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Surgical hip dislocation for treatment of synovial chondromatosis of the hip.

Int Orthop 2021 Apr 20. Epub 2021 Apr 20.

Department of Orthopedics, the First People's Hospital of Changzhou, 185 Ju Qian Road, Changzhou, 213000, China.

Purpose: In the present study, we aimed to evaluate the clinical outcomes of surgical hip dislocation in patients with synovial chondromatosis (SC) of the hip.

Methods: Seven patients with primary SC of the hip treated with open synovectomy and removal of loose bodies by surgical hip dislocation from 2016 to 2019 were retrospectively reviewed. All patients had numerous and widespread loose bodies based on pre-operative images, including routine radiographs, CT, and MRI. Read More

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Trans-isthmic pars interarticularis screw fixation under CT and fluoroscopic guidance: technical success and clinical outcome in patients with symptomatic low-grade lumbar isthmic lysis.

Eur Radiol 2021 Apr 20. Epub 2021 Apr 20.

Interventional and Diagnostic Neuroradiology Unit, Grenoble University Hospital, Boulevard du Grésivaudan, 38000, Grenoble, France.

Objectives: To assess the technical success of trans-isthmic screw fixation with simultaneous CT and fluoroscopic guidance in patients with symptomatic low-grade isthmic spondylolisthesis.

Methods: Fifty patients (28 women and 22 men; mean age ± standard deviation: 50 years ± 18.9) presenting with symptomatic low back pain with isthmic spondylolisthesis refractory to medical management were treated by means of trans-isthmic pars interarticularis percutaneous screw fixation. Read More

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Dyspnea and respiratory muscles ultrasound to predict extubation failure.

Eur Respir J 2021 Apr 19. Epub 2021 Apr 19.

AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, site Pitié-Salpêtrière, Service de Pneumologie, Médecine intensive Réanimation (Département R3S), Paris, France.

This study investigated dyspnea intensity and respiratory muscles ultrasound early after extubation to predict extubation failure.It was conducted prospectively in two intensive care units in France and Canada. Patients intubated for at least 48 h were studied within 2 h after an extubation following a successful spontaneous breathing trial. Read More

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The Association Between Physical Performance and Health-Related Quality of Life Based on the EuroQol 5-Dimensional Questionnaire in Patients With Chagas Disease.

Value Health Reg Issues 2021 Apr 15;25:112-117. Epub 2021 Apr 15.

Research Division, National Institute of Cardiology, Ministry of Health, Rio de Janeiro, Brazil; State University of Rio de Janeiro, Internal Medicine Department, Rio de Janeiro, Brazil. Electronic address:

Objectives: Chagas disease (CD) is a chronic disease to millions worldwide, and many patients develop heart disease. In addition, they are part of an aging population. These characteristics can be associated with a reduction in physical performance and health-related quality of life (HRQoL). Read More

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What Are the Effects of Methylprednisolone Injection Into the Masseter and Gluteal Muscle on Pain, Rdema and Trismus After Impacted Lower Third Molar Surgery? A Randomized Clinical Trial.

J Oral Maxillofac Surg 2021 Mar 13. Epub 2021 Mar 13.

Dentistry Student, Mashhad University of Medical Science, Mashhad, Iran. Electronic address:

Purpose: Methylprednisolone is widely administered after impacted third molar surgery. This study compared the effect of methylprednisolone injection into the masseter and gluteal muscle on pain, edema, and trismus after impacted lower third molar surgery.

Methods: This was a single-blind placebo-controlled randomized clinical trial. Read More

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Comparison of the effects of corticosteroid and hyaluronic acid-carboxylmethylcellulose (HA-CMC) solution on selective nerve root block (SNRB) for lumbar radiculopathy: A prospective, double-blind, randomized controlled clinical trial.

Pain Pract 2021 Apr 19. Epub 2021 Apr 19.

Department of Orthopaedic Surgery, College of Medicine, Daegu Catholic University, Daegu city, Korea.

Background: SNRB was shown to effectively control radiating pain and reduce the need for surgical intervention. However, repetitive injections may trigger corticosteroid-induced side effects (hypercorticism, hyperglycemia, or fluid retention). This study aims to compare the potency of hyaluronic acid-carboxymethylcellulose (HA-CMC) solution versus that of corticosteroids regarding lower leg radiating pain (LLRP) improvement and functional outcome. Read More

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Fixation of Posterior Malleolar Fractures with Posterior Plating Through a Posterolateral Approach.

