4,799 results match your criteria Wrist Arthritis


Outcomes after Scaphoid Excision and Midcarpal Arthrodesis for SNAC and SLAC Wrist Arthritis.

Ortop Traumatol Rehabil 2018 Oct;20(5):389-399

Klinika Chirurgii Ogólnej i Chirurgii Ręki, Pomorski Uniwersytet Medyczny w Szczecinie, Polska / Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, Poland.

Background: Persistent, long-lasting pseudoarthrosis of the scaphoid or scapholunate dissociation results in arthrosis of the radio-scaphoid joint termed scaphoid non-union advanced collapse (SNAC) or scapholunate advanced collapse (SLAC), which causes pain, reduction in wrist movements and weakness of the hand grip. Scaphoid resection followed by "four-corner" midcarpal arthrodesis is a recognized treatment for this condition.

Material And Methods: The study evaluated the results of treatment of 27 patients with arthrosis of the wrist type SNAC (n = 15) and SLAC (n = 12) after an average of 4 years after surgery (range from 2 to 8 years) Results. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5604/01.3001.0012.8275DOI Listing
October 2018

Benefits of wrist splinting in patients with rheumatoid arthritis.

Reumatologia 2018 23;56(6):362-367. Epub 2018 Dec 23.

Rheumatology Clinic and Outpatient Department, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.

Objectives: The goal was to present the use of a functional wrist splint and its impact on hand function in patients with rheumatoid arthritis (RA).

Material And Methods: The study group comprised 104 women aged 18-65 and diagnosed with RA, who were treated in the Rheumatology Clinic and Outpatient Department of the National Institute of Geriatrics, Rheumatology and Rehabilitation in Warsaw. The control group consisted of 40 healthy women in the same age group. Read More

View Article

Download full-text PDF

Source
https://www.termedia.pl/doi/10.5114/reum.2018.80713
Publisher Site
http://dx.doi.org/10.5114/reum.2018.80713DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330686PMC
December 2018
1 Read

Use of Magnetic Resonance Imaging to Support Dose Selection in a Phase II Trial of Baricitinib Combined with Conventional Synthetic Disease-modifying Antirheumatic Drugs in Rheumatoid Arthritis.

J Rheumatol 2019 Jan 15. Epub 2019 Jan 15.

From Spire Sciences, Inc. Boca Raton, FL, USA, The Leeds Institute of Rheumatic & Musculoskeletal Medicine, University of Leeds, Leeds, UK, Division of Immunology and Rheumatology, Stanford University, Stanford, CA, USA, Department of Rheumatology, University of Toronto, Toronto, ON, Canada, Botnar Research Centre, University of Oxford, Oxford, UK, Eli Lilly and Company, Indianapolis, IN, USA, Incyte Corporation, Wilmington, DE, USA Note: Dr. DiCarlo was an employee of Spires Science, Inc. at the time of this study; Dr. Luchi was an employee of Incyte Corporation at the time the study). This study was funded by Eli Lilly and Company and Incyte Corporation.

Objective: Magnetic resonance imaging (MRI) was used in a Phase IIb study (NCT01185353) of baricitinib in patients with RA to support dose selection for the Phase III program.

Methods: 301 patients with active RA on stable methotrexate were randomized 2:1:1:1:1 to placebo or once-daily baricitinib (1-, 2-, 4-, or 8-mg) for up to 24 weeks. 154 patients with definitive radiographic erosion had MRI of the hand/wrist at baseline and weeks 12 and 24. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3899/jrheum.171469DOI Listing
January 2019

Volar Approach to Percutaneous Fixation of Acute Nondisplaced Fractures of the Scaphoid.

Tech Hand Up Extrem Surg 2019 Jan 8. Epub 2019 Jan 8.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.

Scaphoid fractures typically occur in young, healthy males at the peak of their employment and productivity, and left untreated or inadequately treated will ultimately progress to nonunion and a "predictable" pattern of wrist arthritis and carpal collapse. Nonoperative treatment of these fractures requires prolonged cast immobilization, which can lead to wrist stiffness, loss of grip strength, muscle atrophy, and protracted loss of economic productivity. To prevent these devastating sequelae, percutaneous techniques for scaphoid fixation have been described and popularized; however, these techniques are technically demanding as optimal position of the compression screw is required to achieve bony union. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BTH.0000000000000213DOI Listing
January 2019

Association of Angiogenic and Inflammatory Markers with Power Doppler Ultrasound Vascularity Grade and DAS28-CRP in Early Rheumatoid Arthritis: A Comparative Analysis.

Biomed Res Int 2018 25;2018:6906374. Epub 2018 Nov 25.

DNB (Medicine), FRCP, Professor and Head, Department of Rheumatology, Institute of Postgraduate Medical Education and Research, SSKM Hospital, Kolkata, India.

