1,169 results match your criteria The Approach to the Painful Joint


Mid- to long-term outcome in patients treated with a mini-open sinus-tarsi approach for calcaneal fractures.

Arch Orthop Trauma Surg 2020 Jul 23. Epub 2020 Jul 23.

Department of Orthopaedics, Kantonsspital Baselland, Rheinstrasse 26, 4410, Liestal, Switzerland.

Background: While the extended lateral approach was the gold standard for treatment of calcaneal fractures for decades, the mini-open approach through the sinus tarsi gained popularity in recent years. Although widely used, there are only a few reports available in the literature reporting on mid- to long-term results. Therefore, the purpose of the study was to report on mid- to long-term radiographic and clinical outcomes of calcaneal fractures treated surgically using a mini-open sinus tarsi approach. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00402-020-03530-3DOI Listing

Engineered IgG-targets identify clinically and pathophysiologically relevant rheumatoid factor epitopes.

Arthritis Rheumatol 2020 Jul 10. Epub 2020 Jul 10.

Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Center, Amsterdam, Netherlands.

Objectives: Rheumatoid factors (RFs), anti-IgG autoantibodies strongly associated with rheumatoid arthritis (RA), are also found in other diseases and in healthy individuals. RFs bind to various epitopes in the constant (Fc-) domain of IgG; therefore, disease-specific reactivity patterns may exist. A new approach was developed to dissect RF epitope binding patterns across different diseases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/art.41430DOI Listing

When primary hyperparathyroidism comes as good news.

Endocrinol Diabetes Metab Case Rep 2020 Jun 4;2020. Epub 2020 Jun 4.

Department of Medicine and Surgery, Endocrine Unit, University of Insubria, Varese, Italy.

Summary: Brown tumors are osteoclastic, benign lesions characterized by fibrotic stroma, intense vascularization and multinucleated giant cells. They are the terminal expression of the bone remodelling process occurring in advanced hyperparathyroidism. Nowadays, due to earlier diagnosis, primary hyperparathyroidism keeps few of the classical manifestations and brown tumors are definitely unexpected. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1530/EDM-20-0046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7354736PMC

The WOMAC Pain Scale and Cross Talk From Co-occurring Pain Sites in People With Knee Pain: A Causal Modeling Study.

Phys Ther 2020 May 26. Epub 2020 May 26.

Department of Biostatistics, Virginia Commonwealth University.

Objective: The Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Pain Scale quantifies knee pain severity with activities of daily living, but the potential impact of pain in other body regions on WOMAC pain scores has not been explored using a causal modeling approach. The purpose of this study was to determine if pain in other areas of the body impact WOMAC pain scores, a phenomenon referred to as "cross talk."

Methods: Cross-sectional datasets were built from public use data available from the Osteoarthritis Initiative (OAI) and the Multicenter Osteoarthritis Study (MOST). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/ptj/pzaa098DOI Listing

Multi-HLA class II tetramer analyses of citrulline-reactive T cells and early treatment response in rheumatoid arthritis.

BMC Immunol 2020 May 18;21(1):27. Epub 2020 May 18.

Division of Rheumatology, Department of Medicine Solna, Center for Molecular Medicine, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.

Background: HLA class II tetramers can be used for ex vivo enumeration and phenotypic characterisation of antigen-specific CD4+ T cells. They are increasingly applied in settings like allergy, vaccination and autoimmune diseases. Rheumatoid arthritis (RA) is a chronic autoimmune disorder for which many autoantigens have been described. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12865-020-00357-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236297PMC

Committee Opinion No. 399: Management of Tick Bites and Lyme Disease During Pregnancy.

J Obstet Gynaecol Can 2020 05;42(5):644-653

Halifax, NS.

Objective: Lyme disease is an emerging infection in Canada caused by the bacterium belonging to the Borrelia burgdorferi sensu lato species complex, which is transmitted via the bite of an infected blacklegged tick. Populations of blacklegged ticks continue to expand and are now established in different regions in Canada. It usually takes more than 24 hours of tick attachment to transfer B. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jogc.2020.01.001DOI Listing

Pediatric Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis (SAPHO) Syndrome: Diagnostic Challenges and Treatment Approach.

Cureus 2020 Apr 9;12(4):e7595. Epub 2020 Apr 9.

Orthopaedics, Panagiotis & Aglaia Kyriakou Children's Hospital, Athens, GRC.

Synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome is a rare disease; however, more and more case reports have been published that increase the awareness of this disorder, especially in children. Clinically it presents as a combination of chronic recurrent multifocal osteomyelitis symptoms and skin manifestations. SAPHO treatment remains a challenge. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7595DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213676PMC

A new mini-open technique of arthroscopically assisted Latarjet.

BMC Musculoskelet Disord 2020 May 7;21(1):285. Epub 2020 May 7.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128, Trigoria, Rome, Italy.

Background: The aim is to describe a new arthroscopically assisted Latarjet technique.

Methods: We evaluated the clinical and radiological findings of 60 patients with chronic recurrent anterior gleno-humeral instability who underwent, between September 2013 and November 2014, an arthroscopically-assisted Latarjet procedure with double round endobutton fixation. Inclusion criteria were: chronic anterior recurrent instability, Instability Severity Index Score (ISIS) greater than three points, a glenoid bone defect > 15% or a Hill Sachs lesion with concomitant glenoid bone defect > 10%. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12891-020-03307-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206729PMC

Validation of a clinical examination to differentiate a cervicogenic source of headache: a diagnostic prediction model using controlled diagnostic blocks.

BMJ Open 2020 May 5;10(5):e035245. Epub 2020 May 5.

Centre of Clinical Research Excellence in Spinal Pain, Injury and Health, The University of Queensland, Brisbane, Queensland, Australia.

Objectives: Neck pain commonly accompanies recurrent headaches such as migraine, tension-type and cervicogenic headache. Neck pain may be part of the headache symptom complex or a local source. Patients commonly seek neck treatment to alleviate headache, but this is only indicated when cervical musculoskeletal dysfunction is the source of pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2019-035245DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223143PMC

Comparison of the clinical effectiveness of treatments for aromatase inhibitor-induced arthralgia in breast cancer patients: a protocol for a systematic review and network meta-analysis.

BMJ Open 2020 May 4;10(5):e033461. Epub 2020 May 4.

East-West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University, Daejeon, Republic of Korea.

Introduction: Aromatase inhibitor-induced arthralgia (AIA) is a major adverse event of aromatase inhibitors (AIs) and leads to premature discontinuation of AI therapy in breast cancer patients. The objective of this protocol for a systematic review and network meta-analysis (NMA) is to provide the methodology to compare the change in pain intensity between different AIA treatments and demonstrate the rank probabilities for different treatments by combining all available direct and indirect evidence.

Methods And Analysis: PubMed, the Cochrane Controlled Register of Trials (CENTRAL), EMBASE, Web of Science and ClinicalTrials. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2019-033461DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223021PMC

Temporomandibular joint disc plication with MITEK mini anchors: surgical outcome of 65 consecutive joint cases using a minimally invasive approach.

Maxillofac Plast Reconstr Surg 2020 Dec 29;42(1):14. Epub 2020 Apr 29.

1Department of Oral and Maxillofacial Surgery, Asan Medical Center, College of Medicine, University of Ulsan, 05505, Olympic-ro 88, 43-gil, Songpa-gu, Seoul, Republic of Korea.

Background: The purpose of this study is to introduce our modified disc plication technique using MITEK mini anchors and to evaluate the clinical outcome for patients with internal derangement (ID) of the temporomandibular joint (TMJ).

Patients And Methods: We evaluated 65 joints in 46 patients, comprised 32 women and 14 men, who first visited the Asan Medical Center from December 2012 to December 2016. The age of the patients ranged from 14 to 79 years, with a mean age of 36. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40902-020-00259-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190784PMC
December 2020

A New Proximal Dorsal Approach for DIP Arthroplasty.

Tech Hand Up Extrem Surg 2020 May 1. Epub 2020 May 1.

Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich.

Degenerative changes of the distal interphalangeal (DIP) joints can be painful, disabling, and disfiguring. Swanson spacers can be used for DIP arthroplasty. The standard approach for Swanson spacer implantation at the DIP joint involves transecting the extensor tendon close to its insertion, which necessitates a 6-week period of postoperative immobilization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BTH.0000000000000293DOI Listing

Fibromyalgia, Sjogren's & depression: linked?

Postgrad Med 2020 May 20:1-6. Epub 2020 May 20.

Department of Psychiatry, University of Louisville School of Medicine, Louisville, KY, USA.

Health care has become increasingly fragmented, partly due to advancing medical technology. Patients are often managed by various specialty teams when presenting with symptoms that could be manifestations of different diseases. Approximately one third of them are referred to specialists, at over half for outpatient appointments. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/00325481.2020.1758426DOI Listing

COVID-19 challenge for modern medicine.

