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0 | Discrimination of vertebral fragility fracture with lumbar spine bone mineral density measured by quantitative computed tomography | DoD PRF (Psychosocial RF) | Background/Objective: This study is a caseâ??control study to explore risk and protective factors, including clinical data and bone mineral density (BMD), affecting vertebral body fragility fracture in elderly men and postmenopausal women. In addition, we investigate the effectiveness of lumbar spine BMD by quantitativ... |
0 | The role of bone grafting in the treatment of delayed unions and nonunions of the tibia | DoD LSA (Limb Salvage vs Amputation) | From 1972 to 1984, 53 delayed unions or non-unions of the tibia were successfully treated by either posterolateral or local bone grafting techniques. There were 40 initially open fractures, 19 of which became infected nonunions. The average time from injury to surgery was 10.9 months. Clinical union was achieved in 5.6... |
1 | Comparison of glucosamine sulfate and a polyherbal supplement for the relief of osteoarthritis of the knee: a randomized controlled trial [ISRCTN25438351] | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The efficacy and safety of a dietary supplement derived from South American botanicals was compared to glucosamine sulfate in osteoarthritis subjects in a Mumbai-based multi-center, randomized, double-blind study. METHODS: Subjects (n = 95) were screened and randomized to receive glucosamine sulfate (n = 47... |
0 | Multi-disciplinary care of the patient with acute hip fracture: How to optimise the care for the elderly, traumatised patient at and around the time of the fracture to ensure the best short-term outcome as a foundation for the best long-term outcome | Hip Fx in the Elderly 2019 | Of the 70,000 patients presenting in the UK each year with hip fracture, most are frail, elderly with multiple co-morbidities and polypharmacy. Falls are often attributed to slips or trips, but many reflect the patient's inability to steady themself because of slowed reflexes, poor balance, underlying musculoskeletal d... |
0 | Experience in the use of the long Gamma nail for 16 femoral shaft fracture that have occurred following initial Asian Pacific Gamma nail fixation for pertrochanteric fractures | Management of Hip Fractures in the Elderly | From January 1993 to September 2002, 931 patients suffered from intertrochanteric fracture and subrochanteric fracture received open reduction and internal fixation with APGN in our institute. Among these patients, 16 patients (1.7%) developed a femoral shaft fracture after the initial fixation with APGN. Removal of th... |
0 | Medium to long term follow up of a consecutive series of 604 Exeter Trauma Stem Hemiarthroplasties (ETS) for the treatment of displaced intracapsular femoral neck fractures | PJI DX Updated Search | The aim of this study was to evaluate the medium to long term follow up results for the Exeter Trauma Stem (ETS) in the treatment of displaced femoral neck fractures. We retrospectively evaluated 604 consecutive cemented ETS hemiarthroplasties performed at our institution between 2007 and 2012. The range of follow up w... |
0 | Inverted V-Shaped High Tibial Osteotomy for Medial Osteoarthritic Knees With Severe Varus Deformity | OAK 3 - Non-arthroplasty tx of OAK | A hemi-closing-wedge and hemi-opening-wedge, inverted V-shaped high tibial osteotomy with local bone graft has been reported to be an effective surgical procedure for medial osteoarthritis of the knee. In this procedure, an inverted V-shaped osteotomy is made and a thin wedged bone block is resected from the lateral si... |
0 | Recovery and central responses to median nerve stimulation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We recorded the responses to paired stimuli delivered to the median nerve at the wrist in 8 healthy adult volunteers, in order to characterize the recovery of function after a single conditioning stimulus. Responses were recorded over the nerve at the ipsilateral elbow and in the Erb's point region, over the second cer... |
0 | A primarily overlooked and incorrectly treated Essex-Lopresti injury: what can this lead to? | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | INTRODUCTION: What result can one expect in treating an Essex-Lopresti lesion--a rare complex combination injury of the forearm consisting of a radial head fracture and a rupture of the interosseous membrane--which failed to be identified at first? MATERIALS AND METHODS: We report on a 45-year-old poly traumatized pati... |
0 | The carpal tunnel syndrome: Etiologic and prognostic role of biological and professional risk factors | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background. The interest in carpal tunnel syndrome (CTS) is linked to numerous factors. They include the need to identify subjects at risk, to define preventive measures and set up informative-educational parameters, to estimate the efficacy of the surgery carried out, evaluate the very high socio-economic costs and, a... |
0 | Radiographic features predictive of radiographic progression of hip osteoarthritis | Management of Hip Fractures in the Elderly | OBJECTIVES: To evaluate potential radiographic predictors of hip osteoarthritis progression.PATIENTS AND METHODS: A prospective, longitudinal two-year study was conducted in patients meeting American College of Rheumatology criteria for hip osteoarthritis. Hip osteoarthritis progression was defined as a greater than 0.... |
