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0 | Analyzing forearm fractures in children. The more subtle signs of impending problems | Distal Radius Fractures | Poor results with pediatric forearm fractures, while infrequent, do occur. Systematic analysis is required to identify this relatively rare, evolving problem. The purpose of this retrospective study was to identify and organize factors that would help in this process. Sixty-nine patients aged one-17 years with displace... |
0 | Large replication study and meta-analyses of DVWA as an osteoarthritis susceptibility locus in European and Asian populations | SR for PM on OA of All Extremities | Recently, through a genome wide association study in Japanese knee osteoarthritis (OA) cases, a previously unknown gene, DVWA, was identified. The non-synonymous single nucleotide polymorphism (SNP) rs7639618 was subsequently found to be consistent and most significantly associated in Japanese and Han Chinese knee OA s... |
0 | Early results of one-stage knee extensor realignment and autologous osteochondral grafting | Diagnosis and Treatment of Osteochondritis Dissecans AUC | We treated 49 patients with recurrent patellar dislocations or persistent patellar subluxations. Chondral defects were graded according to the International Cartilage Repair Society (ICRS). Thirty patients (group I) had chondral defects grade I or II, and 19 patients (group II) had chondral defects grade III or IV. All... |
0 | Lateral condylar fractures of the humerus in children: fixation with partially threaded 4.0-mm AO cancellous screws | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Thirty-seven children with fresh, displaced (more than 2 mm in any direction) fractures of the lateral condyle of the humerus were treated by open reduction and internal fixation with a partially threaded 4.0-mm diameter AO lag screw. They were reviewed at a mean follow-up of 4.8 years. Painless, full-elbow movements w... |
0 | Changes in bone mass and bone turnover following tibial shaft fracture | Management of Hip Fractures in the Elderly | INTRODUCTION: Bone loss occurs in the regional bone following tibial shaft fracture. An earlier cross-sectional study showed that measurements made at the metaphyseal region of the tibia using peripheral quantitative computed tomography (pQCT) and the ultradistal region of the tibia using dual-energy X-ray absorptiomet... |
0 | Depression and quality of life in patients with glaucoma: a cross-sectional analysis using the Geriatric Depression Scale-15, assessment of function related to vision, and the Glaucoma Quality of Life-15 | Upper Eyelid and Brow Surgery | PURPOSE: To determine the prevalence of depression and its association with visual field impairment, quality of life, objective assessment of visual function, and glaucoma severity in elderly patients with glaucoma. DESIGN: Cross-sectional study. PARTICIPANTS AND CONTROLS: One hundred sixty-five patients with mild (n=6... |
0 | Proteins and bone health | Hip Fx: Early-Weight Bearing Search | Hip fracture consecutive to osteoporosis represents a major health problem in terms of both morbidity and financial burden for the community. Deficiency in nutritional elements appear to play a major role in the pathogenesis of osteoporosis and of fractures in elderly. Correction of an inadequate supply in both calcium... |
0 | No effect of obesity on limb and component alignment after computer-assisted total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: This retrospective study aimed to determine if computer navigation provides consistent accuracy for limb and component alignment during TKA irrespective of body mass index (BMI) by comparing limb and component alignment and the outlier rates in obese versus non-obese individuals undergoing computer-assisted TK... |
0 | The backbone of progress--preclinical studies and innovations with zoledronic acid | MSTS 2018 - Femur Mets and MM | Bisphosphonates (BPs) are antiresorptive agents that block pathologic bone resorption by inhibiting osteoclast function and later inducing osteoclast apoptosis. These agents localize to bone and break the vicious cycle of bone resorption that results from cross-stimulation between cancer cells and the bone remodeling c... |
0 | Characteristics of rehabilitation services in high-fim efficienchospitals after hip fracture | Hip Fx in the Elderly 2019 | Characteristics of rehabilitation services probably explain a large proportion of the variation in clinical outcomes following hip fracture. The aim of this study was to clarify rehabilitation characteristics of high-performance hospitals after hip fracture. This is a retrospective observational study using the Japan R... |
0 | Treatment of adult patients with sepsis-induced coagulopathy and purpura fulminans using a plasma-derived protein C concentrate (Ceprotin®) | DOD - Acute Comp Syndrome CPG | Background and Objectives: The aim of this study was to document the effects of supplementation with a plasma-derived protein C concentrate in adult patients with infectious purpura fulminans. Materials and Methods: We report the effect of the administration of a human protein C concentrate (Ceprotin®, Baxter, Vienna,... |
1 | Role of percutaneous cerclage wire in the management of subtrochanteric fractures treated with intramedullary nails | Hip Fx in the Elderly 2019 | PURPOSE: Cerclage wire application has emerged as a potential therapeutic adjunct to intramedullary nailing for subtrochanteric fractures. But its popularity is plagued by the concern of possible negative effect on fracture zone biology. This study was intended to analyze the clinico-radiological outcome and complicati... |
0 | The influence of patient-related factors and the position of the acetabular component on the rate of dislocation after total hip replacement | Management of Hip Fractures in the Elderly | The senior one of us performed 438 primary and 181 revision total hip arthroplasties with use of so-called modern prostheses between July 1983 and January 1994. Fifty-three patients, who had had forty-seven primary procedures and twelve revisions, either died or were lost to follow-up less than two years after the oper... |
1 | Demographic, health-related and psychosocial predictors of changes in depressive symptoms and anxiety in late middle-aged and older persons with fall-related injuries | DoD PRF (Psychosocial RF) | Research on anxiety and depression after fall-related injuries to the extremities and its pre-fall determinants is scarce. The present study sought to examine change between pre-fall and post-fall anxiety and depression and its (pre-fall) predictors. Data were obtained from 181 Dutch persons, aged 57-89 yrs , who susta... |
0 | Kinesiotape Effect on pain and range of motion in knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: Control group: Sham tape is appleid.Before applying the shamâ?tape pain is assessed on the basis of a VAS questionnaire and active range of motion is measured by a goniometer. Knee proprioception is measured at three different angles.Sham tape is applied and 1 hour after that pain on the basis of VAS and... |
0 | Pain and Analgesia Requirements With Hip Fracture Surgery | Hip Fx in the Elderly 2019 | BACKGROUND: Hip hemiarthroplasty and dynamic hip screw (DHS) fixation are common procedures performed in trauma units, but there is little information regarding perioperative pain experience with respect to these treatment modalities.
