40,670 results match your criteria Wrist Dislocation


Comparison of Wide-Awake Local Anesthesia No Tourniquet With General Anesthesia With Tourniquet for Volar Plating of Distal Radius Fracture.

Orthopedics 2018 Dec 11:1-6. Epub 2018 Dec 11.

Wide-awake local anesthesia no tourniquet (WALANT) is used for various hand surgeries, but there are no reports of its use for distal radius fractures. The authors compared perioperative variables and clinical outcomes for volar plating for distal radius fractures with WALANT vs general anesthesia with tourniquet. This retrospective study included 47 patients who presented with distal radius fractures between January 2015 and February 2017. Read More

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December 2018

The effect of task-oriented electromyography-triggered electrical stimulation of the paretic wrist extensors on upper limb motor function early after stroke: a pilot randomized controlled trial.

Int J Rehabil Res 2018 Dec 11. Epub 2018 Dec 11.

Department of Physical Medicine and Rehabilitation, University of Health Science, Diskapi Yildirim Beyazit Research and Training Hospital, Ankara, Turkey.

The combined effect of task-oriented motor training and electromyography (EMG)-triggered electrical stimulation (ES) has been examined in chronic stroke, but there are no published reports in patients with early stroke. Therefore, the purpose of this study was to determine the short-term and long-term effects of task-oriented EMG-triggered ES on upper limb motor function in acute/subacute stroke. Twenty-seven patients with stroke within the first 3 months after stroke onset were randomly allocated to an experimental group and a control group. Read More

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December 2018
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Correlation Between IL-20 and De Quervain's Disease Severity.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S6-S12

Department of Orthopedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

De Quervain's disease is a stenosing tenosynovitis of the first dorsal compartment of the wrist. Histopathological studies have reported that the thickening of the first dorsal retinaculum is characterized by degeneration rather than inflammation. However, significant infiltration of mast cells and macrophages was noted in a torn tendon study, which suggested that innate immune pathways are part of the mechanism that mediates early tendinopathy. Read More

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January 2019

Real-time Mobile Monitoring of the Dynamic Associations Among Motor Activity, Energy, Mood, and Sleep in Adults With Bipolar Disorder.

JAMA Psychiatry 2018 Dec 12. Epub 2018 Dec 12.

Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Importance: Biologic systems involved in the regulation of motor activity are intricately linked with other homeostatic systems such as sleep, feeding behavior, energy, and mood. Mobile monitoring technology (eg, actigraphy and ecological momentary assessment devices) allows the assessment of these multiple systems in real time. However, most clinical studies of mental disorders that use mobile devices have not focused on the dynamic associations between these systems. Read More

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December 2018

[Diagnostics and treatment of acute scaphoid fractures].

Unfallchirurg 2018 Dec 11. Epub 2018 Dec 11.

Abteilung für Plastische, Hand- und Rekonstruktive Chirurgie, BG Unfallklinik Frankfurt, Friedberger Landstr. 430, 60389, Frankfurt am Main, Deutschland.

Background: Fractures of the scaphoid bone are common but can easily be overlooked in standard X‑rays. Inadequate diagnostics and therefore inappropriate treatment of scaphoid fractures often leads to problems in healing with formation of non-union and painful osteoarthritis of the wrist.

Objective: This review summarizes the current practical recommendations in the diagnostics and treatment of acute scaphoid fractures. Read More

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December 2018

Unusual Etiology of Acute Wrist Pain: Acute Calcific Tendonitis of the Flexor Carpi Ulnaris Mimicking an Infection.

Authors:
Man R Shim

Case Rep Orthop 2018 14;2018:2520548. Epub 2018 Nov 14.

Department of Medicine, Rheumatology Division, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.

Acute calcific tendonitis is a common cause of musculoskeletal pain. However, it seldom affects the hand and wrist. For that reason, it is frequently mistaken for more common etiologies. Read More

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November 2018

Wrist accelerometer shape feature derivation methods for assessing activities of daily living.

BMC Med Inform Decis Mak 2018 Dec 12;18(Suppl 4):124. Epub 2018 Dec 12.