0 | Deep wound infection after proximal femoral fracture: consequences and costs | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The purpose of this study was to assess the impact of deep wound infection after surgery for proximal femoral fracture (PFF) on the patient in terms of mortality and social consequences, and on the National Health Service in terms of financial burden. Sixty-one cases of PFF over a six-year period were complicated with ... |
0 | Hyperhidrosis, bromhidrosis, and chromhidrosis: Fold (intertriginous) dermatoses | Panniculectomy & Abdominoplasty CPG | Human sweat glands disorders are common and can have a significant impact on the quality of life and on professional, social, and emotional burdens. It is of paramount importance to diagnose and treat them properly to ensure optimal patient care. Hyperhidrosis is characterized by increased sweat secretion, which can be... |
1 | The results of repair of massive tears of the rotator cuff | Optimizing the Management of Full-Thickness Rotator Cuff Tears | BACKGROUND: Massive tears of the tendons of the rotator cuff cause atrophy and fatty degeneration of the rotator cuff muscles and painful loss of function of the shoulder. Repair of massive rotator cuff tears is often followed by retears of the tendons, additional muscular degeneration, and a poor clinical outcome. The... |
0 | Prepuncture ultrasound imaging to predict transverse process and lumbar plexus depth for psoas compartment block and perineural catheter insertion: a prospective, observational study | AAHKS (8) Anesthetic Infiltration | BACKGROUND: All widely used psoas compartment block/catheter techniques have a common limitation: external landmarks do not accurately predict lumbar plexus depth, leaving practitioners to "guess" at what depth to stop advancing the placement needle when neither transverse process nor lumbar plexus is intercepted. We a... |
0 | Classification and management of gynecomastia: defining the role of ultrasound-assisted liposuction | Panniculectomy & Abdominoplasty CPG | Gynecomastia, or excessive male breast development, has an incidence of 32 to 65 percent in the male population. This condition has important physical and psychological impacts. Advances in elucidating the pathophysiology of gynecomastia have been made, though understanding remains limited. Recommendations for evaluati... |
0 | Diagnostic agreement at the total hip using different DXA systems and the NHANES III database | Management of Hip Fractures in the Elderly | In 1997, the National Health and Nutrition Examination Survey III (NHANES III) total hip reference database was adopted for T-score derivation in an effort to optimize diagnostic agreement among densitometers from different manufacturers. Our study was undertaken to evaluate the effectiveness of the NHANES III standard... |
0 | Skeletal morbidity in men with prostate cancer: Quality-of-life considerations throughout the continuum of care | MSTS 2018 - Femur Mets and MM | With current treatments, men usually survive many years after being diagnosed with prostate cancer. However, without supportive care, the systemic effects of prostate cancer and therapies such as androgen deprivation therapy (ADT) can undermine skeletal integrity, resulting in skeletal complications that may erode qual... |
0 | A comparison of Kneipp hydrotherapy with conventional physiotherapy in the treatment of osteoarthritis of the hip or knee: protocol of a prospective randomised controlled clinical trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The increasing age of the population, especially in the western world, means that the prevalence of osteoarthritis is also increasing, with corresponding socioeconomic consequences. Although there is no curative intervention at present, in accordance with US and European guidelines, pharmacotherapeutic and ... |
0 | Secondary abdominoplasty | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Abdominoplasty is the most frequent excisional body contour procedure performed in aesthetic surgery. Secondary abdominoplasty refers to a new excisional procedure for a patient who has previously undergone an excisional abdominoplasty. In the authors' practice, more than 7% of abdominoplasties are secondar... |
0 | Extension deficit and lateral instability in degenerative disease of the knee | Surgical Management of Osteoarthritis of the Knee CPG | During the period October 1975-June 1977, 70 Marmor knee arthroplasties were performed. The operative procedure provided a good opportunity to study the anatomical conditions in vivo. The causes of extension deficit and lateral instability of the knees were analysed in a prospective investigation. Thirty-seven out of 6... |
0 | Plate Fixation With Cancellous Graft for Scaphoid Nonunion With Avascular Necrosis | Distal Radius Fractures | PURPOSE: Currently, there is no consensus on the optimal treatment for scaphoid nonunion with avascular necrosis (AVN). Various techniques, often involving vascularized corticocancellous bone grafting, have been proposed. The authors hypothesized that similar outcomes might be possible with volar plate fixation augment... |
0 | Cost-utility of breast reduction surgery--a prospective study | Reduction Mammoplasty for Female Breast Hypertrophy | OBJECTIVE: To assess the cost-utility of routine breast-reduction surgery in the setting of a large university hospital.
