46,898 results match your criteria Wrist Joint

Functional and radiological outcome after forearm plating in children and adolescent fracture.

Acta Orthop Belg 2021 Mar;87(1):143-149

The literature on forearm overgrowth after plating in traumatic conditions is relatively poor though this technique can be useful when intra-medullary nailing is not sufficient in pediatric cases. The goal of this study was to assess a potential overgrowth after plating and identify impact on function. We conducted a retrospective study of all pediatric patients who underwent open surgery of the radius and/or ulna diaphysis with internal fixation by plating, in our institution, between October 2013 and July 2019. Read More

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Quantification of Motor Function Post-stroke using Novel Combination of Wearable Inertial and Mechanomyographic Sensors.

IEEE Trans Neural Syst Rehabil Eng 2021 Jun 15;PP. Epub 2021 Jun 15.

Subjective clinical rating scales represent the gold-standard diagnosis of motor function following stroke, however in practice they suffer from well-recognized limitations including assessor variance, low inter-rater reliability and low resolution. Automated systems have been proposed for empirical quantification but have not significantly impacted clinical practice. We address translational challenges in this arena through: (1) implementation of a novel sensor suite combining inertial measurement and mechanomyography (MMG) to quantify hand and wrist motor function; and (2) introduction of a new range of signal features extracted from the suite to supplement predicted clinical scores. Read More

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Obesogenic Behaviors of Rural Children on School and Nonschool Days.

Child Obes 2021 Jun 15. Epub 2021 Jun 15.

School of Social Work, College of Health Professions and Sciences, University of Central Florida, Orlando, FL, USA.

Children living in rural areas are at increased risk of overweight and obesity compared with their urban-dwelling counterparts. The purpose of this study was to provide preliminary evidence of rural children's obesogenic behaviors ( activity, sedentary behaviors, sleep, and diet) during school days, nonschool weekdays, and weekend days. A repeated measures 14-day observational study was conducted early March 2020. Read More

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Hierarchically Microstructure-Bioinspired Flexible Piezoresistive Bioelectronics.

ACS Nano 2021 Jun 15. Epub 2021 Jun 15.

Key Laboratory of Advanced Technologies of Materials (Ministry of Education), School of Materials Science and Engineering, Southwest Jiaotong University, Chengdu 610031, P. R. China.

The naturally microstructure-bioinspired piezoresistive sensor for human-machine interaction and human health monitoring represents an attractive opportunity for wearable bioelectronics. However, due to the trade-off between sensitivity and linear detection range, obtaining piezoresistive sensors with both a wide pressure monitoring range and a high sensitivity is still a great challenge. Herein, we design a hierarchically microstructure-bioinspired flexible piezoresistive sensor consisting of a hierarchical polyaniline/polyvinylidene fluoride nanofiber (HPPNF) film sandwiched between two interlocking electrodes with microdome structure. Read More

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Validation of the BPro radial pulse waveform acquisition device in pregnancy and gestational hypertensive disorders.

Blood Press Monit 2021 Jun 14. Epub 2021 Jun 14.

Maternity Services, Guy's and St. Thomas' Hospital NHS Trust, St. Thomas' Hospital School of Life Course Sciences, King's College London, London, UK.

Objective: To validate the BPro blood pressure (BP) wrist device for use in pregnancy and preeclampsia according to the Universal Standard protocol.

Participants And Methods: BP was measured sequentially in 45 pregnant women (including 15 with preeclampsia, 15 with gestational hypertension and 15 who remained normotensive) alternating between a mercury sphygmomanometer and BPro device.

Results: The BPro is accurate in pregnancy with a mean device-observer difference of -1. Read More

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Comparing power hitting kinematics between skilled male and female cricket batters.

J Sports Sci 2021 Jun 15:1-8. Epub 2021 Jun 15.

School of Sport, Exercise, and Health Sciences, Loughborough University, Loughborough, UK.

Organismic, task, and environmental constraints are known to differ between skilled male and female cricket batters during power hitting tasks. Despite these influences, the techniques used in such tasks have only been investigated in male cricket batters. This study compared power hitting kinematics between 15 male and 15 female batters ranging from university to international standard. Read More

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Circadian characteristics of the rest-activity rhythm, executive function, and glucose fluctuations in young adults with type 1 diabetes.

Chronobiol Int 2021 Jun 15:1-11. Epub 2021 Jun 15.

Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.

Circadian alignment is an important element in individual health, and one behavioral marker, rest-activity rhythm, could influence self-management in young adults with type 1 diabetes (T1D). Little is known about the rest-activity rhythms, executive function, and glycemia among young adults with type 1 diabetes (T1D). The purpose of this study was to evaluate parametric and nonparametric circadian characteristics of the rest-activity rhythm and the associations between these variables, sleep-wake behavior, executive function, and glycemia among young adults with T1D. Read More

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Cartilage Injuries and Posttraumatic Osteoarthritis in the Wrist: A Review.

