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0 | Definition of osteoarthritis on MRI: results of a Delphi exercise | SR for PM on OA of All Extremities | OBJECTIVE: Despite a growing body of Magnetic Resonance Imaging (MRI) literature in osteoarthritis (OA), there is little uniformity in its diagnostic application. We envisage in the first instance the definition requiring further validation and testing in the research setting before considering implementation/feasibili... |
0 | Polyethylene liner cementation technique in asymptomatic versus symptomatic osteolysis | Management of Hip Fractures in the Elderly | Osteolysis around a cementless acetabular component can lead to severe bone loss. This study examined whether osteolysis should be treated while still asymptomatic. Thirty-seven liner cementation revisions were performed in 34 patients. Mean patient age was 61 years, and mean time elapsed after index surgery was 85 mon... |
0 | Predictors of postoperative outcome for acetabular fractures | Hip Fx in the Elderly 2019 | BACKGROUND: The outcomes of surgically treated acetabular fractures are dependent on many factors. The purpose of this retrospective study is to evaluate these factors in a group of patients operated on by a single surgeon in one institute.
METHODS: One hundred and eighteen patients, treated surgically for their displa... |
0 | Comparative matched-pair cohort analysis of the short-term clinical outcomes of mesenchymal stem cells versus hyaluronic acid treatments through intra-articular injections for knee osteoarthritis | PRP (Platelet-Rich Plasma) | Purpose: Intra-articular injection of hyaluronic acid (HA) has shown promises in reducing pain and improving physical function in knee osteoarthritis (OA). Recently, cell-based therapies using mesenchymal stem cells (MSCs) have emerged as potential treatments. However, few studies have compared the treatment outcomes b... |
0 | Effects of bazedoxifene on BMD and bone turnover in postmenopausal women: 2-yr results of a randomized, double-blind, placebo-, and active-controlled study | Management of Hip Fractures in the Elderly | UNLABELLED: Osteoporosis is an increasingly common health concern in postmenopausal women. In a 2-yr phase III study, bazedoxifene prevented bone loss, reduced bone turnover, and was well tolerated in early postmenopausal women with normal or low BMD.INTRODUCTION: Bazedoxifene is a novel selective estrogen receptor mod... |
0 | Ipsilateral femoral neck and shaft fractures treated with Russell-Taylor reconstruction intramedullary nails | Hip Fx in the Elderly 2019 | BACKGROUND: Ipsilateral femoral neck and shaft fractures are rare injuries and the treatment is complicated and versatile. No single device has been considered absolutely superior to others.
METHODS: Fifteen combined fractures in 15 patients were treated with Russell-Taylor reconstruction intramedullary nails (recon na... |
0 | Actions of bisphosphonates in animal models of breast cancer | MSTS 2018 - Femur Mets and MM | The skeleton is the most common site of breast cancer metastases. These bone metastases are usually osteolytic and cause significant morbidity. Bisphosphonates, potent inhibitors of bone resorption, reduce skeletal morbidity in breast cancer patients with bone metastases. Animal studies with bisphosphonates are crucial... |
0 | Total knee arthroplasty in patients with a history of illicit intravenous drug abuse | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: Injection drug users are at high risk for both infection with blood-borne pathogens, namely, human immune deficiency virus (HIV), hepatitis-B, -C virus, various bacterial infections, as well as early primary and secondary joint degeneration. When total knee arthroplasty (TKA) is anticipated the risk of septic ... |
0 | Impact Of Sars-Cov-2 And Its Reverberation In Global Higher Education And Mental Health | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: According to UNESCO's monitoring, more than 160 countries implemented nationwide closures, which impacted over 87% of the world's student population. Several other countries implemented localized school closures; should these closures become nationwide, millions of additional learners will experience educat... |
1 | An appraisal of magnetic resonance imaging of the wrist in rheumatoid arthritis | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: To evaluate the role of magnetic resonance imaging (MRI) in the diagnosis, staging, and follow-up of the rheumatoid wrist. METHODS: A Medline search was performed to identify all publications from the years 1985 to 1999 concerning MRI of the wrist in patients with rheumatoid arthritis (RA). Additional paper... |
0 | Validity of a checklist for hemodialysis patients based on the International Classification Of Functioning, Disability and Health | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In 2009, we reported a "100-category checklist" for hemodialysis (HD) patients based on the International Classification of Functioning, Disability and Health. The purpose of the present study is to evaluate the validity and reliability of this checklist. The present study included 100 participants who had been on HD f... |
0 | Repair of skin and soft tissue defects of lower limbs with vacuum sealing drainage combined with flaps | DoD LSA (Limb Salvage vs Amputation) | METHODS: From June 2006 to November 2009, 15 patients with skin and soft tissue defects of lower limbs were treated with VSD combined with flaps (VSD group, n = 5) and only flaps (nonÎ?Ã?Ã?VSD group, n = 10). In VSD group, there were 3 males and 2 females with an average age of 46 years (range, 32Î?Ã?Ã?69 years), inclu... |
0 | Subclinical thyroid dysfunction and incident hip fracture in older adults | Management of Hip Fractures in the Elderly | BACKGROUND: Subclinical thyroid dysfunction is common in older adults and affects bone metabolism, but its effects on fracture risk have not been reported. We sought to determine prospectively whether older men and women with subclinical hyperthyroidism or hypothyroidism have an increased risk of hip fracture. METHODS:... |
0 | Neurological disorders in Gulf War veterans | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | We present a review of neurological function in Gulf War veterans (GWV). Twenty-two studies were reviewed, including large hospitalization and registry studies, large population-based epidemiological studies, investigations of a single military unit, small uncontrolled studies of ill veterans and small controlled studi... |
1 | A predictive model with radiographic signs can be a useful supplementary diagnostic tool for complete discoid lateral meniscus in adults | AMP (Acute Meniscal Pathology) | PURPOSE: To investigate the diagnostic accuracy of radiographic signs for complete discoid lateral meniscus and whether a predictive model combining the radiographic signs can improve its diagnostic accuracy in adults.
