16,169 results match your criteria Wrist Joint


[Relationship of BMI and wrist joint index with carpal tunnel syndrome in manual laborers].

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2019 Jan;37(1):30-33

Department of Neurology, Tianjin Third Central Hospital, Tianjin 300170, China; Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Technology Research Center of Public Health Ministry, Tianjin Institute of Hepatobiliary Disease, Tianjin 300170, China.

To evaluate the severity of median nerve damage in patients with carpal tunnel syndrome (CTS) , and to analyze its relationship with body mass index (BMI) and wrist joint index. From May 2016 to January 2017, 23 patients with mild CTS (mild group) and 35 patients with moderate to severe CTS (moderate to severe group) were enrolled in this study. And 22 healthy volunteers matched for sex and age were selected as control group. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1001-9391.2019.01.006DOI Listing
January 2019

Dart thrower's motion and the injured scapholunate interosseous ligament: A scoping review of studies examining motion, orthoses, and rehabilitation.

J Hand Ther 2019 Mar 14. Epub 2019 Mar 14.

Department of Orthopaedic Surgery and Rehabilitation, Vanderbilt University Medical Center, Medical Center East-South Tower, Nashville, TN, USA.

Study Design: Scoping review.

Introduction: Dart thrower's motion (DTM) of the wrist primarily arises from the midcarpal joint, and minimizes stress to the scapholunate interosseous ligament (SLIL). After SLIL injury or surgery, early controlled DTM may reduce the effects of prolonged immobilization, while protecting SLIL integrity. Read More

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http://dx.doi.org/10.1016/j.jht.2018.09.005DOI Listing

Functional range of motion in the upper extremity and trunk joints: Nine functional everyday tasks with inertial sensors.

Gait Posture 2019 Feb 25;70:141-147. Epub 2019 Feb 25.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.

Background: Functional range of motion is defined as the required range of motions for individuals to maintain maximal independence, along with optimal conditions for activities of daily living. Intervention plans for rehabilitation are directed towards the acquisition of anatomical range of motion. However, this isn't always possible based on person's etiology, prognosis, or severity of disease. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2019.02.024DOI Listing
February 2019

Joint position sense impairments in older adults with carpometacarpal osteoarthritis: A descriptive comparative study.

J Hand Ther 2019 Mar 11. Epub 2019 Mar 11.

Occupational Therapy Department, Gannon University, Ruskin, FL, USA.

Study Design: This study has a descriptive-comparative, cross-sectional design.

Introduction: Sensorimotor (SM) impairments have been observed after common wrist and hand injuries such as distal radius fractures. However, there is a lack of research regarding SM impairments in patients with carpometacarpal (CMC) osteoarthritis (OA). Read More

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http://dx.doi.org/10.1016/j.jht.2019.01.006DOI Listing

Effect of weight-bearing wrist movement with carpal-stabilizing taping on pain and range of motion in subjects with dorsal wrist pain: A randomized controlled trial.

J Hand Ther 2019 Mar 11. Epub 2019 Mar 11.

Department of Physical Therapy, College of Health & Welfare, Kinesiopathologic Science Institute, Joongbu University, Geumsan, Republic of Korea. Electronic address:

Study Design: Randomized control trial.

Introduction: During weight-bearing wrist movement, potential stabilizing forces caused by carpal stabilizing taping (CST) may restrict movement of the carpal bones, allowing greater wrist joint extension.

Purpose Of The Study: The purpose of study was to investigate the effect of CST during weight-bearing wrist movement on pain intensity and range of motion (ROM) of wrist extension in subjects with dorsal wrist pain. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08941130183009
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http://dx.doi.org/10.1016/j.jht.2019.02.001DOI Listing
March 2019
1 Read

Inaccuracy between subjective reports and objective measures of sleep duration and clinical correlates in bipolar disorder.

J Affect Disord 2019 Mar 5;250:226-230. Epub 2019 Mar 5.

Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA; Department of Psychiatry, University of California San Diego, La Jolla, CA, USA.

Background: Sleep disturbances are common in bipolar disorder (BD) and are often assessed by self-report at clinic visits over the course of BD treatment. Self-report may be subject to recall bias based upon current mood/affect states. This study sought to identify the degree of inaccuracy between subjective and objective measures of sleep duration in those with and without BD, and to assess the demographic and clinical correlates of this inaccuracy. Read More

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http://dx.doi.org/10.1016/j.jad.2019.03.014DOI Listing
March 2019
1 Read

Assessing kinematic variability during performance of Jebsen-Taylor Hand Function Test.

J Hand Ther 2019 Mar 8. Epub 2019 Mar 8.

Department of Health and Human Services, National Institutes of Health, Bethesda, MD, USA.

Study Design: Clinical measurement; 22 subjects with no upper limb disability completed the Jebsen-Taylor Hand Function Test (JHFT).