Department of Computer and Information Science and Engineering, University of Florida, Gainesville, FL, USA.

Background: There has been an increasing interest in understanding the usefulness of wrist-based accelerometer data for physical activity (PA) assessment due to the ease of use and higher user compliance than other body placements. PA assessment studies have relied on machine learning methods which take accelerometer data in forms of variables, or feature vectors.

Methods: In this work, we introduce automated shape feature derivation methods to transform epochs of accelerometer data into feature vectors. Read More

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December 2018

Distal radial access for coronary angiography and percutaneous coronary intervention: A state-of-the-art review.

Authors:
Thierry Corcos

Catheter Cardiovasc Interv 2018 Dec 11. Epub 2018 Dec 11.

Department of Cardiology, American Hospital of Paris and Hôpital Foch, Suresnes, France.

Since its introduction by Lucien Campeau three decades ago, percutaneous radial artery approach at the forearm has been shown to provide advantages over the femoral approach and has become the standard approach for coronary angiography and intervention. Though infrequent, vascular complications still remain, mainly radial artery occlusion. Therefore, a more distal radial approach at the snuffbox or at the dorsum of hand has been suggested, initially by anethesiologists for perioperative patient monitoring, and more recently by Babunashvili et al. Read More

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December 2018

Novel features for capturing temporal variations of rhythmic limb movement to distinguish convulsive epileptic and psychogenic nonepileptic seizures.

Epilepsia 2018 Dec 9. Epub 2018 Dec 9.

Department of Electrical and Electronic Engineering, The University of Melbourne, Melbourne, Victoria, Australia.

Objective: To investigate the characteristics of motor manifestation during convulsive epileptic and psychogenic nonepileptic seizures (PNES), captured using a wrist-worn accelerometer (ACM) device. The main goal was to find quantitative ACM features that can differentiate between convulsive epileptic and convulsive PNES.

Methods: In this study, motor data were recorded using wrist-worn ACM-based devices. Read More

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December 2018

Time course of changes in corticospinal excitability induced by motor imagery during action observation combined with peripheral nerve electrical stimulation.

Exp Brain Res 2018 Dec 8. Epub 2018 Dec 8.

Tokyo Bay Rehabilitation Hospital, 4-1-1 Yatsu, Narashino-shi, Chiba, 275-0026, Japan.

While previous studies assessed corticospinal excitability changes during and after motor imagery (MI) or action observation (AO) combined with peripheral nerve electrical stimulation (ES), we examined, for the first time, the time course of corticospinal excitability changes for MI during AO combined with ES (AO-MI + ES) using transcranial magnetic stimulation to measure motor evoked potentials (MEPs) in healthy individuals. Fourteen healthy volunteers participated in the following three sessions on different days: AO-MI alone, ES alone, and AO-MI + ES. In the AO-MI task, participants imagined squeezing and relaxing a ball, along with the respective actions shown in a movie, while passively holding the ball. Read More

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December 2018

Computer-assisted Surgery for Scaphoid Fracture.

Curr Med Sci 2018 Dec 7;38(6):941-948. Epub 2018 Dec 7.

Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing, 100035, China.

The computer-assisted surgery (CAS) has significantly improved the accuracy, reliability and outcomes of traumatic, spinal, nerve surgery and many other operations with a less invasive way. The application of CAS for scaphoid fractures remains experimental. The related studies are scanty and most of them are cadaver researches. Read More

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December 2018

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

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December 2018

Combined Ipsilateral Humeral Shaft and Galeazzi Fractures Creating a Floating Elbow Variant.

Case Rep Orthop 2018 8;2018:7430297. Epub 2018 Nov 8.

Department of Orthopaedic Surgery, New York-Presbyterian Hospital, New York, USA.