PURPOSE: To evaluate the relationship between pain, analgesia requirements, and type ... |
0 | Clinical outcome of cranial neuropathy in patients with pituitary apoplexy | Upper Eyelid and Brow Surgery | OBJECTIVE: Pituitary apoplexy (PA) is described as a clinical syndrome characterized by sudden headache, vomiting, visual impairment, and meningismus caused by rapid enlargement of a pituitary adenoma. We retrospectively analyzed the clinical presentation and surgical outcome in PA presenting with cranial neuropathy. M... |
0 | Dorsal posterior parietal rTMS affects voluntary orienting of visuospatial attention | Upper Eyelid and Brow Surgery | Patients with lesions in posterior parietal cortex (PPC) are relatively unimpaired in voluntarily directing visual attention to different spatial locations, while many neuroimaging studies in healthy subjects suggest dorsal PPC involvement in this function. We used an offline repetitive transcranial magnetic stimulatio... |
0 | Median nerve compression complicating arthrodesis of the rheumatoid wrist | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The frequency and pathogenesis of median nerve compression complicating the Rush pin method of fusing the rheumatoid wrist was evaluated retrospectively. This complication was encountered in 14/50 wrists (28%). In 7 hands the carpal tunnel was explored, mostly within 2 weeks after fusion. In addition to signs of acute ... |
0 | A regional interdependence model of musculoskeletal dysfunction: Research, mechanisms, and clinical implications | SR for PM on OA of All Extremities | The term 'regional interdependence' or RI has recently been introduced into the vernacular of physical therapy and rehabilitation literature as a clinical model of musculoskeletal assessment and intervention. The underlying premise of this model is that seemingly unrelated impairments in remote anatomical regions of th... |
0 | A new modification of the technique of arthroscopy of the knee joint | AMP (Acute Meniscal Pathology) | Experience from arthroscopy in 224 patients with knee complaints is reported. The common method for arthroscopy is compared with a new modification developed during the study. The new method includes introduction of a 5 mm arthroscope through the patellar tendon at the level of the joint line and the use of hooks to te... |
0 | Mucopolysaccharidosis I-clinical manifestation in 19 patients from the Czech Republic | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background: Mucopolysaccharidosis I (MPSI) is a lysosomal storage disease caused by alpha-L-iduronidase deficiency. The aim is to describe the natural course and treatment in Czech MPSI patients. Patients: 19 patients from18 families (11/8 males/females; Hurler/Hurler- Scheie/Scheie syndromes - 13/4/2). Results: Hepato... |
1 | Comparison of multiple frequency vibrometry testing and sensory nerve conduction measures in screening for carpal tunnel syndrome in an industrial setting | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The value of vibrometry in the evaluation of carpal tunnel syndrome is controversial. Several investigators have suggested that vibrometry screening with multiple frequencies would improve the correlation and increase the sensitivity when screening for carpal tunnel syndrome. One hundred sixty-nine industrial workers f... |
0 | Combined spinal epidural block versus spinal and epidural block for orthopaedic surgery | Surgical Management of Osteoarthritis of the Knee CPG | In a controlled study a single segment combined spinal epidural (CSE) block was compared with spinal or epidural block for major orthopaedic surgery. Seventy-five patients, age 52-86 yr, were randomly assigned to receive one of the three blocks. Bupivacaine 0.5% was used for surgical analgesia. The postoperative pain r... |
1 | Survey of COVID-19 Disease Among Orthopaedic Surgeons in Wuhan, People's Republic of China | Coronavirus Disease 2019 (COVID-19) | BACKGROUND: Coronavirus disease 2019 (COVID-19) broke out in Wuhan, the People's Republic of China, in December 2019 and now is a pandemic all around the world. Some orthopaedic surgeons in Wuhan were infected with COVID-19. METHODS: We conducted a survey to identify the orthopaedic surgeons who were infected with COVI... |
0 | Interventions for the reduction of prescribed opioid use in chronic non-cancer pain | SR for PM on OA of All Extremities | Background: Patients with chronic non-cancer pain who are prescribed and are taking opioids can have a history of long term high dose opioid use without effective pain relief. In those without good pain relief, reduction of prescribed opioid dose may be the desired and shared goal of both patient and clinician. Simple ... |
1 | Meniscal repair using an exogenous fibrin clot | AMP (Acute Meniscal Pathology) | Clinical and experimental studies have demonstrated the importance of the meniscus in load transmission, stability, shock absorption, and articular cartilage nutrition in the knee joint. As a result, clinicians have emphasized preservation of the injured meniscus when possible. Meniscal healing is dependent on a blood ... |
1 | Grip strength following carpal tunnel decompression | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | To monitor the effect of open carpal tunnel decompression on grip strength in the hand, a prospective study was made of 25 patients undergoing a total of 31 operations. Hand grip, key pinch and pulp-to-pulp pinch strengths were measured pre-operatively and at regular intervals until 1 year following operation. At that ... |
