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Radiohumeral synostosis, femoral bowing, other skeletal anomalies and anal atresia, a variant example of Antley-Bixler syndrome?
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
We report a newborn with radiohumeral synostosis, femoral bowing, anal atresia, a prominent nose (pear shaped nose), slender ribs, long tapering fingers with distal camptodactyly, genital hypoplasia and a neonatal humeral fracture. Among the possible differential diagnoses a variant example of Antley-Bixler syndrome is...
0
Cyclic hydrostatic compress force regulates apoptosis of meniscus fibrochondrocytes via integrin alpha5beta1
OAK 3 - Non-arthroplasty tx of OAK
Meniscus is a semilunar fibrocartilaginous tissue, serving important roles in load buffering, stability, lubrication, proprioception, and nutrition of the knee joint. The degeneration and damage of meniscus has been proved to be a risk factor of knee osteoarthritis. Mechanical stimulus is a critical factor of the devel...
0
Malunited Colles' fractures: correction with a biplanar closing wedge osteotomy
Distal Radius Fractures
A malunited Colles' fracture causes distortion of three anatomic features of the distal radius: length of the bone and the angles of its articular surface in both frontal and sagittal planes. The relative importance of each of these factors was studied in a series of 14 patients with malunited Colles' fractures and sev...
0
Infected fractures of the distal tibial metaphysis and plafond: achievement of limb salvage with free muscle flaps, bone grafting, and ankle fusion
DoD SSI (Surgical Site Infections)
Infection after fractures of the tibial plafond is a challenging problem that may even result in amputation. The current study evaluates a limb salvage protocol and the associated long term functional outcome in 6 patients (mean age 46 years) who were treated for infection after a fracture of the distal tibial metaphys...
0
Sympathetic skin response in myelopathies
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Autonomic dysfunctions cause significant morbidity and mortality among patients with spinal cord disorders. Sympathetic skin response (SSR), a simple, noninvasive electrophysiological technique, may be useful for assessing sympathetic functions in patients with myelopathies. Our aim was to study SSR in patients with my...
0
Is medullary carcinoma of the breast hormone dependent?
MSTS 2018 - Femur Mets and MM
From 1951 to 1981, 22 patients with metastatic medullary carcinoma of the breast were treated with hormonal therapies at Roswell Park Memorial Institute. Bilateral oophorectomy was performed in 6 premenopausal patients, and none had objective response, although one patient did have stable disease for 7 months. Three of...
0
Endocrine aspects of bone metastases
MSTS 2018 - Femur Mets and MM
Skeletal lesions are a frequent complication of breast and prostate cancer and a hallmark of multiple myeloma. Endocrine and paracrine factors modulate various aspects of bone metastases, including tumour proliferation, skeletal susceptibility to tumour homing, the microenvironment needed to support tumour persistence,...
0
Risk of surgery for subacromial impingement syndrome in relation to neck-shoulder complaints and occupational biomechanical exposures: A longitudinal study
DoD PRF (Psychosocial RF)
Objectives The aim of this longitudinal study was to evaluate the risk of surgery for subacromial impingement syndrome (SIS) in relation to neck-shoulder complaints and occupational biomechanical shoulder exposures. Methods The study was based on the Musculoskeletal Research Database at the Danish Ramazzini Centre. We ...
1
Predicting pain and disability in patients with hand fractures: comparing pain anxiety, anxiety sensitivity and pain catastrophizing
DoD PRF (Psychosocial RF)
There is a range of anxiety-related constructs associated with pain and pain-related disability. Those most often examined are pain catastrophizing, pain anxiety and anxiety sensitivity. All three are conceptualized to be important in the development and maintenance of chronic pain, and are included within fear avoidan...
0
A novel surgical approach for treating distal radial extraarticular malunion: Oblique osteotomy with buttress plate stabilization
Distal Radius Fractures
PURPOSE: Distal radial extraarticular malunions are not uncommon. However, requirements of surgical correction depend on multiple conditions. Traditionally, surgical techniques include closing or opening wedge osteotomies. Each has unique advantages and disadvantages. An oblique osteotomy was developed to simplify the ...
0
High-resolution cartilage imaging of the knee at 3 T: Basic evaluation of modern isotropic 3D MR-sequences
AMP (Acute Meniscal Pathology)
Purpose: To evaluate qualitative and quantitative image quality parameters of isotropic three-dimensional (3D) cartilage-imaging magnetic resonance (MR)-sequences at 3 T. Materials and methods: The knees of 10 healthy volunteers (mean age, 24.4 ± 5.6 years) were scanned at a 3 T MR scanner with water-excited 3D Fast-Lo...
0
Reduction mammaplasty with the modified round block technique in Chinese patients and its anatomy study
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Although reduction mammaplasty is one of the most common procedures in plastic surgery, it is associated with some serious complications, especially in cases of severe hypertrophy or advanced ptosis, including necrosis of the nipple and areola, absence of normal sensation of the nipple-areolar complex, and ...
