Occupational and non occupational metacarpal bone fractures at the Mansoura University Emergency Hospital: A comparative study

2019 ◽  
Vol 35 (3) ◽  
pp. 248-255
Author(s):  
Samah Saleh El-Hadidy ◽  
Abdel-Hady El-Gilany ◽  
Khalid Nour ◽  
Enas Elsherbeny ◽  
Abdel Hamied Abdel Hamied
Keyword(s):  
Comparative Study ◽  
Bone Fractures ◽  
Handgrip Strength ◽  
Hand Function ◽  
Metacarpal Bone ◽  
Dash Score ◽  
Labour Law ◽  
Cross Sectional ◽  
Emergency Hospital ◽  
Metacarpal Fractures

Introduction Metacarpal fractures of the hand occur in active and working population. Objective The objective of this article is to compare between occupational and non occupational metacarpal fractures. Methods This is a cross-sectional comparative study with prospective components among patients with metacarpal fractures admitted to the Mansoura University Emergency Hospital in a 6-month period. Data were collected using a questionnaire that included personal and occupational histories and accident analysis. Clinical and radiological assessment of healing was done by DASH score and handgrip strength. Disability was estimated according to the Egyptian Labour Law. Results Of 149 patients, 56.4% and 43.6% were occupational and non occupational metacarpal fractures, respectively. The independent predictors of occupational metacarpal fracture are less than secondary education (adjusted odds ratio (AOR) = 4.2 (2–8.4)), being married (AOR = 4.2 (2.1–8.5)), and being a male (AOR = 7 (2.5–20)). Conclusions Lower education, being married, and being a male are risk factors of occupational metacarpal fractures. Surgery showed better hand function than conservative management.

FUNCTIONAL OUTCOME IN PERCUTANEOUS ELASTIC STABLE INTRAMEDULARY NAILING TECHNIQUE OF METACARPAL BONE FRACTURE

2021 ◽  
pp. 30-32
Author(s):  
Sunil Malhotra ◽  
Mohd. Shifa Hasan ◽  
Arunim Swarup ◽  
Neeraj Kumar Verma
Keyword(s):  
Functional Outcome ◽  
Metacarpal Bone ◽  
Bony Union ◽  
Dash Score ◽  
Metacarpal Fracture ◽  
Active Motion ◽  
Metacarpal Fractures ◽  
Effective Treatment Modality ◽  
Total Active Motion ◽  
Excellent Functional Outcome

AIMS AND OBJECTIVES: The aim of this study was to evaluate functional outcome of metacarpal fractures managed by percutaneous elastic stable intramedullary nails along with its functional outcome. METHOD: The extra-articular metacarpal fracture were managed by inserting two pre-bent elastic stable nails in antegrade manner after making entry point (dorso-medialy and dorso-lateraly) through base of the metacarpal bone. The nails act as three point xation and provide stable xation. Early mobilisation is commenced for providing early healing and decrease postoperative decreased range of motion at metacarpophalangeal/interphalangeal joints and stiffness. Nails were removed 3 week after radiological sign of union. RESULTS: 32 extra-articular metacarpal fractures treated with percutaneous elastic stable nails were evaluated between 1 2 September 2018 to 31 August 2020. The functional outcome was assessed using disability arm shoulder and hand (DASH) score with mean score th 1 of 2 at 6 month follow-up and total active motion (TAM) score which was excellent in 81.2% of the patients (n=26), good in 9.4% of cases (n=3), fair in 9.4% of the cases (n=3).All fracture proceeded to bony union. CONCLUSIONS: It was concluded that indirect reduction and early xation with percutaneous elastic stable intramedullary nailing with 2 nails is very safe and effective treatment modality for extra-articular metacarpal fracture with excellent functional outcome.

Hand Function as Predictor of Motor Symptom Severity in Individuals with Parkinson’s Disease

Gerontology ◽  
2021 ◽  
pp. 1-8
Author(s):  
Thiago da Silva Rocha Paz ◽  
Vera Lúcia Santos de Britto ◽  
Bruna Yamaguchi ◽  
Vera Lúcia Israel ◽  
Alessandra Swarowsky ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Symptom Severity ◽  
Rating Scale ◽  
Handgrip Strength ◽  
Statistical Significance ◽  
Hand Function ◽  
Freezing Of Gait ◽  
Motor Symptom ◽  
Cross Sectional