Objective: Upregulation of various proinflammatory and angiogenic mediators orchestrates the typical pathological synovial alterations in rheumatoid arthritis (RA). DAS28-CRP is commonly used for assessment of RA disease activity and power Doppler ultrasonography (PDUS) is an important modality for assessing synovial vascularity. This study was intended to look for the association of various inflammatory and angiogenic mediators, with respect to different PDUS vascularity grades and disease activity status, in early RA patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/6906374DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6286781PMC
November 2018
1 Read

The value of joint ultrasonography in predicting arthritis in seropositive patients with arthralgia: a prospective cohort study.

Arthritis Res Ther 2018 Dec 19;20(1):279. Epub 2018 Dec 19.

Amsterdam Rheumatology and immunology Center | Reade, Dr. Jan van Breemenstraat 2, 1056 AB, Amsterdam, The Netherlands.

Background: The value of joint ultrasonography (US) in the prediction of clinical arthritis in individuals at risk of developing rheumatoid arthritis (RA) is still a point of debate, due to varying scanning protocols and different populations. We investigated whether US abnormalities assessed with a standard joint protocol can predict development of arthritis in seropositive patients with arthralgia.

Methods: Anti-citrullinated protein antibodies and/or rheumatoid factor positive patients with arthralgia, but without clinical arthritis were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13075-018-1767-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300036PMC
December 2018
4 Reads

Functional Outcome after Treatment of Aggressive Tumours in the Distal Radius: Comparison between Reconstruction using Proximal Fibular Graft and Wrist Fusion.

Malays Orthop J 2018 Nov;12(3):19-23

Department of Orthopaedics, Hospital Universiti Sains Malaysia, Kubang Kerian, Malaysia.

Restoration of a functional hand is the ultimate goal following a distal radius tumour resection. The early outcomes of mobile wrist reconstruction are satisfactory; however, long-term results are unpredictable due to late wrist instability and degenerative arthritis. Our aim is to compare mobile wrist reconstruction with wrist fusion (pan-carpal fusion) in our cohort of patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5704/MOJ.1811.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287129PMC
November 2018
1 Read

[A Case of Rheumatoid Arthritis Developed during Treatment with Nivolumab for Renal Cell Carcinoma].

Hinyokika Kiyo 2018 10;64(10):397-401

The Department of Urology, Nara Medical University.

A 66-year-old man underwent nephrectomy for right renal cell carcinoma (cT3bNOMl (PUL)). Thereafter, he was treated with sunitinib for lung metastasis as the first-line therapy for 5 months and then axitinib as the second-line therapy for 2 months. Because lung metastasis progressed despite molecular targeted therapies, nivolumab was used as the third-line treatment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14989/ActaUrolJap_64_10_397DOI Listing
October 2018
3 Reads

Musculoskeletal ultrasound as a biomarker of remission - results from a one-year prospective study in patients with rheumatoid arthritis.

Med Ultrason 2018 Dec;20(4):453-460

Medical University of Plovdiv, Medical Faculty, Department of Propedeutic of Internal Diseases; University Hospital "Kaspela'', Rheumatology Clinic.

Aims: To assess the role of musculoskeletal ultrasound (MSUS) as a biomarker of remission and to compare the rates of clinical and imaging remission in patients with rheumatoid arthritis (RA) on different types of treatment.

Material And Methods: One hundred and forty-one patients underwent physical and ultrasound examination at 5 visits (at baseline and after 1, 3, 6 and 12 months). Patients were divided into two groups according to the type of treatment, which involved synthetic (sDMARDs) and biologic (bDMARDs) disease-modifying antirheumatic drugs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.11152/mu-1609DOI Listing
December 2018
2 Reads

Combined synovectomy and extensor carpi radialis longus transfer to realign and stabilise the rheumatoid wrist.

Orthop Traumatol Surg Res 2018 Nov 29. Epub 2018 Nov 29.

Faculté de médecine de Tours, service d'orthopédie traumatologie, université François-Rabelais de Tours, CHRU de Trousseau, 1C, avenue de la République, 37170 Chambray-les-Tours, France.

Background: In patients with rheumatoid arthritis, the surgical treatment of wrist lesions relies on synovectomy combined with stabilisation and realignment of the carpal bones. The objective of this study was to evaluate the outcomes and define the indications of extensor carpi radialis longus (ECRL) transfer to the extensor carpi ulnaris (ECU) as described by Clayton and Ferlic.

Hypothesis: ECRL-to-ECU transfer combined with synovectomy can prevent the development and/or progression of rheumatoid deformities at the wrist. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.otsr.2018.08.020DOI Listing
November 2018
1 Read

The Advantages of Type III Scaphoid Nonunion Advanced Collapse (SNAC) Treatment With Partial Carpal Arthrodesis in the Dominant Hand: Results of 5-year Follow-up.

Med Arch 2018 Oct;72(4):253-256

Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.

Introduction: The SNAC wrist (Scaphoid nonunion advanced collapse) is one of the complications following scaphoid fractures treated conservatively and one of the causes of wrist arthritis that the hand surgeon has to face most frequently. In these cases surgical management is usually warranted.

