164 results match your criteria: "Elbow and Forearm Overuse Injuries"

Revision surgery for recurrent ulnar nerve compression following failed subcutaneous transposition.

Acta Neurochir (Wien)

September 2024

Department of Hand and Upper Extremity Surgery, Jing'an District Central Hospital, Fudan University, Shanghai, China.

Article Synopsis
  • This study analyzed the outcomes of revision surgery for recurrent ulnar nerve compression in eight patients who had previously undergone anterior subcutaneous transposition to understand how effective it is.
  • All patients exhibited enlarged ulnar nerves before surgery, with significant compression found at various locations.
  • Post-surgery results showed substantial improvements in symptoms, grip strength, and nerve function, with seven out of eight patients expressing satisfaction with their recovery.
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Article Synopsis
  • The study investigates how an ergonomic golf grip affects forearm muscle activity in golfers during the golf swing to address elbow overuse injuries like tendinopathies.
  • Thirty right-handed golfers participated, testing both standard and ergonomic grips while their muscle activity was measured across five swing phases using EMG.
  • Results showed that the ergonomic grip significantly reduced muscle activity, especially in amateurs and those who played less than 20 hours a week, suggesting it may help prevent elbow injuries.
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Uncommon Anatomical Causes of Ulnar Compression: A Narrative Review.

Ann Plast Surg

May 2024

From the Department of Plastic, Reconstructive and Hand Surgery, Martini Hospital, Groningen.

Article Synopsis
  • The review examines rare anatomical variations that can lead to ulnar nerve compression and evaluates possible treatment options for affected patients.
  • A total of 48 studies involving 64 patients were analyzed, identifying various structures such as the anconeus epitrochlearis and vascular anomalies that contribute to this condition.
  • Surgery was performed on nearly all cases, leading to significant symptom relief or complete recovery, highlighting the importance of recognizing both proximal and distal compression symptoms.
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Article Synopsis
  • Tendonitis, specifically lateral epicondylitis or "tennis elbow," is a painful condition affecting the elbow joint, often seen in individuals with repetitive arm movements like athletes, computer users, and woodworkers.
  • The case report details the author's seven-year struggle with this condition, leading to significant daily functional impairment before starting physiotherapy treatments.
  • After four weeks of therapy, including specific techniques and assessments, the author experienced a notable reduction in pain and improvement in strength and daily activities, highlighting the importance of physiotherapy in recovery from overuse injuries.
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Test procedures and positive diagnostic criteria of the upper limb tension tests differ: a systematic review of the DiTA database.

Braz J Phys Ther

December 2023

School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia; Sydney Spine Institute Research Group, Sydney Spine Institute, Burwood, Sydney, Australia.

