16,035 results match your criteria Wrist Joint


The Relevance of Ulnar-Sided Contrast Extravasation During Radiocarpal Joint Wrist Arthrography.

AJR Am J Roentgenol 2019 Jan 15:1-6. Epub 2019 Jan 15.

2 Department of Radiology and Biomedical Imaging, Yale University School of Medicine, PO Box 208042, New Haven, CT 06520-8042.

Objective: Contrast material often extends from the radiocarpal joint into the proximal soft tissues adjacent to the ulnar aspect of the ulnar styloid during single-compartment radiocarpal joint MR arthrography of the wrist. The hypothesis of this study was that this is a common finding unrelated to symptoms or examination technique.

Materials And Methods: Wrist MR arthrograms were retrospectively reviewed in consensus by two radiologists. Read More

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http://dx.doi.org/10.2214/AJR.18.20304DOI Listing
January 2019

Scaphoid motion of the wrist with scapho-trapezio-trapezoidal osteoarthritis.

Curr Rheumatol Rev 2019 Jan 15. Epub 2019 Jan 15.

Department of Hand Surgery, Nara Medical University. Japan.

The purpose of this study was to investigate scaphoid motion within the scapho-trapezio-trapezoidal (STT) joint during wrist motion in the presence of STT joint osteoarthritis (OA). We studied 11 wrists with STT OA and 5 normal wrists. Computed tomography images were acquired in five wrist positions (maximum active flexion, extension, radial deviation, ulnar deviation, and neutral position). Read More

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http://dx.doi.org/10.2174/1573397115666190115125430DOI Listing
January 2019

Sex differences in elbow and wrist joint loading during the cartwheel and round off with different hand positions performed by young gymnasts.

J Sports Sci 2019 Jan 11:1-8. Epub 2019 Jan 11.

a Department of Human Movement Studies , University of Ostrava , Ostrava , Czech Republic.

The aim of the study was to determine if sex differences exist in the key elbow and wrist joint injury risk factors during different cartwheel (CW) and round-off (RO) techniques performed by young male and female artistic gymnasts. Sixteen active young gymnasts (8 males and 8 females) performed 30 successful trials of CW and RO with three different hand positions (parallel (10), T-shape (10) and reverse (10)). Synchronised kinematic and kinetic data were collected for each trial. Read More

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http://dx.doi.org/10.1080/02640414.2019.1565110DOI Listing
January 2019
1 Read

Assessment of disease progression in dysferlinopathy: A 1-year cohort study.

Neurology 2019 Jan 9. Epub 2019 Jan 9.