0 | Intraneural Lipoma of the Posterior Interosseous Nerve | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Lipomas arising in the peripheral nerves are rare tumors, with most arising in the forearm and wrist, and most have occurred within the median nerve. This report describes a case with large lipoma arising in the posterior interosseous nerve. (copyright) 2007 American Society for Surgery of the Hand |
0 | Brain activity measurement at performing motivative exercise and passive exercise by Functional Near-Infrared Spectroscopy (Inpatient of Geriatric Health Services Facility) | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: The Motivative exercise and Passive exercise to legs/leg for 30 seconds respectively. It carried out on December 8â?10, 2009. CONDITION: Cerebrovascular disease, Cerebral infarction, Cerebral contusion, Cerebral hemorrhage, Aftereffect of cerebral hemorrhage, Basilar artery occlusion, Cerebral arterioscl... |
0 | Postoperative pain control by intra-articular local anesthesia versus femoral nerve block following total knee arthroplasty: impact on discharge | Surgical Management of Osteoarthritis of the Knee CPG | INTRODUCTION: The goal of this retrospective study was to compare pain control following total knee arthroplasty (TKA) on a perioperative protocol of local anesthesia (LA) versus the more classical femoral nerve block (FNB) technique. HYPOTHESIS: Fitness for discharge would be achieved earlier using the LA protocol. MA... |
1 | Diagnostic accuracy of computed tomography-guided biopsy in pathological fractures | MSTS 2018 - Femur Mets and MM | BACKGROUND: Obtaining a histological diagnosis is essential for appropriate management of pathological fractures. Computed tomography (CT) is an accurate method of obtaining diagnosis for musculoskeletal tumours. We analysed whether diagnostic accuracy was maintained in the evaluation of pathological fractures. METHODS... |
1 | Cochrane corner: ergonomic positioning or equipment for treating carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | BACKGROUND: Non-surgical treatments, including ergonomic positioning or equipment, are sometimes offered to people experiencing mild to moderate symptoms from carpal tunnel syndrome. The effectiveness and duration from ergonomic positioning or equipment interventions for treating carpal tunnel syndrome are unknown. OBJ... |
0 | Increased risk of hip fracture among patients with end-stage renal disease | Management of Hip Fractures in the Elderly | BACKGROUND: Although patients with end-stage renal disease (ESRD) are at increased risk for bone loss, the risk of hip fracture in this population is not known. We compared the risk of hip fracture among dialysis patients with the general population. METHODS: We used data from the United States Renal Data System (USRDS... |
1 | Antimicrobial effect of 0.2% chlorhexidine in infected root canals | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The aim of this study was to identify bacteria from the infected root canals of teeth with chronic apical periodontitis, and to evaluate the antibacterial effect of 0.2% chlorhexidine (CHX), as an irrigant, in reducing the microbial flora 48h after root canal preparation. A total of 44 subjects were randomly divided in... |
0 | A retrospective statistical analysis of high-grade soft tissue sarcomas | MSTS 2022 - Metastatic Disease of the Humerus | Soft-tissue sarcomas have a mortality rate ranging from 40-60% for high-grade lesions. Prior identified risk factors for post-surgical mortality include tumor size, lesion histology, and margin status at resection. A better understanding of prognostic factors is needed to guide patient counseling and treatment. Data we... |
1 | Effects of a functional knee brace on the biomechanics of running | Anterior Cruciate Ligament Injuries CPG | The purpose of the study was to assess the biomechanical effects of a functional knee brace on joint moments of force and joint powers in the lower extremity during the stance phase of running in subjects with a previous ACL injury. Sagittal-plane film records and ground reaction force data were obtained from five prev... |
0 | Use of intra-osseous access in adults: A systematic review | DOD - Acute Comp Syndrome CPG | Background: Indications for intra-osseous (IO) infusion are increasing in adults requiring administration of fluids and medications during initial resuscitation. However, this route is rarely used nowadays due to a lack of knowlegde and training. We reviewed the current evidence for its use in adults requiring resuscit... |
0 | "Hot Zones" for Otolaryngologists: Assessing the geographic distribution of aerosol-generating procedures amidst the COVID-19 pandemic | Coronavirus Disease 2019 (COVID-19) | OBJECTIVE: Given high COVID-19 viral load and aerosolization in the head and neck, otolaryngologists are subject to uniquely elevated viral exposure in most of their inpatient and outpatient procedures and interventions. While elective activity has halted across the board nationally, the slow plateau of COVID-19 case r... |
1 | Bacteremia due to periodontal probing: a clinical and microbiological investigation | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Infective endocarditis can occur in susceptible individuals due to bacteremia of oral origin. The aim of this study was to investigate the occurrence of bacteremia caused by full mouth periodontal probing. METHODS: Forty patients, 20 with adult periodontitis (10 males, 10 females; mean age 43.0 years) and 2... |
0 | Biomechanical effectiveness of a distraction-rotation knee brace in medial knee osteoarthritis: preliminary results | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Non-pharmacological therapies are recommended for the care of knee osteoarthritis patients. Unloader knee braces provide an interesting functional approach, which aims to modulate mechanical stress on the symptomatic joint compartment. We aimed to confirm the biomechanical effects and evaluate functional be... |
