The Gap after Trapeziectomy: A Prospective Study

2006 ◽  
Vol 31 (5) ◽  
pp. 566-568 ◽  
Author(s):  
R. ANWAR ◽  
A. COHEN ◽  
J. E. NICHOLL
Keyword(s):  
Prospective Study ◽  
Radiological Assessment ◽  
Basal Joint ◽  
Significant Change ◽  
A Prospective Study ◽  
Joint Arthritis

Thirteen patients with basal joint arthritis of the thumb were treated by simple trapeziectomy. All patients underwent radiological assessment pre-operatively and at 2, 4 and 12 weeks after surgery. Special standardised views were taken to assess changes in the ‘trapezial gap’. Collapse of this was noticed up to 4 weeks following surgery but no significant change occurred thereafter. In respect of this collapse, prolonging immobilisation after 4 weeks is probably unnecessary.

Basal Joint Osteoarthritis of the Thumb Treated with Weilby Arthroplasty: A Prospective Study on the Early Postoperative Course of 106 Consecutive Cases

2009 ◽  
Vol 34 (4) ◽  
pp. 503-505 ◽  
Author(s):  
L. S. VADSTRUP ◽  
L. SCHOU ◽  
M. E. H. BOECKSTYNS
Keyword(s):  
Patient Satisfaction ◽  
Prospective Study ◽  
Grip Strength ◽  
Pinch Strength ◽  
Interposition Arthroplasty ◽  
Trapeziometacarpal Joint ◽  
Postoperative Course ◽  
Basal Joint ◽  
A Prospective Study ◽  
Tendon Interposition

One hundred and six consecutive cases of osteoarthritis of the trapeziometacarpal joint, treated by tendon interposition arthroplasty as described by Weilby, were followed prospectively, with assessment of pain, mobility, pinch and grip strength at 6, 12, 26 and 52 weeks. Patient satisfaction was reviewed at 26 and 52 weeks. Preoperative visual analogue scores for pain averaged 65 and decreased postoperatively to an average of 12 at 52 weeks. The main decrease in pain occurred during the first 3 months after operation. Mobility was improved or unaltered in 82%. Average grip and pinch strength reached preoperative values (41 kPa and 20 kPa respectively) between 12 and 26 weeks after surgery and were significantly greater (58 kPa and 34 kPa) at 52 weeks. Recovery after suspension arthroplasty takes 3–6 months, which may be a disadvantage to be considered when advising patients who are considering operative treatment.

scholarly journals Preference, Adherence, and Maintenance of Euthyroidism Using 3 Different Regimens of Levothyroxine Intake during the Fasting Month of Ramadan

2021 ◽  
pp. 1-8
Author(s):  
Tamer Mohamed Elsherbiny
Keyword(s):  
Prospective Study ◽  
Odds Ratio ◽  
Limited Data ◽  
Multivariate Models ◽  
Thyroid Status ◽  
Main Determinant ◽  
Food And Beverages ◽  
Significant Change ◽  
A Prospective Study ◽  
Hypothyroid Patients

<b><i>Introduction:</i></b> Millions of Muslim hypothyroid patients fast during Ramadan. Limited data are available on the effect of fasting during Ramadan and different levothyroxine (L-T4) timings on thyroid status. The present study aimed to report preference, adherence, and maintenance of euthyroidism using 3 different regimens of L-T4 intake during Ramadan. <b><i>Methods:</i></b> This is a prospective study including Muslim hypothyroid patients fasting during Ramadan between 2018 and 2019. Patients freely chose between 3 regimens, regimen 1: to take L-T4 at sunset and postpone food and beverages for 60 min; regimen 2: to have iftar (first meal) at sunset, stop food and beverages for 3–4 h, have L-T4, and wait for 60 min before suhor (last meal); regimen 3: have suhor at midnight, stop food and beverages for 3–4 h, and have L-T4 before next fast. Thyroid status was assessed before and within 6 weeks after Ramadan. <b><i>Results:</i></b> 393 patients were included. The first 2 regimens or a combination of both was the most preferred by patients 40.5, 36.7, and 17%, respectively. 323/393 patients were adherent to L-T4 regimens (82.2%). 273/393 patients were euthyroid after Ramadan (69.5%). TSH pre- and post-Ramadan were 4.35 ± 12.30 mIU/L and 2.73 ± 3.37 mIU/L, respectively, with no statistically significant change (<i>p</i> = 0.225). Adherence was predicted post-Ramadan euthyroidism (odds ratio [OR] 2.8 in univariate and OR 2.96 in multivariate models). <b><i>Conclusions:</i></b> The first and second regimens or a combination of both was preferred by most patients. High rates of adherence and post-Ramadan euthyroidism were observed. Adherence to the preferred regimen is the main determinant of post-Ramadan euthyroidism.