J Am Podiatr Med Assoc 2021 Mar;111(2)

Background: We aimed to evaluate radiologic and clinical outcomes of ankle fractures involving posterior fragments that were fixed with a posterior plate by the posterolateral approach.

Methods: Sixty-five patients who were followed for at least 12 months and were older than 18 years were included. The posterior malleolus fractures were classified according to the Haraguchi classification system with computed tomography (CT). Read More

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Silver Ion Hydrocolloid Gauze and Self-Adhesive Polyurethane Foam Dressing Combination Therapy Can Better Promote Healing of Skin Graft Donor Area Than Traditional Therapy: A Case Control Study.

Wounds 2021 Apr 21. Epub 2021 Apr 21.

Department of Cosmetic and Plastic Surgery, Peking Union Medical College Hospital, Beijing, China.

Background: The management of skin graft donor area has been a troublesome problem in reconstructive surgery. Currently, no guidelines exist for the management of skin graft donor areas, and the disposal methods vary from clinician to clinician.

Objective: With the goal of providing a better basis for improved patient care, the authors conducted a case control study to investigate whether a combination of silver ion hydrocolloid gauze and self-adhesive polyurethane foam dressing (AG+foam group) was effective in healing skin graft donor sites. Read More

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Efficacy and Safety of a Hyaluronic Acid-Containing Gauze Pad in the Treatment of Chronic Venous or Mixed-Origin Leg Ulcers: A Prospective, Multicenter, Randomized Controlled Trial.

Wounds 2021 Apr 7. Epub 2021 Apr 7.

Department of Dermatology, Hospital Saint-Eloi, Montpellier, France.

Introduction: Hyaluronic acid (HA)-containing formulations routinely are utilized along with standard therapy to promote faster healing of chronic wounds; evidence to guide clinical decisions on the use of topical HA in the healing of vascular leg ulcers is limited.

Objective: This study compared the efficacy and safety of an HA-impregnated gauze pad with an identical gauze pad without HA in the treatment of chronic leg ulcers of vascular origin.

Materials And Methods: A prospective, multicenter, multinational, parallel-group, randomized, double-blind, clinical study was conducted between June 13, 2017, and December 31, 2018. Read More

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Efficacy of periarticular injection intraoperatively for mini-open rotator cuff repair: A comparative study.

J Chin Med Assoc 2021 Apr 13. Epub 2021 Apr 13.

Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC Department of Surgery, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC Department of exercise and health science, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, ROC.

Background: The optimal postoperative analgesia after open rotator cuff repair surgery remains unclear. This study compared the use of a multimodal pain regimen including periarticular injection (PAI), with a control condition. We hypothesized that PAI leads to decreased opioid consumption, and lower pain scores. Read More

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Randomized Controlled Trial of Topical Skin Adhesive vs Nylon Sutures for Incision Closure in Forefoot Surgery.

Foot Ankle Int 2021 Apr 19:10711007211002501. Epub 2021 Apr 19.

North Sydney Orthopaedic and Sports Medicine Centre, Wollstonecraft, Australia.

Background: There are many options for incision closure in forefoot surgery. The aim of this study was to compare topical skin adhesive (2-octyl-cyanoacrylate) to simple interrupted nylon sutures.

Methods: A prospective randomized controlled trial comparing topical skin adhesive (TSA) and nylon sutures (NSs) for elective open forefoot surgery. Read More

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Postoperative Hallux Varus Treatment by Reverse Scarf Osteotomy.

Foot Ankle Int 2021 Apr 19:10711007211001027. Epub 2021 Apr 19.

Clinique Victor Hugo, Paris, France.

Background: Postoperative hallux varus is often accompanied by an abnormal decrease in the first-second (M1M2) intermetatarsal angle, which we have sought to correct by a reverse scarf-type osteotomy.

Methods: A series of 36 hallux varus operated on by reverse scarf osteotomy, including 14 with prior osteotomies, was reviewed with an average follow-up of 56 months. The measurements were clinical: American Orthopaedic Foot & Ankle Society (AOFAS) score, visual analog scale (VAS) pain score, subjective satisfaction index, joint mobility, and radiologic angles: M1M2 and first metatarsophalangeal angle. Read More

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Effect of music on pediatric endoscopic examinations: a randomized controlled trial.

