By using specified locations for electrical stimulation to evoke H-reflex and M-response, the functionality of the tibial nerve can be assessed. Muscle Nerve, 2018.
Purpose Most of the internet users search online on YouTube for their health problems and the treatments. The purpose of this study is to evaluate the quality and the reliability of the videos on YouTube for Carpal tunnel syndrome (CTS). Methods The search was made by typing the keywords “Carpal tunnel syndrome” and/or “CTS” into the YouTube search engine, the first 50 videos on the first three pages of YouTube were evaluated. Of these videos, title, duration, number of views, days since uploaded, view ratio (view per day), number of likes, number of dislikes, video power index (VPI), video source, and video content data were recorded. The Journal of the American Medical Association (JAMA) benchmark criteria were used to evaluate the reliability of videos, where the Global Quality Score (GQS) and Carpal tunnel syndrome-specific score (CTS-SS) were used to evaluate the quality of the videos. Results The mean duration of the videos was 364.12 seconds (min 57, max 1,638) and the total duration of videos was 18,206 seconds. The mean number of views was 140,916.1 (min 10,543, max 1,271,040) and total number of views was 7,045,804. The mean JAMA score was 1.8 (min 1, max 4), the mean GQS was 2.72 (min 1, max 5), and the mean CTS-SS was 4.74 (min 1, max 14). There was no significant effect of video content on VPI, JAMA, GQS, or CTS-SS (p >0.05). The JAMA, GQS, CT-SS scores of the videos from physicians and academic sources were significantly higher compared with other sources (p <0.05). Conclusion YouTube is one of the most frequently used resource for patients to get information about their diagnosis and treatment methods and it consists of videos with low reliability and quality for CTS. We believe that the creation of an internet-based information resource, which the patients can refer to is one of the current social responsibilities of the physicians and the academicians. Level of Evidence This is a Level V study.
Background: Soft tissue interposition between a suspensory cortical button and the lateral femoral condyle is the most common cause of postoperative suspensory cortical button migration in patients undergoing anterior cruciate ligament reconstruction (ACLR). Purpose: To investigate the effects of soft tissue interposition and suspensory cortical button migration after ACLR on functional outcomes and graft ligamentization. Study Design: Cohort study; Level of evidence, 3. Methods: Included were 249 patients who underwent single-bundle ACLR with hamstring tendon autografts. To measure soft tissue imposition, the patients were divided into 2 groups: those in whom the suspensory cortical button was in contact with (group 1) or at least 1 mm away from (group 2) the lateral femoral condyle on 1-day postoperative radiographs. To measure suspensory cortical button migration, the patients in group 2 were further divided into 2 subgroups: those with button migration (group M) and those without migration (group non-M) as observed on 12-month postoperative radiographs. Ligamentization was evaluated according to Howell classification (grades 1-4) on 12-month follow-up magnetic resonance imaging scans. Also recorded were preoperative and 24-month postoperative Lysholm and Tegner scores and 24-month postoperative arthrometer measurements for anterior knee laxity. Results: There was no significant difference between groups 1 and 2 or between groups M and non-M in terms of demographic characteristics or additional intra-articular pathologies detected intraoperatively. Normal anterior laxity (<3 mm) was detected in 83.7% of the patients postoperatively, and all patients showed statistically significant pre- to postoperative improvement on the Tegner (from 4.1 to 4.3) and Lysholm (from 44.0 to 89.2) scores ( P < .05 for both). No significant difference in postoperative functional results or graft ligamentization was found between either the soft tissue interposition groups (groups 1 and 2) or the suspensory cortical button migration groups (groups M and non-M). Conclusion: Differences between patients in soft tissue interposition and suspensory cortical button migration did not significantly affect postoperative clinical or functional outcomes or graft ligamentization after single-bundle ACLR.
Ön çapraz bağ (ÖÇB) yaralanmalarının %10-%27'si parsiyel rüptürlerden oluşmaktadır. Parsiyel ÖÇB rüptürlerinin cerrahi tedavisi için henüz altın standart tedavi konusunda bir konsensüs sağlanamamıştır. Tek demet ÖÇB primer onarımı, tek demet ÖÇB rekonstrüksiyonu ve total ÖÇB rekonstrüksiyon yöntemleri tarif edilmiştir. Çalışmamızın amacı; remnant koruyucu yöntem ile tek demet ÖÇB rekonstrüksiyonu yapılan hastaların, klinik sonuçlarının ve manyetik rezonans (MR) görüntülemede greftin ligamentizasyonunun değerlendirilmesidir.Gereç ve Yöntem: Kliniğimizce ÖÇB rekonstrüksiyonu yapılan 257 hastadan, tek demet ÖÇB rekonstrüksiyonu yapılan 15 [posterolateral demet (n=5), anteromedial demet (n=10)] hasta dahil edilmiştir. Retrospektif çalışmaya dahil edilme kriterleri; diz burkulma öyküsü, pozitif Lachman testi, negatif veya 1+ pivot shift testi, MR görüntülemede parsiyel ÖÇB rüptür şüphesi olan hastalar ve kesin tanı olarak intraoperatif artroskopik görüntülemede parsiyel ÖÇB rüptürü olmasıdır. Çalışma dışı bırakılma kriterleri ise; geçirilmiş diz cerrahisi öyküsü, çoklu bağ yaralanması, total ÖÇB rekonstrüksiyonu yapılmasıdır. Tüm hastaların preopeatif, postoperatif 3., 6., 12. ve 24. aylardaki ön çekmece, Lachman ve pivot shift sonuçları, International Knee Documentation Commitee (IKDC) ve Lysholm skorları karşılaştırılmıştır.Bulgular: Lachman ve pivot shift için, preoperatif sonuçlar anlamlı yüksek saptandı (p=0,0149, p=0,005). Hastaların preoperatif, postoperatif 3., 6., 12. ve 24. aylardaki Lysholm ve IKDC skorları arasında anlamlı fark saptandı (p<0,001). Post-hoc analizinde ise anlamlı farkın her dönem için olduğu görüldü. Postoperatif 6. aydaki MR görüntülemede ligamentizasyon görülmeyen hasta olmamıştır.Sonuç: Selektif tek demet ÖÇB rekonstrüksiyonu cerrah açısından teknik zorluklar içermek ile birlikte iyi klinik sonuçların elde edildiği cerrahi bir yöntemdir. Postoperatif hızlı vaskülarizasyon, daha iyi propsiyoseptif duyuların elde edilebilmesi ve stabil diz muayenelerinin elde edilebilmesi nedeniyle parsiyel ÖÇB rüptüründe selektif ÖÇB rekonstrüksiyon cerrahisinin ortopedik cerrahlar tarafından ilk sıralarda tercih edilmesi gereken cerrahilerden olduğunu düşünmekteyiz.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.