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0 | Terminal latency index in the carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Our retrospective study assessed the validity of the median motor terminal latency index (m-TLI) in evaluation of carpal tunnel syndrome (CTS). In patients deemed most likely to have CTS, the mean m-TLI was markedly reduced at 0.25 while the controls had a mean m-TLI of 0.44. The m-TLI was abnormal in all of the "proba... |
0 | Reliability of Computer-Assisted and Manual Measurement Methods for Assessment of Graf Type 1 and Type 2 Hip Sonograms | Developmental Dysplasia of the Hip 2020 Review | OBJECTIVES: The purpose of this study was to investigate the interobserver, intraobserver, and intermethod reliability of computer-assisted digital and manual measurements of hip sonograms. METHODS: Seventy-four hip sonograms were evaluated in this retrospective study. Five evaluators measured digital images and manual... |
0 | Safety and reliability of external fixation for basicervical and intertrochanteric fractures in high-risk elderly patients | Hip Fx in the Elderly 2019 | Forty elderly patients with basicervical and pertrochanteric fractures were managed with uniplanar AO external fixator under regional anaesthetic block of the femoral nerve and lateral cutaneous nerve of the thigh from April 2003 to March 2006. The mean age of the patients was 67.9 +/- 5.5 years. External fixator appli... |
0 | Association between bone scan index and activities of daily living in patients with advanced non-small cell lung cancer | MSTS 2018 - Femur Mets and MM | Purpose: The aim of this retrospective cross-sectional study was to investigate the association between the bone scan index (BSI) and activities of daily living (ADL) in patients with advanced non-small cell lung cancer (NSCLC). Methods: Among patients with advanced NSCLC, subjects who underwent bone scintigraphy were ... |
0 | BDNF expression in cat striate cortex is regulated by binocular pattern deprivation | Upper Eyelid and Brow Surgery | Deprivation of patterned visual information, as in early onset congenital cataract patients, results in a severe impairment in global motion perception. Previously we reported a delayed maturation of the peripheral visual field representation in primary visual area 17, based on a 2-D DIGE screen for protein expression ... |
0 | Violence, suffering, and mental health in Afghanistan: a school-based survey | DoD PRF (Psychosocial RF) | BACKGROUND: Studies in Afghanistan have shown substantial mental health problems in adults. We did a survey of young people (11-16 years old) in the country to assess mental health, traumatic experiences, and social functioning.
METHODS: In 2006, we interviewed 1011 children, 1011 caregivers, and 358 teachers, who were... |
1 | Cementless One-Stage Revision in Chronic Periprosthetic Hip Joint Infection. Ninety-One Percent Infection Free Survival in 56 Patients at Minimum 2-Year Follow-Up | Hip Fx in the Elderly 2019 | BACKGROUND: Cementless 1-stage revision in chronic periprosthetic hip joint infections is limited evaluated. The purpose of this study was to evaluate a specific treatment protocol in this patient group.
METHODS: The study was performed as a multicenter, proof-of-concept, observational study with prospective data colle... |
0 | Early Results of 827 Trabecular Metal Revision Shells in Acetabular Revision | PJI DX Updated Search | We evaluated the survival of 827 acetabular revisions with Trabecular Metal Revision Shell using data from a nationwide arthroplasty register. The mean age of the patients was 69.1 years. The 3-year overall survivorship was 92% (95% confidence interval, 88-95), which coincides with earlier reports. Revision rate for as... |
0 | Social and professional support needs of families after perinatal loss | DoD PRF (Psychosocial RF) | Perinatal loss has been associated with depression, anxiety, obsessive-compulsive disorder, suicide, marital conflict, and post-traumatic stress disorder. Nurses may provide professional support through teaching, role modeling, encouragement, counseling, problem solving, and other interventions. Nurses also may encoura... |
0 | Fractures of the femoral shaft in children: national epidemiology and treatment trends in England following activation of major trauma networks | Pediatric Diaphyseal Femur Fractures 2020 Review | AIMS: The aim of this study was to describe the epidemiology of closed isolated fractures of the femoral shaft in children, and to compare the treatment and length of stay (LOS) between major trauma centres (MTCs) and trauma units (TUs) in England. PATIENTS AND METHODS: National data were obtained from the Trauma and A... |
1 | A dose-ranging study of 0.5% bupivacaine or ropivacaine on the success and duration of the ultrasound-guided, nerve-stimulator-assisted sciatic nerve block: a double-blind, randomized clinical trial | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND AND OBJECTIVES: Before bifurcation, the sciatic nerve is composed of 2 component nerves encased in a common investing extraneural layer (CIEL). We examined the effect of various volumes injected beneath the CIEL on the success and duration of sciatic nerve block.