0
Alendronate in early postmenopausal women: effects on bone mass during long-term treatment and after withdrawal. Alendronate Osteoporosis Prevention Study Group
Management of Hip Fractures in the Elderly
We studied the effect on bone mass of alendronate treatment for 5 yr and its withdrawal. Four hundred and forty-seven postmenopausal women with normal bone mass entered a 3-yr randomized trial followed by a 2-yr open label extension. Three hundred and eleven women completed the first 3 yr, and 263 consented to continue...
0
The post-traumatic meniscal extrusion, sign of meniscotibial ligament injury. A case series
AMP (Acute Meniscal Pathology)
BACKGROUND: Medial meniscal extrusion (ME) has been found to be associated to anterior cruciate ligament (ACL) injury. Post-traumatic extrusion is mainly attributed to meniscotibial ligament (MTL) tear. The aim of this retrospective study was to assess the incidence of MTL tear associated with meniscal extrusion, evalu...
0
Pathogenesis and treatment of glucocorticoid-induced osteoporosis
HipFx Supplemental Cost Analysis
Aging is associated with a marked decline in bone mineral density (BMD), an increased likelihood of falling and a much greater propensity for fracture. Several factors contribute to aging-related bone loss, including reduced bone formation, increased bone resorption, recent bodyweight loss, poor nutritional status and ...
0
DepoDur® (extended-release epidural morphine): a review of an old drug in a new vehicle
AAHKS (8) Anesthetic Infiltration
The use of epidural opioid can no longer be considered a novel postoperative analgesic, whether used as a one-time bolus or given via an epidural infusion with or without local anesthetic. In this role, epidural opioid is well accepted and efficacious. However, epidurals and other current strategies for treating acute ...
0
Meniscal tear characteristics in young athletes with a stable knee: arthroscopic evaluation
AMP (Acute Meniscal Pathology)
BACKGROUND: There has been great interest in the literature regarding meniscal tears in unstable knees, but there is not as much information available on stable knees. PURPOSE: To report the characteristics of isolated meniscal tears (type and location) in athletes with intact cruciate ligaments. STUDY DESIGN: Case ser...
0
Chinese external fixation treatment for fractures of the distal end of the radius
Distal Radius Fractures
One hundred forty-five patients with fractures of the distal end of the radius (age range, 13 to 76 years; means, 61 years) were treated conservatively with a Chinese system of external fixation. Most of the fractures were of the extension and extraarticular type. The fixation system consists of four splints used in co...
0
Description of a minimally invasive technique with a modified instrument for the osteosynthesis of proximal femoral fractures using the standard DHS and case series
Hip Fx in the Elderly 2019
INTRODUCTION: the number of hip fractures is estimated to increase from 1.66 million in 1990 to 6.26 million by 2050. Internal fixation is the most common surgical treatment for intertrochanteric fractures. OBJECTIVES: the objective of the present research is to describe a minimally invasive technique with a modified i...
0
Comparative biology of chronic and aggressive periodontitis vs. peri-implantitis
Dental Implant Infection
This review was undertaken to address the similarities and dissimilarities between the two disease entities of periodontitis and peri-implantitis. The overall analysis of the literature on the etiology and pathogenesis of periodontitis and peri-implantitis provided an impression that these two diseases have more simila...
0
Options in Acellular Dermal Matrix-Device Assembly
Acellular Dermal Matrix
Prepectoral prosthetic breast reconstruction has become increasingly popular during the last several years. Original shortcomings and poor outcomes in the 1970s have been overcome with the use of the bioengineered breast concept-namely, use of improved form stable breast implants, autologous fat grafting, and acellular...
0
Fractures in spina bifida from childhood to young adulthood
Pediatric Supracondylar Humerus Fracture 2020 Review
Summary: This study assessed the prevalence and types of fractures in spina bifida and examined risk factors for fracture. Fracture prevalence was highest in childhood and reduced in adolescence and young adulthood. The importance of maintaining mobility is highlighted by the increased risk of fracture in those who are...
0
Does metaphyseal cement augmentation in fracture management influence the adjacent subchondral bone and joint cartilage?: An in vivo study in sheep stifle joints
OAK 3 - Non-arthroplasty tx of OAK
Augmentation of implants with polymethylmethacrylate (PMMA) bone cement in osteoporotic fractures is a promising approach to increase implant purchase. Side effects of PMMA for the metaphyseal bone, particularly for the adjacent subchondral bone plate and joint cartilage, have not yet been studied. The following experi...
0
Postoperative Wound Breakdown Caused by Pyoderma Gangrenosum After Bilateral Simultaneous Total Knee Arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Pyoderma gangrenosum is a noninfective necrosis of dermal tissues. Rarely, it occurs after surgery or trauma. However, lack of awareness and its striking similarity to a clinical picture of sepsis usually delay diagnosis and initiation of the correct management. We describe a unique case of its occurrence in both surgi...
0
Interrater reliability of the Berg Balance Scale when used by clinicians of various experience levels to assess people with lower limb amputations
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND: People with lower limb amputations frequently have impaired balance ability. The Berg Balance Scale (BBS) has excellent psychometric properties for people with neurologic disorders and elderly people dwelling in the community. A Rasch analysis demonstrated the validity of the BBS for people with lower limb ...