From the John Walton Muscular Dystrophy Research Centre (U.M., M.K.J., A.G.M., R.F.-T., M.E., K.B., R.M.L., H.H., H.L., K.B., V.S.), Newcastle University and Newcastle Hospitals NHS Foundation Trust, MRC Centre for Neuromuscular Diseases, Institute of Genetic Medicine, Central Parkway, Newcastle Upon Tyne, UK; Center for Translational Science (M.J., J.F., A. Cnaan), Division of Biostatistics and Study Methodology, Cooperative International Neuromuscular Research Group (T.D., B.D.), and Department of Neurology (D.X.B.-G.), Children's National Health System; Pediatrics, Epidemiology and Biostatistics (M.J., A. Cnaan), George Washington University, Washington, DC; Neuromuscular Area (R.F.-T.), Biodonostia Health Research Institute, Neurology Service, Donostia University Hospital, Donostia-San Sebastian, Spain; Jain Foundation (L.E.R., P.M.), Seattle, WA; Magnetic Resonance Centre (A.M.B.), Institute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, UK; AIM & CEA NMR Laboratory (P.G.C.), Institute of Myology, Pitié-Salpêtrière University Hospital, 47-83, Paris, France; Research Institute at Nationwide Children's Hospital (L.P.L., L.A., K.M.B., J.R.M.), The Ohio State University, Columbus; Institute for Neuroscience and Muscle Research (K.R., M. Hutchence, K.J.J.), Children's Hospital at Westmead, University of Sydney, Australia; Lucile Salter Packard Children's Hospital at Stanford (T.D.), 24349, Neurology, Palo Alto, CA; Physical Medicine and Rehabilitation (E.M.-M., I.P.-H.), Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Neuroscience Institute (S.H., M.S., E.B., S. Sparks), Carolinas Neuromuscular/ALS-MDA Center, Carolinas HealthCare System, Charlotte, NC; Department of Physical Rehabilitation (A.A., C. Sakamoto, T.T., H.Y.), National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan; Institut de Myologie (A. Canal, G.O., V.D., J.-Y.H., T.S.), AP-HP, GH Pitié-Salpêtrière, Paris, France; Neurorehabilitation Unit (J.B.M.), Rehabilitation Hospital Universitario Virgen del Rocío Sevilla; Neurophysiotherapy Department (N.S.-A.P.), Hospital Universitario Virgen del Rocío, Seville, Spain; Friedrich-Baur-Institute (S. Thiele, S.K., O.S.-K. M.C.W.), Department of Neurology, Ludwig-Maximilians-University of Munich, Germany; Department of Neurology (C. Siener, J.S., J.M.F., M. Harms, A.P.), Washington University School of Medicine, St. Louis, MO; Centre de Reference des Maladies Neuromusculaires PACA Réunion Rhone Alpes (B.V., E.S.-C.), Hopital de la Timone, Aix-Marseille Université, France; ELAN-PHYSIO (J.P., E.M.), Praxis für Physiotherapie Maron; Charite Muscle Research Unit (U.G., S. Spuler), Experimental and Clinical Research Center, a joint cooperation of the Charité Medical Faculty and the Max Delbrück Center for Molecular Medicine, Berlin, Germany; Department of Neurology and Neurological Sciences (C.T.R., J.W.D.), Stanford University School of Medicine, CA; NIH (D.X.B.-G.), Bethesda, MD; Neuromuscular Unit (C.P.), Department of Neurology, Hospital U. Virgen del Rocío/Instituto de Biomedicina de Sevilla, Spain; Department of Neurology (S. Takeda, M.M.-Y.), National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan; Centro de Investigación Biomédica en Red en Enfermedades Raras (J.D.-M.); Neuromuscular Disorders Unit (J.D.-M.), Neurology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; and Department of Neuroscience (L.B., C. Semplicini, E.P.), University of Padova, Italy.

Objective: To assess the ability of functional measures to detect disease progression in dysferlinopathy over 6 months and 1 year.

Methods: One hundred ninety-three patients with dysferlinopathy were recruited to the Jain Foundation's International Clinical Outcome Study for Dysferlinopathy. Baseline, 6-month, and 1-year assessments included adapted North Star Ambulatory Assessment (a-NSAA), Motor Function Measure (MFM-20), timed function tests, 6-minute walk test (6MWT), Brooke scale, Jebsen test, manual muscle testing, and hand-held dynamometry. Read More

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http://www.neurology.org/lookup/doi/10.1212/WNL.000000000000
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http://dx.doi.org/10.1212/WNL.0000000000006858DOI Listing
January 2019
4 Reads

Outcomes Following Temporary Kapandji Pinning Technique and Distal Radial LCP Fixation for Intra-Articular Fractures of the Displaced Distal Radius.

Tech Hand Up Extrem Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Orthopaedics Phramongkutklao Hospital and College of Medicine, Bangkok.

In partially or completely displaced intra-articular fracture of the distal radius , achieving satisfactory reduction and maintenance of good reduction before applying the plate may be difficult. Especially to accomplish the anatomic volar tilt remains a problem. Typically, the Kapandji technique has been described to reduce and stabilize a large displaced and extra-articular fracture of the distal radius. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000221DOI Listing
January 2019

Decoding native cortical representations for flexion and extension at upper limb joints using electrocorticography.

IEEE Trans Neural Syst Rehabil Eng 2019 Jan 7. Epub 2019 Jan 7.

Brain-machine interface (BMI) researchers have traditionally focused on modeling endpoint reaching tasks to provide control of neurally-driven prosthetic arms. Most previous research has focused on achieving endpoint control through a Cartesian-coordinate-centered approach. However, a joint-centered approach could potentially be used to intuitively control a wide range of limb movements. Read More

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http://dx.doi.org/10.1109/TNSRE.2019.2891362DOI Listing
January 2019

Fluoroscopy-guided versus CT-guided Lumbar Steroid Injections: Comparison of Radiation Exposure and Outcomes.

Radiology 2019 Jan 8:181224. Epub 2019 Jan 8.