Materials And Methods: In the set time frame of 6 years we treated 15 SNAC wrist cases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5455/medarh.2018.72.253-256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194931PMC
October 2018
1 Read

My personal experience with arthroplasties in the hand and wrist over the past four decades.

J Hand Surg Eur Vol 2018 Dec 4:1753193418817172. Epub 2018 Dec 4.

Capio/CFR Hospital, Hellerup, Denmark.

I summarize my changing views and practices of arthroplasty in hand surgery over the past four decades. I recommend simple resection of the trapeziectomy for advanced arthritis of the first carpometacarpal joint, silicone implants for the metacarpophalangeal joints and the proximal interphalangeal joints, and the total wrist arthroplasty for advanced wrist arthritis and collapse. I also outline technical tips of these procedures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1753193418817172DOI Listing
December 2018
1 Read

Pseudogout: An Autoimmune Paraneoplastic Manifestation of Myelodysplastic Syndrome.

Cureus 2018 Sep 27;10(9):e3372. Epub 2018 Sep 27.

Internal Medicine, University at Buffalo / Sisters of Charity Hospital, Buffalo, USA.

Myelodysplastic syndrome (MDS) is often associated with autoimmune paraneoplastic manifestations. Seronegative arthritis is among one of them. Very rarely, pseudogout demonstrated as paraneoplastic autoimmune manifestations of MDS has been adumbrated so far. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.3372DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260197PMC
September 2018
9 Reads

Sequence of joint tissue inflammation during rheumatoid arthritis development.

Arthritis Res Ther 2018 Nov 21;20(1):260. Epub 2018 Nov 21.

Department of Rheumatology C1-R, Leiden University Medical Centre, PO Box 9600, Leiden, 2300RC, the Netherlands.

Objective: Subclinical joint inflammation in patients with arthralgia is predictive for progression to rheumatoid arthritis (RA). However, the time course of progression for bone marrow edema (osteitis), synovitis, and/or tenosynovitis is unsettled. This longitudinal study assessed the course of magnetic resonance imaging (MRI)-detected subclinical joint inflammation during progression to RA. Read More

View Article

Download full-text PDF

Source
https://arthritis-research.biomedcentral.com/articles/10.118
Publisher Site
http://dx.doi.org/10.1186/s13075-018-1756-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249752PMC
November 2018
10 Reads

Articular abnormalities that may mimic arthritis.

J Ultrason 2018 ;18(74):212-223

Leeds Teaching Hospitals and Leeds University, Leeds, UK.

There are numerous abnormalities that present with similar signs and symptoms to arthritis. In this article some of these conditions that can masquerade as arthritis are discussed. Synovial osteochondromatosis is an uncommon benign disorder marked by the metaplastic proliferation of multiple cartilaginous nodules in the synovial membrane of the joints, bursae, or tendon sheaths. Read More

View Article

Download full-text PDF

Source
http://jultrason.pl/index.php/issues/volume-18-no-74/articul
Publisher Site
http://dx.doi.org/10.15557/JoU.2018.0032DOI Listing
January 2018
7 Reads

A Familial Case of Multicentric Carpotarsal Osteolysis Syndrome and Treatment Outcome.

J Pediatr Genet 2018 Dec 16;7(4):174-179. Epub 2018 Jun 16.

Department of Genetics, University of Alabama at Birmingham, Birmingham, Alabama, United States.

Multicentric carpotarsal osteolysis syndrome (MCTO) is a rare skeletal disorder caused by heterozygous mutations in the gene (v-maf musculoaponeurotic fibrosarcoma oncogene ortholog B). This is an autosomal dominant condition with a high frequency of sporadic cases. MCTO is characterized by osteolysis of the carpal, metacarpal, and tarsal bones beginning in early childhood with musculoskeletal rheumatologic symptoms such as pain and disability. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1657760
Publisher Site
http://dx.doi.org/10.1055/s-0038-1657760DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234043PMC
December 2018
9 Reads

Anatomic Pyrocarbon Hemiarthroplasty for Thumb Carpometacarpal Osteoarthritis in Patients under 65 Years: Mid Term Results.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):469-473

† School of Medicine, Deakin University, Waurn Ponds, Geelong, Australia.

Background: To assess the midterm outcome of patients under 65 who underwent anatomic pyrocarbon hemiarthroplasty for thumb carpometacarpal (CMC) osteoarthritis.