METHODS: A total of adult 119 knees with complete discoid lateral meniscus confirmed by arthroscopy a... |
0 | Partial meniscectomy and anterior cruciate ligament rupture in soccer players. A study with a minimum 20-year followup | AMP (Acute Meniscal Pathology) | A retrospective review of 77 soccer players with 91 affected knees that had undergone the same operation, a rim-preserving meniscectomy, was made with a minimum followup of 20 years and an average followup of 27 years. The patients were divided into groups based on the presence of an intact (Group 1) or ruptured (Group... |
0 | The effect of total knee arthroplasty design on extensor mechanism function | Surgical Management of Osteoarthritis of the Knee CPG | The effect of total knee arthroplasty design on extensor mechanism function was evaluated prospectively in a consecutive, single-surgeon series. Group 1 knees (n = 83) were implanted with a prosthesis that has a multiradius femoral component, and group 2 knees (n = 101) were implanted with a femoral prosthesis that has... |
0 | Medial patellofemoral ligament reconstruction for patellar dislocation due to rupture of the medial structures after total knee arthroplasty: A case report and review of the literature | Surgical Management of Osteoarthritis of the Knee CPG | Patellar dislocation is a well-recognized major complication after total knee arthroplasty (TKA). Treatment of this injury is determined according to the cause of the dislocation. In particular, proximal realignment, distal realignment, and lateral retinaculum release are options if patellar instability is not caused b... |
0 | Image-guided techniques improve accuracy of mosaic arthroplasty | Osteochondritis Dissecans 2020 Review | PURPOSE: Mosaic arthroplasty is a surgical technique in which a set of cylindrical osteochondral grafts is transplanted from non-load-bearing areas of the joint to repair damaged articular cartilage. Incongruity between the graft surface and the adjacent cartilage at the repair site results in inferior clinical outcome... |
0 | Treatment of knee articular cartilage injuries | AMP (Acute Meniscal Pathology) | Purpose of review: Traumatic articular cartilage injuries of the knee have an incidence of approximately 5%. Whether isolated or combined with ligamentous instability, meniscal pathology, or mechanical malalignment, these injuries can be quite debilitating for patients. Left untreated, patients experience pain, loss of... |
0 | Present technique and long-term results of toe-to-antebrachial stump transplantation | DoD LSA (Limb Salvage vs Amputation) | Complete hand amputation has been considered conventionally as an indication for the use of mechanical prosthetic devices in order to regain some hand like function. A microsurgical option to create a new pinching ability after wrist amputation has been used in a series of 13 patients. The actual operation technique is... |
0 | Osteoporosis: Association of recent fractures with quantitative US findings | HipFx Supplemental Cost Analysis | PURPOSE: To study the association of quantitative ultrasound (US) parameters and bone mineral density (BMD) in patients with and patients without recent fractures. MATERIALS AND METHODS: The authors studied 4,698 women (69 years or older) who had sustained 1,363 new fractures, including 106 hip fractures, during the 7 ... |
1 | Painful prosthesis: Approaching the patient with persistent pain following total hip and knee arthroplasty | SR for PM on OA of All Extremities | Background. Symptomatic severe osteoarthritis and hip osteoporotic fractures are the main conditions requiring total hip arthroplasty (THA), whereas total knee arthroplasty (TKA) is mainly performed for pain, disability or deformity due to osteoarthritis. After surgery, some patients suffer from "painful prosthesis", w... |
0 | Obesity and Meniscal Transplant Failure: A Retrospective Cohort Study | AMP (Acute Meniscal Pathology) | The purpose of this study was to analyze the effect of obesity and other clinical factors on the outcome of meniscal allograft transplantation (MAT) with transosseous fixation. A retrospective cohort study was performed on patients who underwent a MAT between 2002 and 2017. All the participants had a minimum follow-up ... |
0 | Experience of structural onlay allografts for the treatment of bone deficiency in revision total hip arthroplasty | PJI DX Updated Search | BACKGROUND AND AIMS: Loss of femoral bone stock in elective revision total hip arthroplasty poses unique and substantial challenges. Structural onlay allografts may provide mechanical stability for the cementless revision prosthesis and increase bone stock. MATERIAL AND METHODS: At least one cortical onlay allograft wa... |
0 | Low-Velocity Knee Dislocations in Obese and Morbidly Obese Patients | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Knee dislocations from minor trauma have been reported sparsely in the literature. The consensus is that these injuries tend not to be associated with neurovascular compromise. PURPOSE: To present a series of atraumatic knee dislocations in obese and morbidly obese patients and to compare operative versus c... |
0 | Correlations of histological, radiological and gamma transmission methods in evaluating osteoporosis in patients with fractured hips | Distal Radius Fractures | In a series of 104 hip fracture patients osteoporosis was assessed by measuring the mean trabecular width in iliac crest bone histologically, and, in radiographs, the cortical index of femoral diaphysis and scoring the femoral trabecular pattern. The results were compared with the mineral density of the radial metaphys... |
