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Knee to Wall

Tae-Hun Kim, Jung Won Kang
BACKGROUND: There is an unmet need for effective treatment of the various treatment-related symptoms experienced by breast cancer survivors. These symptoms could be alleviated by acupuncture. Although several lines of evidence in Western countries suggest that acupuncture has a beneficial effect on symptoms in breast cancer survivors, few relevant studies have been conducted in Korean patients. This pilot study assessed the feasibility of acupuncture for a variety of treatment-related symptoms in Korean breast cancer survivors...
March 21, 2019: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
Monica Khokhar, Allan Richard Hirsch
IntroductionThe spreading of pareidolia, the visualization of one image inside another image, from one member of a couple to another one is seen in a subtype of folie á deux called folie imposée.Case studyA 27 year old right handed male started having delusions two years prior to presentation. He experienced marked hallucinations in which he saw faces imbedded in clothing and demon-like faces that would appear in curtain shades. During his visual hallucinations, "demonic-like angles would tell me how to get to heaven...
February 2019: CNS Spectrums
Imke Rudnik-Jansen, Karin Schrijver, Nina Woike, Anna Tellegen, Sabine Versteeg, Pieter Emans, George Mihov, Jens Thies, Niels Eijkelkamp, Marianna Tryfonidou, Laura Creemers
Inflammation of the synovium and joint capsule is a main driver of pain in an osteoarthritic (OA) joint. Triamcinolone acetonide (TAA) is a classical corticosteroid that reduces synovitis and alleviates pain, albeit transiently. Biomaterial-based local TAA release may prolong the suppression of pain without the need for multiple injections. Polylactic-co-glycolic acid (PLGA) formulations of TAA prolong OA pain relief to a limited extent. A novel polyesteramide (PEA) microsphere platform allows for extended release in the OA joint for over 3 months...
December 2019: Drug Delivery
Kameron Shams, Christopher A DiCesare, Brian M Grawe, Eric Wall, Shital N Parikh, Marc Galloway, Katie Kitchen, Kim Barber Foss, Staci M Thomas, Alicia M Montalvo, Angelo J Colosimo, Gregory D Myer
Background: Previous studies have acknowledged the medial patellofemoral ligament (MPFL) as the primary stabilizer of the patella, preventing lateral displacement. MPFL reconstruction (MPFL-R) restores stability and functionality to the patellofemoral joint and has emerged as a preferred treatment option for recurrent lateral patellar instability. Purpose: To objectively measure biomechanical characteristics of athletes cleared for return to sport after MPFL-R compared with healthy controls...
February 2019: Orthopaedic Journal of Sports Medicine
Xu-Dong Jiang, Han-Long Zheng, Yu-Ping Yang
PURPOSE: To evaluate the clinical outcome in patients who received anterior cruciate ligament (ACL) reconstruction via anteromedial portal with or without posterior wall blowout. METHODS: Twenty patients with ruptured ACL, who have received ACL reconstruction via anteromedial portal between Apr 2012 and Oct 2013 were enrolled. According to the conditions of posterior wall, the patients were divided into 2 groups: posterior wall blowout group (10 patients) and posterior wall intact group (10 patients)...
January 21, 2019: Chinese Journal of Traumatology
Seungbin Ko, Byungkuen Yang, Jee-Hyun Cho, Jeesoo Lee, Simon Song
Four-dimensional flow magnetic resonance imaging (4D flow MRI) is a versatile tool to obtain hemodynamic information and anatomic information simultaneously. The wall shear stress (WSS), a force exerted on a vessel wall in parallel, is one of the hemodynamic parameters available with 4D flow MRI and is thought to play an important role in clinical applications such as assessing the development of atherosclerosis. Nevertheless, the accuracy of WSS obtained with 4D flow MRI is rarely evaluated or reported in literature, especially in the in vivo studies...
January 31, 2019: Medical Image Analysis
Imke Rudnik-Jansen, Nina Woike, Suzanne de Jong, Sabine Versteeg, Marja Kik, Pieter Emans, George Mihov, Jens Thies, Niels Eijkelkamp, Marianna Tryfonidou, Laura Creemers
Episodes of inflammation and pain are predominant features of arthritic joint diseases. Drug delivery systems (DDS) could reduce inflammation and pain long-term without chances of infection upon multiple injections. To allow for long-term evaluation of DDS, we modified a previously published acute arthritis model by extending follow-up periods between flare-ups. Unilateral synovial inflammation of the knee was induced by intra-articular injection of streptococcal cell wall peptidoglycan polysaccharide (PGPS), and flare-ups were induced by intravenous PGPS injections every 4 weeks for a total duration of 84 days...