0
Side-to-side asymmetries in landing mechanics from a drop vertical jump test are not related to asymmetries in knee joint laxity following anterior cruciate ligament reconstruction
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: Asymmetries in knee joint biomechanics and increased knee joint laxity in patients following anterior cruciate ligament reconstruction (ACLR) are considered risk factors for re-tear or early onset of osteoarthritis. Nevertheless, the relationship between these factors has not been established. The aim of the s...
0
Elbow arthroplasty using a convertible implant
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Total elbow arthroplasty remains the most definitive functional procedure for patients with end-stage painful arthritis of the elbow. Complication rates have historically been quite high, and early revision was not uncommon. A greater understanding of elbow anatomy and kinematics has led to advances in prosthetic desig...
0
Comparative analysis of visual field and image distortion in 30 degrees and 70 degrees arthroscopes
Upper Eyelid and Brow Surgery
PURPOSE: There have been very few attempts to compare the visual fields and image distortion in arthroscopes. To better understand the images generated using existing arthroscopes, we performed image-mapping experiments to assess field of view and image distortion. The purpose of this study was to quantify and compare ...
1
Total weight loss associated with increased physical activity after bariatric surgery may increase the need for total joint arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: Retrospectively, our institution noticed an increased number of patients undergoing total joint arthroplasty (TJA) after bariatric surgery. Considering that bariatric surgery is a proven modality to reduce osteoarthritic pain, we sought to identify a reason some patients may later require TJA. The objective...
0
Is the degree of osteophyte formation associated with the symptoms and functions in the patellofemoral joint in patients undergoing total knee arthroplasty?
Surgical Management of Osteoarthritis of the Knee CPG
Osteophyte formation and loss of articular cartilage are the main pathologic features of osteoarthritis in the patellofemoral joint. The goal of this study was to determine whether the degree of osteophyte formation was associated with the degree of cartilage loss and the patellofemoral symptoms and functions in osteoa...
0
Optimising the use of bone-targeted agents in patients with metastatic cancers: A practical guide for medical oncologists
MSTS 2018 - Femur Mets and MM
Bone metastases can be associated with a significant worsening of patient morbidity and mortality. Bisphosphonates have been extensively researched and shown to delay the onset and reduce the incidence of complications from bone metastases. The most commonly used bisphosphonates are intravenous pamidronate, intravenous...
0
Worsening of pain and function over 5 years in individuals with 'early' OA is related to structural damage: Data from the osteoarthritis initiative and CHECK (Cohort Hip & Cohort Knee) study
OAK 3 - Non-arthroplasty tx of OAK
Objective: To analyse the relation of joint damage on evolution of pain and physical functioning in two different cohorts of early phase of osteoarthritis (OA): Osteoarthritis Initiative (OAI) and Cohort Hip & Cohort Knee study (CHECK). Methods: Longitudinal data of 4-5 years follow-up (= medium term) of CHECK study an...
0
Clinical trials in metastatic breast cancer to bone: past--present--future
MSTS 2022 - Metastatic Disease of the Humerus
The skeleton is the most common site of metastatic disease in breast cancer and the site of first distant relapse in almost one half of the cases. Bone metastases are the source of a considerable morbidity, including pain, long bone fractures in 10-20%, and hypercalcemia in 10-15% of the cases. The median survival afte...
0
Impact of joint laxity and hypermobility on the musculoskeletal system
Glenohumeral Joint OA
Excessive joint laxity, or hypermobility, is a common finding of clinical importance in the management of musculoskeletal conditions. Hypermobility is common in young patients and in general is associated with an increased incidence of musculoskeletal injury. Hypermobility has been implicated in ankle sprains, anterior...
0
Impact of Systemic Therapy in Metastatic Renal-Cell Carcinoma Patients With Synchronous and Metachronous Brain Metastases
MSTS 2022 - Metastatic Disease of the Humerus
The prognosis of metastatic renal-cell carcinoma patients with brain metastases has significantly improved over the past 5 to 10 years. Through modern radiation techniques, the ability to achieve effective intracranial disease control has also improved. However, there remains a paucity of evidence characterizing the im...
1
Diagnosis of congenital hip dysplasia in the newborn
Developmental Dysplasia of the Hip CPG
BACKGROUND AND PURPOSE: Screening of newborn infants for congenital hip dysplasia may be done by clinical examination, ultrasound, or radiography--or a combination of these. Studies that have used clinical examination followed by ultrasound imaging for infants with certain risk factors have shown excellent results, but...
0
The threshold elicited motor response via an in situ femoral nerve catheter predicts analgesia following total knee replacement
AAHKS (8) Anesthetic Infiltration
Background: Continuous femoral nerve blocks are a part of the multimodal perioperative anesthetic regimen following total knee replacement. Elicitation of a quadriceps muscle contraction (QC) at placement is desirable. We prospectively evaluated the relationship between elicited motor response and threshold current wit...
0
Range of motion and function are not affected by increased post constraint in patients undergoing posterior stabilized total knee arthroplasty
OAK 3 - Non-arthroplasty tx of OAK
Background: Constrained primary total knee arthroplasty (TKA) can provide stability in the face of incompetent collateral structures or irreconcilable flexion-extension imbalances. However, little is known about its effect on overall knee range of motion (ROM). This study determines whether TKA with increased constrain...
