keyword
https://read.qxmd.com/read/38373861/effect-of-a-physiotherapy-directed-rehabilitation-programme-on-patients-with-multidirectional-instability-of-the-glenohumeral-joint-a-multimodal-interventional-mri-study-protocol
#1
JOURNAL ARTICLE
Sarah Ann Warby, Charlotte Ganderton, Lyn Watson, Tania Pizzari, Simon Balster, Gregory Hoy, Shane Barwood, Bonnie Kerr, Sam Lawrence, Ross Lenssen, Andrew Rotstein, Annalaise Takla, Oren Civier, Matthew Hughes
INTRODUCTION: Altered neuromuscular control of the scapula and humeral head is a typical feature of multidirectional instability (MDI) of the glenohumeral joint, suggesting a central component to this condition. A previous randomised controlled trial showed MDI patients participating in the Watson Instability Program 1 (WIP1) had significantly improved clinical outcomes compared with a general shoulder strength programme. The aim of this paper is to outline a multimodal MRI protocol to identify potential ameliorative effects of the WIP1 on the brain...
February 19, 2024: BMJ Open
https://read.qxmd.com/read/38337418/current-evidence-regarding-shoulder-instability-in-the-paediatric-and-adolescent-population
#2
REVIEW
Aziz Rawal, Franziska Eckers, Olivia S H Lee, Bettina Hochreiter, Kemble K Wang, Eugene T Ek
Paediatric and adolescent shoulder instability is caused by a unique combination of traumatic factors, ligamentous laxity, and pattern of muscle contractility. The multifactorial nature of its aetiology makes interpretation of the literature difficult as nomenclature is also highly variable. The purpose of this review is to summarize the existing literature and shed light on the nuances of paediatric and adolescent shoulder instability. The epidemiology, clinical features, imaging, and management of all forms of paediatric shoulder instability are presented...
January 26, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/37919205/recurrent-atraumatic-compartment-syndrome-as-a-manifestation-of-genetic-neuromuscular-disease
#3
JOURNAL ARTICLE
Dennis T Famili, Miguel A Fernandez-Garcia, Maria Vanegas, Michael F Goldberg, Nicol Voermans, Ros Quinlivan, Heinz Jungbluth
Compartment syndrome (CS) is a medical emergency that occurs secondary to excessively high pressures within a confined fibro-osseous space, resulting in reduced perfusion and subsequent tissue injury. CS can be divided into acute forms, most commonly due to trauma and considered an orthopaedic emergency, and chronic forms, most commonly presenting in athletes with recurrent exercise-induced pain. Downstream pathophysiological mechanisms are complex but do share commonalities with mechanisms implicated in genetic neuromuscular disorders...
November 2023: Neuromuscular Disorders: NMD
https://read.qxmd.com/read/37522485/rapid-functional-recovery-after-thoracic-outlet-decompression-in-a-series-of-adolescent-athletes-with-chronic-atraumatic-shoulder-girdle-pain-scapular-winging-dyskinesis-and-normal-electrodiagnostic-studies
#4
JOURNAL ARTICLE
Jackson S Burton, Susan E Mackinnon, Paul B McKee, Karen M Henderson, Danita M Goestenkors, Robert W Thompson
BACKGROUND: Spontaneous shoulder-girdle pain and scapular winging/dyskinesis can be caused by several neuromuscular disorders identifiable by electrodiagnostic studies (EDX). We describe a group of adolescent athletes with this clinical presentation but normal EDX, followed by later development of neurogenic thoracic outlet syndrome (NTOS). METHODS: We identified patients referred for evaluation of NTOS that had a history of chronic atraumatic shoulder-girdle pain, scapular winging/dyskinesis, and normal EDX...
