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Elbow ultrasound

Ashok Jadon, Swapnil Nage, Chintala Pavana Swarupa, Mayur Motaka
We have reported a case of right upper limb injury of shoulder and elbow who was managed with ultrasound-guided interscalene block during surgery and indwelling catheter for postoperative analgesia. He developed weakness in the contralateral upper limb in the postoperative period due to inadvertent spread of local anaesthetic in the cervical epidural space. No serious complication occurred due to timely intervention. The possible pathways of such unwanted epidural spread and methods to reduce such complications have been discussed...
January 2019: Indian Journal of Anaesthesia
Robert S J Elliott, Yi-Jia Lim, Jennifer Coghlan, John Troupis, Simon Bell
Background: There are few studies reporting long-term rotator cuff integrity following repair. The present study reports a case series of surgically repaired supraspinatus tendons followed up with clinical outcomes and ultrasound imaging after an average of 16 years. Methods: The prospectively studied clinical outcomes at short-, medium- and long-term follow-up in 27 shoulders in 25 patients treated with arthroscopic subacromial decompression and mini-open rotator cuff repair have been reported previously...
February 2019: Shoulder & Elbow
Xue Deng, Lai-Heung Phoebe Chau, Suk-Yee Chiu, Kwok-Pui Leung, Yong Hu, Wing-Yuk Ip
Axonal degeneration, indicative of surgical decompression, may coexist in carpal tunnel syndrome (CTS) as the disease progresses. However, the current diagnostic and severity gradation system cannot clearly indicate its coexistence, resulting in confusion of appropriate treatment prescription. There are also constraints in conventional methods for differentiation as well. This study aims at introducing an innovative, efficient, and quick screening protocol to differentiate axonal degeneration associated with CTS, using ultrasound and nerve conduction studies (NCS)...
January 11, 2019: Journal of Visualized Experiments: JoVE
Ethan C Hill, Terry J Housh, Cory M Smith, Joshua L Keller, Richard J Schmidt, Glen O Johnson
Background: Ultrasound has been used for noninvasive assessments of endothelial function in both clinical and athletic settings and to identify changes in muscle blood flow in response to exercise, nutritional supplementation, and occlusion. The purposes of the present study were to examine the reliability and relative contributions of arterial cross-sectional area and time-averaged flow velocity to predict muscle blood flow as a result of fatiguing exercise in men and women. Methods: Eighteen healthy men and 18 healthy women performed 50 consecutive eccentric repetitions of the elbow flexors at 60% of their pretest eccentric peak torque at a velocity of 180° s-1 ...
October 2018: Journal of Medical Ultrasound
José L Arias-Buría, Joshua A Cleland, Youssef R El Bachiri, Gustavo Plaza-Manzano, César Fernández-de-Las-Peñas
STUDY DESIGN: Case report. BACKGROUND: Patients with lateral elbow pain are often diagnosed of lateral epicondylalgia (LE). Lateral elbow pain is often associated with dysfunction of the wrist extensor muscles; however, in some cases, it can also mimic signs and symptoms of radial nerve dysfunction. CASE DESCRIPTION: A 43-year-old male originally referred with a diagnosis of LE as a result of playing table tennis and who previously responded favorably to manual therapy and exercise presented to the clinic for treatment...
January 18, 2019: Journal of Orthopaedic and Sports Physical Therapy
Daihiko Eguchi, Kenichi Honma
Objectives : We aim to assess the effect and significance of ultrasound-guided axillary nerve block on the diameter of basilic vein in vascular access surgery. Methods : 78 consecutive patients who underwent vascular access surgery with ultrasound-guided axillary nerve block were studied retrospectively. Diameter of basilic vein at the elbow level before and after the nerve block were measured and the dilatation rate was also calculated to assess the effect of nerve block on venous diameter. Results : Basilic vein diameter increased from 3...
December 25, 2018: Annals of Vascular Diseases
Jose Ignacio Martin, Leire Atilano, Josu Merino, Igor Gonzalez, Gotzon Iglesias, Luis Areizaga, Paola Bully, Gontzal Grandes, Isabel Andia
BACKGROUND: Elbow tendinopathies are associated with tenderness, pain and functional disability with ensuing socioeconomic costs. There is lack of consensus regarding the best treatment for patient's recalcitrant to first-line conservative treatments. Percutaneous needle tenotomy is considered a regenerative approach that injures the tendon to elicit a healing response. OBJECTIVE: To investigate whether demographic characteristics, clinical factors, baseline sonographic entities or their interactions are related to the likelihood of responding positively to needle tenotomy over a one-year follow-up period...