0
Comparison of complications associated with commercially available and custom-made articulating spacers in two-stage total hip arthroplasty revision
Hip Fx in the Elderly 2019
Background: Two-stage revision with interim placement of an articulating antibiotic-loaded spacer is the 'gold standard' for prosthetic hip joint infection treatment. However, commercially available and custom-made articulating spacer options exist. This study presents a comparison of these two spacer types in terms of...
0
Getting patients back on their feet after a hip fracture
PJI DX Updated Search
Hip fracture is a potentially devastating condition for older people. Although the initial treatment is surgical repair of the fracture, a long-term multidisciplinary management approach involving the patient's GP is required to maximise recovery and ensure secondary prevention strategies are implemented
0
Low risk of nonunion with lateral locked plating of distal femoral fractures-A retrospective study of 191 consecutive patients
Hip Fx in the Elderly 2019
INTRODUCTION: The reported rate of nonunion of distal femoral fractures varies in the literature. Several risk factors for nonunion following lateral locked plating (LLP) have been described. We aimed to study the rate of nonunion, and risk factors thereof, in a Swedish population where fragility fractures are common. ...
1
Discharging pin sites following K-wire fixation of distal radial fractures: a case for pin removal?
DoD SSI (Surgical Site Infections)
The aim of this study was to find out whether discharging pin sites following Kirschner-wire fixation of distal radial fractures warrant early wire removal. In a prospective study of 50 patients with a closed distal radial fracture treated by manipulation and either percutaneous or mini-incision Kirschner-wiring, we id...
0
Deformity after fracture of the lateral humeral condyle in children
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
We studied 28 displaced (Jacob types II and III) fractures of the lateral humeral condyle in 28 children. There were only two Milch type I fractures. Twenty-one fractures were treated by open reduction and internal fixation with K-wires, Palmer nails, or sutures. Seven patients were treated with a plaster cast, five fo...
0
Osteoporosis among estrogen-deficient women--United States, 1988-1994
Management of Hip Fractures in the Elderly
Each year in the United States, hip fractures result in approximately 300,000 hospital admissions and an estimated $9 billion in direct medical costs. Most of these fractures result from osteoporosis among women who experience accelerated bone loss after natural or surgically induced menopause. Measurement of bone mine...
0
TULUA Lipoabdominoplasty: No Supraumbilical Elevation Combined With Transverse Infraumbilical Plication, Video Description and Experience With 164 Patients
Panniculectomy & Abdominoplasty CPG
BACKGROUND: TULUA is a fundamentally different lipoabdominoplasty technique intended to reduce the risk of vascular compromise, correct wall laxity through a unique plication, allow freedom in choosing umbilical position, reduce tension on closure, and keep the final scar low. OBJECTIVES: The objectives of this article...
0
Local anesthetic wound infiltration for pain management after periacetabular osteotomy
Developmental Dysplasia of the Hip 2020 Review
Background and purpose�To our knowledge, there is no evidence to support the use of local infiltration analgesia (LIA) for postoperative pain relief after periacetabular osteotomy (PAO). We investigated the effect of wound infiltration with a long�acting local anesthetic (ropivacaine) for postoperative analgesia af...
0
Endoscopic approach to cubital tunnel syndrome
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
The cubital tunnel syndrome is one of the most common entrapment neuropathy of the upper limb. The ulnar nerve can be compressed in the oteofibrous tunnel by the bone structures, the Osborne's ligament, the fascia of the ulnar flexor muscle of the carpus or of the aponeurosis of the deep flexor of the fingers. Pressure...
0
Prospective, Blinded, Randomized Controlled Trial of Stemless Versus Stemmed Humeral Components in Anatomic Total Shoulder Arthroplasty: results at Short-Term Follow-up
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: Stemless humeral components for anatomic total shoulder arthroplasty (aTSA) have several reported potential benefits compared with stemmed implants. However, we are aware of no Level-I, randomized controlled trials (RCTs) that have compared stemless implants with stemmed implants in patients managed with aT...
0
Association of gastrocnemius tendon calcification with chondrocalcinosis of the knee
AMP (Acute Meniscal Pathology)
OBJECTIVE: Chondrocalcinosis of the knee is a common radiological finding in the elderly. However, visualization of chondrocalcinosis may be difficult in patients with advanced cartilage loss. The purpose of this study was to determine sensitivity, specificity, and accuracy of gastrocnemius tendon calcification that mi...
0
Quality of Life in Relation to Pain Response to Radiation Therapy for Painful Bone Metastases
MSTS 2022 - Metastatic Disease of the Humerus
Purpose To study quality of life (QoL) in responders and nonresponders after radiation therapy for painful bone metastases; and to identify factors predictive for a pain response. Patients and Methods The prospectively collected data of 956 patients with breast, prostate, and lung cancer within the Dutch Bone Metastasi...
0
Meniscal Ramp Lesion Repair by a Trans-septal Portal Technique
AMP (Acute Meniscal Pathology)
The identification of meniscal ramp lesions can be quite difficult or even impossible with conventional anterior arthroscopic viewing and working portals. Although even the use of transnotch viewing maneuvers into the posteromedial compartment increases the likelihood of diagnosis, it is the posteromedial and trans-sep...