February 7, 2019: Pharmaceutics
Stavros Spiliopoulos, Nikiforos Vasiniotis Kamarinos, Elias Brountzos
New and sophisticated endovascular devices, such as drug-eluting stents (DES) and drug-coated balloons (DCB), provide targeted drug delivery to affected vessels. The invention of these devices has made it possible to address the reparative cascade of arterial wall injury following balloon angioplasty that results in restenosis. DESs were first used for the treatment of infrapopliteal lesions almost 20 years ago. More recently, however, DCB technology is being investigated to improve outcomes of endovascular below-the-knee arterial procedures, avoiding the need for a metallic scaffold...
January 26, 2019: World Journal of Cardiology
Makoto Suruga, Takashi Horaguchi, Takanori Iriuchishima, Genki Iwama, Yoshiyuki Yahagi, Yasuaki Tokuhashi, Shin Aizawa
BACKGROUNDS: "Anatomical" anterior cruciate ligament (ACL) reconstruction is defined as the functional restoration of the ACL to its native dimensions. It is essential to obtain more accurate predictors of ACL size before surgery. The purpose of this study was to investigate the correlation between the native femoral ACL footprint size and the morphology of the distal femur using three-dimensional CT (3D-CT). METHODS: Thirty non-paired Japanese human cadaver knees were used...
January 31, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Wendi Weimar, Andrea Sumner, Braden Romer, John Fox, Jared Rehm, Brandi Decoux, Jay Patel
The aims of the present study were to examine the influences of different push-off techniques on kinetic and kinematic parameters both in and out of the water. The two techniques were: (1) a push off that was characterized by rapid extension of knees and hips towards the wall, prior to contact (i.e., no countermovement), and, (2) where the swimmer glides into the wall, letting the wall flex the knees in an approximate countermovement or eccentric phase. Twenty trained male and female freestyle swimmers (age 26...
January 28, 2019: Sports
Antoine Sauguet, Raphaël Philippart, Benjamin Honton
Endovascular treatment for peripheral artery occlusive disease carries unresolved problem of restenosis. Treatment modalities in areas of high mechanical stress like popliteal artery and common femoral artery remains challenging. New-generation devices improved the results of stent therapy in this anatomical territory, but could impact on future surgical options if they are needed. Vessel preparation prior to DCB angioplasty leads to better paclitaxel penetration into the arterial wall and improved drug uptake...
January 16, 2019: Journal of Cardiovascular Surgery
Narelle Wyndow, Natalie J Collins, Bill Vicenzino, Kylie Tucker, Kay M Crossley
Study design: Controlled laboratory study; cross-sectional design. Background: Foot and ankle characteristics and dynamic knee valgus differ in people with and without patellofemoral (PF) pain. However, it is unknown if these characteristics are evident in people with PF osteoarthritis (OA), compared to pain-free older adults. Objectives: To compare foot and ankle mobility, foot posture and dynamic knee valgus, measured as the frontal plane projection angle (FPPA) during single-leg squatting, between individuals with and without PFOA...
2018: Journal of Foot and Ankle Research
Yuanjun Teng, Xiaohui Zhang, Chongwen Ma, Haosen Wu, Rui Li, Hong Wang, Hua Han, Yayi Xia
INTRODUCTION: Excessive angle of the tibial tunnel may cause breakage of the posterior cortex in transtibial anatomic posterior cruciate ligament (PCL) reconstruction. However, a few studies have determined the permissible maximum angle of the tibial tunnel. The purpose of this study was to determine the permissible maximum angle of the tibial tunnel relative to the tibial plateau in transtibial anatomic PCL reconstruction and characterize the anatomic parameters of the tibial PCL attachment position...
December 8, 2018: Archives of Orthopaedic and Trauma Surgery
Hisanori Muramatsu, Keishi Umino, Hiroko Masuda, Fujio Ishizawa, Yukiko Sugano, Katsuya Honda
Cardiac rupture by blunt chest trauma is commonly seen after motor vehicle accidents and falls; however, it is rarely caused by a blow to the chest. We herein report an autopsy case of a high school boy who sustained severe right ventricular rupture by only one knee kick to the chest during a quarrel. He was hospitalized and developed cardiopulmonary arrest. Emergency surgery was performed, but the patient died. The autopsy revealed no external severe trauma or deformation, but the side wall of the right ventricle contained a large V-shaped laceration...