July 31, 2023: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/36846839/tibiofemoral-dislocation-after-total-knee-arthroplasty-treated-successfully-with-an-external-fixation-device
#5
Athanasios Galanis, Eftychios Papagrigorakis, Michail Vavourakis, Panagiotis Karampinas, Christos Vlachos, Christos Patilas, Spiros Pneumaticos, John Vlamis
Tibiofemoral dislocation after primary total knee arthroplasty (TKA) is a rare but potentially devastating complication with various patient-related and surgeon-related predisposing factors. We present the case of an obese 86-year-old woman who sustained an atraumatic posterior tibiofemoral dislocation 3 days after a primary medial-pivot design TKA. The knee remained unstable after reduction, owing to significant hamstring hypertonia. The administration of botulinum toxin injections in the hamstrings resulted in no clinical improvement...
February 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/36314289/an-endoscopic-cap-electrode-for-posterior-cricoarythenoid-muscle-stimulation-in-a-porcine-model
#6
JOURNAL ARTICLE
Matthias Leonhard, Roberto Plasenzotti, Wolfgang Vogel, William Denny, Berit Schneider-Stickler
OBJECTIVE: Laryngeal pacing (LP) is a highly anticipated therapeutic option for patients suffering from bilateral vocal fold paralysis with synkinesis. Identification of candidate patients requires confirmation of a stimulable posterior cricoidarythenoid muscle (PCA) by neuromuscular electrical stimulation (NMES). A silicone endoscopic cap electrode (ECE50) was designed to be operated as an endoscopic extension tip for selective PCA stimulation and confirmation of a glottic opening movement in a setting comparable to a gastroscopy procedure...
October 31, 2022: Laryngoscope
https://read.qxmd.com/read/36273504/dynamic-pediatric-shoulder-instability-etiology-pathogenesis-and-treatment
#7
REVIEW
Tristan Langlais, Hugo Barret, Malo Le Hanneur, Franck Fitoussi
Dynamic shoulder instability in children or adolescents, whose glenohumeral growth plates are still open, is a rare condition with an etiology that is hard to decipher. Atraumatic and recurrent forms are most common, contrary to adults. Disruptions to capsule and ligament maturation, muscle balance or bone growth can lead to glenohumeral instability. The etiology assessment, which needs to be multidisciplinary in atraumatic forms, aims to collect the medical history, analyze the direction of the instability, determine whether it is voluntary or involuntary, and look for a history of trauma, connective tissue abnormality, psychological disorder, neuromuscular pathology or congenital malformation...
October 20, 2022: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/36032817/cochlear-implantation-in-biotinidase-enzyme-deficiency
#8
JOURNAL ARTICLE
Ashish Castellino, Rahul Kurkure, Pabina Rayamajhi, Mohan Kameswaran
Metabolic syndromes associated with hearing loss are rare and are characterized by specific enzyme pathway deficiencies involving lysosomal storage, peroxisomes, fatty acid enzymes, organic acids and amino acids. The deficiency of biotinidase, an enzyme involved in the metabolism of biotin, is one such rare cause of congenital hearing loss estimated at 1:60,000 newborns. The parents of a 5-year-old girl presented to the clinic with complaints that she was hard of hearing with no speech development. At age 2 she had been diagnosed with organic aciduria and hydronephrourethrosis and was operated for renal calculi...
August 2022: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/33662911/simultaneous-bilateral-dual-mobility-total-hip-arthroplasty-dislocation-in-a-patient-with-hepatic-encephalopathy-a-case-report
#9
Oriol Pujol, Iñaki Mimendia, Lidia Martin-Dominguez, Carles Amat, Víctor Barro
INTRODUCTION AND IMPORTANCE: Dislocation is a severe complication after total hip arthroplasty (THA). It is one of the most common reasons for failure and revision surgery. This is the first case of a documented simultaneous bilateral dual mobility (DM) THA dislocation. CASE PRESENTATION: A forty-nine-year-old man presented with bilateral hip pain, immobility and deformity. X-ray images demonstrated simultaneous bilateral posterior THA dislocation. Previously, the patient had presented atraumatic dislocations recurrently...