1
Strength-based rehabilitation on clinical outcomes in patients post-partial meniscectomy: a systematic review and meta-analysis
AMP (Acute Meniscal Pathology)
OBJECTIVE: To determine the effect of strength-based rehabilitation programs on patients who underwent partial meniscectomy procedures. DESIGN: Three databases MEDLINE, PubMed and EMBASE were searched from inception to May 9th, 2022. Data on functional outcomes such as quadriceps and hamstring strengths, as well as pat...
0
GEIS-21: a multicentric phase II study of intensive chemotherapy including gemcitabine and docetaxel for the treatment of Ewing sarcoma of children and adults: a report from the Spanish sarcoma group (GEIS)
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: First Spanish trial of Ewing sarcoma (ES) including adults and children with the aim to test the efficacy of Gemcitabine and Docetaxel (G/D) in newly diagnosed high-risk (HR) patients. METHODS: This was a prospective, multicentric, non-randomised, open study for patients 40 years with newly diagnosed ES. HR...
0
Comparison of Intraoperative Soft Tissue Balance Between Cruciate-Retaining and Posterior-Stabilized Total Knee Arthroplasty Performed by a Newly Developed Medial Preserving Gap Technique
OAK 3 - Non-arthroplasty tx of OAK
Background: Medial stability of the knee is considered to be associated with good clinical results after total knee arthroplasty (TKA). This study aimed to compare intraoperative soft tissue balance between cruciate-retaining (CR) and posterior-stabilized (PS) TKA performed by a newly developed medial preserving gap te...
0
Anterior-stabilized TKA is inferior to posterior-stabilized TKA in terms of postoperative posterior stability and knee flexion in osteoarthritic knees: a prospective randomized controlled trial with bilateral TKA
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: To determine whether knee stability, range of motion (ROM) and clinical scores differ between anterior-stabilized (AS) and posterior-stabilized (PS) total knee arthroplasty (TKA). METHODS: This prospective randomized controlled trial included 34 patients with severe bilateral knee osteoarthritis who underwent ...
1
Circular external fixation and cemented PMMA spacers for the treatment of complex tibial fractures and infected nonunions with segmental bone loss
DoD LSA (Limb Salvage vs Amputation)
Purpose: The purpose of this study was to compare the outcome of combined circular external fixation and cemented polymethylmethacrylate (PMMA) spacer application between a cohort of patients with grade 3 open fractures and infected tibial nonunions and concomitant segmental bone loss. Methods: The study was designed a...
0
Ultrasound analyses of the calcaneus predict relative risk of the presence of at least one vertebral fracture and reflect different physical qualities of bone in different regions of the skeleton
Management of Hip Fractures in the Elderly
Broadband ultrasound attenuation (BUA) and speed of sound (SOS) were determined together with bone mineral density (BMD) of the lumbar spine and of the proximal right hip (QDR 2000, Hologic) in 1252 females (mean age 56 +/- 11). We then calculated the predictive power of BUA and SOS for at least one vertebral fracture ...
0
The wrist: field evaluation and treatment
Distal Radius Fractures
A poorly diagnosed and treated wrist injury could become a career-ending injury. Optimal treatment begins on the playing field, not the operative field. A careful, thorough field evaluation is mandatory to ensure prompt recognition of a potentially debilitating injury. Suspected fractures or ligamentous disruption requ...
1
Effects of dexamethasone in preventing postoperative emetic symptoms after total knee replacement surgery: a prospective, randomized, double-blind, vehicle-controlled trial in adult Japanese patients.[Retraction in Clin Ther. 2018 Apr 30;:; PMID: 29724497]
AAHKS (2) Corticosteroids
BACKGROUND: Postoperative emetic symptoms (nausea, retching, and vomiting) are common following total joint replacement, with an incidence as high as 83% when no prophylactic antiemetic is provided. However, most antiemetics currently used in Japan, such as antihistamines (eg, hydroxyzine), butyrophenones (eg, droperid...
0
Engineering lubrication in articular cartilage
OAK 3 - Non-arthroplasty tx of OAK
Despite continuous progress toward tissue engineering of functional articular cartilage, significant challenges still remain. Advances in morphogens, stem cells, and scaffolds have resulted in enhancement of the bulk mechanical properties of engineered constructs, but little attention has been paid to the surface mecha...
0
Psychometric evaluation of the DMSS-4 in a cohort of elderly post-operative hip fracture patients with delirium
Hip Fx in the Elderly 2019
BACKGROUND: Delirium is a common neuropsychiatric syndrome with considerable heterogeneity in clinical profile. Rapid reliable identification of clinical subtypes can allow for more targeted research efforts. METHODS: We explored the concordance in attribution of motor subtypes between the Delirium Motor Subtyping Scal...
0
Lung cancer screening results in the National Cancer Institute New York study
Reconstruction After Skin Cancer
METHODSThree major medical centers participated in the study, recruiting approximately 10,000 cigarette smoking men older than 45 years of age at each center: Memorial Sloan-Kettering Cancer Center (MSKCC) in New York, NY, Johns Hopkins Hospital in Baltimore, MD, and The Mayo Clinic in Rochester, MN. At MSKCC, the men ...