METHODS: In the framework of a large trial exploring the feasibility of routine health-related quality of life (HRQoL) assessment, 80 patients (mean age: 45 years) entering the Department of Plastic ... |
0 | The use of the inframammary ligament in reduction mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | The inframammary fascial system has been dissected by us in the last 7 years in over 150 reduction mammaplasties or corrections of ptosis, as well as in cadaver dissections. We have found its anatomy to be consistent, notwithstanding differences in its descriptions in the literature. In this presentation, we describe t... |
0 | Long-lasting depression of motor-evoked potentials to transcranial magnetic stimulation following exercise | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We used transcranial magnetic stimulation to study the modulation of motor cortex excitability after rapid repetitive movements. Eleven healthy subjects aged 24-32 years were evaluated. Serial motor-evoked potential (MEP) recordings were performed from the right thenar eminence every 5 min for a period of 20 min at res... |
0 | Correlation between ultrasonic and radiographic imaging of developmental dysplasia of the hip | Developmental Dysplasia of the Hip 2020 Review | PURPOSE: The correlation between the degree of developmental hip dysplasia (DDH) measured on ultrasound images compared with that measured on radiographs is not clear. Most studies have compared ultrasonography (US) and radiographic images made at different times of follow-up. In this study the correlation between US i... |
0 | Traumatic spinopelvic dissociation managed with bilateral triangular osteosynthesis: Functional and radiological outcomes, health related quality of life and complication rates | DoD SSI (Surgical Site Infections) | BACKGROUND: Spinopelvic dissociation (SPD) is difficult to manage and is associated with high mortality and morbidity, including concomitant orthopaedic polytrauma, spine injuries, pelvic ring disruptions, neurological, soft-tissue, and vascular injuries. The purpose of this study is to evaluate the functional and radi... |
0 | Metastatic burden in nude mice organs measured using prostate tumor PC-3 cells expressing the luciferase gene as a quantifiable tumor cell marker | MSTS 2018 - Femur Mets and MM | BACKGROUND: Sensitive procedures for quantitative measurement of tumor cell spread as a function of time and primary tumor size are necessary to generate models of metastasis and formulate therapies.
METHODS: Prostate carcinoma cells PC-3.luc expressing the luciferase gene were intramuscularly inoculated in nude mice t... |
0 | Comparison of sufentanil and fentanyl to supplement N2O-halothane anesthesia for total hip arthroplasty in elderly patients | AAHKS (8) Anesthetic Infiltration | Sufentanil was compared with fentanyl as a supplement to nitrous oxide-halothane anesthesia in a double-blind study of 30 elderly patients undergoing total hip arthroplasty. Comparisons were made with respect to (a) hemodynamic (heart rate and blood pressure) and adrenergic (plasma norepinephrine and epinephrine levels... |
0 | Predicting the probability of meningioma recurrence based on the quantity of peritumoral brain edema on computerized tomography scanning | MSTS 2022 - Metastatic Disease of the Humerus | Object. The goal of this study was to determine whether the quantity of peritumoral brain edema displayed on computerized tomography (CT) scanning could be correlated with brain invasion and subsequent recurrence of meningiomas. Methods. One hundred thirty-five patients who underwent resection of intracranial meningiom... |
0 | Large Metal Heads and Highly Cross-Linked Polyethylene Provide Low Wear and Complications at 5-13 Years | Hip Fx in the Elderly 2019 | BACKGROUND: Highly cross-linked polyethylene (XLPE) is reported to have low rates of linear and volumetric wear at 10-14 years. In a prior study, larger (36 and 40 mm) femoral heads were associated with more volumetric wear, but there were only 12 hips with these heads.
METHODS: We evaluated 107 hips (93 patients, with... |
0 | Dialysis-related amyloidosis: Pathogenesis and promoting factors (a review) | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Dialysis-related amyloidosis is defined as an accumulation and deposition of (beta)(2)-microglobulin-derived fibrils, predominantly in the bones and joints, due to insufficient elimination of this protein by renal replacement therapy. The most important clinical manifestations are carpal tunnel syndrome and dialysis ar... |
0 | Association analysis of the common varieties of IL17A and IL17F genes with the risk of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis is mediated by various types of cytokines, growth factors, and inflammatory factors that the role of the interleukin-17 family in this disease is becoming increasingly apparent. The aim of this study is to determine the association between the common polymorphisms of IL17A (including rs2275913) and IL17F... |
1 | Comparison between Nintendo Wii Fit and conventional rehabilitation on functional performance outcomes after hamstring anterior cruciate ligament reconstruction: prospective, randomized, controlled, double-blind clinical trial | Anterior Cruciate Ligament Injuries CPG | PURPOSE: The aim of this prospective, randomized, controlled, double-blind clinical trial was to compare the outcomes, including knee strength, balance, coordination, proprioception and response time, of Nintendo Wii Fit with those of conventional rehabilitation on the subjects with anterior cruciate ligament reconstru... |
0 | Intramuscular pressure varies with depth. The tibialis anterior muscle studied in 12 volunteers | DOD - Acute Comp Syndrome CPG | Pressures in the tibialis anterior muscle were recorded at rest and during exercise with transducer-tipped catheters in 12 volunteers while they were supine or standing. The recordings were repeated with venous stasis created by an inflated tourniquet cuff on the thigh. Catheters were placed at 3 different sites in the... |
0 | A Phase 2 Trial of Lutikizumab, an Anti-Interleukin 1alpha/beta Dual Variable Domain Immunoglobulin, in Knee Osteoarthritis Patients With Synovitis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To assess the efficacy and safety of the anti-interleukin (IL)-1alpha/beta dual variable domain immunoglobulin lutikizumab (ABT-981) in subjects with knee osteoarthritis (OA) and evidence of synovitis.