Introduction: To realize the potential of 3D motion capture to augment evaluation of individuals with upper limb disability/impairment, it is important to understand the expected kinematic motion that characterizes performance during functional evaluation.

Purpose Of The Study: To assess kinematic variability and establish kinematic patterns for the JHFT. Read More

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http://dx.doi.org/10.1016/j.jht.2018.10.002DOI Listing

A comparison of contracture severity at acute discharge in patients with and without heterotopic ossification: A Burn Model System National Database Study.

J Burn Care Res 2019 Mar 6. Epub 2019 Mar 6.

Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA.

Objective: This study assesses the association between heterotopic ossification and upper extremity contracture by comparing goniometric measured active range of motion outcomes of patients with and without heterotopic ossification.

Methods: Data was obtained from the Burn Model System National Database between 1994 and 2003 for patients over 18 years with elbow contracture at acute discharge. Absolute losses in elbow range of motion were compared for those with and without radiologic evidence of heterotopic ossification (location undefined) and were further examined by burn size subgroups using Wilcoxon rank-sum test. Read More

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http://dx.doi.org/10.1093/jbcr/irz031DOI Listing
March 2019
1 Read

Applying LDA-based pattern recognition to predict isometric shoulder and elbow torque generation in individuals with chronic stroke with moderate to severe motor impairment.

J Neuroeng Rehabil 2019 Mar 5;16(1):35. Epub 2019 Mar 5.

Department of Physical Therapy and Human Movement Sciences, Northwestern University, 645 N Michigan Ave, Suite 1100, Chicago, IL, 60611, USA.

Background: Abnormal synergy is a major stroke-related movement impairment that presents as an unintentional contraction of muscles throughout a limb. The flexion synergy, consisting of involuntary flexion coupling of the paretic elbow, wrist, and fingers, is caused by and proportional to the amount of shoulder abduction effort and limits reaching function. A wearable exoskeleton capable of predicting movement intent could augment abduction effort and therefore reduce the negative effects of distal joint flexion synergy. Read More

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http://dx.doi.org/10.1186/s12984-019-0504-1DOI Listing
March 2019
1 Read

[SL fusion - no alternative for the treatment of chronic scapholunate dissociation].

Handchir Mikrochir Plast Chir 2019 Feb 5;51(1):27-31. Epub 2019 Mar 5.

BG Unfallklinik Tübingen Klinik für Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie.

Indroduction: The treatment of chronic scapholunate dissociation (SLD) is currently uneven and still presents a major challenge. Both, the primary ligament suture and frequently applied ligament reconstruction techniques cannot provide a permanent stable connection between the scaphoid and lunate. For this reason, the present study evaluates the value of a bony compound as a treatment option for the treatment of chronic SLD. Read More

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http://dx.doi.org/10.1055/a-0836-2618DOI Listing
February 2019

A Hand-Held Non-Robotic Surgical Tool with a Wrist and an Elbow.

IEEE Trans Biomed Eng 2019 Feb 26. Epub 2019 Feb 26.

Objective: This paper describes a surgical device that provides both wrist and elbow dexterity without motors or electronics. The device provides dexterity advantages in minimally invasive surgery typically associated with robotic systems, but does so with many fewer components. Fully mechanical designs of this type promise to deliver "robot-like dexterity" at a lower financial cost than current surgical robotic systems. Read More

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http://dx.doi.org/10.1109/TBME.2019.2901751DOI Listing
February 2019
1 Read

Design of injectable agar/NaCl/polyacrylamide ionic hydrogels for high performance strain sensors.

Carbohydr Polym 2019 May 28;211:322-328. Epub 2019 Jan 28.

College of Materials Science and Engineering, State Key Laboratory of Bio-fibers and Eco-textiles, Shandong Collaborative Innovation Center of Marine Biobased Fibers and Ecological Textiles, Institute of Marine Biobased Materials, Qingdao University, Qingdao 266071, PR China. Electronic address:

High performance strain sensors have recently attracted immense interest because of their potential applications in wearable devices. However, it remains a challenge in achieving critical feature combinations (e.g. Read More

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http://dx.doi.org/10.1016/j.carbpol.2019.01.094DOI Listing

Assessment of the Passive Tension of the First Dorsal Interosseous and First Lumbrical Muscles Using Shear Wave Elastography.

J Hand Surg Am 2019 Feb 26. Epub 2019 Feb 26.

Department of Orthopaedic Surgery.

Purpose: Quantitative evaluation of passive tension of the intrinsic muscles of the hand is necessary to assess contracture of the intrinsic muscles accurately. The aim of this study was to evaluate the shear modulus, which is related to passive muscle tension, of the first dorsal interosseous (FDI) and first lumbrical (FL) muscles using shear wave elastography.