0
Dependency after hip fracture in geriatric patients: a study of predictive factors
Management of Hip Fractures in the Elderly
Five hundred and sixteen community-dwelling, ambulatory, geriatric hip fracture patients who were independent prior to fracture were followed prospectively to determine which patients regained their prefracture independent living status at 3-, 6-, and 12-month follow-up. At 3-, 6-, and 12-month follow-up, 78, 77, and 7...
0
Risk of complication and revision total hip arthroplasty among medicare patients with different bearing surfaces
Management of Hip Fractures in the Elderly
Background: To address the long-term problems of bearing surface wear and osteolysis associated with conventional metal-polyethylene (M-PE) total hip arthroplasty (THA), metal-metal (M-M), and ceramic-ceramic (C-C) bearings have been introduced. These bearing surfaces are associated with unique risks and benefits and h...
0
Role of physical exercise for improving posttraumatic nerve regeneration
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Despite the great regenerative ability of the peripheral nervous system (PNS), traumatic peripheral nerve damage often causes severe chronic disability. Rehabilitation following PNS trauma usually employs therapeutic exercise in an attempt to reanimate the target organs and stimulate functional recovery. Over the past ...
0
Survivorship of Hemiarthroplasty With Concentric Glenoid Reaming for Glenohumeral Arthritis in Young, Active Patients With a Biconcave Glenoid
Glenohumeral Joint OA
INTRODUCTION: Hemiarthroplasty with concentric glenoid reaming (known as "ream and run") may be an option for treating glenohumeral arthritis in younger patients with a biconcave glenoid. The goal of this study was to evaluate early results of this technique. METHODS: Two senior, fellowship-trained shoulder surgeons (G...
0
Carotid sinus hypersensitivity is common in patients presenting with hip fracture and unexplained falls
Management of Hip Fractures in the Elderly
BACKGROUND: We tried to determine the prevalence of carotid sinus hypersensitivity (CSH) in patients with hip fractures with and without a clear history of an accidental fall. METHODS: We studied 51 patients hospitalized for a hip fracture and 51 matched controls from our outpatients department. All patients were subje...
0
Education-to-job mismatch and the risk of work injury
DoD PRF (Psychosocial RF)
Objectives: To examine the association between education-to-job mismatch and work injury. Methods: Cross-sectional data from the 2003 and 2005 Canadian Community Health Surveys (n = 63 462) were used to examine the relationship between having an educational level that is incongruent with occupational skills requirement...
0
Feasibility study of contralateral risk-reducing mastectomy with breast reconstruction for breast cancer patients with BRCA mutations in Japan
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Contralateral risk-reducing mastectomy (CRRM) for breast cancer patients with BRCA mutations has been reported to not only reduce breast cancer incidence but also to improve survival. The National Comprehensive Cancer Network guidelines recommend providing CRRM to women with BRCA mutations who desire CRRM a...
1
Dynamic compared with static external fixation of unstable fractures of the distal part of the radius: a prospective, randomized multicenter study
Distal Radius Fractures
BACKGROUND: External fixation is an established method of treating certain types of distal radial fractures. We have designed a dynamic external fixator to treat these fractures. The purpose of the present study was to compare this device with current static bridging external fixators in terms of anatomical and functio...
0
Transglutaminase 2 induced by retinoic acid decrease human chondrocyte apoptosis induced by hydrogen peroxide
Surgical Management of Osteoarthritis of the Knee CPG
Purpose: Osteoarthritis is a disease characterized by destruction and failure of the extracellular matrix, which serves as the functional component of the articular cartilage. The production of extracellular matrix is solely dependent on the chondrocytes, which makes up the only cell type in the articular cartilage. Th...
0
Age and surgical management determine quality of life after trochanteric fracture
Management of Hip Fractures in the Elderly
Purpose: The aim of the study was to determine factors influencing functional ability and quality of life six months after trochanteric fracture treated surgically. Patients and method: A multicentre cohort included 459 patients (356 females and 103 males, mean age 80 years) in Eastern France. Sixty-two percent of the ...
0
Primary total elbow replacement for fractures of the distal humerus
Distal Radius Fractures
OBJECTIVE: Achieving stability and pain-free function for osteoporotic intraarticular multifragmentary fractures of the distal humerus in elderly patients by primary total elbow replacement (TER). INDICATIONS: Non-soft-tissue-attached fragments, poor-quality bone, where stable osteosynthesis is not attainable. Severely...
0
A phase 2 multicenter, randomized, placebo-controlled study to evaluate the clinical efficacy, safety, and tolerability of sublingual sufentanil nanotaba,(cents) in patients following elective unilateral knee replacement surgery
Surgical Management of Osteoarthritis of the Knee CPG
Introduction: Intravenous patient-controlled analgesia (IV PCA) with morphine is the standard of care in many hospitals for the management of acute post-operative pain. However, IV PCA is associated with several limitations, including, the risk of PCA pump programming errors, reduced patient mobility secondary to the r...
