94 results match your criteria: "Roth McFarlane Hand and Upper Limb Center[Affiliation]"
J Hand Surg Am
November 2021
Roth McFarlane Hand and Upper Limb Center, St. Joseph's Health Center, London, Ontario, Canada.
Purpose: Concern exists regarding the use of radial head arthroplasty (RHA) in younger patients. This study assessed clinical, functional, and radiographic outcomes of RHA in patients aged 30 years and younger.
Methods: A retrospective review identified 26 elbows that underwent a smooth stem modular RHA in patients aged 30 years and younger at a median follow-up of 3.
Hand Clin
May 2021
Division of Orthopaedic Surgery, Roth|McFarlane Hand and Upper Limb Center, Western University, D0-217, St Joseph's Health Care, 268 Grosvenor Street, London, Ontario N6A 4V2, Canada. Electronic address:
The role of hand therapy in management of distal radius fractures remains unclear. Some evidence demonstrates that initiating early range of motion and urging patients to return to routine activities of daily living as soon as possible may produce favorable outcomes that are as effective as formal supervised therapy. Extended supervised therapy does not appear to impact outcomes and a single instruction session with a home-based program produces similar results.
View Article and Find Full Text PDFHealth Qual Life Outcomes
April 2021
Physical Therapy, Western University, London, ON, Canada.
Background: Standardized coding of the content presented in patient reported outcome measures can be achieved using classification frameworks, and the resulting data can be used for ascertaining content validity or comparative analyses. The International Classification of Functioning (ICF) is a framework with a detailed conceptual structure that has been successfully utilized for such purposes through established coding procedures. The Item Perspective Classification (IPC) framework is a newly developed relational coding system that classifies the respondent perspective and conceptual domains addressed in items.
View Article and Find Full Text PDFJ Clin Med
March 2021
Roth McFarlane Hand and Upper Limb Center, St Joseph's Health Care, London, ON N6A 4L6, Canada.
Background: Several factors associated with B glenoid are also linked with obstetrical brachial plexus palsy (OBPP). The purpose of this observational study was to determine the incidence of OBPP risk factors in type B patients.
Methods: A cohort of 154 patients (68% men, 187 shoulders) aged 63 ± 17 years with type B glenoids completed a questionnaire comprising history of perinatal characteristics related to OBPP.
JSES Int
March 2021
Roth McFarlane Hand and Upper Limb Center, University of Western Ontario, London, ON, Canada.
Background: Surgical treatment of displaced olecranon fractures in the elderly has a high rate of complications, including wound breakdown and fixation failure. The purpose of this study was to assess the clinical, radiographic, and functional outcomes of nonsurgical management of displaced olecranon fractures in low-demand elderly and medically unwell patients.
Methods: A retrospective review of 28 patients with displaced closed olecranon fractures was performed with an average follow-up of 11 months.
Arch Physiother
March 2021
Department of Health and Rehabilitation Sciences, School of Physical Therapy, University of Western Ontario, London, Ontario, Canada.
Background: Removal of immobilization is a critical phase of distal radius fracture (DRF) rehabilitation, typically occurring by 2 months post injury. This study examined the extent to which pain at rest (PAR), movement evoked pain (MEP), or the ratio between those (MEPR) assessed at 2-months after DRF predicts the occurrence of chronic pain or disability at 6- and 12-months after the injury.
Methods: This secondary analysis of a prospective cohort study was done at the Hand and Upper Limb Centre (HULC), London, Ontario, Canada.
J Hand Surg Am
May 2021
Department of Surgery, St Joseph's Hospital, Roth-McFarlane Hand and Upper Limb Center, St Joseph's Hospital London, Ontario, Canada. Electronic address:
Purpose: Total elbow arthroplasty (TEA) is increasingly used for the management of comminuted distal humeral fractures in elderly patients. There are limited data on the outcome of modern elbow arthroplasty designs in larger patient cohorts. The aim of the current study was to review the outcomes and complications using a cemented convertible TEA system in a linked configuration in patients with distal humeral fractures.
View Article and Find Full Text PDFJAMA Netw Open
December 2020
Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.
Importance: Video learning prior to surgery is common practice for trainees and surgeons, and immersive virtual reality (IVR) simulators are of increasing interest for surgical training. The training effectiveness of IVR compared with video training in complex skill acquisition should be studied.