Endosc Int Open 2021 Apr 13;9(4):E599-E605. Epub 2021 Apr 13.

Department of Gastroenterology and Nutrition, Division of Pediatrics, Escuela de Medicina, Pontificia Universidad Católica de Chile, Chile.

 The primary objective was to measure the effect of music as an adjunct to sedation in patient anxiety levels during pediatric endoscopic examinations.  We performed a single-blind randomized controlled trial comparing music with no music in children aged 2 to 18 years. Anxiety was measured using the Modified Yale Preoperative Anxiety Scale (m-YPAS) and the Visual Analog Anxiety Scale (VAS-anxiety). Read More

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Poor Prognostic Factors in Patients With Rotator Cuff Retear.

Orthop J Sports Med 2021 Apr 2;9(4):2325967121992154. Epub 2021 Apr 2.

Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Background: The treatment for retears after arthroscopic rotator cuff repair (ARCR) has long been a challenge.

Purpose: This study aimed to (1) summarize the characteristics of patients with a retear after primary ARCR and (2) determine the risk factors for poor clinical outcomes after a retear.

Study Design: Case-control study; Level of evidence, 3. Read More

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Mindfulness as Predictor of Itch Catastrophizing in Patients With Atopic Dermatitis: Results of a Cross-Sectional Questionnaire Study.

Front Med (Lausanne) 2021 26;8:627611. Epub 2021 Mar 26.

Institute of Medical Psychology, Justus-Liebig-University, Giessen, Germany.

Itch and worry about itch are predominant symptoms in atopic dermatitis (AD). Mindfulness refers to paying attention in a certain way, non-judgementally and on purpose. In patients with chronic pain, which shares several similarities with chronic itch, a significant relationship between pain intensity, mindfulness and pain catastrophizing has been found. Read More

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A retrospective comparative study on arthroscopic suture anchors repair and tendon debridement arthroscopic tendon debridement for treatment of recalcitrant lateral epicondylitis.

Ther Adv Chronic Dis 2021 5;12:20406223211005596. Epub 2021 Apr 5.

Department of Sports Medicine, Beijing Jishuitan Hospital, No. 31, Xin Jie Kou East Street, Xi Cheng District, Beijing, 100035, China.

Aim: To compare the outcomes between the arthroscopic debridement of the extensor carpi radialis brevis (ECRB) tendon alone and repairs to the ECRB tendon with suture anchor for the treatment of refractory lateral epicondylitis (LE).

Methods: We retrospectively reviewed our patients who underwent arthroscopic surgical treatment for refractory LE by a single surgeon from January 2008 to June 2018 with a minimum follow-up of 12 months. The visual analog scale (VAS), the Mayo Elbow Performance Score (MEPS), the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire, the Patient-Rated Tennis Elbow Evaluation (PRTEE) scale, the Verhaar scoring system and the time of back to work were compared between two groups. Read More

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Parents and Caregivers Satisfaction After Palliative Treatment of Spastic Hip Dislocation in Cerebral Palsy.

Front Neurol 2021 18;12:635894. Epub 2021 Mar 18.

Department of Pediatrics Orthopedics and Traumatology, University of Medical Sciences, Poznan, Poland.

Pain appearance is one the most common complication of spastic hip disease in children with cerebral palsy (CP). It determines child and caregiver quality of life and life priorities. Reconstruction hip surgery should be considered as a treatment of choice. Read More

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Surgical Burr-Assisted Lateral Osteotomy Technique in Septorhinoplasty.

J Craniofac Surg 2021 Apr 15. Epub 2021 Apr 15.

Department of Otorhinolaryngology and Head and Neck Surgery; Health Sciences University Bozyaka Training and Research Hospital Department of Plastic, Reconstructive and Aesthetic Surgery; Izmir Bakircay University Cigli Training and Research Hospital Department of Otorhinolaryngology and Head and Neck Surgery, Izmir Bakircay University Cigli Training and Research Hospital, Izmir, Turke.

