139 results match your criteria Injection Digital Flexor


Morphological, radiographic and computed tomographic evaluation of the metatarsophalangeal joint of the one-humped camel.

Anat Histol Embryol 2018 Dec 6;47(6):537-543. Epub 2018 Aug 6.

Anatomy and Embryology Department, Faculty of Veterinary Medicine, Sadat-City University, Sadat City, Egypt.

The camel digits have a complex structure with tendons, joints and ligaments. The objective of the study was to determine the anatomical features of the metatarsophalangeal joint and its puncture site in dromedary camel using anatomical dissection, radiography, computed tomography (CT) bone and soft tissue window scans and 3D reconstruction render volume of CT. The study used six adult camels of both sexes (three males and three females), aged 9-15 years (Mean ± SD equal 11. Read More

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http://dx.doi.org/10.1111/ahe.12394DOI Listing
December 2018
6 Reads

Complications of Treatment for Dupuytren Disease.

Hand Clin 2018 08 8;34(3):387-394. Epub 2018 Jun 8.

Hand Surgery Service, Department of Orthopaedics, Yawkey Center, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA. Electronic address:

Dupuytren contracture is a progressive disease involving collagen within the palmar fascia. When the contracture progresses to meet specific parameters, intervention is considered and includes collagenase injection, percutaneous or open fasciotomy, or palmar fasciectomy. Complications after treatment include contracture recurrence, digital nerve injury or postoperative neurapraxia, flexor tendon injury/rupture, delayed wound healing or skin necrosis, dysvascular digit/arterial injury, hematoma, and infection. Read More

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http://dx.doi.org/10.1016/j.hcl.2018.03.007DOI Listing
August 2018
2 Reads

Bone marrow mesenchymal stem cells do not enhance intra-synovial tendon healing despite engraftment and homing to niches within the synovium.

Stem Cell Res Ther 2018 Jun 19;9(1):169. Epub 2018 Jun 19.

Royal Veterinary College, Hawkshead Lane, Hatfield, AL9 7TA, UK.

Background: Intra-synovial tendon injuries display poor healing, which often results in reduced functionality and pain. A lack of effective therapeutic options has led to experimental approaches to augment natural tendon repair with autologous mesenchymal stem cells (MSCs) although the effects of the intra-synovial environment on the distribution, engraftment and functionality of implanted MSCs is not known. This study utilised a novel sheep model which, although in an anatomically different location, more accurately mimics the mechanical and synovial environment of the human rotator cuff, to determine the effects of intra-synovial implantation of MSCs. Read More

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http://dx.doi.org/10.1186/s13287-018-0900-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009051PMC
June 2018
2 Reads

Randomized controlled trial demonstrates the benefit of RGTA® based matrix therapy to treat tendinopathies in racing horses.

PLoS One 2018 9;13(3):e0191796. Epub 2018 Mar 9.

Centre d'Imagerie et de Recherche sur les Affections Locomotrices Equines, Ecole Nationale vétérinaire d'Alfort, Maisons-Alfort, France.

A randomized controlled trial was performed on racing horses, to evaluate the efficacy of a new class of therapeutic agents in regenerative medicine-ReGeneraTing Agents® (RGTA®), to treat tendinopathies. Preliminary uncontrolled studies on tendon healing in racing horses with RGTA® (OTR4131)-Equitend® showed encouraging results, justifying performing a randomized, controlled, multicenter study with a two-year racing performance follow up. The objective of this study was to evaluate the effect of Equitend® versus placebo on acute superficial digital flexor tendonitis in racing French Standardbred Trotters (ST). Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0191796PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844532PMC
June 2018
8 Reads

A Rare Case of Deep Digital Flexor Tendinopathy following Centesis of the Navicular Bursa.

Front Vet Sci 2017 16;4:169. Epub 2017 Oct 16.

Faculty of Science, School of Animal and Veterinary Sciences, Charles Sturt University, Wagga Wagga, NSW, Australia.

Navicular bursa (NB) centesis is a common diagnostic and therapeutic procedure in equine practice. This case report documents the clinical, diagnostic imaging and histological findings in a horse with a suspected iatrogenic deep digital flexor tendon (DDFT) injury following centesis of the NB a modified distal plantar approach (placement of two needles in a weight bearing position). Although it cannot be proven with absolute certainty, the authors believe that this is the first reported case where NB centesis is the likely cause of a DDFT lesion, and with magnetic resonance imaging performed both pre- and post-centesis. Read More

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http://dx.doi.org/10.3389/fvets.2017.00169DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5650637PMC
October 2017
21 Reads

Tenogenically Induced Allogeneic Peripheral Blood Mesenchymal Stem Cells in Allogeneic Platelet-Rich Plasma: 2-Year Follow-up after Tendon or Ligament Treatment in Horses.

Front Vet Sci 2017 26;4:158. Epub 2017 Sep 26.

Global Stem Cell Technology, ANACURA Group, Evergem, Belgium.