February 25, 2021: International Journal of Surgery Case Reports
https://read.qxmd.com/read/33249362/self-reported-management-among-people-with-rotator-cuff-related-shoulder-pain-an-observational-study
#10
JOURNAL ARTICLE
A Smythe, S Rathi, N Pavlova, C Littlewood, D Connell, T Haines, P Malliaras
BACKGROUND: Rotator cuff related shoulder pain is the most common cause of shoulder pain. Whilst guidelines recommend conservative management prior to imaging, injection or surgical management, recent findings suggest that patients experience management contrary to guideline recommendations. OBJECTIVES: The aim of this study was to investigate self-reported management among people with rotator cuff related shoulder pain (RCRSP) and their beliefs towards management...
February 2021: Musculoskeletal Science & Practice
https://read.qxmd.com/read/25989267/atraumatic-restorative-technique-case-report-on-dental-management-of-a-patient-with-moebius-syndrome
#11
JOURNAL ARTICLE
A Pradhan, M Gryst
BACKGROUND: Clinical challenges associated with Moebius syndrome, a rare congenital neuromuscular disorder, include orofacial anomalies like microstomia, limited mouth opening and severe gag reflex. METHODS: This case report presents the dental management of an anxious female with Moebius syndrome. For restorations, atraumatic restorative technique (ART), using glass ionomer cement was used with hand instruments. RESULTS: All necessary dental treatment was completed in the dental chair, thus avoiding the need for a general anaesthetic, and associated complications with airway management due to orofacial abnormalities...
June 2015: Australian Dental Journal
https://read.qxmd.com/read/25885081/a-comparative-study-of-intubating-conditions-of-rocuronium-bromide-and-suxamethonium-in-adult-patients
#12
JOURNAL ARTICLE
Shobhana Gupta, R Kirubahar
AIM: Intubating conditions after Suxamethonium, a time tested popular short acting depolarizing neuromuscular blocking agent, and Rocuronium, a recently introduced intermediate acting non depolarizing neuromuscular blocking agent, with Thiopentone as the sole induction agent, were compared in this study. MATERIALS AND METHODS: The patients were divided into two groups, each consisting of 30 patients: group a patient's received Rocuronium bromide, 0.6 mg/kg and group B patients received Suxamethonium chloride 1...
January 2010: Anesthesia, Essays and Researches
https://read.qxmd.com/read/24572853/determining-the-michigan-hand-outcomes-questionnaire-minimal-clinically-important-difference-by-means-of-three-methods
#13
JOURNAL ARTICLE
Daniel A London, Jeffrey G Stepan, Ryan P Calfee
BACKGROUND: To interpret patient-rated outcome measures, clinicians rely on the minimal clinically important difference. The authors studied the range of minimal clinically important difference scores for the overall Michigan Hand Outcomes Questionnaire score its and subscales in a population with various diagnoses and treatments. METHODS: Patients with a single, unilateral, atraumatic hand/forearm diagnosis completed the Michigan Hand Outcomes Questionnaire before treatment and at 4 ± 1 weeks and 12 ± 2 weeks after treatment...
March 2014: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/21522197/non-operative-rehabilitation-for-traumatic-and-atraumatic-glenohumeral-instability
#14
JOURNAL ARTICLE
Kevin E Wilk, Leonard C Macrina, Michael M Reinold
Glenohumeral joint instability is a common pathology encountered in the orthopaedic and sports medicine setting. A wide range of symptomatic shoulder instabilities exist ranging from subtle subluxations due to contributing congenital factors to dislocations as a result of a traumatic episode. Non-operative rehabilitation is utilized in patients diagnosed with shoulder instability to regain their previous functional activities through specific strengthening exercises, dynamic stabilization drills, neuromuscular training, proprioception drills, scapular muscle strengthening program and a gradual return to their desired activities...
February 2006: North American Journal of Sports Physical Therapy: NAJSPT
https://read.qxmd.com/read/21502713/two-cases-of-acute-atraumatic-compartment-syndrome-complicated-with-severe-heat-stroke
#15
JOURNAL ARTICLE
Yukihiro Ikegami, Arifumi Hasegawa, Yasuhiko Tsukada, Yoshinobu Abe, Jiro Shimada, Choichiro Tase
Acute compartment syndrome is a life-threatening complication in trauma patients. Not only regional neuromuscular disability, but also systemic organ disorders can result from prolonged tissue ischemia. In this report, we describe 2 cases of acute atraumatic compartment syndrome complicated with severe heat stroke. In both cases, emergency fasciotomy was rapidly performed after recognition of the syndrome, but serious regional neuromuscular disabilities remained. Microvascular endothelial injury is an important mechanism of acute atraumatic compartment syndrome...