From the Department of Radiology, Orthopedic University Hospital Balgrist, Zurich, Switzerland (T.J.D., C.K.P., S.B., R.S., C.W.A.P.); Division of Medical Physics, Department of Nuclear Medicine, University Hospital Zurich, Zurich, Switzerland (K.G.Z.); and Faculty of Medicine, University of Zurich, Zurich, Switzerland (T.J.D., C.K.P., K.G.Z., S.B., R.S., C.W.A.P.).

Purpose To compare the radiation exposure for participants and interventionalists as well as participant outcomes between fluoroscopy-guided versus CT-guided lumbar spinal injections. Materials and Methods This prospective, nonrandomized observational study included 1446 participants (mean age, 60.6 years; range, 18-91 years) who received transforaminal epidural injections or facet joint injections under fluoroscopic or CT guidance between October 2009 and April 2016. Read More

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http://dx.doi.org/10.1148/radiol.2018181224DOI Listing
January 2019
1 Read

Somatosensory Training Improves Proprioception and Untrained Motor Function in Parkinson's Disease.

Front Neurol 2018 10;9:1053. Epub 2018 Dec 10.

School of Kinesiology, University of Minnesota, Minneapolis, MN, United States.

Proprioceptive impairment is a common feature of Parkinson's disease (PD). Proprioceptive function is only partially restored with anti-parkinsonian medication or deep brain stimulation. Behavioral exercises focusing on somatosensation have been promoted to overcome this therapeutic gap. Read More

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http://dx.doi.org/10.3389/fneur.2018.01053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295550PMC
December 2018

Extremely elastic and conductive N-doped graphene sponge for monitoring human motions.

Nanoscale 2019 Jan 2. Epub 2019 Jan 2.

State Key Laboratory of Solid Lubrication, Lanzhou Institute of Chemical Physics, Chinese Academy of Sciences, Lanzhou, 730000, P. R. China.

Due to the extraordinary properties of great elasticity, ultralow density, and good electrical conduction, macroporous graphene bulk materials are the promising candidate as the sensing materials for flexible electronics. Although a large number of progresses have been made, the piezoresistive effect of graphene does not completely meet requirements for various applications yet. Herein, the nitrogen-doped graphene sponge (NGS) material with well-ordered and uniform macroscopic porous structure in long range has been developed by a simple and low-cost strategy by combining hydrothermal and thermal annealing processes. Read More

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http://dx.doi.org/10.1039/c8nr05102jDOI Listing
January 2019

User-centered practicability analysis of two identification strategies in electrode arrays for FES induced hand motion in early stroke rehabilitation.

J Neuroeng Rehabil 2018 Dec 29;15(1):123. Epub 2018 Dec 29.

Control Systems Group, Technische Universität Berlin, Einsteinufer 17, Berlin, 10587, Germany.

Background: Surface electrode arrays have become popular in the application of functional electrical stimulation (FES) on the forearm. Arrays consist of multiple, small elements, which can be activated separately or in groups, forming virtual electrodes (VEs). As technology progress yields rising numbers of possible elements, an effective search strategy for suitable VEs in electrode arrays is of increasing importance. Read More

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http://dx.doi.org/10.1186/s12984-018-0460-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310929PMC
December 2018

Arthroscopic removal of loose bodies in synovial chondromatosis of shoulder joint, unusual location of rare disease: A case report and literature review.

Ann Med Surg (Lond) 2019 Jan 5;37:25-29. Epub 2018 Dec 5.

Department of Orthopaedics, Aga Khan University Hospital AKUH, Karachi, Pakistan.

Introduction: Synovial chondromatosis is a benign mono-articular arthropathy affecting synovial joints. It mostly affects knee joint, followed by hip, elbow and wrist and is rarely reported for shoulder joint. The exact pathogenesis is not known. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S20490801183026
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http://dx.doi.org/10.1016/j.amsu.2018.11.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297053PMC
January 2019
4 Reads

Gymnast's wrist in a 12-year-old female with MRI correlation.

Radiol Case Rep 2019 Mar 14;14(3):360-364. Epub 2018 Dec 14.

University of Washington, Department of Radiology, Musculoskeletal Radiology Division, UW Medical Center - Roosevelt, 4245 Roosevelt Way NE Box 354755, Seattle, WA 98109, USA.

We describe a case of chronic overuse injury of the distal radial physis (gymnast's wrist). While the radiographic appearance of this entity has been reported, there are limited studies highlighting the MR appearance of this entity. This lesion is being seen with increasing frequency in young, elite gymnasts. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.09.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297268PMC

A Novel Approach for Modeling Neural Responses to Joint Perturbations Using the NARMAX Method and a Hierarchical Neural Network.