METHODS: Subjects (N=350; 347 analyzed) with Kellgren-Lawrence grade 2-3 knee OA and synovitis (determined ... |
0 | Jejunoileal bypass as the main procedure in the onset of immune-related conditions: The model of BADAS | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Bariatric surgery represents a common approach for the control of severe morbid obesity, reducing caloric intake by modifying the anatomy of the gastrointestinal tract. Following jejunoileal bypass, a large spectrum of complications has been described, with rheumatic manifestation present in up to 20% of cases. Althoug... |
0 | Evaluating results from the multiple myeloma patient subset treated with denosumab or zoledronic acid in a randomized phase 3 trial | MSTS 2018 - Femur Mets and MM | In a phase 3 trial of denosumab vs zoledronic acid in patients (n=1776) with bone metastases and solid tumors or multiple myeloma, denosumab was superior to zoledronic acid for the primary end point of prevention of skeletal-related events. There was no difference in overall survival between the two groups; however, an... |
0 | Treatment options in femoral radiation fractures following soft tissue sarcoma: Incidence, risk factors, failures and flowchart of treatment | DoD SSI (Surgical Site Infections) | INTRODUCTION: The femur is the most frequent involved site by post-attinic fractures. The appropriate treatment of pathological fractures after radiotherapy is still controversial as they are associated with a high risk of delayed consolidation and non-union. Authors review a single Center series of pathological fractu... |
0 | We do not have evidence based methods for the treatment of cartilage defects in the knee | PRP (Platelet-Rich Plasma) | PURPOSE: The aim of this study was to perform a systematic review of studies concerning current treatment of chondral defects of the knee.
METHODS: The relevance for evidence based data and for successful surgical treatment of cartilage defects was evaluated. From 56,098 evaluated studies, 133 studies could be further ... |
0 | Function-preserving fat grafting in the breast: Results based on 18 years of experience | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Autologous fat transplantation has been used for breast nearly 40 years, but there are two main problems: the volume retention rate is unpredictable, leading to too many operations, and various complications, such as nodules, necrosis and calcification, occur. OBJECTIVE: The author proposed "function-preser... |
0 | Hyaluronic acid injections for knee osteoarthritis. Systematic review of the literature | SR for PM on OA of All Extremities | OBJECTIVE: To determine whether viscosupplementation with intra-articular hyaluronic acid (HA) injections improves pain and function in patients with osteoarthritis (OA) in their knees. DATA SOURCES: We searched MEDLINE, Pre-MEDLINE, and Cochrane databases using the MeSH headings and key words osteoarthritis (knee) and... |
0 | Normal and pathological MR findings in osteochondral autografts with longitudinal follow-up | Diagnosis and Treatment of Osteochondritis Dissecans AUC | The purpose of this study was to analyze normal and pathological MR findings in osteochondral autograft transfer systems (OATS) of the knee and ankle in the longitudinal follow-up and in relation to the clinical findings. MR imaging was performed in 55 patients (21 females: 34 males; mean age 34.5+/-12.1 years) after O... |
0 | Whitnall's sling for poor function ptosis | Upper Eyelid and Brow Surgery | Severe unilateral ptosis with poor levator function has previously been treated with maximal levator muscle resection or bilateral or unilateral frontalis suspension. One of us (R.L.A.) has developed a technique called "Whitnall's sling," where only the levator aponeurosis is resected, preserving Whitnall's ligament an... |
1 | Plaster cast versus percutaneous pin fixation for comminuted fractures of the distal radius in patients between 46 and 65 years of age | Distal Radius Fractures | OBJECTIVE: To compare the results of treating unstable distal radius fractures either by percutaneous pinning and casting, or by traditional closed reduction and casting.
DESIGN: Prospective, randomized.
SETTING: University hospital.
PATIENTS: Forty patients with unstable Frykmann III-VIII distal radius fractures resul... |
0 | Perioperative pulmonary circulatory changes during bilateral total hip arthroplasty under regional anesthesia | PJI DX Updated Search | Background and Objectives: The transient and rarely clinically relevant effect of bone and cement embolization during unilateral joint arthroplasty is a known phenomenon. However, available studies do not address events surrounding bilateral total hip arthroplasties, during which embolic load is presumably doubled. To ... |
1 | Risk factors correlated with post-operative mortality for hip fracture surgery in the elderly: a population-based approach | Management of Hip Fractures in the Elderly | OBJECTIVES: To estimate the effect of waiting time for surgery and volume of surgical activity on mortality in patients with hip fracture and to compare risk-adjusted outcomes between hospitals providing surgery for such patients. DESIGN: Retrospective cohort study. SETTING: Friuli Venezia Giulia, Italy. PARTICIPANTS: ... |
0 | Confocal arthroscopic assessment of osteoarthritis in situ | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: This study aimed to assess the ability of the laser scanning confocal arthroscope (LSCA) to evaluate cartilage microstructure, particularly in differentiating stages of human osteoarthritis (OA) as classified by the International Cartilage Repair Society (ICRS) OA grade definitions. METHODS: Ten tibial plateau... |
0 | The unhappy triad of the knee re-revisited | AMP (Acute Meniscal Pathology) | AIM OF THE STUDY: To describe the surgical findings of the anterolateral complex in patients with the "unhappy triad" lesion of the knee.