METHODS: Ultrasound-guided nerve-stimulator-a... |
1 | A double-blind multicenter study of sulindac once daily versus sulindac twice daily in osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | Nine investigators participated in a four-week, double-blind, multi-center, controlled study of the safety and efficacy of sulindac administered once daily versus twice daily in the treatment of osteoarthritis of the knee. One hundred seventy-four patients who satisfied specified criteria for disease activity after all... |
0 | Meniscal repair and replacement: A review of efficacy | AMP (Acute Meniscal Pathology) | For years partial meniscectomy has been the mainstay of treatment for torn knee menisci. Innovations in surgical techniques have led to the preservation of meniscal tissue. These developments have come in the form of meniscal repair and replacement/transplant. This review aims to assess the success of these techniques.... |
0 | Pain in an era of armed conflicts: Prevention and treatment for warfighters and civilian casualties | DoD PRF (Psychosocial RF) | Chronic pain is a common squealae of military- and terror-related injuries. While its pathophysiology has not yet been fully elucidated, it may be potentially related to premorbid neuropsychobiological status, as well as to the type of injury and to the neural alterations that it may evoke. Accordingly, optimized appro... |
0 | Adductor Canal Nerve Block Following Total Knee Arthroplasty | AAHKS (4) Acetaminophen | The purpose of this study is that an adductor canal nerve block (putting numbing medicine near the nerve) has been shown to produce excellent pain relief with less pain medication use after knee replacement surgery.The investigators will be comparing the amount of pain relief following knee replacement surgery when you... |
0 | A 3-year multi-institutional experience with the liposhaver | Panniculectomy & Abdominoplasty CPG | OBJECTIVE: To report a 3-year multi-institutional clinical experience with the liposhaver in facial plastic surgery. DESIGN: Nonrandomized, nonblinded, multi-institutional evaluation of the liposhaver in a clinical setting. INTERVENTIONS: Seventy-two patients who presented for facial plastic surgical procedures underwe... |
0 | Antibiotics for acute orofacial infections | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | By virtue of their activity against common and microbial pathogens, three antibiotic groups have real or potential application in the routine management of acute orofacial infections: beta-lactams (penicillins and cephalosporins), macrolides (erythromycin and congeners) and the lincosamides (clindamycin). The beta-lact... |
0 | A rare complication after carpal tunnel injection: Mass effect of steroid | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal Tunnel Syndrome (CTS) is a peripheral mono-neuropathy of the upper limb, caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. CTS can be treated with oral analgesics, splinting, injections with corticosteroids or surgery. We aimed at presenting a rare side effect of ster... |
0 | The Role of Ultrasound in the Evaluation of Sports Injuries of the Lower Extremities | AMP (Acute Meniscal Pathology) | Sonography of the lower extremities has an important role in the evaluation of sports-related injuries. Some advantages of sonography over MRI include accessibility, high resolution, and lower cost. More importantly, dynamic imaging under sonographic visualization allows diagnoses that cannot be made with routine MRI. ... |
0 | Chronic intermittent hypoxemia in patients with OSAS reduces the motor nerve fibers (unit number) of median nerve | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: Intermittent hypoxemia is one of the burden of obstructive sleep apnoea syndrome (OSAS. Our aim is to investigate electro-physiologically the effect of chronic intermittent hypoxemia on motor unit number of the patients with OSAS. Methods: Sixty two patients with OSAS and fifty seven normal controls were ... |
0 | Outcome and incidence of periprosthetic supracondylar femoral fractures in TKA | PJI DX Updated Search | BACKGROUND: Periprosthetic supracondylar femoral fractures following total knee arthroplasty (TKA) are infrequent, but is a devastating complication. The purpose of this study was to evaluate the incidence and outcomes of periprosthetic supracondylar femoral fractures following TKA using nonoperative as well as open re... |
1 | Treatment for carpal tunnel syndrome by coronal Z-type lengthening of the transverse carpal ligament | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To compare the effects of coronal Z-type lengthening of transverse carpal ligament with conventional open approach for carpal tunnel syndrome. METHODS: A double-blinded study was conducted from January 2005 to August 2008 on 68 patients with a mean age of 41 years (range 27-55 years) diagnosed as severe carp... |
0 | Ipsilateral femoral autograft reconstruction after resection of a pelvic tumor | PJI DX Updated Search | Background: Reconstruction of bone afterthe resection of a pelvic tumor is challenging. The purpose of the present study was to evaluate the use of the ipsilateral femur as the graft material for reconstruction. Methods: We performed a retrospective review of thirteen patients with a malignant pelvic lesion who underwe... |
1 | Cumulative keyboard strokes: a possible risk factor for carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Contradictory reports have been published regarding the association of Carpal Tunnel Syndrome (C.T.S) and the use of computer keyboard. Previous studies did not take into account the cumulative exposure to keyboard strokes among computer workers. The aim of the present study was to investigate the associati... |
1 | Rapid Response of an Academic Surgical Department to the COVID-19 Pandemic: Implications for Patients, Surgeons, and the Community | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: As the COVID-19 pandemic continues to spread, swift actions and preparation are critical for ensuring the best outcomes for patients and providers. We aim to describe our hospital and Department of Surgery's experience in preparing for the COVID-19 pandemic and caring for surgical patients during this unpre... |
0 | VEGF microsphere technology to enhance vascularization in fat grafting | Panniculectomy & Abdominoplasty CPG | Vascularization is crucial for implantation of engineered tissues in reconstructive surgery. Polypeptides encapsulated in microspheres can be efficiently transported to their site of action and released in a sustained dosage. We evaluated the effect of delivering vascular endothelial growth factor (VEGF)-encapsulated m... |
0 | Conservative management of MRI-confirmed knee osteoarthritis with instrument-assisted soft-tissue mobilization, joint manipulation, and platelet-rich plasma | OAK 3 - Non-arthroplasty tx of OAK | Objective: To describe the successful conservative management of a patient with chronic degenerative knee pain.
