Search Our Scientific Publications & Authors

Ann Otol Rhinol Laryngol 2020 Jun 21:3489420936710. Epub 2020 Jun 21.

Department of Head and Neck Surgery, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA.

Objective: We describe the incidence and characteristics of patients with head and neck injuries from rock climbing who present to United States emergency departments and evaluate predictors of hospitalization.

Methods: The National Electronic Injury Surveillance System (NEISS) database was queried for rock climbing injuries to the head, face, mouth, neck, and ear under product code "mountain climbing" from the years 2009 to 2018. Demographics, injury characteristics, and disposition data were reviewed. Read More

Accid Anal Prev 2020 Jul 12;142:105571. Epub 2020 May 12.

Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, Netherlands.

Background: Cervical spine injury is a common result of traffic crashes, and such injuries range in severity from minor (i.e. sprain/strain) to moderate (intervertebral disk derangement) to serious and greater (fractures, dislocations, and spinal cord injuries). Read More

J Athl Train 2019 Jul 23;54(7):780-786. Epub 2019 Jul 23.

Department of Exercise and Sport Science, University of North Carolina at Chapel Hill.

Context: Cervical muscle strains are an often-overlooked injury, with neck- and spine-related research typically focusing on spinal cord and vertebral injuries.

Objective: To examine the rates and distributions of cervical muscle strains in collegiate and high school football athletes.

Design: Descriptive epidemiology study. Read More

J Chiropr Med 2019 Mar 7;18(1):48-55. Epub 2019 May 7.

Grannis Chiropractic Clinic, Aliso Viejo, California.

Objective: The purpose of this study is to describe the evaluation and management of a surfer who presented with concussion-like symptoms and was eventually diagnosed with an unstable cervical spine fracture.

Clinical Features: A young man presented to a chiropractic clinic 5 weeks after a surfing injury. He had mild lower cervical spine pain and complaints of cognitive disturbance. Read More

NASN Sch Nurse 2019 May 9;34(3):155-161. Epub 2019 Feb 9.

Professor, Departments of Emergency Medicine and Pediatrics, Penn State College of Medicine.

Illness and injury associated with sport and physical activities may occur in the school setting. Although most sport-related illness and injury in students are considered minor emergencies, life- and limb-threatening illnesses or injuries may occur, such as sudden cardiac arrest, heat stroke, status asthmaticus, catastrophic brain or cervical spine injuries, hypoglycemia, blunt chest/abdominal injuries, or extremity fractures requiring surgery. It is important for the school nurse to recognize potential life- and limb-threatening emergencies associated with sport and physical activity, to initiate stabilization of the student with life- and limb-threatening symptoms, and to triage these students to an appropriate level of care (back to the classroom, home with their guardian with follow up at their primary healthcare provider's office, or directly to the closest emergency department via emergency medical services). Read More

Zh Nevrol Psikhiatr Im S S Korsakova 2018;118(11):30-34

Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow StateMedical University of the Ministry of Health of the Russian Federation, Moscow, Russia.

Aim: An analysis of typical medical errors in the diagnosis and treatment of compression neuropathy of the median nerve at the level of the wrist (carpal tunnel syndrome - CTS).

Material And Methods: Previous diagnoses and treatment of 85 patients with CTS (14 men and 71 women), aged from 36 to 84 years (middle age 62±10.6 years), who underwent surgery in our clinics were evaluated. Read More

Phys Sportsmed 2019 02 8;47(1):96-121. Epub 2018 Oct 8.

b Independent Researcher , Calgary , Alberta , Canada.

Objectives: To identify all studies of gymnastics injuries and assess injury rates, types, locations, and causes.

Methods: Seven electronic and two grey literature databases were searched. Two reviewers independently assessed titles/abstracts, abstracted data, and calculated average rates weighted by study size. Read More

Aerosp Med Hum Perform 2018 Oct;89(10):896-904

Introduction: The prevalence of flight-related neck pain in all Royal Air Force (RAF) aircrew is 66% and 70% in UK fast-jet aircrew. The RAF Aircrew Conditioning Programme (ACP) has been designed to enhance pilot performance through reducing fatigue and strain injuries, particularly to the neck. Content validity of the ACP was assessed to determine the appropriateness for delivery to aircrew. Read More

JAMA Surg 2018 02 21;153(2):e174947. Epub 2018 Feb 21.

Division of Plastic Surgery and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Importance: Physicians in procedural specialties are at high risk for work-related musculoskeletal disorders (MSDs). This has been called "an impending epidemic" in the context of the looming workforce shortage; however, prevalence estimates vary by study.

