recall
int64
0
1
article_title
stringlengths
5
500
topic
stringlengths
21
84
abstract
stringlengths
2
65.8k
0
The relationship between serum vitamin D levels and bone histomorphometry in elderly patients with hip fracture
Management of Hip Fractures in the Elderly
Introduction: Vitamin D deficiency is common in elderly people, studies suggesting up to 65 % of patients with hip fracture have severe vitamin D deficiency (1). However, routine bone biochemistry is frequently normal despite low or even undetectable serum Vitamin D levels (2). The clinical significance of low serum Vi...
1
Platelet-rich plasma: intra-articular knee injections produced favorable results on degenerative cartilage lesions
PRP (Platelet-Rich Plasma)
Platelet-rich plasma (PRP) is a natural concentrate of autologous blood growth factors experimented in different fields of medicine in order to test its potential to enhance tissue regeneration. The aim of our study is to explore this novel approach to treat degenerative lesions of articular cartilage of the knee. One ...
0
Advances in liposuction contouring of calves and ankles
Panniculectomy & Abdominoplasty CPG
Achieving a predictable, aesthetic result in liposuction contouring of the lower leg is now possible. The evolution of the technique has brought about preoperative, intraoperative, and postoperative advances. This article describes in detail these advances and their rationale.
1
Alpha-hemolytic streptococci: clinical significance in the cancer patient
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Alpha-hemolytic Streptococci were associated with 29 episodes of sepsis (12 polymicrobial) in 27 patients with cancer during a nine year period. Only two patients had dental manipulation prior to the onset of sepsis, but each had received chemotherapy and 75% were granulocytopenic (PMN less than 500/mm3) at the time of...
0
Complications of pediatric elbow dislocations and monteggia fracture-dislocations
Pediatric Supracondylar Humerus Fracture 2020 Review
Pediatric elbow dislocations and Monteggia lesions are prone to acute and chronic complications. A pediatric patient's cartilaginous and unossified distal humerus contributes to the risks of inaccurate diagnoses resulting from the misinterpretation of findings on plain radiographs. The debate continues regarding the am...
1
Use of discussion boards in an online hip fracture resource center for caregivers
Hip Fx in the Elderly 2019
BACKGROUND: Hip fracture is a serious health problem among older adults and often results in serious consequences such as disabilities. Informal caregivers (CGs) are particularly important for the successful recovery of older adult patients with hip fractures while they undergo surgical procedures and extensive rehabil...
1
A Randomized Trial Comparing the Safety and Efficacy of Intravenous Ibuprofen versus Ibuprofen and Acetaminophen in Knee or Hip Arthroplasty
AAHKS (4) Acetaminophen
BACKGROUND: All surgical procedures are associated with a degree of pain. The experience of uncontrolled post-operative pain can have significant implications on health care costs. Recent studies have demonstrated that intravenous (IV) ibuprofen is an effective, safe, well-tolerated analgesic when administered for both...
0
Histological Study of Discoid Lateral Meniscus in Children and Adolescents: Morphogenetic Considerations
AMP (Acute Meniscal Pathology)
<b>Background</b> Discoid lateral meniscus is the most frequent variant of the meniscus. Few studies have focused on the histology of discoid menisci. The aim of the present study was to report the histological findings of discoid lateral meniscus in children and adolescents, after arthroscopic partial resection, to gi...
0
The role of prophylactic antibiotics in the prevention of prosthetic device infections
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
This article examines available information concerning the use of antimicrobial agents to prevent prosthetic device infection at the time of surgical implantation. Additionally, the authors comment on the dearth of information concerning prophylactic antibiotics prior to elective surgical or dental procedures to preven...
0
Metastatic fractures of long bones
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Forty-two patients with a total of 52 metastatic fractures of long bones were analysed retrospectively with regard to the type of treatment, complications, general mobility and survival. Endoprosthetic replacement appeared to be better than osteosynthesis in the proximal femur, and this method should also be considered...
0
The association between subchondral bone cysts and tibial cartilage volume and risk of joint replacement in people with knee osteoarthritis
Surgical Management of Osteoarthritis of the Knee CPG
Objectives: To examine the natural history of subchondral bone cysts and determine whether knee cartilage loss and risk of joint replacement is higher in knees with cysts, compared to those with bone marrow lesions (BMLs) only or those with neither BMLs nor cysts. Method: The symptomatic knee in 132 subjects with knee ...
0
The surgical approach to lateral meniscal repair
AMP (Acute Meniscal Pathology)
Peripheral lateral meniscal tears are amenable to meniscal repair. Rasp abrasion and fibrin clot deposition along with vascular access channels are advances that, one hopes will increase healing rates of meniscal repairs. A basic principle that is not emphasized in the literature is how to perform the surgical approach...
0
Surgical Management of Acromioclavicular Dislocations
Pediatric Supracondylar Humerus Fracture 2020 Review
Acromioclavicular (AC) dislocations occur frequently in the military population. Most are successfully treated nonoperatively. However, military requirements include more demanding use, resulting in an increased failure rate of conservatively managed AC injuries. Surgical management is indicated for injuries that fail ...