Poor healing of tendon and ligament lesions often results in early retirement of sport horses. Therefore, regenerative therapies are being explored as potentially promising treatment for these injuries. In this study, an intralesional injection was performed with allogeneic tenogenically induced mesenchymal stem cells and platelet-rich plasma 5-6 days after diagnosis of suspensory ligament (SL) ( = 68) or superficial digital flexor tendon (SDFT) ( = 36) lesion. Read More

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http://dx.doi.org/10.3389/fvets.2017.00158DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622984PMC
September 2017
30 Reads

MicroRNA29a Treatment Improves Early Tendon Injury.

Mol Ther 2017 10 28;25(10):2415-2426. Epub 2017 Jul 28.

Institute of Infection, Immunity, and Inflammation, College of Medicine, Veterinary, and Life Sciences, University of Glasgow, Glasgow G12 8TA, UK. Electronic address:

Tendon injuries (tendinopathies) are common in human and equine athletes and characterized by dysregulated collagen matrix, resulting in tendon damage. We have previously demonstrated a functional role for microRNA29a (miR29a) as a post-transcriptional regulator of collagen 3 expression in murine and human tendon injury. Given the translational potential, we designed a randomized, blinded trial to evaluate the potential of a miR29a replacement therapy as a therapeutic option to treat tendinopathy in an equine model that closely mimics human disease. Read More

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http://dx.doi.org/10.1016/j.ymthe.2017.07.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628866PMC
October 2017
32 Reads

Accuracy of open magnetic resonance imaging for guiding injection of the equine deep digital flexor tendon within the hoof.

Vet Radiol Ultrasound 2017 Nov 6;58(6):671-678. Epub 2017 Jul 6.

Marion duPont Scott Equine Medical Center, Virginia-Maryland Regional College of Veterinary Medicine, Leesburg, VA, 24060.

Lesions of the distal deep digital flexor tendon (DDFT) are frequently diagnosed using MRI in horses with foot pain. Intralesional injection of biologic therapeutics shows promise in tendon healing; however, accurate injection of distal deep digital flexor tendon lesions within the hoof is difficult. The aim of this experimental study was to evaluate accuracy of a technique for injection of the deep digital flexor tendon within the hoof using MRI-guidance, which could be performed in standing patients. Read More

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http://dx.doi.org/10.1111/vru.12523DOI Listing
November 2017
5 Reads

Effect of single intralesional treatment of surgically induced equine superficial digital flexor tendon core lesions with adipose-derived mesenchymal stromal cells: a controlled experimental trial.

Stem Cell Res Ther 2017 06 5;8(1):129. Epub 2017 Jun 5.

Equine Clinic, University of Veterinary Medicine Hannover, Foundation, Bünteweg 9, 30559, Hannover, Germany.

Background: Adipose tissue is a promising source of mesenchymal stromal cells (MSCs) for the treatment of tendon disease. The goal of this study was to assess the effect of a single intralesional implantation of adipose tissue-derived mesenchymal stromal cells (AT-MSCs) on artificial lesions in equine superficial digital flexor tendons (SDFTs).

Methods: During this randomized, controlled, blinded experimental study, either autologous cultured AT-MSCs suspended in autologous inactivated serum (AT-MSC-serum) or autologous inactivated serum (serum) were injected intralesionally 2 weeks after surgical creation of centrally located SDFT lesions in both forelimbs of nine horses. Read More

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http://dx.doi.org/10.1186/s13287-017-0564-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5460527PMC
June 2017
28 Reads

Procedure-Oriented Torsional Anatomy of the Hand for Spasticity Injection.

J Comput Assist Tomogr 2017 Mar/Apr;41(2):336-338

From the *Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Center for Trauma Rehabilitation Research, Quentin Mease Hospital, Harris County Hospital District, Houston, TX; †Department of Neurology, University of Texas School of Medicine, Houston, TX; and ‡Veterans Affairs Mid-Atlantic (VISN 6) Mental Illness Research, Education, and Clinical Center, Research and Academic Affairs Service Line, W G Hefner Veterans Affairs Medical Center, Salisbury, NC.

Objectives: To provide musculoskeletal ultrasound (MSKUS) images of hand anatomy in the position of hemiparetic flexion as a reference for spasticity injections. After a stroke, spasticity can result in anatomic distortion of the hand. Spasticity may require treatment with botulinum toxin or phenol injections. Read More

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http://dx.doi.org/10.1097/RCT.0000000000000580DOI Listing
April 2017
2 Reads

An ultrasound-guided, tendon-sparing, lateral approach to injection of the navicular bursa.

Equine Vet J 2017 Sep 28;49(5):655-661. Epub 2017 Feb 28.

Pole Equin, VetAgro Sup, Marcy L'Étoile, France.

Background: Navicular disease in the horse often requires injection of the navicular bursa. We have developed an ultrasound-guided, lateral needle approach to navicular bursocentesis, which avoids penetration of the deep digital flexor tendon (DDFT) and the need for radiographic control.

Objectives: To describe and evaluate the feasibility and efficacy of an ultrasound-guided, lateral bursocentesis technique. Read More

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http://dx.doi.org/10.1111/evj.12673DOI Listing
September 2017
19 Reads

Digital Necrosis After Lidocaine and Epinephrine Injection in the Flexor Tendon Sheath Without Phentolamine Rescue.