Clinical Features: An active 47 year-old female office-worker with intermittent right knee pain inferolateral to the right patella for eight months described difficulty ascending stairs, sitting on a chair fo... |
0 | High complication rate with anterior total hip arthroplasties on a fracture table | Management of Hip Fractures in the Elderly | BACKGROUND: Recent attention in THA has focused on minimally invasive techniques and their short-term outcomes. Despite much debate over the outcomes and complications of the two-incision and the mini-lateral and mini-posterior approaches, complications arising from use of the anterior THA on a fracture table are not w... |
0 | VASO (Vitamin D and Arthroplasty Surgery Outcomes) study - supplementation of vitamin D deficiency to improve outcomes after total hip or knee replacement: study protocol for a randomised controlled feasibility trial | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Vitamin D deficiency has been linked to poor outcomes after total hip replacement (THR) or total knee replacement (TKR), including lower patient-reported outcome measures (PROMs), peri-prosthetic infection and longer hospital stay. We present a randomised feasibility trial protocol designed to prospectively... |
0 | Seven year follow-up study of patients receiving surgical treatment for fractured neck of femur | Management of Hip Fractures in the Elderly | Incidence of femur neck fracture in the population is high. Many studies examine short-term outcomes, but few extend beyond one year. Method: Survey of survivors from a randomised study assesses functional ability, quality of life and survival. Results: Survivors maintained up to 97% of pre-fracture physical and mental... |
1 | Surgical criteria affecting success rates in levator aponeurosis reinforcement surgery | Upper Eyelid and Brow Surgery | Objective: To determine the factors affecting success rate in levator aponeurosis reinforcement surgery performed through a skin incision for congenital and aponeurotic blepharoptosis cases. Material and Methods: Surgery was performed under local anesthesia on 73 eyes of 60 blepharoptosis cases (32 males, 28 females). ... |
0 | Practical Guidance for Managing EMG Requests and Testing during the COVID-19 Pandemic | Coronavirus Disease 2019 (COVID-19) | The COVID-19 pandemic has necessitated cancelation of elective or non-urgent contact with the healthcare system, including non-urgent nerve conduction studies and electromyography (electrodiagnostic [EDX] studies). The definitions of elective and non-urgent are physician judgments, and often are not straightforward. Cl... |
1 | Evidence-based protocol for prophylactic antibiotics in open fractures: improved antibiotic stewardship with no increase in infection rates | DoD SSI (Surgical Site Infections) | BACKGROUND: Evidence-based guidelines for prophylactic antibiotic use in open fractures recommend short-course, narrow-spectrum antibiotics for Gustilo Grade I or II open fractures and broader gram-negative coverage for Grade III open fractures. No studies to date have assessed the impact of these guidelines on infecti... |
0 | Modification of Phalen's wrist-flexion test | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Phalen's test, with more than 100 degrees of elbow flexion, is not always comfortable for patients with elbow pathology. Therefore, we suggest a modification of the test with the patient having both arms resting on a pillow or arm-holders in a relaxed position, the hands floating at the end, and the examiner passively ... |
1 | The Wnt inhibitor secreted Frizzled-Related Protein 1 (sFRP1) promotes human Th17 differentiation | TO: WNT2 Pathway Modulator | Wnt/beta-catenin signaling plays a crucial role during embryogenesis and tumorigenesis, and in T cells, promotes the differentiation of Th2 cells. However, the role of Wnt signals in the differentiation and maintenance of human Th17 cells remains poorly understood. We found that the higher levels of IL-17 in the synovi... |
0 | The assessment and management of the stiff elbow | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Posttraumatic loss of elbow motion can cause substantial disability, limiting the ability to put one's hand in the volume of a sphere in space. Although a number of conditions can lead to loss of motion, a greater understanding of the functional anatomy of the elbow has led to advances in surgical management. Elbow sti... |
0 | Antimicrobial interventions for the management of diabetic foot infections | DoD LSA (Limb Salvage vs Amputation) | Foot infections are the most common cause of hospitalisations and amputations in diabetic patients. They occur after skin ulcers or trauma in patients with peripheral neuropathy, sometimes together with vascular disease. Narrow-spectrum antibiotic agents should be prescribed for minor recent infections, and broader-spe... |
0 | Outcomes Following Oncoplastic Reduction Mammoplasty: A Systematic Review | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Reconstruction of partial mastectomy defects with oncoplastic approaches has become increasingly popular as a strategy for improving aesthetic outcomes and extending the option of breast conservation therapy. However, interpretation of reported oncologic outcomes and postoperative complications has been cha... |
1 | Change in body mass index during middle age affects risk of total knee arthoplasty due to osteoarthritis: a 19-year prospective study of 1003 women | Surgical Management of Osteoarthritis of the Knee CPG | The evidence linking body mass index (BMI) to severe OA shows a strong association in the knee. There are limited data exploring the effect of BMI on the risk of joint arthroplasty in a healthy population with long periods of follow up. We compared the self-reported BMI at age 20, measured BMI at baseline, year 5 and y... |
1 | Three-Tesla magnetic resonance imaging of the meniscus of the knee: What about equivocal errors? | AMP (Acute Meniscal Pathology) | BACKGROUND: The significance of borderline magnetic resonance (MR) findings that are equivocal for a tear of the knee meniscus remains uncertain. Given their higher signal-to-noise ratio (SNR) and greater spatial resolution, these equivocal meniscal tears could be expected to be less frequent using a 3.0T MR system.