0
Human meniscus cells express hypoxia inducible factor-1alpha and increased SOX9 in response to low oxygen tension in cell aggregate culture
AMP (Acute Meniscal Pathology)
In previous work we demonstrated that the matrix-forming phenotype of cultured human cells from whole meniscus was enhanced by hypoxia (5% oxygen). Because the meniscus contains an inner region that is devoid of vasculature and an outer vascular region, here we investigate, by gene expression analysis, the separate res...
0
Sex and ethnic differences in hip fracture-related mortality in Texas, 1990 through 1998
Management of Hip Fractures in the Elderly
Hip fracture, the most serious complication of osteoporosis, is associated with considerable morbidity and mortality. Knowledge of hip fracture-related mortality rates by age, sex, and ethnicity as well as temporal changes in mortality are important for health planners to implement programs aimed at awareness and preve...
0
Care of the elderly - An osteoporosis medication management clinic
Management of Hip Fractures in the Elderly
Osteoporosis is a disease of ageing that can cause hip fractures, requiring hospital admission and major surgery. It can impair a person's ability to walk and can cause disability or death. This article describes the development of the role of a pharmacist practitioner with a special interest in osteoporosis
0
Fluoroscopic radiation exposure: are we protecting ourselves adequately?
Distal Radius Fractures
BACKGROUND: While traditional intraoperative fluoroscopy protection relies on thyroid shields and aprons, recent data suggest that the surgeon's eyes and hands receive more exposure than previously appreciated. Using a distal radial fracture surgery model, we examined (1) radiation exposure to the eyes, thyroid, chest,...
0
Clinical outcome of limb-salvage surgery after wide resection of sarcoma and femoral vessel reconstruction
PJI DX Updated Search
BACKGROUND: Malignant sarcomas of the femur present major challenges in their management. Radical resection of sarcoma frequently requires concomitant major femoral vessel resection and reconstruction. We describe the clinical outcomes of vascular reconstruction, the long-term patency of vascular repair, and complicati...
0
Knee osteoarthritis and role for surgical intervention: lessons learned from randomized clinical trials and population-based cohorts
PJI DX Updated Search
PURPOSE OF REVIEW: Over the last decade, there has been increased recognition of the importance of high-quality randomized controlled trials in determining the role of surgery for knee osteoarthritis. This review highlights key findings from the best available studies, and considers whether or not this knowledge has re...
0
Is the assessment of the central skeleton sufficient for osseous staging in breast cancer patients?
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Aim: Positron-emission-tomography/computertomography (PET/CT) is increasingly used as an alternative imaging method for systemic staging of breast cancer. The majority of PET/CT protocols focus on the central skeleton. Analysing bone scans we want to find out, if a detection of the central skeleton is sufficient for bo...
0
Long-term results of isolated acetabular revisions with reinforcement rings: a 10- to 15-year follow-up
Hip Fx in the Elderly 2019
Purpose: The management of severe acetabular bone deficiency and a stable femoral stem can be a challenging problem in revision hip surgery. Replacement of both the acetabular and femoral component in elderly patients can increase perioperative risks without the certainty of a better functional outcome. We report the l...
0
The S-ROM hydroxyapatite proximally-coated modular femoral stem in revision hip replacement: Results of 397 hips at a minimum ten-year follow-up
PJI DX Updated Search
We report on 397 consecutive revision total hip replacements in 371 patients with a mean clinical and radiological follow-up of 12.9 years (10 to 17.7). The mean age at surgery was 69 years (37 to 93). A total of 28 patients (8%) underwent further revision, including 16 (4%) femoral components. In all 223 patients (56%...
0
The pharmacokinetics and tolerance of oral erythromycin stearate compared with erythromycin ethylsuccinate: implications for preventing endocarditis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Serum concentrations of erythromycin were monitored in 11 healthy adult volunteers following single dose oral administration of erythromycin stearate, 1.5 g, and erythromycin ethylsuccinate 3.0 g. Peak serum concentrations occurred at 30 min to 2 h after the dose, usually at 1 h. Mean serum peak erythromycin concentrat...
0
Patient's hospital stay affected by type of anaesthesia and use of morphine in uncomplicated lower limb joint replacement surgery
Surgical Management of Osteoarthritis of the Knee CPG
Aim: Does the use of morphine IVPCA as part of multimodal analgesic technique influence length of stay? Background: This observational study included 97 adults(31% male: 69% female) with ASA grades(I: 17.5%, II: 61%, III: 16.5%, undocumented: 5%), scheduled for arthroplasty of the lower limb. Patients with age range 40...
0
Incidence of femoral neck fractures: senile osteoporosis in Finland in the years 1970-1985
Management of Hip Fractures in the Elderly
The number of new femoral neck fractures in Finland doubled between 1970 and 1985. This is a result of the progressive increase in the age of the population as well as of an increase in incidence rates. The former factor predominated in women, while the latter was more characteristic among men. The increase in incidenc...
