Talonavicular-cuneiform arthrodesis in the management of Mueller-Weiss Syndrome: a retrospective case series
This study aimed to present clinical and radiological outcomes of talonavicular-cuneiform (TNC) arthrodesis in the treatment of patients with MWS. A retrospective study was performed on 8 consecutive patients (6 female, 2 male; mean age = 50 years; range = 33-64) who underwent TNC arthrodesis using plate fixation with autologous bone grafting for the treatment of MWS. To evaluate clinical status, the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Midfoot Score was performed immediately preoperatively and at the final follow-up. In radiographic evaluation, talus-first metatarsal angle (Meary's angle) was measured...
Source: Acta Orthopaedica - April 26, 2024 Category: Orthopaedics Authors: G Uzer M Demirel D Kara B Toker F Yildiz V Ucan Source Type: research

Dorsal wrist plating for the management of intra-articular distal radius fractures
Acta Orthop Belg. 2024 Mar;90(1):110-114. doi: 10.52628/90.1.8058.ABSTRACTThe aim of the study was to evaluate the results of Dorsal Wrist Plating in intra-articular distal radius fractures with a dorsal displacement. In this prospective study, a single surgeon treated 20 patients with a (partially) intra-articular distal radius fracture with a dorsal rim avulsion or a dorsal Barton's type fragment. They all underwent an open reduction and internal fixation by Dorsal Wrist Plating. A total of 17 patients had a follow-up period of at least 12 months (mean follow- up of 17 months) and these patients were included in the stud...
Source: Acta Orthopaedica - April 26, 2024 Category: Orthopaedics Authors: J Brauns W Vandesande Source Type: research

Clinical outcomes of conservative versus surgical treatment for patients with proximal humeral fracture before physiotherapy
This study aimed to compare kinesiophobia, pain, range of motion (ROM), shoulder function, and Quality of life (QoL) in patients treated with either conservative (CT) versus surgical (ST) after PHF. In addition, it aimed to determine correlations between fear of movement and seconder outcome measures. This cross-sectional study enrolled the patients having 5-6 weeks (being permitted active movement) after being treated either CT or ST and receiving no physical therapy. Pain, passive and active ROMs, shoulder function, fear of movement, and QoL were evaluated. 42 patients were recruited. Kinesiophobia scores were similar (p...
Source: Acta Orthopaedica - April 26, 2024 Category: Orthopaedics Authors: G Kus A Zengin Alpozgen F Gungor A Razak Ozdincler S Altun Source Type: research

Evaluation of patient reported outcome measures and costs of managing osteoarthritis of the hip
The objective of this study is to evaluate patient-report- ed outcomes and hospital costs of hip replacement six months after surgery. Both generic (EQ-5D) and specific (HOOS) PROMs of general hospital patients undergoing hip replacement surgery in 2021 were conducted. The results of these PROMs were then combined with financial and health management data. The mean difference (SD) in QALYs between the preoperative and postoperative phases is 0.20 QALYs (0.32 QALYs). The average cost (SD) of all stays is €4,792 (€1,640). Amongst the five dimensions evaluated in the EQ-5D health questionnaire, the 'pain' dimension seems ...
Source: Acta Orthopaedica - April 26, 2024 Category: Orthopaedics Authors: F Dehanne M Pirson P Leclercq B Libert M Gourdin Source Type: research

Renal artery occlusion in a young woman - a tale of mysterious thrombosis
CONCLUSION: Renal artery thrombosis in young people is extremely rare and presents a diagnostic and management challenge requiring input from multiple teams including nephrology, rheumatology, paediatrics and vascular surgery. Systemic coagulopathy and vasculitis are differentials against anatomical aetiologies such as fibromuscular dysplasia. Our case adds to the limited literature regarding this in the young population. Renal artery thrombosis with occlusion in young people is very rare and is most often associated with a systemic coagulopathic disorder, such as antiphospholipid syndrome or structural pathology of the re...
Source: Vascular - April 26, 2024 Category: Surgery Authors: Ned Farley Joseph Faraj Malindu Fernando Tejas Singh Aaron Powell Senthil Kumar Source Type: research

Assessment of Clinical Outcomes in Patients With Osteoarthritis: Analysis From the UK Medical Cannabis Registry
This study aims to assess changes in validated patient-reported outcome measures (PROMs) and CBMP clinical safety in patients with osteoarthritis. A prospective case series from the UK Medical Cannabis Registry was analyzed. Primary outcomes were changes in the Brief Pain Inventory (BPI), McGill Pain Questionnaire (MPQ2), EQ-5D-5L, Generalized Anxiety Disorder-7 (GAD-7) questionnaire, and Single-Item Sleep Quality Scale (SQS) at 1-, 3-, 6-, and 12-month follow-ups from baseline. Common Terminology Criteria for Adverse Events v.4.0 was used for adverse event (AE) analysis. Statistical significance was defined as p < 0.05...
Source: Journal of Pain and Palliative Care Pharmacotherapy - April 26, 2024 Category: Palliative Care Authors: Ann Francis Simon Erridge Carl Holvey Ross Coomber Wendy Holden James Rucker Michael Platt Mikael Sodergren Source Type: research

