A5022177606- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Nerve Injury and Rehabilitation
- Orthopedic Surgery and Rehabilitation
- Cardiac and Coronary Surgery Techniques
- Musculoskeletal pain and rehabilitation
- Blood transfusion and management
- Vascular Procedures and Complications
- Mechanical Circulatory Support Devices
- Orthopaedic implants and arthroplasty
- Rheumatoid Arthritis Research and Therapies
- Cardiovascular Syncope and Autonomic Disorders
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Muscle Physiology and Disorders
- Orthopedic Infections and Treatments
- Total Knee Arthroplasty Outcomes
- Musculoskeletal synovial abnormalities and treatments
- Thermal Regulation in Medicine
- Cardiac Structural Anomalies and Repair
- Congenital Heart Disease Studies
- Radiology practices and education
- Sepsis Diagnosis and Treatment
- Respiratory Support and Mechanisms
- Aortic Disease and Treatment Approaches
- Elbow and Forearm Trauma Treatment
Alrijne Ziekenhuis
2017-2025
Medisch Centrum Leeuwarden
2007-2021
ReumaNederland
2019
Clinical Orthopaedics and Related Research
2019
Rijnland Ziekenhuis
2002-2018
Leiden University
2001
Rijnstate Hospital
1999
Maastricht University Medical Centre
1996
Calcific tendinitis of the rotator cuff (RCCT) is frequently diagnosed in patients with shoulder pain, but there no consensus on its treatment.To compare 2 regularly applied RCCT treatments: ultrasound (US)-guided needling and lavage (barbotage) combined a US-guided corticosteroid injection subacromial bursa (subacromial [SAI]) (group 1) versus an isolated SAI 2).Randomized controlled trial; Level evidence, 1.Patients were randomly assigned to groups. Shoulder function was assessed before...
Opinion varies as to the incidence of nerve lesions in anterior dislocation shoulder after low-velocity trauma. Most studies are retrospective or do not use EMG. We have investigated and clinical consequences a prospective study by electrophysiological examination. Axonal loss was seen 48% 77 patients. The axillary most frequently involved (42%). Although recovery judged EMG muscle strength almost complete, function significantly impaired patients with suprascapular nerves. Unfavourable...
The healthy synovial lining layer consists of a single cell that regulates the transport between joint cavity and surrounding tissue. It has been suggested abnormalities such as somatic mutations in p53 tumor-suppressor gene contribute to hyperplasia invasion rheumatoid arthritis (RA). In this study, expression epithelial markers on diseased tissue was examined. addition, we investigated whether regulated process, resembling mesenchymal transition (EMT)/fibrosis, could be responsible for...
Some patients do not improve after total shoulder arthroplasty (TSA), indicating different recovery trajectories. We aimed to identify trajectories TSA based on the Oxford Shoulder Score (OSS). Second, we investigated whether were associated with patient or procedure characteristics. included primary anatomical and reversed TSAs (ATSAs/RTSAs) for osteoarthritis (OA) cuff arthropathy/rupture preoperative, 3-month, and/or 12-month postoperative OSS, registered between 2016 2022 in Dutch...
Opinion varies as to the incidence of nerve lesions in anterior dislocation shoulder after low-velocity trauma. Most studies are retrospective or do not use EMG. We have investigated and clinical consequences a prospective study by electrophysiological examination. Axonal loss was seen 48% 77 patients. The axillary most frequently involved (42%). Although recovery judged EMG muscle strength almost complete, function significantly impaired patients with suprascapular nerves. Unfavourable...
The Subacromial Impingement Syndrome (SIS) is the most common diagnosed disorder of shoulder in primary health care, but its aetiology unclear. Conservative treatment regimes focus at reduction subacromial inflammatory reactions or pathologic scapulohumeral motion patterns (intrinsic aetiology). Long-lasting symptoms are often treated with surgery, which focused enlarging space by resection anterior part acromion (based on extrinsic Despite that acromionplasty top-10 orthopaedic surgical...