Abstract: Achieving aesthetic and functional results in rhinoplasty requires meticulous techniques, and postoperative edema, ecchymosis, and pain can deteriorate the desired outcomes. Different osteotomy techniques are defined to have optimal outcomes while reducing edema, ecchymosis, and pain. In this study, the authors compared conventional and power-assisted surgical burr osteotomy techniques in terms of early postoperative complications. Read More

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Three-year clinical performance of posterior monolithic zirconia single crowns.

J Prosthet Dent 2021 Apr 14. Epub 2021 Apr 14.

Senior Lecturer and Research Group Leader, Prosthodontics, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany. Electronic address:

Statement Of Problem: Monolithic zirconia has become widely used for single crowns, with the advantages of minimal tooth reduction and good esthetics. However, clinical studies evaluating the performance of and patient satisfaction with posterior monolithic zirconia crowns are sparse.

Purpose: The purpose of this clinical study was to evaluate the clinical performance of and patient satisfaction with posterior monolithic zirconia crowns. Read More

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A retrospective analysis of the effects of different analgesics on the pain of patients with traumatic thoracolumbar fractures in the peri-treatment period.

J Orthop Surg Res 2021 Apr 17;16(1):268. Epub 2021 Apr 17.

Department of Anesthesiology, The Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China.

Objective: To analyze and compare the effects of peri-treatment analgesics on acute and chronic pain and postoperative functional recovery of patients with thoracolumbar fractures, so as to guide the clinical drug use.

Methods: Seven hundred nineteen patients with thoracolumbar fractures were collected and divided into acetaminophen dihydrocodeine, celecoxib, and etoricoxib groups. The main indicators were the degree of postoperative pain (visual analog scale (VAS)), the incidence of chronic pain and postoperative functional recovery (Oswestry dysfunction index (ODI) and Japanese Orthopedics Association score (JOA)), which were continuously tracked through long-term telephone follow-up. Read More

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Combination of long- and short-axis alar sacroplasty techniques under fluoroscopic guidance for osteoporotic sacral insufficiency fracture.

J Orthop Surg Res 2021 Apr 17;16(1):269. Epub 2021 Apr 17.

Department of Orthopedics, E-Da Hospital, Kaohsiung, Taiwan.

Background: Sacral insufficiency fracture (SIF) is rarer than osteoporotic vertebral compression fracture that occurs at other levels of the thoracolumbar spine. Percutaneous sacroplasty can effectively relieve pain and improve mobility. Several sacroplasty-based techniques have been reported to date. Read More

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Determinants of health-related quality of life among homeless individuals during the COVID-19 pandemic.

Public Health 2021 Mar 6;194:60-66. Epub 2021 Mar 6.

Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Objective: To clarify which variables are associated with the health-related quality of life (HRQoL) among homeless individuals during the COVID-19 pandemic.

Study Design: Cross-sectional research.

Methods: Data were taken from the Hamburg survey of homeless individuals (n = 151). Read More

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Modified Superior Capsule Reconstruction Using the Long Head of the Biceps Tendon as Reinforcement to Rotator Cuff Repair Lowers Retear Rate in Large to Massive Reparable Rotator Cuff Tears.

Arthroscopy 2021 Apr 14. Epub 2021 Apr 14.

Department of Orthopaedics, National Cheng Kung University Hospital, Tainan, Taiwan, R.O.C.

Purpose: To retrospectively assess the clinical outcomes of the patients with large to massive reparable rotator cuff tears (RCTs) treated by arthroscopic rotator cuff repair (ARCR) combined with modified superior capsule reconstruction (mSCR) using the long head of biceps tendon (LHBT) as reinforcement with a minimum of 2 years of follow-up.

Methods: We retrospectively evaluated 40 patients with large to massive reparable RCTs who underwent ARCR and mSCR (Group I) between February 2017 and June 2018 (18 patients) or underwent ARCR and tenotomy of LHBT performed at the insertion site (Group II) between January 2015 and January 2017 (22 patients). The pain visual analog score (VAS) was assessed preoperatively and 1, 3, 6, 12, 24 months postoperatively. Read More

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The effectiveness of PROLOTHERAPY for recalcitrant Medial TIBIAL Stress Syndrome: a prospective consecutive CASE series.

J Foot Ankle Res 2021 Apr 16;14(1):32. Epub 2021 Apr 16.