Methods: Subjects were 18 healthy males. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.01.016DOI Listing
February 2019

Ulnar Wrist Deviation in Children With Obstetric Brachial Plexus Palsy: A Descriptive Study of Clinical and Radiological Findings of Impaired Ulnar Growth and Associated Incongruence of the Distal Radioulnar Joint.

Hand (N Y) 2019 Feb 28:1558944719831243. Epub 2019 Feb 28.

4 SportsMed, Carlanderska Hospital, Göteborg, Sweden.

Backround: Some children with obstetric brachial plexus palsy (OBPP) present later on with an ulnarly deviated wrist. The aim of this study was to present a retrospective analysis of a subgroup of OBPP children with ulnarly deviated wrists and to describe their morphologic wrist deformity in terms of clinical and radiological appearance.

Methods: We present a retrospective analysis of the records of 27 children with an ulnarly deviated wrist as a consequence of OBPP. Read More

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http://dx.doi.org/10.1177/1558944719831243DOI Listing
February 2019
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Wrist Deformity in Children and Adolescents with b-thalassemia on Oral Iron Chelation Therapy.

Indian Pediatr 2019 Jan;56(1):41-44

Department of Radiology, Nanavati Super Speciality Hospital, Vile Parle East, Mumbai, Maharashtra, India.

Objective: To describe a novel wrist deformity in b-thalassemia major patients, and their radiographic and magnetic resonance imaging findings.

Methods: 30 patients with b-thalassemia major who were noticed to have ulnar deviation at wrist joint were evaluated for previous history of medications, serum ferritin levels, presence of pain and swelling at the wrist joint, and the duration of iron chelation therapy. Radiographs of wrist and limited magnetic resonance imaging (MRI) sequences were obtained in 30 and 15 patients, respectively. Read More

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January 2019

Technique of Tendon Interposition Arthroplasty for Chronic Volar Dislocation of the Distal Radioulnar Joint.

J Hand Surg Am 2019 Feb 22. Epub 2019 Feb 22.

Case Western Reserve University School of Medicine, Cleveland, OH. Electronic address:

Volar distal radioulnar joint (DRUJ) dislocations are uncommon wrist injuries. Failed diagnosis or treatment can result in irreversible damage to the articulating surfaces and ultimately lead to chronic degenerative arthritis. When the DRUJ is reducible, and the cartilage is preserved, ligament reconstruction and ulnar osteotomy are surgical options for residual wrist instability or pain. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.01.007DOI Listing
February 2019
1 Read

Volar Locking Plates Versus Augmented External Fixation of Intra-Articular Distal Radial Fractures: Functional Results from a Randomized Controlled Trial.

J Bone Joint Surg Am 2019 Feb;101(4):311-321

Department of Orthopaedic Surgery, Akershus University Hospital, Lørenskog, Norway.

Background: The aim of the study was to compare the functional outcomes following fixation with a volar locking plate (VLP) with those outcomes after augmented external fixation (EF) of displaced, intra-articular distal radial fractures in patients 18 to 70 years of age.

Methods: Following inclusion, randomization, and surgery, clinical examination and outcome assessments were conducted at 6 weeks, 12 weeks, 6 months, 1 year, and 2 years. The primary outcome was the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score, and secondary outcomes included wrist range of motion, grip strength, and pain assessed with a visual analog scale (VAS). Read More

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http://dx.doi.org/10.2106/JBJS.18.00014DOI Listing
February 2019
1 Read

[Feasibility of robotic surgical system in radical gastrectomy for gastric cancer after liver transplantation].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Feb;22(2):180-188

Department of General Surgery, Southwest Hospital, Military Medical University, Chongqing 400038, China.

Objective: To explore the feasibility and safety of robotic surgical system for radical gastrectomy after liver transplantation.

Methods: A 65-year-old male patient with gastric cancer after liver transplantation underwent radical distal subtotal gastrectomy using Da Vinci surgical system at the General Surgery Department of Southwest Hospital Affiliated to the Army Military Medical University on October 23,2018. The placement of Trocars was arranged using five-hole method. Read More

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February 2019

Effectiveness of botulinum toxin treatment for upper limb spasticity after stroke over different ICF domains: a systematic review and meta-analysis.

Arch Phys Med Rehabil 2019 Feb 20. Epub 2019 Feb 20.

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam Neuroscience, De Boelelaan 1117, Amsterdam, Netherlands; Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, USA; Department of Neurorehabilitation, Amsterdam Rehabilitation Research Centre, Reade, Amsterdam, Netherlands.

Objective: To provide a comprehensive overview of reported effects and scientific robustness of botulinum toxin (BoNT) treatment regarding the main clinical goals related to post-stroke upper limb spasticity, using the ICF classification.

