The Experts below are selected from a list of 81 Experts worldwide ranked by ideXlab platform
H T M Van Schie - One of the best experts on this subject based on the ideXlab platform.
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short term cast immobilisation is effective in reducing Lesion propagation in a surgical model of equine superficial digital flexor Tendon injury
Equine Veterinary Journal, 2012Co-Authors: Florent David, J A Cadby, G Bosch, P A J Brama, P R Van Weeren, H T M Van SchieAbstract:Summary Reasons for performing the study: Larger superficial digital flexor Tendon (SDFT) injuries have a poorer prognosis than smaller Lesions. During the inflammatory phase enlargement of the initial Lesion is frequently noted, with biomechanical loading being recently proposed to play an important role. Objectives: To evaluate the effect of lower limb cast immobilisation on Tendon Lesion propagation in an equine model of surgically induced SDFT injury. Methods: Core Lesions were surgically induced in both front SDFTs of 6 young mature horses. At the end of surgery, one leg was randomly placed in a lower limb cast and the other leg (control) was bandaged for 10 days. Computerised ultrasonographic tissue characterisation performed at Days 10, 15, 21, 28, 35 and 42 allowed measurement of Lesion length (cm) and width (expressed as a percentage of whole Tendon cross-section). On Day 42 horses were subjected to euthanasia and both SDFTs were sectioned every centimetre to assess the Lesion length macroscopically. Statistics were performed to compare cast vs. control legs with significance set at P<0.05. Results: When all time points were combined, Lesion length was 19% shorter (P<0.0001) and Lesion width 57% smaller (P = 0.0002) in the cast legs (6.13 ± 0.12 cm; 6.90 ± 0.64%) than in the control legs (7.30 ± 0.21 cm; 10.85 ± 1.22%). On Day 42 the Lesion length on macroscopic evaluation was 19% shorter (P = 0.04) in the cast (7.00 ± 0.36 cm) than in the control legs (8.33 ± 0.33 cm). Conclusions: Cast immobilisation for 10 days effectively reduced Lesion propagation (length and width) compared to bandaging in an in vivo model of artificially-induced Tendon Lesions. Potential relevance: A short period of cast immobilisation during the early phase of Tendon healing may be an easy and cost-effective way to reduce the initial enlargement of Lesion size and hence to improve prognosis.
Dennis Liem - One of the best experts on this subject based on the ideXlab platform.
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Comparison of efficacy of supraspinatus Tendon tears diagnostic tests: a prospective study on the “full-can,” the “empty-can,” and the “Whipple” tests
Musculoskeletal Surgery, 2019Co-Authors: T. Ackmann, Kristian Nikolaus Schneider, Dominik Schorn, Carolin Rickert, Georg Gosheger, Dennis LiemAbstract:Purpose This study compares the clinical results of the Whipple, empty-can, and full-can tests to detect supraspinatus Tendon tears. We determined the sensitivities, specificities, and positive and negative predictive values of each test with respect to the intraoperative supraspinatus Tendon Lesion confirmation.
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Comparison of efficacy of supraspinatus Tendon tears diagnostic tests: a prospective study on the “full-can,” the “empty-can,” and the “Whipple” tests
MUSCULOSKELETAL SURGERY, 2019Co-Authors: T. Ackmann, Kristian Nikolaus Schneider, Dominik Schorn, Carolin Rickert, Georg Gosheger, Dennis LiemAbstract:Purpose This study compares the clinical results of the Whipple, empty-can, and full-can tests to detect supraspinatus Tendon tears. We determined the sensitivities, specificities, and positive and negative predictive values of each test with respect to the intraoperative supraspinatus Tendon Lesion confirmation. Methods We examined 61 patients (26 women, 35 men) presenting for arthroscopic surgery with functional disability or persisting shoulder pain. All the patients underwent Whipple, empty-can, and full-can testing. We correlated the clinical results of the tests with the confirmation of a supraspinatus Tendon Lesion by direct arthroscopic visualization. Results We examined 34 right and 27 left shoulders. For full and partial supraspinatus Tendon tears, the Whipple test showed a sensitivity of 88.6% and a specificity of 29.4%, whereas the empty-can test and the full-can test had sensitivities of 88.6% and 75.0%, and specificities of 58.8% and 47.1%, respectively. Conclusions Compared with the empty-can test and the full-can test, the Whipple test was less specific, while its sensitivity was equal to that of the empty-can test and higher than that for the full-can test. Because of its low specificity, the Whipple test has a high risk of false-positive results in comparison with the other tests.