"Floating elbow" injuries of the arm traditionally represent a combination of humeral shaft and forearm fractures which require anatomic rigid open reduction and internal fixation of all fractures to allow for early range of motion exercises of the elbow. There are published variants of the floating elbow injury which include ipsilateral diaphyseal humeral fracture, proximal ulna fracture with proximal radioulnar joint disruption, and ipsilateral diaphyseal humeral fracture with elbow dislocation and both bones forearm fracture. We present the case of a 21-year-old woman whose left arm became caught between the side of a waterslide and adjacent rocks at a park. Read More

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November 2018

Arthroscopic Transosseous Repair for both Proximal and Distal Components of Peripheral Triangular Fibrocartilage Complex Tear.

Indian J Orthop 2018 Nov-Dec;52(6):596-601

Department of Orthopaedic Surgery, Korea University Anam Hospital, Seoul, Korea.

Background: Tears of the triangular fibrocartilage complex (TFCC) can result in instability of the distal radioulnar joint (DRUJ) and ulnar-sided wrist pain. This study evaluates clinical results of arthroscopic transosseous repair for both proximal and distal components of TFCC tear with DRUJ instability.

Materials And Methods: Ten patients who underwent both proximal component and distal component of TFCC repair were retrospectively reviewed. Read More

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December 2018

Accuracy of Wrist-Worn Activity Monitors During Common Daily Physical Activities and Types of Structured Exercise: Evaluation Study.

JMIR Mhealth Uhealth 2018 Dec 10;6(12):e10338. Epub 2018 Dec 10.

Department of Biomedical Engineering, Oregon Health & Science University, Portland, OR, United States.

Background: Wrist-worn activity monitors are often used to monitor heart rate (HR) and energy expenditure (EE) in a variety of settings including more recently in medical applications. The use of real-time physiological signals to inform medical systems including drug delivery systems and decision support systems will depend on the accuracy of the signals being measured, including accuracy of HR and EE. Prior studies assessed accuracy of wearables only during steady-state aerobic exercise. Read More

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December 2018

The impact of aircraft noise exposure on objective parameters of sleep quality: results of the DEBATS study in France.

Sleep Med 2018 Oct 28;54:70-77. Epub 2018 Oct 28.

Univ Lyon, Université Claude Bernard Lyon 1, IFSTTAR, UMRESTTE, UMR T_9405, Bron, France. Electronic address:

Background: Noise in the vicinity of airports is a public health issue. Exposure to aircraft noise has been shown to have adverse effects on health and particularly on sleep. Many studies support the hypothesis that noise at night can affect subjective sleep quality. Read More

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October 2018

Evaluation of pain, functional capacity and kinesiophobia in women in the chronic stage of chikungunya virus infection: a cross-sectional study in northeastern Brazil.

Acta Trop 2018 Dec 7. Epub 2018 Dec 7.

Center of Mathematics, Computing, and Cognition, Federal University of ABC, São Bernardo, SP, Brazil.

Arboviral diseases have been considered a global public health problem due to their growing territorial dispersion and impact on the population around the world. Individuals affected by the chikungunya virus go through an acute febrile illness associated with severe pain and long-lasting polyarthralgia. After the initial stage, infected individuals may progress to the chronic stage, which has an epidemic character and a high rate of disability and reduced mobility, impacting negatively on their quality of life. Read More

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December 2018

[Evolution of surgical indications in upper limb functional surgery for tetraplegic patients: Retrospective study of 428 procedures].

Ann Chir Plast Esthet 2018 Dec 7. Epub 2018 Dec 7.

Service de chirurgie plastique reconstructrice et esthétique, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.

Introduction: Regarding surgical strategy for upper limb functional rehabilitation in patients with traumatic tetraplegia, there are few publications and the case series are quite small.

Patients And Method: We reviewed all traumatic quadriplegic patients, operated one by one surgeon, professor Marc Revol, for functional surgery of the upper limb in the same department from 1989 to 2018. For each patient, we recorded their gender, their group according to the international classification, their age at the time of the first surgical procedure, the length of time between the accident and the first surgery and between two procedures, the average duration of the whole surgical program, and the surgical technique used for the elbow, the wrist, the long fingers and the thumb. Read More

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December 2018

Carpal tunnel syndrome due to hibernoma of the wrist: Case report.

Hand Surg Rehabil 2018 Dec 5. Epub 2018 Dec 5.