<b><i>Introduction:</i></b> Parkinson’s disease (PD) leads to deficits in upper limb strength and manual dexterity and consequently resulting in functional impairment. Handgrip strength is correlated with the motor symptom severity of the disease, but there is a gap in the literature about the influence of freezing in PD patients. <b><i>Objective:</i></b> The objective is to study the correlation between handgrip strength and motor symptom severity considering the freezing phenomenon and to verify variables that can predict Unified Parkinson’s Disease Rating Scale (UPDRS) III. <b><i>Methods:</i></b> This is a multicenter cross-sectional study in PD. 101 patients were divided into 2 groups: freezing of gait (FOG) (<i>n</i> = 51) and nonfreezing (nFOG) (<i>n</i> = 52). Freezing of Gait Questionnaire (FOGQ); UPDRS II and III sections; Hoehn and Yahr (HY) scale; handgrip dynamometry (HD); 9 Hole Peg Test (9-HPT) were assessed. <b><i>Results:</i></b> In both groups, HD was correlated to UPDRS III (nFOG: −0.308; FOG: −0.301), UPDRS total (nFOG: −0.379; FOG: −0.368), UPDRS item 23 (nFOG: −0.404; FOG: −0.605), and UPDRS item 24 (nFOG: −0.405; FOG: −0.515). For the correlation to UPDRS II (0.320) and 9-HPT (−0.323), only nFOG group presented significance. For the UPDRS 25 (−0.437), only FOG group presented statistical significance. The UPDRS III can be predicted by 9-HPT, age, and HY in nFOG patients (Adjusted <i>R</i><sup>2</sup> = 0.416). In FOG group, UPDRS III can be predicted by HD, 9-HPT, age, and HY (Adjusted <i>R</i><sup>2</sup> = 0.491). <b><i>Conclusion:</i></b> Handgrip strength showed to be predictive of motor impairment only in the FOG group. Our results showed clinical profile differences of motor symptoms considering freezers and nonfreezers with PD.

scholarly journals Arm and hand function in hemodialysis patients. A cross sectional analytical study

2020 ◽  
Vol 30 (1) ◽  
pp. 35301
Author(s):  
Renato Mitsunori Nisihara ◽  
Danielle Fonseca ◽  
Jessica Kavilhuka ◽  
Paulo Tenorio ◽  
Thelma Skare
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Upper Limb ◽  
Handgrip Strength ◽  
Hand Function ◽  
Hemodialysis Patients ◽  
Limb Function ◽  
Cross Sectional ◽  
Upper Limb Function ◽  
Boston Questionnaire

Aims: To investigate the arm and hand function in hemodialysis patients.Methods: Upper limb function using validated questionnaires such as Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), Cochin and Boston were applied to 57 chronic renal failure patients on hemodialysis and 60 healthy controls. Epidemiological data, data on pain and paresthesia in the upper limb and handgrip strength were obtained.Results: The three questionnaires showed worse performance of upper limb function in chronic renal failure patients than controls: DASH questionnaire with P = 0.05; Cochin questionnaire with P = 0.0004 and Boston questionnaire with P = 0.03. The questionnaire scores were affected by presence of pain (P = 0.05 for DASH and < 0.0001 for Boston questionnaires) and paresthesia (DASH with P = 0.003; Cochin with P = 0.01 and Boston questionnaire with P < 0.0001). Handgripstrength was lower in hemodialysis patients when compared with controls (P = 0.02) but did not affect the performance of any of the studied questionnaires.Conclusions: Upper limb function is impaired in hemodialysis patients and the main associations found were with pain and paresthesia.

scholarly journals Initial stages of hand osteoarthritis do not affect the extrinsic muscles of the hand: a cross-sectional study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Natália Barbosa Tossini ◽  
André Luis Simões Zacharias ◽  
Luiza Souza Seraphim Abrantes ◽  
Paula Regina Mendes da Silva Serrão
Keyword(s):  
Grip Strength ◽  
Handgrip Strength ◽  
Hand Function ◽  
Initial Assessment ◽  
Control Group ◽  
Hand Osteoarthritis ◽  
Strong Negative Correlation ◽  
Cross Sectional ◽  
Extensor Torque ◽  
And Function

AbstractThe objective of this study was to verify whether women in the initial stages of hand osteoarthritis (HOA) already have impaired grip strength and flexor and extensor torque of the wrist compared to healthy women. It also aimed to correlate these variables with pain, stiffness, and function of the hand. Twenty-six women were divided into a control group [CG, n = 13; 56 (51–61) years old] and a hand osteoarthritis group [HOAG, n = 13; 58 (53–63) years old]. Grades II and III were included in the HOA group according to the criteria of Kellgren and Lawrence. All volunteers answered an initial assessment form, the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and the Australian/Canadian Hand Osteoarthritis Index (AUSCAN). The grip strength and isometric wrist flexor and extensor torque were evaluated by a hydraulic dynamometer. Comparisons between groups used Student’s t test for independent samples and the Mann–Whitney test. Spearman's correlation was used to correlate grip strength and flexor and extensor wrist torque to the degree of disease and DASH and AUSCAN scores. There were no differences between the groups in grip strength or flexor and extensor torque values. In terms of the DASH and the AUSCAN, the HOA group had higher scores, indicating worse hand function. A strong negative correlation was found between grip strength and the degree of HOA (r =  − 0.70, p = 0.008), and a moderate positive correlation was found between flexor torque and the degree of HOA (r = 0.53, p = 0.05). The pain (r =  − 0.61, p = 0.02) and function (r =  − 0.66, p = 0.01) sections of the AUSCAN correlated negatively with grip strength. Pain can be an important feature in the HOA rehabilitation process, as it can influence handgrip strength and function. It is important that rehabilitation is implemented as soon as possible to guarantee the maintenance of strength and function since with the severity of the disease, patients tend to have deficits in grip strength and function.

