scholarly journals Bilateral Olecranon Tophaceous Gout Bursitis

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Güzelali Özdemir ◽  
Alper Deveci ◽  
Kemal Andıç ◽  
Niyazi Erdem Yaşar
Keyword(s):  
Surgical Treatment ◽  
Range Of Motion ◽  
Tophaceous Gout ◽  
Wound Problem

In this case, we present a patient with the diagnosis of bilateral olecranon tophaceous gout. After the surgical treatment, there was no limitation of range of motion or wound problem at 6th month control.

scholarly journals Surgical Treatment of Chronic Tophaceous Gout in the 1st Metatarso-Phalangeal Joint

2018 ◽  
Vol 22 (4) ◽  
pp. 156 ◽  
Author(s):  
Tae-Hun Lee ◽  
Il-Hyun Nam ◽  
Gil-Yeong Ahn ◽  
Yeong-Hyeon Lee ◽  
Yong-Sik Lee ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Tophaceous Gout

scholarly journals Limited Knee-Joint Range of Motion in Patients With Tophaceous Gout Improved With Medical Treatment: A 18-Months Follow Up

2020 ◽  
Vol 7 ◽  
Author(s):  
Chuan-Chin Lu ◽  
James Cheng-Chung Wei ◽  
Cheng-Ang Chang ◽  
Chih-Ming Chen ◽  
Sen-Wei Tsai ◽  
...  
Keyword(s):  
Knee Joint ◽  
Medical Treatment ◽  
Range Of Motion ◽  
Tophaceous Gout ◽  
Joint Range Of Motion ◽  
Joint Range

scholarly journals Arthroscopic Treatment of Stiff Elbow

ISRN Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Davide Blonna ◽  
Enrico Bellato ◽  
Eleonora Marini ◽  
Michele Scelsi ◽  
Filippo Castoldi
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Range Of Motion ◽  
Arthroscopic Management ◽  
Acceptable Range ◽  
Stiff Elbow ◽  
Tissue Trauma ◽  
Elbow Contracture

Contracture of the elbow represents a disabling condition that can impair a person's quality of life. Regardless of the event that causes an elbow contracture, the conservative or surgical treatment is usually considered technically difficult and associated with complications. When the conservative treatment fails to restore an acceptable range of motion in the elbow, open techniques have been shown to be successful options. More recently the use of arthroscopy has become more popular for several reasons. These reasons include better visualization of intra-articular structures, less tissue trauma from open incisions, and potentially the ability to begin early postoperative motion. The purpose of this paper is to review the indications, complications, and results of arthroscopic management of a stiff elbow.

Ankylosis and pseudoankylosis of the temporomandibular joint in 10 dogs (1993–2015)

2016 ◽  
Vol 29 (05) ◽  
pp. 409-415 ◽  
Author(s):  
Peter Strøm ◽  
Boaz Arzi ◽  
Derek Cissell ◽  
Frank Verstraete
Keyword(s):  
Surgical Treatment ◽  
Range Of Motion ◽  
Temporomandibular Joint ◽  
Three Dimensional ◽  
Case Series ◽  
Patient Specific ◽  
Three Dimensional Printing ◽  
Temporomandibular Joint Ankylosis ◽  
Dimensional Printing ◽  
Joint Ankylosis

SummaryObjective: To describe the clinical features and results of treatment of true ankylosis and pseudoankylosis of the temporomandibular joint in dogs.Methods: This study was a retrospective case series. Ten client-owned dogs that were presented for inability to open the mouth or a severely decreased range of motion of the temporomandibular joint were included. Information on the surgical procedures performed and the perioperative complications were documented. Three-dimensional printing of the skull was performed in four dogs.Results: Two dogs were diagnosed with temporomandibular joint ankylosis and seven dogs with pseudoankylosis. One dog had evidence of combined temporomandibular joint ankylosis and pseudoankylosis. Of the seven dogs with pseudoankylosis, six had an osseous fusion involving the zygomatic arch and mandible. Surgical treatment was performed in nine dogs and a revision surgery was needed in one dog. Follow-up ranged from five months to eight years (mean: 48.6 months). Eight out of nine dogs that were treated surgically regained the ability to open their mouth, but six dogs never regained a fully normal temporomandibular joint range of motion.Clinical significance: Temporomandibular joint ankylosis and pseudoankylosis are uncommon in the dog. Surgical treatment for temporomandibular joint ankylosis or pseudoankylosis in dogs is a successful option and carries a prognosis dependent on patient-specific abnormalities. Computed tomography complemented with three- dimensional printing is valuable for understanding the extent of abnormalities and for preoperative planning.Supplementary material for this paper is available online at http://dx.doi.org/10.3415/VCOT-15-11-0189.