Cardiol J 2020;27(2):175-183. Epub 2020 Apr 14.

Department of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland.

Coronaviruses cause disease in animals and people around the world. Human coronaviruses (HCoV) are mainly known to cause infections of the upper and lower respiratory tract but the symptoms may also involve the nervous and digestive systems. Since the beginning of December 2019, there has been an epidemic of SARS-CoV-2, which was originally referred to as 2019-nCoV. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5603/CJ.a2020.0055DOI Listing

Proteomic analysis of CHIKV-infected human fibroblast-like synoviocytes: Identification of host factors potentially associated with CHIKV replication and cellular pathogenesis.

Microbiol Immunol 2020 Jun 12;64(6):445-457. Epub 2020 May 12.

Department of Microbiology, Faculty of Science, Mahidol University, Bangkok, Thailand.

Chikungunya virus (CHIKV) is a mosquito-borne virus that causes arthralgic fever. Fibroblast-like synoviocytes play a key role in joint damage in inflammatory arthritides and can additionally serve as target cells for CHIKV infection. To gain a better understanding of CHIKV-induced arthralgia, the interaction between CHIKV and synoviocytes was investigated at the protein level. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1348-0421.12793DOI Listing

Effectiveness of the use of an algorithm in the diagnostic approach of joint pain patients by primary care physicians.

Rheumatol Int 2020 Mar 21. Epub 2020 Mar 21.

Rheumatology Section, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

There is a high percentage of error in the approach of patients with joint pain by primary care physicians. An algorithm can help improve this misdiagnosis problem. Our study seeks to determine the effectiveness of an algorithm when used by primary care physicians for the diagnosis of cases of joint pain patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00296-020-04552-1DOI Listing

Different Treatments in Patients with Temporomandibular Joint Disorders: A Comparative Randomized Study.

Medicina (Kaunas) 2020 Mar 5;56(3). Epub 2020 Mar 5.

Institute for Occlusion and Orofacial Pain Faculty of Medicine, University of Coimbra, Polo I-Edifício Central Rua Larga, 3004-504 Coimbra, Portugal.

Background And Objectives: Temporomandibular joint disorders (TMJDs) are associated with pain and reduced jaw mobility. The aim of this study was to compare the outcome of patients with TMJ arthralgia when submitted to four different treatment modalities, in some cases using intra-articular injections of substances with anti-inflammatory properties and in others, a more conservative approach consisting only of a bite splint. Methods: The sample was made up of 80 patients, randomly distributed into 4 groups of 20 patients each. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/medicina56030113DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142788PMC
March 2020
0.508 Impact Factor

Efficacy and safety of a supplement combination for hand osteoarthritis pain: protocol for an internet-based randomised placebo-controlled trial (The RADIANT study).

BMJ Open 2020 02 18;10(2):e035672. Epub 2020 Feb 18.

Northern Clinical School, Institute of Bone and Joint Research, Kolling Institute of Medical Research, Rheumatology Department, Royal North Shore Hospital, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia

Introduction: Hand osteoarthritis (HOA) is a highly prevalent disabling joint disease. The current management regimens are limited. Potentially as a consequence, many people turn to complementary and alternative medicines for symptomatic relief. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2019-035672DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044939PMC
February 2020

Incidence of Encountering the Infrapatellar Nerve Branch of the Saphenous Nerve During a Midline Approach for Total Knee Arthroplasty.

J Am Acad Orthop Surg Glob Res Rev 2019 Dec 12;3(12). Epub 2019 Dec 12.

Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL.

The infrapatellar nerve branch (IPNB) of the saphenous nerve supplies cutaneous sensation to the anterolateral knee. Given its location and variable course, the IPNB is suspected to be at risk of injury with commonly used incisions around the knee. Nerve injury may lead to painful neuroma formation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5435/JAAOSGlobal-D-19-00160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004492PMC
December 2019

Plasma cell-directed therapies in monoclonal gammopathy-associated scleromyxedema.

Blood 2020 Apr;135(14):1101-1110

Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Saint Antoine, Service de Médecine Interne, Paris, France.

Scleromyxedema is a rare skin and systemic mucinosis that is usually associated with monoclonal gammopathy (MG). In this French multicenter retrospective study of 33 patients, we investigated the clinical and therapeutic features of MG-associated scleromyxedema. Skin molecular signatures were analyzed using a transcriptomic approach. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1182/blood.2019002300DOI Listing

'My hip is damaged': a qualitative investigation of people seeking care for persistent hip pain.