Service de traumatologie orthopédie I, Hôpital militaire d'instruction Mohamed V, Hay Ryad (avenue des FAR), 10000 Rabat, Morocco.

Carpal tunnel syndrome (CTS) is the most frequent among entrapment neuropathies. The usual etiology is idiopathic, but can be caused by space-occupying lesions, a relatively rare condition. This condition becomes exceptional when the space-occupying lesion corresponds to a rare tumor whose location is atypical. Read More

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December 2018

The Tuck Sign-Proliferative extensor tenosynovitis of the wrist.

Joint Bone Spine 2018 Dec 6. Epub 2018 Dec 6.

Rheumatology Department, Norfolk & Norwich University Hospital, Colney Lane, Norwich, NR4 7UY. UK.

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December 2018

Clinical and Laboratory Characteristics of an Acute Chikungunya Outbreak in Bangladesh in 2017.

Am J Trop Med Hyg 2018 Dec 10. Epub 2018 Dec 10.

Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.

From April to September 2017, Bangladesh experienced a huge outbreak of acute Chikungunya virus infection in Dhaka. This series describes the clinical and laboratory features of a large number of cases (690; 399 confirmed and 291 probable) suffered during that period. This observational study was carried out at Dhaka Medical College Hospital, Bangladesh. Read More

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December 2018

Changes in Scaphoid and Lunate Position and Loading at Two Wrist Pushup Positions.

Curr Rheumatol Rev 2018 Dec 10. Epub 2018 Dec 10.

Department of Orthopedic Surgery, SUNY Upstate Medical University, Syracuse, New York. United States.

Background: Scapholunate interosseous ligament (SLIL) injury following a fall on an outstretched hand may lead to carpal instability and in some cases require long term rehabilitation following repair. Rehabilitation, especially in athletes, may include pushups, but little is known as to what type of pushup may be safer.

Objective: To determine biomechanical differences between two pushup position (neutral or extended). Read More

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December 2018

Forearm muscle activation, ulnar nerve at the elbow and forearm fatigue in overhand sports.

Sports Biomech 2018 Dec 11:1-16. Epub 2018 Dec 11.

d Department of Biomedical Engineering , National Cheng Kung University , Tainan , Taiwan.

This study examined the morphologic changes of the ulnar nerve in different elbow positions by ultrasonography and the effects of fatigue on forearm muscle control during overhand movements. We enrolled 12 tennis players who performed flat serves and 15 baseball pitchers who performed fastball pitching. The motion capture was conducted with 14 reflective markers attached on anatomic landmarks of the participant for tennis serve and baseball pitching data collection. Read More

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December 2018

Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome.

Cochrane Database Syst Rev 2018 Dec 2;12:CD011215. Epub 2018 Dec 2.

School of Korean Medicine, Pusan National University, Beom-eu, Meulgeum, Yangsan, Korea, South, 626-870.

Background: Carpal tunnel syndrome (CTS) is a compressive neuropathic disorder at the level of the wrist. Acupuncture and other methods that stimulate acupuncture points, such as electroacupuncture, auricular acupuncture, laser acupuncture, moxibustion, and acupressure, are used in treating CTS. Acupuncture has been recommended as a potentially useful treatment for CTS, but its effectiveness remains uncertain. Read More

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December 2018
3 Reads

Management of Paediatric Buckle (Torus) Wrist Fractures in Irish Emergency Departments: A National Survey

Ir Med J 2018 08 13;111(7):793. Epub 2018 Aug 13.

Department of Emergency Medicine, University Hospital Galway, Galway

Buckle fractures are the most common wrist fractures reported in the paediatric age group. National Institute for Clinical Excellence (NICE) recommends using a non-rigid immobilisation with no follow up for these patients and appropriate discharge advice. A telephone survey was conducted to assess the variation in practice in Irish hospitals regarding the mpediatrianagement of buckle fractures. Read More

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Capitate and Lunate Morphology in Normal Wrist Radiographs-A Pilot study.

Curr Rheumatol Rev 2018 Dec 5. Epub 2018 Dec 5.