0
Bone metastases are infrequent in patients with newly diagnosed prostate cancer: analysis of their clinical and pathologic features
MSTS 2018 - Femur Mets and MM
OBJECTIVES: To investigate the clinical and pathologic characteristics of patients with bone metastases identified at the time of newly diagnosed prostate carcinoma at biopsy. METHODS: From November 2002 to May 2004, 1587 consecutive patients had a pathologic diagnosis of prostate cancer and underwent conventional tech...
0
Ischemic necrosis of bone in systemic lupus erythematosus
MSTS 2018 - Femur Mets and MM
In 23 patients with systemic lupus erythematosus (SLE) ischemic bone necrosis occurred. All patients had received corticosteroids prior to the onset of ischemic necrosis, although one patient had received none for 13 yrs previously. Nineteen (83%) patients had multiple bone lesions including the femoral heads in 21 (91...
0
Predictors of early failure of the cannulated screw system in patients, 65 years and older, with non-displaced femoral neck fractures
Hip Fx in the Elderly 2019
BACKGROUND: Hip fractures represent the most common injury and the main cause of morbidity and mortality among patients 65 years and older. About 20% of all femoral neck fractures (FNFs) are non-displaced or valgus impacted, for which internal fixation with the cannulated screws system (CSS) is indicated. AIMS: The aim...
0
Intravenous and intraarticular tranexamic acid plus epinephrine for the management of blood loss after cemented total knee arthroplasty: A case-control study
OAK 3 - Non-arthroplasty tx of OAK
Background: Tranexamic acid (TXA) is efficiently used to control blood loss during total knee arthroplasty (TKA). The role of intraarticular epinephrine needs further clarification. Limited data exist, concerning the combined use of intravenous and intraarticular TXA plus epinephrine in the intraoperative management of...
0
A bibliometric analysis of the most cited articles in geriatric anesthesia
Hip Fx in the Elderly 2019
Introduction: The objective of this study is to evaluate the 100 most cited publications in the literature related to geriatric anesthesia in terms of bibliometric properties. Material and Methods: After obtaining the approval of the ethical committee for this descriptive cross-sectional study, the first 100 most cited...
0
Injection Molded Autoclavable, Scalable, Conformable (iMASC) system for aerosol-based protection: a prospective single-arm feasibility study
Coronavirus Disease 2019 (COVID-19)
OBJECTIVE: To develop and test a new reusable, sterilisable N95 filtering facepiece respirator (FFR)-comparable face mask, known as the Injection Molded Autoclavable, Scalable, Conformable (iMASC) system, given the dire need for personal protective equipment within healthcare settings during the COVID-19 pandemic. DESI...
0
Study of sex differences in the association between hip fracture risk and body parameters by DXA-based biomechanical modeling
DoD PRF (Psychosocial RF)
There is controversy about whether or not body parameters affect hip fracture in men and women in the same way. In addition, although bone mineral density (BMD) is currently the most important single discriminator of hip fracture, it is unclear if BMD alone is equally effective for men and women. The objective of this ...
0
Epidemiological study of congenital and hereditary anomalies in Sialkot District of Pakistan revealed a high incidence of limb and neurological disorders
Developmental Dysplasia of the Hip 2020 Review
Pakistan faces high incidence of congenital anomalies (CA) and hereditary anomalies due to various factors, including a high rate of consanguinity, early marriages, and predominance of extended families. There is a paucity of epidemiological studies that could provide a baseline for management strategies for these anom...
0
Standardized provocation of lumbar spine mobility: three methods compared by radiostereometric analysis
Glenohumeral Joint OA
STUDY DESIGN: By radiostereometric analysis (RSA), the intervertebral mobility was measured for the 3 most distal lumbar disc levels in 12 patients at 3 types of standardized provocation: changing body position from supine to standing, supine to standing with load, and supine to sitting. OBJECTIVE: To study the validit...
1
Total joint arthroplasty in patients with hepatitis C
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: Hepatitis C is present worldwide. Little is known about the outcome of joint arthroplasty in asymptomatic patients with hepatitis C. We evaluated the surgical complications following hip and knee arthroplasty in patients who were seropositive for hepatitis C in a matched study. METHODS: Seventy-one patients...
0
Articular cartilage repair: Procedures versus products
AMP (Acute Meniscal Pathology)
This review discusses the current perspectives and practices regarding the treatment of articular cartilage injury. Specifically, the authors have delineated and examined articular cartilage repair techniques as either surgical procedures or manufactured products. Although both methodologies are used to treat articular...
0
Contralateral hip and knee gait biomechanics are unchanged by total hip replacement for unilateral hip osteoarthritis
Surgical Management of Osteoarthritis of the Knee CPG
Both the hip and knee contralateral to a total hip replacement (THR) have an increased risk of osteoarthritis (OA) progression, and ultimate joint replacement. It is also known that abnormal gait contributes to OA progression. For these reasons, we conducted a longitudinal analysis of contralateral hip and knee gait du...
0
Pulmonary circulatory changes after bilateral total knee arthroplasty during regional anesthesia
AAHKS (9/10) Regional Nerve Blocks
STUDY OBJECTIVE: To monitor the pulmonary hemodynamics of patients undergoing bilateral total knee arthroplasty (BTKA) intraoperatively and up to 24 hours following surgery. DESIGN: Prospective observational study. SETTING: University-affiliated teaching hospital. PATIENTS: 30 ASA physical status 2 and 3 patients sched...
