroplasty to treat a displaced intracapsular fracture of the hip. The aim of this study was to attempt to resolve this issue for contemporary prostheses.
METHODS: A total of 400 patients with a displaced intracapsular fracture of t... |
0 | Current prophylaxis for prevention of infective endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A nationwide postal survey of dental and medical practitioners was undertaken to ascertain the degree of acceptance of the British Society for Antimicrobial Chemotherapy guidelines on prophylaxis for infective endocarditis. Questionnaires were circulated to 21,050 individuals. The overall response rate was 17%. Prophyl... |
0 | Sequelae of Perthes disease: treatment with surgical hip dislocation and relative femoral neck lengthening | Osteochondritis Dissecans 2020 Review | BACKGROUND: Sequelae of Perthes disease commonly manifests as complex hip pathomorphology including coxa magna, coxa brevis, and acetabular dysplasia. These abnormalities contribute to femoroacetabular impingement and early osteoarthritis. This report describes our experience with correction of the proximal femoral def... |
1 | The benefits of partial versus total breast reconstruction for women with macromastia | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Breast reconstruction following skin-sparing mastectomy in women with macromastia is challenging. Complication rates are often higher, and cosmetic results are less favorable. The study compared partial and total breast reconstruction in women with macromastia.
METHODS: Data were collected retrospectively o... |
0 | Using self-assessed health to predict patient outcomes after total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | Self-assessed health status has been shown to be a powerful predictor of mortality, service use, and total cost of medical care treatment. We investigated the potential for self-assessed health to further serve as a predictor of improvement in health status after a clinical intervention. Using the five-category measure... |
0 | The role of anterior cruciate ligament reconstruction in the older patients, 55 years or above | Surgical Management of Osteoarthritis of the Knee CPG | Anterior cruciate ligament (ACL) deficiency can result in symptomatic functional instability of the knee regardless of the patient's age. We reviewed a single surgeon database of 908 ACL reconstructions carried out in the last 20 years for symptomatic instability. 14 patients were identified who were 55 years or above ... |
0 | Superolateral pedicle for breast surgery: an operation for all reasons | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: The evolution of procedures for reduction of breast volume and improvement of breast shape has been ongoing, based on the rich blood supply that has allowed a plethora of pedicle types. With particular consideration of the primary pattern of sensory innervation to the nipple-areola complex previously descri... |
0 | Closure of patent foramen ovale for paradoxical emboli: intermediate-term risk of recurrent neurological events following transcatheter device placement | Management of Hip Fractures in the Elderly | OBJECTIVES: We report the largest and the longest follow-up to date of patients who underwent transcatheter patent foramen ovale (PFO) closure for paradoxical embolism. BACKGROUND: Closure of a PFO has been proposed as an alternative to anticoagulation in patients with presumed paradoxical emboli. METHODS: Data were co... |
1 | Patterns of rehabilitation utilization after hip fracture in acute hospitals and skilled nursing facilities | Management of Hip Fractures in the Elderly | BACKGROUND: Hospitalized hip fracture patients may receive physical therapy (PT) in acute and/or postacute settings. Patterns of PT use may vary by patient, clinical, and hospital characteristics. These patterns can be analyzed if the acute and postacute stays are linked. OBJECTIVES: We classified the following pattern... |
0 | Infantile Blount disease: long-term follow-up of surgically treated patients at skeletal maturity | AMP (Acute Meniscal Pathology) | Seventeen patients with infantile Blount disease who were treated by surgical correction and followed up to skeletal maturity were reviewed by clinical and radiographic examination. Patients with symptomatic knees or significant ligament instability or both underwent further evaluation by magnetic resonance imaging (MR... |
0 | Surgical treatment of vertebral osteomyelitis with recombinant human bone morphogenetic protein-2 | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | STUDY DESIGN: A retrospective clinical study. OBJECTIVE: To evaluate the use of recombinant human bone morphogenetic protein-2 (rhBMP-2) as the primary graft material for the surgical treatment of vertebral osteomyelitis. SUMMARY OF BACKGROUND DATA: The clinical and radiographic results using allograft, autograft, and ... |
1 | Clinical evaluation of a resorbable wrap-around implant as an alternative to nerve repair: a prospective, assessor-blinded, randomised clinical study of sensory, motor and functional recovery after peripheral nerve repair | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Peripheral nerve injures are common and often result in impaired functional recovery. The majority of injuries involve the arm and/or the hand. The traditional treatment for peripheral nerve injuries is repair by using microsurgical techniques, either by primary nerve suture or nerve graft, but research to find more su... |