Front Comput Neurosci 2018 6;12:96. Epub 2018 Dec 6.

Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States.

The human nervous system is an ensemble of connected neuronal networks. Modeling and system identification of the human nervous system helps us understand how the brain processes sensory input and controls responses at the systems level. This study aims to propose an advanced approach based on a hierarchical neural network and non-linear system identification method to model neural activity in the nervous system in response to an external somatosensory input. Read More

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http://dx.doi.org/10.3389/fncom.2018.00096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291451PMC
December 2018

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

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

Interventions for treating wrist fractures in children.

Cochrane Database Syst Rev 2018 12 19;12:CD012470. Epub 2018 Dec 19.

Health and Social Care Institute, Teesside University, Middlesbrough, Tees Valley, UK, TS1 3BA.

Background: Wrist fractures, involving the distal radius, are the most common fractures in children. Most are buckle fractures, which are stable fractures, unlike greenstick and other usually displaced fractures. There is considerable variation in practice, such as the extent of immobilisation for buckle fractures and use of surgery for seriously displaced fractures. Read More

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http://doi.wiley.com/10.1002/14651858.CD012470.pub2
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http://dx.doi.org/10.1002/14651858.CD012470.pub2DOI Listing
December 2018
3 Reads

The correlation between upper extremity musculoskeletal symptoms and joint kinematics, playing habits and hand span during playing among piano students.

PLoS One 2018 19;13(12):e0208788. Epub 2018 Dec 19.

Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Objective: We aimed to investigate the correlations between Upper Extremity Musculoskeletal Symptoms (MSD) and joint kinematics while playing the piano, as well as correlations between MSD and psychosocial, professional and personal habits, and bio-demographic risk factors of piano students.

Method: This cross-sectional study included 15 piano students. The research tools included 3D motion capture, anthropometric measurements, and questionnaires for obtaining data about MSD, psychological, and personal factors. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0208788PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300245PMC
December 2018

Outcome of contralateral C7 transfers to different recipient nerves after global brachial plexus avulsion.

Brain Behav 2018 Dec 22;8(12):e01174. Epub 2018 Nov 22.

Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.

Introduction: Contralateral cervical seventh nerve root (CC7) transfer has been widely applied for treatment of traumatic brachial plexus injury. The purpose of the study was to evaluate outcomes of patients with global brachial plexus avulsion (GBPA) after CC7 transfer and compare the recoveries of median nerve as the only recipient nerve and one of the multiple recipient nerves.

Methods: A retrospective review of 51 patients treated with CC7 transfers after GBPA was carried out. Read More

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http://dx.doi.org/10.1002/brb3.1174DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305967PMC
December 2018

Craniofacial anomalies associated with spondyloenchondrodysplasia: Two case reports.

Medicine (Baltimore) 2018 Dec;97(50):e13644

Clinic of Oral Medicine and Orofacial Pain, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, Korea (ROK).

Rationale: Spondyloenchondrodysplasia (SPENCD) is an autosomal recessive skeletal dysplasia by biallelic mutations in ACP5 gene encoding tartrate-resistant acid phosphatase (TRAP). The extra-osseous phenotype of SPENCD is pleiotropic and involves neurological impairment and immune dysfunction. Dentofacial abnormalities and orofacial symptoms in SPENCD patients have been little discussed in the literature. Read More

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http://dx.doi.org/10.1097/MD.0000000000013644DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320149PMC
December 2018
5 Reads

Functional results of wrist arthrodesis versus arthroplasty with proximal fibula following giant cell tumour excision of the distal radius.

J Hand Surg Eur Vol 2018 Dec 17:1753193418809785. Epub 2018 Dec 17.

Bone and Soft Tissue Tumour Centre, People's Hospital of Beijing University, Beijing, China.

Twenty-one patients underwent excision of a Campanacci grade III giant cell tumour of the distal radius and had reconstruction using a proximal fibula autograft. We compared the functional results of wrist arthrodesis versus arthroplasty. All 21 patients healed in an average of 8 months, and all have remained disease free. Read More

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http://dx.doi.org/10.1177/1753193418809785DOI Listing
December 2018

Phantom-Mobility-Based Prosthesis Control in Transhumeral Amputees Without Surgical Reinnervation: A Preliminary Study.

Front Bioeng Biotechnol 2018 29;6:164. Epub 2018 Nov 29.

