Purpose To compare the efficacy of intraocular pressure (IOP) control Baerveldt-350 implant with tube ligature and Ahmed valve in patients refractory glaucoma. Patients Methods Four hundred seventy glaucoma drainage device procedures from July 1995 to 2001 (6 years) were reviewed retrospectively. Thirty-two cases implantation performed medical treatment filtering procedures, without previous or cyclodestructive a minimum 1-year follow-up identified. matched case by 32 for age, race, gender,...

Intraarticular injections of corticosteroids combined with local anesthetics are commonly used for management chronic pain symptoms associated degenerative joint diseases and after arthroscopic procedures. Several studies suggest chondrotoxicity whereas others report chondroprotective cytotoxic effects on cartilage. Given the frequency use these agents, it is important to know whether they in fact toxic.We asked (1) bupivacaine triamcinolone acetonide, alone combined, were chondrotoxic...

INTRODUCTION: Endoscopic sagittal suturectomy (ESS) is commonly indicated for craniosynostois in infants, but optimal timing of surgery remains controversial with many clinicians only offering ESS before 3 months age. METHODS: A single center retrospective review patients craniosynostosis that underwent between 2009-2023 at Children’s National Medical Center was performed. Patients were stratified by age to compare outcomes and transfusion rates. Receiver operating curve (ROC) area under the...

Background and Objective: To compare early late surgical repair of orbital blowout floor fractures. Patients Methods: A retrospective, comparative interventional case series reviewed medical records 50 consecutive patients who underwent unilateral fracture in a 4-year period. Comparative analysis was performed between operated on within 2 weeks injury those at later stage. Results: Assault, motor vehicle accidents, sports injuries were the most common causes injury. Surgery due to inferior...

To investigate the incidence and outcome of optic neuropathy associated with thyroid-related orbitopathy.All patients diagnosed as having orbitopathy who underwent treatment for between January 1, 1999, March 2003, were reviewed. Demographic clinical data extracted from oculoplastic registry (electronic medical record).Optic occurred in 20 595 (3.4%). All received systemic steroids, 7 orbital steroid injections, 2 treated radiotherapy. Orbital decompression was performed all 26 orbits....

Spin is a reporting bias that misrepresents research. Ultimately it can affect surgeon decision making and patient care. Anterior cruciate ligament (ACL) reconstruction common, but debate continues over optimal treatment modalities.To identify the prevalence of spin in meta-analysis systematic review abstracts regarding ACL injuries with quadriceps tendon graft.Cross-sectional study.Electronic libraries (MEDLINE, Embase, Web Science, Google Scholar) were searched for meta-analyses reviews...

The present report highlights the possible adverse effects of doxylamine, a common over counter sleep aid. Doxylamine is an antihistamine that at toxic doses can cause anticholinergic effects, including seizures, rhabdomyolysis and death. following case describes patient with doxylamine toxicity who presented seizure confusion. Our was managed symptomatically, remained otherwise stable throughout his hospitalisation. This atypical in terms delayed false positive urine drug screen test for...

Diagnosis of partial anterior cruciate ligament (ACL) tears is difficult on magnetic resonance imaging (MRI), particularly the isolated posterolateral bundle.To describe 2 MRI signs ACL tear involving bundle conventional knee sequences, specifically, "gap" and "footprint" signs.Case-control study.We retrospectively reviewed appearance in 11 patients with arthroscopically proven to bundle, as well 10 intact ACLs, evaluated for presence gap and/or footprint signs.There was high degree...

Background:Plantar fasciitis (PF) is a soft tissue disorder considered to be one of the most common causes inferior heel pain. The aim this study was investigate effect monophasic pulsed current (MPC) and MPC coupled with plantar fascia-specific stretching exercises (SE) on treatment PF. Material andMethods:Forty-four participants (22 women 22 men, mean age 49 years) diagnosed PF were randomly assigned receive (n=22) or SE (n=22). Prior after 4 weeks treatment, underwent baseline evaluation;...

Plantar fasciitis (PF) is one of the most common causes heel and foot pain. Monophasic pulsed current (MPC) an electrical stimulation used to accelerate healing processes. The purpose this study was determine effect MPC combined with plantar fascia stretching exercises (SE) on pain thickness in treatment PF see if there any relationship between after intervention. Forty-four participants diagnosed were randomly assigned two group; group or SE. measured musculoskeletal ultrasound. Although no...

