40,644 results match your criteria Wrist Scaphoid Fractures and Complications


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

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

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

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

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December 2018
3 Reads

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

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

Department of Emergency Medicine, University Hospital Galway, Galway

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

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

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

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

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

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December 2018

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

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

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

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

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

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November 2018

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

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

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

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

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December 2018

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

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

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

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

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December 2018

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

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

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

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

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December 2018

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

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

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

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

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December 2018
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Feasibility of a New Desktop Motion Analysis System with a Video Game Console for Assessing Various Three-Dimensional Wrist Motions.

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

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

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

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

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December 2018

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

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

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

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

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December 2018

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

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

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

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

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

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December 2018

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

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

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

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

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December 2018

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

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

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

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

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

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October 2018

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

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

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

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

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

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November 2018

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

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

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

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

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November 2018

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

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

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

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

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

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November 2018

Satisfaction With Specific and Nonspecific Diagnoses.

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

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

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

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November 2018

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

Authors:
Doug Fraedrich

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

Washington DC, USA.

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

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

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December 2018
1 Read

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

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

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

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

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December 2018

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

Musculoskelet Surg 2018 Dec 4. Epub 2018 Dec 4.

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

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

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

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December 2018
2 Reads

Musculoskeletal pain and symptoms in pregnancy: a descriptive study.

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

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

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

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

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December 2018

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

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

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

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

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

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October 2018

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

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

Capio/CFR Hospital, Hellerup, Denmark.

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

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December 2018

Arthroscopic Ganglionectomy in the Pediatric Population.

Plast Reconstr Surg 2018 Nov;142(5):718e-721e

Dallas, Texas From the Departments of Plastic Surgery and Orthopedic Surgery, University of Texas Southwestern Medical Center.

Background: Arthroscopic dorsal wrist ganglionectomy is an established alternative to open excision in the adult population. The purpose of this study was to retrospectively compare outcomes of arthroscopic and open dorsal wrist ganglionectomy in the pediatric population.

Methods: All patients who underwent arthroscopic or open dorsal wrist ganglionectomy at a single pediatric institution between 2011 and 2014 were retrospectively evaluated by chart review and telephone interview. Read More

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November 2018
1 Read

Gender Disparities in Preoperative Resource Use for Wrist Arthroscopy.

Plast Reconstr Surg 2018 Nov;142(5):1267-1274

Ann Arbor, Mich. From the Section of Plastic Surgery, University of Michigan Health System; and the Section of Plastic Surgery, University of Michigan Medical School.

Background: Although national efforts to minimize gender biases exist, gender differences in surgery persist. This study aims to investigate gender differences in preoperative resource use of patients undergoing wrist arthroscopy for nontraumatic wrist pain.

Methods: Patients who underwent a wrist arthroscopy for nontraumatic pain from 2009 to 2015 were selected from the Truven MarketScan databases. Read More

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November 2018
1 Read

Adult UVR exposure changes with life stage - a 14-year follow-up study using personal electronic UVR dosimeters.

Photochem Photobiol Sci 2018 Dec 4. Epub 2018 Dec 4.

Department of Dermatology, Frederiksberg and Bispebjerg Hospitals, University of Copenhagen, Copenhagen, Denmark.

Over a period spanning 14 years (1999-2001, 2006 and 2012), 31 volunteers participated in sun behaviour studies with the same protocol wearing a personal, electronic wrist-borne UVR dosimeter and completed sun exposure diaries resulting in a total of 15 946 measurements days (126 days per person per year). The participants individually maintained their UVR dose level and behaviour over the years. No statistically significant differences were seen from year to year in the "estimated annual UVR dose", the "mean UVR dose per day", the "mean percentage of ambient UVR", "days sunbathing to get a tan", "days with intermittent exposure" or in "sunburn episodes". Read More

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December 2018

Shaping the Effects of Associative Brain Stimulation by Contractions of the Opposite Limb.

Front Psychol 2018 19;9:2249. Epub 2018 Nov 19.