CNRS, ISM, Aix Marseille Université, Marseille, France.

Transhumeral amputees face substantial difficulties in efficiently controlling their prosthetic limb, leading to a high rate of rejection of these devices. Actual myoelectric control approaches make their use slow, sequential and unnatural, especially for these patients with a high level of amputation who need a prosthesis with numerous active degrees of freedom (powered elbow, wrist, and hand). While surgical muscle-reinnervation is becoming a generic solution for amputees to increase their control capabilities over a prosthesis, research is still being conducted on the possibility of using the surface myoelectric patterns specifically associated to voluntary Phantom Limb Mobilization (PLM), appearing naturally in most upper-limb amputees without requiring specific surgery. Read More

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http://dx.doi.org/10.3389/fbioe.2018.00164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282038PMC
November 2018

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

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

High-resolution flat panel CT versus 3-T MR arthrography of the wrist: initial results in vivo.

Eur Radiol 2018 Dec 14. Epub 2018 Dec 14.

Department of Diagnostic and Interventional Radiology, Medical School Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.

Objectives: The objective of this study was to compare the diagnostic performance of direct C-arm flat panel computed tomography arthrography (FPCT-A) with direct magnetic resonance arthrography (MR-A) of the wrist in patients with clinically suspected pathologies.

Methods: Forty-nine patients underwent tri-compartmental wrist arthrography. FPCT-A was acquired using a high-resolution acquisition mode, followed by a 3-T MR exam using a dedicated wrist coil. Read More

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http://link.springer.com/10.1007/s00330-018-5901-5
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http://dx.doi.org/10.1007/s00330-018-5901-5DOI Listing
December 2018
2 Reads

Relationship between hospital or surgeon volume and outcomes in joint arthroplasty: protocol for a suite of systematic reviews and dose-response meta-analyses.

BMJ Open 2018 Dec 14;8(12):e022797. Epub 2018 Dec 14.

Department of Orthopaedic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Introduction: Joint arthroplasty is a particularly complex orthopaedic surgical procedure performed on joints, including the hip, knee, shoulder, ankle, elbow, wrist and even digit joints. Increasing evidence from volume-outcomes research supports the finding that patients undergoing joint arthroplasty in high-volume hospitals or by high-volume surgeons achieve better outcomes, and minimum case load requirements have been established in some areas. However, the relationships between hospital/surgeon volume and outcomes in patients undergoing arthroplasty are not fully understood. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-022797DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303624PMC
December 2018
1 Read

Clinical assessment of depth sensor based pose estimation algorithms for technology supervised rehabilitation applications.

Int J Med Inform 2019 Jan 8;121:30-38. Epub 2018 Nov 8.

Nottinghamshire Healthcare NHS Foundation Trust, Stapleford Care Centre, Nottingham, NG9 8DB, United Kingdom.

Encouraging rehabilitation by the use of technology in the home can be a cost-effective strategy, particularly if consumer-level equipment can be used. We present a clinical qualitative and quantitative analysis of the pose estimation algorithms of a typical consumer unit (Xbox One Kinect), to assess its suitability for technology supervised rehabilitation and guide development of future pose estimation algorithms for rehabilitation applications. We focused the analysis on upper-body stroke rehabilitation as a challenging use case. Read More

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http://dx.doi.org/10.1016/j.ijmedinf.2018.11.001DOI Listing
January 2019

Non-dislocation lunate fracture combined with distal radius fracture: A case report.

Medicine (Baltimore) 2018 Dec;97(49):e13574

Department of Orthopedics, The Second Hospital of Jilin University, Changchun, China.

Rationale: Lunate fractures are very rare, accounting for only 0.5% to 6.5% of all carpal fractures. Read More

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http://dx.doi.org/10.1097/MD.0000000000013574DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310596PMC
December 2018

Exercise therapy in addition to an orthosis reduces pain more than an orthosis alone in patients with thumb base osteoarthritis: a propensity score matching study.

Arch Phys Med Rehabil 2018 Dec 10. Epub 2018 Dec 10.

Dept. of Plastic, Reconstructive and Hand Surgery, Erasmus Medical Center Rotterdam, the Netherlands; Dept. of Rehabilitation Medicine, Erasmus Medical Center Rotterdam, the Netherlands.

Objective: To compare the effect of exercises and orthotics with orthotics alone on pain and hand function in patients with thumb base (CMC-1) osteoarthritis (OA) and to predict outcomes on pain and hand function of exercises and orthotics.