Methods: A prospective analysis was performed of a consecutive series of active patients, less than 65 years of age, with symptomatic osteoarthritis who had undergone a CMC hemiarthroplasty using a stemmed metacarpal based, anatomic pyrolytic carbon resurfacing with an additional one third flexor carpi radialis (FCR) tendon transfer to maintain stability. The Wrightington Hand Score, Disability Arm Shoulder and Hand (DASH) Score, and the Patient Rated Wrist Evaluation Score (PRWE) were utilised. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1142/S2424835518500443DOI Listing
December 2018
10 Reads

Surgical Strategy for Scaphoid Nonunion Treatment.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):450-462

1 Department of Orthopaedic Surgery, Dongguk University College of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.

Scaphoid fracture is the most common carpal fracture. Nonunion rate has been reported around 10 to 15% of scaphoid fractures. Risk factors for scaphoid nonunion are known as location, displacement, poor vascularity, time to treatment etc. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1142/S2424835518300049DOI Listing
December 2018
10 Reads

Carpal Tunnel Syndrome and Flexor Tendon Rupture in the Wrist with Asymptomatic Scapholunate Advanced Collapse: A Case Report.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):589-592

1 Department of Orthopedic Surgery, Hokkaido Saiseikai Otaru Hospital, Otaru, Japan.

We experienced a rare case of carpal tunnel syndrome and rupture of the flexor digitorum profundus tendon to the index finger with a scapholunate advanced collapse wrist. We speculated that the lunate that had extruded into the carpal tunnel compressed the median nerve and caused wear of the flexor tendon following neglected perilunate subluxation. Carpal tunnel release, opponensplasty by palmaris longus tendon transfer, and a bridge graft by a half-slip of the flexor carpi radialis tendon resulted in recovery of pinch function and improvement in numbness of the hand. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1142/S2424835518720360DOI Listing
December 2018
1 Read

Trends and Demographics in the Utilization of Total Wrist Arthroplasty.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):501-505

* Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, NY, USA.

Background: Health disparities exist among many patient populations, with race, payer status, hospital size and access to teaching versus non-teaching hospitals potentially affecting whether certain patients have access to the benefits of total wrist arthroplasty (TWA).

Methods: The National Inpatient Sample Database (NIS) was queried from 2001 to 2013 for TWA using the ICD-9 code 81.73. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1142/S2424835518500492DOI Listing
December 2018
1 Read

Automatic quantification of tenosynovitis on MRI of the wrist in patients with early arthritis: a feasibility study.

Eur Radiol 2018 Nov 12. Epub 2018 Nov 12.

Department of Radiology, Division of Image Processing, Leiden University Medical Center, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.

Objectives: Tenosynovitis (inflammation of the synovial lining of the sheath surrounding tendons) is frequently observed on MRI of early arthritis patients. Since visual assessment of tenosynovitis is a laborious task, we investigated the feasibility of automatic quantification of tenosynovitis on MRI of the wrist in a large cohort of early arthritis patients.

Methods: For 563 consecutive early arthritis patients (clinically confirmed arthritis ≥ 1 joint, symptoms < 2 years), MR scans of the wrist were processed in three automatic stages. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00330-018-5807-2
Publisher Site
http://dx.doi.org/10.1007/s00330-018-5807-2DOI Listing
November 2018
11 Reads

Revision Total Wrist Arthroplasty Due to Polyethylene Wear, Metallosis-Induced Carpal Tunnel Syndrome, Distal Ulnar Impingement, and Fourth Carpometacarpal Joint Pain: Case Report and Pitfalls to Avoid.

Hand (N Y) 2018 Nov 12:1558944718810863. Epub 2018 Nov 12.

1 Cleveland Clinic, Warrensville Heights, OH, USA.

Background: Total wrist arthroplasty (TWA) is indicated to alleviate pain secondary to arthritis while preserving wrist motion. Despite vigilant measures, TWAs are susceptible to complications. The current case illustrates an array of preventable complications which are addressed through operative technique in a revision setting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1558944718810863DOI Listing
November 2018
1 Read

Performance of routine assessment of patient index data 3 (RAPID3) in monitoring disease activity of Chinese rheumatoid arthritis patients.

Int J Rheum Dis 2018 Nov 6;21(11):1940-1945. Epub 2018 Nov 6.

Department of Rheumatology and Clinical Immunology, Peking University First Hospital, Beijing, China.

Aim: To explore the performance of routine assessment of patient index data 3 (RAPID3) in reflecting disease activity in Chinese rheumatoid arthritis (RA) patients.

Method: The clinical data of 189 consecutive RA patients, including RAPID3 questionnaire, Disease Activity Score based on 28-joint count (DAS28), clinical disease activity index (CDAI) and simplified disease activity index (SDAI), and ultrasonography of hand and wrist joints were collected. The consistency between RAPID3 and DAS28, CDAI, SDAI in RA patients with different disease activities was performed by Spearman's correlations, kappa and/or weighted kappa coefficients. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/1756-185X.13405
Publisher Site
http://dx.doi.org/10.1111/1756-185X.13405DOI Listing
November 2018
5 Reads

Infection of a tophaceous nodule of the wirst and hand.

BMJ Case Rep 2018 Oct 28;2018. Epub 2018 Oct 28.

Orthopaedic, CHU Habib Bourguiba, Sfax, Tunisia.

