AMA Guides® to the Evaluation of Permanent Impairment, Sixth Edition, 2023

Rondinelli, Robert D.; Genovese, Elizabeth; Katz, Richard T.; Mayer, Tom G.; Mueller, Kathryn; Ranavaya, Mohammed I.; Brigham, Christopher R.

doi:10.1001/978-1-64016-282-2

Cited by 2 publications

(1 citation statement)

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“…However, function may remain impaired. PIPJ fusion in a functional position still leads to a 50% functional impairment (Rondinelli, 2008). A PIPJ arc of motion between 36°–86° is necessary to perform activities of daily living, and reaching a mean PIPJ flexion of 60° is associated with being able to perform most other basic activities, including key turning, writing, holding a fork and unscrewing a jar (Hume et al., 1990).…”

Section: Discussionmentioning

confidence: 99%

Shifting the paradigm: ankylosis arthroplasty for the proximal interphalangeal joint with a novel collateral ligament reconstruction

Miranda

Kosasih

Krishnamoorthy

2023

J Hand Surg Eur Vol

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Silicone arthroplasty for proximal interphalangeal joint ankylosis is rarely performed, partly due to the potential for lateral joint instability. We present our experience performing proximal interphalangeal joint arthroplasty for joint ankylosis, using a novel reinforcement/reconstruction technique for the proper collateral ligament. Cases were prospectively followed-up (median 13.5 months, range 9–24) and collected data included range of motion, intraoperative collateral ligament status and postoperative clinical joint stability; a seven-item Likert scale (1–5) patient-reported outcomes questionnaire was also completed. Twenty-one ankylosed proximal interphalangeal joints were treated with silicone arthroplasty, and 42 collateral ligament reinforcements undertaken in 12 patients. There was improvement in range of motion from 0° in all joints to a mean of 73° (SD 12.3); lateral joint stability was achieved in 40 out of 42 of collateral ligaments. High median patient satisfaction scores (5/5) suggest that silicone arthroplasty with collateral ligament reinforcement/reconstruction should be considered as a treatment option in selected patients with proximal interphalangeal joint ankylosis. Level of evidence: IV

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Section: Discussionmentioning

confidence: 99%

Shifting the paradigm: ankylosis arthroplasty for the proximal interphalangeal joint with a novel collateral ligament reconstruction

Miranda

Kosasih

Krishnamoorthy

2023

J Hand Surg Eur Vol

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Temporomandibular trauma and reflections on personal evaluation

Corte-Real,

Abreu,

Figueiredo

et al. 2023

Forensic Sci Med Pathol

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The International Consortium Network/Orofacial Pain Special Interest Group focuses on temporomandibular disease diagnosis procedure guidelines as a reference iQAn this scope. Concerning this reference, the aim of this study was to comprehensively analyze injury and sequela frames within European and American approaches to personal damage. A quasiexperimental pilot study of Portuguese orofacial trauma cases in a medico-legal evaluation database was performed with an interrupted time series design. The clinical data were recorded following five criteria of TMJ diagnosis (jaw opening, pain, anatomical deficit, functional deficit, clinical sounds, and occlusal deficit) under three degrees of severity. The injury frame evaluation was recorded in the first-degree stage in all criteria. Pain, as a sequela, was the criterion present in 45% of the sample as spontaneous (20%) or stimulated (25%). Temporomandibular trauma damage evaluation emphasizes the accurate injury diagnosis and sequela framework. Orofacial trauma analysis should focus on the inclusion or exclusion of a TMD diagnosis. This study suggests revising the reference tables on personal damage, considering the inclusion of TMD and its categorization and impact.

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AMA Guides® to the Evaluation of Permanent Impairment, Sixth Edition, 2023

Cited by 2 publications

References 0 publications

Shifting the paradigm: ankylosis arthroplasty for the proximal interphalangeal joint with a novel collateral ligament reconstruction

Shifting the paradigm: ankylosis arthroplasty for the proximal interphalangeal joint with a novel collateral ligament reconstruction

Temporomandibular trauma and reflections on personal evaluation

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