Br J Sports Med 2020 Jul 24;54(14):858-865. Epub 2020 Jan 24.

Department of Surgery, St Vincent's Hospital, The University of Melbourne, Melbourne, Victoria, Australia.

Objectives: Clinicians who use the biopsychosocial approach to manage musculoskeletal pain disorders aim to understand how patients make sense of their symptoms. Treatment includes targeting the negative beliefs and coping responses that can lead to progressive pain and disability. We aimed to explore how people seeking care for persistent hip pain and disability make sense of their symptoms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bjsports-2019-101281DOI Listing

Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related Pain Research Network, Zurich 2018.

Br J Sports Med 2020 Jun 20;54(11):631-641. Epub 2020 Jan 20.

Aspetar Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.

There is no agreement on how to classify, define or diagnose hip-related pain-a common cause of hip and groin pain in young and middle-aged active adults. This complicates the work of clinicians and researchers. The International Hip-related Pain Research Network consensus group met in November 2018 in Zurich aiming to make recommendations on how to classify, define and diagnose hip disease in young and middle-aged active adults with hip-related pain as the main symptom. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bjsports-2019-101453DOI Listing

[Effectiveness of a modified posterior approach for arthroscopic resection on painful talocalcaneal coalition in adults].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jan;34(1):46-52

Department of Orthopedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou Fujian, 362000, P.R.China.

Objective: To investigate the effectiveness of arthroscopic talocalcaneal coalition resection in painful adults via a modified posterior approach.

Methods: Between January 2015 and December 2017, 9 patients with painful talocalcaneal coalition accepted arthroscopic resection via the posterior malleolus high lateral observation approach combined with the lower medial operation approach. Of them, 6 were male and 3 were female, aged from 19 to 30 years (mean, 24 years). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7507/1002-1892.201905087DOI Listing
January 2020

Remission of recalcitrant dermatomyositis following a chiropractic adjustment.

J Family Med Prim Care 2019 Nov 15;8(11):3742-3744. Epub 2019 Nov 15.

Department of Health Sciences, Lincoln University College, Jalan Kota Bharu - Pengkalan Kubor, 15050 Kota Bharu, Kelantan, Malaysia.

Dermatomyositis (DM) is an idiopathic inflammatory myopathy characterized by progressive muscle weakness and pathognomonic skin eruptions. Systemic corticosteroid with or without an immunosuppressive agent is the current treatment of choice in most cases. Cutaneous disease in DM is often refractory and can become the most challenging component to manage effectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/jfmpc.jfmpc_839_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6881932PMC
November 2019

Dengue fever and chikungunya virus infections: identification in travelers in Uganda - 2017.

Trop Dis Travel Med Vaccines 2019 29;5:21. Epub 2019 Nov 29.

1Department of Arbovirology, Emerging and Re-emerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.

Arboviruses are (re-) emerging viruses that cause significant morbidity globally. Clinical manifestations usually consist of a non-specific febrile illness that may be accompanied by rash, arthralgia and arthritis and/or with neurological or hemorrhagic syndromes. The broad range of differential diagnoses of other infectious and non-infectious etiologies presents a challenge for clinicians. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40794-019-0099-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6884810PMC
November 2019

Fat grafting rescues radiation-induced joint contracture.

Stem Cells 2020 03 3;38(3):382-389. Epub 2019 Dec 3.

Hagey Laboratory for Pediatric Regenerative Medicine, Department of Surgery, Division of Plastic Surgery, Stanford University School of Medicine, Stanford, California.

The aim of this study was to explore the therapeutic effects of fat grafting on radiation-induced hind limb contracture. Radiation therapy (RT) is used to palliate and/or cure a range of malignancies but causes inevitable and progressive fibrosis of surrounding soft tissue. Pathological fibrosis may lead to painful contractures which limit movement and negatively impact quality of life. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/stem.3115DOI Listing
March 2020
9 Reads

[Screening for temporomandibular disorders : A sensible approach?]

Schmerz 2020 Feb;34(1):13-20

Poliklinik für Zahnärztliche Prothetik, Universitätsklinikum Würzburg, Würzburg, Deutschland.