Data Sources: Embase.com, PubMed, Wiley/Cochrane Library, and Ebsco/CINAHL were searched from inception up to 16 May 2018. Read More

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http://dx.doi.org/10.1016/j.apmr.2019.01.016DOI Listing
February 2019
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Can optical spectral transmission assess ultrasound-detected synovitis in hand osteoarthritis?

PLoS One 2019 22;14(2):e0209761. Epub 2019 Feb 22.

Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.

Objective: To determine whether optical spectral transmission (OST) can be used to assess synovitis in hand and wrist joints of patients with hand osteoarthritis (OA).

Design: Hand and wrist joints of 47 primary hand OA patients with at least one clinically inflamed hand or wrist joint were assessed for synovitis by OST and ultrasound (US). Associations between standardized OST and US synovitis were studied in linear mixed effects models, across all joint types together and individually for wrist, proximal interphalangeal (PIP), and distal interphalangeal (DIP) joints, and were adjusted for OA features that showed associations with US synovitis. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0209761PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386475PMC
February 2019

Calculation of flexor pollicis longus moment arm for wrist motion in a cadaver model validates the tenodesis effect for therapy.

J Hand Ther 2019 Feb 18. Epub 2019 Feb 18.

Tendon and Soft Tissue Biology Laboratory, Mayo Clinic, Rochester, MN, USA. Electronic address:

Introduction: Synergies of fingers and wrist motion have been incorporated into therapies for finger flexor tendon injuries to improve repair outcomes. Similar synergistic therapy strategies have not been well documented for the thumb.

Purpose Of The Study: The purpose of this study was to investigate the extent to which wrist motion enables a synergistic effect at the thumb in a cadaveric model by measuring flexor pollicis longus excursion and calculating the moment arm of this tendon at the wrist joint. Read More

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http://dx.doi.org/10.1016/j.jht.2019.01.005DOI Listing
February 2019
1.810 Impact Factor

The comparison of the effectiveness between different doses of local methylprednisolone injection versus triamcinolone in Carpal Tunnel Syndrome: a double-blind clinical trial.

J Pain Res 2019 5;12:579-584. Epub 2019 Feb 5.

Department of Medical Genetics, Tarbiat Modares University, Tehran, Iran.

Purpose: Local corticosteroid injection is one of the most prevalent methods in treating carpal tunnel syndrome (CTS). However, the most efficient substance and its appropriate dosage remain controversial. In the present double-blind randomized controlled trial, the efficacy and safety of local injection of two corticosteroids (triamcinolone and methylprednisolone) were compared at two different dosages, 20 and 40 mg. Read More

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http://dx.doi.org/10.2147/JPR.S190652DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368124PMC
February 2019
1 Read

Factors Associated With the Cost of Care for the Most Common Atraumatic Painful Upper Extremity Conditions.

J Hand Surg Am 2019 Feb 16. Epub 2019 Feb 16.

Department of Internal Medicine, Dell Medical School, The University of Texas at Austin, Austin, TX.

Purpose: To help strategize efforts to optimize value (relative improvement in health for resources invested), we analyzed the factors associated with the cost of care and use of resources for painful, nontraumatic conditions of the upper extremity.

Methods: The following were the most common upper extremity diagnoses in the Truven Health MarketScan database: shoulder pain and rotator cuff tendinopathy, shoulder stiffness, shoulder arthritis, lateral epicondylitis, hand arthritis, trigger finger, wrist pain, and hand pain. Multivariable generalized linear regression models were constructed accounting for sex, age, employment status, enrollment year, payer type, emergency room visit, joint injection, magnetic resonance imaging (MRI), physical or occupational therapy, outpatient and inpatient surgery, and insurance type. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023183050
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http://dx.doi.org/10.1016/j.jhsa.2019.01.001DOI Listing
February 2019
3 Reads

Automatic and near real-time stylistic behavior assessment in robotic surgery.

Int J Comput Assist Radiol Surg 2019 Apr 18;14(4):635-643. Epub 2019 Feb 18.

Department of Surgery, UT Southwestern Medical Center, Dallas, TX, 75390, USA.

Purpose: Automatic skill evaluation is of great importance in surgical robotic training. Extensive research has been done to evaluate surgical skill, and a variety of quantitative metrics have been proposed. However, these methods primarily use expert selected features which may not capture latent information in movement data. Read More

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http://dx.doi.org/10.1007/s11548-019-01920-6DOI Listing

The severity of ulnar variance compared with contralateral hand: its significance on postoperative wrist function in patients with distal radius fracture.

Sci Rep 2019 Feb 18;9(1):2226. Epub 2019 Feb 18.

Department of Orthopaedics, Changzhou Traditional Chinese Medicine hospital, Changzhou, 213003, China.