METHOD: One hundred and twenty-five consecutive patients presenting with acute anterior cruciate ligament (ACL) tears were selected for this study. Only cases, evaluated with a valgu... |
0 | Impact of a surgical screening clinic for patients with knee osteoarthritis: A descriptive study | OAK 3 - Non-arthroplasty tx of OAK | Objective: To evaluate a surgical screening clinic for patients with knee osteoarthritis (OA) referred for total knee arthroplasty (TKA) and explore management before referral. Design: Descriptive study using retrospective chart review. Setting: Large Canadian teaching hospital. Participants: Patients with knee OA refe... |
0 | Annexin a6: A novel therapeutic target for the treatment of osteoarthritis? | OAK Recommendation 9 Articles | Purpose: NF-kb and Wnt/b-catenin signaling are two major pathways involved in osteoarthritis (OA). Members of the annexin protein family have been implicated to play essential roles in various disease pathologies based on their function to modulate signaling pathways, including NF-kB. Based on these findings and our fi... |
0 | Clindamycin and dentistry | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Clindamycin is an antimicrobial agent that dentists use in the UK for infective endocarditis prophylaxis but rarely for other clinical situations that require antimicrobial intervention. This has been largely due to its association with acute pseudomembranous colitis. Up to date information on the efficacy and safety o... |
0 | Health-related quality of life after spinal cord injury | DoD PRF (Psychosocial RF) | PURPOSE: The purpose of this study was to assess health-related quality of life (HRQOL) in spinal-cord-injured adults living in Quebec (Canada).
METHOD: Subjects with spinal cord injury (SCI) all of whom were members of the Quebec Paraplegic Association who gave their consent to participate completed the 36-item Short ... |
0 | Overexpression of HSA-MIR-148a promotes type II collagen synthesis by osteoarthritic chondrocytes | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: MicroRNAs (miRNAs) regulate gene expression through basespecific interactions. The aim of this study was to further identify miRNAs differentially expressed in OA and to investigate the effect of one of these, miR-148, on the chondrogenic potential of chondrocytes from OA cartilge. Methods: Low-density Taqman ... |
0 | Reducing primary and secondary traumatic stress symptoms among educators by training them to deliver a resiliency program (ERASE-Stress) following the Christchurch earthquake in New Zealand | DoD PRF (Psychosocial RF) | The current investigation evaluated the impact of a universal school-based resiliency intervention (ERASE-Stress) on educators who were working with elementary schoolchildren exposed to the Canterbury earthquake in New Zealand. In the context of major disasters, educators may suffer from "dual trauma"; they can experie... |
1 | Effects of weight-bearing versus nonweight-bearing exercise on function, walking speed, and position sense in participants with knee osteoarthritis: a randomized controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To investigate whether weight-bearing (WB) exercise enhances functional capacity to a greater extent than nonweight-bearing (NWB) exercise in participants with knee osteoarthritis. DESIGN: Randomized controlled trial. SETTING: Kinesiology laboratory. PARTICIPANTS: Participants (N=106) were randomly assigned ... |
0 | Pathogenesis and medical management of diabetic Charcot neuroarthropathy | MSTS 2018 - Femur Mets and MM | The Charcot foot is an acute clinical emergency that warrants immediate management in order to prevent irreversible joint destruction. Offloading remains the mainstay of treatment of Charcot foot; however, adjunctive therapy with antiresorptive agents may facilitate retardation and early recovery from the inflammatory ... |
0 | Guidance for the adjustment of FRAX according to the dose of glucocorticoids | Management of Hip Fractures in the Elderly | Summary: We examined the effect of glucocorticoid dose on FRAX(registered trademark) derived fracture probabilities in a UK setting. A relatively simple adjustment of conventional FRAX estimates of probabilities of hip fracture and a major osteoporotic fracture can be applied to modulate the risk assessment with knowle... |
0 | Horses and Education as Arthritis Therapy | Glenohumeral Joint OA | A study will be conducted to assess if adults and older adults with arthritis who ride horses are able to move better, have less pain, enjoy nature more and have a better quality of life then people who go to class to learn about exercise. This is needed because adults with arthritis experience joint pain, stiffness, d... |
1 | Five-year results of conservatively treated tears of the anterior cruciate ligament | Anterior Cruciate Ligament Injuries CPG | Follow-up examinations of 35 patients with an arthroscopically confirmed isolated fresh tear of the anterior cruciate ligament were conducted after an average period of 5 years. After arthroscopy and immobilization of the knee in a plaster cast for 2 weeks, all 35 patients had been conservatively treated with neurophys... |
0 | Malpractice in connection with radius fractures must be reduced. Clear guidelines for treatment and follow-up are required | Distal Radius Fractures | PSR handles the vast majority of malpractice injuries in Sweden. PSR is a claims handling company which settles claims for malpractice on behalf of the insurance company owned by the Swedish county councils: the County Councils Mutual Insurance Company. A central issue in the law regulating patient injuries in Swedish ... |
1 | Real-life effectiveness of spa therapy in rheumatic and musculoskeletal diseases: a retrospective study of 819 patients | Glenohumeral Joint OA | The objective of this study is to determine the use and efficacy of spa therapy in patients with a wide spectrum of rheumatic and musculoskeletal diseases under real-life clinical practice circumstances. In this retrospective observational study at the Medical Ecology and Hydroclimatology Department of Istanbul Faculty... |
0 | Randomized clinical trial between proximal row carpectomy and the four-corner fusion for patients with stage II SNAC | Glenohumeral Joint OA | OBJECTIVE: To compare the outcomes of patients with stage II SNAC submitted to surgical treatment by proximal row carpectomy (PRC) or four-corner fusion (FCF).