0
Correlations between bone mineral density of the hand and other skeletal sites as measured by DXA in Chinese women and men
Management of Hip Fractures in the Elderly
This study was aimed at assessing the correlations between the bone mineral density (BMD) of the hand and other skeletal sites in Chinese women and men. We measured the BMD of the total body, the anteroposterior lumbar spine (L2-L4), bilateral proximal femurs (i.e., total hip, femoral neck, and trochanter), and bilater...
0
Anterolateral approach for lateral humeral condylar fractures in children: Clinical results
Pediatric Supracondylar Humerus Fracture 2020 Review
To evaluate the clinical outcomes of an anterolateral approach for lateral humeral condylar fractures in children. The patients aged < 15 years undergoing surgery with an anterolateral approach for humeral lateral condylar fractures between April 2005 and March 2014 were investigated. Medical records and radiographs fr...
0
The enhanced frontalis sling for blepharoptosis repair
Upper Eyelid and Brow Surgery
PURPOSE: To describe a simple modification of the frontalis sling procedure. DESIGN: Interventional case reports. METHODS: The fascia lata strips are passed superiorly with a Richard-Allan needle rather than trimmed at the central incision in the inferior forehead. RESULTS: Satisfactory and stable eyelid positions have...
0
Incidence of limb fracture across Europe: Results from the European prospective osteoporosis study (EPOS)
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
The aim of this population-based prospective study was to determine the incidence of limb fracture by site and gender in different regions of Europe. Men and women aged 50-79 years were recruited from population registers in 31 European centers. Subjects were invited to attend for an interviewer-administered questionna...
0
An update on the management of post-traumatic headache
DoD PRF (Psychosocial RF)
Recent studies from the UK give the debate about how to deal best with patients suffering from whiplash injury new impetus. Following whiplash injury, about 90% of patients complain about head and/or neck pain, as well as dizziness, sleep problems and anxiety. These symptoms are often referred to as whiplash-associated...
0
Impact of total shoulder arthroplasty on generic and shoulder-specific health-related quality-of-life measures: a systematic literature review and meta-analysis
SR for PM on OA of All Extremities
BACKGROUND: Total shoulder arthroplasty is increasingly used in the treatment of arthritis. However, the effect of total shoulder arthroplasty on health-related quality of life has not been fully established. The goal of this systematic review and meta-analysis was to characterize the change in generic and shoulder-spe...
0
Ultrasound assessment of the displacement and deformation of the median nerve in the human carpal tunnel with active finger motion
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: Peripheral nerves are mobile structures, stretching and translating in response to changes in the position of adjuvant anatomic structures. The objective of this study was to develop a novel method to characterize the relative motion and deformation of the median nerve on cross-sectional ultrasound images o...
0
Increased cancellous bone in the femoral neck of patients with coxarthrosis (hip osteoarthritis): a positive remodeling imbalance favoring bone formation
Management of Hip Fractures in the Elderly
Osteoporosis is caused by an imbalance between bone resorption and formation which results in an absolute reduction in bone mass. In a previous study we highlighted a condition, osteoarthritis of the hip (coxarthrosis, cOA), where an imbalance between resorption and formation provided beneficial effects in the form of ...
0
Implications of expanding disease definitions: the case of osteoporosis
Management of Hip Fractures in the Elderly
The National Osteoporosis Foundation and American College of Obstetrics-Gynecology have expanded osteoporosis therapy recommendations by changing the treatment threshold. We determined the impact of this recommendation using nationally representative U.S. data. The new threshold changes the number of women for whom tre...
0
Infection after surgical reconstruction of a clavicle fracture using a reconstruction plate: a report of seven cases
DoD SSI (Surgical Site Infections)
Mid-shaft clavicle fractures have traditionally been treated conservatively, although this has been associated with non-union and unsatisfactory shoulder function. The preferred approach is plate fixation, with a reconstruction plate for open reduction and internal fixation. Infection is a potential complication after ...
0
Internal fixation of intracapsular fractures
Hip Fx in the Elderly 2019
The main indications for internal fixation of intracapsular fractures are undisplaced and minimally displaced fractures and displaced intracapsular fractures in those aged less than about 70 years. For displaced fractures, closed reduction is to be preferred to open reduction. Numerous different implants may have to be...
0
High rate of reoperation and conversion to total hip arthroplasty after internal fixation of young femoral neck fractures: a population-based study of 796 patients
Hip Fx in the Elderly 2019
Background and purpose - Most often, the goal of non-geriatric femoral neck fracture surgery is to preserve the native hip joint. However, reoperations for painful implants, osteonecrosis, and nonunion are common. We determined the reoperation rate and time-to-reoperation following internal fixation of these fractures ...