Cartilage 2021 Jun 15:19476035211021909. Epub 2021 Jun 15.

Cartilage Research Unit, Region Halland Orthopaedics, Kungsbacka Hospital, University of Gothenburg, Kungsbacka, Sweden.

Objective: Focal cartilage injuries, and posttraumatic osteoarthritis (OA) in the wrist are likely common and a cause of wrist pain. To estimate the incidence of cartilage lesions and to understand the pathomechanisms leading to wrist cartilage injuries and OA, a literature review on the subject was performed combined with a presentation of one of the authors' own experience.

Design: This study includes a literature review of the topic. Read More

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Sleep timing and consistency are associated with the standardised test performance of Icelandic adolescents.

J Sleep Res 2021 Jun 14:e13422. Epub 2021 Jun 14.

Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA.

Sleep has been shown to affect cognitive function in laboratory studies; however, its association to the academic performance of adolescents has largely been demonstrated using self-reported measures. Studies with objective measures of both sleep and academic performance are limited. The aim of the present study was to determine whether the free-living sleep quantity, quality, and timing of 15-year-old adolescents measured with wrist actiography are associated with their scores on national standardised examinations as an objective measure of academic achievement. Read More

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Upper extremity musculoskeletal disorders and work exposures among railroad maintenance-of-way workers.

Am J Ind Med 2021 Jun 14. Epub 2021 Jun 14.

Downstate School of Public Health, State University of New York (SUNY), Brooklyn, New York, USA.

Background: Our objective was to examine occupational risk factors for musculoskeletal disorders of the shoulders, elbows, wrists, and hands among railroad maintenance-of-way (MOW) workers. Little systematic research on musculoskeletal disorders has been conducted in this occupational group.

Methods: In total, 3995 active members of the Brotherhood of Maintenance of Way Employes Division (BMWED) completed a standardized survey focusing on disorders caused by hand-transmitted vibration. Read More

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Evaluating the Feasibility and Acceptability of the Lifestyle Enhancement for ADHD Program.

J Pediatr Psychol 2021 Jun 12. Epub 2021 Jun 12.

Seattle Children's Research Institute, USA.

Objective : To evaluate the feasibility and acceptability of the Lifestyle Enhancement for Attention Deficit Hyperactivity Disorder (ADHD) Program (LEAP), a novel parent behavior management training program that promotes physical activity (PA) and positive health behaviors and is enhanced with mobile health technology (Garmin) and a social media (Facebook) curriculum for parents of children with ADHD.

Methods : The study included parents of children ages 5-10 years diagnosed with ADHD who did not engage in the recommended >60 min/day of moderate to vigorous PA based on parent report at baseline. Parents participated in the 8-week LEAP group and joined a private Facebook group. Read More

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Sleep and physical activity patterns in adults and children with Bardet-Biedl syndrome.

Orphanet J Rare Dis 2021 Jun 14;16(1):276. Epub 2021 Jun 14.

Department of Pediatrics, Marshfield Clinic Health System, Marshfield, WI, USA.

Background: Overweight and obesity are common features of the rare disease Bardet-Biedl syndrome (BBS). Sleep and physical activity are behaviors that might impact overweight and obesity and thus may play a key role in the health and well-being of people with BBS. Objectively-measured sleep and physical activity patterns in people with BBS are not well known. Read More

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Brachial muscle injury resulting in acute compartment syndrome of the upper arm: a case report and literature review.

BMC Musculoskelet Disord 2021 Jun 14;22(1):545. Epub 2021 Jun 14.

Department of Orthopedic Trauma, The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun, 130021, Jilin, China.

Background: Acute compartment syndrome (ACS) is a potentially devastating condition. ACS is rare in the upper arm.

Case Presentation: We report a case of acute compartment syndrome of the anterior compartment of the upper arm due to brachial muscle injury. Read More

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Silk Sericin As a Green Adhesive to Fabricate a Textile Strain Sensor with Excellent Electromagnetic Shielding Performance.

ACS Appl Mater Interfaces 2021 Jun 14. Epub 2021 Jun 14.

Department of Materials Science, Fudan University, Shanghai 200433, China.

Although flexible textile-based electronics and lightweight electromagnetic shielding materials have attracted increasing attention due to their wide application, the seamless integration of textile sensors and electromagnetic shielding materials is still a challenge. Herein, we designed a simple, cost-effective, and environmentally friendly method to fabricate nickel-plated acetate fabrics coated with carbon nanotubes, using silk sericin to disperse carbon nanotubes in water and adsorb abundant nickel ions easily on the surface of carbon nanotubes via hydroxyl groups without other additives. The as-prepared composites exhibited excellent conductivity and electromagnetic interference (EMI) shield effectiveness (>30 dB) at X-band with around 0. Read More

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Highly Sensitive Ultrastable Electrochemical Sensor Enabled by Proton-Coupled Electron Transfer.