0 | Injuries to the distal radioulnar joint | Distal Radius Fractures | Disorders of the distal radioulnar joint can be divided into those secondary to ligamentous injuries, fractures, and arthritis changes. Further classification of the first two categories relates to acute versus chronic problems. Acute radioulnar joint disruption can, for the most part, be diagnosed on the basis of earl... |
1 | Intravenous vs Oral Acetaminophen as a Component of Multimodal Analgesia After Total Hip Arthroplasty: A Randomized, Blinded Trial | AAHKS (4) Acetaminophen | BACKGROUND: Multimodal analgesia including acetaminophen is increasingly popular for analgesia after total hip arthroplasty (THA). Intravenous (IV) administration of acetaminophen has pharmacokinetic benefits, but unclear clinical advantages. The authors hypothesized that IV acetaminophen would reduce pain with activit... |
1 | Better outcome from arthroscopic partial meniscectomy than skin incisions only? A sham-controlled randomised trial in patients aged 35-55 years with knee pain and an MRI-verified meniscal tear | AMP (Acute Meniscal Pathology) | OBJECTIVE: Compare arthroscopic partial meniscectomy to a true sham intervention.
METHODS: Sham-controlled superiority trial performed in three county hospitals in Denmark comparing arthroscopic partial meniscectomy to skin incisions only in patients aged 35-55 years with persistent knee pain and an MRI-confirmed media... |
0 | Observational Study to Evaluate the Effect of Epidural Steroid Injection on Bone Mineral Density and Bone Turnover Markers | Hip Fx in the Elderly 2019 | BACKGROUND: Epidural steroid injection (ESI) is widely used to manage low back pain. ESIs are commonly performed to treat pain accompanying intervertebral disc prolapse, spinal stenosis, facet joint pathologies, and other degenerative spinal pathologies. Corticosteroids for musculoskeletal conditions, regardless of the... |
0 | Appetite stimulants use in cystic fibrosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Cystic fibrosis (CF) is an autosomal recessive disease. It affects multiple body organs. The lungs and pancreas are the most affected which results in progressive lung damage and pancreatic insufficiency. Due to the disease process, CF patients require significantly higher caloric intake than recommended for other indi... |
0 | Implanting a Copper Ion into a TiO2 Nanorod Array for the Investigation on the Synergistic Antibacterial Mechanism between Mechanical Cracking and Chemical Damage | Dental Implant Infection | Titanium (Ti) and its alloys are extensively applied in dental and orthopedic implants due to their characteristics of good mechanical property and corrosion resistance. However, Ti and its alloys suffer from the absence of certain biological activity and antibacterial ability. Herein, we synthesized a titanium dioxide... |
0 | The AO/ASIF proximal femoral nail antirotation (PFNA): a new design for the treatment of unstable proximal femoral fractures | Management of Hip Fractures in the Elderly | INTRODUCTION: PFNA design compacts the cancellous bone to provide increased stability and has been bio-mechanically proven to retard rotation and varus collapse. METHODS: Between 2006 and 2007, 62 consecutive patients with unstable proximal femoral fractures were treated with the PFNA. RESULTS: Twenty males and 42 fema... |
1 | Correlation of nerve conduction studies to the anthropometric measurements of the hand and to the clinical severity of Carpal Tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The purpose of this work was to study the degree of accordance between the clinical classification and nerve conduction classification. Also to study the relationship of some suggested risk factors like body mass index (BMI), wrist ratio (WR), and wrist-palm ratio (WPR) to the development of CTS and to the severity of ... |
0 | Crowd-Sourced Amputee Gait Data: A Feasibility Study Using YouTube Videos of Unilateral Trans-Femoral Gait | DoD LSA (Limb Salvage vs Amputation) | Collecting large datasets of amputee gait data is notoriously difficult. Additionally, collecting data on less prevalent amputations or on gait activities other than level walking and running on hard surfaces is rarely attempted. However, with the wealth of user-generated content on the Internet, the scope for collecti... |
0 | A prospective study with ten years follow-up of two-hundred patients with proximal femoral fracture | Hip Fx in the Elderly 2019 | BACKGROUND: The proximal femoral fracture is one of the most common injuries in the elderly. Nevertheless, no results beyond the second year post surgery have been reported in the literature. Therefore, the purpose of this study was to evaluate any revision and mortality within 10 years follow-up as well as the walking... |
0 | Role for irrigation and debridement in periprosthetic infections | PJI DX Updated Search | Irrigation and debridement (I&D) has been described as a possible option to eradicate early postoperative periprosthetic hip and knee infections, as well as late, acute, and hematogenous ones. Still, the literature fails to uniquely assess the effectiveness of this procedure and often provides conflicting evidence. To ... |
0 | A cross-sectional examination of the mental health of homeless mothers: does the relationship between mothering and mental health vary by duration of homelessness? | DoD PRF (Psychosocial RF) | OBJECTIVES: This study draws on baseline data from the At Home/Chez Soi demonstration project to examine the association between parenting status and mental health among homeless women and whether the association varies by duration of homelessness.