0 | Polypeptide nanocoatings for preventing dental and orthopaedic device-associated infection: pH-induced antibiotic capture, release, and antibiotic efficacy | Dental Implant Infection | Implant-associated infection is one of the most common and problematic complications for dental and orthopaedic patients. Modification of currently used implant surfaces aimed at bestowing them with antibacterial properties is a promising approach in the development of new biomaterials. In this study, a novel nanotechn... |
0 | Post-traumatic stress symptoms in cancer survivors: relationship to the impact of cancer scale and other associated risk factors | DoD PRF (Psychosocial RF) | PURPOSE: The purpose of this study was to determine the prevalence of post-traumatic stress symptoms in a sample of cancer survivors and to investigate their association with the impact of cancer, depressive symptoms, and social support.
METHODS: We administered a survey to participants in a cancer survivor registry. I... |
1 | Comparative efficacy and safety of bone-modifying agents for the treatment of bone metastases in patients with advanced renal cell carcinoma: a systematic review and meta-analysis | MSTS 2018 - Femur Mets and MM | OBJECTIVE: To determine the comparative efficacy and safety of all available bone-modifying agents (BMAs) for the treatment of bone metastases in patients with advanced renal cell carcinoma (RCC).
RESULTS: Three studies (259 patients) were identified for the systematic review. Two studies that compared zoledronic acid ... |
1 | Cemented hip hemiarthroplasty clinical observations on unstable intertrochanteric fracture in elderlies | Hip Fx in the Elderly 2019 | OBJECTIVE: To observe the clinical effect of steel cable or greater trochanter reattachment (GTR) device combined with cemented hip hemiarthroplasty for unstable intertrochanteric fracture in elderlies.
MATERIALS AND METHODS: From July 2002 to June 2014, a total of 57 elderly patients with unstable intertrochanteric fr... |
0 | Cognitive dysfunction after fast-track hip and knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Postoperative cognitive dysfunction (POCD) is reported to occur after major surgery in as many as 20% of patients, elderly patients may especially experience problems in the weeks and months after surgery. Recent studies vary greatly in methods of evaluation and diagnosis of POCD, and the pathogenic mechani... |
0 | How can we improve the treatment of bone metastases further? | MSTS 2018 - Femur Mets and MM | Bone is one of the most frequent organs to be affected by metastatic cancer and causes more morbidity than any other metastatic site. Bisphosphonate treatment provides an organ-specific treatment which is relevant to most if not all tumour types involving bone. Bisphosphonates, particularly the potent agent pamidronate... |
0 | Navigated total knee arthroplasty: Is it error-free? | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: The aim of this study was to determine whether errors do occur in navigated total knee arthroplasty (TKAs) and to study whether errors in bone resection or implantation contribute to these errors. Methods: A series of 20 TKAs was studied using computer navigation. The coronal and sagittal alignments of the fem... |
0 | Inguinal, or Hexsel's hyperhidrosis | Panniculectomy & Abdominoplasty CPG | Inguinal Hyperhidrosis (IH) is a focal and primary form of hyperhidrosis in which the individual has intense sweating in the inguinal region. It usually appears in adolescence, not later than the age of 25, in the most cases, and continues into adulthood. With a sample of 26 patients we described Inguinal Hyperhidrosis... |
0 | Position paper of the american council on science and health on risk factors for breast cancer: Established, speculated, and unsupported | Reduction Mammoplasty for Female Breast Hypertrophy | This article provides the position of the American Council on Science and Health regarding how breast cancer is defined and classified; the magnitude of the public health problem of breast cancer among women; the implications of variation in incidence of breast cancer internationally and with migration; access to healt... |
0 | Therapeutic efficacy of melanoma-reactive TIL injected in stage III melanoma patients | Reconstruction After Skin Cancer | Adoptive therapy for cancer using tumor-infiltrating lymphocytes (TIL) has mainly been investigated in cancer patients with advanced stage disease. The limited clinical success has not been encouraging, although this might be explained by poor TIL specificity and/or high tumor burden. To re-evaluate the effectiveness o... |
0 | Risk Factors for Moderate and Severe Persistent Pain in Patients Undergoing Total Knee and Hip Arthroplasty: A Prospective Predictive Study | AAHKS (4) Acetaminophen | Persistent post-surgical pain (PPSP) is a major clinical problem with significant individual, social and health care costs. The aim of this study was to examine the joint role of demographic, clinical and psychological risk factors in the development of moderate and severe PPSP after Total Knee and Hip Arthroplasty (TK... |
0 | Bacterial adherence to different components of total hip prosthesis in patients with prosthetic joint infection | PJI DX Updated Search | PURPOSE: The purpose of our study was to evaluate and quantify the bacterial adherence to the different components of total hip prosthesis. METHODS: The bacterial load of 80 retrieved hip components from 24 patients was evaluated by counting of colony-forming units (CFU) dislodged from component surfaces using the soni... |