Background: Temporomandibular disorders (TMDs) are typically characterized by pain in the masticatory muscles and temporomandibular joints (TMJs) and by limitation of mandibular mobility. In June 2019, the German Society of Craniomandibular Function and Disorders presented a screening tool to identify individuals with TMDs. The assessment tool consists of patient history (three questions related to jaw pain, one question related to impaired mandibular mobility) and a clinical examination (palpation of masticatory muscles and TMJs; evaluation of maximum jaw opening; assessment of the presence of occlusal disturbances; documentation of TMJ noises). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00482-019-00432-1DOI Listing
February 2020

Risk Factors for Persistent Shoulder Pain After Cervical Spine Surgery.

Orthop Surg 2019 Oct;11(5):845-849

Department of Orthopaedic Surgery, Asan Medical Center, School of Medicine, University of Ulsan, Ulsan, South Korea.

Objective: To define risk factors of having persistent shoulder pain following cervical spine surgery.

Methods: From April 1995 to May 2012, 862 patients underwent cervical spine surgery in a tertiary referral university hospital. Ninety-six patients were referred to a shoulder surgeon for persistent shoulder pain over 3 months after cervical spine surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/os.12531DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6819176PMC
October 2019
2 Reads

Phenotyping 1488 patients with painful temporomandibular disorders and its relevance to subjective sleep quality: A key step for stratified medicine.

Cranio 2019 Oct 29:1-11. Epub 2019 Oct 29.

Department of Orofacial Pain and Oral Medicine, College of Dentistry, Dankook University, Cheonan, South Korea.

: To investigate biopsychosocial characteristics and sleep quality among three TMD phenotypes and to identify the influential factors on sleep quality among those patients.: Retrospective data from chart review and self-reported questionnaires included demographics, the Brief Pain Inventory, the Pain CatastropPain Prospective Evaluation and Risk Assessmenthizing Scale, the Symptom Check List-90 Revised, and the Pittsburgh Sleep Quality Index.: A total of 1488 patients with painful TMD (female, 63. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/08869634.2019.1682750DOI Listing
October 2019

Dorsal subscapularis approach for the surgical drainage of subscapularis intramuscular abscess: a case report.

BMC Musculoskelet Disord 2019 Oct 12;20(1):445. Epub 2019 Oct 12.

Department of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1, Higashigaoka, Meguro-ku, Tokyo, 152-8902, Japan.

Background: Abscess formation in the subscapularis muscle is a rare clinical condition. Few reports are available regarding the treatment methods and surgical approaches for subscapularis intramuscular abscesses. Here, we describe a case of subscapularis intramuscular abscess that was treated successfully via surgical drainage using a new approach, the "dorsal subscapularis approach". Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12891-019-2852-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6790034PMC
October 2019
1 Read

AUtologous fat graft in foot calcaneal postsurgical chronic ulcer.

Injury 2019 Aug 16;50 Suppl 4:S64-S67. Epub 2019 Aug 16.

Reconstructive and Aesthetic Plastic Surgery School, Department of Medical Biotechnology and Translational Medicine BIOMETRA, Plastic Surgery Unit, Humanitas Clinical and Research Center, University of Milan, Via Manzoni 56, 20089, Rozzano, Milan, Italy. Electronic address:

Introduction: Post-traumatic injury of talus's posterior area and ankle joint with consequent scar formation is often complicated by an unhealing trophic ulcer. Aim of this paper is to evaluate the autologous fat graft effectiveness in treating Achilles tendon area wounds.

Material And Methods: From October 2011 to March 2014 we treated with fat graft a total of 7 patients with post-surgical painful chronic ulcer of calcaneal area. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2019.08.016DOI Listing
August 2019
3 Reads

Anterior insular cortex mediates hyperalgesia induced by chronic pancreatitis in rats.

Mol Brain 2019 09 4;12(1):76. Epub 2019 Sep 4.

Department of Anatomy, Histology and Embryology & K. K. Leung Brain Research Centre, Fourth Military Medical University, No. 169, West Chang-le Road, Xi'an, 710032, China.

Central sensitization plays a pivotal role in the maintenance of chronic pain induced by chronic pancreatitis (CP), but cortical modulation of painful CP remains elusive. This study was designed to examine the role of anterior insular cortex (aIC) in the pathogenesis of hyperalgesia in a rat model of CP. CP was induced by intraductal administration of trinitrobenzene sulfonic acid (TNBS). Read More

View Article

Download full-text PDF

Source
https://molecularbrain.biomedcentral.com/articles/10.1186/s1
Publisher Site
http://dx.doi.org/10.1186/s13041-019-0497-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6727343PMC
September 2019
2 Reads

[Clinical trials of acupuncture treatment of post-stroke shoulder pain].