SETTING: Structured interviews were conducted with participants in five... |
0 | Efficacy of lidocaine for pain control in subcutaneous infiltration during liposuction | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Liposuction remains the most commonly performed aesthetic surgical procedure in the United States. Preoperative infiltration of the subcutaneous tissues with a wetting solution has become standard. These solutions typically contain some amount of lidocaine for pain control. High doses of lidocaine have been... |
0 | Fracture risk after bilateral oophorectomy in elderly women | Management of Hip Fractures in the Elderly | Elderly women with the lowest serum estrogen levels are at the greatest risk of bone loss and fractures, but it is controversial whether the ovaries contribute to estrogen production after menopause, and therefore, whether bilateral oophorectomy in postmenopausal women might have adverse skeletal effects. To address th... |
0 | Aesthetic considerations in patients of color | Panniculectomy & Abdominoplasty CPG | This article focuses on the aesthetic cutaneous considerations in analyzing and treating the aging face in patients of color. Initially some of the physiologic differences between dark and light pigmented skin are elucidated. Hair conditions that lead to aesthetic unacceptance are discussed as are facial enhancing cosm... |
0 | Preoperative stellate ganglion blockade prevents tourniquet-induced hypertension during general anesthesia | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Prolonged and excessive inflation of pneumatic tourniquets leads to a hyperdynamic circulatory response. Sympathomimetic activity is an important factor in tourniquet-induced hypertension. Stellate ganglion block specifically blunts sympathetic efferent nerves and prevents hypertension induced by sympathomi... |
0 | Cemented versus uncemented fixation of the femoral component of the NexGen CR total knee replacement in patients younger than 60 years. A Prospective Randomised Controlled RSA Study | Surgical Management of Osteoarthritis of the Knee CPG | The optimal mode of femoral fixation in total knee arthroplasty (TKA) remains controversial, especially for the young patient. In a prospective randomised study we compared the magnitude and pattern of the fixation of cemented versus uncemented femoral components during 2 years in patients younger than 60 years. Forty-... |
1 | Lateral meniscus allograft transplantation: clinical and anatomic outcomes after arthroscopic implantation with tibial tunnels versus open implantation without tunnels | AMP (Acute Meniscal Pathology) | UNLABELLED: Meniscus allograft transplantation (MAT) is used to treat patients with knee pain after total or subtotal meniscectomy. The graft can be inserted during open or arthroscopic surgery. The objectives are anatomic horn positioning and strong fixation to the bone and capsule of an appropriately sized graft.