Design: Prospective cohort study with propensity score matching SETTING: Data collection took place in thirteen outpatient clinics for hand surgery and hand therapy in the Netherlands.

Participants: A consecutive, population-based sample of 173 patients with CMC-1 OA was included in this study of which 84 were matched on baseline demographics and baseline primary outcomes. Read More

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http://dx.doi.org/10.1016/j.apmr.2018.11.010DOI Listing
December 2018

Step Frequency Patterns of Elite Ultramarathon Runners during a 100-km Road Race.

J Appl Physiol (1985) 2018 Dec 13. Epub 2018 Dec 13.

Director, Bone & Joint Injury Prevention & Rehabilitation Center, University of Michigan, United States.

Step frequency (SF) in running has received substantial interest from researchers, coaches, therapists, and runners. It has been widely studied in controlled settings, but no study has measured it continuously in elite-level competition. The current study used wrist-based accelerometers in consumer-grade watches to monitor SF and SF variability of competitors in the 2016 100-km World Championship road race. Read More

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http://dx.doi.org/10.1152/japplphysiol.00374.2018DOI Listing
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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https://www.hindawi.com/journals/crior/2018/7430297/
Publisher Site
http://dx.doi.org/10.1155/2018/7430297DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250006PMC
November 2018
3 Reads

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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http://dx.doi.org/10.4103/ortho.IJOrtho_598_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241056PMC
December 2018
1 Read

The Tuck sign-proliferative extensor tenosynovitis of the wrist.

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

Rheumatology Department, Norfolk and Norwich University Hospital, Colney lane, Norwich, NR4 7UY, UK.

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http://dx.doi.org/10.1016/j.jbspin.2018.11.007DOI Listing
December 2018
2 Reads

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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http://dx.doi.org/10.4269/ajtmh.18-0636DOI Listing
December 2018
1 Read
2.699 Impact Factor

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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http://dx.doi.org/10.1080/14763141.2018.1517820DOI Listing
December 2018
1 Read

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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http://dx.doi.org/10.2174/1573397115666181205165642DOI Listing
December 2018
1 Read

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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http://dx.doi.org/10.1016/j.otsr.2018.08.020DOI Listing
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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http://dx.doi.org/10.1016/j.jhsa.2018.10.007DOI Listing
November 2018
3 Reads

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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http://link.springer.com/10.1007/s12306-018-0576-2
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http://dx.doi.org/10.1007/s12306-018-0576-2DOI Listing
December 2018
8 Reads

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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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

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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

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

IncobotulinumtoxinA Efficacy and Safety in Adults with Upper-Limb Spasticity Following Stroke: Results from the Open-Label Extension Period of a Phase 3 Study.

Adv Ther 2019 Jan 27;36(1):187-199. Epub 2018 Nov 27.

University of Nevada at Reno, Reno, NV, USA.

Introduction: The objective of the study was to investigate the efficacy and safety of repeated incobotulinumtoxinA injections for the treatment of upper-limb post-stroke spasticity in adults.

Methods: Adults 18-80 years of age with post-stroke upper-limb spasticity who completed the 12-week randomized, double-blind, placebo-controlled main period (MP) of a phase 3 trial (NCT01392300) were eligible to enrol in the 36-week open-label extension period (OLEX). The OLEX included three treatment cycles at fixed 12-week injection intervals; subjects were injected with 400 U incobotulinumtoxinA into the affected upper limb. Read More

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http://dx.doi.org/10.1007/s12325-018-0833-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318229PMC
January 2019
2 Reads

A Rare Case of Complex Carpal Injury: Divergent Trapezium-Trapezoid Fracture Dislocation.

J Hand Microsurg 2018 Dec 20;10(3):150-154. Epub 2018 Mar 20.

Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.

Divergent trapezium-trapezoid fracture dislocation is a rare and complex injury. The authors present an unusual case of dislocation of the trapezium-trapezoid complex with scaphoid fracture. A 25-year-old man suffered a road traffic accident leading to complex carpal injury due to axial and rotation forces (steer wheel injury) on the left wrist. Read More

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http://dx.doi.org/10.1055/s-0038-1630143DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6255733PMC
December 2018
1 Read

[Treatment of giant cell tumor of distal radius with vascular anastomosis with proximal graft of vascular].