School of Psychology, Queen's University Belfast, Belfast, United Kingdom.

There has been an explosion of interest in methods that may promote neural plasticity by indirectly stimulating tissue in damaged brains using transient magnetic fields or weak electrical currents. A major limitation of these approaches is that the induced variations in brain activity tend to be diffuse. Thus far it has proved extremely difficult to target pathways from the brain to specific muscles. Read More

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November 2018
2 Reads

Distal locking screw length for volar locking plate fixation of distal radius fractures: Postoperative stability of full-length unicortical versus shorter screws.

Hand Surg Rehabil 2018 Nov 30. Epub 2018 Nov 30.

Department of Orthopedic Surgery, Suwa Central Hospital, 4300 3918503 Tamagawa, Chino, Nagano, Japan.

We compared post-operative distal radius fracture (DRF) displacement after volar locking plate fixation using full-length unicortical and shorter-length distal locking screws. In this non-inferiority, retrospective cohort study, DRFs treated with volar locking plate fixation were evaluated on X-rays. In the full-length group, volar locking plate fixation was performed with full-length unicortical distal locking screws. Read More

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November 2018

Regional Control of Hairless versus Hair-Bearing Skin by Dkk2.

Cell Rep 2018 Nov 29. Epub 2018 Nov 29.

Department of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA; Department of Cell and Developmental Biology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA; Department of Anatomy and Cell Biology, University of Pennsylvania School of Dental Medicine, Philadelphia, PA 19104, USA. Electronic address:

Haired skin is a defining characteristic of mammals. However, some specialized skin regions, such as human palms, soles and ventral wrist, and mouse plantar foot, are entirely hairless. Using mouse plantar skin as a model system, we show that the endogenous secreted Wnt inhibitor DKK2 suppresses plantar hair follicle development and permits the formation of hairless skin. Read More

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November 2018
1 Read

Design and ergonomic assessment of an infusion set connector tool used in nursing work.

Appl Ergon 2019 Feb 21;75:91-98. Epub 2018 Sep 21.

Department of Biomedical Systems & Medical Physics, Tehran University of Medical Sciences, Iran.

Nursing is a physically demanding job characterized by a high prevalence of fatigue and musculoskeletal disorders. One of the high-exertion and repetitive nursing tasks is the manual connection of an infusion set to a medical fluid bottle. Such physical work can be eased by the design of new hand tools. Read More

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February 2019

Case study on the effects of fit and material of sports gloves on hand performance.

Appl Ergon 2019 Feb 18;75:17-26. Epub 2018 Sep 18.

Institute of Textiles and Clothing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.

Active and sports fashion in the high-end market focuses on fit, superior comfort and functional performance for various end-uses. However, the engineering design of sports gloves in relation to hand anthropometry measurements remains unclear. In this study, two types of ready-to-wear sport gloves, namely, war-gaming glove and hiking glove were purchased from the market. Read More

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February 2019

Assessment of interpretation of paediatric skeletal radiographs in the emergency room.

Clin Radiol 2018 Nov 30. Epub 2018 Nov 30.

Department of Paediatric Radiology, MedCampus IV, Kepler University Hospital, Linz, Austria.

Aim: To assess the performance of paediatric skeletal radiography interpretation in the emergency department.

Materials And Methods: In a large paediatric referral centre, data from trauma patients with initially misdiagnosed skeletal radiography was collected from October 2014 to June 2015. Data analysis focused on demographic data, region of the injury and clinical consequences as well as outcome of treatment. Read More

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November 2018

Long-term results of vascularized os pisiform transfer for advanced Kienböck disease after follow-up for at least 15 years: A case series.

Medicine (Baltimore) 2018 Nov;97(48):e13229

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

No surgical procedure perfectly treats advanced Kienböck disease. Although vascularized os pisiform transferring (VOPT) is one of the main therapeutic approaches, reports on long-term follow-up and case series for this technique are scarce.We collected postoperative results in 11 patients with advanced Kienböck disease who underwent VOPT between 1986 and 2001 in our Hospital. Read More

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November 2018

Relationships between technique and bat speed, post-impact ball speed, and carry distance during a range hitting task in cricket.