0
Noninvasive measurements of intramuscular pressure using pulsed phase-locked loop ultrasound for detecting compartment syndromes: a preliminary report
DOD - Acute Comp Syndrome CPG
OBJECTIVES: To develop a human model for compartment tamponade and test the efficacy of ultrasonic pulsed phase-locked loop (PPLL) fascial displacement waveform analysis for noninvasive measurement of intramuscular pressure (IMP). DESIGN: Human subject experiment. SETTING: University Level 1 trauma center. PARTICIPANTS...
0
Retinal function in best macular dystrophy: relationship between electrophysiological, psychophysical, and structural measures of damage
Upper Eyelid and Brow Surgery
PURPOSE: To establish structure-function correlations across the visual field, to investigate disease progression in Best macular dystrophy (BMD), by correlating structural damage with retinal function as assessed by the combination of psychophysics and multifocal electrophysiology. METHODS: Spatial achromatic and chro...
0
Use of different techniques of reduction mammoplasty in the total concept of oncological breast surgery
Reduction Mammoplasty for Female Breast Hypertrophy
In recent years the indication for a mastectomy for breast cancer has been increasingly restricted. The use of plastic reconstructive techniques enhances the rate of breast-conserving therapy even for large breast tumors with excellent cosmetic results and oncological safety. The breast-to-tumor ratio and locally compl...
1
Preoperative traction for hip fractures in the elderly: a clinical trial
Hip Fx in the Elderly 2019
A consecutive series of 100 patients with femoral neck fractures were assessed by a mental test score on admission. The 67 scoring within the normal range were randomly assigned to skin traction or no traction between admission and operation. Using pain assessment scales and records of analgesic consumption, there was ...
1
The future of arthroscopic surgery in the hand and wrist
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The future of arthroscopic procedures for the wrist is limited only by the imagination and skills of the arthroscopic surgeon. Wrist arthroscopy will become an essential tool in the evaluation and treatment of a variety of wrist injuries and disease processes
0
The effect of wedge and tibial slope angles on knee contact pressure and kinematics following medial opening-wedge high tibial osteotomy
OAK 3 - Non-arthroplasty tx of OAK
BACKGROUND: High tibial osteotomy is a surgical procedure to treat medial compartment osteoarthritis in varus knees. The reported success rates of the procedure are inconsistent, which may be due to sagittal plane alignment of the osteotomy. The objective of this study was to determine the effect of changing tibial slo...
0
Preoperative irradiation for soft tissue sarcomas of the trunk and extremities in adults
MSTS 2022 - Metastatic Disease of the Humerus
Between May 1978 and January 1987, 58 adult patients with previously untreated sarcomas of the trunk and extremities were treated with preoperative irradiation and surgery at the University of Florida. All patients had a minimum of 2 years of follow-up; 24 had a minimum of 5 years of follow-up. The preoperative dose wa...
0
Does operative fixation of an osteochondritis dissecans loose body result in healing and long-term maintenance of knee function?
Diagnosis and Treatment of Osteochondritis Dissecans AUC
BACKGROUND: Osteochondritis dissecans (OCD) can progress to loose body formation, resulting in a grade IV defect. The decision to fix versus excise the loose body is controversial. Published operative fixation outcomes are small case series with short follow-up. HYPOTHESIS: Operative fixation (ORIF) of the loose body i...
0
Posterior â??Open Bookâ?쳌 approach for type 1 internal hemipelvectomy
DoD LSA (Limb Salvage vs Amputation)
Introduction: Internal limb-sparing hemipelvectomy is currently the preferred surgical option for resection of pelvic tumours. Obtaining an acceptable functional outcome through the standard ilioinguinal or iliofemoral incisions, only compounds the already challenging dissection, resection and reconstruction of these e...
0
Synovial membrane histology and immunopathology in rheumatoid arthritis and osteoarthritis. In vivo effects of antirheumatic drugs
AAHKS (2) Corticosteroids
We examined the histologic and immunopathologic features of the synovial membrane of 18 patients with rheumatoid arthritis (RA) and 12 patients with osteoarthritis (OA) who had undergone total knee arthroplasty. Patients were classified into 5 groups according to therapeutic regimen and disease: RA treated with nonster...
0
Deficit of trabecular and cortical bone in elderly women with fracture of the femoral neck
Distal Radius Fractures
1. The mean attenuation coefficients of trabecular and cortical bone in the radius were measured in 32 female patients with fractured proximal femur, and in 28 age-matched female controls, with a special-purpose computed tomography-scanner. 2. The largest difference between the two groups was in the mean attenuation co...
1
Limited evidence for adipose-derived stem cell therapy on the treatment of osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: The purpose of this systematic review is to evaluate the effects of adipose derived mesenchymal stem cells (ADSCs) in the treatment of osteoarthritis (OA) in the clinical setting. METHODS: A literature search was performed in the MEDLINE, EMBASE, and The Cochrane Library Database up to January 2017 for inclusi...
0
A qualitative approach to recovery after open tibial fracture: the road to a novel, patient-derived recovery scale
DoD PRF (Psychosocial RF)
AIM: The aim of this study was to describe how patients perceive their recovery following open tibial fractures using a qualitative approach. PATIENTS AND METHODS: Following the appropriate ethical approval, adult patients with a diagnosis of open tibial fracture were recruited after completion of their surgical treatm...