Article Synopsis
  • The study investigates the effectiveness of the Upper Limb Tension Test (ULTT) by reviewing existing diagnostic accuracy research, as current practices vary significantly.
  • Nine studies involving 681 participants were analyzed, focusing on conditions like cervical radiculopathy and carpal tunnel syndrome, with some bias in study design noted.
  • The authors recommend a standardized procedure for the ULTT1 to improve diagnostic consistency, outlining specific movements to better assess nerve stress and symptom response.
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Article Synopsis
  • * This study compared the effectiveness of the Tyler twist technique and active release techniques (ART) in treating 30 patients with lateral epicondylitis, involving a combination of exercises and conventional therapy over three weeks.
  • * Results showed significant pain reduction in both treatment groups, with group A (Tyler twist) reducing pain from 5.8 to 2 and group B (ART) from 5.53 to 3.46, indicating both methods were effective in improving grip strength and relieving pain. *
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Article Synopsis
  • Studies show that work-related musculoskeletal disorders significantly affect the quality of life in vulnerable populations, yet specific body regions impacted remain unexplored.
  • The study aimed to identify the most commonly affected body regions in these populations using multiple questionnaires and rigorous data collection methods.
  • Findings revealed that artisanal fishermen commonly experience pain in areas like the neck, shoulders, back, and lumbar spine, with low quality of life scores and moderate stress levels reported.
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Article Synopsis
  • * During surgery, an intramuscular lipoma (a benign tumor) was found in the muscle and removed, along with a procedure to relieve pressure on the ulnar nerve.
  • * The patient experienced complete recovery, highlighting the need to consider unusual anatomical issues when diagnosing neuropathy.
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Article Synopsis
  • Upper limb tennis injuries mainly occur due to chronic overuse, particularly affecting the elbow from players' techniques.
  • A wearable device was developed to measure risk factors like grip strength and muscle activity in tennis players, tested under realistic conditions while hitting different types of forehand shots.
  • Findings revealed that experienced players showed optimal technique and lower risk for elbow injury, while recreational players had higher muscle activity during follow-through, increasing their risk for elbow tendinopathy.
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Article Synopsis
  • - The study focuses on how overuse injuries, particularly to the biceps tendon, affect softball players during repetitive throwing motions like the windmill pitch, highlighting the tendon’s role in shoulder stabilization.
  • - A systematic review included 18 articles from multiple databases, analyzing metrics like range of motion, strength, and pain levels in softball players aged 14-25, with 76% of participants being softball athletes.
  • - The findings reveal that current research primarily assesses the rotator cuff instead of isolating issues related to the biceps tendon, suggesting a need for future studies to develop more specific tests to better understand biceps tendon injuries in different types of softball players.
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Article Synopsis
  • * She presented with symptoms like numbness in the fingers, impaired thumb and forefinger movement, and swelling post-surgery, alongside a history of transient hand numbness.
  • * After surgical treatment to remove the aneurysm and relieve pressure on the median nerve, the patient's pain diminished and hand movement improved, highlighting the need to differentiate between this rare condition and typical carpal tunnel syndrome.
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Muscle Activity Characteristics of the Pronator Teres during Throwing in Baseball Pitchers: A Pilot Study.

Healthcare (Basel)

February 2023

Department of Physical Therapy, School of Health Sciences at Narita, International University of Health and Welfare, Narita 286-8686, Japan.

Article Synopsis
  • * The study measured muscle activation in twelve experienced male college baseball pitchers while they threw fastballs and curveballs using a wireless EMG system.
  • * Results showed that the activation of the pronator teres was significantly higher during curveball pitching, suggesting potential risks for injuries like pronator teres syndrome due to overuse, highlighting the need for proper coaching and conditioning.
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Article Synopsis
  • The study investigates the clinical features and surgical results of lacertus syndrome (LS) alongside median nerve compression, focusing on patients who underwent lacertus release surgery from June 2012 to June 2021.
  • A total of 275 surgical cases were reviewed, with key findings showing that loss of hand strength and endurance were the most common symptoms, and patients exhibited significant improvement in their disability and pain scores following surgery.
  • The results indicate that lacertus release not only restores hand strength effectively but also leads to high patient satisfaction, with 88% reporting excellent outcomes and minimal residual pain or numbness post-operation.
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Article Synopsis
  • Injury to the flexor pronator mass is common among overhead throwing athletes, leading to significant research into understanding these injuries.
  • Factors contributing to these injuries often include chronic overuse and insufficient rest periods between performances.
  • This review specifically addresses medial elbow injuries in young athletes, emphasizing the flexor pronator mass.
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Distal Radioulnar Joint: Normal Anatomy, Imaging of Common Disorders, and Injury Classification.

Radiographics

January 2023

From the Department of Medical Imaging, Ottawa Hospital, 501 Smyth Rd, Ottawa, ON, Canada K1H 8L6 (D.V.F., K.S.R., Z.J.); Department of Radiology, Clínica Internacional, Lima, Peru (D.F.U.); and Department of Radiology, Clínica Alemana de Santiago, Vitacura, Chile (G.A.S.B.).