J Hand Surg Am 2017 Feb 10;42(2):e119-e123. Epub 2016 Dec 10.

Division of Plastic Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, Canada.

The literature generally supports the safety of epinephrine injection in the digits, but recent case reports describe ischemic adverse events associated with the use of lidocaine and epinephrine in which phentolamine rescue was not performed. We present a case of finger necrosis and subsequent amputation in a patient after 1% lidocaine with 1:100,000 epinephrine was injected in the fat and flexor sheaths in the palm for a 3-finger trigger release. Phentolamine rescue was not performed. Read More

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http://dx.doi.org/10.1016/j.jhsa.2016.10.015DOI Listing
February 2017
13 Reads

MRI-Based Assessment of Intralesional Delivery of Bone Marrow-Derived Mesenchymal Stem Cells in a Model of Equine Tendonitis.

Stem Cells Int 2016 26;2016:8610964. Epub 2016 Sep 26.

Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.

Ultrasound-guided intralesional injection of mesenchymal stem cells (MSCs) is held as the benchmark for cell delivery in tendonitis. The primary objective of this study was to investigate the immediate cell distribution following intralesional injection of MSCs. Unilateral superficial digital flexor tendon (SDFT) lesions were created in the forelimb of six horses and injected with 10 × 10 MSCs labeled with superparamagnetic iron oxide nanoparticles (SPIOs) under ultrasound guidance. Read More

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http://dx.doi.org/10.1155/2016/8610964DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056306PMC
September 2016
1 Read

Effect of intralesional platelet-rich plasma (PRP) treatment on clinical and ultrasonographic parameters in equine naturally occurring superficial digital flexor tendinopathies - a randomized prospective controlled clinical trial.

BMC Vet Res 2016 Sep 7;12(1):191. Epub 2016 Sep 7.

Clinic for Horses, University of Veterinary Medicine Hannover, Foundation, Bünteweg 9, 30559, Hannover, Germany.

Background: Regenerative and anti-inflammatory effects on tendinopathies have been attributed to blood-derived biologicals. To date the evidence for the efficacy of autologous platelet-rich plasma (PRP) treatment of naturally occurring equine tendinopathies is limited. The purpose of this placebo-controlled clinical trial was to describe the effect of a single treatment of equine superficial digital flexor tendon (SDFT) disease with PRP on clinical and ultrasonographic parameters. Read More

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http://dx.doi.org/10.1186/s12917-016-0826-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5015224PMC
September 2016
2 Reads

Long-Term Cell Tracking Following Local Injection of Mesenchymal Stromal Cells in the Equine Model of Induced Tendon Disease.

Cell Transplant 2016 12 7;25(12):2199-2211. Epub 2016 Jul 7.

Tendon disease has been treated with multipotent mesenchymal stromal cells (MSCs) in the equine large-animal model with promising success. The aim of this study was to gain more insight into the fate and biodistribution of MSCs after local application into tendon lesions by long-term cell tracking in this large-animal model. Superficial digital flexor tendon lesions were induced in all limbs in six horses and injected with 10106 Molday ION Rhodamine B-labeled MSCs suspended in serum or serum alone. Read More

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http://dx.doi.org/10.3727/096368916X692104DOI Listing
December 2016
5 Reads

Evaluation of tendon healing using fibroblast like synoviocytes in rabbits: A biomechanical study.

Vet Res Forum 2016 15;7(1):21-6. Epub 2016 Mar 15.

Neurophysiology Research Center, Urmia University of Medical Sciences, Urmia, Iran.

Tendon never restores the complete biological and mechanical properties after healing. Several techniques are available for tissue-engineered biological augmentation for tendon healing like stem cells. Recently, synovium has been investigated as a source of cells for tissue engineering. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4867033PMC
May 2016
2 Reads

Autologous bone marrow aspirate for treatment of superficial digital flexor tendonitis in 105 racehorses.

Vet Rec 2016 Jul 20;179(3):69. Epub 2016 May 20.

Victorian Equine Group, Bendigo Equine Hospital, Victoria, Australia.

To evaluate a treatment protocol whereby superficial digital flexor (SDF) tendonitis in Thoroughbred and Standardbred racehorses was treated with autologous bone marrow aspirate (ABMA) obtained from the sternebrae. This treatment was combined with desmotomy of the accessory ligament of the SDF tendon (DAL-SDFT) in selected cases. Medical records of 105 horses treated using the reported protocol were reviewed. Read More

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http://veterinaryrecord.bmj.com/lookup/doi/10.1136/vr.103620
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http://dx.doi.org/10.1136/vr.103620DOI Listing
July 2016
2 Reads

Tendon-derived progenitor cells improve healing of collagenase-induced flexor tendinitis.

J Orthop Res 2016 12 7;34(12):2162-2171. Epub 2016 Apr 7.

Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, 1008 W Hazelwood Drive, Urbana, Illinois, 61802.