Nano Lett 2021 Jun 14. Epub 2021 Jun 14.

Department of Earth and Environmental Engineering, Columbia University, New York, New York 10027, United States.

Electrochemical sensors are critical to artificial intelligence by virtue of capability of mimicking human skin to report sensing signals. But their practical applications are restricted by low sensitivity and limited cycling stability, which result from piezoionic mechanism with insufficient sensing response. Here, we report a highly sensitive ultrastable sensor based on proton-coupled electron transfer, which is different from piezoionic mechanism. Read More

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Impacts of Cognitive Behavioral Therapy for Insomnia and Pain on Sleep in Women with Gynecologic Malignancies: A Randomized Controlled Trial.

Behav Sleep Med 2021 Jun 14:1-17. Epub 2021 Jun 14.

Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida.

Insomnia is an adverse cancer outcome impacting mood, pain, quality of life, and mortality in cancer patients. Cognitive Behavioral Therapy (CBT) is an evidence-based treatment for diverse psychophysiological disorders, including pain and insomnia. Primarily studied in breast cancer, there is limited research on CBT within gynecology oncology. Read More

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After the initial fracture in postmenopausal women, where do subsequent fractures occur?

EClinicalMedicine 2021 May 5;35:100826. Epub 2021 May 5.

Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, United States.

Background: The locations of subsequent fractures after initial fracture in postmenopausal women are poorly characterized.

Methods: We conducted a prospective analysis of subsequent fractures after initial fracture in Women's Health Initiative (1993-2018) participants who provided follow-up (mean 15.4 years, SD 6. Read More

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Proximal Row Carpectomy in Young Patients.

JBJS Essent Surg Tech 2021 Jan-Mar;11(1). Epub 2021 Feb 4.

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

Background: There continues to be controversy regarding the treatment of early-stage arthritis of the wrist, particularly in young patients, because of the large number of techniques, the poor long-term results for many of these techniques, and the overall paucity of high-level scientific data. Proximal row carpectomy (PRC) and 4-corner arthrodesis (4CA) have been established as the mainstay motion-sparing surgical treatment options in cases of early scapholunate advanced collapse and scaphoid nonunion advanced collapse arthritis. However, there is marked controversy surrounding the best treatment option for younger patients with greater physical demands because of the questionable outcomes associated with these motion-sparing options in such patients. Read More

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February 2021

A Novel Approach to New-Onset Hemiplegic Shoulder Pain With Decreased Range of Motion Using Targeted Diagnostic Nerve Blocks: The ViVe Algorithm.

Front Neurol 2021 28;12:668370. Epub 2021 May 28.

Canadian Advances in Neuro-Orthopedics for Spasticity Congress, Victoria, BC, Canada.

Hemiplegic shoulder pain (HSP) is the most common pain disorder after stroke with incidence estimates of 30-70% and associated with reductions in function, interference with rehabilitation, and a reduced quality of life. Onset may occur as soon as a week after stroke in 17% of patients. Management of HSP represents a complex treatment pathway with a lack of evidence to support one treatment. Read More

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First case of acrometastases to the wrist reported from penile cancer.

J Cancer Res Ther 2021 Apr-Jun;17(2):599-601

Department of Electroradiology, Medical University; Department of Medical Physics, Greater Poland Cancer Centre, Poznan, Poland.

Penile cancer is a rarely diagnosed cancer that affects 0.4%-0.6% of all male population. Read More

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Finger abduction as a novel function of the extensor digitorum brevis manus muscle.

Surg Radiol Anat 2021 Jun 13. Epub 2021 Jun 13.

Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London, UK.

A 25-year-old female presented with a chronic scapho-lunate ligament injury with development of carpal instability requiring reconstruction. During a standard dorsal longitudinal mid-line approach to the carpus, an extensor digitorum brevis manus (EDBM) muscle was found taking its origin from the dorsal wrist capsule overlying the lunate with innervation from the posterior interosseous nerve (PIN). Electrical stimulation of the muscle belly demonstrated abduction of the middle finger. Read More

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[Evaluation of physical activity using smartphones and wearable devices in healthcare: Current situation and future perspectives].

Nihon Koshu Eisei Zasshi 2021 Jun 11. Epub 2021 Jun 11.

Department of Preventive Medicine and Public Health, Tokyo Medical University.

Abstract With the growing popularity of mobile health (mHealth) devices, including smartphones and wearable devices, information and communications technology has gained high importance in healthcare settings. This study aimed to summarize the current trends in physical activity research wherein mHealth devices are used and provide perspectives for future research. Until recently, questionnaire surveys were primarily used to evaluate physical activity. Read More

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Morning light therapy in adults with Tourette's disorder.