0 | Part II: Measurement tools for a nationwide data system | DoD PRF (Psychosocial RF) | In Part II we address tools for describing general functional levels of clients in acute care, in traumatic brain injury (TBI) rehabilitation programs, and in the community. Tools must be brief, have proven reliability, and measure characteristics common to moderately and severely brain-injured individuals. Possible co... |
0 | Concurrent panniculectomy with open ventral hernia repair has added risk versus ventral hernia repair: an analysis of the ACS-NSQIP database | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Recent studies have assessed the risks and benefits of performing concurrent panniculectomy (PAN) in the setting of hernia repair, gynecologic surgery, and oncologic resections with conflicting results. The aim of this study is to assess the added risk of ventral hernia repair and panniculectomy (VHR-PAN) u... |
0 | Histological and magnetic resonance imaging alterations after irradiation of meniscus using Holmium:YAG laser | AMP (Acute Meniscal Pathology) | OBJECTIVE: The authors performed an experimental and a prospective clinical study to evaluate the histological and magnetic resonance imaging (MRI) alterations after irradiation of meniscus using holmium:YAG (Ho:YAG) laser VersaPulse Select 60 watts and InfraTome Delivery Systems 30 degrees Handpiece (spot size at fibe... |
0 | The Lililwan Project: study protocol for a population-based active case ascertainment study of the prevalence of fetal alcohol spectrum disorders (FASD) in remote Australian Aboriginal communities | DoD PRF (Psychosocial RF) | INTRODUCTION: Anecdotal reports suggest that high-risk drinking in pregnancy is common in some remote Australian communities. Alcohol is teratogenic and may cause a range of lifelong conditions termed 'fetal alcohol spectrum disorders' (FASD). Australia has few diagnostic services for FASD, and prevalence of these neur... |
0 | Elevated synovial fluid concentration of adenosine triphosphate in dogs with osteoarthritis or sodium urate-induced synovitis/inflammation of the stifle | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: Currently, the association between osteoarthritis (OA) and joint pain is unpredictable and is not linear. Both objective and subjective outcome measures have been used with varying degrees of correlation. Establishing an outcome measure that could be correlated with a decrease in the actual joint pain pathway ... |
0 | Risk factors for sacral insufficiency fractures in cervical cancer after whole pelvic radiation therapy | Hip Fx in the Elderly 2019 | Aim: To evaluate the incidence and risk factors of sacral insufficiency fractures (SIFs), particularly doseâ??volume histogram (DVH) parameters, in patients with cervical cancer after whole pelvic radiation therapy (WPRT). Patients and Methods: The medical records of 61 patients with cervical cancer who underwent WPRT ... |
0 | Epidemiology of noise-induced hearing loss in New Zealand | DoD PRF (Psychosocial RF) | Introduction: Hearing loss is a major cause of disability in the world. Occupational noise exposure is likely to contribute to a very high proportion of the cases of hearing loss in adults. Concern has been raised by the Accident Compensation Corporation (ACC) in New Zealand about the fact that the number of new cases ... |
1 | Body lift: an account of 200 consecutive cases in the massive weight loss patient | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The epidemic of obesity in the United States has led to a rapid increase in the number of bariatric procedures performed over the past several years. The dramatic changes to the torso following massive weight loss are only partially addressed by routine procedures such as abdominoplasty and liposuction. Cir... |
0 | Controlling collagen gelation pH to enhance biochemical, structural, and biomechanical properties of tissue-engineered menisci | AMP (Acute Meniscal Pathology) | Collagen-based hydrogels have been widely used in biomedical applications due to their biocompatibility. Enhancing mechanical properties of collagen gels remains challenging while maintaining biocompatibility. Here, we demonstrate that gelation pH has profound effects on cellular activity, collagen fibril structure, an... |
0 | Postmastectomy reconstruction by a contralateral abdominomammary flap | Reduction Mammoplasty for Female Breast Hypertrophy | A new technique for breast reconstruction following mastectomy is suggested. It is based on three principles: (1) use of excess abdominal skin that is stretched upward; (2) use of skin from the healthy breast, when breast reduction or corrective ptosis is necessary; and (3) transposition of skin and excess subcutaneous... |
1 | Physical activity prevents blood pressure increases in individuals under treatment for knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | The aim of this study was to assess the role of physical activity in blood pressure (BP) in individuals with knee osteoarthritis. We compared 136 participants under treatment for primary knee osteoarthritis (age=67.6+/-9.6 years) allocated to the sedentary-sedentary, active-sedentary, sedentary-active, and active-activ... |
0 | Brachioradial pruritus: a symptom of neuropathy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Brachioradial pruritus (BRP) is a localized pruritus of the dorsolateral aspect of the arm. BRP is an enigmatic condition with a controversial cause; some authors consider BRP to be a photodermatosis whereas other authors attribute BRP to compression of cervical nerve roots. OBJECTIVE: We sought to investig... |