Department of Orthopedic Surgery, SUNY Upstate Medical University, Syracuse, NY. United States.

Morphology may provide the basis for the understanding of wrist mechanics. We used classification systems based on cadaver dissection of lunate and capitate types to evaluate a normal database of 70 wrist radiographs in 35 subjects looking for associations between bone shapes. Kappa statistics and a log-linear mixed -effects model with a random intercept were used. Read More

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December 2018

Pain Management during Rehabilitation after Distal Radius Fracture Stabilized with Volar Locking Plate: A Prospective Cohort Study.

Biomed Res Int 2018 5;2018:5786089. Epub 2018 Nov 5.

Department of Orthopedics, First Affiliated Hospital of Wenzhou Medical University, Nanbaixiang, Ouhai, Wenzhou, Zhejiang 325000, China.

Introduction: Internal fixation with volar locking plate (VLP) was widely adopted as a first-line choice in treatment of distal radius fracture (DRF).

Methods: Total 315 patients with distal radius fracture receiving VLP fixation were included for analysis in this study. The rehabilitation protocol was started immediately after surgery for all patients. Read More

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November 2018

Surgical anatomy of the dorsal cutaneous branch of the ulnar nerve and its clinical significance in surgery at the ulnar side of the wrist.

J Hand Surg Eur Vol 2018 Dec 5:1753193418815800. Epub 2018 Dec 5.

Upper Extremity and Reconstructive Microsurgery Unit, Institute of Orthopaedics, Lerdsin General Hospital, Department of Orthopaedic Surgery, College of Medicine, Rangsit University, Bangkok, Thailand.

The dorsal cutaneous branch of the ulnar nerve can be easily injured during surgery at the ulnar side of the wrist. We sought to identify the surgical anatomy, the pathway around the ulnar styloid process and the safe zone of the dorsal cutaneous branch of the ulnar nerve. In 44 forearm dissections, we found that the dorsal cutaneous branch of the ulnar nerve originated at a median distance of 6. Read More

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December 2018
4 Reads

Association of Dietary Inflammatory Index with anthropometric indices in children and adolescents: the weight disorder survey of the Childhood and Adolescence Surveillance and Prevention of Adult Non-communicable Disease (CASPIAN)-IV study.

Br J Nutr 2018 Dec 3:1-11. Epub 2018 Dec 3.

10Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease,Isfahan University of Medical Sciences,Isfahan 8174673461,Iran.

This study aimed to assess the relationship between the Dietary Inflammatory Index (DII®), a validated tool for evaluating diet-associated inflammation, and anthropometric indices in children and adolescents. This multicentre survey was conducted on 5427 school students selected via multistage cluster sampling from thirty provinces of Iran. This survey was conducted under the framework of the weight disorders survey, which is part of a national surveillance programme entitled Childhood and Adolescence Surveillance and Prevention of Adult Non-communicable Diseases-IV. Read More

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December 2018
1 Read

The Effect of Structured Exercise on Sleep During the Corresponding Night Among Older Women in an Exercise Program.

J Aging Phys Act 2018 Dec 3:1-23. Epub 2018 Dec 3.

c Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC.

This study investigated the acute effect of exercise on sleep outcomes among healthy older women by comparing days with structured exercise versus days without structured exercise during four months of exercise training. Participants (n = 51) in this study had wrist-worn actigraphic sleep data available following at least three days with structured exercise and three days without structured exercise at mid- and end-intervention. The exercise intervention was treadmill walking. Read More

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December 2018

Three-dimensional kinematics of the flexor pollicis longus tendon in relation to the position of the FPL plate and distal radius width.

Arch Orthop Trauma Surg 2018 Dec 1. Epub 2018 Dec 1.

AUVA Trauma Hospital Lorenz Böhler-European Hand Trauma Center, Donaueschingenstraße 13, 1200, Vienna, Austria.