PU... |
0 | Thoracic Outlet Syndrome in the Overhead Athlete: Diagnosis and Treatment Recommendations | Pediatric Supracondylar Humerus Fracture 2020 Review | PURPOSE OF REVIEW: Neurovascular compression in the upper extremity is rare but can affect even those participating in high-level competitive athletics. To assess optimal approaches to treatment, in this review, we evaluate the current literature on neurovascular compressive syndromes affecting the upper extremity, wit... |
0 | Continuous epidural analgesia using fentanyl and bupivacaine after total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | Eighty consecutive patients undergoing unilateral total knee arthroplasty received postoperative analgesia consisting of a continuous epidural infusion of fentanyl and bupivacaine. Nineteen patients (24%) were unable to complete the three-day course of epidural infusion: two thirds for technical reasons and one third b... |
1 | Prevention of nonvertebral fractures with oral vitamin D and dose dependency: a meta-analysis of randomized controlled trials | Management of Hip Fractures in the Elderly | BACKGROUND: Antifracture efficacy with supplemental vitamin D has been questioned by recent trials. METHODS: We performed a meta-analysis on the efficacy of oral supplemental vitamin D in preventing nonvertebral and hip fractures among older individuals (> or =65 years). We included 12 double-blind randomized controlle... |
0 | Neuron-specific enolase, histopathological types, and age as risk factors for bone metastases in lung cancer | MSTS 2022 - Metastatic Disease of the Humerus | Lung cancer is a malignant tumor with high metastatic ability and bone is the most common site of distant metastasis of it. However, the independent risk factors for bone metastases of lung cancer remain largely to be elucidated. Here, we conducted a retrospective study to evaluate the correlation between clinical-path... |
0 | Hypotensive epidural anesthesia for total hip arthroplasty | AAHKS (8) Anesthetic Infiltration | Hypotensive epidural anesthesia provides arterial hypotension to maintain a mean arterial pressure of 50 mmHg and it can be used to reduce blood loss during total hip replacement. The technique combines an extensive epidural blockade with an intravenous infusion of low-dose epinephrine. This results in arterial hypoten... |
0 | Can structural joint damage measured with MR imaging be used to predict knee replacement in the following year? | PJI DX Updated Search | PURPOSE: To assess whether magnetic resonance (MR) imaging-based cross-sectional measures of structural joint damage can be used to predict knee replacement during the following year. MATERIALS AND METHODS: Participants were drawn from the Osteoarthritis Initiative, a longitudinal observational study that includes 4796... |
0 | Synovial osteochondromatosis in a 9-year-old girl: clinical and histopathological appearance | Diagnosis and Treatment of Osteochondritis Dissecans AUC | This article reports the clinical and histopathological appearance of synovial osteochondromatosis in the right knee joint of a 9-year-old girl. Initial symptoms such as monoarticular joint swelling led to further diagnostic procedures with the aid of different imaging techniques including X-ray examination and MRI. Th... |
0 | Clinical presentation and pathological features of atypical subtrochanteric fracture after bisphosphonate treatment | Management of Hip Fractures in the Elderly | In recent years, there have been increasing reports of fractures associated with long-term bisphosphonate treatment. Clinical presentation should be examined carefully because fractures after long-term bisphosphonate treatment present typical symptoms and radiological and pathological Wndings. The unique clinical featu... |
0 | Distal femoral bone mineral density decreases following patellofemoral arthroplasty: 1-year follow-up study of 14 patients | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The bone mineral density (BMD) of the distal femur decreases by 16-36% within one year after total knee arthroplasty (TKA) because of the femoral component's stress-shielding effect. The aim of this prospective study was to determine the quantitative change from the baseline BMD in the distal femur 1 year a... |
1 | Impact of 3-Monthly Vitamin D Supplementation Plus Exercise on Survival after Surgery for Osteoporotic Hip Fracture in Adult Patients over 50 Years: A Pragmatic Randomized, Partially Blinded, Controlled Trial | Hip Fx in the Elderly 2019 | OBJECTIVE: To determine whether 3-monthly supplementation of an oral vitamin D widely used in Spain (calcifediol) plus daily exercise could influence survival at one and four years after surgery for osteoporotic hip fracture.