1 | Once daily, high dose versus divided, low dose gentamicin for open fractures | DoD SSI (Surgical Site Infections) | A prospective, randomized study was performed on 75 Gustilo Grades II and III open fractures to determine the efficacy of once daily, high dose aminoglycoside therapy, compared with more conventional dosing, in reducing the infection rate when used in conjunction with an aggressive operative treatment protocol. All pat... |
0 | Prophylactic lymph node excision in cutaneous melanomas of the lower limbs | Reconstruction After Skin Cancer | An analysis of 67 cases of skin melanoma of feet and legs aggravated by the risk of regional metastatic spreading established a significant improvement in five-year survival (over 30%) in patients who had undergone prophylactic lymphadenectomy. Indications for preventive surgery are suggested and rationale of its exten... |
0 | The Gamma nail. A preliminary note | Management of Hip Fractures in the Elderly | The Gamma nail is a new device used in the treatment of pertrochanteric fractures in the elderly in which the principles of locked intramedullary nailing are applied. It is constituted by an intramedullary nail crossed in the proximal segment by a cervico-cephalic screw, by which compression of the fracture segments ma... |
0 | Hospitalization for pneumonia among older adults | Management of Hip Fractures in the Elderly | BACKGROUND: Hospitalizations and mortality due to pneumonia increase steadily with age. The purpose of this study is to describe the frequency, costs, and risk factors for hospitalization for pneumonia among older adults with particular attention to the effect of functional disability. METHODS: The Longitudinal Study o... |
1 | Lateral entry pinning of supracondylar humerus fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Outstanding results in the use of lateral entry pins in the treatment of supracondylar fractures in children have been reported, and it continues to be our preferred technique. Clinical experience of a series of 124 consecutive supracondylar humerus fractures, including completely unstable fractures, has taught us that... |
1 | Osteosynthesis of metastatic lesions of the proximal femur with a solid femoral nail and interlocking spiral blade inserted without reaming | MSTS 2018 - Femur Mets and MM | OBJECTIVES: To evaluate the efficiency of a solid femoral nail and interlocking spiral-blade, inserted without reaming (UFN/ spiral blade, Synthes-Stratec, Oberdorf, Switzerland), for the fixation of pathologic and impending pathologic fractures of the proximal femur, particularly those involving the subtrochanteric ar... |
0 | Local anesthesia in outpatient knee arthroscopy: a comparison of efficacy and cost | Surgical Management of Osteoarthritis of the Knee CPG | This study was performed to compare the efficacy, cost-effectiveness, and safety of general, regional, and local anesthesia when performing outpatient knee arthroscopy. The study consisted of two portions. A retrospective review of 256 outpatient knee arthroscopies was performed. The types of anesthesia used were gener... |
0 | Catabolic and proinflammatory effects of leptin in chondrocytes are regulated by suppressor of cytokine signaling-3 | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Previous studies provide evidence that adipokine leptin increases production of catabolic and proinflammatory factors in chondrocytes and serves as a link between obesity and osteoarthritis (OA). However, the magnitude of the response to leptin treatment varies greatly between chondrocytes from different do... |
0 | Adult vision screenings in Omaha, Nebraska | Upper Eyelid and Brow Surgery | PURPOSE: The purpose of this study was to examine the association between risk factors and failing vision screening tests to better identify populations at high risk for age-related eye diseases and vision impairments. METHODS: A retrospective review of 839 vision screening forms from an ongoing vision screening progra... |
0 | Radiologic case study. Spontaneous osteonecrosis of the knee reclassified as insufficiency fracture | Surgical Management of Osteoarthritis of the Knee CPG | Three questions need to be answered. First, does spontaneous osteonecrosis of the knee in fact exist? The answer is "probably," but much more rarely than initially believed. In five of the authors' most recent MRIs in patients with clinically diagnosed or radiographically suggested spontaneous osteonecrosis of the knee... |
0 | Postoperative and acute pain management in children | Surgical Management of Osteoarthritis of the Knee CPG | Mather & Mackie1 reported in 1983 that 40% of paediatric surgical patients had moderate to severe postoperative pain and 75% had received insufficient pain treatment. Since then a range of effective and safe techniques have been developed and a multi-modal approach to paediatric pain has been implemented in many hospit... |
0 | Early MRI findings of rapidly destructive coxarthrosis | Management of Hip Fractures in the Elderly | Rapidly destructive coxarthrosis (RDC) is known to affect elderly women, but its etiology is unknown. This is the first report to our knowledge, based on a search of the English literature, that reveals the entire process of hip destruction from the onset to the terminal stage of RDC, in an 80-year-old woman. Radiograp... |
0 | Digital breast tomosynthesis of gynecomastia and associated findings-a pictorial review | Reduction Mammoplasty for Female Breast Hypertrophy | Men referred for breast imaging most frequently present with a unilateral palpated breast lump or breast enlargement. In the vast majority of these cases, the cause is benign and the most common etiology is gynecomastia. This pictorial review illustrates the appearance by full field digital mammography and digital brea... |