0 | Antibiotic prophylaxis for selected implants and devices | Dental Implant Infection | Certain implants or devices are widely believed to put patients at risk from oral bacteremia. They include but are not limited to intravascular access devices, solid organ transplants, vascular grafts, coronary artery stents, breast implants, and penile prostheses. The purpose of this article is to review the risk of i... |
0 | [The impact of acellular dermal matrix on complications of breast reconstruction using tissue expander/implant: a meta-analysis] | Acellular Dermal Matrix | OBJECTIVE: To analyze the effect of acellular dermal matrix (ADM) on complications of breast reconstruction using tissue expander/implant, and to offer preliminary evidences for ADM clinical application. METHODS: Articles published from Jan. 2010 to Oct. 2012 were searched in Pubmed, EMbase, Science Direct and CNKI dat... |
0 | Peripheral sympathetic function as a predictor of complex regional pain syndrome type I (CRPS I) in patients with radial fracture | Distal Radius Fractures | Complex regional pain syndrome type I (CRPS I) is a frequent complication after injuries of the upper limbs. The pathophysiology of this disease remains unclear, although disturbances of the sympathetic nervous system have been detected in several clinical studies, and sympathetic blocks resolve the symptoms in many of... |
0 | The DAMASK trial protocol: A pragmatic randomised trial to evaluate whether GPs should have direct access to MRI for patients with suspected internal derangement of the knee | AMP (Acute Meniscal Pathology) | Background: Though new technologies like Magnetic Resonance Imaging (MRI) may be accurate, they often diffuse into practice before thorough assessment of their value in diagnosis and management, and of their effects on patient outcome and costs. MRI of the knee is a common investigation despite concern that it is not a... |
0 | Anterior cruciate ligament injuries | DoD PRF (Psychosocial RF) | Increasingly, epidemiological data has shown differences in the total number of injuries and in the incidence of serious knee injuries among males and females in jumping and pivoting activities. Particularly, strong epidemiological data support increased incidence of non-contact anterior cruciate ligament injuries in f... |
1 | Antibiotic Prophylaxis Is Not Necessary for Invasive Dental Procedures in Existing Total Knee Arthroplasty Implants | Dental Implant Infection | Antibiotic prophylaxis before an invasive dental procedure (IDP) for patients with preexisting knee implants has been suggested, but its use has yet to reach consensus. Therefore, we sought to examine antibiotic prophylaxis before an IDP for patients who had undergone a total knee arthroplasty (TKA). We specifically as... |
0 | The Emerging Role of Non-Coding RNAs in Osteoarthritis | AMP (Acute Meniscal Pathology) | Osteoarthritis (OS) is the most frequent degenerative condition in the joints, disabling many adults. Several abnormalities in the articular cartilage, subchondral bone, synovial tissue, and meniscus have been detected in the course of OA. Destruction of articular cartilage, the formation of osteophytes, subchondral sc... |
1 | Diagnostic criteria of carpal tunnel syndrome using high-resolution ultrasonography: correlation with nerve conduction studies | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The aim of this work was to evaluate the diagnostic performance of grey-scale, color Doppler, and dynamic ultrasound (US) for diagnosing carpal tunnel syndrome (CTS) using the medical diagnostic test called nerve conduction study (NCS) as the reference standard, and to correlate the increase in median nerve (MN) cross-... |
1 | Implant removal for late-developing infection after instrumented posterior spinal fusion for scoliosis: reinstrumentation reduces loss of correction. A retrospective analysis of 45 cases | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A retrospective follow-up study of patients who, having undergone instrumented posterior spinal fusion for scoliosis, experienced late infection and then underwent either implant removal alone or implant removal and instrumented refusion. We conducted this study to determine whether it is possible to avoid loss of corr... |
0 | Amoebic liver abscess in pregnancy | Patrick’s pharmacoepidemiology project | We describe the case of an amoebic liver abscess (ALA) presenting in the third trimester of pregnancy which raised both diagnostic and treatment dilemmas as well as being associated with preterm labour. Amoebic liver abscess is caused by the protozoan organism Entamoeba histolytica which is endemic in many parts of the... |
1 | Bovine Acellular Dermal Matrix in Immediate Breast Reconstruction: A Retrospective, Observational Study with SurgiMend | Acellular Dermal Matrix | BACKGROUND: Acellular dermal matrices can be combined with implant-based breast reconstruction to help optimize outcomes. SurgiMend PRS is a fetal bovine dermis-derived acellular dermal matrix composed of type I collagen and approximately 30 percent type III collagen, sharing many of the properties of human cadaveric a... |
0 | First successful autologous chondrocyte implantation in Pakistan | Diagnosis and Treatment of Osteochondritis Dissecans AUC | Osteochondritis dissecans entails a hyaline cartilage defect of the articular surface causing pain and functional restriction in young adults, sometimes resulting in early degenerative arthritis. Conventional treatment methods such as abrasion chondroplasty and mosaicplasty have limitations in terms of quality of the r... |