Tendinitis is a common and a performance-limiting injury in athletes. This study describes the value of intralesional tendon-derived progenitor cell (TDPC) injections in equine flexor tendinitis. Collagenase-induced tendinitis was created in both front superficial digital flexor (SDF) tendons. Read More

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http://dx.doi.org/10.1002/jor.23251DOI Listing
December 2016
13 Reads

Tracking of autologous adipose tissue-derived mesenchymal stromal cells with in vivo magnetic resonance imaging and histology after intralesional treatment of artificial equine tendon lesions--a pilot study.

Stem Cell Res Ther 2016 Feb 1;7:21. Epub 2016 Feb 1.

Clinic for Horses, University of Veterinary Medicine Hannover, Foundation, Bünteweg 9, 30559, Hannover, Germany.

Background: Adipose tissue-derived mesenchymal stromal cells (AT-MSCs) are frequently used to treat equine tendinopathies. Up to now, knowledge about the fate of autologous AT-MSCs after intralesional injection into equine superficial digital flexor tendons (SDFTs) is very limited. The purpose of this study was to monitor the presence of intralesionally injected autologous AT-MSCs labelled with superparamagnetic iron oxide (SPIO) nanoparticles and green fluorescent protein (GFP) over a staggered period of 3 to 9 weeks with standing magnetic resonance imaging (MRI) and histology. Read More

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http://dx.doi.org/10.1186/s13287-016-0281-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4736260PMC
February 2016
3 Reads

Single tendon transfer of the flexor carpi ulnaris for high radial nerve injury.

J Orthop Surg (Hong Kong) 2015 Dec;23(3):345-8

Department of Orthopaedic Surgery, Maulana Azad Medical College & Associated Lok Nayak Hospital, New Delhi, India.

Purpose: To evaluate the outcome after single tendon transfer of the flexor carpi ulnaris (FCU) to the digital extensors for high radial nerve palsy.

Methods: Records of 10 patients aged 16 to 43 (median, 27) years who underwent single tendon transfer of the FCU to the digital extensors for high radial nerve palsy secondary to closed (n=4) or open (n=4) diaphyseal humeral fractures or deltoid injection (n=2) were reviewed. Two of the patients with open fractures also underwent treatment for non-union in a staged manner. Read More

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http://dx.doi.org/10.1177/230949901502300318DOI Listing
December 2015
2 Reads

Cryopreservation of equine mesenchymal stem cells in 95% autologous serum and 5% DMSO does not alter post-thaw growth or morphology in vitro compared to fetal bovine serum or allogeneic serum at 20 or 95% and DMSO at 10 or 5.

Stem Cell Res Ther 2015 Nov 26;6:231. Epub 2015 Nov 26.

Department of Large Animal Clinical Sciences, Texas A&M University, College Station, TX, 77843, USA.

Introduction: Equine superficial digital flexor tendon injury is a well-accepted model of human tendon injury and is routinely treated with local injections of autologous mesenchymal stem cells (MSCs). Identification of a clinically safe medium for short-term cryopreservation of MSCs prior to cell implantation would streamline laboratory and clinical procedures for autologous regenerative therapies. Veterinary experience with short-term (MSCs prepared after the injury has occurred) cryopreserved MSCs in naturally occurring injury in the horse will be of value to human practitioners. Read More

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http://dx.doi.org/10.1186/s13287-015-0230-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4661990PMC
November 2015
33 Reads

Medical treatment of horses with deep digital flexor tendon injuries diagnosed with high-field-strength magnetic resonance imaging: 118 cases (2000-2010).

J Am Vet Med Assoc 2015 Dec;247(11):1309-18

Objective: To describe the location and severity of deep digital flexor tendon (DDFT) lesions diagnosed by means of high-field-strength MRI in horses and to identify variables associated with return to activity following medical treatment.

Design: Retrospective case series.

Animals: 118 horses. Read More

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http://dx.doi.org/10.2460/javma.247.11.1309DOI Listing
December 2015
5 Reads

A Cadaver Study of the Feasibility of Multidigit Allotransplantation for Reconstruction of the Metacarpal Hand.

Plast Reconstr Surg 2015 Sep;136(3):531-40

Cleveland, Ohio; and Louisville, Ky. From the Plastic Surgery Department, Cleveland Clinic; the Christine M. Kleinert Institute, University of Louisville; and the Radiology Department, Jewish Hospital and St. Mary's Health Care.

Background: Amputation of all fingers (metacarpal hand) can be functionally equivalent to hand amputation. Multidigit allotransplantation can benefit patients who require a full complement of fingers to return to their preinjury activities. The authors investigated the feasibility of the transfer of four fingers and thumb as a single allograft. Read More

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http://dx.doi.org/10.1097/PRS.0000000000001559DOI Listing
September 2015
11 Reads

Computed Tomographic Tenography of Normal Equine Digital Flexor Tendon Sheath: An Ex Vivo Study.

Vet Med Int 2015 22;2015:903169. Epub 2015 Jun 22.

Sezione di Cliniche Veterinarie e P.A., Dipartimento delle Emergenze e Trapianti di Organo, Università degli Studi di Bari "Aldo Moro", s.p. per Casamassima km 3, Valenzano, 70010 Bari, Italy.