Centre for Sports and Exercise Medicine, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary, University of London, London, UK.

Background: Medial tibial stress syndrome (MTSS) is one of the most common lower leg injuries in sporting populations. It accounts for between 6 and 16% of all running injuries, and up to 53% of lower leg injuries in military recruits. Various treatment modalities are available with varying degrees of success. Read More

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"Prospective, Randomized, Controlled Trial of Ultra-modified Internal Sphincterotomy vs Closed Lateral Internal Sphincterotomy for Chronic Fissure-in-Ano".

Am Surg 2021 Apr 16:31348211011104. Epub 2021 Apr 16.

Department of Anesthesiology & Critical Care, 64052Pamukkale University School of Medicine, Denizli, Turkey.

Background: Currently, the lateral internal sphincterotomy is the treatment of choice for a chronic anal fissure (CAF). However, the length of the internal sphincter incision varies, due to lack of standardization. Insufficient length increases the risk of recurrence. Read More

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Evaluating the Quality of Cost-Effectiveness Literature in Breast Surgery: What Do We Do Well and How Can We Do Better? A Systematic Review.

Am Surg 2021 Apr 16:31348211011148. Epub 2021 Apr 16.

Department of Surgery, 1867Tufts Medical Center, Boston, MA, USA.

Background: Surgical options for breast cancer are numerous and span multiple surgical disciplines. Decision analyses aid surgeons in making the most cost-effective choice, thus reducing health care expenditure while maximizing patient outcome. In this study, we aimed to evaluate existing breast surgery cost-effectiveness literature against the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) validated scoring system. Read More

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Arthroscopic Circumferential Acetabular Labral Reconstruction for Irreparable Labra in the Revision Setting: Patient-Reported Outcome Scores and Rate of Achieving the Minimal Clinically Important Difference at a Minimum 2-Year Follow-up.

Am J Sports Med 2021 Apr 16:3635465211005742. Epub 2021 Apr 16.

American Hip Institute Research Foundation, Chicago, Illinois, USA.

Background: There is a paucity in the literature reporting patient-reported outcome (PRO) scores and the minimal clinically important difference (MCID) after revision hip arthroscopic surgery with circumferential labral reconstruction.

Purpose: To report minimum 2-year PRO scores and the rate of achieving the MCID in patients who underwent revision hip arthroscopic surgery with circumferential labral reconstruction in the setting of irreparable labral tears.

Study Design: Case series; Level of evidence, 4. Read More

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Generalizability of Eccentric Exercise for Patients with Subacromial Pain Syndrome to Real-world Clinical Practice: A Propensity Score-based Analysis.

Prog Rehabil Med 2021 14;6:20210019. Epub 2021 Apr 14.

Department of Rehabilitation, Machida Orthopedics, Kochi, Japan.

Objectives: Subacromial pain syndrome is a common problem in primary care. Although several randomized controlled trials have shown that eccentric exercise is effective in patients with subacromial pain syndrome, its generalizability to real-world clinical practice is unknown. This study aimed to investigate, using propensity score analysis, the generalizability of eccentric exercise for patients with subacromial pain syndrome to real-world daily clinical practice. Read More

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Treating Lumbar Fracture Using the Mixed Reality Technique.

Biomed Res Int 2021 29;2021:6620746. Epub 2021 Mar 29.

Department of Spine Surgery, Wuhan Puren Hospital, Wuhan University of Science and Technology, Benxi Rd. 1#, Wuhan, 430033 Hubei, China.

The mixed reality (MR) technique has recently been widely used in the orthopedic surgery with satisfactory results reported. However, few studies have focused on the application of MR in the Lumbar fracture (LF). In this retrospective study, our aim is to analyze some findings by investigating the feasibility of MR applied to lumbar fracture treatment. Read More

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Background factors for chronic low back pain resistant to cognitive behavioral therapy.

Sci Rep 2021 Apr 15;11(1):8227. Epub 2021 Apr 15.

Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

This study examined the factors that inhibit the therapeutic effects of cognitive behavioral therapy (CBT) and clarify the adaptation judgment criteria of CBT. We included patients with chronic low back pain and allocated them to the adaptation (with visual analog scale [VAS] improvement) or non-adaptation group (without VAS improvement). The patients were analyzed using various psychological tests. Read More

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