0 | Practical approach to hip pain | PJI DX Updated Search | Hip pain is a common complaint among patients presenting to outpatient clinics. Stratifying patients based on age, acuity, and location of pain (extra-articular vs intra-articular) can help to aid in appropriate imaging and timely referral to an orthopedic surgeon. A thorough history and an organized physical examinati... |
1 | Intra-Articular Injections of a Whole Blood Clot Secretome, Autologous Conditioned Serum, Have Superior Clinical and Biochemical Efficacy Over Platelet-Rich Plasma and Induce Rejuvenation-Associated Changes of Joint Metabolism: A Prospective, Controlled Open-Label Clinical Study in Chronic Knee Osteoarthritis | PRP (Platelet-Rich Plasma) | Osteoarthritis is a frequent, age-associated disease affecting >10% of world's population over 60 years of age. This study intended to compare intra-articular whole blood clot secretome (autologous conditioned serum [ACS], recently re-named blood clot secretome [BCS]) to platelet-rich plasma (PRP) in knee osteoarthriti... |
0 | Prevalence of bone mineral density testing and osteoporosis management following low- and high-energy fractures | Distal Radius Fractures | OBJECTIVE: The aim of this study was to report the prevalence of post-fracture bone mineral density (BMD) testing and osteoporosis treatment in patients admitted to the orthopedic department for low-energy or high-energy fractures and to identify factors affecting prevalence of post-fracture BMD testing and osteoporosi... |
0 | Vascular Injury in Orthopedic Trauma | DoD - ACS - Interrater Reliability | Vascular injury in orthopedic trauma is challenging. The risk to life and limb can be high, and clinical signs initially can be subtle. Recognition and management should be a critical skill for every orthopedic surgeon. There are 5 types of vascular injury: intimal injury (flaps, disruptions, or subintimal/intramural h... |
0 | Prevalence of cyclic changes in limb volume (volumotion) of male patients with knee injury and the effects of ischemia/reperfusion due to tourniquet | Surgical Management of Osteoarthritis of the Knee CPG | During surgery of limbs tourniquet up to a maximum of 2 h is frequently applied which may cause ischemia/reperfusion injury (IRI). During this condition the presence of vasomotion may have consequences for the perfusion and nutritive state of the tissues. We used a noninvasive plethysmographic method to investigate per... |
1 | Cardiovascular effects of 6% hetastarch and lactated Ringer's solution during spinal anesthesia | Management of Hip Fractures in the Elderly | BACKGROUND AND OBJECTIVES: The purpose of this prospective, randomized, double-blinded study was to compare the hemodynamic effects of 6% hetastarch with lactated Ringer's solution and to determine the main reasons for hemodynamic impairment following spinal anesthesia in elderly patients undergoing emergent hip surger... |
0 | Challenges and strategies in management of osteoporosis and fragility fracture care during COVID-19 pandemic | Hip Fx in the Elderly 2019 | Background: COVID-19 has resulted in restriction of face to face consultations and mechanisms to access health care. Osteoporosis and fragility fractures forms a significant proportion of adult trauma and orthopaedic workload even during the pandemic. Aims: We assess the challenges and strategies used in the management... |
1 | Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Chronic peripheral joint pain due to osteoarthritis (OA) is extremely prevalent and a major cause of physical dysfunction and psychosocial distress. Exercise is recommended to reduce joint pain and improve physical function, but the effect of exercise on psychosocial function (health beliefs, depression, an... |
0 | Ultrasound is as sensitive as nerve conduction studies but more cost effective and patient acceptable in the diagnosis of carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: Carpal tunnel syndrome (CTS) is the commonest entrapment neuropathy affecting 9 % of women [1, 2]. Sensitivity of ultrasound to diagnose carpal tunnel syndrome has been reported to be as high as 97.9 % [3], while nerve conduction studies (NCS) have a sensitivity of>85 % [4]. Aims/background: To document t... |
0 | Discriminative ability of the generic and condition-specific Child-Oral Impacts on Daily Performances (Child-OIDP) by the Limpopo-Arusha School Health (LASH) Project: A cross-sectional study | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: Generic and condition-specific (CS) oral-health-related quality-of-life (OHRQoL) instruments assess the impacts of general oral conditions and specific oral diseases. Focusing schoolchildren from Arusha and Dar es Salaam, in Tanzania, this study compared the discriminative ability of the generic Child OIDP ... |
0 | Two-stage exchange arthroplasty for infected total knee arthroplasty: predictors of failure | PJI DX Updated Search | BACKGROUND: In North America, a two-stage exchange arthroplasty remains the preferred surgical treatment for chronic periprosthetic joint infection (PJI). Currently, there are no proper indicators that can guide orthopaedic surgeons in patient selection for two-stage exchange or the appropriate conditions in which to r... |