Tophaceous gout occurs years after recurrent attacks of acute inflammatory arthritis. The urate deposits are incriminated in the inflammatory process; however, their infection is exceptional. We report the observation of an infected gouty tophus of the pinky and the wrist of a 40-year-old man, presented as an excruciating inflammatory pain with buff-yellow swelling of the fifth right finger and wrist in a febrile context. Read More

View Article

Download full-text PDF

Source
http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22602
Publisher Site
http://dx.doi.org/10.1136/bcr-2018-226029DOI Listing
October 2018
8 Reads

Systematic Review of Total Wrist Arthroplasty and Arthrodesis in Wrist Arthritis.

J Wrist Surg 2018 Nov 21;7(5):424-440. Epub 2018 May 21.

Hand and Wrist Unit, Department of Orthopaedics, Guy's and St Thomas' Hospitals, London, United Kingdom.

 End-stage wrist arthritis has traditionally been treated with a total wrist fusion. There is a recent trend toward motion preserving surgery in the form of total wrist replacement.  Is there a functional benefit to performing a total wrist replacement instead of a total wrist fusion in patients with end-stage wrist arthritis? Is there any difference in secondary outcome measures including pain, grip strength, and range of motion? Does the risk of adverse events and treatment failure differ between the two techniques?  A systematic literature search was performed to identify studies reporting either total wrist arthrodesis or arthroplasty for end-stage wrist arthritis. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1646956
Publisher Site
http://dx.doi.org/10.1055/s-0038-1646956DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196084PMC
November 2018
13 Reads

Pisotriquetral Pain Treated with Bilateral Pisiform Excision in a Collegiate Diver.

J Wrist Surg 2018 Nov 24;7(5):415-418. Epub 2018 Apr 24.

Section of Plastic Surgery, Department of Surgery, Michigan Medicine, Ann Arbor, Michigan.

 Pisiform excision and pisotriquetral arthrodesis are two surgical options for the treatment of pisotriquetral joint pain when conservative methods fail. However, it is unclear which option is best for patients who experience substantial, repetitive loading on their wrists and wish to preserve wrist flexibility and function.  We present a case of bilateral ulnar-sided wrist pain related to the pisotriquetral joint in a 19-year-old collegiate diver. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1642047
Publisher Site
http://dx.doi.org/10.1055/s-0038-1642047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196093PMC
November 2018
26 Reads

Comparative anti-fracture effectiveness of different oral anti-osteoporosis therapies based on "real-world" data: a meta-analysis of propensity-matched cohort findings from the UK Clinical Practice Research Database and the Catalan SIDIAP Database.

Clin Epidemiol 2018 9;10:1417-1431. Epub 2018 Oct 9.

Oxford NIHR Biomedical Research Centre, University of Oxford, Oxford, United Kingdom,

Purpose: This paper aims to compare the clinical effectiveness of oral anti-osteoporosis drugs based on the observed risk of fracture while on treatment in primary care actual practice.

Materials And Methods: We investigated two primary care records databases covering UK National Health Service (Clinical Practice Research Datalink, CPRD) and Catalan healthcare (Information System for Research in Primary Care, SIDIAP) patients during 1995-2014 and 2006-2014, respectivey. Treatment-naive incident users of anti-osteoporosis drugs were included and followed until treatment cessation, switching, death, transfer out, or study completion. Read More

View Article

Download full-text PDF

Source
https://www.dovepress.com/comparative-anti-fracture-effectiv
Publisher Site
http://dx.doi.org/10.2147/CLEP.S164112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6183551PMC
October 2018
10 Reads

A wearable activity tracker intervention for promoting physical activity in adolescents with juvenile idiopathic arthritis: a pilot study.

Pediatr Rheumatol Online J 2018 Oct 22;16(1):66. Epub 2018 Oct 22.

Division of Rheumatology, The Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.

Background: Children and adolescents with juvenile idiopathic arthritis (JIA) are less physically active than their healthy peers and are at high risk of missing out on the general health benefits of physical activity. Wearable activity trackers are a promising option for intervening in this population with potential advantages over traditional exercise prescriptions. The objectives of this study were to: (1) determine the feasibility of a wearable activity tracker intervention in adolescents with JIA; and (2) estimate the variability in response to a wearable activity tracker intervention on the physical activity levels of adolescents with JIA. Read More

View Article

Download full-text PDF

Source
https://ped-rheum.biomedcentral.com/articles/10.1186/s12969-
Publisher Site
http://dx.doi.org/10.1186/s12969-018-0282-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198499PMC
October 2018
7 Reads

Back to the basics: Understanding joint swelling and tenderness at the wrist in rheumatoid arthritis through the use of ultrasonography.

Int J Rheum Dis 2018 Oct 21. Epub 2018 Oct 21.

Department of Rheumatology and Immunology, Singapore General Hospital, Singapore.

Aim: To compare ultrasound-detected inflammation with clinical manifestations at the wrist in rheumatoid arthritis (RA).