J Neurol 2021 Jun 13. Epub 2021 Jun 13.

Department of Psychiatry and Biobehavioral Sciences, University of California, 760 Westwood Plz, Los Angeles, CA, 90024, USA.

Background: Sleep disturbance is common among individuals with Tourette's Disorder (TD). Given that sleep is influenced by the circadian system, this study examined circadian rhythms and sleep in adults with TD, and explored the possible benefit of short-wavelength wearable morning light therapy.

Methods: Participants were 34 adults with TD (n = 14) and age- and sex-matched healthy controls (HC; n = 20). Read More

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Single-bone versus both-bone plating of unstable paediatric both-bone forearm fractures. A randomized controlled clinical trial.

Int Orthop 2021 Jun 12. Epub 2021 Jun 12.

1Orthopedic Department, Assiut University, Assiut, Egypt.

Purpose: This clinical trial compares the functional and radiological outcomes of single-bone fixation to both-bone fixation of unstable paediatric both-bone forearm fractures.

Methods: This individually randomized two-group parallel clinical trial was performed following the Consolidated Standards of Reporting Trials (CONSORT) statement at a single academic tertiary medical centre with an established paediatric orthopaedics unit. All children aged between nine and 15 years who presented to the emergency department at Assiut university with unstable diaphyseal, both-bone forearm fractures requiring surgical intervention between November 1, 2018, and February 28, 2020, were screened for eligibility against the inclusion and exclusion criteria. Read More

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Surgical Outcomes Following Fixation of Peri-Implant Distal Radius Fractures: A Case Series.

J Hand Surg Am 2021 Jun 9. Epub 2021 Jun 9.

Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA. Electronic address:

Purpose: The purpose of this study was to evaluate surgical outcomes following fixation of peri-implant distal radius fractures.

Methods: A retrospective chart review was conducted of peri-implant distal radius fractures treated surgically at a large academic practice over 18 years. Patients were included if they had previously undergone open reduction and internal fixation of a distal radius fracture; subsequently sustained a fracture at, or adjacent to, the existing hardware; and then undergone revision fixation with the removal of hardware. Read More

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Personalised Accelerometer Cut-point Prediction for Older Adults' Movement Behaviours using a Machine Learning approach.

Comput Methods Programs Biomed 2021 May 18;208:106165. Epub 2021 May 18.

Department of Computer Science, Edge Hill University, Ormskirk, L39 4QP, United Kingdom. Electronic address:

Background And Objectives: Body-worn accelerometers are the most popular method for objectively assessing physical activity in older adults. Many studies have developed generic accelerometer cut-points for defining activity intensity in metabolic equivalents for older adults. However, methodological diversity in current studies has led to a great deal of variation in the resulting cut-points, even when using data from the same accelerometer. Read More

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Is there still a place for denervation in the treatment of osteoarthritis of the wrist and hand?

Orthop Traumatol Surg Res 2021 Jun 9:102986. Epub 2021 Jun 9.

DxBone Center, Al Garhoud, 61a Street, Dubai, UAE. Electronic address:

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Peripheral intravenous catheter management in childbirth (PICMIC): A multi-centre, prospective cohort study.

J Adv Nurs 2021 Jun 12. Epub 2021 Jun 12.

School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, QLD, Australia.

Background: Childbirth is a normal, physiological process, yet intervention is common. Arguably the most common intervention is the insertion of a peripheral intravenous catheter; however, there are few studies guiding best practice. This study aimed to describe current intravenous catheter insertion practice, explore clinician decision-making during insertion and perceptions of women. Read More

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Effect of meteorological factors and air pollutants on fractures: a nationwide population-based ecological study.

BMJ Open 2021 06 11;11(6):e047000. Epub 2021 Jun 11.

Artificial Intelligence and Big-Data Convergence Center, Gachon University Gil Medical Center, Incheon, South Korea

Objective: To determine the association of meteorological factors and air pollutants (MFAPs) with fracture and to estimate the effect size/time lag.

Design: This is a nationwide population-based ecological study from 2008 to 2017.

Setting: Eight large metropolitan areas in Korea. Read More

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Partial Arthroscopic Trapeziectomy and Stabilisation by Ligamentoplasty: Outcomes in Patients Younger than 60 Years.

Orthop Traumatol Surg Res 2021 Jun 8:102983. Epub 2021 Jun 8.

Service de chirurgie orthopédique et traumatologique, centre hospitalier de Versailles, 78150 Le Chesnay, France.

Background: Thumb carpo-metacarpal joint (TCMJ) osteoarthritis is the fourth leading cause of referral to elective hand surgery. None of the available techniques has proved superior over the others. Some techniques carry unacceptable risks for younger patients, such as loss of strength and shortening of the thumb column after total trapeziectomy, or wear and loosening after total arthroplasty. Read More

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