Zhen Ci Yan Jiu 2019 Aug;44(8):605-9

Graduate School of Tianjin University of Traditional Chinese Medicine, Tianjin 300193.

Objective: To observe the clinical therapeutic effect of "Tiaoshen Zhitong" (mental regulating and pain relieving) needling and its influence on serological indicators in the treatment of post-stroke shoulder pain, so as to provide new therapeutic thoughts and approach for post-stroke shoulder pain.

Methods: A total of 80 inpatients with post-stroke shoulder pain were randomly divided into a control group (routine needling, 39 cases) and an observation group ("Tiaoshen Zhitong" needling, 41 cases) according to the random number table. Patients of the two groups accepted basic medication treatment including anticoagulants, hypotensive drugs, hypoglycermic drugs, lipid-lowering drugs, etc. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13702/j.1000-0607.180025DOI Listing

Tibial nailing using a suprapatellar rather than an infrapatellar approach significantly reduces anterior knee pain postoperatively: a multicentre clinical trial.

Bone Joint J 2019 09;101-B(9):1138-1143

Consultant Orthopaedic Trauma Surgeon Aberdeen Royal Infirmary, Aberdeen, UK.

Aims: The aim of this study was to compare the incidence of anterior knee pain after antegrade tibial nailing using suprapatellar and infrapatellar surgical approaches.

Patients And Methods: A total of 95 patients with a tibial fracture requiring an intramedullary nail were randomized to treatment using a supra- or infrapatellar approach. Anterior knee pain was assessed at four and six months, and one year postoperatively, using the Aberdeen Weightbearing Test - Knee (AWT-K) score and a visual analogue scale (VAS) score for pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1302/0301-620X.101B9.BJJ-2018-1115.R2DOI Listing
September 2019

Effects of C8 nerve root block during interscalene brachial plexus block on anesthesia of the posterior shoulder in patients undergoing arthroscopic shoulder surgery: study protocol for a prospective randomized parallel-group controlled trial.

Trials 2019 Aug 28;20(1):533. Epub 2019 Aug 28.

Department of Anesthesiology and Pain Medicine, Daegu Catholic University Medical Center, School of Medicine, Daegu Catholic University, 33, Duryugongwon-ro 17 gil, Nam-gu, Daegu, 42472, Republic of Korea.

Background: A classical approach to produce interscalene brachial plexus block (ISBPB) consistently spares the posterior aspect of the shoulder and ulnar sides of the elbow, forearm, and hand, which are innervated by the lower trunk of the brachial plexus (C8-T1). As an alternative to the classical approach, a caudal approach to ISBPB successfully produces anesthesia of the ulnar sides of the elbow, forearm, and hand. However, its beneficial effects on anesthesia in the posterior aspect of the shoulder have not been investigated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13063-019-3624-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6712618PMC
August 2019
10 Reads

Plasma Viscosity Has a Role in the Diagnosis of Prosthetic Joint Infection After Total Knee Arthroplasty.

J Arthroplasty 2019 Dec 30;34(12):3035-3039. Epub 2019 Jul 30.

Exeter Knee Reconstruction Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter NHS Foundation Trust, Exeter, United Kingdom.

Background: The diagnosis of prosthetic joint infection (PJI) is challenging because no single test has consistently demonstrated an adequate discriminative potential. The combination of erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) with adequate thresholds is well established. This study sought to investigate the role of plasma viscosity (PV) in the diagnosis of PJI following painful total knee arthroplasty. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S08835403193071
Publisher Site
http://dx.doi.org/10.1016/j.arth.2019.07.035DOI Listing
December 2019
2 Reads

Diagnosis of ulnar-sided wrist pain: a pragmatic approach for the non-specialist.

Br J Hosp Med (Lond) 2019 Aug;80(8):456-460

Consultant Trauma and Orthopaedic Surgeon, Department of Trauma and Orthopaedics, East Lancashire Hospitals NHS Trust, Blackburn BB2 3HH.

Ulnar-sided wrist pain is often unfairly labelled as the 'back pain' of the wrist. This reputation comes from the complexity of diagnosing problems related to this area of the wrist. This article summarizes the anatomy and biomechanics of the wrist and presents a logical approach to diagnosing the aetiology of the pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12968/hmed.2019.80.8.456DOI Listing
August 2019
5 Reads

Mycobacterium kansasii arthritis of the elbow in an immunocompetent patient with a suspected soft-tissue tumor.