Zhonghua Zhong Liu Za Zhi 2018 Nov;40(11):869-871

Department of Orthopedics, Affiliated Hospital of Inner Mongolia University for The Nationalities, Tongliao 028000, China.

To evaluate the curative effect of proximal fibula graft of vascular anastomosis for giant cell tumor(GCT) of distal radius of bone. 38 patients with distal radius GCT were treated with proximal articular graft of anastomotic vessels. We evaluated the wrist joint function before and after surgery using wrist activity, visual analogue scale(VAS)pain score, grip recovery rate and Cooney scoring system. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0253-3766.2018.11.014DOI Listing
November 2018
7 Reads

Beyond Human Perception: Sexual Dimorphism in Hand and Wrist Radiographs Is Discernible by a Deep Learning Model.

J Digit Imaging 2018 Nov 26. Epub 2018 Nov 26.

Department of Radiology, Massachusetts General Hospital, 25 New Chardon Street Suite 400B, Boston, MA, 02114, USA.

Despite the well-established impact of sex and sex hormones on bone structure and density, there has been limited description of sexual dimorphism in the hand and wrist in the literature. We developed a deep convolutional neural network (CNN) model to predict sex based on hand radiographs of children and adults aged between 5 and 70 years. Of the 1531 radiographs tested, the algorithm predicted sex correctly in 95. Read More

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http://dx.doi.org/10.1007/s10278-018-0148-xDOI Listing
November 2018
1 Read
1.200 Impact Factor

Functional and socioprofessional outcome of surgery for Volkmann's contracture.

Orthop Traumatol Surg Res 2018 Nov 20. Epub 2018 Nov 20.

Service orthopédie et traumatologie, boulevard Tanguy Prigent, 29609 Brest, France.

Objectives: Volkmann's ischemic contracture is rare and surgical treatment remains a challenge. The goal of treatment is to obtain permanent recovery of joint range of motion and strength. The goal of this study was to evaluate the functional and socioprofessional outcome of surgical treatment of Volkmann's ischemic contracture. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.08.019DOI Listing
November 2018
9 Reads

Wide-Awake Wrist and Small Joints Arthroscopy of the Hand.

Hand Clin 2019 Feb;35(1):85-92

Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, Lancashire WN6 9EP, UK.

The minimally invasive nature of wrist and small joint arthroscopy renders it particularly suitable for the application of the wide-awake local anesthesia no tourniquet (WALANT) technique. The application of WALANT wrist and small joint arthroscopy has given surgeons the ability to visualize both static and dynamic movements of a joint, to show the pathology and discuss with the patient, and to visualize a patient's repaired structures. This reinforces confidence in surgeons and encourages patients to comply with postoperative rehabilitation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07490712183010
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http://dx.doi.org/10.1016/j.hcl.2018.08.010DOI Listing
February 2019
7 Reads

Improving Hand Function of Severely Impaired Chronic Hemiparetic Stroke Individuals Using Task-Specific Training With the ReIn-Hand System: A Case Series.

Front Neurol 2018 7;9:923. Epub 2018 Nov 7.

Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, United States.

In this study, we explored whether improved hand function is possible in poststroke chronic hemiparetic individuals with severe upper limb motor impairments when they participate in device-aided task-specific practice. Eight participants suffering from chronic stroke (>1-year poststroke, mean: 11.2 years) with severely impaired upper extremity movement (Upper Extremity Subscale of the Fugl-Meyer Motor Assessment (UEFMA) score between 10 and 24) participated in this study. Read More

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http://dx.doi.org/10.3389/fneur.2018.00923DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234834PMC
November 2018
11 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

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

Directional preference of the extremity: a preliminary investigation.

J Man Manip Ther 2018 Dec 13;26(5):272-280. Epub 2018 Aug 13.

Maccio Physical Therapy, Troy, NY, USA.

: Mechanical diagnosis and therapy (MDT) is a specific classification-based musculoskeletal examination and intervention system that uses repeated end range and sustained movement to classify patients into mechanical syndromes. Research has recently demonstrated increased prevalence, reliability, and efficacy of MDT syndromes in varied peripheral musculoskeletal populations. There is currently no research analyzing if predictive variables exist for establishing directional preference in peripheral joints, other than the wrist. Read More

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https://www.tandfonline.com/doi/full/10.1080/10669817.2018.1
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http://dx.doi.org/10.1080/10669817.2018.1505022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237151PMC
December 2018
2 Reads