The aim of this study was to detect the severity of ulnar variance (UV) compared with contralateral hand on postoperative wrist function in patients with distal radius fracture. 116 cases with unilateral distal radius fracture were retrospectively analyzed and divided into high or low UV severity groups (Dividing value = 2.5 mm). Read More

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http://dx.doi.org/10.1038/s41598-018-36616-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379370PMC
February 2019
1 Read

Evaluation of the PROMIS Upper Extremity Computer Adaptive Test Against Validated Patient-Reported Outcomes in Patients With Basilar Thumb Arthritis.

J Hand Surg Am 2019 Feb 15. Epub 2019 Feb 15.

Department of Orthopaedic Surgery, Thomas Jefferson University; and the Rothman Institute, Philadelphia, PA. Electronic address:

Purpose: The Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE) computer adaptive test was developed to reduce test burden and improve precision. We hypothesized that, in patients with thumb basilar joint arthritis (BJA), (1) PROMIS UE would correlate with established patient-outcomes (PROs), (2) PROMIS UE would require less time and fewer questions than current metrics, (3) there would be no floor or ceiling effects, and (4) PROMIS UE would not correlate with radiographic disease severity.

Methods: Patients presenting with a primary diagnosis of thumb BJA completed the Quick Disabilities of the Arm Shoulder and Hand (QuickDASH), Thumb Disability Examination (TDX), Patient-Rated Wrist Hand Evaluation (PRWHE), and PROMIS UE. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.01.003DOI Listing
February 2019
3 Reads

Remote assessment of disease and relapse in major depressive disorder (RADAR-MDD): a multi-centre prospective cohort study protocol.

BMC Psychiatry 2019 Feb 18;19(1):72. Epub 2019 Feb 18.

King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.

Background: There is a growing body of literature highlighting the role that wearable and mobile remote measurement technology (RMT) can play in measuring symptoms of major depressive disorder (MDD). Outcomes assessment typically relies on self-report, which can be biased by dysfunctional perceptions and current symptom severity. Predictors of depressive relapse include disrupted sleep, reduced sociability, physical activity, changes in mood, prosody and cognitive function, which are all amenable to measurement via RMT. Read More

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http://dx.doi.org/10.1186/s12888-019-2049-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379954PMC
February 2019

A palm-worn device to quantify rigidity in Parkinson's disease.

J Neurosci Methods 2019 Apr 15;317:113-120. Epub 2019 Feb 15.

Bionics Institute, East Melbourne, Victoria, Australia; Department of Medical Bionics, University of Melbourne, East Melbourne, Victoria, Australia.

Background: Parkinsonian rigidity is identified on clinical examination as resistance to passive movement. Measurement of rigidity commonly relies on ordinal rating scales (MDS-UPDRS), however instrumented objective measures may provide greater mechanistic insight.

New Method: We present a palm-worn instrument to objectively quantify rigidity on a continuous scale. Read More

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http://dx.doi.org/10.1016/j.jneumeth.2019.02.006DOI Listing
April 2019
4 Reads

Differences between flexion and extension synergy-driven coupling at the elbow, wrist, and fingers of individuals with chronic hemiparetic stroke.

Clin Neurophysiol 2019 Apr 31;130(4):454-468. Epub 2019 Jan 31.

Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, IL, USA; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. Electronic address:

Objective: The flexion and extension synergies were quantified at the paretic elbow, forearm, wrist, and finger joints within the same group of participants for the first time. Differences in synergy expression at each of the four joints were examined, as were the ways these differences varied across the joints.

Methods: Twelve post-stroke individuals with chronic moderate-to-severe hemiparesis and six age-matched controls participated. Read More

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http://dx.doi.org/10.1016/j.clinph.2019.01.010DOI Listing
April 2019
5 Reads

[Development of Motion Unit of Simulated Intelligent Endotracheal Suctioning Robot].

Zhongguo Yi Liao Qi Xie Za Zhi 2019 Jan;43(1):17-20

Department of Hepatobiliary Surgery, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061.

A motion unit for sucking robot with a stable motion, convenient operation and process simulation is introduced. The key parameters and process data of the sucking operation were obtained from the clinical work, which provided the basis for the design of the sucking robot motion unit. According to the points of sucking action, robotic thumb, forefinger and metacarpophalangeal joints were used to grip the suction tube, and the servo and arm structure were used to simulate the motion of the wrist and elbow to complete the rotation and push of the sputum suction tube. Read More

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http://dx.doi.org/10.3969/j.issn.1671-7104.2019.01.0005DOI Listing
January 2019
1 Read

Healthier Rhythm, Healthier Brain? Integrity of Circadian Melatonin and Temperature Rhythms Relates to the Clinical State of Brain-Injured Patients.

Eur J Neurol 2019 Feb 15. Epub 2019 Feb 15.

University of Salzburg, Department of Psychology, Centre for Cognitive Neuroscience, Hellbrunner Strasse 34, A-5020, Salzburg.