November 21, 2018: Journal of Forensic Sciences
Michael A Bergen, Kevin C Wall, Charles Y Kim, Grant E Garrigues
BACKGROUND: Left common iliac vein (LCIV) compression by the right or left common iliac artery (RCIA, LCIA) is known to cause venous thromboembolism (VTE), but the extent to which occult LCIV compression synergizes with lower extremity orthopedic surgery is unknown. We hypothesize that occult LCIV compression is associated with increased VTE risk following total hip or knee arthroplasty (THA, TKA). METHODS: This case-control study involves all patients at our institution who underwent primary or revision THA or TKA from 2009 to 2017 who had computed tomography or magnetic resonance imaging of the abdomen or pelvis available preoperatively...
October 29, 2018: Journal of Arthroplasty
Barak Haviv, Mohamed Kittani, Lee Yaari, Ehud Rath, Snir Heller, Shai Shemesh, Mustafa Yassin
PURPOSE: To evaluate the progressive changes in the morphology of traumatic ruptures of the anterior cruciate ligament (ACL) over time. A secondary objective was evaluating their correlation with meniscal tears or chondral lesions. METHODS: The study included one hundred and one patients who underwent ACL reconstruction surgery of the knee after a definite date of injury. The torn ACL remnant morphological pattern was assessed and classified during arthroscopy. A correlation analysis was performed between the pathological features of the remnant and the time length from injury...
November 14, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Thomas G Baboolal, Alam Khalil-Khan, Anthony A Theodorides, Owen Wall, Elena Jones, Dennis McGonagle
BACKGROUND: Mesenchymal stem cells (MSCs) have emerged as a promising candidate for tissue regeneration and restoration of intra-articular structures such as cartilage, ligaments, and menisci. However, the routine use of MSCs is limited in part by their low numbers and the need for methods and procedures outside of the joint or surgical field. PURPOSE: To demonstrate feasibility of a technique in which minimally manipulated synovial MSCs can be mobilized during knee arthroscopy, thereby showing proof of concept for the future evaluation and clinical use of native joint resident MSCs in single-stage joint repair strategies...
December 2018: American Journal of Sports Medicine
Jackie Knee, Trent Sumner, Zaida Adriano, David Berendes, Ellen de Bruijn, Wolf-Peter Schmidt, Rassul Nalá, Oliver Cumming, Joe Brown
BACKGROUND: Enteric infections are common where public health infrastructure is lacking. This study assesses risk factors for a range of enteric infections among children living in low-income, unplanned communities of urban Maputo, Mozambique. METHODS & FINDINGS: We conducted a cross-sectional survey in 17 neighborhoods of Maputo to assess the prevalence of reported diarrheal illness and laboratory-confirmed enteric infections in children. We collected stool from children aged 1-48 months, independent of reported symptoms, for molecular detection of 15 common enteric pathogens by multiplex RT-PCR...
November 2018: PLoS Neglected Tropical Diseases
Tomohiro Tomihara, Yusuke Hashimoto, Masatoshi Taniuchi, Junsei Takigami, Shinji Takahashi, Yohei Nishida, Nagakazu Shimada
PURPOSE: The purpose of this study was to compare femoral graft bending angle between patients with femoral tunnel reamed at less than 80° of knee flexion and those with 80° and above in anatomical anterior cruciate ligament (ACL) reconstruction using modified transtibial technique. METHODS: Forty-eight patients who underwent ACL reconstruction using bone-patellar-tendon-bone autograft in modified transtibial technique and CT scan at 1 week postoperatively were included in this study...
October 9, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Charlie Bowen, Kristian Weaver, Nicola Relph, Matt Greig
CONTEXT: Training exposure has been associated with injury epidemiology in elite youth soccer, where lower limb musculoskeletal screening is commonly used to highlight injury risk. However, there has been little consideration of the relationship between lower limb screening and the loading response to soccer activities. OBJECTIVE: To quantify the efficacy of using screening tests to predict the loading elicited in soccer-specific activities, and to develop a hierarchical ordering of musculoskeletal screening tests to identify test redundancy and inform practice...
October 9, 2018: Journal of Sport Rehabilitation
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