HYP... |
0 | Complementary roles of 18F-DOPA PET/CT and 18F-FDG PET/CT in medullary thyroid cancer | MSTS 2018 - Femur Mets and MM | UNLABELLED: Serum calcitonin and carcinoembryonic antigen (CEA) are markers of recurrent or persistent disease in medullary thyroid cancer (MTC). However, conventional imaging often fails to localize metastatic disease. Our aim was to compare fluorine-labeled dihydroxyphenylalanine ((18)F-DOPA) and (18)F-FDG PET/CT wit... |
0 | Using of injectable bio-degradable calcium sulfate as bone graft substitute in the treatment of periarticular fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | Although the use of calcium sulfate has been used as a bone graft substitute in the treatment of fractures for more than a century, few studies investigate the use of recently developed injectable calcium sulfate-based bone graft substitute with high compressive strength after curing in situ. In this study, we evaluate... |
0 | Non-surgical treatments for the management of early osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Non-surgical treatments are usually the first choice for the management of knee degeneration, especially in the early osteoarthritis (OA) phase when no clear lesions or combined abnormalities need to be addressed surgically. Early OA may be addressed by a wide range of non-surgical approaches, from non-pharmacological ... |
1 | Mental health of Special Forces personnel deployed in battle | DoD PRF (Psychosocial RF) | PURPOSE: To compare the mental health problems of Special Forces with regular forces engaged in combat in the Sri Lanka Navy (SLN).
METHODS: A population-based descriptive study was carried out to compare the mental health problems of Special Forces with regular forces in the Sri Lanka Navy (SLN) deployed in combat are... |
0 | Osteochondral flap avulsion fracture in a child with forearm compartment syndrome | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Traumatic elbow dislocations account for approximately 3% to 6% of childhood upper extremity injuries, and 41% of these dislocations are concomitant injuries around the elbow. Most of these injuries are associated with a fall on an outstretched hand. Compartment syndrome is one recognized complication after elbow dislo... |
0 | [The use of acupuncture reflex therapy in the combined treatment of osteoarthrosis patients] | Management of Hip Fractures in the Elderly | As many as 40 patients with osteoarthrosis of the hip and knee joints were followed up. Of these, 20 subjects received non-steroidal anti-inflammatory drugs together with intraarticular administration of glucocorticosteroids and inhibitors of proteases. The other 20 patients were exposed, apart from the above measures,... |
1 | Local anaesthetic wound infiltration in addition to standard anaesthetic regimen in total hip and knee replacement: long-term cost-effectiveness analyses alongside the APEX randomised controlled trials | AAHKS (8) Anesthetic Infiltration | BACKGROUND: The Arthroplasty Pain Experience (APEX) studies are two randomised controlled trials in primary total hip (THR) and total knee replacement (TKR) at a large UK orthopaedics centre. APEX investigated the effect of local anaesthetic wound infiltration (LAI), administered before wound closure, in addition to st... |
0 | Parathyroid-hormone-related peptide in hematologic malignancies | MSTS 2018 - Femur Mets and MM | PURPOSE: To determine whether parathyroid-hormone-related peptide (PTHRP) is an important pathogenetic mediator of hypercalcemia in patients with hematologic malignancies.
PATIENTS AND METHODS: We conducted a cohort analytic study in 76 consecutive patients with non-Hodgkin's lymphoma (NHL), Hodgkin's disease, multiple... |
0 | The economic impact of geriatric hip fractures | Management of Hip Fractures in the Elderly | Hip fractures, a significant cause of morbidity and mortality in the elderly, are expected to exponentially increase in frequency over the next 50 years as a result of increased life expectancy and population growth. The economic impact of the cost of hip fractures may be enormous. The overall cost of hip fractures inc... |
0 | Does body size account for gender differences in femur bone density and geometry? | Management of Hip Fractures in the Elderly | The extent to which greater bone strength in men is caused by proportionately greater bone mass versus bigger bone size is not clear, primarily because the larger overall body size of men has made direct comparisons of skeletal measures difficult. We examined gender differences in femur neck (FN) areal bone mineral den... |
