Augmented Reality-Based Finger Joint Range of Motion Measurement: Assessment of Reliability and Concurrent Validity.

Purpose: This study aimed to determine the reliability and concurrent validity of finger joint range of motion (ROM) measurement using augmented reality (AR)-based hand tracking in a sample of healthy hands. Additionally, the study aimed to determine which camera view of the hand provided ROM measurements with the highest concurrent validity at each joint.

Methods: A web application developed for smart devices using Google's MediaPipe Hands framework converted AR-generated hand landmark coordinates from camera feed into ROM angle measurements in real time for all joints.

Surgery for internal rotation contracture in infancy may obviate the need for brachial plexus nerve reconstruction: early experience.

Background: Shoulder internal rotation contracture and subluxation in the first year of life has long been recognized in some patients with brachial plexus birth injury (BPBI). Surgical management of shoulder pathology has traditionally been undertaken following nerve reconstruction as necessary. In some patients; however, shoulder pathology may impair or obscure functional neuromuscular recovery of the upper extremity.

Next-Generation Remote Hand Assessments: Cross-Platform DIGITS Web Application.

Purpose: We have previously developed DIGITS, a platform for remote evaluation of range of motion, dexterity, and swelling of fingers for reducing barriers to accessing clinical resources. The current study was aimed at evaluating DIGITS across different devices with varied operating systems and camera resolutions using a single person's hands.

Methods: Our team has now developed a web application version of the DIGITS platform, which makes it accessible on any device that is equipped with a camera, including computers, tablets, and smartphones.

Managing Neuroma and Phantom Limb Pain in Ontario: The Status of Targeted Muscle Reinnervation.

Unlabelled: Painful neuromas (PN) and phantom limb pain (PLP) are common following amputation and are unreliably treated, which impacts quality of life. Targeted muscle reinnervation (TMR) is a microsurgical technique that repairs the severed proximal nerve end to a redundant motor nerve in the amputated stump. Evidence supports TMR as effective in treating PN and PLP; however, its adoption has been slow.

Bleeding assessment tools to predict von Willebrand disease: Utility of individual bleeding symptoms.

Background: Bleeding assessment is part of the diagnostic workup of von Willebrand disease (VWD). Bleeding assessment tools (BATs) have standardized obtaining this information but have been criticized because they are time consuming.

Objective: To use our legacy data to determine which questions from BATs are the strongest predictors of a VWD diagnosis.

Clinician awareness of brain computer interfaces: a Canadian national survey.

Background: Individuals with severe neurological disabilities but preserved cognition, including children, are often precluded from connecting with their environments. Brain computer interfaces (BCI) are a potential solution where advancing technologies create new clinical opportunities. We evaluated clinician awareness as a modifiable barrier to progress and identified eligible populations.

Oxandrolone in the Treatment of Burn Injuries: A Systematic Review and Meta-analysis.

Severe burns induce a profound hypermetabolic response, leading to a prolonged state of catabolism associated with organ dysfunction and delay of wound healing. Oxandrolone, a synthetic testosterone analog, may alleviate the hypermetabolic catabolic state thereby decreasing associated morbidity. However, current literature has reported mixed outcomes on complications following Oxandrolone use, specifically liver and lung function.