0 | Blepharoplasty and periorbital surgery | Upper Eyelid and Brow Surgery | Blepharoplasty is one of the most successful aesthetic surgical procedures. Careful preoperative planning and conservative tissue resections can help to minimize complications and optimize results. Although some young patients request blepharoplasty specifically because of age-related changes in the eyelid skin, the su... |
0 | Photorefractive keratectomy in ophthalmic residents | Upper Eyelid and Brow Surgery | PURPOSE: To find out how ophthalmologists themselves experience the correction of myopia after photorefractive keratectomy. Visuomotor functions were of special interest. METHODS: Four ophthalmology residents and one medical engineer underwent photorefractive keratectomy for myopia. Objective measurements including ref... |
0 | Central and spinal somatosensory conduction times during hypothermic cardiopulmonary bypass and some observations on the effects of fentanyl and isoflurane anesthesia | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Somatosensory evoked potentials (SEPs) following median nerve stimulation were recorded over Erb's point (N10), neck (N13) and scalp (N20) of 17 neurologically normal patients during hypothermic cardiopulmonary bypass. Anesthesia was induced with fentanyl and 100% oxygen, and supplemented with isoflurane as necessary. ... |
1 | Adult human mesenchymal stem cells delivered via intra-articular injection to the knee following partial medial meniscectomy: a randomized, double-blind, controlled study | AMP (Acute Meniscal Pathology) | BACKGROUND: There are limited treatment options for tissue restoration and the prevention of degenerative changes in the knee. Stem cells have been a focus of intense preclinical research into tissue regeneration but limited clinical investigation. In a randomized, double-blind, controlled study, the safety of the intr... |
0 | Effect of Continuous Compression Stimulation on Pressure-Pain Threshold and Muscle Spasms in Older Adults With Knee Osteoarthritis: A Randomized Trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The purpose of this study was to assess the effect of continuous compression stimulation on pressure-pain threshold and muscle spasms in older adults with knee osteoarthritis.
METHODS: Thirty-two older adults with knee osteoarthritis on outpatient visits were randomly divided into 2 groups. Those in the trea... |
0 | The role of antibiotics in the management of elective and post- traumatic hand surgery | DoD SSI (Surgical Site Infections) | The use of prophylactic antibiotics in elective and emergency hand surgery is an unsettled issue. Although their benefit in general surgical cases and certain orthopedic cases is well established, the lower infection rates in elective and emergency hand surgery have made attempts to prove the efficacy of prophylaxis mo... |
0 | Growth requirements and neoplastic transformation of two types of normal human breast epithelial cells derived from reduction mammoplasty | Reduction Mammoplasty for Female Breast Hypertrophy | A chemically defined culture medium was developed to support the growth of two distinctly different types of normal human breast epithelial cells (HBEC) derived from reduction mammoplasty. Type I cells expressed luminal epithelial cell markers and were deficient in gap junctional intercellular communication (GJIC), whe... |
0 | Peri-operative pain management: Assuring a happy patient | AAHKS (8) Anesthetic Infiltration | Total knee arthroplasty (TKA) is one of the most commonly performed procedures in the United States. Poorly controlled pain and opioid side effects are associated with worse outcomes. As the prescription opioid epidemic progresses, strategies to provide adequate analgesia while minimizing opioid use are rapidly being d... |
0 | Defining hip pain trajectories in early symptomatic hip osteoarthritis--5 year results from a nationwide prospective cohort study (CHECK) | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To define distinct hip pain trajectories in individuals with early symptomatic hip osteoarthritis (OA) and to determine risk factors for these pain trajectories.
METHOD: Data were obtained from the nationwide prospective Cohort Hip and Cohort Knee (CHECK) study. Participants with hip pain or stiffness and a ... |
0 | Single-Screw Fixation Compared with Double Screw Fixation for Treatment of Medial Malleolar Fractures: A Prospective Randomized Trial | DoD SSI (Surgical Site Infections) | To determine whether single or double screw (DS) fixation of medial malleolar fractures results in better long-term health outcomes.Design:Randomized clinical trial; sealed envelope technique.Setting:Level 1 Trauma Hospital at University of Calgary, Canada.Patients:One hundred forty patients were randomized to receive ... |
1 | Wound drains in proximal femoral fracture surgery: a randomized prospective trial of 177 patients | DoD SSI (Surgical Site Infections) | We report on the effect of wound drains on wound healing following surgery for proximal femoral fractures. One hundred and seventy-seven patients undergoing AO dynamic hip screw (DHS) or hemiarthroplasty were randomized whether or not to receive wound drainage. Patients who received wound drainage showed statistically ... |
0 | Anterior spinal arthrodesis with structural cortical allografts and instrumentation for spine tumor surgery | MSTS 2022 - Metastatic Disease of the Humerus | STUDY DESIGN: The authors report on anterior vertebral reconstruction following tumor resection with use of fresh-frozen, cortical, long-segment allografts prepared from diaphyseal sections of long bones. A retrospective analysis of clinical outcomes is presented.