SIGNIFICANCE OF PLACENTAL HISTOPATHOLOGICAL FINDINGS IN PRETERM/TERM BIRTH

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Monika Kushwaha ◽  
Sanjeev Narang
Keyword(s):  
Preterm Birth ◽  
Comparative Study ◽  
Pregnancy Outcome ◽  
Neonatal Morbidity ◽  
Research Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Chorionic Villi ◽  
Term Birth ◽  
Medical College

Background: This study is cross-sectional, observational and comparative study, at Index Medical College, Hospital & Research Centre, Indore, Madhya Pradesh from July 2017 to July 2019 with sample size 100 placentae. Method: The placenta received was evaluated blinded of maternal pregnancy outcome. The pattern of morphology was evaluated both qualitatively (type of lesion) and quantitatively (number of lesions). Result: In Present study 79% of the deliveries were term deliveries and 21% were preterm deliveries. On placental macroscopy, placenta weight was significantly low among the neonates of preterm deliveries (370.00±60.49) as compared to term deliveries (440.89±55.22). Preterm placenta had higher number of abnormal placental lesion compared to term pregnancies. Conclusion: The uteroplacental insufficiency defined as placental infarct, fibrosis of chorionic villi, thickening of blood vessels, and poor vascularity of chorionic villi. Placental histopathological lesions are strongly associated with maternal under perfusion and uteroplacental insufficiency. These are the reasons for preterm birth. Thus, knowledge of the etiological factor can be use to reduce maternal and neonatal morbidity and mortility. Keywords: Placenta, Term & Preterm.

Glittre ADL test in eutrophic, overweight and obese elderly

2020 ◽  
Vol 21 (1) ◽  
pp. 49
Author(s):  
Augusto Baumhardt Guidoti ◽  
Ângelo Pereira Cattani ◽  
Cintia Laura De Araujo ◽  
Fernanda Beatriz Costa Delacoste ◽  
Guilherme Scotta Hentschke ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Capacity ◽  
Elderly Women ◽  
Handgrip Strength ◽  
Exercise Intolerance ◽  
World Health ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
World Health Organization Quality

The Glittre ADL-test (TGlittre) has been designed and validated to measure functional capacity during daily living activities in patients with chronic obstructive pulmonary disease (COPD) but is now used in several other situations. The aim of this study was to evaluate the applicability of TGlittre in a sample of overweight and obese eutrophic elderly. This was an experimental and cross-sectional study, which included 21 elderly women, allocated by BMI, in eutrophic (n = 8), overweight (n = 6) and obese (n = 7) groups. They were assessed for functional capacity (TGlittre and 6MWT), quality of life (QOL) with the questionnaire World Health Organization Quality of Life for Older People (WHOQOL-OLD) and handgrip strength (HGS). TGlittre correlated with age (p = 0.0040) and with 6MWT (p = 0.0086), but no statistical difference was found in TGlittre's performance time and the distance covered in 6MWT between groups. TGlittre did not correlate with HGS (p = 0.1493) and WHOQOL-Old (p = 0.0905). The data obtained in the present study corroborate that TGlittre is used as a functional measurement variable in the elderly population.Keywords: aged, obesity, exercise intolerance.­­­

scholarly journals Home-Measured Blood Pressure Is Associated with Handgrip Strength in Patients with Type 2 Diabetes: The KAMOGAWA-HBP Study

2021 ◽  
Vol 10 (9) ◽  
pp. 1913
Author(s):  
Tomonori Kimura ◽  
Emi Ushigome ◽  
Yoshitaka Hashimoto ◽  
Naoko Nakanishi ◽  
Masahide Hamaguchi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Pulse Pressure ◽  
Handgrip Strength ◽  
Cross Sectional Study ◽  
Home Blood Pressure ◽  
Cross Sectional ◽  
The Relationship ◽  
At Home

The association between blood pressure measured at home and handgrip strength in patients with diabetes has not been investigated. Therefore, in this study, we aimed to assess this association among patients with type 2 diabetes. In this cross-sectional study, 157 patients with type 2 diabetes underwent muscle tests and morning and evening blood-pressure measurements at home in triplicate for 14 consecutive days throughout the study period. Univariate and multivariate regression analyses were conducted to analyze the relationship between home blood-pressure parameters and handgrip strength. The average age and hemoglobin A1c of the patients were 70.5 years and 7.1%, respectively. Morning diastolic blood pressure of [β (95% confidence interval; CI): 0.20 (0.03, 0.37)] was associated with handgrip strength in men, while morning systolic blood pressure of [−0.09 (−0.15, −0.04)], morning pulse pressure of [−0.14 (−0.21, −0.08)], and evening pulse pressure of [−0.12 (−0.19, −0.04)] were associated with handgrip strength in women. Home-measured blood pressure was associated with handgrip strength. Sex differences were found in the relationship between home blood-pressure parameters and handgrip strength.

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