Objectives: To evaluate whether IVR improves learning effectiveness for surgical trainees and to validate a VR rating scale through correlation to real-world performance.
J Hand Surg Am
June 2021
Division of Orthopedic Surgery, University of Western Ontario, Roth-McFarlane Hand and Upper Limb Center, St Joseph's Health Care, London, Ontario, Canada. Electronic address:
Purpose: Normal digital flexion relies on flexor tendon pulleys to convert linear muscular force to angular digital motion. However, there is a growing trend to vent them partially during flexor tendon repair. The objective of this study was to examine the effects of a thermoplastic ring, acting as an external pulley, on flexor tendon biomechanics and finger range of motion (ROM) after pulley venting.
View Article and Find Full Text PDFJ Clin Med
November 2020
IULS (Institut Universitaire Locomoteur du Sport), Hôpital Pasteur 2 University of Nice Sophia-Antipolis, 06000 Nice, France.
Background: Cuff tear arthropathy (CTA) is characterized by superior migration of the humeral head with superior erosion of the glenoid. Rarely, humeral head migration can be anteroinferior with associated anterior erosion of the glenoid, a pattern described by Favard as the type E4 glenoid. The purpose of this retrospective imaging study was to analyze the 2D and 3D characteristics of the E4 glenoid.
View Article and Find Full Text PDFHandchir Mikrochir Plast Chir
September 2020
University of Western Ontario Roth | McFarlane Hand and Upper Limb Center.
This review article aims to discuss the indications, techniques, outcomes, and complications of non-operative management of scaphoid fractures.
View Article and Find Full Text PDFDisabil Rehabil
May 2022
Roth|McFarlane Hand and Upper Limb Center, St. Joseph's Health Care London, London, Canada.
Purpose: This systematic review evaluated and compared the effectiveness of non-surgical and surgical interventions for managing shoulder pain in patients with diabetes.
Methods: PubMed, Scopus, CINAHL, EMBASE, Sport Discus, and Cochrane library were searched for studies published in the last 20 years. Randomized clinical trials (RCTs) and cohort studies that assessed shoulder pain in patients with diabetes and implemented one or a combination of non-surgical and surgical interventions were eligible for inclusion.
Lancet
August 2020
Roth McFarlane Hand and Upper Limb Center, Division of Orthopedics, University of Western Ontario, London, ON N6A 4V2, Canada. Electronic address:
J Shoulder Elbow Surg
October 2020
Investigation performed at the Roth|McFarlane Hand and Upper Limb Center, London, ON, Canada. Electronic address:
Background: This in vivo kinematic study was developed to ascertain (1) elbow posture and motion during daily activities and (2) to compare motions of the dominant and nondominant elbows.
Methods: Forty-six subjects wore a custom instrumented shirt to continuously measure elbow posture and motion for the waking hours of 1 day. The 3D orientations of each of the forearm and humerus sensors enabled calculation of elbow flexion-extension and pronation-supination angles.
J Shoulder Elbow Surg
February 2021
Imaging Research Laboratories, Robarts Research Institute, London, ON, Canada; Lawson Health Research Institute, London, ON, Canada; Department of Medical Biophysics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada; Roth|McFarlane Hand and Upper Limb Center, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Background: Several in vitro studies have investigated the biomechanics of reverse total shoulder arthroplasty (RTSA); however, few in vivo studies exist. The purpose of this study was to examine in vivo RTSA contact mechanics in clinically relevant arm positions. Our hypothesis was that contact would preferentially occur in the inferior region of the polyethylene liner.
View Article and Find Full Text PDFJSES Int
June 2020
Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada.
Virtual Reality (VR) in orthopedic surgery has significantly increased in popularity in the areas of preoperative planning, intraoperative usage, and for education and training; however, its utilization lags behind other surgical disciplines and industries. The use of VR in orthopedics is largely focused on education and is currently endorsed by North American and European training committees. The use of VR in shoulder and elbow surgery has varying levels of evidence, from I to IV, and typically involves educational randomized controlled trials.
View Article and Find Full Text PDFJ Hand Ther
July 2021
School of Biomedical Engineering, London, ON, Canada; Department of Mechanical and Materials Engineering, The University of Western Ontario, London, ON, Canada.
Introduction: Measuring finger forces during activities of daily living and how these forces change for individuals with pathologies such as arthritis is valuable to our understanding of hand function.