Introduction: The standard therapy of intra-articular and extra-articular distal radius fractures consists of open reduction and stabilization using palmar osteosynthesis with an angularly stable plate. The integrity of the flexor pollicis longus tendon (FPLT) may be mechanically affected by the plate, with rupture rates between 1 and 12% reported in the literature, occurring during a postoperative time period from 4 to 120 months. The aim of this study was to investigate the position of the tendon in relation to the distal edge of the plate using high-resolution ultrasonic imaging. Read More

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December 2018
1 Read

Feasibility of a New Desktop Motion Analysis System with a Video Game Console for Assessing Various Three-Dimensional Wrist Motions.

Clin Orthop Surg 2018 Dec 21;10(4):468-478. Epub 2018 Nov 21.

Department of Orthopedic Surgery, Inje University Sanggye Paik Hospital, Seoul, Korea.

Background: The restriction of wrist motion results in limited hand function, and the evaluation of the range of wrist motion is related to the evaluation of wrist function. To analyze and compare the wrist motion during four selected tasks, we developed a new desktop motion analysis system using the motion controller for a home video game console.

Methods: Eighteen healthy, right-handed subjects performed 15 trials of selective tasks (dart throwing, hammering, circumduction, and winding thread on a reel) with both wrists. Read More

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December 2018

An important superficial vein of the radial aspect of the forearm: An anatomical study.

Indian J Plast Surg 2018 May-Aug;51(2):231-234

Department of Anatomy, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Introduction: The superficial veins of upper limbs are seldom talked about. They are always avoided quoting them to be variable in anatomy. Other than the cephalic and basilic veins, no other superficial vein has caught the eyes of anatomists and other health professionals significantly. Read More

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December 2018
1 Read

Correlation of compound muscle action potential generated by donor nerves with the recovery of elbow flexion in Oberlin transfer in brachial plexus injury.

Indian J Plast Surg 2018 May-Aug;51(2):137-144

Department of Plastic Surgery, Bombay Hospital and Institute of Medical Sciences, Mumbai, Maharashtra, India.

Objective: To study the correlation of compound muscle action potential of donor nerves with the recovery of elbow flexion in Oberlin transfer in brachial plexus injury.

Introduction: Distal nerve transfer using motor fascicle of ulnar or median nerve to restore elbow flexion is a part of reconstructive surgery after upper brachial plexus injury, first described by Oberlin . However, one of the most critical influences on functional outcome is number of functioning motor axons in donor fascicle which is reflected by its compound muscle action potential. Read More

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December 2018

Brachioradialis to flexor digitorum profundus tendon transfer to restore finger flexion.

Indian J Plast Surg 2018 May-Aug;51(2):123-130

Department of Plastic and Reconstructive Surgery, Nizams Institute of Medical Sciences, Hyderabad, Telangana, India.

Introduction: The main deformity following an adult lower brachial plexus injury is the loss of finger flexion. Distal nerve transfers have been used to restore finger and thumb flexion followed by tendon transfers for intrinsic replacement for opening of the fingers. When patients present beyond 6 months, only tendon transfers are applicable. Read More

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December 2018

Median neuropathy at the wrist in patients with systemic sclerosis: two-year follow-up study.

Reumatologia 2018 31;56(5):294-300. Epub 2018 Oct 31.

Department of Rehabilitation Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Objectives: To determine the incidence and factors associated with median neuropathy at the wrist (MNW) in systemic sclerosis (SSc) patients using an electrodiagnostic (EDX) study.

Material And Methods: SSc patients who attended the scleroderma clinic, Srinagarind Hospital, were prospectively evaluated by questionnaire, physical examination, and EDX study. The questionnaire consisted of the baseline characteristics, type of scleroderma, clinical signs and symptoms associated with scleroderma, and the Boston questionnaire. Read More

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October 2018

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

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November 2018
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Intermediate-Term Outcome After Distal Radius Fracture in Patients With Poor Outcome at 1 Year: A Register Study With a 2- to 12-Year Follow-Up.

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Department of Orthopedics, Clinical Sciences, Lund University and Skåne University Hospital, Lund.

