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[PMID]:28388908
[Au] Autor:Vela FJ; Sánchez-Margallo FM; Blázquez R; Álvarez V; Tarazona R; Mangas-Ballester MT; Cristo A; Casado JG
[Ad] Endereço:Stem Cell Therapy Unit, Minimally Invasive Surgery Centre, 10071, Caceres, Spain.
[Ti] Título:Evaluation of antigen-induced synovitis in a porcine model: Immunological, arthroscopic and kinetic studies.
[So] Source:BMC Vet Res;13(1):93, 2017 Apr 07.
[Is] ISSN:1746-6148
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Synovitis is an inflammation-related disease linked to rheumatoid arthritis, osteoarthritis, infections and trauma. This inflammation is accompanied by immune cells infiltration which initiates an inflammatory response causing pain, discomfort and affecting the normal joint function. The treatment of synovitis is based on the administration of anti-inflammatory drugs or biological agents such as platelet rich plasma and mesenchymal stem cells. However, the evaluation and validation of more effective therapies of synovitis requires the establishment of clinically relevant animal models. RESULTS: In this study, Large White pigs were pre-immunized to evaluate an antigen-induced synovitis. The immune monitoring of synovial fluids in this model allowed us the identification of IL-12p40 and T cell subsets as immune biomarkers. Moreover, the evolution of synovitis was performed by arthroscopic procedures and kinetic analysis. In summary, this paper describes an animal model of antigen-induced synovitis to be used in the evaluation of anti-inflammatory therapies. CONCLUSIONS: The novelty of this paper lies in the development of a clinically relevant model of synovitis which permits the simultaneous evaluation of synovitis from an immunological, surgical and kinetic point of view.
[Mh] Termos MeSH primário: Articulações do Carpo
Modelos Animais de Doenças
Inflamação/veterinária
Soroalbumina Bovina/imunologia
Sus scrofa
Sinovite/veterinária
[Mh] Termos MeSH secundário: Animais
Artroscopia/veterinária
Biomarcadores
Inflamação/induzido quimicamente
Subunidade p40 da Interleucina-12/metabolismo
Suínos
Doenças dos Suínos/etiologia
Líquido Sinovial/citologia
Sinovite/induzido quimicamente
Sinovite/imunologia
Subpopulações de Linfócitos T/imunologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers); 0 (Interleukin-12 Subunit p40); 27432CM55Q (Serum Albumin, Bovine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170409
[St] Status:MEDLINE
[do] DOI:10.1186/s12917-017-1025-4


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[PMID]:28255620
[Au] Autor:Quadlbauer S; Pezzei C; Jurkowitsch J; Keuchel T; Hausner T; Leixnering M
[Ad] Endereço:Department of Traumatology, AUVA Trauma Hospital Lorenz Böhler - European Hand Trauma Center, Donaueschingenstrasse 13, 1200, Vienna, Austria. stefan.quadlbauer@auva.at.
[Ti] Título:Spontaneous radioscapholunate fusion after septic arthritis of the wrist: a case report.
[So] Source:Arch Orthop Trauma Surg;137(4):579-584, 2017 Apr.
[Is] ISSN:1434-3916
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Bacterial septic arthritis rarely occurs in the upper extremities. Yet, early diagnosis and treatment is important, as a delay in diagnosis results in pain, impaired hand function, and degenerative joint disease. Radioscapholunate (RSL) arthrodesis is a well-established procedure for treating inflammatory arthritis and osteoarthritis (primary or posttraumatic), primarily to achieve pain relief. The wrist deformity correction offers an alternative option to total wrist arthrodesis. Indications for a RSL arthrodesis are osteoarthritis of the radiolunate and radioscaphoid joint with a concomitant intact midcarpal joint. We present a case study of spontaneous RSL fusion post wrist infection caused by a dog bite.