Hum Mov Sci 2018 Nov 27;63:34-44. Epub 2018 Nov 27.

School of Sport, Exercise, and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK.

The ability of a batsman to clear the boundary is a major contributor to success in modern cricket. The aim of this study was to identify technique parameters characterising those batsmen able to generate greater bat speeds, ball launch speeds, and carry distances during a range hitting task in cricket. Kinematic data were collected for 20 batsmen ranging from international to club standard, and a series of ball launch, bat-ball impact, and technique parameters were calculated for each trial. Read More

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November 2018

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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September 2018
2 Reads

Too Late and Not Enough: School Year Sleep Duration, Timing, and Circadian Misalignment Are Associated with Reduced Insulin Sensitivity in Adolescents with Overweight/Obesity.

J Pediatr 2018 Nov 19. Epub 2018 Nov 19.

Division of Endocrinology, Department of Pediatrics, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO; Center for Women's Health Research, University of Colorado Anschutz Medical Campus, Aurora, CO.

Objectives: To examine the relationship between insulin resistance (IR) and sleep/circadian health in overweight/obese adolescents. We hypothesized that insufficient and delayed sleep would be associated with IR in this population.

Study Design: Thirty-one adolescents (mean age, 16. Read More

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November 2018

Comparative efficacy and safety of NSAIDs-controlled acupuncture in the treatment of patients with primary dysmenorrhoea: a Bayesian network meta-analysis.

J Int Med Res 2018 Nov 30:300060518800609. Epub 2018 Nov 30.

2 Clinical Medical College of Acupuncture, Moxibustion and Rehabilitation Clinic, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.

Background: Acupuncture and non-steroidal anti-inflammatory drugs (NSAIDs) are used frequently to treat primary dysmenorrhoea. However, it is unclear whether this treatment greatly reduces the risk of primary dysmenorrhoea.

Methods: Eight databases were searched up to January 2018. Read More

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November 2018
2 Reads

Thumb reconstruction with combination of the wrap-around flap prefabricated by medialis pedis perforator flap with nail bed and phalanx banked from the amputated thumb: A case report.

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Thumb reconstruction has been a very challenging issue for hand surgeons. In this report, we present a case of thumb reconstruction with combination of the wrap-around flap prefabricated by the medialis pedis perforator flap with phalanx and nail bed banked from the amputated thumb. A 22-year-old man suffered from the left thumb amputation as well as large soft tissue defect of hand and comminuted fracture in wrist due to a crush accident. Read More

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November 2018

Dropping the Hammer: An Uncommon Case of Right-Hand Pain in a Professional Hockey Player.

Sports Health 2018 Nov 29:1941738118816050. Epub 2018 Nov 29.

Texas Orthopaedic Associates, Dallas, Texas.

A 26-year-old, right-handed male professional hockey player presented for a second opinion with dysesthesia of the tips of his right third, fourth, and fifth fingers after 2 previous incidents of hyperextension injuries to his right wrist while holding his hockey stick. Radiographs and computed tomography scans were negative for fracture. After magnetic resonance angiography and Doppler ultrasound imaging, the athlete was diagnosed with hypothenar hammer syndrome (HHS) with ulnar artery aneurysm and thrombosis. Read More

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November 2018

Percutaneous Aponeurotomy and Lipofilling versus Limited Fasciectomy for Dupuytren's Contracture: 5-Year Results from a Randomized Clinical Trial.

Plast Reconstr Surg 2018 Dec;142(6):1523-1531

Rotterdam and Utrecht, The Netherlands From the Department of Plastic and Reconstructive Surgery and Hand Surgery and the Department of Rehabilitation Medicine and Physical Therapy, Erasmus Medical Center; the Xpert Clinic, Hand and Wrist Center; and Handtherapie Nederland.