DESIGN: A pragmatic, randomized, partially single-blind placebo-controlled study.
SETTING: Pat... |
0 | OSTEOCHONDRAL ALLOGRAFT TRANSPLANTATION for the KNEE: POST-OPERATIVE REHABILITATION | Osteochondritis Dissecans 2020 Review | Articular cartilage injuries of the knee are common among young, active patients presenting with knee pain, swelling, and/or mechanical symptoms. These injuries have limited healing potential due to the avascular nature of hyaline cartilage. While several treatment options exist, osteochondral allograft (OCA) transplan... |
0 | Lumbar Epidural Corticosteroid Injection Reduces Subacute Pain and Improves Knee Function in the First Six Weeks After Total Knee Arthroplasty: A Double-Blinded Randomized Trial | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Pain control immediately following total knee arthroplasty (TKA) has been a focus for orthopaedists. However, control of subacute pain, which may persist up to 3 months, is usually not optimized. The efficacy of epidural corticosteroids in reducing pain after surgery is documented, but data on their efficac... |
0 | The use of lidocaine with adrenaline reduces blood loss and operating time in free TRAM breast reconstruction | Reduction Mammoplasty for Female Breast Hypertrophy | Free transverse abdominis myocutaneous flap (TRAM) reconstruction is regarded as a major operation involving significant blood loss and a long operating time. Infiltration of a local anaesthetic with adrenaline has been used to reduce blood loss in reduction mammoplasty with good results. In this study, 80-100 ml 0.5% ... |
0 | Trochanteric osteotomy in total hip replacement for congenital hip disease | Management of Hip Fractures in the Elderly | We studied the effect of trochanteric osteotomy in 192 total hip replacements in 140 patients with congenital hip disease. There was bony union in 158 hips (82%), fibrous union in 29 (15%) and nonunion in five (3%). The rate of union had a statistically significant relationship with the position of reattachment of the ... |
0 | Recurrent spontaneous hemarthrosis associated with reflex sympathetic dystrophy | Surgical Management of Osteoarthritis of the Knee CPG | Reflex sympathetic dystrophy is a mysterious entity with unclear pathogenesis. The diagnosis is largely clinical and based on signs and symptoms of pain and vasomotor dysfunction. Treatment is a challenge because the underlying mechanism remains unknown. Our patient is a 75-year-old woman 2 years after left total knee ... |
0 | Validation of Chinese Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in patients scheduled for total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: Our aim was to cross-culturally validate Chinese Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in patients with knee osteoarthritis (OA) scheduled for total knee replacement in Singapore. METHODS: Chinese WOMAC was translated from the original English version following standard guide... |
0 | The long and short of cephalomedullary nails in the treatment of osteoporotic pertrochanteric fracture | Hip Fx in the Elderly 2019 | INTRODUCTION: Pertrochanteric fractures after low-energy trauma are common among osteoporotic patients. Although the use of intramedullary devices to treat such fractures is becoming increasingly popular, there is a paucity of data comparing the outcomes of the use of short cephalomedullary nails (SCN) with the use of ... |
0 | Five-pin external fixation and early range of motion for distal radius fractures | Distal Radius Fractures | One of the continuing dilemmas in the treatment of distal radius fractures is how best to reduce residual dorsal angulation and impacted articular fragments. Although external fixation devices may maintain radial length, individual fracture fragments may still heal in a displaced or angulated position. The addition of ... |
0 | The effect of panretinal laser photocoagulation on visual acuity, visual fields and on subjective visual impairment in preproliferative and early proliferative diabetic retinopathy | Upper Eyelid and Brow Surgery | The effect of panretinal laser scatter treatment on visual fields, visual acuity and subjective complaints was assessed in 11 patients with severe nonproliferative or early proliferative diabetic retinopathy. Patients were prospectively examined before and after panretinal treatment using automated static threshold per... |
0 | Ultrasound assessment of the median nerve: a biomarker that can help in setting a treat to target approach tailored for carpal tunnel syndrome patients | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Ultrasonography (US) is a valuable tool for confirming the diagnosis of carpal tunnel syndrome (CTS) as it enables the detection of changes in the median nerve shape and rule out anatomic variants as well as space-occupying lesions such as ganglion cysts or tenosynovitis. This work was carried out aiming at: 1. Ultraso... |
0 | Recurrence of post burn contractures of the elbow and shoulder joints: experience from a Ugandan hospital | Glenohumeral Joint OA | BACKGROUND: Recurrence of post-burn contractures, following inadequate management of post-burn contractures (PBC), is under reported. It is associated with multiple operations and an increased cost to patients and their families. The purpose of this study was to determine the frequency of recurrence of PBC of the shoul... |
0 | Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidents | DoD SSI (Surgical Site Infections) | Objective. To construct and validate an indicator for evaluating the quality of care for femoral fractures, and to assess the contribution of the quality of health care as a determinant of partial permanent inability secondary to femoral fractures due to occupational accidents. Materials and methods. The study was cond... |