0
Abnormal cortisol awakening response predicts worse cognitive function in patients with first-episode psychosis
DoD PRF (Psychosocial RF)
BACKGROUND: Cognitive impairment, particularly in memory and executive function, is a core feature of psychosis. Moreover, psychosis is characterized by a more prominent history of stress exposure, and by dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis. In turn, stress exposure and abnormal levels of the...
0
Physical activity in relation to knee cartilage T2 progression measured with 3tmri over a period of 4 years: Data from the osteoarthritis initiative
AMP (Acute Meniscal Pathology)
Objective: The purpose of this study was to analyze the longitudinal association between physical activity levels and early degenerative cartilage changes in the knee, measured using T2 relaxation times over a period of 4 years in individuals without clinical or radiographic evidence of OA. Design: Cartilage T2 was mea...
0
Low-energy femoral shaft fractures after long-term alendronate therapy: Report of seven cases
Hip Fx in the Elderly 2019
Background There is increasing evidence suggesting a high incidence of low-energy fractures of the diaphysis or the proximal femur in patients receiving bisphosphonates for a long time. Bisphosphonate-related femoral fractures occur after low-energy trauma and have a typical simple transverse or oblique radiographic pa...
0
Early venous thromboembolism is a strong prognostic factor in patients with advanced pancreatic ductal adenocarcinoma
MSTS 2022 - Metastatic Disease of the Humerus
Background: There are still controversial data regarding the prognostic value of Venous ThromboEmbolism (VTE) in advanced Pancreatic Ductal AdenoCarcinoma (PDAC) and thromboprophylaxis is poorly prescribed despite international recommendations. Methods: Medical charts of patients consecutively treated for advanced PDAC...
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Single Shot Infraclavicular Brachial Plexus Block vs Local Infiltration After Wrist Arthroscopy Surgery
Distal Radius Fractures
If the patient is willing to participate and signs the consent, he/she will be randomized to one of the two treatment groups: 1. Single shot block 2. Local Infiltration In the institution investigators usually advocate for regional anesthesia and intravenous sedation for the repair of open fracture of the distal radius...
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Identification of fractures from computerized Medicare files
Management of Hip Fractures in the Elderly
Study of non-hip fractures, which are a serious public health problem for persons greater than or equal to 65 years of age, has been hindered by the absence of an economical method for case identification. We assessed the utility of computerized Medicare inpatient, emergency room, hospital outpatient department and phy...
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New concept for total wrist replacement
Surgical Management of Osteoarthritis of the Knee CPG
Wrist prostheses have never achieved the sort of clinical outcomes found with those of hips and knees. We have developed a novel uncemented modular wrist prosthesis with screw fixation, metal-on-metal coupling, and ball-and-socket articulation. Eight patients admitted for wrist arthrodesis to treat primary or secondary...
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Discoid menisci in children: MR features
AMP (Acute Meniscal Pathology)
OBJECTIVE: To define the MR appearance of discoid meniscus in children. MATERIALS AND METHODS: In 22 children (15 girls and 7 boys; age range 5-17 years; median age 9 years) who were referred for evaluation of painful knees 27 discoid lateral menisci were identified. Meniscal shape and signal intensity and abnormalitie...
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Accuracy of CT arthrography in the assessment of tears of the rotator cuff
Glenohumeral Joint OA
CT arthrography and arthroscopy were used to assess tears of the rotator cuff in 259 shoulders. Tear size was determined in the frontal and sagittal planes according to the classification of the French Arthroscopy Society. CT arthrography had a sensitivity of 99% and a specificity of 100% for the diagnosis of tears of ...
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Total nasal reconstruction with alloplastic and autogenous grafts
Acellular Dermal Matrix
The basic principles of successful total nasal reconstruction include providing a sufficient amount of tissue coverage, creating an adequate structural framework, and fashioning a viable inner lining. Relative uniformity of opinion exists regarding sources for tissue coverage and nasal lining. A variety of options exis...
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MR imaging in osteoarthritis: hardware, coils, and sequences
AMP (Acute Meniscal Pathology)
Whole-organ assessment of a joint with osteoarthritis (OA) requires tailored MR imaging hardware and imaging protocols to diagnose and monitor degenerative disease of the cartilage, menisci, bone marrow, ligaments, and tendons. Image quality benefits from increased field strength, and 3.0-T MR imaging is used increasin...
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Prediction of Conservative Treatment Failure for Isolated Unilateral Mandibular Condylar Fractures Using Quantitative Measures: Suggestion of Indications for Intervention
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: Interest in the treatment of mandibular condyle fracture in cases of maxillofacial trauma has been a huge concern for decades because of a diversity of opinions on the topic and the relatively few studies conducted on individuals treated by physiotherapy or rehabilitation with or without intermaxillary fixa...
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Postburn edge shoulder adduction contracture: anatomy and elimination with trapeze-flap plasty--a new approach
DOD - Acute Comp Syndrome CPG
Postburn scar shoulder adduction contracture is the most common among big joints' contractures. As the contracture impedes all upper limb function, surgical reconstruction is indicated as early as the contracture is formed. Many flaps and techniques have been suggested, yet the problem is not resolved completely. Three...