J Infect Chemother 2020 Feb 16;26(2):261-264. Epub 2019 Aug 16.

Divison of Infection Control and Prevention, Osaka University Hospital, Japan.

Mycobacterium kansasii is one of the major non-tuberculous mycobacteria species that typically cause pulmonary diseases. M. kansasii is known to cause septic arthritis as an extrapulmonary disease in immunosuppressed patients or chronic skin disease. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jiac.2019.07.015DOI Listing
February 2020
2 Reads

Ultrasound-guided analgesic injection for acromioclavicular joint separation in the emergency department.

Am J Emerg Med 2020 01 14;38(1):162.e3-162.e5. Epub 2019 Aug 14.

Alameda Health System/Highland General Hospital, Department of Emergency Medicine, United States of America. Electronic address:

We present the first documented case of an emergency clinician treating the pain of an acute Acromioclavicular (AC) joint separation through ultrasound (US) guided injection of an anesthetic agent. A 41 year old male presented with an acute traumatic grade III AC joint separation after falling off a scooter, and his pain was not significantly improved with oral medication. The AC joint was located by US, and bupivacaine was injected into the joint effusion under US guidance, yielding near complete resolution of pain. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S07356757193053
Publisher Site
http://dx.doi.org/10.1016/j.ajem.2019.158397DOI Listing
January 2020
24 Reads

Adult-onset Still's Disease as a Differential Diagnosis in Prolonged Fever: Diagnosis and Treatment Experience.

Acta Med Indones 2019 Apr;51(2):158-164

Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Adult onset Still's disease is a rare systemic disease that may involve many organs and may mimick many disease such as infection, autoimmune disease, and also malignancy. The diagnostic approach and treatment strategies have not been well established due to its rarity; however, there are some diagnostic criteria that may help. We present a case of 36-year old man who experienced high prolonged fever which firstly thought as infection. Read More

View Article

Download full-text PDF

Source
April 2019
6 Reads

New insights in cryoglobulinemic vasculitis.

J Autoimmun 2019 12 2;105:102313. Epub 2019 Aug 2.

Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal.

Cryoglobulins are antibodies that precipitate at low temperatures and dissolve after rewarming. Cryoglobulinemia refers to the presence of circulating cryoglobulins and generally leads to a systemic inflammatory syndrome characterized by fatigue, arthralgia, purpura, ulcers, neuropathy and/or glomerulonephritis. The disease mainly involves small to medium-sized blood vessels and causes vasculitis due to cryoglobulin-containing immune complexes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jaut.2019.102313DOI Listing
December 2019
11 Reads

Immunoassay for serodiagnosis of Zika virus infection based on time-resolved Förster resonance energy transfer.

PLoS One 2019 23;14(7):e0219474. Epub 2019 Jul 23.

University of Helsinki, Medicum, Department of Virology, Helsinki, Finland.

Zika virus (ZIKV) is a mosquito-borne pathogen causing a febrile illness with arthralgia, conjunctivitis and rash. The complications include Guillain-Barré syndrome, congenital brain and other abnormalities and miscarriage. The serodiagnosis of ZIKV infection is hampered by cross-reactivity with other members of the Flavivirus family, notably dengue (DENV). Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0219474PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6650140PMC
February 2020
2 Reads

Effectiveness of Mulligan's Mobilization With Movement Techniques on Range of Motion in Peripheral Joint Pathologies: A Systematic Review With Meta-analysis Between 2008 and 2018.

J Manipulative Physiol Ther 2019 07 16;42(6):439-449. Epub 2019 Jul 16.

Physiotherapy Programme, Metropolitan College, Health Sciences Faculty, School of Physiotherapy Athens, Greece - franchised institution with University of East London, London, UK, Athens, Attica, Greece.

Objectives: The purpose of this study was to provide an updated systematic review and meta-analysis regarding the effectiveness of mobilization with movement (MWM) techniques on range of motion (ROM).

Methods: An electronic search strategy of the Physiotherapy Evidence Database, PubMed, Cochrane Library, Embase, Google Scholar, and CINAHL was performed between August 2008 and January 2018. Two independent reviewers selected the studies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jmpt.2019.04.001DOI Listing
July 2019
3 Reads

Chikungunya Virus Vaccine Candidates with Decreased Mutational Robustness Are Attenuated and Have Compromised Transmissibility.

J Virol 2019 09 28;93(18). Epub 2019 Aug 28.