Aim of this study was to document the normal computed tomographic tenography findings of digital flexor tendon sheath. Six ex vivo normal equine forelimbs were used. An axial approach was used to inject 185 mg/mL of iopamidol in a total volume of 60 mL into the digital flexor tendon sheaths. Read More

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http://dx.doi.org/10.1155/2015/903169DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4491589PMC
July 2015
2 Reads

Effect of a single injection of autologous conditioned serum (ACS) on tendon healing in equine naturally occurring tendinopathies.

Stem Cell Res Ther 2015 Jun 26;6:126. Epub 2015 Jun 26.

Equine Clinic, University of Veterinary Medicine Hannover, Foundation, Bünteweg 9, 30559, Hannover, Germany.

Introduction: Autologous blood-derived biologicals, including autologous conditioned serum (ACS), are frequently used to treat tendinopathies in horses despite limited evidence for their efficacy. The purpose of this study was to describe the effect of a single intralesional injection of ACS in naturally occurring tendinopathies of the equine superficial digital flexor tendon (SDFT) on clinical, ultrasonographic, and histological parameters.

Methods: Fifteen horses with 17 naturally occurring tendinopathies of forelimb SDFTs were examined clinically and ultrasonographically (day 0). Read More

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http://www.stemcellres.com/content/pdf/s13287-015-0115-0.pdf
Web Search
http://stemcellres.com/content/6/1/126
Publisher Site
http://dx.doi.org/10.1186/s13287-015-0115-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4513386PMC
June 2015
3 Reads

Management of complications of Dupuytren contracture.

Hand Clin 2015 May;31(2):345-54

Department of Orthopedics, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, ST 10, Boston, MA 02215, USA. Electronic address:

This evidence-based article discusses the current management options of Dupuytren disease and strategies to avoid and manage any potential complications. Treatment options include fasciectomy, needle fasciotomy/aponeurotomy, and collagenase injection. Complications include digital nerve and artery injury, flexor tendon injury, skin fissures and wound healing complications, hematoma, infection, flare reaction/complex regional pain syndrome, and recurrence. Read More

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http://dx.doi.org/10.1016/j.hcl.2015.01.005DOI Listing
May 2015
1 Read

Diffusion of mepivacaine to adjacent synovial structures after intrasynovial analgesia of the digital flexor tendon sheath.

Equine Vet J 2016 May 23;48(3):326-30. Epub 2015 May 23.

Department of Surgery and Anaesthesiology of Domestic Animals, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.

Reasons For Performing Study: Controversy exists about the specificity of diagnostic analgesia of the digital flexor tendon sheath (DFTS) in horses.

Objectives: To evaluate the degree of diffusion of mepivacaine from the equine DFTS to adjacent synovial structures.

Study Design: Crossover experiment. Read More

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http://dx.doi.org/10.1111/evj.12447DOI Listing
May 2016
1 Read

Do not rush to return to sports after trigger finger injection.

Am J Phys Med Rehabil 2015 Apr;94(4):e26-30

From the Department of Rehabilitation Medicine, The Catholic University of Korea, Seoul St Mary's Hospital, Seoul, South Korea.

Trigger finger, or digital stenosing tenosynovitis, is a common hand problem. A widely accepted treatment is steroid injection into the flexor tendon sheath. This can cause rupture of the flexor tendon. Read More

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http://dx.doi.org/10.1097/PHM.0000000000000267DOI Listing
April 2015
5 Reads

An optimised injection technique for the navicular bursa that avoids the deep digital flexor tendon.

Equine Vet J 2016 Mar 25;48(2):159-64. Epub 2015 Feb 25.

Clinical Sciences Department, Colorado State University, Fort Collins, USA.

Reasons For Performing Study: Injection of the navicular bursa is commonly performed from the palmar aspect of the limb, which results in penetration of the deep digital flexor tendon (DDFT).

Objectives: To report a radiographic guided injection from the lateral aspect of the limb that avoids puncture of the DDFT and to assess synovial and soft tissue penetration by the needle.

Study Design: Prospective clinical and cadaveric study. Read More

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http://dx.doi.org/10.1111/evj.12402DOI Listing
March 2016
4 Reads

Identification of surgically-induced longitudinal lesions of the equine deep digital flexor tendon in the digital flexor tendon sheath using contrast-enhanced ultrasonography: an ex-vivo pilot study.

Acta Vet Scand 2014 Nov 25;56:78. Epub 2014 Nov 25.

Dipartimento di Science Veterinarie, Università degli Studi di Torino, via Leonardo da Vinci 44, Grugliasco, 10095, TO, Italy.

Background: Longitudinal tears in the lateral aspect of the deep digital flexor tendon are the most common causes of pain localised to the equine digital flexor tendon sheath. However conventional ultrasonographic techniques provide limited information about acute lesions. Ultrasonographic contrast agents are newly developed materials that have contributed to advancement in human diagnostic imaging. Read More

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http://dx.doi.org/10.1186/s13028-014-0078-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4245795PMC
November 2014
7 Reads

Comparison of local anesthetics for digital nerve blocks: a systematic review.

J Hand Surg Am 2014 Apr 5;39(4):744-751.e5. Epub 2014 Mar 5.

Department of Surgery (MMC), Monash University, Melbourne, Australia.