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The benefice of mobile partsâ?? exchange in the management of infected total joint arthroplasties with prosthesis retention (DAIR procedure)
AAHKS (2) Corticosteroids
Background: The management of prosthetic joint infections (PJI) with debridement and retention of the implant (DAIR) has its rules. Some authors claim that lacking the exchange of mobile prosthetic parts is doomed to failure, while others regard it as optional. Methods: Single-center retrospective cohort in PJIs treate...
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Factors affecting articular cartilage repair after open-wedge high tibial osteotomy
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: To evaluate the factors that affect articular cartilage repair after open-wedge high tibial osteotomy (OWHTO) and the relationship between regeneration of articular cartilage repair and clinical outcomes. METHODS: Among the cases of OWHTO that were performed from March 2005 to February 2012, the patients wh...
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Outcomes in the management of Gartland III supracondylar fracture in a paediatric institution
Pediatric Supracondylar Humerus Fracture 2020 Review
Background Supracondylar fractures are the most common elbow fracture described in children. Different types of fixation, including cross- and side-pin fixations, have been described and compared. However, there is still controversy about which of the two techniques provides better stability and results. The iatrogenic...
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Effect of addition of magnesium sulphate and fentanyl to ropivacaine continuous femoral nerve block in patients undergoing elective total knee replacement
AAHKS (8) Anesthetic Infiltration
This prospective double blinded study was designed to compare the effect of magnesium or fentanyl addition to ropivacaine in continuous femoral nerve block in patients undergoing elective total knee replacement under general anesthesia. Sixty patients undergoing elective TKR under general anesthesia, were randomly allo...
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Provider factors associated with intramedullary nail use for intertrochanteric hip fractures
HipFx Supplemental Cost Analysis
BACKGROUND: Intramedullary nails provide no clear outcomes benefit in the majority of patients with intertrochanteric hip fracture, yet their use in the United States continues to increase. Non-patient factors that are associated with intramedullary nail use among Medicare patients have not been examined. The goal of t...
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A Multicenter, Prospective, Randomized, Contralateral Study of Tissue Liquefaction Liposuction vs Suction-Assisted Liposuction
Panniculectomy & Abdominoplasty CPG
Background: Tissue liquefaction liposuction (TLL) deploys a novel energy source utilizing a stream of warmed, low-pressurized, and pulsed saline to extract fat tissue. Objectives: Compare TLL to suction-assisted liposuction (SAL) to determine which device is more efficient for surgeons and provides better recovery for ...
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Ewing's sarcoma
MSTS 2022 - Metastatic Disease of the Humerus
Ewing's sarcoma is a highly malignant tumor of uncertain origin. A strong relationship is suggested between Ewing's sarcoma and tumors of neural origin. The radiologic manifestation of Ewing's sarcoma are protean and lesions may be lytic, mixed lytic-sclerotic, or rarely, predominantly sclerotic. The lower extremity lo...
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Hospital volume affects outcome after total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Background and purpose - The influence of hospital volume on the outcome of total knee joint replacement surgery is controversial. We evaluated nationwide data on the effect of hospital volume on length of stay, re-admission, revision, manipulation under anesthesia (MUA), and discharge disposition for total knee replac...
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Current studies of acupuncture in cancer-induced bone pain animal models
MSTS 2018 - Femur Mets and MM
Acupuncture is generally accepted as a safe and harmless treatment option for alleviating pain. To explore the pain mechanism, numerous animal models have been developed to simulate specific human pain conditions, including cancer-induced bone pain (CIBP). In this study, we analyzed the current research methodology of ...
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Impact of reduction mammoplasty on the quality of life of obese patients suffering from symptomatic macromastia: A descriptive cohort study
Reduction Mammoplasty for Female Breast Hypertrophy
Background Although reduction mammoplasty (RM) is an effective and efficient treatment for symptomatic macromastia, overweight and obese patients who request this treatment are frequently rejected because of selection criteria based on the body mass index. Scientific evidence is inconclusive regarding the increased pos...
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Inhaled corticosteroids and the risk of fractures in older adults: a systematic review and meta-analysis
Management of Hip Fractures in the Elderly
BACKGROUND: Inhaled corticosteroids (ICS) are commonly prescribed medications for the management of asthma and chronic obstructive pulmonary disease. It is well established that long-term use of these drugs may lower bone mineral density. However, whether ICS increase the risk of fractures remains unknown. Recent studi...
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Rothia dentocariosa Endocarditis: Case report and review of infections caused by this organism
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
A 13-year-old girl with congenital ventricular septal defect developed infective endocarditis following dental treatment. Isolation of the pathogen revealed a non-acid-fast aerobic branching rod which was identified as Rothia dentocariosa. In spite of complications, the infection was treated successfully with penicilli...
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Burden of major musculoskeletal conditions
Surgical Management of Osteoarthritis of the Knee CPG
Musculoskeletal conditions are a major burden on individuals, health systems, and social care systems, with indirect costs being predominant. This burden has been recognized by the United Nations and WHO, by endorsing the Bone and Joint Decade 2000-2010. This paper describes the burden of four major musculoskeletal con...