Viral Populations and Pathogenesis Unit, Department of Virology, Institut Pasteur, CNRS UMR 3569, Paris, France

Chikungunya virus (CHIKV) is a reemerged arbovirus, a member of the family. It circulates through mosquito vectors mainly of the family and a mammalian host. CHIKV causes chikungunya fever, a mild to severe disease characterized by arthralgia, with some fatal outcomes described. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1128/JVI.00775-19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6714818PMC
September 2019
4 Reads

Intraarticular injection of platelet-rich plasma in knee osteoarthritis: single versus triple application approach. Pilot study.

Acta Reumatol Port 2019 Apr-Jun;44(2):138-144

Universidad Autonoma de Nuevo Leon.

Objective: To compare the clinical effectiveness of the triple intra-articular injection of platelet-rich plasma (PRP) with respect to the single injection in patients with mild osteoarthritis of the knee.

Methods: A total of 35 patients with a clinical and radiographic diagnosis of osteoarthritis grade I and II were analyzed. They were randomized into two groups: single application (18 patients) and triple application (17 patients). Read More

View Article

Download full-text PDF

Source
February 2020
7 Reads

Distal Clavicle Osteochondroma Causing Supraspinatus Tendinopathy.

Cureus 2019 Apr 1;11(4):e4354. Epub 2019 Apr 1.

Orthopaedics, Thriasio General Hospital, Athens, GRC.

Shoulder pain is a very common symptom especially in young and active population. Rotator cuff tendinopathies are believed to be the most common cause of shoulder pain up to 86%. Tumors around the shoulder area can cause pain or joint stiffness when expanding in the subacromial space. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.4354DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6550516PMC
April 2019
6 Reads

Immunoinformatics and structural vaccinology driven prediction of multi-epitope vaccine against Mayaro virus and validation through in-silico expression.

Infect Genet Evol 2019 09 4;73:390-400. Epub 2019 Jun 4.

Department of Bioinformatics and Biological Statistics, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai 200240, PR China. Electronic address:

The Mayaro virus (MAYV) belongs to genus "Alphavirus" and family "Togaviridae". MAYV has distribution in the Amazonia, Central and Northeastern regions of Brazil. The abundance of mosquito vector Haemagogus janthinomys has major role in the outbreaks of arthralgia disease in Brazil. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.meegid.2019.06.006DOI Listing
September 2019
6 Reads

Protocol for a multi-centre pilot and feasibility randomised controlled trial with a nested qualitative study: rehabilitation following rotator cuff repair (the RaCeR study).

Trials 2019 Jun 6;20(1):328. Epub 2019 Jun 6.

Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences and Keele Clinical Trials Unit, Keele University, Staffordshire, UK.

Background: Shoulder pain is a highly prevalent complaint and disorders of the rotator cuff, including tears, are thought to be the most common cause. The number of operations repair the torn rotator cuff has risen significantly in recent years. While surgical techniques have progressed, becoming less invasive and more secure, rehabilitation programmes have remained largely like those initially developed when surgical techniques were less advanced and more invasive. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13063-019-3407-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6554931PMC
June 2019
13 Reads
2.117 Impact Factor

Barriers and facilitators of loaded self-managed exercises and physical activity in people with patellofemoral pain: understanding the feasibility of delivering a multicentred randomised controlled trial, a UK qualitative study.

BMJ Open 2019 06 3;9(6):e023805. Epub 2019 Jun 3.

Division of Rehabilitation and Ageing, School of Medicine, University of Nottingham, Nottingham, UK.

Objectives: There is an emergent body of evidence supporting exercise therapy and physical activity in the management of musculoskeletal pain. The purpose of this study was to explore potential barriers and facilitators with patients and physiotherapists with patellofemoral pain involved in a feasibility randomised controlled trial (RCT) study. The trial investigated a loaded self-managed exercise intervention, which included education and advice on physical activity versus usual physiotherapy as the control. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2018-023805DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6561411PMC
June 2019
15 Reads

Ultrasound-guided Musculoskeletal Interventions for the Most Common Hip and Pelvis Conditions: A Step-by-Step Approach.

Semin Musculoskelet Radiol 2019 Jun 4;23(3):e58-e67. Epub 2019 Jun 4.

IRCCS Istituto Ortopedico Galeazzi, Milano Italy.

Pain around the hip and pelvis is a very common condition. Pain may be generated within the joint space (i.e. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1683965DOI Listing
June 2019
9 Reads