0 | Electrophysiologic findings in two patients with digital neuropathy of the thumb | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Repetitive trauma to a finger can result in compressive neuropathy of one or more digital nerves. The thumb is commonly affected in bowlers, hence the term "bowler's thumb". However, this condition can involve other fingers and non-bowlers. To our knowledge, none of the cases reported had undergone neurophysiologic tes... |
0 | Limb salvage surgery for children and adolescents with malignant bone tumors in a developing country | DoD LSA (Limb Salvage vs Amputation) | Purpose. To describe the 5-year experience of a multidisciplinary limb salvage program for children and adolescents with malignant bone tumors in Lebanon. Patients and Methods. Between January 2002 to February 2007, 30 children and adolescents (2 with Ewing sarcoma and 28 with osteosarcoma) underwent Limb Salvage Surge... |
0 | Identification of vehicle components associated with severe thoracic injury in motor vehicle crashes: A CIREN and NASS analysis | DoD PRF (Psychosocial RF) | Introduction: Thoracic trauma secondary to motor vehicle crashes (MVC) continues to be a major cause of morbidity and mortality. Specific vehicle features may increase the risk of severe thoracic injury when striking the occupant. We sought to determine which vehicle contact points were associated with an increased ris... |
0 | Prilocaine plasma levels and methemoglobinemia in patients undergoing tumescent liposuction involving less than 2,000 ml | Panniculectomy & Abdominoplasty CPG | BACKGROUND: As a reaction to reported adverse outcomes after lidocaine infiltration in tumescent liposuction, prilocaine has gained increasing popularity. Previous studies investigating large-volume liposuction procedures found maximum prilocaine levels and methemoglobinemia up to 12 h postoperatively, suggesting that ... |
0 | Warming of Irrigation Fluids for Prevention of Perioperative Hypothermia During Arthroscopy: A Systematic Review and Meta-analysis | Pediatric Supracondylar Humerus Fracture 2020 Review | PURPOSE: To determine whether warming of irrigation fluids (32°C-40°C) compared with using room-temperature irrigation fluids (20°C-22°C) decreases the risk of perioperative hypothermia (<36°C) for patients undergoing shoulder, hip, or knee arthroscopy. METHODS: One reviewer, with the assistance of a medical libra... |
0 | Locomotor diseases among male long-haul truck drivers and other professional drivers | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: High risks for locomotor diseases have been reported for bus and truck drivers in general; however, little is known about the specific risks of long-haul truck drivers. METHODS: Standardised hospitalisation ratios (SHR) for different locomotor diseases of bus drivers, long-haul truck drivers and other truck ... |
0 | Postarthroscopic Infection in the Knee following Medical or Dental Procedures | PJI DX Updated Search | Knee infection is a relatively rare complication after arthroscopic knee surgery (Babcok et al., 2002), with reported incidences ranging from 0.1% to 3.4% (Babcok et al., 2002 and Bert et al., 2007). Although postoperative dental and surgical procedures were formerly considered a risk factor for infection in arthroplas... |
0 | Surgical treatment of displaced acetabular fractures | Hip Fx in the Elderly 2019 | INTRODUCTION: Acetabular fractures are severe injuries, generally caused by high-energy trauma, most frequently from traffic accidents or falls from heights. Fractures of the extremities, head injuries, chest, abdomen and pelvic ring injuries are most commonly associated injuries.
OBJECTIVE: The purpose of this study w... |
0 | Air pollution/working activity correlation: A case study in a dental hospital | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The paper deals with a multidimensional approach demonstrating a direct link between the entity of ongoing dentistry activity (number and kind of interventions) and specific pollution components. Simultaneously indoor/outdoor air concentrations of a set of volatile organic compounds (VOCs) and activity variables, descr... |
0 | Effect of Low Dose Corticosteroids on Perioperative Markers of Thrombosis and Fibrinolysis in Total Knee Arthroplasty | AAHKS (2) Corticosteroids | One postoperative complication following unilateral or bilateral total knee arthroplasty is thrombosis (blood clot formation). In this prospective, doubleâ?blinded randomized controlled clinical trial, researchers are investigating the effect of steroids on biochemical markers of thrombosis. Furthermore, elevated cell... |
0 | Ultrasonography of peripheral entheses in the diagnosis and understanding of diffuse idiopathic skeletal hyperostosis (DISH) | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study was to investigate musculoskeletal ultrasound (MSUS) as a diagnostic modality in DISH and to explore whether it might help in elucidating its pathogenesis and events that precede the calcification/ossification process. Fifty patients with DISH and 34 patients with osteoarthritis of the lower limbs... |
0 | A protocol for staged arthroplasty to salvage infected nonunion of hip fractures | DoD SSI (Surgical Site Infections) | BACKGROUND: Nonunion of hip fractures is not uncommon. Total hip arthroplasty is used to salvage cases of non union or secondary arthritis in these fractures. However, this option may not be available or may be difficult to achieve when infection has superseded the site of nonunion. The objective of this prospective st... |
0 | Association of bone microarchitecture with parathyroid hormone concentration and calcium intake in men: the STRAMBO study | Management of Hip Fractures in the Elderly | Objective In the elderly, vitamin D deficit, low calcium intake, and impaired bone microarchitecture are associated with higher risk of hip fracture. We assessed the association of bone microarchitecture with calcium intake and serum concentrations of 25-hydroxycholecalciferol (25OHD) and parathyroid hormone (PTH) in m... |