December 2010: Fukushima Journal of Medical Science
https://read.qxmd.com/read/21284223/-advantages-of-combined-therapies-in-cosmetic-medicine-for-the-treatment-of-face-aging-botulinum-toxin-fillers-and-mesotherapy
#16
JOURNAL ARTICLE
F Braccini, D M Dohan Ehrenfest
Non surgical cosmetic medicine procedures for the face are developing considerably, as they deliver good results using simple, non invasive, atraumatic and reproducible techniques. Aesthetic mesotherapy, also known as anti-aging mesotherapy, uses intra-dermal injections of a nutritive and moisturizing solution to improve brightness, skin hydration and tonus, and also smooth out superficial wrinkles. Subcutaneous filler injections enable to fill wrinkles and folds; by using high density products it is also able to provide genuine facial volumetric reconstruction...
2010: Revue de Laryngologie—Otologie—Rhinologie
https://read.qxmd.com/read/19657641/-muscle-biopsy-indications-and-techniques
#17
REVIEW
M Bergmann, J Weis, S Probst-Cousin
Various histological techniques were introduced for the analysis of muscle biopsy specimens in recent decades. During the 1960s, cryosections and enzyme histochemistry were established as the main techniques for evaluating muscle biopsies. Subsequently, immunohistochemistry was able to show normal components of muscle fibre, its damage, as well as accumulation or maldistribution in the presence of myopathies. In this way, structure myopathies, muscle dystrophies and inflammatory myopathies can be reliably diagnosed today...
September 2009: Der Pathologe
https://read.qxmd.com/read/17607552/-fast-track-rehabilitation-in-colon-surgery-contribution-of-anesthesia
#18
REVIEW
T Möllhoff, H-J Kress, K Tsompanidis, C Wolf, P Ploum
Fast-track rehabilitation refers to an interdisciplinary multimodal procedure to improve and accelerate recovery and avoid perioperative complications. The concept aims at reducing morbidity and discharging patients faster. It includes preoperative patient information, atraumatic surgical technique, stress reduction, pain therapy mostly via regional anesthetic techniques (frequently, thoracic epidural anesthesia), optimized fluid and temperature management, early enteral feeding, prophylaxis of gastrointestinal atony and postoperative nausea and vomiting, fast postoperative patient mobilization, and earlier hospital discharge...
July 2007: Der Anaesthesist
https://read.qxmd.com/read/14971278/-current-indications-for-surgical-treatment-of-asymptomatic-primary-hyperparathyroidism
#19
JOURNAL ARTICLE
G Luisetto, V Camozzi
The clinical picture of hyperparathyroidism has gone toward deep modifications in the last few decades, and currently this disease is more frequently asymptomatic. So, the question is raising concerning which patients have to be operated, due to the substantial benignity of the disease and the lack of well defined symptoms. Classical indications for surgery have been formulated more than a decade ago and are as follows: calcemia higher than 3 mmol/L, previous episode of life threatening hypercalcaemia, reduced creatinine clearance, nephrolithiasis, hypercalciuria, osteoporosis...
July 2003: Annali Italiani di Chirurgia
https://read.qxmd.com/read/10876455/aana-journal-course-update-for-nurse-anesthetists-anesthesia-for-the-ruptured-globe
#20
REVIEW
E L Wright, M A Kossick
Anesthesia for the patient with a perforated globe can be complicated. Cognizance of the anatomy and physiology of the eye, including maintenance of intraocular pressure, is essential for the development of an anesthetic plan. Since the induction phase of anesthesia is the most critical period during which intraocular pressure is affected, understanding the pharmacology of the various anesthetic agents and their effects on the eye is important. To avoid increasing intraocular pressure, a smooth, atraumatic induction is desired...
February 2000: AANA Journal
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