[Mh] Termos MeSH primário: Artrite Infecciosa/etiologia
Mordeduras e Picadas/complicações
Articulações do Carpo/diagnóstico por imagem
Artropatias/diagnóstico por imagem
Amplitude de Movimento Articular
Traumatismos do Punho/complicações
[Mh] Termos MeSH secundário: Animais
Mordeduras e Picadas/cirurgia
Articulações do Carpo/fisiopatologia
Cães
Feminino
Seres Humanos
Artropatias/fisiopatologia
Osso Semilunar/diagnóstico por imagem
Radiografia
Rádio (Anatomia)/diagnóstico por imagem
Osso Escafoide/diagnóstico por imagem
Extremidade Superior
Punho
Articulação do Punho/diagnóstico por imagem
Articulação do Punho/fisiopatologia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170602
[Lr] Data última revisão:
170602
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170304
[St] Status:MEDLINE
[do] DOI:10.1007/s00402-017-2659-1


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[PMID]:27923762
[Au] Autor:Muller T; Hidalgo Diaz JJ; Pire E; Prunières G; Facca S; Liverneaux P
[Ad] Endereço:Hand Surgery Department, SOS Main, CCOM, University Hospital of Strasbourg, Translational Medicine Federation Strasbourg (FMTS), University of Strasbourg, CNRS Icube 7357-10, 10, Baumann Avenue, 67403 Illkirch Cedex, France.
[Ti] Título:Treatment of acute perilunate dislocations: ORIF versus proximal row carpectomy.
[So] Source:Orthop Traumatol Surg Res;103(1):95-99, 2017 Feb.
[Is] ISSN:1877-0568
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Some authors have proposed performing proximal row carpectomy (PRC) as the initial treatment for perilunate dislocations. HYPOTHESIS: The goal of this retrospective study was to compare the results of a cohort of perilunate dislocation cases that were operated by open reduction and internal fixation (ORIF) or by PRC between 2006 and 2011. METHODS: The cohort consisted of 21 men with a mean age of 33years, who either had an isolated perilunate dislocation (7 cases) or a fracture-dislocation (14 cases). All dislocations were dorsal, with 10 stage I and 12 stage II. Thirteen patients had been treated by ORIF (group 1) a mean of 1.2days after the injury. Eight patients had been treated by PRC (group 2) a mean of 18.7days after the injury. Immobilization time was 6-12weeks in group 1 and 2weeks in group 2. RESULTS: The mean operative time was 95minutes in group 1 and 65minutes in group 2. After a mean follow-up of 35months, the following outcomes were found for groups 1 and 2, respectively: pain 3/10 and 1/10, strength 77% and 73%, strength in supination 79% and 93%, strength in pronation 67% and 95%, QuickDASH 27/100 and 16/100, PRWE 43/150 and 15.5/150, flexion 69% and 57%, extension 84% and 58%, pronation 97% and 103%, supination 98% and 97%. There were four cases of osteoarthritis in both groups. CONCLUSION: Treatment of acute perilunate dislocations by PRC leads to medium-term results that are at least as good as those with ORIF treatment. The surgery duration is shorter with PRC, as is the immobilization period. TYPE OF STUDY: Retrospective comparative. LEVEL OF EVIDENCE: III.
[Mh] Termos MeSH primário: Fratura-Luxação/cirurgia
Luxações Articulares/cirurgia
Osso Semilunar/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Ossos do Carpo/cirurgia
Articulações do Carpo/lesões
Articulações do Carpo/cirurgia
Feminino
Seguimentos
Fixação Interna de Fraturas
Seres Humanos
Osso Semilunar/lesões
Masculino
Meia-Idade
Redução Aberta
Duração da Cirurgia
Osteoartrite/etiologia
Medição da Dor
Amplitude de Movimento Articular
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161208
[St] Status:MEDLINE


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[PMID]:27705062
[Au] Autor:Nichols JA; Bednar MS; Havey RM; Murray WM
[Ad] Endereço:1 Northwestern University.