1
A multicenter longitudinal investigation of return to work and community integration following traumatic brain injury
DoD PRF (Psychosocial RF)
Objective: To characterize changes in employment status and community integration following traumatic brain injury and to investigate relationships among outcome, sociodemographic, and injury-related variables. Design: Longitudinal analyses of employment (n = 42) and community integration (n = 53) were conducted, with ...
0
Adlea (ALGRX-4975), an injectable capsaicin (TRPV1 receptor agonist) formulation for longlasting pain relief
Surgical Management of Osteoarthritis of the Knee CPG
Anesiva Inc is developing Adlea (ALRGX-4975) - an injectable preparation of capsaicin, a TRPV1 (transient receptor potential vanilloid subfamily 1) receptor agonist - for the potential management of pain associated with osteoarthritis, tendonitiand postsurgical conditions, as well as for neuropathic pain occurring seco...
0
Evaluation of musculoskeletal system disorders among the elderly people living in the nursing home
OAK 3 - Non-arthroplasty tx of OAK
Introduction: Musculoskeletal disorders in the elderly may impair self-sufficiency and quality of life. Early diagnosis and treatment of such diseases are possible. The aim of our study was to accentuate the methods of treatment and rehabilitation for preventing morbidity and mortality due to the existing diseases of t...
0
Expression of cathepsin L in nasopharyngeal carcinoma and its clinical significance
MSTS 2018 - Femur Mets and MM
AIM: To study the expression of cathepsin L in nasopharyngeal carcinoma (NPC), and analyze its relationship with clinicopathologic factors. METHODS: The expression of cathepsin L was determined immunohistochemically in NPC, adjacent normal nasopharyngeal tissues and metastatic cervical lymph nodes. The correlation betw...
0
Bone mineral content in women with Colles' fracture: effect of calcium supplementation
Distal Radius Fractures
The effect of dietary calcium supplementation on bone mineral content was studied in 40 postmenopausal women with Colles' fracture. The participants were divided into two groups which were given either placebo or 1 g of calcium per day. The bone mineral content of the femur was determined before and after 1 year of med...
0
A Rare Case of Gestational Gigantomastia with Hypercalcemia: The Challenges of Management and Follow up
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Gigantomastia is a breast disorder marked by exaggerated rapid growth of the breasts, generally bilaterally. Since this disorder is very rare and has been reported only in sparse case reports its etiology has yet to be fully established. Treatment is aimed at improving the clinical and psychological symptom...
1
Nonoperative treatment of acute anterior cruciate ligament injuries in a selected group of patients
Anterior Cruciate Ligament Injuries CPG
Conservative treatment of acute anterior cruciate ligament injuries was recommended to selected patients, including those with sedentary occupations, low athletic demands, or ages greater than 30 years. Patients with generalized hyperligamentous laxity were excluded. Fifty-five of 61 patients were available at an avera...
0
Hemicortical excision for low-grade selected surface sarcomas of bone
MSTS 2022 - Metastatic Disease of the Humerus
In malignant surface tumors, hemicortical excision in select cases may allow adequate margins with better function. We treated 10 of 22 malignant surface tumors with hemicortical excision and reconstruction from January 2000 to June 2003. There were eight conventional parosteal osteosarcomas, one high-grade surface ost...
0
Hybrid SPECT/CT for the assessment of a painful hip after uncemented total hip arthroplasty
Hip Fx in the Elderly 2019
BACKGROUND: The diagnosis of hip pain after total hip replacement (THR) represents a highly challenging question that is of increasing concern to orthopedic surgeons. This retrospective study assesses bone scintigraphy with Hybrid SPECT/CT for the diagnosis of painful THR in a selected cohort of patients. METHODS: Bone...
0
Poor sleep in adults with pediatric-onset spinal cord injury: associations with pain, health, and activity
DoD PRF (Psychosocial RF)
OBJECTIVE: To investigate medical complications that increase risk for poor sleep in adults with pediatric-onset spinal cord injury (SCI) and explore the relation of poor sleep to psychosocial outcomes. METHOD: This was a cross-sectional study of individuals with pediatric-onset SCI interviewed between 2011-2015. Parti...
0
Tikhoff-Linberg procedure for bone and soft tissue tumors of the shoulder girdle
MSTS 2022 - Metastatic Disease of the Humerus
OBJECTIVE: To evaluate complications and the oncological and intermediate-term functional results in patients with bone and soft tissue tumors of the shoulder girdle who were managed with interscapulothoracic resection (Tikhoff-Linberg procedure). DESIGN: Case series of 19 consecutive patients during a 10-year period a...
0
Assessing synovitis with conventional static and dynamic contrast-enhanced magnetic resonance imaging in knee osteoarthritis
OAK 3 - Non-arthroplasty tx of OAK
Knee osteoarthritis (KOA) is one of the most common causes of physical disability in the elderly population. With an increasing ageing and obese population, the prevalence of KOA is expected to rise substantially. The needs for a better understanding of the disease and tools that can predict the course of the disease, ...