OBJECTIVE: To analyze the results following the use of ... |
0 | Does loupe magnification reduce the gap between the macroscopic and microscopic border of a Basal cell carcinoma?: a prospective clinical study | Reconstruction After Skin Cancer | OBJECTIVES: Incomplete excision of a basal cell carcinoma (BCC) remains a frustrating problem. Various attempts have been made to decrease the rate of incomplete excisions, including the use of loupe magnification.METHOD: A prospective, controlled study is presented, which was designed to evaluate whether loupe magnifi... |
1 | Prevention and treatment of intertrigo in large skin folds of adults: a systematic review | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Intertrigo in the large skin folds is a common problem. There is a plethora of treatments, but a lack of evidence about their efficacy. A nursing guideline on this matter had to be updated and broadened in scope to other health care professionals.
METHODS: A systematic review was performed. Thirteen databas... |
0 | The low permeability of healthy meniscus and labrum limit articular cartilage consolidation and maintain fluid load support in the knee and hip | AMP (Acute Meniscal Pathology) | The knee meniscus and hip labrum appear to be important for joint health, but the mechanisms by which these structures perform their functions are not fully understood. The fluid phase of articular cartilage provides compressive stiffness and aids in maintaining a low friction articulation. Healthy fibrocartilage, the ... |
0 | Is early internal fixation preferred to cast treatment for well-reduced unstable distal radial fractures? | Distal Radius Fractures | BACKGROUND: In the treatment of distal radial fractures, physicians often advocate internal fixation over cast treatment for potentially unstable fracture patterns, citing the difficulties of successful nonoperative treatment and a decrease in patient tolerance for functional deficiencies. This study was performed to e... |
0 | Understanding the Stiff-to-Compliant Transition of the Meniscal Attachments by Spatial Correlation of Composition, Structure, and Mechanics | AMP (Acute Meniscal Pathology) | Recently, the scientific community has shown considerable interest in engineering tissues with organized compositional and structural gradients to mimic hard-to-soft tissue interfaces. This effort is hindered by an incomplete understanding of the construction of native tissue interfaces. In this work, we combined Raman... |
0 | Tobacco smoking and risk of hip fracture in men and women | Management of Hip Fractures in the Elderly | BACKGROUND: Previous findings suggest that tobacco smoking increases the risk of hip fracture in women. A similar adverse effect of smoking is suspected to be present in men, but bone mineral density studies have raised the concern that men may be more sensitive to the deleterious effect of smoking on bone than women. ... |
0 | Anxiolytic effect of intravenously administered perecoxib in patients undergoing total knee arthroplasty (TKA) with continuous femoral block. A randomized double-blind prospective study | Surgical Management of Osteoarthritis of the Knee CPG | Background and aims: Intravenous infusion of parecoxib could provide significant pain relief in situations that require additional forms of analgesia. However, very little is known about its effects of on the anxiety levels of patients before a surgical procedure. The aim of this prospective study was to investigate wh... |
0 | Human Suprapatellar Fat Pad-Derived Mesenchymal Stem Cells Induce Chondrogenesis and Cartilage Repair in a Model of Severe Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Cartilage degeneration is associated with degenerative bone and joint processes in severe osteoarthritis (OA). Spontaneous cartilage regeneration is extremely limited. Often the treatment consists of a partial or complete joint implant. Adipose-derived stem cell (ASC) transplantation has been shown to restore degenerat... |
0 | Subcutaneous versus intraarticular indwelling closed suction drainage after TKA: a randomized controlled trial | PJI DX Updated Search | BACKGROUND: TKA can involve substantial bleeding, and the issue regarding whether vacuum drainage should be used during TKA continues to be debated as both methods have disadvantages. QUESTIONS/PURPOSES: We therefore asked whether subcutaneous indwelling vacuum drainage is advantageous over intraarticular indwelling va... |
0 | MRI of the knee with arthroscopic correlation | Osteochondritis Dissecans 2020 Review | Major advances in MRI and arthroscopy have allowed for enhanced diagnosis and subsequent management of ligamentous and soft tissue injuries of the knee. Recognition of the appearance of acute ACL and PCL injuries on MRI can enhance arthroscopic reconstruction. PCL injuries are often more subtle and can present with ind... |
0 | Upregulation of adipose 11-beta-hydroxysteroid dehydrogenase type 1 expression in ovariectomized rats is due to obesity rather than lack of estrogen | Panniculectomy & Abdominoplasty CPG | OBJECTIVE: Increased tissue activity of cortisol induced by the activation of inert cortisone to active cortisol through 11-beta-hydroxysteroid dehydrogenase type 1 (11beta-HSD1) may play a role in the metabolic syndrome. We recently found that 11beta-HSD1 in subcutaneous adipose tissue (AT) was lower in lean women com... |