0 | Osteochondral Autograft Transfer Versus Microfracture in the Knee: A Meta-analysis of Prospective Comparative Studies at Midterm | Osteochondritis Dissecans 2020 Review | PURPOSE: To compare microfracture (MFX) and osteochondral autograft transfer (OAT) surgical techniques to determine (1) postoperative activity level, (2) subjective patient outcomes, (3) failure rates, and (4) assess if any lesion characteristics favored one technique over the other. METHODS: A comprehensive review of ... |
0 | Understanding fragility fracture patientsâ?? decision-making process regarding bisphosphonate treatment | Pediatric Supracondylar Humerus Fracture 2020 Review | Summary: We aimed to understand how patients 50Â years and older decided to persist with or stop osteoporosis (OP) treatment. Processes related to persisting with or stopping OP treatments are complex and dynamic. The severity and risks and harms related to untreated clinical OP and the favorable benefit-to-risk profil... |
0 | Impact of osteoporosis and its treatment on oral health | MSTS 2018 - Femur Mets and MM | Osteoporosis has emerged as a major health problem affecting middle-aged and older individuals. It is characterized by a reduced bone mass and strength, resulting in increased susceptibility to fractures. The disease is associated with several risk factors, and increasing evidence suggests that it may be associated wit... |
1 | Evaluation of aesthetic abdominal surgery using a new clinical scale | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Evaluation of outcomes after aesthetic surgery still is a challenge in plastic surgery. The evaluation frequently is based on subjective criteria. This study used a new clinical grading scale to evaluate aesthetic results for plastic surgeries to the abdomen. The method scores each of the following five par... |
0 | Surplus value of hip adduction in leg-press exercise in patients with patellofemoral pain syndrome: a randomized controlled trial | Management of Hip Fractures in the Elderly | BACKGROUND: A common treatment for patients with patellofemoral pain syndrome (PFPS) is strength (force-generating capacity) training of the vastus medialis oblique muscle (VMO). Hip adduction in conjunction with knee extension is commonly used in clinical practice; however, evidence supporting the efficacy of this exe... |
1 | Open reduction and internal fixation of supracondylar fractures of the humerus: revival of the anterior approach | Pediatric Supracondylar Humerus Fracture 2020 Review | INTRODUCTION: Supracondylar fractures of the humerus occur commonly in the paediatric age group. Gartland type III fractures are treated by closed manipulation and percutaneous pinning with K-wires. Open reduction is indicated in open fractures, failed closed reductions and in a dysvascular limb. There are various appr... |
1 | Cost-effectiveness of treatments for non-osteoarthritic knee pain conditions: A systematic review | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Knee pain is common in adolescents and adults and is associated with an increased risk of developing knee osteoarthritis. The aim of this systematic review was to gather and appraise the cost-effectiveness of treatment approaches for non-osteoarthritic knee pain conditions.
METHOD: A systematic review was... |
0 | Effect of internal derangements and degenerative bone changes on the minimum thickness of the roof of the glenoid fossa in temporomandibular joint | Glenohumeral Joint OA | OBJECTIVES: The aim of this study is to investigate the effect of internal derangements and degenerative bone changes on the minimum thickness of the roof of the glenoid fossa (RGF).
METHODS: MRI and cone beam CT records of temporomandibular joints (TMJ) of 68 patients were evaluated retrospectively in this study. The ... |
0 | Cellulitis and Septic Arthritis Caused by Campylobacter fetus and Campylobacter jejuni: Report of 2 Cases and Review of the Literature | Surgical Management of Osteoarthritis of the Knee CPG | Bacteremia caused by gram-negative bacteria occasionally causes soft tissue infections, including cellulitis and septic arthritis. We describe 1 patient each with Campylobacterfetus cellulitis and septic arthritis and review the world literature with regard to C. fetus and C. jejuni infections at these sites. Altogethe... |
0 | Long-term outcomes of contralateral knees after unilateral total knee arthroplasty for osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | One hundred fifty-six patients who underwent unilateral total knee arthroplasty (TKA) between 1970 and 1985 were evaluated for the development, progression, and eventual TKA in the contralateral knee. At the time of TKA, 113 patients were diagnosed with osteoarthritis in the opposite knee, while in the remaining patien... |
0 | Electrophysiological study of forearm sensory fiber crossover in Martin-Gruber anastomosis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Although anatomical studies have shown that a crossover of sensory fibers is not rare in forearm Martin-Gruber median-ulnar anastomosis (MGA), it has been electrophysiologically described only in rare subjects. Using a near-nerve needle technique, the possibility of electrophysiologically detecting a forearm median-uln... |