Introduction: Healthy circadian rhythmicity has been suggested to relate to a better state of brain-injured patients and to support the emergence of consciousness in patient groups characterised by a relative instability thereof such as patients with disorders of consciousness (DOC).

Methods: Going beyond earlier studies, we have adopted a systems-level perspective and, using multilevel modelling, assessed the joint predictive value of three indexes of circadian rhythm integrity derived from skin temperature variations, melatoninsulfate (aMT6s) secretion, and physical activity (wrist actigraphy) patterns for DOC patients' (13 unresponsive wakefulness syndrome [UWS]; 7 minimally conscious (exit) state [E/MCS]) behaviourally assessed state (Coma Recovery Scale-Revised [CRS-R] score). Additionally, we have assessed in a subset 16 patients whether patients' behavioural repertoire (CRS-R score) varies with (i) time of day or (ii) offset from the body temperature maximum (BTmax), that is when cognitive performance is expected to peak. Read More

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http://dx.doi.org/10.1111/ene.13935DOI Listing
February 2019

Unusual combination of elbow dislocation with a retained intraarticular fragment and trochlear fracture and ipsilateral distal radius fracture in an amateur snowboarder: A case report and review of literatures.

Int J Surg Case Rep 2019 1;55:196-201. Epub 2019 Feb 1.

Department of Orthopaedic Surgery and Institute of Health Sciences, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea. Electronic address:

Introduction: The most common damage caused by snowboarding is wrist injury. However, Elbow injuries are relatively rare. In general, elbow dislocation with ipsilateral distal radius fracture is also very rare. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374697PMC
February 2019

Characterization of normative angular joint kinematics during two functional upper limb tasks.

Gait Posture 2019 Jan 28;69:176-186. Epub 2019 Jan 28.

Department of Biomedical Engineering, University of Alberta, 1098 Research Transition Facility, Edmonton, Alberta T6G 2V2, Canada; Glenrose Rehabilitation Hospital, Alberta Health Services, 10230 111 Avenue NW, Edmonton, Alberta T5G 0B7, Canada; Department of Mechanical Engineering, University of Alberta, Donadeo Innovation Centre for Engineering, 9211 116 Street NW, Edmonton, Alberta T6G 1H9, Canada. Electronic address:

Background: Optical motion capture is a powerful tool for assessing upper body kinematics, including compensatory movements, in different populations. However, the lack of a standardized protocol with clear functional relevance hinders its clinical acceptance.

Research Question: The objective of this study was to use motion capture to: (1) characterize angular joint kinematics in a normative population performing two complex, yet standardized upper limb tasks with clear functional relevance; and (2) assess the protocol's intra-rater reliability. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2019.01.037DOI Listing
January 2019
2 Reads

Congenital orthopaedic limp deformities in Corpus Hippocraticum.

Int Orthop 2019 Feb 15. Epub 2019 Feb 15.

History of Medicine, Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

During the fifth century BC in ancient Greece during the eve of orthopaedics, the Hippocratic School of Medicine diagnosed a series of congenital limb deformities. Congenital dislocation of the arm, elbow, wrist, hip, knee, tarsotibial joint, apex leg, as well as talipes valgus (clubfoot), congenital clavicle fractures, and thumb malfunction were all discussed by Hippocrates and his followers. Ancient Greek medico-philosophers, fond of a "perfect" human body, proposed an immediate non-interventional approach, while archaic orthotics and specialized footwear were suggested. Read More

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http://link.springer.com/10.1007/s00264-019-04308-y
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http://dx.doi.org/10.1007/s00264-019-04308-yDOI Listing
February 2019
4 Reads

[Rare case of palmar disc dislocation after wrist distorsion].

Unfallchirurg 2019 Feb 14. Epub 2019 Feb 14.

Abteilung für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum Tübingen, Eberhard-Karls-University, Hoppe-Seyler-Str.3, 72076, Tübingen, Deutschland.

Objective: The aim of this study was the elaboration of clinical symptoms and image findings in injuries of the wrist and ulnar-sided pain with accompanying damage to the articular disc and the triangular fibrocartilage complex (TFCC).

Material And Methods: This article reports about a 26-year-old male patient who presented to the department of surgery of this hospital after repeated falls onto the right wrist. Following the latest fall there was persistent wrist pain and limited movement, especially in supination. Read More

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http://dx.doi.org/10.1007/s00113-019-0613-0DOI Listing
February 2019
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What is the additional value of MRI of the foot to the hand in undifferentiated arthritis to predict rheumatoid arthritis development?

Arthritis Res Ther 2019 Feb 14;21(1):56. Epub 2019 Feb 14.

Department of Rheumatology, Leiden University Medical Centre, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.