scholarly journals Etiological Profile of Referred Otalgias in a Tertiary Care Hospital

2020 ◽  
Vol 8 (2) ◽  
pp. 32-36
Author(s):  
Sameer Karmacharya ◽  
Santosh Kumar Sah
Keyword(s):  
Prospective Study ◽  
Head And Neck ◽  
Salivary Glands ◽  
Clinical Examination ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
College Teaching ◽  
Care Hospital ◽  
Radiological Assessment ◽  
A Prospective Study

Background and Objectives Otalgia (earache) is one of the commonest presenting complaints of the patients visiting ENT OPD and wide varieties of otological diseases are associated with it. Surrounding structural pathology of head and neck can at times manifest as otalgia (because of complex innervations of ear) known as referred otalgia. The term Referred Otalgia applied when the ear examination is normal, so it is important to search for the secondary cause in other structures like pharynx, larynx, teeth, TM, nose, sinuses, salivary glands, neck, and rarely thoracic structures like esophagus, bronchus and heart. Material and Methods: A prospective study was conducted in the department of ENT – HNS in Janaki Medial College Teaching Hospital from Janaury 01, 2019 to July 31, 2020 with ear pain only. All patients are subjected to full history and ENT examination, in addition to examination of Temporo-mandibular joint (TMJ) and neck. Some patients were sent for audiological and radiological assessment according to the finding in the examination and some had maxillofacial or orthopedic consultation. Data were analyzed, primary and referred otalgia was recorded. Results: Out of 607 patients with otalgia, 243(40%) had referred otalgia of this 39% were men and 61% were women. Commonest etiology of referred otalgia was dental causes followed by TMJ dysfunction. 3% patient had underlying malignancies. 37% had right earache, 42% had left earache and 21% had bilateral earache. Conclusion: A thorough clinical examination of surrounding structures particularly teeth and TMJ should be done as significant number of patient suffered from referred otalgia and while doing this malignancy should be kept in mind as etiology.

Clinical and Radiological Assessment of Lumbar Disc Prosthesis with Controlled Mobility with Five-Year Follow-Up: A Prospective Study on 411 Patients

2015 ◽  
Vol 15 (10) ◽  
pp. S128
Author(s):  
Jacques Beaurain ◽  
Jerome Allain ◽  
Joel Delecrin ◽  
Herve L. Chataigner ◽  
Thierry Dufour ◽  
...  
Keyword(s):  
Prospective Study ◽  
Lumbar Disc ◽  
Radiological Assessment ◽  
Disc Prosthesis ◽  
Controlled Mobility ◽  
A Prospective Study

Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey

2001 ◽  
Vol 35 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Mehmet Aktekin ◽  
Taha Karaman ◽  
Yesim Yigiter Senol ◽  
Sukru Erdem ◽  
Hakan Erengin ◽  
...  
Keyword(s):  
Medical Students ◽  
Prospective Study ◽  
Life Events ◽  
Stressful Life Events ◽  
Stressful Life ◽  
A Prospective Study ◽  
Anxiety Depression
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