0 | Development of a lower limb arthroplasty service in a developing country : Lessons learned after the first 100 cases (joints) | OAK 3 - Non-arthroplasty tx of OAK | There is emerging evidence that total hip arthroplasty (THR) can be safely practiced in developing countries but scant evidence of safety of total knee replacement (TKR). The purpose of this study is to evaluate the outcomes of these procedures focusing on procedure related complications. This is a retrospective study ... |
0 | Combining C-reactive protein and interleukin-6 may be useful to detect periprosthetic hip infection | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: The sensitivity and specificity to detect periprosthetic infection of the different methods have been questioned, and no single laboratory test accurately detects infection before revision arthroplasty. QUESTIONS/PURPOSES: We asked whether preoperative C-reactive protein (CRP) and interleukin-6 (IL-6) could... |
0 | Autologous Platelet-Rich Fibrin Matrix-Augmented Repair for Parameniscal Cysts: Surgical Technique | AMP (Acute Meniscal Pathology) | Parameniscal cysts are defined as an internal disorder of the knee joint. It is known that parameniscal cysts are associated with horizontal meniscal tears that could lead to the collection of synovial fluid within the cyst. Despite the treatment of meniscal tears, cyst recurrence is still an issue that needs to be add... |
0 | The Ilizarov fixator in trauma: a 10-year experience | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We reviewed the clinical results of 332 fractures treated with the Ilizarov external fixator between 1984 and 1993. The locations of the involved bones were: tibia, 247 (including 28 with tibial pylons); femur, 47; humerus, 21; forearm, 12 and calcaneus, 5. The clinical outcomes of this series were retrospectively eval... |
0 | An epidemiological study of hip fracture in Honam, Korea | Management of Hip Fractures in the Elderly | We have undertaken an epidemiological study of fractures of the hip which occurred in the Honam area of Korea during the year 1991. Honam comprises 3 districts, Kwangju, Chonnam, and Chonbuk. On November 1st 1991 the total population over the age of 50 years in Honam was 1,205,370. During the year there were 405 fractu... |
0 | Nerve injuries of the upper extremity associated with vascular traumaâ??surgical treatment and outcome | DOD - Acute Comp Syndrome CPG | Peripheral nerve injuries are often associated with injuries of adjacent tissue. As a result of anatomic proximity between nerves and vascular structures, there is a high chance of combined injuries of these structures (23Â %). The aim of our study is to describe and analyze associated nerve and vascular injuries of th... |
0 | Comparison of intramedullary nail and plating in treatment of diaphyseal tibial fractures with intact fibulae: A randomized controlled trial | PJI DX Updated Search | BACKGROUND: Tibial fracture without concomitant fibular fracture is an injury that has long attracted notice for the fact that it sometimes heals cleanly, other times causes various problems when the bone does not heal, or misaligns. In this randomized clinical trial, we assessed two treatment modalities plating and in... |
0 | Prognostic factors and jaw and renal complications among multiple myeloma patients treated with zoledronic acid | MSTS 2018 - Femur Mets and MM | Few studies have evaluated prognostic factors among patients with multiple myeloma (MM) since new therapies have become available. Monthly zoledronic acid (ZOL) has been incorporated into many treatment regimens to reduce skeletal-related events (SREs), but outcomes among patients receiving this bisphosphonate have not... |
0 | Vascular injuries of the upper extremity | DoD LSA (Limb Salvage vs Amputation) | Objective: This study analyzes the causes of injuries, presentations, surgical approaches, outcome and complications of vascular trauma of the upper limbs, in spite of limited hospital resources. Methods: A 5-year retrospective analysis. From 01/01/2001 to 31/12/2005, 165 patients were operated for vascular injuries at... |
0 | Reverse abdominoplasty flap in reconstruction of post-bilateral mastectomies anterior chest wall defect | Panniculectomy & Abdominoplasty CPG | Reverse abdominoplasty was originally described for epigastric lift. Since the work by Baroudi and Huger in the 1970s, it has become clear that reverse abdominoplasty application can be extended beyond just aesthetic procedure. Through the knowledge of anterior abdominal wall vascularity, its application had included r... |
0 | Effect of surgeon fatigue on hip and knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: There is growing support in the literature that patient outcomes are adversely affected by physician fatigue in operator-dependent cognitive and technical tasks. Recent increases in total joint arthroplasty caseloads have resulted in longer operative days and increased surgeon fatigue. We sought to determin... |
0 | Successful Treatment of Advanced Primary Cutaneous Apocrine Carcinoma on the Scrotum with Systemic Chemotherapy and Radiotherapy Followed by Denosumab | MSTS 2018 - Femur Mets and MM | Primary cutaneous apocrine carcinoma (PCAC) is a rare and highly aggressive cutaneous adnexal type of tumor that has a high metastasis rate and a poor prognosis. Although there are several case reports describing the successful treatment of PCAC with chemoradiotherapy or molecular targeting therapy, no standard therapy... |
1 | Risk factors for vascular repair and compartment syndrome in the pulseless supracondylar humerus fracture in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: The aims of this study were to determine how often fracture reduction alone restored pulses and vascular perfusion in displaced supracondylar humerus fractures with absent distal pulses on presentation, and whether any preoperative factors were associated with the need for vascular repair and vascular compl... |