Background: In the Dupuytren Rotterdam randomized controlled trial, percutaneous aponeurotomy with lipofilling (PALF) was as effective as limited fasciectomy in correcting primary Dupuytren's contracture after 1 year. The authors report the 5-year results of this trial, with a special focus on recurrence of contractures.

Methods: The authors invited all patients who had undergone PALF or limited fasciectomy to participate in a posttrial follow-up assessment. Read More

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December 2018
3 Reads

Traumatic Divergent Elbow Dislocation with Associated Forearm Amputation in an Adult: A Case Report.

JBJS Case Connect 2018 Nov 28. Epub 2018 Nov 28.

Western Orthopaedics, Denver, Colorado.

Case: A 49-year-old right-hand-dominant man sustained an auger-related injury that resulted in open dislocation at the left wrist and palm, with complete amputation of the distal aspect of the forearm and the hand. The injury at the elbow included instability with an ulnar coronoid fracture, posterior dislocation of the ulna, and posterolateral dislocation of the radius. To restore stability of the forearm stump and elbow, we performed a complete resection of the radius, open reduction and internal fixation of the coronoid tip, a repair of the lateral collateral ligament, and transfer of the distal biceps tendon to the coronoid. Read More

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November 2018
1 Read

Does arthroscopic assistance improve reduction in distal articular radius fracture? A retrospective comparative study using a blind CT assessment.

Eur J Orthop Surg Traumatol 2018 Nov 28. Epub 2018 Nov 28.

Service Chirurgie Orthopédique et Traumatologie, Hôpital Ambroise Paré AP-HP, 9 Avenue Charles-de-Gaulle, 92100, Boulogne-Billancourt, France.

Introduction: The objective of this study was to compare the articular reduction in two groups of patients with a distal articular radius fracture who underwent surgery with versus without arthroscopic assistance. The initial hypothesis of this study is that arthroscopic assistance does not improve reduction in distal articular radius fractures.

Methods: The study was retrospective (1/04/2014-01/04/2017) and included 41 patients: 23 had arthroscopically assisted osteosynthesis, and 18 had not. Read More

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November 2018

Differences in typing forces, muscle activity, wrist posture, typing performance, and self-reported comfort among conventional and ultra-low travel keyboards.

Appl Ergon 2019 Jan 3;74:10-16. Epub 2018 Aug 3.

School of Biological and Population Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, United States. Electronic address:

This study investigated the relative impact of ultra-low travel keyboards on typing force, muscle activity, wrist posture, typing performance, and self-reported comfort/preference as compared to a conventional keyboard. In a repeated-measures laboratory-based study, 20 subjects were invited to type for 10 min on each of five keyboards with different travel distances of 0.5, 0. Read More

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January 2019

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 2018 Nov 27. 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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November 2018
1 Read

Fracture Risk in Women with Dysglycaemia: Assessing Effects of Baseline and Time-Varying Risk Factors.

Calcif Tissue Int 2018 Nov 27. Epub 2018 Nov 27.

Deakin University, Geelong, VIC, 3220, Australia.

Although individuals with diabetes appear to have a higher fracture risk compared to those without diabetes, fracture risk in impaired fasting glucose (IFG) has not been thoroughly explored. This study determined associations between glycaemia status and fracture risk. Women (n = 575, aged 50 + years) enrolled in the Geelong Osteoporosis Study, were followed from baseline (1993-1997), to date of first fracture, death or December 31, 2010, whichever occurred first (median 13. Read More

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November 2018
2 Reads

Giant Cell Tumor of the Capitate Bone.

J Hand Microsurg 2018 Dec 20;10(3):158-161. Epub 2018 Mar 20.

Department of Pathology, Urmia University of Medical Sciences, Urmia, Iran.

This case report describes a 16-year-old female patient with a giant cell tumor in her right capitate bone. The tumor was removed by intralesional curettage. A high-speed burr was used to extend the margins of the curettage, and alcohol irrigation was used for adjuvant therapy. Read More

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December 2018