[Ti] Título:Decoupling the Wrist: A Cadaveric Experiment Examining Wrist Kinematics Following Midcarpal Fusion and Scaphoid Excision.
[So] Source:J Appl Biomech;33(1):12-23, 2017 Feb.
[Is] ISSN:1543-2688
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:At the wrist, kinematic coupling (the relationship between flexion-extension and radial-ulnar deviation) facilitates function. Although the midcarpal joint is critical for kinematic coupling, many surgeries, such as 4-corner fusion (4CF) and scaphoidexcision 4-corner fusion (SE4CF), modify the midcarpal joint. This study examines how 4CF and SE4CF influence kinematic coupling by quantifying wrist axes of rotation. Wrist axes of rotation were quantified in 8 cadaveric specimens using an optimization algorithm, which fit a 2-revolute joint model to experimental data. In each specimen, data measuring the motion of the third metacarpal relative to the radius was collected for 3 conditions (nonimpaired, 4CF, SE4CF). The calculated axes of rotation were compared using spherical statistics. The angle between the axes of rotation was used to assess coupling, as the nonimpaired wrist has skew axes (ie, angle between axes approximately 60°). Following 4CF and SE4CF, the axes are closer to orthogonal than those of the nonimpaired wrist. The mean angle (±95% confidence interval) between the axes was 92.6° ± 25.2° and 99.8° ± 22.0° for 4CF and SE4CF, respectively. The axes of rotation defined in this study can be used to define joint models, which will facilitate more accurate computational and experimental studies of these procedures.
[Mh] Termos MeSH primário: Ossos do Carpo/cirurgia
Articulações do Carpo/fisiologia
Modelos Biológicos
Amplitude de Movimento Articular/fisiologia
Osso Escafoide/cirurgia
Articulação do Punho/fisiologia
[Mh] Termos MeSH secundário: Cadáver
Ossos do Carpo/fisiologia
Articulações do Carpo/cirurgia
Simulação por Computador
Seres Humanos
Imobilização/métodos
Rotação
Osso Escafoide/fisiologia
Articulação do Punho/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161006
[St] Status:MEDLINE
[do] DOI:10.1123/jab.2015-0324


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[PMID]:27684571
[Au] Autor:Harvey A; Kilcoyne I; Byrne BA; Nieto J
[Ad] Endereço:The William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis, California.
[Ti] Título:Effect of Dose on Intra-Articular Amikacin Sulfate Concentrations Following Intravenous Regional Limb Perfusion in Horses.
[So] Source:Vet Surg;45(8):1077-1082, 2016 Nov.
[Is] ISSN:1532-950X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To compare synovial concentrations of amikacin following intravenous regional limb perfusion (IVRLP) with two different doses, and to compare their ability to reach target concentrations for bacterial isolates from common orthopedic conditions. STUDY DESIGN: Randomized crossover experiment. ANIMALS: Six adult horses. METHODS: Horses received IVRLP with 2 and 3 g of amikacin in the cephalic vein of alternate limbs (20 minutes tourniquet application and ≥14 days washout period). Amikacin concentrations were quantified in synovial fluid collected from the middle carpal and metacarpophalangeal joints at 25 minutes, and 24, 36, and 48 hours after IVRLP. Minimum inhibitory concentrations (MIC) were determined from equine bacterial isolates and ability to reach target amikacin concentrations were compared. RESULTS: Overall, middle carpal joint amikacin concentrations were higher following IVRLP with 3 g amikacin compared to 2 g (P=.031), with significant differences at 25 minutes (P=.002) and 24 hours (P=.021). No differences were observed between doses in the metacarpophalangeal joint (P=.267). Target amikacin concentrations for Staphylococcus aureus and coagulase-negative staphylococci were achieved in middle carpal and metacarpophalangeal joints at 25 minutes with both dosages and for Escherichia coli and Actinobacillus spp. in the middle carpal joint at 25 minutes with 3 g. Target concentrations were not achieved for Enterococcus spp, Pseudomonas spp, or Streptococcus equi ssp. zooepidemicus. CONCLUSION: A 3 g amikacin dose is not justified in the majority of distal limb injuries, but should be reserved for isolates with an MIC higher than that achievable with a 2 g dose. Daily IVRLP may be necessary based on our results.