Background: MRI-detected subclinical joint inflammation in the hand joints of patients with undifferentiated arthritis (UA) predicts progression to rheumatoid arthritis (RA). It is unknown if adding MRI of the foot increases predictive accuracy compared to the hand alone.

Methods: 1. Read More

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http://dx.doi.org/10.1186/s13075-019-1845-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376768PMC
February 2019
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Do musculoskeletal ultrasound and magnetic resonance imaging identify synovitis and tenosynovitis at the same joints and tendons? A comparative study in early inflammatory arthritis and clinically suspect arthralgia.

Arthritis Res Ther 2019 Feb 14;21(1):59. Epub 2019 Feb 14.

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

Objective: Ultrasound (US) and magnetic resonance imaging (MRI) are recommended in the diagnostic process of rheumatoid arthritis. Research on its comparability in early disease phases is scarce. Therefore, we compared synovitis and tenosynovitis detected by US and MRI on joint/tendon level. Read More

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http://dx.doi.org/10.1186/s13075-019-1824-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376767PMC
February 2019
2 Reads

Kinematic Analysis of the Distal Radioulnar Joint in Asymptomatic Wrists Using 4-Dimensional Computed Tomography-Motion Pattern and Interreader Reliability.

J Comput Assist Tomogr 2019 Feb 11. Epub 2019 Feb 11.

Department of Plastic and Reconstructive Surgery, Johns Hopkins University, Baltimore, MD.

Purpose: The aim of this study was to determine the normal measurement values and interobserver performance of the distal radioulnar joint during wrist pronation-supination using 4-dimensional computed tomography (CT).

Methods: Four-dimensional CT examinations were performed on the asymptomatic contralateral wrists of 10 patients with unilateral chronic wrist pain. Measurements were conducted using the modified radioulnar (mRU) line and epicenter (Epi) methods. Read More

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http://dx.doi.org/10.1097/RCT.0000000000000839DOI Listing
February 2019

Surgical Repair of Acute TFCC Injury.

Hand (N Y) 2019 Feb 14:1558944719828007. Epub 2019 Feb 14.

2 Walter Reed National Military Medical Center, Bethesda, MD, USA.

Triangular fibrocartilage complex tears are a common source of ulnar-sided wrist pain and distal radioulnar joint instability. Symptoms recalcitrant to conservative management or injuries in high-demand athletes may indicate surgical management. Both open and arthroscopic techniques offer improvements in objective measures, patient-centered outcome scores, and return to work, but may be complicated by nerve irritation, persistent wrist instability, and pain. Read More

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http://dx.doi.org/10.1177/1558944719828007DOI Listing
February 2019

Repair of Chronic Concomitant Avulsion Fractures of the Extensor Carpi Radialis Longus and Brevis.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):100-104

1 Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.

Combined simultaneous radial wrist extensor injuries, namely ipsilateral extensor carpi radialis longus (ECRL) and brevis (ECRB) avulsion fractures, are rare. While non-operative management with cast immobilization has been described, most recommend operative intervention in the acute setting. Surgical repair of chronic injuries, however, has received little attention in the literature. Read More

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http://dx.doi.org/10.1142/S2424835519720044DOI Listing

Routine musculoskeletal ultrasound findings impact diagnostic decisions maximally in autoantibody-seronegative early arthritis patients.

Rheumatology (Oxford) 2019 Feb 8. Epub 2019 Feb 8.

Musculoskeletal Research Group, Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.

Objective: The diagnostic value added by musculoskeletal ultrasound (MSUS) over standard clinical and laboratory parameters has proved difficult to quantify. The additive contribution to diagnostic classification of a pragmatic, 15 min MSUS protocol was appraised in a large, unselected cohort of early arthritis clinic attendees.

Methods: Detailed baseline characteristics were recorded. Read More

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http://dx.doi.org/10.1093/rheumatology/kez008DOI Listing
February 2019
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Ipsilateral proximal and distal radius fractures with unstable elbow joint: Which should we address first?

Chin J Traumatol 2018 Dec 30. Epub 2018 Dec 30.

Department of Orthopaedics & Traumatology, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.

Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275183009
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http://dx.doi.org/10.1016/j.cjtee.2018.04.007DOI Listing
December 2018
6 Reads

Usefulness of composite indices in the assessment of joint involvement in systemic lupus erythematosus patients: correlation with ultrasonographic score.

Lupus 2019 Mar 11;28(3):383-388. Epub 2019 Feb 11.

Lupus Clinic, Reumatologia, Dipartimento Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Viale del Policlinico 155 - 00161 Rome, Italy.

Specific indices are not available to evaluate systemic lupus erythematosus (SLE) joint involvement; indeed, the application of indices validated for rheumatoid arthritis has been suggested. We evaluated the usefulness of organ specific composite indices, i.e. Read More

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http://dx.doi.org/10.1177/0961203319828527DOI Listing
March 2019
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Peripheral and Central Sensitization of Pain in Individuals with Hand Osteoarthritis and Associations with Self-Reported Pain Severity.

