478 results match your criteria: "Roth-McFarlane Hand & Upper Limb Centre[Affiliation]"
J Clin Med
December 2024
Roth|McFarlane Hand & Upper Limb Centre, St. Joseph's Hospital and Western University, London, ON N6A 4V2, Canada.
Olecranon bursitis (OB) involves fluid accumulation in the bursa, with common causes being trauma and preexisting conditions. Its incidence is difficult to quantify, and risk factors such as diabetes, obesity, and male gender are frequently noted. Hyperlipidemia has been linked to musculoskeletal disorders, but its role as a risk factor for OB remains unexplored.
View Article and Find Full Text PDFJ Hand Ther
December 2024
Faculty of Health Sciences, Western University, London, Ontario, Canada; Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada; School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
Background: Distal radius fractures (DRF) and ulnar neuropathy (UNE) present with reduced motor function, restricted range of motion, pain, and reduced grip strength that may lead to similar treatment approaches. With rapid and insidious onset for DRF and UNE, respectively, the contextual factors impacting an individuals' experience with the condition can vary.
Purpose: The aim of this secondary analysis is to compare ratings of quality of life (QoL) domains prior to treatment and 3 months post treatment for DRF and UNE.
J Shoulder Elbow Surg
December 2024
Department of Mechanical Engineering, Western University, London, ON, Canada; The Roth|McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, ON, Canada; Department of Surgery, Western University, London, ON, Canada. Electronic address:
Introduction: Stress shielding remains a concern following total shoulder arthroplasty using press-fit short humeral stems. While the effect of alterations in implant geometry, positioning, and sizing on stress shielding have been investigated, the effects of coverage of the cortical boundary of the resection plane have not yet been fully explored. The purpose of this study was to quantify the effect of improved cortical coverage using elliptical vs.
View Article and Find Full Text PDFJ Geriatr Phys Ther
December 2024
Roth McFarlane Hand and Upper Limb Center, St. Joseph's Health Centre, University of Western Ontario, London, Ontario, Canada.
Background And Purpose: Fear of falling (FoF) is a persistent anxiety regarding the risk of falling, which can even impact individuals without a history of falls. Fear of falling has been associated with decreased physical functioning and increased risk of falls. Most interventions have focused on reducing FoF in healthy older adults.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
December 2024
Division of Orthopaedics, Department of Surgery, McMaster University, Hamilton, ON, Canada; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada. Electronic address:
Background: Reverse shoulder arthroplasty (RSA) is an increasingly utilized option to address complications following anatomic total shoulder arthroplasty (TSA). This systematic review aims to identify the patient outcomes, complication rates, and re-revision rates following revision to a reverse shoulder replacement from a failed anatomic total shoulder arthroplasty.
Methods: MEDLINE, EMBASE, and CENTRAL were searched from inception until November 21, 2023 to identify studies reporting outcomes and/or complications for patients with a failed TSA revised to an RSA.
J Eval Clin Pract
February 2025
Department of Surgery, Western University, London, Ontario, Canada.
J Shoulder Elbow Surg
December 2024
Roth | McFarlane Hand and Upper Limb Centre, St Joseph's Health Care, London, Canada; Department of Surgery, Western University, London, Canada. Electronic address:
Background: Anterior shoulder pain after reverse shoulder arthroplasty (RSA) is not uncommon and may be due to humeral impingement against the conjoint tendon during internal rotation (IR). It is unknown what effect different implant designs and configurations have on conjoint tendon impingement. The purpose of this study was to investigate the influence of several RSA implant design parameters on conjoint tendon impingement during IR.
View Article and Find Full Text PDFBiomed Phys Eng Express
January 2025
Mechanical and Materials Engineering, Western University, London, ON; Roth-McFarlane Hand & Upper Limb Centre, St. Joseph's Health Care, London, Ontario, Canada.
