A group of eight patients with severe depression lasting 6 years or longer were treated with anterior capsulotomy and followed prospectively. Stereotactic surgery was used to produce radiofrequency lesions in the anterior limbs of both internal capsules. For all patients, there are follow-up data for at least 24 months. At 24-to-36 months postoperatively, four patients were either not-depressed or mildly depressed; one was mildly-to-moderately depressed; one was moderately-to-severely depressed; and only one remained severely depressed. One patient developed a progressive vascular dementia with parkinsonism caused by autopsy-proven arteriolosclerosis.
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http://dx.doi.org/10.1176/appi.neuropsych.11080189 | DOI Listing |
Front Psychiatry
November 2024
Department of Neurosurgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Unlabelled: Obsessional slowness (OS) is characterized by a syndrome of extreme slowness in doing ordinary, day-to-day activities. Several scholars regarded OS as secondary to obsessive compulsive disorder (OCD). Therefore, it is commonly thought to be the consequence of extensive rituals and has been paid minimal attention in its own right.
View Article and Find Full Text PDFJBJS Essent Surg Tech
December 2024
Sports Medicine Center, Department of Orthopaedics, Massachusetts General Hospital, Mass General Brigham, Boston, Massachusetts.
Background: Whereas uncomplicated labral tears with preserved fibers can be effectively treated with use of labral repair techniques, complex tears and hypoplastic labra require labral reconstruction. Standard reconstruction techniques feature grafted tissue that is added to existing, deficient tissue or that is utilized to replace a hypoplastic labrum entirely. However, such approaches utilizing allografts or remote autografts are limited because they often necessitate extensive debridement of the existing labrum to prepare a site for graft implantation, an approach that can damage and devascularize the chondrolabral junction.
View Article and Find Full Text PDFJ Foot Ankle Surg
December 2024
3rd Orthopedic Department, National and Kapodistrian University of Athens, KAT Hospital, Greece.
Distal tibiofibular joint injury is quite common in rotational ankle fractures, with high malreduction rates reported. Although several intraoperative techniques evaluate the optimal tibiofibular reduction, they are critically debated due to high error rates and subjective interpretation of the results. We attempted to describe specific anatomical landmarks and anatomical relationships of the ankle joint through capsulotomy and inspection of the anterior incisura fibularis corner and evaluate their reliability regarding optimal tibiofibular reduction.
View Article and Find Full Text PDFJ Hand Surg Am
December 2024
Department of Surgery, Federal University of Santa Catarina, Florianópolis, Brazil.
Purpose: This study evaluated the efficacy of the spinal accessory to suprascapular nerve transfer accompanied by anterior shoulder release in restoring shoulder external rotation and abduction in patients with brachial plexus birth injury.
Methods: A cohort of 41 children with brachial plexus birth injury and shoulder internal rotation contractures underwent surgical intervention. The procedure involved an anterior shoulder release encompassing subscapularis tenotomy, capsulotomy and division of the coracohumeral ligament, and transfer of the spinal accessory nerve to the suprascapular nerve.
Orthop J Sports Med
November 2024
Department of Orthopaedic Surgery, Stanford University, Stanford, California, USA.
Background: Acetabular labral tear morphology or orientation may influence hip stability.
Hypothesis: A radial tear of the acetabular labrum would result in greater rotational and translational motion compared with a chondrolabral separation.
Study Design: Controlled laboratory study.
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