Method: Wrists assessed serially by assessors blinded to ultrasound findings were categorized into 4 groups: 1 = S0T0 (not swollen; not tender); 2 = S0T1 (not swollen; tender); 3 = S1T0 (swollen; not tender); 4 = S1T1 (swollen; tender). Ultrasound synovitis and tenosynovitis were graded semi-quantitatively (0-3) and dichotomously (0 or 1), respectively. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/1756-185X.13389
Publisher Site
http://dx.doi.org/10.1111/1756-185X.13389DOI Listing
October 2018
8 Reads
1.771 Impact Factor

Osteoid osteoma: multimodality imaging with focus on hybrid imaging.

Eur J Nucl Med Mol Imaging 2018 Oct 19. Epub 2018 Oct 19.

Department of Radiology and Nuclear Medicine, Cantonal Hospital Lucerne, Lucerne, Switzerland.

Osteoid osteoma is a painful, benign, osteoblastic lesion that occurs in younger patients and affects the extremities or the axial skeleton. While plain film findings may suggest the diagnosis, in complex anatomical regions such as the spine, pelvis, wrist and foot advanced imaging modalities are often required. A typical nidus surrounded by sclerosis or cortical thickening characterizes osteoid osteoma on plain radiography and CT. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00259-018-4181-2
Publisher Site
http://dx.doi.org/10.1007/s00259-018-4181-2DOI Listing
October 2018
6 Reads

Prevalence of posttraumatic arthritis following distal radius fractures in non-osteoporotic patients and the association with radiological measurements, clinician and patient-reported outcomes.

Arch Orthop Trauma Surg 2018 Dec 13;138(12):1699-1712. Epub 2018 Oct 13.

Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Introduction: Outcomes of non-osteoporotic patients who sustained a distal radius fracture (DRF) have not gained much attention in recent literature. The aims of this study were to determine the prevalence of posttraumatic arthritis (PA), to analyze associations of radiological measurements, clinician-reported and patient-reported outcomes (CROs and PROs) with PA and gain insight into employment changes after DRF in non-osteoporotic patients.

Methods: Non-osteoporotic patients following a DRF were selected. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00402-018-3046-2
Publisher Site
http://dx.doi.org/10.1007/s00402-018-3046-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224009PMC
December 2018
10 Reads

The First Report of Multicentric Carpotarsal Osteolysis Syndrome Caused by Mutation in Asian.

Case Rep Med 2018 16;2018:6783957. Epub 2018 Sep 16.

Department of Pediatrics, Faculty of Medicine, Thammasat University, Bangkok, Thailand.

Multicentric carpotarsal osteolysis syndrome (MCTO) is a rare skeletal disorder characterized by aggressive osteolysis associated with progressive nephropathy. The early clinical presentation can mimic polyarticular juvenile idiopathic arthritis. Since 2012, mutations have been discovered in all MCTO patients. Read More

View Article

Download full-text PDF

Source
https://www.hindawi.com/journals/crim/2018/6783957/
Publisher Site
http://dx.doi.org/10.1155/2018/6783957DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164201PMC
September 2018
9 Reads

The Effectiveness of Injected Corticosteroid Type, Dose, and Volume for the Treatment of Pain in Small- and Intermediate-size Joints: A Systematic Review.

PM R 2018 Oct 6. Epub 2018 Oct 6.

University of Utah, Division of Physical Medicine & Rehabilitation. Salt Lake City, UT.

Objective: To systematically evaluate the scientific literature examining the efficacy of corticosteroid injections in small- and intermediate-size joints, specifically looking at the effect of corticosteroid type, dose, and volume on clinical outcomes (pain and/or function). TYPE: Systematic review LITERATURE SURVEY: Medline (PubMed)®, Cochrane Central Register of Controlled Trial, and SportDiscus® databases were searched.

Methodology: Inclusion criteria included adult patients enrolled in prospective studies evaluating pain- and/or function-related improvements following a corticosteroid injection of a small- or intermediate-sized joint. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S19341482183098
Publisher Site
http://dx.doi.org/10.1016/j.pmrj.2018.09.040DOI Listing
October 2018
10 Reads

Imaging detected tenosynovitis of metacarpophalangeal and wrist joints: an increasingly recognised characteristic of rheumatoid arthritis.

Clin Exp Rheumatol 2018 Sep-Oct;36 Suppl 114(5):131-138. Epub 2018 Oct 1.

Department of Rheumatology, Leiden University Medical Center; and Department of Rheumatology, Erasmus University Medical Center, Rotterdam, The Netherlands.

Tenosynovitis is traditionally recognised at physical examination in patients with inflammatory rheumatic diseases, such as, e.g. psoriatic arthritis and (longstanding) rheumatoid arthritis (RA). Read More

View Article

Download full-text PDF

Source
January 2019
6 Reads

Motec Wrist Arthroplasty: 4 Years of Promising Results.

J Hand Surg Asian Pac Vol 2018 Sep;23(3):364-368

* Department of Orthopaedics, Southend University Hospital, Southend, UK.