Objectives: To estimate the prevalence of work-related MSDs among at-risk physicians and to evaluate the scope of preventive efforts. Read More

Medicine (Baltimore) 2017 Nov;96(46):e8751

aJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul bDepartment of Korean Rehabilitation Medicine, College of Korean Medicine, Dae-Jeon University, Daejeon cALS & MND Center at Wonkwang University Korean Medicine Hospital in Gwangju, Gwangju dDepartment of Cardiovascular and Neurological Diseases (Stroke Center), College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea.

Neck pain is a highly common condition and is the 4th major cause of years lived with disability. Previous literature has focused on the effect of specific treatments, and observations of actual practice are lacking to date. This study examined Korean health insurance review and assessment service (HIRA) claims data to the aim of assessing prevalence and comparing current medical practice and costs of cervical disorders in Korea. Read More

J Forensic Leg Med 2018 Jan 20;53:13-16. Epub 2017 Oct 20.

School of Medicine, Indiana University, Indianapolis, IN, USA.

Background: There are many studies of bunk bed injuries, but none specifically addressing those occurring in jails. It was the purpose of this study to investigate the magnitude and patterns of bunk bed injuries occurring in correctional institutions.

Methods: The National Electronic Injury Surveillance System (NEISS) data for the 10 year period 2006 through 2015 due to bunk beds was accessed. Read More

Curr Sports Med Rep 2017 Sep/Oct;16(5):357-362

1Department of Orthopedic Surgery, University of Chicago, Chicago, IL; 2Department of Orthopedic Surgery, Peconic Bay Medical Center/Northwell Health.

Injuries are common in ice hockey, a contact sport where players skate at high speeds on a sheet of ice and shoot a vulcanized rubber puck in excess of one hundred miles per hour. This article reviews the diagnoses and treatment of concussions, injuries to the cervical spine, and lower and upper extremities as they pertain to hockey players. Soft tissue injury of the shoulder, acromioclavicular joint separation, glenohumeral joint dislocation, clavicle fractures, metacarpal fractures, and olecranon bursitis are discussed in the upper-extremity section of the article. Read More

J Orthop Sports Phys Ther 2017 Jul 16;47(7):450-461. Epub 2017 Jun 16.

Synopsis Chronic neck pain is a common condition and a primary clinical symptom of whiplash and other spinal injuries. Loading-induced neck injuries produce abnormal kinematics between the vertebrae, with the potential to injure facet joints and the afferent fibers that innervate the specific joint tissues, including the capsular ligament. Mechanoreceptive and nociceptive afferents that innervate the facet have their peripheral terminals in the capsule, cell bodies in the dorsal root ganglia, and terminal processes in the spinal cord. Read More

Hand (N Y) 2017 03 8;12(2):162-167. Epub 2016 Jul 8.

University of Southern California, Los Angeles, USA.

Carpal tunnel release (CTR) is commonly performed for carpal tunnel syndrome once conservative treatment has failed. Operative technique and anesthetic modality vary by surgeon preference and patient factors. However, CTR practices and anesthetic trends have, to date, not been described on a nationwide scale in the United States. Read More

J Orthop Sports Phys Ther 2017 Mar 3;47(3):151-161. Epub 2017 Feb 3.

Study Design Randomized parallel-group trial. Background Carpal tunnel syndrome (CTS) is a common pain condition that can be managed surgically or conservatively. Objective To compare the effectiveness of manual therapy versus surgery for improving self-reported function, cervical range of motion, and pinch-tip grip force in women with CTS. Read More

Int J Occup Med Environ Health 2016 Nov 6;29(6):927-936. Epub 2016 Oct 6.

Parma University, Parma, Italy (Department of Biomedical, Biotechnological and Translational Sciences (SBiBiT)).

Objectives: Carpal tunnel syndrome (CTS) is the most common nerve entrapment syndrome, which since the beginning of the seventies has been linked to the keyboard and visual display unit (VDU). The objective of this study was to investigate the prevalence and personal factors associated with CTS in female VDU workers in Italy.

Material And Methods: Participants in this study were female adult subjects, working ≥ 20 h/week (N = 631, mean age 38. Read More

Sports Med Arthrosc Rev 2016 Dec;24(4):150-158

Department of Orthopaedic Surgery, Division of Sports Medicine, Boston Children's Hospital, Boston, MA.