Purpose: To evaluate the time to onset of anesthesia, duration of anesthesia, and pain on injection of local anesthetics.

Methods: A systematic search of the English literature was performed of the Medline, Cochrane Central Register of Controlled Trials, The Allied and Complementary Medicine Database (AMED), and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. The study selection process was adapted from the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement, and 6 articles were complied with the study inclusion criteria. Read More

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http://dx.doi.org/10.1016/j.jhsa.2014.01.017DOI Listing
April 2014
3 Reads

Corticosteroid injection therapy for trigger finger or thumb: a retrospective review of 577 digits.

Hand (N Y) 2013 Dec;8(4):439-44

Division of Hand Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, Baltimore, MD 21287 USA ; c/o Elaine P. Henze, BJ, ELS, Medical Editor and Director, Editorial Services, Department of Orthopaedic Surgery, The Johns Hopkins University/Johns Hopkins Bayview Medical Center, 4940 Eastern Ave., #A665, Baltimore, MD 21224-2780 USA.

Background: Stenosing flexor tenosynovitis of the digital flexor tendon (trigger digit) is a common condition encountered by hand surgeons. Our purpose was to determine the efficacy of corticosteroid injections and review the demographic profile of patients with trigger digits.

Methods: We reviewed the records of 362 patients (577 trigger digits) treated with steroid injections (8 mg of triamcinolone acetonide in 1 % lidocaine) from 1998 through 2011. Read More

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http://dx.doi.org/10.1007/s11552-013-9541-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3840755PMC
December 2013
2 Reads

The effect of Clostridium botulinum toxin type A injections on motor unit activity of the deep digital flexor muscle in healthy sound Royal Dutch sport horses.

Vet J 2013 Dec 27;198 Suppl 1:e147-51. Epub 2013 Sep 27.

Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 112-114, 3584 CM Utrecht, The Netherlands.

Therapeutic reduction of the activity of the deep digital flexor (DDF) muscle may play a role in treatment of laminitic horses. Clostridium botulinum toxin type A induces reduced muscle activity and has a spasmolytic effect in horses. In this study, the effectiveness of 200 IU C. Read More

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http://dx.doi.org/10.1016/j.tvjl.2013.09.050DOI Listing
December 2013
7 Reads

Effect of Clostridium botulinum toxin type A injections into the deep digital flexor muscle on the range of motion of the metacarpus and carpus, and the force distribution underneath the hooves, of sound horses at the walk.

Vet J 2013 Dec 26;198 Suppl 1:e152-6. Epub 2013 Sep 26.

Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 114, 3584 CM Utrecht, The Netherlands; Department of Surgery and Anaesthesiology, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.

In the treatment of laminitis, reducing deep digital flexor muscle (DDFM) activity might diminish its pull on the distal phalanx, thereby preventing displacement and providing pain relief. Injection of Clostridium botulinum toxin type A into the DDFM of horses is potentially therapeutic. However, the effects of C. Read More

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http://dx.doi.org/10.1016/j.tvjl.2013.09.051DOI Listing
December 2013
6 Reads

Essential hand surgery procedures for mastery by graduating plastic surgery residents: a survey of program directors.

Plast Reconstr Surg 2013 Dec;132(6):977e-84e

Stanford, Calif.; and Seattle, Wash. From the Division of Plastic Surgery, Department of Surgery, and the Robert A. Chase Center for Hand and Upper Limb, Stanford University Hospital; and the Department of Orthopedic Surgery and the Division of Plastic Surgery, Department of Surgery, University of Washington Medical Center.

Background: This study was designed to establish the essential hand surgery procedures that should be mastered by graduating plastic surgery residents. This framework can then be used as a guideline for developing Objective Structured Assessment of Technical Skill to teach technical skills in hand surgery.

Methods: Ten expert hand surgeons were surveyed regarding the essential hand surgery procedures that should be mastered by graduating plastic surgery residents. Read More

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http://dx.doi.org/10.1097/PRS.0b013e3182a8066bDOI Listing
December 2013
10 Reads

Beneficial effects of autologous bone marrow-derived mesenchymal stem cells in naturally occurring tendinopathy.

PLoS One 2013 25;8(9):e75697. Epub 2013 Sep 25.

Department of Clinical Sciences and Services, the Royal Veterinary College, University of London, Hatfield, United Kingdom.

Tendon injuries are a common age-related degenerative condition where current treatment strategies fail to restore functionality and normal quality of life. This disease also occurs naturally in horses, with many similarities to human tendinopathy making it an ideal large animal model for human disease. Regenerative approaches are increasingly used to improve outcome involving mesenchymal stem cells (MSCs), supported by clinical data where injection of autologous bone marrow derived MSCs (BM-MSCs) suspended in marrow supernatant into injured tendons has halved the re-injury rate in racehorses. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0075697PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3783421PMC
July 2014
2 Reads

Effects of flunixin meglumine on experimental tendon wound healing: A histopathological and mechanical study in rabbits.