Background: The Motec cementless modular metal-on-metal ball-and-socket wrist arthroplasty is an implant with promising intermediate results. An alternative to primary wrist fusion, total wrist arthroplasty is an option for active patients, who wish to retain their wrist function. It is indicated in cases of degenerative osteoarthritis, post-traumatic arthritis and rheumatoid (inflammatory) arthritis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1142/S2424835518500388DOI Listing
September 2018
8 Reads

Extensor carpi radialis longus tendon ball interposition arthroplasty for treatment of late-stage Kienböck's disease: Short-term results of a novel technique.

J Orthop Surg (Hong Kong) 2018 May-Aug;26(3):2309499018802514

2 Department of Orthopedic and Trauma Surgery, Inonu University Medicine Faculty, Malatya, Turkey.

Purpose: The aim of this study was to evaluate short-term clinical and radiological results of extensor carpi radialis longus (ECRL) tendon ball arthroplasty for treatment of late-stage Kienböck's disease.

Methods: We retrospectively reviewed data of 19 patients suffering from Kienböck's treated with ECRL tendon ball arthroplasty between December 2014 and December 2016. Patients' clinical functions were assessed using grip strength, range of motion (ROM) of the wrist, QuickDASH, Mayo wrist score, and visual analog scale score. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2309499018802514DOI Listing
October 2018
2 Reads

[Osteotomy after Distal Radius Fractures - Five-Year Clinical and Radiological Outcomes].

Acta Chir Orthop Traumatol Cech 2018 ;85(4):254-260

Ortopedická klinika Univerzitnej nemocnice a Jesseniovej lekárskej fakulty v Martine Univerzity Komenského v Bratislave.

PURPOSE OF THE STUDY The purpose of our retrospective study is to evaluate 5-year functional and radiological outcomes in patients following corrective osteotomy of the distal radius and ulnar osteotomy for malposition after a distal radius fracture, to identify differences in the outcomes of corrective osteotomies depending on the type of the original fracture according to the AO classification, the grade of arthritis of radiocarpal (RC) joint, surgical approach and the way of stabilisation of the osteotomy. MATERIAL AND METHODS The followed-up group of 22 patients (8 men and 14 women) underwent osteotomy for malposition of distal radius in the period 2007-2011. The age of patients in the followed-up group ranged from 21 to 72 years, with the mean age of 51 years at the time of surgery. Read More

View Article

Download full-text PDF

Source
January 2019
14 Reads

[Hand surgery in the rheumatic hand-novel and established aspects].

Z Rheumatol 2018 Dec;77(10):864-873

Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Deutschland.

Background: Hand surgery of the rheumatoid hand has undergone significant changes mostly as a result of biologicals and biosimilars.

Objective: The significance of established and innovative operative procedures in the modern treatment of the rheumatoid hand is elaborated and a subsumption of local interventional options in this context is carried out.

Methods: The analysis, evaluation and discussion of the literature and expert recommendations are presented. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00393-018-0542-2DOI Listing
December 2018
1 Read

Ulnar head arthroplasty with posterior interosseous nerve neurectomy: A case report.

Int J Surg Case Rep 2018 17;51:340-343. Epub 2018 Sep 17.

Hand and Wrist Unit (Center of Orthopedics and Traumatology), Hospital Cuf Descobertas, Lisbon, Portugal. Electronic address:

Background: Distal Radioulnar joint (DRUJ) arthropathy can occur as a consequence of multiple mechanisms, including trauma, inflammatory or degenerative arthritis or even congenital anomalies. Ulnar head arthroplasty has been proposed as a viable therapeutic option, potentially restoring wrist function and improving pain control. This can also be achieved by complete wrist neurectomy but it has several risks associated with the procedure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2018.09.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6153192PMC
September 2018
2 Reads

Development of clinically apparent synovitis: a longitudinal study at the joint level during progression to inflammatory arthritis.

RMD Open 2018 7;4(2):e000748. Epub 2018 Sep 7.

Department of Rheumatology, Leiden University Medical Centre, Leiden, The Netherlands.

Introduction: Subclinical inflammation, detected by MRI, in patients with arthralgia is predictive for development of inflammatory arthritis (IA). However, within patients that develop IA, the course of inflammation at the joint level during this transition is unknown. This longitudinal study assessed progression of inflammation at the joint level. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/rmdopen-2018-000748DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135411PMC
September 2018
3 Reads

Reliability of ultrasonography to detect inflammatory lesions and structural damage in juvenile idiopathic arthritis.

Pediatr Rheumatol Online J 2018 Sep 17;16(1):58. Epub 2018 Sep 17.

Laboratorio de ultrasonido musculoesquelético y articular, Instituto Nacional de Rehabilitación, Luis Guillermo Ibarra Ibarra, Calzada México-Xochimilco 289, Arenal de Guadalupe, Tlalpan, 14389, Mexico city, Mexico.

Background: Musculoskeletal Ultrasonography (MSUS) is an important tool for the clinical assessment in Juvenile Idiopathic Arthritis (JIA). The objective of this study was to evaluate the reliability of MSUS to detect elementary lesions: synovitis, tenosynovitis, cartilage damage and bone erosions in the wrist and metacarpal (MCP) joints of patients with JIA.