Athletic overuse injuries are becoming an increasingly common entity in the active pediatric population. The prevalence of these injuries may be attributed to the combination of an underdeveloped musculoskeletal system, increased participation in competitive sport at a younger age, and increased duration and intensity of training. Many of these injuries may go unreported and/or undiagnosed, as they do not all result in time lost from sports, and are not always appreciated on imaging. Read More

Plast Reconstr Surg 2017 Jan;139(1):119-127

St. Louis, Mo.; and New York, N.Y. From the Department of Orthopaedic Surgery, Washington University School of Medicine; and the Hospital for Special Surgery.

Background: Double crush syndrome, the association between proximal and distal nerve lesions, has been established. This investigation compares the outcomes of nerve surgery in patients with isolated peripheral compression versus those with double crush syndrome treated with peripheral nerve and cervical spine operations.

Methods: This case-controlled study enrolled 80 patients: 40 underwent carpal or cubital tunnel surgery and cervical spine surgery (double crush group); and 40 controls, matched by age and sex, underwent only peripheral nerve decompression (peripheral nerve group). Read More

World J Emerg Surg 2016 30;11(1):41. Epub 2016 Aug 30.

Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.

Background: Epidemiological study was needed to evaluate trends in emergency department (ED) utilization that could be taken into account when making policy decisions regarding the delivery and distribution of medical resources.

Methods: A retrospective fixed-cohort study of emergency medical utilization from 2001 to 2010 was performed based on one-million people sampled in 2010 in Taiwan. Focusing on traumatic cases, the annual incidences in various groups split according to sex and age were calculated, and further information regarding location of trauma and type of trauma was obtained. Read More

Int J Occup Saf Ergon 2016 Sep 19;22(3):340-9. Epub 2016 Apr 19.

b University of Bologna , Italy.

Manual activities of construction workers may induce musculoskeletal disorders. This study on a group of painters aimed to analytically characterize movements of the spinal column by both lumbar motion monitor and television cameras and to determine, using the Occupational Repetitive Actions (OCRA) Index method, the risk exerted by repeated movements of the upper limbs. The main results are: painting with a roller generally exposes workers to a lesser risk for upper limbs than painting with a brush; a roller-stick fixed at the wrong length can lead to stretching of the back at lumbar and cervical levels; to remain within the range of 'acceptable risk' (OCRA Index evaluation), a worker should not paint a vertical wall for over 3 h if using a roller and 2. Read More

Occup Med (Lond) 2015 Nov;65(8):632-7

Department of Medical and Surgical Sciences, University of Bologna, Italy.

Background: Occupational diseases data can guide efforts to improve worker's health and safety.

Aims: To describe MALPROF, the Italian system for surveillance of work-related diseases collected by the subregional Department of Prevention.

Methods: The MALPROF system started in 1999 with contributions from Lombardy and Tuscany and spread in the following years to collect contributions from 14 out of the 20 Italian regions. Read More

Arch Phys Med Rehabil 2015 Dec 24;96(12):2207-13. Epub 2015 Aug 24.

Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria.

Objective: To evaluate median nerve excursion during conventional nerve gliding exercises and newly developed exercises, primarily comprising abduction and adduction of the fingers.

Design: Descriptive study.

Setting: Anatomical dissection facility. Read More

Hum Factors 2015 Aug 21;57(5):754-92. Epub 2015 Apr 21.

University of Cincinnati, Cincinnati, Ohio.

Objective: The aim of this study was to determine the prevalence of musculoskeletal pain and reported injuries for nurses and nursing aides.

Background: Nurses and nursing aides suffer from work-related pain and musculoskeletal disorders (MSDs). Although there have been a plethora of studies on MSDs, an overall understanding of the prevalence of MSDs and pain can lead to better prioritization of research needs with respect to the health care industry. Read More

J Pediatr Surg 2015 May 19;50(5):790-2. Epub 2015 Feb 19.

Department of Surgery, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada. Electronic address:

Background/purpose: Cheerleading, now increasingly practiced in Canada, has a high propensity to cause traumatic neck and spine injuries. We aimed to evaluate the importance of neck and spine injuries in the practice of cheerleading and their occurrence mechanisms in order to propose preventive measures.

Methods: A retrospective cohort study of cheerleading injuries extracted from the Canadian Hospitals Injury Reporting and Prevention Program database between 1990 and 2010 was performed. Read More

Traffic Inj Prev 2015 ;16(6):605-10

a Division of Public Health , Nebraska Department of Health and Human Services , Lincoln , Nebraska.