Vet Res Forum 2013 ;4(4):233-8

Department of Clinical Sciences, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran;

Tendons are frequently targets of injury in sports and work. Whether nonsteroidal anti-inflammatory drugs (NSAIDs) have beneficial effects on tendon healing is still a matter of debate. This study was conducted to evaluate effects of flunixin meglumine (FM) on tendon healing after experimentally induced acute trauma. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279621PMC
January 2015
6 Reads

Distal limb desensitisation following analgesia of the digital flexor tendon sheath in horses using four different techniques.

Equine Vet J 2014 Jul 21;46(4):488-93. Epub 2013 Nov 21.

Department of Surgery and Anaesthesiology of Domestic Animals, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.

Reasons For Performing Study: Controversy exists about the desensitisation obtained after diagnostic analgesia of the digital flexor tendon sheath (DFTS) during lameness examinations.

Objectives: To determine whether DFTS analgesia results in inadvertent desensitisation of the palmar/plantar digital nerves and whether this depends on the injection technique used.

Study Design: Crossover experimental study. Read More

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http://dx.doi.org/10.1111/evj.12186DOI Listing
July 2014
3 Reads

Comparison of basilar and axial sesamoidean approaches for digital flexor tendon sheath synoviocentesis and injection in horses.

J Am Vet Med Assoc 2013 Sep;243(6):869-73

Department of Clinical Sciences, College of Veterinary Medicine, Mississippi State University, MS 39762, USA.

Objective: To define a method for the basilar sesamoidean approach (BSA) to the digital flexor tendon sheath (DFTS) in horses and compare it with the axial sesamoidean approach (ASA) for DFTS synoviocentesis and injection.

Design: Evaluation study.

Animals: 12 healthy adult mares without evidence of abnormalities related to the lower limbs. Read More

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http://dx.doi.org/10.2460/javma.243.6.869DOI Listing
September 2013
10 Reads

Epinephrine in local anesthesia in finger and hand surgery: the case for wide-awake anesthesia.

J Am Acad Orthop Surg 2013 Aug;21(8):443-7

Department of Plastic and Reconstructive Surgery, Dalhousie University, Saint John, New Brunswick, Canada.

Traditionally, surgeons were taught that local anesthesia containing epinephrine should not be injected into fingers. This idea has since been refuted in many basic and clinical scientific studies, and today, injection of lidocaine plus epinephrine is widely used for digital and hand anesthesia in Canada. The key advantages of the wide-awake technique include the creation of a bloodless field without the use of an arm tourniquet, which in turn reduces the need for conscious sedation. Read More

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http://dx.doi.org/10.5435/JAAOS-21-08-443DOI Listing
August 2013
1 Read

Inflammatory process induced by carrageenan in adjacent tissue triggers the acute inflammation in deep digital flexor tendon of rats.

Anat Rec (Hoboken) 2013 Aug 17;296(8):1187-95. Epub 2013 Jun 17.

Department of Structural and Functional Biology, Institute of Biology, UNICAMP, SP, Brazil.

Tendinopathy is a pathology found mainly in the rotator cuff, patellar, Achilles and flexor tendons. Tendinopathy is a significant impediment to performance in athletes and in workers in the labor market. Some studies have indicated that inflammation in adjacent tissues may affect the rotator cuff and Achilles tendon. Read More

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http://dx.doi.org/10.1002/ar.22729DOI Listing
August 2013
8 Reads

Distribution and persistence of technetium-99 hexamethyl propylene amine oxime-labelled bone marrow-derived mesenchymal stem cells in experimentally induced tendon lesions after intratendinous injection and regional perfusion of the equine distal limb.

Equine Vet J 2013 Nov 9;45(6):726-31. Epub 2013 Apr 9.

Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, USA.

Reasons For Performing Study: Intralesional (i.l.) injection is currently the most commonly used technique for stem cell therapy in equine tendon injury. Read More

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http://dx.doi.org/10.1111/evj.12063DOI Listing
November 2013
1 Read

Alcoholic extract of tarantula cubensis improves sharp ruptured tendon healing after primary repair in rabbits.

Am J Orthop (Belle Mead NJ) 2012 Dec;41(12):554-60

Department of Pathology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran.

This study was designed to investigate the effects of tarantula cubensis (TC) on the superficial digital flexor tendon (SDFT) rupture after surgical anastomosis, on day 84-postinjury (DPI) in rabbits. Forty white New Zealand, mature, male rabbits were randomly and evenly divided into treated and control groups. After tenotomy and primary repair, the injured legs were immobilized for 2 weeks. Read More

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December 2012
10 Reads
4 Citations

Response to injection of the navicular bursa with corticosteroid and hyaluronan following high-field magnetic resonance imaging in horses with signs of navicular syndrome: 101 cases (2000-2008).

J Am Vet Med Assoc 2012 Nov;241(10):1353-64

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, WA 99164, USA.

Objective: To determine treatment outcome on the basis of pathological changes identified on MRI and lameness duration in horses with navicular syndrome that underwent injection of corticosteroid and hyaluronan into the navicular bursa.

Design: Retrospective case series.

Animals: 101 horses with navicular syndrome. Read More

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http://dx.doi.org/10.2460/javma.241.10.1353DOI Listing
November 2012
3 Reads

Biomechanical effects of steroid injections used to treat pyogenic flexor tenosynovitis.