Objective assessments of shoulder motion are paramount for effective rehabilitation and evaluation of surgical outcomes. Inertial Measurement Units (IMU) have demonstrated promise in providing unbiased movement data. This study is dedicated to evaluating the concurrent construct validity and accuracy of a wearable IMU-based sensor system, called 'Motion Shirt', for the assessment of humero-thoracic motion arcs in patients awaiting shoulder replacement surgery.
View Article and Find Full Text PDFJ Hand Surg Eur Vol
November 2024
Roth McFarlane Hand and Upper Limb Centre, 268 Grosvenor Street, London, ON N6A 4V2, Canada.
PLoS One
November 2024
Emory Health Care, Atlanta, Georgia, United States of America.
Purpose: Distal radius fractures (DRF) that occur from a fall from level ground are considered fragility fractures and may be the first indication that someone has compromised bone mineral density and is at risk of having osteoporosis. Women at about 50 years of age experience a dramatic increase risk of these fractures. Rehabilitation after DRF focuses on restoring range of motion and strength in the wrist, but rarely address future bone health concerns.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
February 2025
Hôpital du Sacré-Coeur de Montreal, Universite de Montreal, Montreal, QC, Canada.
J Am Acad Orthop Surg
October 2024
From the Division of Orthopedic Surgery, University of Western Ontario, Roth-McFarlane Hand and Upper Limb Center, St Joseph's Health Care, London, Ontario, Canada (Dr. Rotem and Dr. Kadar), and the Department of Hand Surgery, Sheba Medical Center, Tel Aviv University School of Medicine, Tel Hashomer, Israel (Dr. Rotem).
J Hand Surg Glob Online
September 2024
Roth McFarlane Hand and Upper Limb Center, St. Joseph's Health Care, London, Ontario, Canada.
J Perinat Neonatal Nurs
September 2024
Author Affiliations: Roth McFarlane Hand and Upper Limb Centre, St Joseph's Hospital, London, Ontario, Canada (Dr Kadar); Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (Dr Kadar); Schneider Children's Medical Center of Israel, Petah Tiqwa, Israel (Ms Yaniv); Orthopedic Department, Rabin Medical Center, Beilinson Hospital, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel (Dr Rutenberg); Rabin Medical Center, Beilinson Hospital, Petah Tiqwa, Israel (Dr Turjeman); Orthopedic Department, Sasmon Assuta Ashdod University Hospital, Faculty of Health Sciences, Ben Gurion University, Ashdod, Israel (Dr Shemesh); Pediatric Orthopedic Unit, Schneider Children's Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel (Dr Sidon); and Clalit Health Services, Jerusalem District, affiliated with Hadassa School of Medicine, Hebrew University, Jerusalem, Israel (Dr Cohen).
Background: Neonatal clavicular fractures represent the most common fracture during delivery. We aimed to define risk factors associated with these fractures in a large population-based database.
Methods: Data were extracted from Clalit Health Services' electronic health records from 2000 to 2020.
Knee Surg Sports Traumatol Arthrosc
September 2024
Alps Surgery Institute, Hand, Upper Limb, Peripheral Nerve, Brachial Plexus and Microsurgery Unit, Clinique Générale, Annecy, France.
J Orthop Res
January 2025
Department of Mechanical and Materials Engineering, Western University, London, Ontario, Canada.
Glenoid implants used in anatomic total shoulder arthroplasties typically incorporate peripheral pegs as a design feature to support eccentric loads. These peripheral pegs and the implant-cement-bone interface undergo substantial cyclic tensile-compressive loads during normal activity. Therefore, these pegs are of interest in translating the micromechanics of local implant fixation failure to the biomechanics of gross anatomic failure of the glenoid implant after total shoulder arthroplasty.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
August 2024
From the Birmingham Hand Centre, Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom.
