The Experts below are selected from a list of 1596 Experts worldwide ranked by ideXlab platform
Sheel Sharma - One of the best experts on this subject based on the ideXlab platform.
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closed mallet Thumb Injury a review of the literature and case study of the use of magnetic resonance imaging in deciding treatment
Plastic and Reconstructive Surgery, 2009Co-Authors: Georges Tabbal, Nicholas Bastidas, Sheel SharmaAbstract:Summary:At present, the literature dedicated to closed mallet Thumb Injury offers conflicting evidence between conservative and operative approaches. Although conservative treatment is often successful, retraction of the extensor pollicis tendon may lead to improper reattachment and continued deform
Georges Tabbal - One of the best experts on this subject based on the ideXlab platform.
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closed mallet Thumb Injury a review of the literature and case study of the use of magnetic resonance imaging in deciding treatment
Plastic and Reconstructive Surgery, 2009Co-Authors: Georges Tabbal, Nicholas Bastidas, Sheel SharmaAbstract:Summary:At present, the literature dedicated to closed mallet Thumb Injury offers conflicting evidence between conservative and operative approaches. Although conservative treatment is often successful, retraction of the extensor pollicis tendon may lead to improper reattachment and continued deform
Nicholas Bastidas - One of the best experts on this subject based on the ideXlab platform.
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closed mallet Thumb Injury a review of the literature and case study of the use of magnetic resonance imaging in deciding treatment
Plastic and Reconstructive Surgery, 2009Co-Authors: Georges Tabbal, Nicholas Bastidas, Sheel SharmaAbstract:Summary:At present, the literature dedicated to closed mallet Thumb Injury offers conflicting evidence between conservative and operative approaches. Although conservative treatment is often successful, retraction of the extensor pollicis tendon may lead to improper reattachment and continued deform
Jan Fritz - One of the best experts on this subject based on the ideXlab platform.
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evidence based use of clinical examination ultrasonography and mri for diagnosing ulnar collateral ligament tears of the metacarpophalangeal joint of the Thumb systematic review and meta analysis
European Radiology, 2021Co-Authors: Ali Rashidi, Arya Hajmirzaian, Danoob Dalili, Benjamin Fritz, Jan FritzAbstract:To determine the performances of clinical examination, ultrasonography, and MRI for diagnosing non-displaced and displaced ulnar collateral ligament (UCL) tears. Based on a literature search of Medline, ISI Web of Science, Embase, and Scopus between January 1990 and December 2019, all published original articles which met the inclusion criteria were included. We determined the pooled sensitivities, specificities, and accuracies of clinical examination, ultrasonography, and MRI using a meta-analysis based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses–Diagnostic Test Accuracy (PRISMA-DTA) guidelines. A total of 17 studies with 519 subjects reporting diagnostic performances of clinical examination (8), ultrasonography (12), and MRI (5) met the inclusion criteria. For ruling out UCL tears, the pooled sensitivities were similarly high for clinical examination (97% (95% confidence interval [CI], 93–99%)), ultrasonography (96% (95% CI, 94–98%)), and MRI (99% (95% CI, 92–100%)) (p = 0.3). For ruling in UCL tears, the pooled specificities were higher for MRI (100% (95% CI, 87–100%)) when compared to ultrasonography (91% (95% CI, 86–95%)) (p = 0.1) and clinical examination (85% (95% CI, 78–91%)) (p = 0.04). For the diagnosis of displaced UCL tears, MRI had a higher specificity (92% (95% CI, 73–99%)) than ultrasonography (72% (95% CI, 63–80%)) (p = 0.2). Clinical examination, ultrasonography, and MRI have similarly high sensitivities for ruling out UCL tears in patients presenting with a Thumb Injury. MRI and ultrasonography have high specificities to confirm the presence of suspected UCL tears. MRI performs best for differentiating non-displaced from displaced UCL tears. • Clinical examination followed by ultrasonography is the most appropriate test for ruling out ulnar collateral ligament (UCL) tears of the Thumb. • MRI and ultrasonography both have high specificities to confirm the presence of a suspected UCL tear. • MRI outperforms ultrasonography for differentiating non-displaced from displaced UCL tears.
Ebrahim Paryavi - One of the best experts on this subject based on the ideXlab platform.
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motorcyclist s Thumb carpometacarpal injuries of the Thumb sustained in motorcycle crashes
Journal of Hand Surgery (European Volume), 2016Co-Authors: C Alexander, Joshua M Abzug, Aaron J Johnson, Raymond A Pensy, W A Eglseder, Ebrahim ParyaviAbstract:The purpose of this study was to investigate motorcycle crash Thumb Injury patterns. We hypothesized that ulnar collateral ligament injuries at the Thumb metacarpophalangeal joint would be most common and there would be a side predilection due to the clutch and brake positions. Motorcyclist admissions following Injury between 2002 and 2013 were reviewed, and phalangeal and metacarpal injuries treated acutely identified. Demographics, Injury, and treatment characteristics were recorded. Association between laterality and Injury type was assessed. Of 128 patients, 59 underwent acute treatment for Thumb injuries. Eleven patients sustained Thumb ulnar collateral ligament injuries; 27 sustained Thumb carpometacarpal injuries. Most carpometacarpal injuries were fracture-dislocations (19/27). Thumb carpometacarpal injuries had no overall side predilection; ulnar collateral ligament injuries occurred more on the right. Carpometacarpal fractures and dislocations are the most frequent motorcycle crash Thumb Injury, probably due to the mechanics of gripping handlebars and the high-energy force directed into the palm and against the metacarpal base. LEVEL OF EVIDENCE: Level IV. Language: en