Digoxin levels may be falsely raised after administration of digoxin specific antibody fragments

Case: Isolated avulsion of the teres minor tendon is exceedingly uncommon and, to our knowledge, presentation and arthroscopic repair this type injury have not been described. Known musculotendinous avulsions about shoulder frequently involve supraspinatus, long head biceps, pectoralis major. Conclusion: We present case a patient with an isolated otherwise intact rotator cuff. The underwent successful rehabilitation, allowing for return pre-injury level function.

Soft tissue fluid retention is a common problem after arthroscopy, with as much 2% of patients having complications develop. A fenestrated outflow cannula has been introduced to reduce interstitial swelling. We tested the ability this design weight gain. enrolled 28 undergoing shoulder arthroscopy and randomized them into two groups using versus conventional cannulae. The group had greater gain function procedure duration than (slope = 0.542 +/- 1.160 kg/hour 0.0144 0.932 kg/hour). also...

Case: A 9-year-old boy sustained intrasubstance tears of the rotator cuff and periscapular muscles due to a fall, resulting in scapular winging severely decreased shoulder range motion. Treatment consisted modified thoracolumbosacral orthosis (TLSO) with immobilizer attachment (to reduce scapula thoracic wall hold arm 10° abduction). The brace was worn for 8 weeks. patient recovered full, pain-free function motion, returned high-level athletics. Conclusion: Pediatric massive muscle can be...

In this paper we have proposed different design techniques for the Goertzel Algorithm dual tone multi-frequency (DTMF) detection. We parallel and sequential designs depending on constraints of timing area respectively. The optimized implementations been realized Spartan-6 FPGA device take 1.89us in architecture 13.71us to decode a number. is efficient terms resources consumed as well, consuming less than 1% LUTs. Comparison with prior implemented shown results section.

PurposeTo assess the utility of using dynamic ultrasound for postoperative evaluation after superior capsular reconstruction (SCR) by evaluating graft integrity and its correlation with clinical outcomes at a minimum 2-year follow-up.MethodsA retrospective chart review was conducted to identify patients who underwent SCR between July 2015 2020 follow-up. Clinical outcome measures included Simple Shoulder (SS) American Elbow Surgeon (ASES) scores. Integrity evaluated ultrasound.ResultsWe 22...

In comparison with the published research on surgical management of ulnar wrist pain, fewer studies that discuss nonsurgical pain exist.The purpose this pilot study was to investigate effect ulnar-based orthotics and strengthening exercises subjects pain.Prospective randomized controlled study.Research laboratory.Thirty acute subacute age ranging from 18 53.Participants were receive either orthotics, plus exercises, or placebo intervention.The authors measured function using Patient-Rated...

Acute compartment syndrome (ACS) occurs due to decreased perfusion of an osseofascial space increased compartmental pressure. Due its potentially devastating sequelae, emphasis is placed on prompt diagnosis. While fractures continue be the most common cause ACS, mechanisms such as crush injuries and even surgical positioning are described etiologies syndrome. ACS well-leg from hemilithotomy has been previously depicted in medical literature; however, there have no illustrations this...

Background: Ulnar collateral ligament reconstruction ameliorates valgus elbow instability in various patient populations, including overhead athletes, patients with acute UCL rupture following high energy trauma, and those chronic, subclinical laxity. This study aims to explore machine learning algorithms identify risk factors undergoing elective the ambulatory setting predict postoperative outcomes. Methods: RStudio was used create a filtering code adult who underwent from 2008 2018...

Objective . The purpose of this study is to determine whether (1) liposomal bupivacaine chondrotoxic; (2) the chondrotoxicity differs from standard bupivacaine; and (3) chondrotoxic effects are time dependent. Materials Methods We obtained 72 10 mm articular cartilage plugs 12 fresh bovine distal femoral knee joints exposed them either saline, 0.5% bupivacaine, or for 30 90 minutes. Twenty-four hours after treatment, chondrocyte viability was measured with use a fluorescent live/dead assay....

OBJECTIVE: The purpose of this study was to apply the Brief International Classification Functioning (ICF) Core Set for Hand Conditions physical therapy outcome measures, and evaluate contribution these measures overall health in subjects with ulnar wrist pain. METHODS: Thirt y-five pain received a 4-week home-based treatment program including orthotics strengthening exercises. Investigators measured pain, function, grip strength, four weeks post-intervention. Regression analysis used...