Background: Seat belt use is the single most effective way to save lives and reduce injuries in motor vehicle crashes. However, some case reports described seat belt use as a double-edged sword because some injuries are related to seat belt use in motor vehicle crashes. To comprehensively understand the effects of seat belt use, we systemically investigated the association between seat belt use and injuries based on anatomic body region and type of injury in drivers involved in motor vehicle crashes. Read More

Med Probl Perform Art 2014 09;29(3):121-2

Med Probl Perform Art 2014 09;29(3):150-4

Fac. de Medicina Dentária, Rua Dr. Manuel Pereira da Silva, 4200-393 Porto, Portugal. Tel +351 934481115, fax +351 220901101.

Piano players, as well as other musicians, spend a long time training to achieve the best results, sometimes adopting unnatural body positions that may cause musculoskeletal pain. This paper presents the preliminary results of a study targeting the analysis of the head and cervical postures of 17 piano players during musical performance. It was found, as a common feature, that the players tilt the head to the right and forward towards the score and keyboard. Read More

Pol Orthop Traumatol 2014 Aug 8;79:132-7. Epub 2014 Aug 8.

Department of Orthopedics and Rehabilitation, 2nd Faculty of Medicine, Medical University of Warsaw, Brodnowski Hospital, Warsaw, Poland.

Whiplash injuries, also known as neck sprains and strains, are currently some of the most common injuries of the cervical spine. Mechanism of injury is still controversial and current treatment methods do not provide satisfactory results. In this article we present QTF classification of related disorders, epidemiological data and treatment methods. Read More

Sportverletz Sportschaden 2014 Jun 25;28(2):69-74. Epub 2014 Jun 25.

Introduction: The sales of recreational trampolines have increased during the past few years. Severe injuries are associated in part with trampoline sport in the domestic setting. Therefore, this study was conducted to confirm the hypothesis of an increase in trampoline-related injuries in conjunction with the increasing sales of recreational trampolines and to find out what kind of injuries are most frequent in this context. Read More

Spine (Phila Pa 1976) 2014 Sep;39(19):1542-8

Departments of *Bioengineering and †Neurosurgery, University of Pennsylvania, Philadelphia, PA.

Study Design: In vivo study defining expression of the neurotrophins, brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF), in cervical intervertebral discs after painful whole-body vibration (WBV).

Objective: The goal of this study is to determine if BDNF and NGF are expressed in cervical discs after painful WBV in a rat model.

Summary Of Background Data: WBV is a possible source of neck pain and has been implicated as increasing the risk for disc disorders. Read More

Med Probl Perform Art 2013 Dec;28(4):188-94

Clinical Electrophysiology Services, Texas Physical Therapy Specialists, 1324 Common Street, Suite 307, New Braunfels, TX 78130, USA. Tel 210-705-3441, fax 830-625-3228.

Purpose: Musicians have been reported as having a high prevalence of upper-extremity musculoskeletal disorders, including carpal tunnel syndrome. The purpose of this study was to determine the presence of median and ulnar neuropathies in U.S. Read More

J Back Musculoskelet Rehabil 2013 ;26(3):267-371

Department of Physical Medicine and Rehabilitation, School of Medicine, Suleyman Demirel University, Isparta, Turkey.

Objectives: The aim of this study was to compare the upper extremity musculoskeletal complications in the patients who had been receiving hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD).

Material And Methods: The patients who had been receiving HD (n=17) or CAPD (n=15) were included to the study. The age, gender, duration of dialysis were recorded. Read More

Med Lav 2013 Mar-Apr;104(2):126-40

Unità di ricerca Ergonomia della Postura e del Movimento - CEMOC - Fondazione IRCCS Cà Granda - Ospedale Policlinico di Milano.

Background: The Basilicata Regional Headquarters of the Italian Institute for Insurance against Occupational Accidents and Disease (INAIL) and the Basilicata association of small building enterprises (Edilcassa di Basilicata) promoted a research project to assess the risk of manual lifting and manual transport in construction enterprises in the Basilicata Region and estimate the prevalence of related diseases.

Methods: Manual lifting risk assessment was performed by calculating the VLI of 204 working days in as many building workers. Manual transport risk assessment was carried out comparing the weights transported (on the 204 days tested) with the reference values of the "Snoock and Ciriello" tables. Read More

Eur Spine J 2014 May 28;23 Suppl 2:150-6. Epub 2013 Apr 28.