January 4, 2019: PM & R: the Journal of Injury, Function, and Rehabilitation
Emilie H Lothet, Timothy J Bishop, Francis O Walker, Michael S Cartwright
BACKGROUND AND PURPOSE: There is a lack of consensus in the literature as to which body habitus parameter most influences nerve cross-sectional area (CSA). This study was specifically designed to determine if height or weight is more influential. METHODS: Fifteen young healthy participants, 8 extremely tall and 7 heavy, with no peripheral nerve symptoms were recruited. The tall cohort consisted of males who were 74 inches or taller and females who were 68 inches or taller...
December 24, 2018: Journal of Neuroimaging: Official Journal of the American Society of Neuroimaging
Pengfei Li, Danfeng Lou, Hui Lu
BACKGROUND: Cubital tunnel syndrome is common nerve compression syndrome among peripheral nerve compression diseases. However, the syndrome caused by intraneural ganglion cysts has been rarely reported. Medical approaches, like ultrasound-guided aspiration and open surgical treatment remain to be discussed. CASE PRESENTATION: A 57-year-old woman presented with occasional pain, numbness and paralysis in her left hand and a palpable, painless mass in the ulnar side of her left elbow...
December 22, 2018: BMC Neurology
Xing Zhao, Li Yu, Shengxiang Tao, Linglong Deng, Chi Wei, Bing Wang, Shaobo Zhu
Objective: To explore the application of three-dimensional (3D) printing technology in precise and individualized surgical treatment of severe distal humeral bone defect. Methods: Five patients with severe distal humeral bone defects were treated with customized 3D printing prostheses between December 2010 and December 2015. There were 4 males and 1 female, with an age of 23-57 years (mean, 35 years); and the length of the bone defect was 5-12 cm (mean, 8 cm). The cause of injury was mechanical injury in 2 cases and strangulation in 3 cases...
December 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Tatsunori Takahashi, Soichiro Itoh, Masakazu Kida
OBJECTIVE: We conducted ultrasonography (US) examination for asymptomatic elbow injuries in judo athletes to confirm availability of US screening for elbow. MATERIALS AND METHODS: One hundred and thirty-two black belts in judo (85 males and 47 females; mean age, 20.0 ± 1.6 years) participated in this screening. Forty-eight participants had a history of elbow injury (elbow-injury group), and 84 did not (no-elbow-injury group). All participants completed a survey in the form of a questionnaire...
December 10, 2018: Bio-medical Materials and Engineering
Allison L Boden, Michael T Scott, Poonam P Dalwadi, Kenneth Mautner, R Amadeus Mason, Michael B Gottschalk
BACKGROUND: Medial epicondylitis and lateral epicondylitis are among the most common elbow pathologies affecting people aged between 40 and 50 years. Although epicondylitis is often a self-limiting condition that improves with conservative treatment, the condition can be difficult to eradicate. The purpose of this study was to compare the effectiveness of platelet-rich plasma (PRP) injections and ultrasound-guided percutaneous tenotomy (Tenex) for the treatment of medial or lateral epicondylitis...
January 2019: Journal of Shoulder and Elbow Surgery
Andrew H Gordon, Arthur Jason De Luigi
Platelet-rich plasma (PRP), as a regenerative treatment for partial ulnar collateral ligament (UCL) tears, is validated to lead to faster clinical recovery and return to play in adult athletes. However, studies examining such a role of PRP in younger pediatric and adolescent athletes are scarce. A 14-year-old adolescent throwing athlete, a right-handed pitcher, presented with chronic right medial elbow pain discovered to be secondary to a partial UCL tear, as identified on both ultrasound and magnetic resonance imaging...
December 2018: Current Sports Medicine Reports
Michael Rutter, Louis C Grandizio, W James Malone, Joel C Klena
PURPOSE: To assess the use of preoperative, dynamic ultrasound to predict ulnar nerve instability following in situ decompression for cubital tunnel syndrome. METHODS: Prior to undergoing in situ decompression, 43 consecutive patients underwent dynamic ultrasound to assess the stability of the ulnar nerve during elbow flexion. The dynamic ultrasound findings were compared with the intraoperative assessment of nerve stability following in situ decompression. RESULTS: The preoperative dynamic ultrasound agreed with intraoperative findings in 38 of 43 patients (88%)...