0 | Synovitis in secondary osteoarthritis due to rheumatoid arthritis: A proof-of-concept study | Surgical Management of Osteoarthritis of the Knee CPG | Background/Purpose: Rheumatoid arthritis (RA) is characterized by considerable synovial inflammation which may result in secondary osteoarthritis (sOA). Primary OA (pOA) occurs in patients without predisposing disorders such as RA and displays varying degrees of synovial inflammation. Although it is conceivable that a ... |
0 | Multi-level cervical disc arthroplasty (CDA) versus single-level CDA for the treatment of cervical disc diseases: a meta-analysis | SR for PM on OA of All Extremities | Purpose Cervical disc arthroplasty (CDA) was developed to treat cervical degenerated disc diseases with the advantages of preserving the kinematics of the functional spinal unit. However, the safety and reliability of multi-level CDA are still controverted when comparing to the single-level CDA. It has shown unclear be... |
1 | Fracture of the humeral condyles in children: 49 cases evaluated after 18-45 years | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We evaluated 49 children with fracture of the humeral condyles 18-45 years after the injury. 20 fractures with a displacement of 2-1 0 mm with no tilting of the osteochondral fragment had been treated without reduction and with good results. 16 fractures with marked displacement and tilting of the osteochondral fragmen... |
0 | Clinicopathological variables influencing overall survival, recurrence and post-recurrence survival in resected stage i non-small-cell lung cancer | MSTS 2022 - Metastatic Disease of the Humerus | Background: To investigate clinicopathological variables influencing overall survival, overall recurrence, and post-recurrence survival (PRS) in patients who experienced curative-intent surgical resection of stage I non-small-cell lung cancer (NSCLC). Methods: We investigated a series of 1387 patients with stage I NSCL... |
0 | The use of tricorticocancellous bone graft in severely comminuted intra-articular fractures of the distal radius | Distal Radius Fractures | PURPOSE: We report the results of a retrospective study of the use of tricorticocancellous iliac crest bone graft in 12 patients with acute AO type C3.2 or type C3.3 fractures of the distal radius who were followed up for at least 1 year.
METHODS: Twelve of 17 patients treated with the protocol were available for follo... |
0 | Metastatic bone disease from breast cancer: a review of minimally invasive techniques for diagnosis and treatment | MSTS 2018 - Femur Mets and MM | Skeletal-related events in patients with metastatic bone disease include intractable severe pain, pathologic fracture, spinal cord and nerve compression, hypercalcemia and bone marrow aplasia. In patients with breast cancer, the skeleton is the most frequent site for metastases. Treatment options for metastatic bone di... |
0 | Objective structured assessments of technical skills (OSATS) does not assess the quality of the surgical result effectively | Distal Radius Fractures | Background Performance assessment in skills training is ideally based on objective, reliable, and clinically relevant indicators of success. The Objective Structured Assessment of Technical Skill (OSATS) is a reliable and valid tool that has been increasingly used in orthopaedic skills training. It uses a global rating... |
0 | Evaluation of impending fractures and indications for prophylactic fixation of metastases in long bones. Review of the literature | MSTS 2018 - Femur Mets and MM | This paper reviews the current literature on metastatic lesions most likely to result in a pathologic fracture of a long bone. Prophylactic surgery is recommended in the following situations: Persisting or increasing local pain despite the completion of radiation therapy; permeative involvement; a solitary well-defined... |
1 | Abduction treatment in late diagnosed congenital dislocation of the hip. Follow-up of 1,010 hips treated with the Frejka pillow 1967-76 | Developmental Dysplasia of the Hip CPG | There are many countries such as Poland where treatment of congenital hip dislocation is started late. The purpose of this work was to report our results in this group of children. 1010 hips in 780 children with congenital dislocation of the hip were treated with the Frejka pillow. The early results were evaluated in 8... |
0 | A randomized comparison of volar plate and external fixation for intra-articular distal radius fractures | Pediatric Supracondylar Humerus Fracture 2020 Review | Purpose To compare surgical outcomes of volar locking plates (VP) and external fixation (EF) (with or without intra-focal fixation) for AO-type C2 and C3 fractures of the distal radius. Methods From an initial group of 92 patients with AO-type C2 and C3 distal radius fractures who were enrolled in a prospective, random... |