0 | Characteristics of persons with or at high risk of knee OA achieving recommended physical activity levels: The MOST study | Surgical Management of Osteoarthritis of the Knee CPG | The CDC recommends physical activity for multiple health benefits with walking being the most common means of obtaining physical activity. However, as few as 24% for persons with self reported arthritis meet these guidelines. Among persons with radiographic knee osteoarthritis (ROA), it is not known how many satisfy th... |
0 | Modified frontalis sling procedure with lid crease formation | Upper Eyelid and Brow Surgery | PURPOSE: To report the results of a modified frontalis sling procedure using Mersilene mesh for correction of upper lid ptosis associated with poor levator muscle function. METHODS: This interventional case series included 10 patients (15 eyelids) with congenital ptosis and poor levator function. All subjects underwent... |
0 | Mutagens in human breast lipid and milk: the search for environmental agents that initiate breast cancer | Reduction Mammoplasty for Female Breast Hypertrophy | Epidemiological studies indicate the involvement of environmental factors in the etiology of breast cancer, but have not provided clear indications of the nature of the agents responsible. Several environmental carcinogens are known to induce mammary tumors in rodents, and the abundance of adipose tissue in the human b... |
0 | Manual toothbrushing reinforced with audiovisual instruction versus powered toothbrushing among institutionalized mentally challenged subjects-A randomized cross-over clinical trial | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Aim: To assess and compare the effectiveness of Manual tooth brushing reinforced with audiovisual instructions with powered tooth brushing, among the institutionalized mentally challenged individuals under supervision of trained caretakers. Materials and Methods: A randomized cross over clinical trial of 6 months durat... |
1 | Nutritional Support for Bariatric Surgery Patients: The Skin beyond the Fat | Panniculectomy & Abdominoplasty CPG | Body contouring surgery after the massive weight loss due to bariatric surgery deals with different kinds of complications. The aim of this review is to analyze the role that some nutrients may play in tissue healing after surgery, thus helping plastic surgeons to improve the aesthetic and health outcomes in massive we... |
0 | Differential effects of peripubertal exposure to perfluorooctanoic acid on mammary gland development in C57Bl/6 and Balb/c mouse strains | Reduction Mammoplasty for Female Breast Hypertrophy | Perfluorooctanoic acid (PFOA), a common and persistent industrial byproduct detected in human sera, has raised health concerns. PFOA is detrimental to lactational function and postnatal mammary gland development in CD-1 mice after gestational exposure. We have examined the peripubertal period (21 through 50 days of age... |
1 | A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury | DoD PRF (Psychosocial RF) | OBJECTIVE: To assess return to work outcomes of major trauma patients treated at a level 1 UK major trauma centre and evaluate factors associated with improved outcomes.
DESIGN: Cross-sectional cohort design.
SUBJECTS: In total, 99 patients at one, two or three years post-discharge from a Major Trauma Centre with an in... |
0 | The Role of the Randomized Controlled Trial in Plastic Surgery | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This article discusses the role of the randomized controlled trial (RCT) in plastic surgery. There are unique challenges in the execution of an RCT in plastic surgery, including: (1) surgical equipoise, (2) the surgical learning curve, (3) differential care, (4) randomization, (5) concealment, (6) expertise-based desig... |
0 | Functional evaluation of unstable distal radius fractures treated with an angle-stable volar T-plate | Distal Radius Fractures | Evaluation of the levels of function, disability and quality of life of 23 patients with an unstable fracture of the distal radius treated with an angle-stable volar T-plate. During the period from 24/10/2004 to 01/02/2006 we carried out a prospective study including 23 patients. The fractures were 23A22 (n = 5), 23C11... |
0 | The Fate of Spacers in the Treatment of Periprosthetic Joint Infection | PJI DX Updated Search | BACKGROUND: Two-stage exchange arthroplasty remains the preferred method to treat periprosthetic joint infection. The aim of this study was to investigate the clinical course of periprosthetic joint infection following resection arthroplasty and insertion of a spacer. METHODS: Our institutional database was used to ide... |
0 | The impact of childhood bullying among HIV-positive men: psychosocial correlates and risk factors | DoD PRF (Psychosocial RF) | OBJECTIVES: While some studies have examined the deleterious effects of childhood bullying on adults, no studies to date have focused on the effects of bullying on Persons Living with HIV (PLH), a particularly at-risk population. PLH experience higher rates of childhood and adulthood physical and sexual abuse than the ... |
0 | Effect of reconstruction of the anterior cruciate ligament on proprioception of the knee and the heel strike transient | Surgical Management of Osteoarthritis of the Knee CPG | Abnormal proprioception of the knee joint has been documented after rupture of the anterior cruciate ligament (ACL) and may result in the loss of muscular reflexes. Excessive loading from the lack of muscular control may predispose the joint to osteoarthrosis. To investigate this problem, 10 patients were studied at an... |