0
Multidisciplinary rehabilitation programmes following joint replacement at the hip and knee in chronic arthropathy
Management of Hip Fractures in the Elderly
BACKGROUND: Joint replacements are common procedures and treatment of choice for those with intractable joint pain and disability arising from arthropathy of the hip or knee. Multidisciplinary rehabilitation is considered integral to the outcome of joint replacement. OBJECTIVES: To assess the evidence for effectiveness...
1
Tendon structure, disease, and imaging
Glenohumeral Joint OA
Tendon imaging plays a critical role in evaluating tendon diseases and injuries including mechanical, degenerative, and overuse disease, inflammatory enthesitis, as well as partial and full thickness tears. Ultrasound and magnetic resonance imaging (MRI), each with unique benefits and limitations, are commonly utilized...
0
Correction of forearm malunion guided by the preoperative complaint
Distal Radius Fractures
UNLABELLED: Diaphyseal malunion of the forearm may cause loss of pronation and supination, a painful distal radioulnar joint, and aesthetic problems. Seventeen patients (10 males, seven females; mean age, 20.6 +/- 9.3 years) were operated on because of symptomatic malunion after a pediatric forearm fracture. Six patien...
0
The effect of the addition of lornoxicam (Xefocam) intraarticularly on the womac scale in patients undergoing arthroscopic anterior cruciate ligament reconstruction
Surgical Management of Osteoarthritis of the Knee CPG
Background and Aims: Effective pain relief is important after arthroscopic knee surgery to permit early discharge and improve comfort and mobility at home. We compared the intraarticular analgesic effects of ropivacaine and morphine with or without Xefocam. Anterior cruciate ligament recon-struction (ACLR) is associate...
0
Nutritional supplementation for hip fracture aftercare in older people
Hip Fx in the Elderly 2019
BACKGROUND: Older people with hip fractures are often malnourished at the time of fracture, and subsequently have poor food intake. This is an update of a Cochrane review first published in 2000, and previously updated in 2010. OBJECTIVES: To review the effects (benefits and harms) of nutritional interventions in older...
0
An online stress management workbook for breast cancer
DoD PRF (Psychosocial RF)
Cognitive behavioral stress management groups have been shown to be decrease psychological symptoms and increase adaptive coping in breast cancer patients, but dissemination of this effective intervention has been challenging. The goal of the present project was to develop an online cognitive behavioral stress manageme...
0
Supportive care in multiple myeloma
MSTS 2018 - Femur Mets and MM
In myeloma bone disease, bisphosphonates have been shown to delay the progression of osteolytic lesions and prevent fractures. In the case of painful vertebral fractures, vertebroplasty and kyphoplasty have become standard procedures to control symptoms and restore the original height of the vertebrae. Adequate pain co...
0
Low grading of the severity of knee osteoarthritis pre-operatively is associated with a lower functional level after total knee replacement: a prospective cohort study with 12 months' follow-up
Surgical Management of Osteoarthritis of the Knee CPG
The optimal timing of total knee replacement (TKR) in patients with osteoarthritis, in relation to the severity of disease, remains controversial. This prospective study was performed to investigate the effect of the severity of osteoarthritis and other commonly available pre- and post-operative clinical parameters on ...
0
Radiographic diagnosis of fracture-separation of the entire distal humeral epiphysis
Distal Radius Fractures
Twenty children with fracture-separation of the entire distal humeral epiphysis have been reported. The key to the radiographic diagnosis is the relationship between the radius and capitellum. A line extending from the shaft of the radius will always pass through the capitellum regardless of the position in which the r...
0
The transcript level of interleukin-6 in the cartilage of idiopathic osteoarthritis of knee
Surgical Management of Osteoarthritis of the Knee CPG
AIMS: The mRNA level for interleukin-6 (IL-6) is an important marker of osteoarthritis (OA). The present study aimed to investigate the level of IL-6 mRNA in the cartilage of OA knee while comparing it to the normal cartilage obtained from the same patient. MATERIALS AND METHODS: A total of 21 patients who underwent to...
0
1999 Marmara eartquake; peripheral nerve injuries - Electrophysiologic evaluation
DoD LSA (Limb Salvage vs Amputation)
This study evaluated the clinical, demographic and electromyographic (EMG) findings of 75 patients referred to our EMG laboratory with the preliminary diagnosis of peripheral nerve injury (PNI) during the 1999 Marmara earthquake. Forty-two patients had single and 33 had serial EMGs. Seventy-nine percent of the patients...
0
Flossing clefts. Clinical and histologic observations
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Clinical and histologic observations of 14 marginal tissue clefts associated with improper floss manipulation are presented. Newly acquired lesions were characteristically inflamed, ulcerated and symptomatic while clefts of chronic duration were asymptomatic and un-noticed by the patient. Cleft sites exhibiting varying...
0
Practice profiles in breast reduction: a survey among Canadian plastic surgeons
Reduction Mammoplasty for Female Breast Hypertrophy
BACKGROUND: Breast reduction is an increasingly common procedure performed by Canadian plastic surgeons. Recent studies in the United States show that use of the inferior/central pedicle inverted T scar method is predominant. However, it is unknown what the practice preferences are among Canadian plastic surgeons. OBJE...