Galway University Hospital, Newcastle Road, Galway, Ireland,

Background: Sub-axial cervical spine(C spine) distraction flexion injuries, known as cervical sprains, have been divided into either "benign" or "severe" sprains depending on the integrity of the posterior longitudinal ligament (PLL) of the spinal column. It is a very uncommon injury and rarely reported in the literature. Most of the reports in the literature discuss this injury in the adult age group and so the adolescent age group was also considered to follow the same model of progression of mechanical instability depending on the degree and extent of structures injured, including the PLL as a cutoff factor between a "stable" and an "unstable" injury. Read More

J Mech Behav Biomed Mater 2014 May 4;33:55-66. Epub 2013 Feb 4.

University of Waterloo, Mechanical Engineering, 200 University Avenue West, Waterloo, Ontario, Canada N2L 3G1. Electronic address:

The rate of soft tissue sprain/strain injuries to the cervical spine and associated cost continue to be significant; however, the physiological nature of this injury makes experimental tests challenging while aspects such as occupant position and musculature may contribute to significant variability in the current epidemiological data. Several theories have been proposed to identify the source of pain associated with whiplash. The goal of this study was to investigate three proposed sources of pain generation using a detailed numerical model in rear impact scenarios: distraction of the capsular ligaments; transverse nerve root compression through decrease of the intervertebral foramen space; and potential for damage to the disc based on the extent of rotation and annulus fibre strain. Read More

Clin Biomech (Bristol, Avon) 2013 Mar 27;28(3):246-54. Epub 2013 Jan 27.

Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.

Background: Injury models for spondylolytic fracture of the pars interarticularis have long considered repetitive shear loading as a risk factor without quantifying the relationship between shear force magnitude and fatigue life. This investigation sought to quantify the relationship using a basic in vitro approach.

Methods: Thirty-two (16 C3-C4, 16 C5-C6) porcine cervical specimens were exposed to repetitive shear loading to 20%, 40%, 60%, or 80% of their calculated ultimate anterior shear failure tolerance. Read More

Rinsho Shinkeigaku 2013 ;53(1):33-6

Division of Neurology, Hyogo Prefectural Amagasaki Hospital.

A cervical retro-odontoid pseudo-tumor, which is considered as a reactive fibrocartilaginous mass, is a rare condition in cervical myelopathy. A 63-year-old male, with repeated neck axial movements by a long-term leisure-time cycling, developed subacute myelopathy. Cervical MRI showed a mass lesion at the retro-odontoid region, compressing to the upper spinal cord. Read More

J Am Acad Orthop Surg 2013 Jan;21(1):12-22

Seattle Children's Hospital, WA, USA.

The mucopolysaccharidoses (MPSs) are a family of disorders characterized by the accumulation of glycosaminoglycans, which is caused by enzyme deficiencies in the lysosomal metabolism of these normal cellular byproducts. Skeletal abnormalities are early and prominent features of MPS, and the orthopaedic surgeon is often the first healthcare provider to raise suspicion for this diagnosis. Recently developed medical therapies for the management of MPS (ie, hematopoietic stem cell transplantation, intravenous enzyme replacement therapy) have led to increased lifespan but have not had much effect on the development of skeletal deformities. Read More

Work 2012 ;43(4):497-506

Department of Physical Therapy, Faculty of Allied Health Sciences, Thammasat University, Bangkok, Thailand.

Objective: This study aimed to investigate the 3-month prevalence of musculoskeletal symptoms at the spine attributed to computer use and to identify biopsychosocial factors associated with the prevalence in undergraduate students.

Participants: Undergraduate students who studied at a public university in Thailand.

Methods: A cross-sectional survey was conducted with a self-administered questionnaire delivered to 3,545 students. Read More

J Hand Surg Eur Vol 2013 Jan 2;38(1):50-6. Epub 2012 May 2.

Department of Orthopaedic Surgery, Seoul National University Boramae Medical Center, Seoul, South Korea.

We retrospectively reviewed 633 hands in 362 patients who had idiopathic carpal tunnel syndrome and underwent carpal tunnel release between 1999 and 2009. Electrophysiological studies and simple radiographs of the wrist, cervical spine, and basal joint of the thumb were routinely checked, and patients were also assessed for the presence of trigger digit or de Quervain's disease before and after surgery. Among 362 patients, cervical arthritis was found in 253 patients (70%), and C5-C6 arthritis was the most common site. Read More

Med Lav 2012 Jan-Feb;103(1):49-57

Dipartimento di Medicina Sperimentale ed Applicata, Medicina del Lavoro e Igiene Industriale, Laboratorio di Igiene Industriale, Università degli Studi di Brescia, Italy.