scholarly journals Transposition of the great trochanter: A look at the problem

2021 ◽  
Vol 9 (2) ◽  
pp. 195-202
Author(s):  
Ivan Y. Pozdnikin ◽  
Pavel I. Bortulev ◽  
Dmitry B. Barsukov ◽  
Vladimir E. Baskov
Keyword(s):  
Surgical Treatment ◽  
Femoral Neck ◽  
Range Of Motion ◽  
Hip Joint ◽  
Proximal Femur ◽  
Great Trochanter ◽  
Clinical Parameters ◽  
Greater Trochanter ◽  
Hip Joints ◽  
High Position

BACKGROUND: Multiplanar deformity of the proximal femur with a high position of the greater trochanter is one of the most common residual deformities of the hip joint. The VeauLamy transposition of the greater trochanter does not fully treat the mutual trauma of the components of the hip joint, as it only brings down the greater trochanter to provide tension for the gluteal muscles. AIM: This study aimed to share the experience of performing transposition of the greater trochanter according to our proposed technique. MATERIALS AND METHODS: The study included 15 patients (15 hip joints) aged 916 years with a high position of the greater trochanter of the femur, who underwent surgical treatment in the period from 2018 to 2019. In addition to the actual transposition of the greater trochanter, the intervention provided a modeling resection of the base (bed) of the greater trochanter and the formation of an offset of the femoral neck. RESULTS: Patients were followed up for period of up to 30 months. All patients showed positive changes after surgical treatment with improvement of radiological and clinical parameters. CONCLUSIONS: The proposed intervention allows restoration of the function of the gluteal muscles, improves the range of motion in the hip joint, and prevents and treats extra-articular impingement syndrome.

Positive Ulnar Fovea Sign – Audit of Patient Outcomes Following Nonsurgical and Surgical Management

2019 ◽  
Vol 24 (04) ◽  
pp. 421-427
Author(s):  
Min Kai Chang ◽  
Zeus Yiwei Lim ◽  
Shian Chao Tay
Keyword(s):  
Surgical Treatment ◽  
Range Of Motion ◽  
Grip Strength ◽  
Distal Radioulnar Joint ◽  
Wrist Pain ◽  
Radioulnar Joint ◽  
Nonsurgical Management ◽  
Experienced Pain ◽  
Patient Reported ◽  
Pain Improvement

Background: Patients with ulnar-sided wrist pain and positive ulnar fovea sign are usually treated nonsurgically before surgical options are considered. However, the outcomes of nonsurgical management are unknown. Many of these patients also have unstable distal radioulnar joint, but there has been no comparison between the outcomes of these patients with stable and unstable distal radioulnar joint. The objectives of this study are to (1) determine the outcomes of nonsurgical and surgical treatment of patients with positive ulnar fovea sign, and (2) compare the outcomes of patients with stable and unstable distal radioulnar joint. Methods: A retrospective analysis of the outcomes of patients with ulnar sided wrist pain and positive fovea sign was performed from March 2009 to December 2014. Outcomes were measured based on patient-reported pain improvement, grip strength and range of motion of the affected wrist before and after treatment. A total of 100 wrists in 98 patients were reviewed. Results: 54% of wrists managed nonsurgically experienced pain improvement. 83% of wrists managed surgically experienced pain improvement. The mean grip strength increased by 2.8 kg and 2.7 kg, while the range of motion decreased by 14° and 5° after nonsurgical and surgical treatment respectively. When comparing patients with stable and unstable distal radioulnar joint, there were statistically more wrists with unstable distal radioulnar joint that experienced pain improvement after treatment. Conclusions: The study showed that there is a role for nonsurgical treatment for wrists with positive ulnar fovea sign with more than half of the patients experiencing pain improvement. We also found that positive ulnar fovea sign patients with unstable distal radioulnar joint had better pain outcomes compared to those with stable distal radioulnar joint.

scholarly journals Comparison of Upper Extremity Function in Women With and Women Without a History of Breast Cancer

2020 ◽  
Vol 100 (3) ◽  
pp. 500-508 ◽  
Author(s):  
Mary Insana Fisher ◽  
Gilson Capilouto ◽  
Terry Malone ◽  
Heather Bush ◽  
Timothy L Uhl
Keyword(s):  
Breast Cancer ◽  
Surgical Treatment ◽  
Range Of Motion ◽  
Upper Extremity ◽  
Current Evidence ◽  
Muscular Endurance ◽  
Ctrl Group ◽  
Extremity Function ◽  
Upper Extremity Function