A. Celli - One of the best experts on this subject based on the ideXlab platform.
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Triceps Tendon rupture: the knowledge acquired from the anatomy to the surgical repair
MUSCULOSKELETAL SURGERY, 2015Co-Authors: A. CelliAbstract:Triceps injuries are relatively uncommon in most traumatic events, and the distal triceps Tendon ruptures are rare. Recently, the knowledge of this Tendon Lesion has increased, and it seems to be related to more precise diagnostic and clinical assessments. The most common mechanism of injury remains a forceful eccentric contraction of the muscle, while several other risk factors have been studied as chronic renal failure, endocrine disorders, metabolic bone diseases as well as steroid use. Olecranon bursitis and local corticosteroid injections may also play a role. The commonest site of rupture is at the Tendon’s insertion into the olecranon and rarely at the myotendinous junction or intramuscularly. The surgical intervention is recommended in acute complete ruptures, and non-operative treatment is reserved for patients with major comorbidities, as well as for partial ruptures with little functional disability and in low demanding patients. Various techniques and approaches as the direct repair to bone, the Tendon augmentation, the anconeus rotation flap and the Achilles Tendon allograft have been proposed for the management of these challenging injuries. The goal of surgical management should be an anatomical repair of the injured Tendon by selection of a procedure with a low complication rate and one that allows early mobilization. This manuscript focuses the triceps Tendon ruptures starting from the anatomy to the diagnosis and entity of the triceps Tendon injuries, as well as the indications and guidelines for the management.
T. Ackmann - One of the best experts on this subject based on the ideXlab platform.
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Comparison of efficacy of supraspinatus Tendon tears diagnostic tests: a prospective study on the “full-can,” the “empty-can,” and the “Whipple” tests
Musculoskeletal Surgery, 2019Co-Authors: T. Ackmann, Kristian Nikolaus Schneider, Dominik Schorn, Carolin Rickert, Georg Gosheger, Dennis LiemAbstract:Purpose This study compares the clinical results of the Whipple, empty-can, and full-can tests to detect supraspinatus Tendon tears. We determined the sensitivities, specificities, and positive and negative predictive values of each test with respect to the intraoperative supraspinatus Tendon Lesion confirmation.
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Comparison of efficacy of supraspinatus Tendon tears diagnostic tests: a prospective study on the “full-can,” the “empty-can,” and the “Whipple” tests
MUSCULOSKELETAL SURGERY, 2019Co-Authors: T. Ackmann, Kristian Nikolaus Schneider, Dominik Schorn, Carolin Rickert, Georg Gosheger, Dennis LiemAbstract:Purpose This study compares the clinical results of the Whipple, empty-can, and full-can tests to detect supraspinatus Tendon tears. We determined the sensitivities, specificities, and positive and negative predictive values of each test with respect to the intraoperative supraspinatus Tendon Lesion confirmation. Methods We examined 61 patients (26 women, 35 men) presenting for arthroscopic surgery with functional disability or persisting shoulder pain. All the patients underwent Whipple, empty-can, and full-can testing. We correlated the clinical results of the tests with the confirmation of a supraspinatus Tendon Lesion by direct arthroscopic visualization. Results We examined 34 right and 27 left shoulders. For full and partial supraspinatus Tendon tears, the Whipple test showed a sensitivity of 88.6% and a specificity of 29.4%, whereas the empty-can test and the full-can test had sensitivities of 88.6% and 75.0%, and specificities of 58.8% and 47.1%, respectively. Conclusions Compared with the empty-can test and the full-can test, the Whipple test was less specific, while its sensitivity was equal to that of the empty-can test and higher than that for the full-can test. Because of its low specificity, the Whipple test has a high risk of false-positive results in comparison with the other tests.
Kristian Nikolaus Schneider - One of the best experts on this subject based on the ideXlab platform.
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Comparison of efficacy of supraspinatus Tendon tears diagnostic tests: a prospective study on the “full-can,” the “empty-can,” and the “Whipple” tests
Musculoskeletal Surgery, 2019Co-Authors: T. Ackmann, Kristian Nikolaus Schneider, Dominik Schorn, Carolin Rickert, Georg Gosheger, Dennis LiemAbstract:Purpose This study compares the clinical results of the Whipple, empty-can, and full-can tests to detect supraspinatus Tendon tears. We determined the sensitivities, specificities, and positive and negative predictive values of each test with respect to the intraoperative supraspinatus Tendon Lesion confirmation.
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Comparison of efficacy of supraspinatus Tendon tears diagnostic tests: a prospective study on the “full-can,” the “empty-can,” and the “Whipple” tests
MUSCULOSKELETAL SURGERY, 2019Co-Authors: T. Ackmann, Kristian Nikolaus Schneider, Dominik Schorn, Carolin Rickert, Georg Gosheger, Dennis LiemAbstract:Purpose This study compares the clinical results of the Whipple, empty-can, and full-can tests to detect supraspinatus Tendon tears. We determined the sensitivities, specificities, and positive and negative predictive values of each test with respect to the intraoperative supraspinatus Tendon Lesion confirmation. Methods We examined 61 patients (26 women, 35 men) presenting for arthroscopic surgery with functional disability or persisting shoulder pain. All the patients underwent Whipple, empty-can, and full-can testing. We correlated the clinical results of the tests with the confirmation of a supraspinatus Tendon Lesion by direct arthroscopic visualization. Results We examined 34 right and 27 left shoulders. For full and partial supraspinatus Tendon tears, the Whipple test showed a sensitivity of 88.6% and a specificity of 29.4%, whereas the empty-can test and the full-can test had sensitivities of 88.6% and 75.0%, and specificities of 58.8% and 47.1%, respectively. Conclusions Compared with the empty-can test and the full-can test, the Whipple test was less specific, while its sensitivity was equal to that of the empty-can test and higher than that for the full-can test. Because of its low specificity, the Whipple test has a high risk of false-positive results in comparison with the other tests.