Purpose: Most patients recover well from a distal radius fracture (DRF). However, approximately one-fifth have severe disability after 1 year when evaluated using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. In the present study, we evaluated this subgroup of patients in our register with an inferior outcome. Read More

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November 2018
1 Read

Isolated Partial Intra-Articular Volar Ulnar Fractures of the Distal Radius: The Tetrahedron Variant.

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Hand and Elbow Section, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Purpose: The aim of this study was to assess the treatment and complications of a distinct type of partial intra-articular distal radius fracture.

Methods: Seven patients treated by the senior author between 2008 and 2013 for a partial intra-articular distal radius fracture with isolated involvement of the volar lunate facet were included. All fragments had the distinctive shape of a triangular-base pyramid (tetrahedron) extending from the metaphysis distally. Read More

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November 2018
2 Reads

Satisfaction With Specific and Nonspecific Diagnoses.

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX. Electronic address:

Purpose: Nonspecific upper extremity illnesses (eg,. wrist pain, forearm pain)-where no objectively verifiable pathology is detectable-are common and usually self-limiting. For some patients, a nonspecific diagnosis can contribute to mistrust and disappointment. Read More

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November 2018
1 Read

Validation of algorithms used in commercial off-the-shelf dive computers.

Authors:
Doug Fraedrich

Diving Hyperb Med 2018 Dec;48(4):252-258

Washington DC, USA.

Introduction: Whilst the US Navy has been very systematic about validating Navy dive computer algorithms, there has been little documented or published evidence of rigorous testing of the algorithms in commercial off-the-shelf dive computers. This paper reports the evaluation of four algorithms used in these - Bühlmann ZHL-16C; VPM-B; Suunto-RGBM; EMC-20H - by comparison with US Navy experimental dives with known decompression sickness outcomes.

Methods: Three specific tests were developed to test the algorithms' ability to mitigate decompression sickness: Total decompression time; no stop times and first stop depth. Read More

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December 2018
1 Read

Objective and subjective measures of prior sleep-wake behavior predict functional connectivity in the default mode network during NREM sleep.

Brain Behav 2018 Dec 4:e01172. Epub 2018 Dec 4.

Centre for Human Brain Health, University of Birmingham, Birmingham, UK.

Introduction: Prior sleep behavior has been shown to correlate with waking resting-state functional connectivity (FC) in the default mode network (DMN). However, the impact of sleep history on FC during sleep has not been investigated. The aim of this study was to establish whether there is an association between intersubject variability in habitual sleep behaviors and the strength of FC within the regions of the DMN during non-rapid eye movement (NREM) sleep. Read More

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December 2018

Primary cemented bipolar radial head prostheses for acute elbow injuries with comminuted radial head fractures: mid-term results of 37 patients.

Musculoskelet Surg 2018 Dec 4. Epub 2018 Dec 4.

Department of Trauma and Handsurgery, Heinrich Heine University Hospital Duesseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.

Background: Radial head arthroplasty represents a widely accepted treatment for elbow injuries with non-reconstructible radial head fractures. The aim of this retrospective multicenter study was to assess mid-term results of patients with clearly defined elbow injuries including type III fractures of the radial head according to Mason's classification type III after primary arthroplasty using a cemented bipolar design.

Materials And Methods: In 45 cases a primary cemented bipolar arthroplasty of the radial head was implanted for elbow injuries combined with an acute Mason type III radial head fracture. Read More

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December 2018
2 Reads

Musculoskeletal pain and symptoms in pregnancy: a descriptive study.

Ther Adv Musculoskelet Dis 2018 Dec 19;10(12):229-234. Epub 2018 Nov 19.

Department of Physical Medicine and Rehabilitation, University of Health Sciences, Gülhane School of Medicine, Gaziler Physical Therapy and Rehabilitation Research and Training Hospital, Ankara, Turkey.

Background: Pregnancy-induced hormonal and physiologic changes increase the risk of musculoskeletal problems in pregnancy. The purpose of this report is to provide a comprehensive look at the musculoskeletal pain and symptoms experienced during pregnancy.

Methods: A total of 184 women (mean age 30. Read More

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December 2018

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

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October 2018

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

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December 2018