1 | Patterns of Age-Associated Degeneration Differ in Shoulder Muscles | Glenohumeral Joint OA | Shoulder complaints are common in the elderly and hamper daily functioning. These complaints are often caused by tears in the muscle-tendon units of the rotator cuff (RC). The four RC muscles stabilize the shoulder joint. While some RC muscles are frequently torn in shoulder complaints others remain intact. The patholo... |
0 | Bone quality parameters of the distal radius as assessed by pQCT in normal and fractured women | Distal Radius Fractures | The aim of this study was to test the ability of some indicators of different aspects of bone quality (assessed by peripheral quantitative computed tomography in the distal radius) to discriminate between fractured and nonfractured individuals. The study compared 214 women aged 45-85 years, free of any bone-affecting t... |
0 | Muscle flaps in the treatment of osteomyelitis of the lower extremity | DoD SSI (Surgical Site Infections) | Thirty three consecutive patients with chronic osteomyelitis and deficient soft tissue coverage treated with a muscle flap from 1991-1998 were reviewed retrospectively. Osteomyelitis was diagnosed by positive bone cultures and radiographic changes consistent with osteomyelitis. Osteomyelitis was divided into localized ... |
0 | Statistical Evaluation of Clinical Trials Under COVID-19 Pandemic | Coronavirus Disease 2019 (COVID-19) | When conducting clinical trials under COVID-19 pandemic, protocol deviations and/or protocol violations are inevitably encountered due to possible environment change which may have an impact on the accuracy and reliability of clinical evaluation of the test treatment under investigation. Protocol deviations and/or viol... |
0 | Complications of arthroscopic meniscal repair | AMP (Acute Meniscal Pathology) | The results of 101 consecutive arthroscopic meniscal repairs were studied to determine the nature and frequency of associated complications. All arthroscopic repairs were done by the senior author (OS) between November 1984 and June 1991. Our data include 65 patients with associated anterior cruciate ligament injuries,... |
0 | Periprosthetic fractures around well-fixed total hip and total knee arthroplasty | PJI DX Updated Search | As the population ages, more total hip (THA) and total knee arthroplasty (TKA) procedures are being performed. The incidence of periprosthetic fracture is increasing. Surgical treatment of these injuries is dictated also by arthroplasty component stability, with unstable components requiring revision arthroplasty and s... |
0 | Tendinosis and tears of gluteus medius and minimus muscles as a cause of hip pain: MR imaging findings | Management of Hip Fractures in the Elderly | OBJECTIVE. This study was conducted to determine the prevalence of tendinosis and tears of gluteus medius and minimus muscles in patients presenting with buttock, lateral hip, or groin pain; describe the MR imaging findings; and discuss their probable relationship to the greater trochanteric pain syndrome. SUBJECTS AND... |
0 | Pamidronate treatment of steroid associated osteonecrosis in young patients treated for acute lymphoblastic leukaemia - Two-year outcomes | AAHKS (2) Corticosteroids | Aims: To assess outcomes of young patients with osteonecrosis (ON) treated with pamidronate in terms of relief of pain, prevention of progress and bony collapse of involved area. Patients and methods: A non-randomised interventional study in six patients with a history of acute lymphoblastic leukaemia (ALL) for which t... |
0 | Prostate cancer update | MSTS 2018 - Femur Mets and MM | Research has yielded important insights into the impact of radical prostatectomy in patients with localized prostate cancer. Other recent research has focused on the role of nutrition in prostate cancer development and progression, improved prognostication for patients with both early and advanced prostate cancer, effi... |
0 | Bone Health and Osteoporosis | Hip Fx in the Elderly 2019 | Osteoporosis is characterized by low bone mass and microarchitectural deterioration of bone tissue leading to decreased bone strength and an increased risk of low-energy fractures. Central dual-energy X-ray absorptiometry measurements are the gold standard for determining bone mineral density. Bone loss is an inevitabl... |
1 | Trans-styloid fixation of fractures of the distal radius. A prospective randomized comparison between 6- and 1-week postoperative immobilization in 60 fractures | Distal Radius Fractures | We performed a prospective randomized study on 60 patients with dorsally displaced extra-articular or noncomminuted intraarticular fractures of the distal radius. All 60 fractures were treated by closed reduction and Kirchner wire trans-styloid fixation. 30 patients had 1 weeks' postoperative immobilization and 30 pati... |
0 | Short stems in total hip replacement: evidence on primary stability according to the stem type | Distal Radius Fractures | Background: As the prevalence of total hip replacement is increasing in younger patients, less invasive implants (short stems) are becoming more favourable. However, despite the advantages of these stems, clinical results with a follow-up of more than 10 years are limited to a very few stem designs. There has been an i... |
0 | The effect of landmarks and bone motion on posture-related changes in carpal tunnel volume | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Deviated wrist postures have been linked to carpal tunnel syndrome development, yet the effect of posture on carpal tunnel volume remains unclear. The purposes of this study were (i) to evaluate the effect of boundary definitions on tunnel volume estimates in neutral and non-neutral (30 degrees flexion, 30 ... |
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