METHOD: Twenty-seven patients aged 18-59 years (mean 37.52 years) were included. Thirteen patients underwent PRC in Group A, and 14 underwent FCF of the wrist i... |
0 | The association between MR T1? and T2 of cartilage and patient-reported outcomes after ACL injury and reconstruction | AMP (Acute Meniscal Pathology) | Objective: To determine if cartilage T1? and T2 relaxation time measures after ACL injury and prior to reconstruction (baseline) are associated with patient-reported outcomes at baseline, 6-months, and 1-year after surgery. Design: Fifty-four ACL-injured participants were scanned in both knees at baseline using 3T MR T... |
1 | Additive effect of continuous adductor canal block and liposomal bupivacaine periarticular injection in total knee arthroplasty | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Novel methods of postoperative analgesia for total knee arthroplasty (TKA) have demonstrated improved functional outcomes and decreased narcotic consumption. These approaches include continuous adductor canal blocks (CACB) and periarticular injection (PAI). There is a lack of current understanding regarding... |
0 | Radiographic absorptiometry for pre-screening of osteoporosis in patients with low energy fractures | HipFx Supplemental Cost Analysis | Dual energy X-ray absorptiometry (DEXA) is the most accurate method and thus the method of choice for diagnosing osteoporosis. Due to the limited access to DEXA-scanners, screening of patients with low energy fractures (LEF) for osteoporosis is not routinely performed in Denmark. Pre-screening with a simple, less expen... |
0 | A systematic review and meta-analysis investigating the association between bone marrow lesions in people with osteoarthritis | SR for PM on OA of All Extremities | Osteoarthritis (OA) is a prevalent condition and the leading cause of disability in the world. Bone marrow lesions (BMLs) are a relatively new phenomenon and their association with OA is not well understood. A systematic review was undertaken of published and unpublished or grey literature databases from their inceptio... |
0 | Treatment options other than total knee arthroplasty in young patients with knee osteoarthritis: Part i | AAHKS (2) Corticosteroids | Nonarthroplasty management of symptomatic knee arthritis in young patients is now and will continue to be a significant challenge for orthopaedic surgeons. Efforts to forestall knee arthroplasty should be made whenever feasible, however. This review focuses on nonarthroplasty options in the treatment of symptomatic kne... |
0 | Understanding barriers and facilitators to healthy eating and physical activity from patients either before and after knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: We sought to identify patient-reported barriers and facilitators to healthy eating and physical activity among patients before or after knee arthroplasty. MATERIALS AND METHODS: Twenty patients with knee osteoarthritis aged 40-79 years who had knee arthroplasty surgery scheduled or completed within 3 months we... |
1 | A longitudinal analysis of alcohol consumption and the risk of posttraumatic symptoms | DoD PRF (Psychosocial RF) | BACKGROUND: Previous studies investigating the impact of alcohol ingestion on the emergence of posttraumatic psychological symptoms have generated contradictory findings.
METHODS: One thousand forty-five patients, admitted to hospital following traumatic injury were assessed during hospitalisation for patterns of alcoh... |
0 | Melanoma associated spongiform scleropathy: characterization, biochemical and immunohistochemical studies | MSTS 2022 - Metastatic Disease of the Humerus | SUMMARY: Melanoma associated spongiform scleropathy (MASS) is a non-inflammatory scleral change with a spongiotic morphology seen in association with uveal melanoma. MASS is seen as whitish spindle shaped areas within the sclera that is adjacent to and in contact with a choroidal or ciliary body melanoma. This change c... |
0 | Evaluating progress in reducing workplace violence: Trends in Washington State workersâ?? compensation claims rates, 1997â??2007 | DoD PRF (Psychosocial RF) | Objectives: This study reports trends in the pattern of injuries related to workplace violence over the period 1997-2007. It tracks occupations and industries at elevated risk of workplace violence with a special focus on the persistently high claims rates among healthcare and social assistance workers. Methods: Indust... |
0 | Hip abductor strength in people with knee osteoarthritis: A cross-sectional study of reliability and association with function | OAK 3 - Non-arthroplasty tx of OAK | Background: To investigate the clinical importance of hip abductor (HA) strength in people with knee osteoarthritis (OA), the purposes of this study were to 1) compare the association of HA strength and physical function to that of knee extensor (KE) strength and physical function, and 2) determine the reliability of t... |
0 | Effects of phototherapy on cartilage structure and inflammatory markers in an experimental model of osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study was to evaluate the effects of laser phototherapy on the degenerative modifications on the articular cartilage after the anterior cruciate ligament transection (ACLT) in the knee of rats. Eighty male rats (Wistar) were distributed into four groups: intact control group (IG), injured control group ... |
1 | The use of a point of care device for monitoring the bone resorption biomarker urinary N-telopeptide in cancer patients with bone metastases | MSTS 2018 - Femur Mets and MM | Type I collagen is the major constituent of bone and its breakdown products are increasingly used as sensitive markers of bone resorption. The N-terminal peptide-bound crosslinks of type I collagen (NTX) can be measured in urine and is useful for the monitoring of patients with metastatic bone disease. Studies have sho... |