0
Enhanced drug delivery of antibiotic-loaded acrylic bone cements using calcium phosphate spheres
PJI DX Updated Search
BACKGROUND: Local infection near an implant may pose a serious problem for patients. Antibiotic delivery from acrylic (poly(methyl methacrylate)-based) cements is commonly used to prevent and treat infections in the proximity of, e.g., hip joint implants. However, at present, the drug release properties of PMMA cements...
0
The appearance of breast cancer metastases on dry bone: Implications for forensic anthropology
MSTS 2022 - Metastatic Disease of the Humerus
Breast carcinoma is a major cause of morbidity and mortality in women. The study of bone pathologies presents considerable potential in anthropology, paleopathology, forensic science and medicine. In this paper, we present and discuss metastatic lesions found in the skeletons of known individuals from the CAL Milano Ce...
0
Steroid distancing in interventional pain management during COVID-19 and beyond: Safe, effective and practical approach
PRP (Platelet-Rich Plasma)
Background: Since the late 1940s, corticosteroids have been a mainstay class of agents in multiple interventional techniques and intra-articular injections. Exogenous glucocorticoids are structurally and pharmacologically similar to the endogenous hormones. As such, multiple actions of corticosteroids are exhibited, in...
0
Bartonella (Rochalimaea) quintana infection in a seronegative hemodialyzed patient
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Bartonella quintana is a reemerging pathogen responsible for trench fever, endocarditis, bacteremia, and bacillary angiomatosis. We previously reported the first case of a patient with B. quintana-induced chronic adenomegaly, and here we present a report on a second patient. A hemodialyzed patient with Sjogren's syndro...
0
An unusual cause of cerebellar ataxia in an immunocompromised elderly patient
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: Parvovirus B19 is a single-stranded DNA virus belonging to the family Parvoviridae, genus Erythrovirus. PVB19 infection is most common in the pediatric population, manifesting as erythema infectiosum. In patients with hemoglobinopathy, PVB19 infection is known to cause aplastic anemia. PVB19 infection rarel...
0
Cancer drug discovery by repurposing: Teaching new tricks to old dogs
MSTS 2018 - Femur Mets and MM
Progressively increasing failure rates, high cost, poor bioavailability, poor safety, limited efficacy, and a lengthy design and testing process associated with cancer drug development have necessitated alternative approaches to drug discovery. Exploring established non-cancer drugs for anticancer activity provides an ...
1
Study of correlation between MRI and arthroscopic findings in anterior cruciate ligament and meniscal injuries of the knee joint at a tertiary hospital
AMP (Acute Meniscal Pathology)
Background: Complete evaluation of knee injury includes a detailed history, thorough clinical examination, radiological evaluation, and arthroscopic examination. Present study was aimed to study correlation between MRI and arthroscopic findings in anterior cruciate ligament and meniscal injuries of the knee joint at a ...
1
Bucket-handle meniscal tears of the knee: sensitivity and specificity of MRI signs
AMP (Acute Meniscal Pathology)
OBJECTIVE: To determine the sensitivity and specificity of reported MRI signs in the evaluation of bucket-handle tears of the knee. DESIGN AND PATIENTS: A retrospective analysis of 71 knee MR examinations that were read as displaying evidence of a bucket-handle or "bucket-handle type" tear was performed. We evaluated f...
0
Ultrasound-guided injection for the diagnosis and treatment of posteromedial knee friction syndrome
AMP (Acute Meniscal Pathology)
OBJECTIVE: To describe an ultrasound guided injection technique for diagnosing and treating posteromedial knee friction syndrome, which occurs between the sartorius/gracilis tendons and medial femoral condyle (MFC). MATERIALS AND METHODS: Our study was IRB-approved and HIPAA-compliant. We identified patients via a retr...
0
The Wave Sign Correlates with the Posterior Horn Medial Meniscus (PHMM) Tear in the Anterior Cruciate Ligament (ACL) Deficient Knee
AMP (Acute Meniscal Pathology)
Introduction: A posterior horn medial meniscus (PHMM) tear subjects the knee to pathological stresses, especially in the setting of a deficient anterior cruciate ligament (ACL). These PHMM tears have to be surgically addressed, however they remain a diagnostic challenge. Hence, this study aims to evaluate the wave sign...
0
Function and quality of life in patients with recurvatum deformity after primary total knee arthroplasty: a review of our joint registry
Surgical Management of Osteoarthritis of the Knee CPG
The aim of this paper is to assess function and quality of life in patients with recurvatum at 2 years after primary total knee arthroplasty. This prospective study involves 2587 total knee arthroplasty from 2004 to 2008 with 2-year follow-up. Patients' demographics, diagnosis, implants, range of motion, laxity, and kn...
0
Drug Injury in the Upper Gastrointestinal Tract: Effects of Alendronate
MSTS 2018 - Femur Mets and MM
Osteoporosis is a disease characterized by an increase in bone resorption and a decline in bone density, which leads to increased susceptibility to bone fractures. Long-term therapy is needed to increase bone mineral density and maintain bone strength. Safe and well-tolerated medical therapies are required for long-ter...