Dental practitioners ’ knowledge, management practices, and attitudes toward collaboration in the treatment of temporomandibular joint disorders: a mixed-methods study
This study aims to... (Source: BMC Family Practice)
Source: BMC Family Practice - April 26, 2024 Category: Primary Care Authors: Muhammad Taqi, Syed Jaffar Abbas Zaidi, Saad uddin Siddiqui, Babar Zia and Maria Khadija Siddiqui Tags: Research Source Type: research

The efficacy of rhomboid intercostal block for pain management after video-assisted thoracoscopic surgery: a prospective, randomized-controlled trial
ConclusionUS-guided RIB provides effective post-VATS analgesia. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 26, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

Role of Low-Level Laser Therapy in the Management of Temporomandibular Joint Arthralgia
AbstractTo study the efficacy of low-level laser therapy in the management of temporomandibular joint arthralgia.Design Interventional study (pre-post study),Setting Meenakshi Medical College And Hospital, Research Institute.Subjects 50 patients with temporomandibular joint arthralgia were evaluated for pain, mouth opening and clicking sound while mouth opening before and after treatment.Method Patients are subjected to undergo low-level laser therapy with Infrared and red rays with a therapeutic dosage ranging from 8  J/cm2 to 15  J/cm2 up to 3 –5 sessions for a month each session lasts for 15–20 min. The patients ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 26, 2024 Category: ENT & OMF Source Type: research

Nontraumatic orbital hematoma secondary to labor and childbirth: a case report and review of the literature
ConclusionsNon-traumatic orbital hematomas associated with maternal labor are rare and likely related to increased valsalva during delivery and heightened blood volume in pregnancy. Neuro-imaging and systemic workup are recommended to assess for vascular anomalies or underlying coagulopathies. The overall prognosis is favorable with most having full recovery. (Source: International Ophthalmology)
Source: International Ophthalmology - April 26, 2024 Category: Opthalmology Source Type: research

Effect of music therapy on chemotherapy anticipatory symptoms in adolescents: a mixed methods study
This study explores the feasibility and effects of music therapy on anticipatory nausea and vomiting, stress, pain and quality of life in adolescents undergoing chemotherapy. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 26, 2024 Category: Palliative Care Authors: Filippo Giordano, Chiara Rutigliano, Caterina Ugolini, Erika Iacona, Lucia Ronconi, Celeste Raguseo, Teresa Perillo, Angarano Rosa, Nicola Santoro, Ines Testoni Tags: Clinical Note Source Type: research

“At Least I Can Push this Morphine”:PICU Nurses’ Approaches to Suffering Among Dying Children
: Parents of children who die in the pediatric intensive care unit (PICU) carry memories of their child's suffering throughout a lifelong grieving experience. Given their prolonged time at the bedside, PICU nurses are poised to attend to dying children's suffering. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 26, 2024 Category: Palliative Care Authors: Elizabeth G. Broden, Ijeoma Julie Eche-Ugwu, Danielle D. DeCourcey, Joanne Wolfe, Pam Hinds, Jennifer Snaman Tags: Original Article Source Type: research

Patient acceptable symptom state and treatment failure threshold values for work productivity and activity Impairment and EQ-5D-5L in osteoarthritis
ConclusionPASS and TF threshold values for WPAI and EQ-5D-5L might be useful for meaningful interpretation of these measures among people with OA. The observed baseline dependency of estimated thresholds limits their generalizability and values should be applied with great caution in other settings/populations. (Source: Quality of Life Research)
Source: Quality of Life Research - April 25, 2024 Category: Health Management Source Type: research

News at a glance: Plants ’ tree of life, conserving U.S. federal lands, and entertaining invertebrate sentience
CONSERVATION Interior Department boosts restoration The largest manager of public lands in the United States last week announced it will manage them to promote ecological stewardship, while continuing to allow extractive commercial uses such as mining, oil drilling, and cattle grazing. The Bureau of Land Management (BLM) oversees nearly 1 million square kilometers of federal land, about 10% of the country’s landmass, mostly in Western states. Under a rule issued on 18 April, BLM will now assess the ecological condition of all hectares it manages , not just grazing land. The agency will a...
Source: Science of Aging Knowledge Environment - April 25, 2024 Category: Geriatrics Source Type: research

Differential relationships between physical activity and pain phenotypes in individuals with spinal cord injury
CONCLUSION: Differential relationships exist between pain phenotypes and MVPA in individuals with SCI. Pain location differed between the subgroups of nociceptive pain, which we presume may indicate the presence of nociplastic pain in some individuals. These results may contribute to the advancement of personalized pain management by targeting non-pharmacological interventions for specific pain phenotypes.Trial registration: ClinicalTrials.gov identifier: NCT05236933..PMID:38661677 | DOI:10.1080/10790268.2024.2344315 (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 25, 2024 Category: Orthopaedics Authors: Alexandra Canori Donna L Coffman W Geoffrey Wright Margaret A Finley Shivayogi V Hiremath Source Type: research