Abstract Background Breast cancer treatments often result in upper extremity functional limitations in both the short and long term. Current evidence makes comparisons against a baseline or contralateral limb, but does not consider changes in function associated with aging. Objective The objective of this study was to compare upper extremity function between women treated for breast cancer more than 12 months in the past and women without cancer. Design This was an observational cross-sectional study. Methods Women who were diagnosed with breast cancer and had a mean post–surgical treatment time of 51 months (range = 12–336 months) were compared with women who did not have breast cancer (CTRL group). Self-reported upper extremity function using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and shoulder range of motion, strength, and muscular endurance were measured. Participants were divided into 3 groups: breast cancer involving the nondominant limb (BC-ND), breast cancer involving the dominant limb (BC-DOM), and CTRL. Results A total of 59 women in the CTRL group, 23 women in the BC-ND group, and 28 women in the BC-DOM group completed measures. Mean DASH scores in women with breast cancer were higher than those of women in the CTRL group, regardless of the limb on which cancer occurred (Cohen d = 1.13; 95% CI = 2.20 to 16.21) Range of motion for the BC-ND group was significantly less for flexion (Cohen d = 1.19, 95% CI = −13.08 to −0.11) and external rotation (Cohen d = 1.11, 95% CI = −18.62 to −1.98) compared with the CTRL group. Strength in the BC-ND group was 23% to 25% lower in the CTRL group for external (Cohen’s d = 0.89, 95% CI = 0.09 to 0.12) and internal rotation (Cohen d = 0.92, 95% CI = 0.10 to 0.13). Endurance was not significantly different in the 3 groups. Limitations Some participants had rehabilitation, which may have skewed results. The range of post–surgical treatment times was broad, making it difficult to determine when function returned. Muscular endurance measures demonstrated a ceiling effect and large variance, limiting the ability to distinguish differences among participants. These results may not be generalizable to the subset of women who were treated with lumpectomy, sentinel node biopsy, or chest wall radiation alone or who underwent a contralateral prophylactic mastectomy. Conclusion In the long term, women with breast cancer have lower self-reported shoulder function than women without breast cancer. Motion and strength are lower among women who have experienced cancer on the nondominant limb.

Surgical treatment of subcutaneous tophaceous gout

2010 ◽  
Vol 63 (11) ◽  
pp. 1933-1935 ◽  
Author(s):  
Jung Ho Lee ◽  
Jeong Yong Park ◽  
Je Won Seo ◽  
Deuk Young Oh ◽  
Sang Tae Ahn ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Tophaceous Gout

Critical time period for recovery of functional range of motion after surgical treatment of complex elbow instability: Prospective study on 76 patients

Injury ◽  
2014 ◽  
Vol 45 (3) ◽  
pp. 540-545 ◽  
Author(s):  
Giuseppe Giannicola ◽  
David Polimanti ◽  
Gianluca Bullitta ◽  
Federico M. Sacchetti ◽  
Gianluca Cinotti
Keyword(s):  
Surgical Treatment ◽  
Prospective Study ◽  
Range Of Motion ◽  
Critical Time ◽  
Elbow Instability ◽  
Time Period ◽  
Complex Elbow Instability

Surgical Treatment of Congenital Metacarpal Synostosis of the Ring and Little Fingers

1998 ◽  
Vol 23 (5) ◽  
pp. 691-694 ◽  
Author(s):  
E. HORII ◽  
T. MIURA ◽  
R. NAKAMURA ◽  
E. NAKAO ◽  
H. KATO
Keyword(s):  
Surgical Treatment ◽  
Range Of Motion ◽  
Average Length ◽  
Metacarpophalangeal Joint ◽  
Block Method ◽  
Active Flexion ◽  
Distraction Device ◽  
Little Finger

Fifteen hands with congenital metacarpal fusions were treated operatively by osteotomy combined either with the use of a silicone block or a distraction device. The aim of the silicone block was to separate the fused metacarpals, but it was buried in the metacarpals at follow-up, with recurrence of fusion. By the distraction technique, 13 mm of lengthening was obtained. The average length of the little metacarpal was 88% of that of the long finger metacarpal. Both methods were effective in correcting the abduction deformity of the little finger by a mean of 34°, and increasing the range of motion of the metacarpophalangeal joint to 28° of active flexion. Although the distraction method took longer than the silicone block method, the final appearance of the hand was better.

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