Methods: Thirty children in various subgroups of JIA according to ILAR criteria, were included in this cross-sectional study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12969-018-0275-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142317PMC
September 2018
2 Reads

Prospective randomized controlled trial in the treatment of lateral epicondylitis with a new dynamic wrist orthosis.

Eur J Med Res 2018 Sep 15;23(1):43. Epub 2018 Sep 15.

Orthopaedic-Surgery Centre (OCC), Tübingen, Germany.

Background: In the treatment of lateral epicondylitis (LE), the role of a new dynamic wrist orthosis is unclear.

Patients And Methods: Patients suffering from a LE longer than 3 months were multicentrically and prospectively randomized into a physiotherapeutic group (PT group) and in a physiotherapy group plus wrist orthosis (PT + O group). Physiotherapy consisted of daily eccentric strengthening exercises under initial professional supervision. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40001-018-0342-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138897PMC
September 2018
3 Reads

Evidence of a Causal Effect of Estradiol on Fracture Risk in Men.

J Clin Endocrinol Metab 2019 Feb;104(2):433-442

Centre for Bone and Arthritis Research, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Context: Observational studies indicate that serum estradiol (E2) is more strongly associated with bone mineral density (BMD) than serum testosterone (T) is, whereas both E2 and T associate with fracture risk in men.

Objective: To evaluate the possible causal effect of serum E2 and T on fracture risk in men.

Design, Setting, And Participants: A Mendelian randomization (MR) approach was undertaken using individual-level data on genotypes, BMD as estimated by quantitative ultrasound of the heel (eBMD), fractures (n = 17,650), and relevant covariates of 175,583 unrelated men of European origin from the UK Biobank. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1210/jc.2018-00934DOI Listing
February 2019
2 Reads

Using a ResearchKit Smartphone App to Collect Rheumatoid Arthritis Symptoms From Real-World Participants: Feasibility Study.

JMIR Mhealth Uhealth 2018 Sep 13;6(9):e177. Epub 2018 Sep 13.

GlaxoSmithKline, Collegeville, PA, United States.

Background: Using smartphones to enroll, obtain consent, and gather self-reported data from patients has the potential to enhance our understanding of disease burden and quantify physiological impact in the real world. It may also be possible to harness integral smartphone sensors to facilitate remote collection of clinically relevant data.

Objective: We conducted the Patient Rheumatoid Arthritis Data From the Real World (PARADE) observational study using a customized ResearchKit app with a bring-your-own-device approach. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2196/mhealth.9656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231853PMC
September 2018
3 Reads

Characteristics and Outcome of Twenty-Nine Implant-Related Infections of the Hand and Fingers: Results from a Twelve-Year Observational Study.

Surg Infect (Larchmt) 2018 Oct 7;19(7):729-734. Epub 2018 Sep 7.

2 Department of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern , Bern, Switzerland .

Background: Implant-related infections in hand surgery are dreaded complications, potentially leading to loss of finger joint function or amputation. Knowledge about the clinical presentation and treatment concepts of these infections is limited. The aim of this study is to present a consecutive series of patients with implant-related infections of the finger joints and wrist. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/sur.2018.133DOI Listing
October 2018
3 Reads

Arthritis in sarcoidosis: A multicentric study from India.

Int J Rheum Dis 2018 Sep 5;21(9):1728-1733. Epub 2018 Sep 5.

KGMU, Lucknow, India.

Introduction: Ten to 15% of patients with sarcoidosis have associated arthritis. Chronic arthritis is fairly uncommon. There is a paucity of data on articular manifestations of the disease from India. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1756-185X.13349DOI Listing
September 2018
21 Reads
1.771 Impact Factor

Long-term patient reported outcomes of elbow, wrist and hand surgery for rheumatoid arthritis.

Int J Rheum Dis 2018 Sep 5;21(9):1701-1708. Epub 2018 Sep 5.

Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.

Aim: A retrospective questionnaire survey was conducted to investigate the long-term outcomes of elbow, wrist and hand surgery for rheumatoid arthritis (RA).

Methods: One hundred and thirteen RA patients underwent primary elective elbow, wrist or hand surgery at our hospital between January 2002 and December 2003. To evaluate the outcomes at 10 years after surgery, the patient-reported outcomes were assessed using an original questionnaire that inquired about the site of treatment; the modified Stanford Health Assessment Questionnaire (mHAQ) was also used. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1756-185X.13340DOI Listing
September 2018
3 Reads

Classifications in Brief: Watson and Ballet Classification of Scapholunate Advanced Collapse Wrist Arthritis.

Clin Orthop Relat Res 2018 Aug 29. Epub 2018 Aug 29.

Department of Orthopaedics, Gold Coast University Hospital, Gold Coast, Australia.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/CORR.0000000000000451DOI Listing
August 2018
1 Read