0 | Common medical problems of instrumental athletes | PRPs for Lateral Epicondylitis/Elbow Tendinopathies | The fields of sports medicine and performing arts medicine have begun recent initiatives to collaborate more closely and to share information pertinent to the treatment of athletes and performing artists. This article provides a review of the common musculoskeletal and neurological problems encountered among performing... |
0 | A prospective randomized trial on the role of perioperative celecoxib administration for total knee arthroplasty: improving clinical outcomes | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Total knee arthroplasty (TKA) is associated with considerable postoperative pain, which, if unrelieved, may result in prolonged hospital stay, inability to participate in rehabilitation programs, poor outcomes, and greater use of healthcare resources. The hypothesis of this study is that perioperative admin... |
1 | Shoulder resurfacing: Is it really as good as total shoulder replacement? | Glenohumeral Joint OA | Cementless shoulder resurfacing arthroplasty differs in many aspects from the nonconstrained stemmed shoulder prosthesis. The design concept is replacement only of the damaged jointbearing surfaces and restoration of normal anatomy with minimal bone resection. Shoulder resurfacing has been developed over the last 25 ye... |
0 | Pain medication treatment and joint replacement surgery in patients with osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Osteoarthritis (OA) is characterized by joint pain, stiffness, and inflammation and can be associated with a significant number of comorbid conditions. In this retrospective longitudinal study, we estimated the rate of hip and knee replacement surgery in patients with OA and characterized joint replacement, pa... |
0 | Diagnosis and prevention of temporomandibular joint (TMJ) or odontostomatognathic (OSG) injury in dental practice | DoD PRF (Psychosocial RF) | Malpractice lawsuit cases due to temporomandibular joint/soft tissue injuries following dental therapy are increasing. Therefore, dentists and their staffs must know how to recognize, document and avoid any possible aggravation or precipitation of TMJ disorder. TMJ anatomy, biomechanics and mechanisms of TMJ injuries a... |
0 | Prediction of fixation failure in femoral neck fractures. Comminution and avascularity studied in 40 patients | Management of Hip Fractures in the Elderly | We performed 99m-Tc diphosphonate scintimetries in 40-elderly patients who had undergone screw fixation for a recent subcapital femoral fracture and analyzed their preoperative radiographs. The data were subjected to a logistic regression analysis. Both comminution of the calcar femorale and reduced scintimetric uptake... |
0 | Cost-effectiveness of inhaled steroids in asthma: impact of effect on bone mineral density | Management of Hip Fractures in the Elderly | BACKGROUND: The effects of inhaled corticosteroid (ICS) preparations on bone health have been debated. Multiple analyses have been published examining the question, with mixed results. OBJECTIVES: We examined how assumptions about the effect of ICS on bone mineral density (BMD) influence the cost-effectiveness of ICS i... |
0 | The evaluation and management of cartilage lesions affecting the patellofemoral joint | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Patellofemoral chondral lesions are unique and difficult-to-treat entities often affecting a young and active patient population. Recent advances in our understanding of cartilage injuries, surgical techniques, and surgical technology have provided treatment options for symptomatic patients with lesions of the patellof... |
0 | Electronic Ordering System Improves Postoperative Pain Management After Total Knee or Hip Arthroplasty | AAHKS (9/10) Regional Nerve Blocks | OBJECTIVES: The authors investigated the impact of computerized provider order entry (CPOE) on the delivery times of analgesia and subsequent patient outcomes. We hypothesized that patients would report less pain and use less pain medications compared with the previous paper-based system.
METHODS: Two groups of patient... |
1 | Clinical and Radiologic Outcomes of Patients With Lax Healing After Medial Meniscal Root Repair: Comparison With Subtotal Meniscectomy | AMP (Acute Meniscal Pathology) | PURPOSE: To compare radiologic and clinical outcomes between patients who underwent medial meniscus posterior root tear (MMPRT) repair and were subsequently classified as having lax healing based on second-look arthroscopy and patients who underwent subtotal meniscectomy for an MMPRT.