0 | Prolonged duration of operation: an indicator of complicated surgery or of surgical (mis)management? | PJI DX Updated Search | PURPOSE: The aim of this study was to investigate whether a prolonged operative time should be regarded as an indicator of quality problems in operating rooms or as patient-specific risk factors when analyzing surgical site infection (SSI) rates. METHOD: Data from the SSI component of the German national nosocomial inf... |
0 | Abdominal compartment syndrome secondary to acute necrotizing pancreatitis | DOD - Acute Comp Syndrome CPG | Severe acute pancreatitis occurs in around 20% of patients and is associated with mortality rates between 8-40%. Abdominal compartment syndrome is a fatal complication that is associated with new organ failure or acute worsening of existing organ failure and has an associated mortality of around 60%. Intra-abdominal pr... |
0 | Prosthetic hip dislocation following saphenous vein harvesting for coronary revascularisation | Management of Hip Fractures in the Elderly | As the age of patients undergoing coronary revascularisation continues to increase so will the incidence of patients undergoing the procedure with hip replacements in-situ. We report on the first case of hip dislocation following saphenous vein harvesting for coronary revascularisation and describe a simple bedside tec... |
0 | Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremity | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The Disabilities of the Arm, Shoulder and Hand (DASH) outcome measure was developed to evaluate disability and symptoms in single or multiple disorders of the upper limb at one point or at many points in time. PURPOSE: The purpose of this study was to evaluate the reliability, validity, and responsiveness of the DASH i... |
0 | Oral daily ibandronate: An effective and convenient therapy for skeletal complications in metastatic breast cancer | MSTS 2018 - Femur Mets and MM | Bisphosphonate therapy reduces the relative risk of skeletal-related events in metastatic bone disease and is widely used in the long-term management of this condition. The efficacy of oral ibandronate, a third-generation high potency aminobisphosphonate, has been evaluated in patients with bone metastases from breast ... |
0 | Later Age at Onset of Independent Walking Is Associated With Lower Bone Strength at Fracture-Prone Sites in Older Men | Pediatric Diaphyseal Femur Fractures 2020 Review | Later age at onset of independent walking is associated with lower leg bone strength in childhood and adolescence. However, it is unknown whether these associations persist into older age or whether they are evident at axial (central) or upper limb sites. Therefore, we examined walking age obtained at age 2 years and b... |
0 | Population based epidemiologic and morphologic study of femoral shaft fractures | Management of Hip Fractures in the Elderly | The epidemiologic and morphologic features of all femoral shaft fractures in skeletally mature patients treated during a 10-year period in a semi-urban county were analyzed. Among an average adult population of 202,592 residents, 192 people sustained 201 traumatic femoral shaft fractures during the study period. The in... |
1 | Characteristics of non-urgent patients. Cross-sectional study of emergency department and primary care patients | DoD PRF (Psychosocial RF) | OBJECTIVE: To describe characteristics of patients seeking medical attention for non-urgent conditions at an emergency department (ED) and patients who use non-scheduled services in primary healthcare.
DESIGN: Descriptive cross-sectional study.
SETTING: Primary healthcare centres and an ED with the same catchment area ... |
0 | Nursing at ground zero: experiences during and after September 11 World Trade Center attack | DoD PRF (Psychosocial RF) | The purpose of this study is to discover shared perceptions, feelings, and common experiences of nurses after the September 11th World Trade Center terrorist attack through interpretive analysis of narrative stories of seventeen nurses. Six themes and one constitutive pattern describe the experiences: (a) Loss of a sym... |
0 | Noncemented Cathcart elliptical head endoprosthesis for displaced femoral neck fractures | Management of Hip Fractures in the Elderly | A total of 93 patients (95 hips) undergoing unipolar noncemented elliptical head endoprosthetic replacement for an acute displaced femoral neck fracture were reviewed clinically and radiographically at an average follow-up of 28 months. The 12-month mortality rate was 22%. The medical complication rate was 15%, and the... |
0 | Operative treatment of acute acromioclavicular joint injuries graded Rockwood III and IV: Risks and benefits in tight rope technique vs. k-wire fixation | DoD SSI (Surgical Site Infections) | Background: Operative treatment of acromioclavicular joint injuries is recommended for higher degree dislocations. Recently a new option has become available with the minimally-invasive tight rope technique. Whereas clinical studies justify the medical use, risks and benefits remain unclear. Therefore, this study analy... |
0 | Optimizing Intraoperative Blood Management for One-Stage Bilateral Total Knee Arthroplasty | AAHKS (9/10) Regional Nerve Blocks | Background: Effective blood management strategies are a major determinant of successful outcomes after one-stage bilateral total knee arthroplasty (BTKA). Proper patient selection with preoperative optimization and intra- and postoperative interventions can reduce transfusion risk and associated morbidity in these pati... |
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