[Mh] Termos MeSH primário: Amicacina/administração & dosagem
Antibacterianos/administração & dosagem
Cavalos/metabolismo
Líquido Sinovial/química
[Mh] Termos MeSH secundário: Amicacina/metabolismo
Animais
Antibacterianos/metabolismo
Articulações do Carpo/irrigação sanguínea
Estudos Cross-Over
Relação Dose-Resposta a Droga
Articulações do Pé/irrigação sanguínea
Perfusão
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 84319SGC3C (Amikacin)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160930
[St] Status:MEDLINE
[do] DOI:10.1111/vsu.12564


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[PMID]:27509840
[Au] Autor:Moser DK; Schoonover MJ; Holbrook TC; Payton ME
[Ad] Endereço:Department of Veterinary Clinical Sciences, Oklahoma State University, Stillwater, Oklahoma. darlakmoser@gmail.com.
[Ti] Título:Effect of Regional Intravenous Limb Perfusate Volume on Synovial Fluid Concentration of Amikacin and Local Venous Blood Pressure in the Horse.
[So] Source:Vet Surg;45(7):851-858, 2016 Oct.
[Is] ISSN:1532-950X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine the effect of volume of amikacin perfusate for intravenous regional limb perfusion (IVRLP) via the cephalic vein in standing, sedated horses on (1) amikacin concentrations in the synovial fluid of the radiocarpal joint (RCJ) and distal interphalangeal joint (DIPJ) and, (2) amikacin concentration in the systemic circulation, and (3) regional intravenous pressure. STUDY DESIGN: Randomized cross-over design. ANIMALS: Six adult horses. METHODS: Each horse received IVRLP using 4 perfusate volumes (10, 30, 60 & 120 ml) in random order, after a minimum of 1 week washout. After application of a pneumatic tourniquet, IVRLP with 1 g of amikacin in 0.9% NaCl was performed. Synovial fluid from the RCJ and DIPJ, and systemic and regional venous blood were sampled, and regional blood pressure was measured, immediately before perfusion (time 0), and 15 and 30 minutes after perfusion but before tourniquet release. RESULTS: No difference was observed in the mean amikacin concentration of synovial fluid for the 4 perfusate volumes (P>.09). For all volumes, mean amikacin concentration for DIPJ synovial fluid was higher than for RCJ (P<.0001). The mean amikacin concentration in DIPJ synovial fluid was therapeutic for resistant pathogens using the 10, 60, and 120 mL volumes but the mean amikacin concentration for RCJ synovial fluid was not therapeutic for resistant pathogens with any perfusate volume. All volumes resulted in an immediate increase in mean regional intravascular pressure after perfusion (P<.0001) but was not different across the 4 perfusate volumes. CONCLUSION: Cephalic IVRLP of 1 g of amikacin diluted to a volume of 10-120 mL with 0.9% NaCl will achieve amikacin concentrations therapeutic for resistant pathogens in the synovial fluid from the DIPJ. Concentrations below therapeutic levels for resistant pathogens are reached in the synovial fluid from the RCJ.
[Mh] Termos MeSH primário: Administração Intravenosa/veterinária
Amicacina/metabolismo
Antibacterianos/metabolismo
Membro Anterior/irrigação sanguínea
[Mh] Termos MeSH secundário: Administração Intravenosa/métodos
Animais
Articulações do Carpo/fisiologia
Estudos Cross-Over
Feminino
Cavalos
Masculino
Distribuição Aleatória
Líquido Sinovial/química
Articulação do Dedo do Pé/fisiologia
Pressão Venosa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 84319SGC3C (Amikacin)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160812
[St] Status:MEDLINE
[do] DOI:10.1111/vsu.12521


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[PMID]:27468668
[Au] Autor:Colio SW; Smith J; Pourcho AM
[Ad] Endereço:Department of Physical Medicine and Rehabilitation, Swedish Spine, Sports, and Musculoskeletal Center, Swedish Medical Group, Seattle, WA, USA.