METHODS: The patients who received... |
0 | Bone marrow-derived human hematopoietic stem cells engraft NOD/SCID mice and traffic appropriately to an inflammatory stimulus in the joint | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: Studies of human inflammatory arthritis would be significantly aided by the development of better animal models. Our hypothesis is that it is possible to develop humanized arthritis models through novel techniques of hematopoietic stem and progenitor cell (HSPC) delivery. METHODS: Bone marrow was obtained fr... |
0 | Differential regulation of c-Met signal to synovial cell functions in rheumatoid arthritis | OAK Recommendation 9 Articles | Background Rheumatoid arthritis (RA) is characterized by the aggressive synovial expansion due to angiogenesis and subsequent destruction of the underlying cartilage and bone. Synovial cells produce inflammatory mediators, proteases, and angiogenic growth factors such as prostaglandin (PG) E2, IL-6, matrix metalloprote... |
0 | Effects of risedronate treatment on vertebral and nonvertebral fractures in women with postmenopausal osteoporosis: A randomized controlled trial | Management of Hip Fractures in the Elderly | Context: Risedronate, a potent bisphosphonate, has been shown to be effective in the treatment of Paget disease of bone and other metabolic bone diseases but, to our knowledge, it has not been evaluated in the treatment of established postmenopausal osteoporosis. Objective: To test the efficacy and safety of daily trea... |
0 | Evaluation of the results of operative treatment of hip dysplasia in children after the walking age | Developmental Dysplasia of the Hip 2020 Review | Background: Treatment of neglected developmental dysplasia of the hip (DDH) in children after the walking age has been a challenge to the orthopedic surgeons. It is usually surgical at this age ground. Methods: The study included 12 patients, they had been treated by different combinations of open reduction, femoral (s... |
0 | Trajectories and risk profiles of pain in persons with radiographic, symptomatic knee osteoarthritis: Data from the osteoarthritis initiative | PJI DX Updated Search | Background: Little is known about the temporal evolution of pain severity in persons with knee osteoarthritis (OA). We sought to describe the pain trajectory over 6 years in a cohort of subjects with radiographic, symptomatic knee OA. Methods: We used data from the Osteoarthritis Initiative (OAI), a multi-center, longi... |
0 | Reproducibility of compartmental subchondral bone morphometry in the mouse tibiofemoral joint | OAK 3 - Non-arthroplasty tx of OAK | Aim: Evidence suggests that subchondral bone can be used as a predictor for the onset of osteoarthritis. As such, there is a need to accurately and reproducibly quantify subchondral bone in areas where osteoarthritis develops. In this paper, we present a novel technique for the segmentation of subchondral bone in the t... |
1 | A New Approach to Minimize Acellular Dermal Matrix Use in Prosthesis-based Breast Reconstruction | Acellular Dermal Matrix | BACKGROUND: Acellular dermal matrices (ADMs) are often used to improve lower-pole contour, as well as allow for single-stage reconstruction, but numerous studies have shown an increased complication rate using ADM. As such, our group has developed a minimal-ADM-use technique to lower complications while effectively rec... |
0 | Carpal tunnel syndrome in dialysed patients - interdisciplinary experiences | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This paper presents an analysis of patients in hemodialysis with carpal tunnel syndrome. The pathogenesis and diagnostics of the syndrome are discussed, as well as treatment outcomes. The authors argue that treatment methods to avoid amyloidosis caused by dialysis should be introduced as standard procedure, especially ... |
0 | Snakebites notified to the poison control center of Morocco between 2009 and 2013 | DOD - Acute Comp Syndrome CPG | Background: Snakebites cause considerable death and injury throughout the globe, particularly in tropical regions, and pose an important yet neglected threat to public health. In 2008, the Centre Anti Poison et de Parmacovigilance du Maroc (CAPM) started to set up a specific strategy for the control of snakebites that ... |
0 | Carcinomatous neuromyopathy. 2. Immunological studies. An electrophysiological and immunological study of patients with carcinoma of the lung | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Significant cellular sensitivity to peripheral nerve antigens was found by MIF assay in 36% of patients with lung cancer (P<0.005) as compared with 62% of patients with peripheral neuropathy without neoplasia. No sensitivity was found in controls or the cancer sub-group without neuromuscular abnormality. The significan... |
1 | Simultaneous Bilateral or Unilateral Carpal Tunnel Release? A Prospective Cohort Study of Early Outcomes and Limitations | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Over 60% of patients with carpal tunnel syndrome present with symptoms and findings of nerve compression in both hands. Our goal was to compare patient-rated difficulties in performing activities of daily living in the early postoperative period between those undergoing bilateral carpal tunnel release and t... |
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