J Orthop Surg Res 2012 Oct 9;7:34. Epub 2012 Oct 9.

University of North Carolina, School of Medicine, Department of Orthopaedics, Campus Box #7055, Bioinformatics Building, Chapel Hill, NC 27599-7055, USA.

Background: A recent study from our laboratory has demonstrated improved range of motion in the toes of broiler chickens afflicted with pyogenic flexor tenosynovitis when treated with local antibiotic and corticosteroid injections, without surgical drainage. However, the use of corticosteroids as an adjunct treatment raised peer concern, as steroids are thought to have deleterious effects on tendon strength. The purpose of this study was to compare the tensile strength of the aforementioned steroid treated tendons, to a group of tendons administered with the current standard treatment: systemic antibiotics, surgical drainage and no corticosteroids. Read More

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http://josr-online.biomedcentral.com/articles/10.1186/1749-7
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http://dx.doi.org/10.1186/1749-799X-7-34DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3554501PMC
October 2012
4 Reads

The effects of perineural and intrasynovial anaesthesia of the equine foot on subsequent magnetic resonance images.

Equine Vet J 2013 May 26;45(3):320-5. Epub 2012 Sep 26.

Departments of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.

Reasons For Performing Study: Artefacts caused by regional anaesthesia can influence image interpretation of ultrasonography and nuclear scintigraphy. Perineural and intrasynovial anaesthesia are commonly performed prior to magnetic resonance imaging (MRI); and the effects on MR images, if any, are unknown.

Objectives: To determine if perineural and intrasynovial anaesthesia of structures in the equine foot cause iatrogenic changes detectable with MRI. Read More

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http://doi.wiley.com/10.1111/j.2042-3306.2012.00649.x
Publisher Site
http://dx.doi.org/10.1111/j.2042-3306.2012.00649.xDOI Listing
May 2013
3 Reads

Ovine amniotic epithelial cells: in vitro characterization and transplantation into equine superficial digital flexor tendon spontaneous defects.

Res Vet Sci 2013 Feb 3;94(1):158-69. Epub 2012 Sep 3.

Department of Comparative Biomedical Sciences, University of Teramo, Italy.

In vitro expanded and frosted ovine amniotic epithelial cells (oAECs) were evaluated for their phenotype, stemness and attitude to differentiate into tenocytes. Fifteen horses with acute tendon lesions were treated with one intralesional injection of oAECs. Tendon recovery under controlled training was monitored. Read More

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http://dx.doi.org/10.1016/j.rvsc.2012.07.028DOI Listing
February 2013
1 Read

Repeated administration of exogenous Sodium-hyaluronate improved tendon healing in an in vivo transection model.

J Tissue Viability 2012 Aug 4;21(3):88-102. Epub 2012 Jul 4.

Department of Pathology, Veterinary School, Shiraz University, Shiraz, Iran.

Goals And Objectives: This study was designed to evaluate the effects of exogenous Sodium-Hyaluronate (NaH) on full thickness Superficial Digital Flexor Tendon (SDFT) rupture in the early phase of healing in rabbits.

Methods: Forty White New Zealand mature male rabbits were randomly divided into two equal groups of injured treated and injured untreated. After full thickness tendon transection and surgical repair, using modified Kessler technique and running suture, the injured legs were casted for 14 days. Read More

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http://dx.doi.org/10.1016/j.jtv.2012.06.002DOI Listing
August 2012
8 Reads
8 Citations
1.812 Impact Factor

Recombinant fibroblast growth protein enhances healing ability of experimentally induced tendon injury in vivo.

Authors:
A Oryan A Moshiri

J Tissue Eng Regen Med 2014 Jun 11;8(6):421-31. Epub 2012 Jun 11.

Department of Pathobiology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran.

This study was designed to investigate the effects of recombinant human basic fibroblast growth factor (bFGF) on a complete superficial digital flexor tendon (SDFT) rupture after surgical repair in rabbits. Eighty mature New Zealand White rabbits of both sexes were randomly divided into two equal groups: Treated and Control. Each group was subdivided into two 28- and 84-day post-injury subgroups. Read More

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http://doi.wiley.com/10.1002/term.1534
Publisher Site
http://dx.doi.org/10.1002/term.1534DOI Listing
June 2014
3 Reads

A new clinical approach: use of blood-derived stem cells (BDSCs) for superficial digital flexor tendon injuries in horses.

Life Sci 2012 Jun 28;90(21-22):825-30. Epub 2012 Mar 28.

Department of Experimental Medicine and Sciences, University of Roma Tor Vergata, Italy.

Aims: In this study, we present an innovative therapy using stem cells that were obtained from the peripheral blood of racehorses affected by uninduced superficial digital flexor tendon (SDFT) injuries.

Main Methods: Blood-derived stem cells (BDSCs) were generated from the blood samples of three horses in the presence of macrophage colony-stimulating factor (M-CSF). The racehorses received a single autologous BDSC treatment, which resulted in the successful repair of the tendons injuries. Read More

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http://dx.doi.org/10.1016/j.lfs.2012.03.004DOI Listing
June 2012
6 Reads