0 | Can soccer players return to sport after knee realignment osteotomy? | AMP (Acute Meniscal Pathology) | Introduction: Knee realignment osteotomy can be the treatment of choice for unicompartmental arthrosis or symptomatic malalignment, but few studies report on return to sport rates among soccer players. Objectives: To review the available literature on return to sport rates for soccer players undergoing knee tibiofemora... |
0 | Injection Therapy in the Management of Musculoskeletal Injuries of the Knee | PRP (Platelet-Rich Plasma) | Injections of the knee joint and the surrounding structures are one of the most common interventions performed by providers of musculoskeletal care. With appropriate patient selection, injections may provide substantial short-term relief with infrequent complications. Longer-term outcomes, including modification of the... |
0 | Acceptance and commitment therapy delivered via a mobile phone messaging robot to decrease postoperative opioid use in patients with orthopedic trauma: Randomized controlled trial | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Acceptance and commitment therapy (ACT) is a pragmatic approach to help individuals decrease avoidable pain. Objective: This study aims to evaluate the effects of ACT delivered via an automated mobile messaging robot on postoperative opioid use and patient-reported outcomes (PROs) in patients with orthopedi... |
1 | Outcomes of endoscopic surgery compared with open surgery for carpal tunnel syndrome among employed patients: randomised controlled trial | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: To compare endoscopic and open carpal tunnel release surgery among employed patients with carpal tunnel syndrome. DESIGN AND SETTING: Randomised controlled trial at a single orthopaedic department. PARTICIPANTS: 128 employed patients aged 25-60 years with clinically diagnosed and electrophysiologically conf... |
0 | Effects of 1 alpha-hydroxyvitamin D3 on lumbar bone mineral density and vertebral fractures in patients with postmenopausal osteoporosis | Management of Hip Fractures in the Elderly | The effects of 1 alpha-hydroxyvitamin D3 [1 alpha(OH)D3] on bone mineral density, fracture incidence, and bone metabolism were evaluated by a double-blind, placebo-controlled study. Eighty postmenopausal osteoporotic Japanese women (71.9 +/- 7.3 years, mean +/- SD) were randomly assigned to 1 microgram of 1 alpha(OH)D3... |
1 | Reductive Augmentation of the Breast | Reduction Mammoplasty for Female Breast Hypertrophy | AIM: Although breast reduction surgery plays an invaluable role in the correction of macromastia, it almost always results in a breast lacking in upper pole fullness and/or roundness. We present a technique of breast reduction combined with augmentation termed "reductive augmentation" to solve this problem. The techniq... |
0 | State-of-the-Art management of knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis (OA) is the most common type of arthritis found in the United States' population and is also the most common disease of joints in adults throughout the world with the knee being the most frequently affected of all joints. As the United States' population ages along with the increasing trends in obesity p... |
0 | Prognostic significance of preoperative <sup>18</sup>F-FDG PET/CT for breast cancer subtypes | MSTS 2018 - Femur Mets and MM | Adjuvant treatments for operable breast cancers are determined according to subtypes defined based on estrogen receptor (ER) and human epidermal growth factor receptor 2 (HER2) status. The ER+/HER2- subtype can be divided into luminal A and luminal B usually by Ki67 expression levels. Although tumor size, lymph node me... |
0 | The accuracy of retrospectively measured range of motion in knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | In retrospective studies the range of motion of the knee is gathered from existing clinical notes or databases. This study aims to assess the validity of this retrospective data. The range of motion of 48 patients was assessed using a goniometer and compared to that entered in the patient notes by the examiner during a... |
0 | Symposium: evidence for the use of intra-articular cortisone or hyaluronic acid injection in the hip | PJI DX Updated Search | The primary purpose of this review article is to discuss the role of diagnostic, corticosteroid, hyaluronic acid (HA) and platelet rich plasma (PRP) in the treatment of osteoarthritis (OA) and femoroacetabular impingement (FIA). These treatments play an important biological role in the non-operative management of these... |
0 | Invasive pneumococcal infections among hospitalized children in Bamako, Mali | Patrick’s pharmacoepidemiology project | Background: Prevention of invasive pneumococcal disease (IPD) in children is a global public health priority, and determination of the most common serotypes is crucial for vaccine development and implementation. Methods: We performed prospective surveillance for IPD in hospitalized children in Bamako, Mali. All febrile... |
0 | The Effect of Ultrasonic Liposuction Energy Levels on Fat Graft Viability | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The use of fat obtained from ultrasound-assisted liposuction is popular. However, no study has considered the effect of different energy levels on fat grafts. OBJECTIVES: We hypothesized that different ultrasonic energy levels could change the fat graft viability. METHODS: Both flanks of 15 CD1 nude mice (3... |
