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Orthopaedics and Trauma, including Neurosurgery
Published in Kaji Sritharan, Samia Ijaz, Neil Russell, Tim Allen-Mersh, 300 Essentials SBAs in Surgery, 2017
Kaji Sritharan, Samia Ijaz, Neil Russell, Tim Allen-Mersh
The most likely diagnosis is: Rheumatoid arthritis of the thumbUlnar nerve compression at the elbowMedian nerve compression at the wristOsteoarthritis of the thumbMedian nerve compression at the elbow
Carpal fractures and dislocations
Published in Charles M Court-Brown, Margaret M McQueen, Marc F Swiontkowski, David Ring, Susan M Friedman, Andrew D Duckworth, Musculoskeletal Trauma in the Elderly, 2016
Although there is no clear evidence, the risks of any surgery to correct a malunion in the elderly patient will outweigh the likely minimal benefit in a lower demand patient, particularly as the literature in this area suggests the main aim of surgery is to delay the onset of wrist osteoarthritis in younger active patients.26
Satisfactory function 12 years after triscaphoid arthrodesis for chronic scapholunate ligament injury
Published in Journal of Plastic Surgery and Hand Surgery, 2020
Ole Reigstad, Christian Grimsgaard, Trygve Holm-Glad, Johanne Korslund, Rasmus D. Thorkildsen, Magne Røkkum
We found satisfactory clinical results 12 (10–17) years after triscaph arthrodesis for static SLL injury in 9/10 active patients. Our study revealed reduced AROM (55% of the uninjured side) similar to Kleinman’s 4.5-year follow-up of 41 wrists [22] and Kalb’s 3-year follow-up of 32 wrists [23]. Eckenrode et al. found reduced grip strength by 25%, key pinch by 14% and AROM similar to ours after 19 months in 9 patients [24]. These early clinical results were reproduced in our patients after 12 years, implying a lasting clinical situation if healing in adequate position of the scaphoid is achieved. The main long-term concern is wrist osteoarthritis, which we found in the majority of patients. It seems that the surgery has slowed the degenerative process. We found SLAC 1 osteoarthritis in 4/9 on plain radiographs, and 7/9 on CT. The patients were still relatively young and active and progressing osteoarthritis may necessitate further surgery in the future.
The impact of musculoskeletal diseases on the presence of locomotive syndrome
Published in Modern Rheumatology, 2019
Manabu Akahane, Akie Maeyashiki, Yasuhito Tanaka, Tomoaki Imamura
The demographic characteristics of the participants, such as age, sex, educational background, occupation, and area of residence were recorded at the time of their registration as members of the firm’s Internet panel. The first question pertained to the medical condition of the participants, such as the names of the diseases/symptoms, and their GLFS-25 scores, as described in the following sections. In terms of the personal medical history items, the questions pertained to whether the participants had osteoarthritis in the knee or hip joints, lumbar spinal stenosis, osteoporosis, low back pain, rheumatoid arthritis, a depressive mental state, hypertension, diabetes mellitus, or symptoms of the joints of the upper extremities. In the present study, participants who had knee and hip osteoarthritis included those who had undergone total knee arthroplasty and total hip arthroplasty, respectively. Diseases of the joints of the upper extremities included wrist osteoarthritis, elbow osteoarthritis, and frozen shoulder. The body mass index (BMI) was calculated using weight (kg) and height (m) data, and categorized into four groups: underweight: <18.5 kg/m2, normal: 18.5–24.9 kg/m2, overweight: 25.0–29.9 kg/m2, and obese: >30.0 kg/m2.