Background: Few data exist on the risk of musculoskeletal disorders in road paving workers, in addition methods for risk assessment of biomechanical overload of the lower limbs and the spine are also lacking.

Objectives: The aim of this study was to assess the risk from biomechanical overload for the whole musculoskeletal system and manual handling involved in the activity of stone paving of roads.

Methods: In accordance with the guidelines of the Italian Society of Occupational Medicine and Industrial Hygiene various risk assessment methods were used. Read More

J Hand Surg Am 2012 Jun 4;37(6):1187-93. Epub 2012 Apr 4.

Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea.

Purpose: Neurogenic thoracic outlet syndrome (NTOS) is produced by compression of the brachial plexus in the thoracic outlet. The lower position of the shoulder girdle relative to the upper thorax may be related to NTOS. We investigated this hypothesis using plain cervical radiographs. Read More

Praxis (Bern 1994) 2012 Mar;101(7):477-81

Facharzt FMH fur Neurologie RehaClinic Bad Zurzach Quellenstrasse 34 5330 Bad Zurzach.

My hands are numb is a common complaint in primary care. Generally, carpal tunnel syndrome can be suspected. This case report explains typical aspects of clinical reasoning used by neurologists to confirm the diagnosis, and also provides some details of «red flags» based on history and examination. Read More

Phys Med Rehabil Clin N Am 2011 Aug 8;22(3):459-71, viii. Epub 2011 Jun 8.

Rehabilitation, Orthopaedics and Sports Medicine, University of Washington and Seattle Children's Sports Medicine, Seattle, WA, USA.

Cervical pain is a common complaint in both the well-conditioned athlete and the weekend warrior. Some injuries are mild in nature, responding to conservative treatment, including rest, medication, physical therapy, and time. However, more serious injuries, especially those involving the cervical spine, can have devastating consequences. Read More

J Neurosurg Spine 2011 Sep 27;15(3):332-5. Epub 2011 May 27.

Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.

The authors present the case of a 56-year-old right hand-dominant woman who was referred for chronic neck pain and a second opinion regarding a cervical lesion. The patient's pain was localized to the subaxial spine in the midline. She reported a subjective sense of intermittent left arm weakness manifesting as difficulty manipulating small objects with her hands and fingers. Read More

Eur Spine J 2012 Jun 15;21 Suppl 4:S387-9. Epub 2011 May 15.

Department of Neurosurgery, Cumhuriyet University School of Medicine, Merkez/Sivas, Turkey.

Perineural cysts are believed to be asymptomatic; however, they rarely cause symptoms related to nerve root compression. Cervical symptomatic perineural cysts are in fact exceedingly rare. There are no reported cervical perineural cysts in the literature that present like cubital tunnel syndrome. Read More

J Orthop Sports Phys Ther 2011 May 6;41(5):305-10. Epub 2011 Apr 6.

Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Avenida de Atenas s/n, 28922 Alcorcón, Madrid, Spain.

Study Design: A case control, blinded study.

Objectives: To compare the amount of cervical range of motion in women with minimal, mild/moderate, and severe carpal tunnel syndrome (CTS) to that of healthy control participants. We also assessed the relationships between cervical range of motion and clinical variables related to the intensity and temporal profile of pain within each CTS group. Read More

Curr Sports Med Rep 2011 Jan-Feb;10(1):40-4

Medical College of Wisconsin, Department of Community and Family Medicine, Milwaukee, WI 53266, USA.

Care of a dancer calls for a unique balance between athlete and artist. The physician must familiarize himself or herself with dance terminology, common moves, correct technique, and dancer's mentality. The goal is to work intimately with the dancer to care for the injury and, if possible, continue to participate in portions of dance class to limit anxiety and increase compliance to treatment. Read More

Radiol Clin North Am 2010 Nov;48(6):1125-35

Musculoskeletal Division, Department of Radiology, University of Wisconsin Medical School/UW Health, 600 Highland Avenue, Madison, WI 53792, USA.

Injuries in triathletes are common and are mostly overuse injuries. Rotator cuff tendinitis is the most common complaint from swimming, but the incidence of tendinopathy and rotator cuff tears on magnetic resonance imaging is comparable in triathletes without and with shoulder pain. Cycling injuries are mainly to the knee, including patellar tendinosis, iliotibial band syndrome, and patellofemoral stress syndrome, and to the Achilles tendon and the cervical and lumbar spine. Read More