0 | Proximal femoral osteotomy in neurologic pediatric hips using the locking compression plate | DoD SSI (Surgical Site Infections) | Background: Proximal femoral osteotomy (PFO) is a widely performed reconstructive surgery in pediatric patients with diagnosis of neurologic abnormalities. Many implants have been used for the fixation of these osteotomies. These devices have been evolved to provide stable fixation. A novel fixation system, the proxima... |
0 | Can cemented dual-mobility cups be used without a reinforcement device in cases of mild acetabular bone stock alteration in total hip arthroplasty? | PJI DX Updated Search | INTRODUCTION: Cemented versions of dual-mobility cups (DMCs), helpful in cases of bone stock alteration, are usually used in association with a reinforcement device. To simplify the intervention in elderly subjects or those with a poor bone stock, the cups can be cemented directly into the bone, but the long-term resul... |
0 | Multifunctionalized carbon-fiber-reinforced polyetheretherketone implant for rapid osseointegration under infected environment | Dental Implant Infection | Carbon fiber reinforced polyetheretherketone (CFRPEEK) possesses a similar elastic modulus to that of human cortical bone and is considered as a promising candidate to replace metallic implants. However, the bioinertness and deficiency of antibacterial activities impede its application in orthopedic and dentistry. In t... |
1 | Umbilical transposition in functional panniculectomy of the massive weight loss patient: is it aesthetic or medically necessary? | Panniculectomy & Abdominoplasty CPG | BACKGROUND: We review the procedures used in panniculectomy and explore the necessity of umbilical transposition when adequately treating the medical and functional problems associated with panniculus in the massive weight loss patient. METHODS: Thirty-five consecutive patients with symptomatic panniculus after massive... |
1 | Predicting the outcome of total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The relief of pain and the restoration of functional activities are the main outcomes of primary total knee arthroplasty for the treatment of osteoarthritis. This paper examines the preoperative predictors of pain and functional outcome at one and two years following total knee arthroplasty. METHODS: Patien... |
0 | EULAR evidence based recommendations for the management of hand osteoarthritis: report of a Task Force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT) | SR for PM on OA of All Extremities | OBJECTIVES: To develop evidence based recommendations for the management of hand osteoarthritis (OA). METHODS: The multidisciplinary guideline development group comprised 16 rheumatologists, one physiatrist, one orthopaedic surgeon, two allied health professionals, and one evidence based medicine expert, representing 1... |
0 | Adverse effects of three different forms of heparin therapy: thrombocytopenia, increased transaminases, and hyperkalaemia | Management of Hip Fractures in the Elderly | A prospective study has been made of the incidence of changes in transaminase levels, hyperkalaemia and thrombocytopenia in three groups of patients: 89 consecutive patients with venous thrombosis receiving therapeutic heparinization, 49 patients admitted because of hip fracture and receiving prophylactic low-dose conv... |
0 | Management of the giant-cell tumours of the distal radius | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: Giant-cell tumour of the distal radius is a rare neoplasm that affects the peri-articular metaphysial region of the bone. Curettage alone or with bone grafting has been reported to be associated with high incidence of local recurrence in these tumours. In the present series, we report the results of curetta... |
0 | The influence of lift frequency, lift duration and work experience on discomfort reporting | DoD PRF (Psychosocial RF) | Discomfort surveys are commonly used to assess risk in the workplace and prioritize jobs for interventions before an injury or illness occurs. However, discomfort is a subjective measure and the relationship of discomfort to work-related factors is poorly understood. The objective of this study was to understand how re... |
0 | Forequarter amputation of the upper extremity for musculoskeletal tumors: posterior approach revisited | MSTS 2022 - Metastatic Disease of the Humerus | Forequarter amputation entails surgical removal of entire upper extremity, scapula and clavicle. Several techniques of forequarter amputation have been described. The anterior approach has been the preferred technique of exploration of axillary vessels and brachial plexus. The posterior approach has been condemned to b... |
0 | Exposure variables in ergonomic epidemiology | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The ergonomic field is rather new to epidemiology and ergonomists are usually without knowledge in epidemiology. This review presents exposure variables used in ergonomic epidemiology, especially those that concern mechanical trauma to the musculoskeletal system at the workplace and suggests how to approach exposure de... |
0 | Anatomical study of anterior interosseous nerve in Indian adult cadavers | Distal Radius Fractures | The anterior interosseous nerve is the largest motor branch of median nerve. It supplies forearm muscles like flexor pollicis longus, lateral part of flexor digitorum profundus and pronator quadratus muscle. The anterior interosseous nerve and its branches are vulnerable to injury in open reduction of the fracture of t... |
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