Abstract Purpose Literature describes the concern of an overstuffed shoulder joint after a resurfacing humeral head implant (RHHI). The purpose this study was to evaluate inter-observer variability (1) critical angle (CSA), (2) length gleno-humeral offset (LGHO), and (3) anatomic center rotation (COR) in patient population operated with Global Conservative Anatomic Prosthesis (CAP) RHHI. measurements were compared between revision non-revision groups find predictive indicators for failure....
Shoulder injections for conditions such as adhesive capsulitis are commonly performed and can be administered through image-based or landmark-based injection approaches. Ultrasound-guided widely used accurate because ultrasound allows real-time visualization of the needle injected contrast. Landmark-based would advantageous, if they were accurate, save time expense associated with ultrasound. However, few prospective studies have compared well-described shoulder techniques without...
Histological characteristics of age-related muscle wasting are type II fiber atrophy, accumulation oxidative stress-induced lipofuscin granules and decreased satellite cell numbers. There is increasing clinical evidence for a strong correlation between chronic systemic inflammation wasting. The aim this study was to determine the impact on histological characteristics.As model inflammation, we included 10 patients suffering from rheumatoid arthritis (RA) 27 control osteoarthritis (OA)....
The search for the ideal priming fluid continues as more evidence is discovered about side effects of volume expanders. With availability modern, balanced hydroxyethyl starch (HES) solutions with less than former HES solutions, we considered to replace our gelatin- (modified gelatin) based extracorporeal circuit prime a (130/.42) prime. Therefore, studied influence two colloidal fluids on postoperative coagulation in patients undergoing cardiac surgery. primary endpoint was compare clot...
BackgroundStandardized consensus-based radiological reports for shoulder instability may improve clinical quality, reduce heterogeneity and workload. Therefore, the aim of this study was to determine important elements x-ray, MRA CT report, extent variability MRI views settings.MethodsAn expert panel musculoskeletal radiologists orthopedic surgeons recruited in a three-round Delphi design. Important were identified report setting. These rated on 0-9 Likert scale. High defined as at least one...
Chronic inflammation is a profound systemic modification of the cellular microenvironment which could affect survival, repair and maintenance muscle stem cells. The aim this study was to define role chronic on regenerative potential satellite cells in human muscle.As model for inflammation, 11 patients suffering from rheumatoid arthritis (RA) were included together with 16 osteoarthritis (OA) as controls. mean age both groups 64 years, more females RA group compared OA group. During elective...
In approximately 29% to 34% of all patients with subacromial pain syndrome (SAPS) there is no anatomic explanation for symptoms, and behavioral aspects and/or central mechanisms may play a more important role than previously assumed. A possible in SAPS insufficient active depression the humerus during abduction by adductor muscles. Although muscles, specifically teres major, have most contribution abduction, these muscles not been well studied SAPS.Do altered contraction patterns arm...
The aim of this study was to identify items that healthcare providers and/or patients consider important include in a questionnaire for clinical trials and cohort studies shoulder instability research. This could serve as basis develop core outcome set
The authors report the 2-year results of an uncemented resurfacing shoulder prosthesis in 47 patients with primary glenohumeral osteoarthritis who underwent a cementless humeral arthroplasty between 2007 and 2009. Constant scores (corrected for sex age), function, visual analog pain scales, Dutch Simple Shoulder Tests, physical SF-12 improved significantly ( P <.05) from preoperatively to 2 years postoperatively. Mental remained same. Complications included 1 traumatic lesser tuberosity...
This case report describes the successful treatment of severe accidental hypothermia a 40-year-old woman. At arrival in operating theatre her rectal temperature was 23°C, nasal 21°C and periferal 14°C. The patient presented with respiratory metabolic acidosis which corrected during cardiopulmonary bypass (CPB). She rewarmed to obtain 34°C. After 272 minutes, weaned successfully from CPB. remained at mild (34°C) for 24 hours intensive care unit (ICU). chest X-ray showed some signs acute...
Blood transfusions could have serious consequences for patients. A reduction in the transfusion rate be accomplished by an optimized blood management. Clear guidelines and awareness among all employees at a single institution resulted rates recent years. Identification of group patients who still received years result further reduction. This study enrolled 4022 undergoing cardiothoracic surgery between 2008 2013. Patients were divided into three groups: "no transfusion", "transfusion packed...