Purpose Of The Study: The purpose of this study was to determine the forces of individual fingers during the performance of daily activities in healthy participants and determine the envelope of these applied forces.
Methods: This is a cross-sectional study investigating twenty-five healthy participants (12 female: 22-65 years old and 13 male: 20-53 years old) and participants with osteoarthritis (12 female: 52-79 years old and 9 male: 64-79 years old) examined at one time point.
J Wrist Surg
April 2020
Department of Surgery, University of Western Ontario, London, Ontario, Canada.
A scaphoid malunion occurs when a scaphoid fracture heals in a nonanatomic position or when the fracture is fixed without correction of the sagittal angular deformity. Although altered carpal mechanics and early osteoarthritis have been suggested as natural sequelae, the natural history and clinical outcomes are debatable. The purpose of this study is to review and summarize the available literature regarding clinical, functional, and radiographic outcomes of patients with scaphoid malunion.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
August 2020
Mechatronics Laboratory, Roth|McFarlane Hand and Upper Limb Center, London, ON, Canada. Electronic address:
Background: The reconstructive options for instability-related anterior glenoid bone loss include iliac crest autograft, allograft, or coracoid transfer. The use of distal clavicle autograft (DCG) has also been described. The purpose of this imaging and cadaveric study was to examine the dimensions, morphology, and bone density of the DCG and compare it with the Latarjet procedure.
View Article and Find Full Text PDFKnee Surg Sports Traumatol Arthrosc
January 2021
Division of Orthopedic Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada.
Purpose: The purpose of this systematic review was to assess the surgical techniques, indications outcomes and complications for pediatric patients (≤ 19 years old) undergoing shoulder stabilization procedures for anterior shoulder instability.
Methods: The electronic databases MEDLINE, EMBASE, CINAHL, and Web of Science were searched from data inception to March 14, 2019 for articles addressing surgery for pediatric patients with anterior shoulder instability. The Methodological Index for Non-randomized Studies (MINORS) tool was used to assess the quality of included studies.
J Shoulder Elbow Surg
April 2020
Brighton and Sussex Medical School, Brighton, UK; Trauma and Orthopaedics Department, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.
Background: The open Latarjet procedure is a standard surgical treatment option for anterior shoulder instability in patients with a high risk of failure following soft tissue stabilization. The arthroscopic technique has potential advantages of minimal invasiveness, reduced postoperative stiffness, and faster rehabilitation but is regarded as technically challenging with concern over surgical risk during the learning curve. The aim of this study was to undertake a multisurgeon, large-volume learning curve analysis of the arthroscopic Latarjet procedure using continuous learning curve analysis.
View Article and Find Full Text PDFJ Bone Joint Surg Am
March 2020
Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.
Background: There has been limited literature on immersive virtual reality (VR) simulation in orthopaedic education. The purpose of this multicenter, blinded, randomized controlled trial was to determine the validity and efficacy of immersive VR training in orthopaedic resident education.
Methods: Nineteen senior orthopaedic residents (resident group) and 7 consultant shoulder arthroplasty surgeons (expert group) participated in the trial comparing immersive VR with traditional learning using a technical journal article as a control.
J Shoulder Elbow Surg
February 2020
Roth McFarlane Hand and Upper Limb Center, St. Joseph's Health Care, University of Western Ontario, London, ON, Canada.
J Shoulder Elbow Surg
April 2020
Roth|McFarlane Hand and Upper Limb Center, London, ON, Canada. Electronic address:
Background: Several humeral stem design modifications for shoulder arthroplasty, including reduced stem length, changes to metaphyseal geometry, and alterations to implant surface texture, have been introduced to reduce stress shielding. However, the effect of changes in the diametral size of short-stem humeral components remains poorly understood. The purpose of this finite element study was to quantify the effect of varying the size of short-stem humeral components on the changes in bone stress from the intact state to the reconstructed state.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
January 2020
Roth McFarlane Hand and Upper Limb Center, St. Joseph's Health Care London, London, ON, Canada. Electronic address:
Background: Little is known about the cortical-like and cancellous bone density variations in superiorly eroded glenoids due to cuff tear arthropathy. The purpose of this study was to analyze regional bone density in type E2 glenoids.
Methods: Clinical shoulder computed tomography scans were obtained from 32 patients with a type E2 superior erosion (10 men and 22 women; mean age, 73 years).