Article Synopsis
  • * The TFCC can suffer from traumatic or degenerative injuries, and various classifications, like the Palmer and Atzei systems, help guide diagnosis and treatment.
  • * Imaging techniques such as radiography, CT, ultrasound, and MRI are essential for assessing joint integrity and identifying disorders related to the DRUJ.
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Article Synopsis
  • The study investigates the effectiveness of ultrasound as a diagnostic tool for cubital tunnel syndrome (CuTS) compared to traditional electrodiagnostic studies, focusing on ulnar nerve cross-sectional area (CSA) and intraneural vascularity as indicators of disease extent.
  • Results show a strong correlation between increased CSA and decreased motor nerve conduction velocity (MNCV), but CSA alone does not effectively measure the severity of the condition; however, power Doppler ultrasound proves to be highly predictive for severe CuTS cases.
  • The combination of measuring nerve CSA, using the Boston Carpal Tunnel Questionnaire for symptom evaluation, and power Doppler ultrasound offers a promising approach for assessing CuTS, potentially improving diagnosis and treatment planning.
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Article Synopsis
  • Cubital tunnel syndrome (CuTS) is caused by compression of the ulnar nerve at the elbow, leading to pain, weakness, and numbness in the hand and forearm; this study examines Quality of Life (QoL) after surgery for CuTS.
  • The research included 62 patients, who completed various questionnaires to assess their outcomes; findings showed a median Bishop's score indicating excellent results in over half of the cases, while EQ-5D-5L results indicated good QoL for most patients.
  • The conclusion highlights that surgical decompression effectively reduces symptoms and improves QoL, with factors like body mass index and symptom duration significantly influencing patient satisfaction post-surgery.*
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Article Synopsis
  • - The article addresses nerve compression issues in the proximal forearm and elbow, specifically focusing on ulnar, median, and radial nerves and dispelling some common myths.
  • - It clarifies that the ligament of Struthers rarely causes ulnar neuropathy, while conditions like Lacertus syndrome and flexor superficialis-pronator syndrome can be diagnosed as separate entities.
  • - For surgical treatment, a small incision is sufficient, and radial nerve compression is simplified into two types within radial tunnel syndrome: a mild form (classical radial tunnel syndrome) and a severe form (posterior interosseous nerve compression).
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Article Synopsis
  • A systematic review was conducted to determine normative values of the median nerve's cross-sectional area (CSA) at various points in the upper limb using ultrasonography.
  • The review analyzed 41 studies, encompassing 2504 nerves, focusing on measurements taken at the mid-arm, elbow, mid-forearm, carpal tunnel inlet, and outlet, with results indicating significant variation in CSA based on factors like age, sex, and geographical location.
  • The pooled mean CSA values were reported at different landmarks, illustrating a range of measurements and highlighting a low to high heterogeneity among the studies, suggesting that median nerve CSA varies throughout its course and across different demographics.
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Article Synopsis
  • * Using ultrasound measurements, researchers found significant increases in joint space gapping after 60 pitches for both preadolescent and college players, although the gapping was wider in preadolescents before and after some pitches.
  • * The findings suggest that repetitive pitching leads to increased stress on the elbow joint, highlighting potential concerns for young pitchers, even though age alone did not significantly affect joint gapping.
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Article Synopsis
  • Stand-up paddleboarding (SUP) is becoming increasingly popular, but research on its injury profile is limited; this study aimed to assess injuries related to SUP, focusing on incidence, mechanisms, and safety equipment usage in calm waters.
  • Out of 438 participants surveyed, 17% reported SUP-related injuries in the past year, with competitive male athletes using hardboards at the highest risk; overuse injuries and contact with the board or ground were common causes.
  • Injury risk was highest in wild water conditions (33.3%) and lowest on lakes (16.1%), with safety practices varying, as some participants consistently used life vests and leashes, while others did not.
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Article Synopsis
  • Pediatric upper extremity injuries are frequently seen in clinical settings and can be acute or chronic, often due to overuse.
  • Interpreting imaging studies in children is difficult due to their ongoing skeletal development and the wide range of possible injuries.
  • The article provides insights on normal skeletal growth and the mechanics of injuries, along with a structured approach to imaging for various upper extremity injuries in the shoulder, elbow, forearm, and wrist.
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Article Synopsis
  • * A study analyzed injury data from 2015 to 2020, finding a notable increase in injuries among pitchers during the first 30 days of the 2020 season, specifically soft tissue injuries affecting the trunk and upper extremities.
  • * The research revealed that injuries among relief pitchers increased over the first month of play, with comparable rates of short-term and long-term injured list placements.
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