Arthritis Rheumatol 2019 Feb 11. Epub 2019 Feb 11.

Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.

Objectives: Pain sensitization, an important osteoarthritis (OA) pain mechanism, has not been substantially investigated in persons with hand OA. It is unknown how peripheral and central sensitization is related to self-reported hand pain.

Methods: Persons with verified hand OA in the Nor-Hand study underwent quantitative sensory testing of pressure pain Thresholds (PPT) locally (painful and non-painful finger joint) and remotely (wrist, trapezius and tibialis anterior muscle), and temporal summation (TS), a manifestation of central sensitization. Read More

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http://dx.doi.org/10.1002/art.40850DOI Listing
February 2019
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Perceptions and experiences of wrist surgeons on the management of triangular fibrocartilage complex tears: a qualitative study.

J Hand Surg Eur Vol 2019 Feb 10:1753193419826459. Epub 2019 Feb 10.

4 Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.

There is lack of consensus on the management of triangular fibrocartilage injuries. The aim of this study was to investigate wrist surgeons' experiences and perceptions regarding treatment of triangular fibrocartilage complex injuries and to explore the rationale behind clinical decision-making. A purposive sample of consultant wrist surgeons ( n = 10) was recruited through 'snow-balling' until data saturation was reached. Read More

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http://dx.doi.org/10.1177/1753193419826459DOI Listing
February 2019
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Pure Isolated Dorsal Hamatometacarpal Dislocation in a Rider: A Case Report and Review of Literature.

J Orthop Case Rep 2018 Sep-Oct;8(5):29-31

Department of Orthopedic Surgery and Traumatology, Military Hospital Mohamed V (HMIMV), BP 10100 Rabat, Morocco.

Introduction: Pure isolated dislocations of the fifth carpometacarpal joint are extremely rare. To the best of our knowledge, the case, we present here, is among the extremely rare cases report of an unstable hamatometacarpal dislocation(HMD)injury successfully treated by a well-molded cast.

Case Report: A 30-year-old rider fell from his horse, causing swelling of the wrist and the fifth finger was rotated with minimal active motion. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367302PMC
February 2019
6 Reads

Correlation between high-frequency ultrasonography of patients with early rheumatoid arthritis and anti-CCP antibody.

Medicine (Baltimore) 2019 Feb;98(6):e14083

Department of Ultrasound Medicine, Gansu Provincial People's Hospital, Lanzhou, Gansu Province, P. R. China.

Objectives: To study the correlation between high-frequency ultrasonography of patients with early rheumatoid arthritis (RA) and anti-cyclic citrullinated peptide (CCP) antibody.

Methods: Two wrists, 1st to 5th metacarpal phalangeal (MCP) and 1st to 5th proximal interphalangeal (PIP) joints of 53 early RA patients treated from October 2015 to October 2017 and 30 healthy subjects were examined by high-frequency ultrasonography. The thicknesses of synovial membrane, sheaths of 1st to 5th extensor tendons, flexor tendons and ulnar wrist extensor tendons were measured. Read More

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http://dx.doi.org/10.1097/MD.0000000000014083DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380833PMC
February 2019
4 Reads

An Extensile Approach to the Radial Aspect of the Carpus: "The Link Incision".

Tech Hand Up Extrem Surg 2019 Feb 5. Epub 2019 Feb 5.

Dumfries and Galloway Royal Infirmary, Dumfries, Scotland, UK.

The structures on the radial side of the wrist and thumb base can be approached by a longitudinal incision on the radial side of the wrist. However, longer longitudinal scars can be cosmetically unacceptable and can result in a scar contracture. It is preferable to curve longer incisions along the Langer's skin lines to achieve better scar characteristics. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000232DOI Listing
February 2019
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An Evidence-Based Approach to Casting and Orthosis Management of the Pediatric, Adolescent, and Young Adult Population for Injuries of the Upper Extremity: A Review Article.

Clin J Sport Med 2019 Feb 4. Epub 2019 Feb 4.

Department of Physical Medicine and Rehabilitation, Mayo Clinic, Jacksonville, Florida.

Objective: Review the use of upper-extremity orthoses and casts after injuries to the wrist and hand in the pediatric, adolescent, and young adult population. The common injuries reviewed include pediatric distal radius fractures, scaphoid fractures, metacarpal fractures, mallet fingers, volar plate injuries of the proximal interphalangeal (PIP) joint, and ulnar collateral ligament (UCL) tears of the thumb metacarpophalangeal (MCP) joint.

Data Sources: We conducted a literature review from 1985 to 2016 of upper-extremity orthotic interventions. Read More

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http://dx.doi.org/10.1097/JSM.0000000000000718DOI Listing
February 2019
2 Reads