[Ti] Título:Ultrasound-Guided Interventional Procedures of the Wrist and Hand: Anatomy, Indications, and Techniques.
[So] Source:Phys Med Rehabil Clin N Am;27(3):589-605, 2016 08.
[Is] ISSN:1558-1381
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Acute and chronic wrist and hand conditions are commonly seen by neuromuscular and musculoskeletal specialists. High-frequency diagnostic ultrasonography (US) has facilitated advances in the diagnosis and interventional management of wrist and hand disorders. US provides excellent soft tissue resolution, accessibility, portability, lack of ionizing radiation, and the ability to dynamically assess disorders and precisely guide interventional procedures. This article review the relevant anatomy, indications, and interventional techniques for common disorders of the wrist and hand, including radiocarpal joint arthritis, scaphotrapeziotrapezoidal joint arthritis, trapeziometacarpal joint arthritis, phalangeal joint arthritis, first dorsal compartment tenosynovitis, ganglion cysts, and stenosing tenosynovitis.
[Mh] Termos MeSH primário: Artrite/tratamento farmacológico
Articulação da Mão/diagnóstico por imagem
Tendinopatia/tratamento farmacológico
Ultrassonografia de Intervenção/métodos
[Mh] Termos MeSH secundário: Corticosteroides/administração & dosagem
Articulações do Carpo/diagnóstico por imagem
Articulações Carpometacarpais/diagnóstico por imagem
Doença de De Quervain/diagnóstico por imagem
Doença de De Quervain/tratamento farmacológico
Articulações dos Dedos/diagnóstico por imagem
Seres Humanos
Injeções Intra-Articulares/métodos
Articulação Metacarpofalângica/diagnóstico por imagem
Cisto Sinovial/diagnóstico por imagem
Cisto Sinovial/tratamento farmacológico
Tendinopatia/diagnóstico por imagem
Tendões/anatomia & histologia
Tendões/diagnóstico por imagem
Tendões/cirurgia
Punho/diagnóstico por imagem
Articulação do Punho/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; VIDEO-AUDIO MEDIA
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170323
[Lr] Data última revisão:
170323
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160730
[St] Status:MEDLINE


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[PMID]:27265238
[Au] Autor:Lardé H; Nichols S; Babkine M; Desrochers A
[Ad] Endereço:Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, St-Hyacinthe, Québec, Canada.
[Ti] Título:Dorsal Arthroscopic Approach and Intra-Articular Anatomy of the Bovine Antebrachiocarpal and Middle Carpal Joints.
[So] Source:Vet Surg;45(5):609-18, 2016 Jul.
[Is] ISSN:1532-950X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine arthroscopic approaches to the dorsal synovial compartments of the antebrachiocarpal and middle carpal joints in adult cattle, and to describe the arthroscopic intra-articular anatomy from each approach. STUDY DESIGN: Ex vivo study. ANIMALS: Six fresh adult bovine cadavers. METHODS: Two carpi were injected with latex and dissected to determine the ideal location for arthroscopic portals. Arthroscopy of the antebrachiocarpal and middle carpal joints of 10 carpi was then performed. The dorsolateral approach was made between the extensor carpi radialis and common digital extensor tendons. The dorsomedial approach was made medial to the extensor carpi radialis tendon, midway between the distal radius and proximal row of carpal bones (antebrachiocarpal joint) and midway between the two rows of carpal bones (middle carpal joint), with the joint in flexion. RESULTS: Arthroscopy of the antebrachiocarpal joint allowed visualization of the distal radius, proximal aspect of the radial, intermediate and ulnar carpal bones, and a palmar ligament located between the radius and the intermediate carpal bone. The approach to the middle carpal joint allowed visualization of the distal aspect of the radial, intermediate, and ulnar carpal bones, the proximal aspect of the fourth and fused second and third carpal bones and an interosseous ligament. The most lateral articular structures (lateral glenoid cavity of the distal radius, ulnar carpal and fourth carpal bones) were difficult to assess. CONCLUSION: Dorsal approaches to the antebrachiocarpal and middle carpal joints allowed visualization of most intra-articular dorsal structures in adult cattle.