0 | Assessing functional health status in adults with haemophilia: towards a preliminary core set of clinimetric instruments based on a literature search in Rheumatoid Arthritis and Osteoarthritis | SR for PM on OA of All Extremities | People with haemophilia experience a progressive deterioration of their functional health status. Regular clinical assessment of functional health status provides insight into their process of disablement. As such, the development of a core-set of measurement tools is warranted. The aim of this study was to gather data... |
0 | Second Generation Radiofrequency Body Contouring Device: Safety and Efficacy in 300 Local Anesthesia Liposuction Cases | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Suction-assisted lipectomy has undergone significant improvements in technique, outcomes, and safety. The local anesthetic option has an excellent safety profile, and energy-based modalities such as radiofrequency-assisted liposuction (RFAL) devices were developed to enhance soft-tissue contraction. The pur... |
0 | Fractures and dislocations of the foot and ankle in diabetics associated with Charcot joint changes | DoD LSA (Limb Salvage vs Amputation) | This study was undertaken to evaluate the occurrence of Charcot joint changes in diabetic patients after fractures and/or dislocations of the foot and ankle. There were 20 fracture/dislocations of the foot and ankle in 18 patients, with an average follow-up of 27 months (range 14-70 months). There were eight fractures ... |
0 | Antibiotic prophylaxis in dentistry: a review and practice recommendations | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: The American Heart Association, or AHA, and the American Dental Association recently changed their recommended protocols for antibiotic prophylaxis against bacterial endocarditis. A new recommendation also has been issued by the ADA and the American Academy of Orthopaedic Surgeons, or AAOS, against routine ... |
0 | Antibiotic coated hinged threaded rods in the treatment of infected nonunions and intramedullary long bone infections | DoD SSI (Surgical Site Infections) | INTRODUCTION: Local delivery of high dose antibiotics in the form of antibiotic impregnated polymethyl methacrylate (PMMA) cement beads or coated rods is commonly used in the management of long bone infections. The downsides of antibiotic cement beads for intramedullary long bone infections are associated with difficul... |
0 | Lower limb amputations in Trondheim, Norway | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND AND PURPOSE: In the city of Trondheim, Norway, diabetic lower-limb amputations accounted for one-third of all lower-limb amputations (LLAs). In an attempt to reduce this rate, a diabetic foot team was established in 1996. We present the incidence of LLA in Trondheim as measured 10 years later. PATIENTS AND M... |
1 | Management of open infected comminuted tibial fractures using Ilizarov concept | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Bone loss is very common in high energy trauma. It could be treated either by amputation and prosthesis or by reconstruction of both bony and soft tissue structures. The choice of treatment in a given case must be based on the assessment of the local and general condition of the patient such as regional neu... |
0 | Detection of serotype k Streptococcus mutans in Thai subjects | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | INTRODUCTION: Streptococcus mutans, known to be a pathogen of dental caries as well as bacteremia and infective endocarditis, is classified into four serotypes, c, e, f and k, based on the structures of serotype-specific polysaccharides. Serotype k was recently designated using blood isolates from Japanese subjects and... |
0 | Acetabular fractures with marginal impaction: mid-term results | Management of Hip Fractures in the Elderly | Over a five-year period, adult patients with marginal impaction of acetabular fractures were identified from a registry of patients who underwent acetabular reconstruction in two tertiary referral centres. Fractures were classified according to the system of Judet and Letournel. A topographic classification to describe... |
0 | Physical activity levels after hip and knee joint replacement surgery: an observational study | OAK 3 - Non-arthroplasty tx of OAK | Usual care after hip or knee joint replacement does not adequately address the problem of low physical activity levels. We aimed to determine whether exercise delivered in a group setting in the early stage of outpatient rehabilitation influenced self-reported physical activity levels after hip or knee joint replacemen... |
1 | Psychosocial sequelae of the 1989 Newcastle earthquake: I. Community disaster experiences and psychological morbidity 6 months post-disaster | DoD PRF (Psychosocial RF) | A stratified random sample of 3007 Australian adults completed a screening questionnaire 6 months after the 1989 Newcastle earthquake. Information was obtained on initial earthquake experiences and reactions, use of specific services, social support, coping strategies and psychological morbidity. This questionnaire was... |
0 | Italian experience on use of E.S.W. therapy for avascular necrosis of femoral head | PJI DX Updated Search | Osteonecrosis (avascular necrosis) of the femoral head is a clinical disease due to a severe bone vascular alteration associated with intense pain and loss of joint function, with an incidence of 0.1% and unknown aetiology. Many classifications exist to describe it and in the final stages the patient will need a total ... |
0 | Comparing the analgesic efficacy of continuous femoral nerve blockade and continuous intravenous analgesia after total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | METHODS: 126 patients undergoing TKA under combined epiduralâ?spinal anesthesia were randomized to receive either a femoral infusion of ropivacaine 0.2% (median infusion rate 5 ml/h) (n = 63) or an intravenous infusion of fentanyl 30 µg/kg (2 ml/h) (n = 63). Adjuvant analgesics were oral celebrex or IM pethidine. In ... |