November 27, 2018: Journal of Hand Surgery
Bestami Yalvaç, Nilgün Mesci, Duygu Geler Külcü, Ozan Volkan Yurdakul
OBJECTIVE: The aim of this study was to compare the efficacy of extracorporeal shock wave therapy (ESWT) and therapeutic ultrasound (US) in the treatment of lateral epicondylosis (LE). METHODS: Our study enrolled 50 patients with LE. Patients were randomized into two groups. Group 1 underwent therapeutic US (n = 24; 5 males and 15 females; mean age: 43.75 ± 4.52) Group 2 underwent ESWT (n = 20; 8 males and 16 females; mean age: 46.04 ± 9.24). Patients were evaluated at baseline, after treatment,and 1 month following treatment...
September 2018: Acta Orthopaedica et Traumatologica Turcica
David Brenner, Gabriella Iohom, Padraig Mahon, George Shorten
BACKGROUND: Axillary and infraclavicular brachial plexus blocks are commonly used for upper limb surgery. Clinicians require information on the relative benefits of each to make a rational selection for specific patients and procedures. OBJECTIVES: The main objective of the study was to compare axillary and infraclavicular brachial plexus block in terms of the incidence and severity of tourniquet pain. DESIGN: Single blinded, randomised trial...
November 19, 2018: European Journal of Anaesthesiology
Victor Jiménez-Yuste, María Teresa Álvarez-Román, Mónica Martín-Salces, Hortensia De la Corte-Rodríguez, Carmen Altisent, Rafael Parra, Ramiro Núñez, Rosario Pérez, Faustino García-Candel, Santiago Bonanad, Felipe Querol, Nieves Alonso, Nuria Fernández-Mosteirín, Elsa López-Ansoar, Luis Javier García-Frade, Nuria Bermejo, Noelia Pérez-González, María José Gutiérrez-Pimentel, Carlo Martinoli, Isabel Fernández-Arias, Hae Kyung Kim
AIM: The use of musculoskeletal ultrasound (MSK-US) following protocols for haemophilic arthropathy and the Haemophilia Early Arthropathy Detection with Ultrasound (HEAD-US) score can help standardize monitoring in haemophilia. This study evaluated the joint status (elbows, knees and ankles) of patients with haemophilia B (HB) in Spain using MSK-US and the HEAD-US score. METHODS: Haemophilia B patients ≥14 years old were included in this observational, multicentre, cross-sectional study, regardless of their clinical condition, HB severity and treatment received...
November 16, 2018: Haemophilia: the Official Journal of the World Federation of Hemophilia
Babak Afsharipour, Sourav Chandra, Jongsang Son, William Z Rymer, Nina L Suresh
Botulinum toxin (BT) is widely prescribed by physicians for managing spasticity post stroke. In an ongoing study, we examine the spatial pattern of muscle activity in biceps brachii of stroke survivors before and after receiving BT, examined over the course of 11 weeks (2 weeks before - 9 weeks after). We hypothesize that BT alters muscle electrophysiology by disrupting fiber neuromuscular transmission in an inhomogeneous manner and we seek to detect these changes using grid surface electromyography (sEMG)...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Tae-Hwan Yoon, Chong-Hyuk Choi, Sung-Jae Kim, Yun-Rak Choi, Soon-Phil Yoon, Yong-Min Chun
PURPOSE: The purpose of this study was to investigate the natural history of intact rotator cuff in impingement syndrome patients with concomitant spur protruding from the undersurface of acromion. METHODS: This retrospective study included 119 patients with an intact rotator cuff who underwent conservative treatment for a spur protruding from the undersurface of the acromion. The protruded spur was defined as a trapezoid- or tetragon-shaped bony protrusion with a downward peak extending more than 3 mm in length from the baseline drawn along the acromial undersurface on the coronal view of magnetic resonance imaging (MRI) or computed tomography arthrography (CTA)...
November 11, 2018: Archives of Orthopaedic and Trauma Surgery
J Li, W Liu, X J Guo, X L Ding, B M Lyu, J Xiao, Q L Sun, D S Li, W F Zhang, J C Zhong, C P Li, R C Yang
Objective: To explore the evaluation of joint injury by HEAD-US-C (Hemophilic Early Arthropathy Detection with UltraSound in China, HEAD-US-C) in patients with moderate or severe hemophilia A treated with prophylaxis vs on-demand. Methods: The patients from June 2015 to July 2017 with moderate or severe hemophilia A were examined by ultrasound imaging of the elbows, knees and ankles; Meanwhile the HEAD-US-C ultrasound assessment scale and hemophilia joint health score scale 2.1 (HJHS2.1) were used to score the joint status...
October 14, 2018: Zhonghua Xue Ye Xue za Zhi, Zhonghua Xueyexue Zazhi
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