[Mh] Termos MeSH primário: Artroscopia/veterinária
Articulações do Carpo/anatomia & histologia
[Mh] Termos MeSH secundário: Animais
Artroscopia/métodos
Cadáver
Bovinos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160607
[St] Status:MEDLINE
[do] DOI:10.1111/vsu.12488


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[PMID]:27264905
[Au] Autor:Feehan L; Fraser T
[Ad] Endereço:Lead, Clinical Research, Rehabilitation Program, Fraser Health Authority, Surrey, British Columbia, Canada; Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada. Electronic address: Lynne.Feehan@gmail.com.
[Ti] Título:Dart-throwing motion with a twist orthoses: Design, fabrication, and clinical tips.
[So] Source:J Hand Ther;29(2):205-12, 2016 Apr-Jun.
[Is] ISSN:1545-004X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Articulações do Carpo/lesões
Desenho de Equipamento/métodos
Amplitude de Movimento Articular
Contenções
Traumatismos do Punho/reabilitação
[Mh] Termos MeSH secundário: Colúmbia Britânica
Segurança de Equipamentos
Feminino
Seres Humanos
Escala de Gravidade do Ferimento
Masculino
Posicionamento do Paciente
Controle de Qualidade
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170317
[Lr] Data última revisão:
170317
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160607
[St] Status:MEDLINE


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[PMID]:27264902
[Au] Autor:Werner FW; Sutton LG; Basu N; Short WH; Moritomo H; St-Amand H
[Ad] Endereço:Department of Orthopedic Surgery, SUNY Upstate Medical University, Syracuse, NY, USA. Electronic address: wernerf@upstate.edu.
[Ti] Título:Scaphoid tuberosity excursion is minimized during a dart-throwing motion: A biomechanical study.
[So] Source:J Hand Ther;29(2):175-82, 2016 Apr-Jun.
[Is] ISSN:1545-004X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to determine whether the excursion of the scaphoid tuberosity and therefore scaphoid motion is minimized during a dart-throwing motion. METHODS: Scaphoid tuberosity excursion was studied as an indicator of scaphoid motion in 29 cadaver wrists as they were moved through wrist flexion-extension, radioulnar deviation, and a dart-throwing motion. RESULTS: Study results demonstrate that excursion was significantly less during the dart-throwing motion than during either wrist flexion-extension or radioulnar deviation. CONCLUSION: If the goal of early wrist motion after carpal ligament or distal radius injury and reconstruction is to minimize loading of the healing structures, a wrist motion in which scaphoid motion is minimal should reduce length changes in associated ligamentous structures. Therefore, during rehabilitation, if a patient uses a dart-throwing motion that minimizes his or her scaphoid tuberosity excursion, there should be minimal changes in ligament loading while still allowing wrist motion. STUDY DESIGN: Bench research, biomechanics, and cross-sectional. LEVEL OF EVIDENCE: Not applicable. The study was laboratory based.
[Mh] Termos MeSH primário: Articulações do Carpo/fisiologia
Imagem Tridimensional
Amplitude de Movimento Articular/fisiologia
Osso Escafoide/anatomia & histologia
Osso Escafoide/fisiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Análise de Variância
Fenômenos Biomecânicos
Cadáver
Feminino
Seres Humanos
Modelos Lineares
Osso Semilunar/fisiologia
Masculino
Meia-Idade
Movimento (Física)
Rotação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170403
[Lr] Data última revisão:
170403
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160607
[St] Status:MEDLINE



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