0 | A retrospective study of using removable occlusal splint in the treatment of condylar fracture in children | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Although the concept of conservative treatment for paediatric condylar fracture is well understood, there is still a lack of a recognized method for treating child patients with a condylar fracture. The purpose of this study was to investigate the effect of the removable occlusal splint in treating condylar... |
1 | Continuous versus single-injection sciatic nerve block added to continuous femoral nerve block for analgesia after total knee arthroplasty: a prospective, randomized, double-blind study | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND AND OBJECTIVES: The benefit of adding sciatic nerve block (SNB) to femoral nerve block to improve analgesia after total knee arthroplasty (TKA) is uncertain. We hypothesized that the effective duration of single-injection SNB is too short to improve postoperative analgesia and that this contributes to confli... |
0 | Early full range of shoulder and elbow motion is possible after minimally invasive plate osteosynthesis for humeral shaft fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | OBJECTIVES: To measure the speed of full shoulder and elbow range of motion recovery following minimally invasive plate osteosynthesis (MIPO) for humeral shaft fractures. SETTING: University Hospital. PATIENTS: From March 2005 to July 2007, 14 consecutive patients with closed humeral shaft fractures underwent surgery b... |
0 | The combined effect of frontal plane tibiofemoral knee angle and meniscectomy on the cartilage contact stresses and strains | AMP (Acute Meniscal Pathology) | Abnormal tibiofemoral alignment can create loading conditions at the knee that may lead to the initiation and progression of knee osteoarthritis (OA). The degenerative changes of the articular cartilage may occur earlier and with greater severity in individuals with abnormal frontal plane tibiofemoral alignment who und... |
0 | DXA measurements in rett syndrome reveal small bones with low bone mass | Management of Hip Fractures in the Elderly | Low bone mass is reported in growth-retarded patients harboring mutations in the X-linked methyl-CpG-binding protein 2 (MECP2) gene causing Rett syndrome (RTT). We present the first study addressing both bone mineral density (BMD) and bone size in RTT. Our object was to determine whether patients with RTT do have low B... |
1 | Characteristics of intoxicated trauma patients | DoD PRF (Psychosocial RF) | Of 1320 patients who were hospitalized for injuries, a total of 315 were known to be intoxicated with alcohol at the time of trauma. A retrospective chart review was performed to determine which biopsychosocial markers correlated with increasing severity of alcohol use disorders in a sample of 184 (58.4%) of these 315 ... |
0 | Risk factors associated with complications following total hip arthroplasty using the two-incision technique | Hip Fx in the Elderly 2019 | Background: The frequency of the complications following total hip arthroplasty (THA) using the two-incision technique is well documented. However, few reports have analyzed the preoperative patient-related factors associated with the complications. The purpose of this study was to estimate the incidence of early compl... |
0 | Prosthetic replacement in the management of unstable femoral neck fractures in the elderly. Analysis of the mechanical complications noted in 778 fractures | Management of Hip Fractures in the Elderly | From 1987 to 1996, 778 unstable fractures of the femoral neck Garden type III or IV in 736 patients over 70 years of age have been treated surgically. Based on age and functional preinjury status, 477 patients were treated with a hemiarthroplasty; a total hip prosthesis was implanted in another 301 patients. The overal... |
1 | Incidence and Future Projections of Periprosthetic Femoral Fracture Following Primary Total Hip Arthroplasty: An Analysis of International Registry Data | Hip Fx in the Elderly 2019 | As the number of total hip arthroplasties (THA) increases, the number of fractures will increase as well. The purpose of this study was to determine the incidence and prevalence of intra- and post-operative periprosthetic fractures following THA based on national joint registry data and to create a projection model tha... |
1 | A comparison between arthroscopic meniscectomy and modified open meniscectomy. A prospective randomised study with emphasis on postoperative rehabilitation | AMP (Acute Meniscal Pathology) | Arthroscopy is now well established as a method of diagnosing meniscal lesions, and its advantages have been pointed out in several reports. Arthroscopic surgery, however, is difficult to master, so that for meniscectomy open methods remain commoner. By taking advantage of the new instruments and equipment developed fo... |
0 | Protecting Labor and Delivery Personnel from COVID-19 during the Second Stage of Labor | Coronavirus Disease 2019 (COVID-19) | . Second stage of labor exposes providers to aerosol.. . COVID-19 risk during second stage of labor is high.. . N95 should be used during second stage of labor.. The novel coronavirus disease 2019 (COVID-19) is spreading fast and is affecting the clinical workers at much higher risk than the general population. Little ... |
1 | Effects of high intensity resistance aquatic training on body composition and walking speed in women with mild knee osteoarthritis: a 4-month RCT with 12-month follow-up | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To investigate the effects of 4-months intensive aquatic resistance training on body composition and walking speed in post-menopausal women with mild knee osteoarthritis (OA), immediately after intervention and after 12-months follow-up. Additionally, influence of leisure time physical activity (LTPA) will b... |
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