Background: Following the repair of a mixed peripheral nerve, functional recovery requires successful nerve regeneration across the repair site and, eventually, reinnervation of distal targets. Reliably determining a failing nerve repair so that revision may be performed before irreversible muscle atrophy remains a challenge in peripheral nerve surgery. This study aimed to ascertain whether any commonly used clinical examination tests during surveillance after nerve repair can detect a failing repair and prompt earlier salvage intervention.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
August 2024
Roth | McFarlane Hand and Upper Limb Centre, St Joseph's Health Care, London, ON, Canada; Department of Surgery, Western University, London, ON, Canada. Electronic address:
Background: Massive irreparable rotator cuff tears (MIRCTs) treated with superior capsular reconstruction (SCR) using the long head of the biceps tendon have shown satisfactory early results. Different techniques and positions for biceps tenodesis have been described. This study aimed to evaluate the effect of tenodesis location and glenohumeral fixation angle for graft tensioning on the biomechanics of an SCR using a single-strand biceps technique.
View Article and Find Full Text PDFJ Hand Surg Eur Vol
August 2024
Hand Therapy Division, Roth-McFarlane Hand & Upper Limb Center, St. Joseph's Health Care London, ON, Canada.
Despite significant advancements in flexor tendon repair techniques and rehabilitation strategies, achieving complete restoration of digital motion remains a formidable challenge. The most prevalent complications associated with tendon repair are the development of tendon adhesions and joint contractures. Left unaddressed, these complications can further lead to secondary pathomechanical changes, resulting in fixed deformities significantly affecting hand function.
View Article and Find Full Text PDFDisabil Rehabil
July 2024
Department of Health and Rehabilitation Sciences, Faculty of Health Science, Western University, London, ON, Canada.
Purpose: To summarize and critically appraise the quality of studies investigating psychometric properties of pinch strength assessment.
Methods: Medical literature up to February 2024 was searched for studies reporting on at least one measurement property of pinch strength assessment. The quality of the evidence and the risk of bias were rated using COSMIN 2018 guidelines.
JSES Int
July 2024
The Roth|McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, ON, Canada.
Background: Stemless humeral components are being clinically investigated for reverse shoulder arthroplasty (RSA) procedures. There is, however, a paucity of basic science literature on the surgical parameters that influence the success of these procedures. Therefore, this cadaveric biomechanical study evaluated the neck shaft angle (NSA) of implantation on the survivability and performance of stemless RSA humeral components during cyclical loading.
View Article and Find Full Text PDFMuscle Nerve
June 2024
Parkwood Institute, St Joseph's Health Care London, London, Canada.
J Hand Surg Am
July 2024
Emory University, Department of Orthopedic Surgery, Atlanta, GA. Electronic address:
Purpose: Intramedullary (IM) screw fixation is gaining popularity in the treatment of metacarpal fractures. Despite its rapid adoption, there is a paucity of evidence regarding parameters to optimize effectiveness. This study aimed to quantify the relationship between stability, IM screw size, and canal fill using a cadaveric model.
View Article and Find Full Text PDFCase Reports Plast Surg Hand Surg
July 2024
Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Idiopathic avascular necrosis of the scaphoid bone, Preiser's disease, was originally described as a deteriorative pathology whereby the osseous structure necroses due to loss of blood supply. It may present with multifactorial etiology, which is still largely not well understood. We describe a case of Preiser's disease in a 70-year-old female, with worsening pain and loss of range of motion in her right wrist over a two-year period.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
November 2024
Roth | McFarlane Hand and Upper Limb Centre, St Joseph's Health Care, London, ON, Canada; Department of Surgery, Western University, London, ON, Canada. Electronic address:
Background: Accurate insertion of the glenoid guide pin in shoulder arthroplasty (RSA) is important for obtaining optimized glenoid component position and orientation. The objective of this study was to evaluate and compare the accuracy of 3 glenoid guide pin insertion techniques: (1) traditional software planning using freehand guide pin insertion (freehand), (2) guide pin insertion utilizing patient-specific instrumentation (PSI), and (3) using a mixed-reality navigation (MR-NAV) system.
Methods: Twenty (20) computed tomography (CT) scans were obtained from patients exhibiting glenoid erosion patterns according to the Walch and Favard classifications.