scholarly journals Management of Ankle Charcot Neuroarthropathy: A Systematic Review

2021 ◽  
Vol 10 (24) ◽  
pp. 5923
Author(s):  
Ahmed ElSayed Galhoum ◽  
Vineet Trivedi ◽  
Mohamed Askar ◽  
Sergio Tejero ◽  
Mario Herrera-Pérez ◽  
...  
Keyword(s):  
Systematic Review ◽  
Surgical Management ◽  
Current Practice ◽  
Inclusion Criteria ◽  
Management Options ◽  
Surgical Interventions ◽  
Articular Fracture ◽  
Charcot Neuroarthropathy ◽  
Pubmed Search ◽  
Repetitive Trauma

Background: Charcot neuroarthropathy is a non-infective, destructive process occurring in patients rendered insensate by peripheral neuropathy, which is caused mainly by diabetes. Repetitive trauma from standing and walking provides a neuro-traumatic stimulus that leads to dislocation, or peri-articular fracture, or both, within the ankle. This review concentrates on the management protocols regarding the ankle only. Methods: A Pubmed search for clinical trials performed to manage ankle Charcot neuroarthropathy and a systematic review of these articles were undertaken. Results: Twenty papers met the inclusion criteria: four of them describe non-surgical management, while the rest show different surgical management options of ankle Charcot neuroarthropathy. Conclusions: Surgical algorithms for the treatment of CN of the ankle are based almost entirely on level four. There is inconclusive evidence concerning the timing of treatment and the use of different fixation methods. Instability and ulceration are the main precursors for surgical interventions. Prospective series and randomized studies, albeit difficult to perform, are necessary to support and strengthen current practice.

Surgical management of acquired anterior glottic web: a systematic review

2019 ◽  
Vol 133 (10) ◽  
pp. 867-874
Author(s):  
J M Fussey ◽  
D Borsetto ◽  
S Pelucchi ◽  
A Ciorba
Keyword(s):  
Systematic Review ◽  
Mitomycin C ◽  
Outcome Measures ◽  
Surgical Management ◽  
Medical Literature ◽  
Surgical Techniques ◽  
Success Rates ◽  
Inclusion Criteria ◽  
Significant Challenge ◽  
Anterior Glottic Web

AbstractBackgroundAcquired anterior glottic web poses a significant challenge to laryngologists given its propensity to recur following treatment, and there are a wide variety of described techniques.MethodsA systematic review of the medical literature was undertaken in order to identify all articles pertaining to the management of acquired anterior glottic web.ResultsThirteen studies meeting the inclusion criteria were identified and analysed. All were retrospective series, with varying surgical techniques and outcome measures. Only two studies reported on the use of topical mitomycin C.ConclusionMucosal graft techniques and keel placement appear to improve success rates, but both carry risks and disadvantages. Based on the available evidence, the use of topical agents such as mitomycin C cannot be recommended in the management of acquired anterior glottic web.

A Systematic Review of Current Surgical Interventions for Charcot Neuroarthropathy of the Midfoot

2017 ◽  
Vol 56 (6) ◽  
pp. 1249-1252 ◽  
Author(s):  
Pejma Shazadeh Safavi ◽  
Daniel C. Jupiter ◽  
Vinod Panchbhavi
Keyword(s):  
Systematic Review ◽  
Surgical Interventions ◽  
Charcot Neuroarthropathy

Psychological pain and risk of suicide in adolescence

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Carmela Mento ◽  
Maria Catena Silvestri ◽  
Maria Rosaria Anna Muscatello ◽  
Amelia Rizzo ◽  
Laura Celebre ◽  
...  
Keyword(s):  
Systematic Review ◽  
Suicidal Ideation ◽  
Suicide Risk ◽  
Inclusion Criteria ◽  
Psychological Pain ◽  
Mental Pain ◽  
Search Terms ◽  
Bidirectional Relationship ◽  
Pubmed Search ◽  
And Behavior

AbstractPsychological pain or psychache is intolerable and unacceptable mental pain. This construct plays a key role in the risk of suicide in adolescence. This is a frequent condition in adolescents with depression; a variety of studies propose a bidirectional relationship between these two circumstances. Adolescents with psychological pain are exposed to the risk of suicidal ideation, and behavior. This review aimed to explore psychological pain in adolescents, and the correlation to the risk of suicide. We have conducted, following PRISMA guidelines, a systematic review for the literature on PubMed. Search terms were “Suicide risk in adolescents” AND “Mental Pain in adolescence” OR “Psychological Pain in adolescence”. An initial search identified publications 1189. A total of 15 studies met the predefined inclusion criteria and were analyzed. Mental pain is a stronger factor of vulnerability of suicidal ideation and behavior. Intense negative emotions, such as guilt, shame, hopelessness, may become a psychological pain in adolescence, and many studies showed a relation between psychological pain and capability for suicide.

Surgical Management of Charcot Neuroarthropathy of the Foot and Ankle: A Systematic Review

2012 ◽  
Vol 33 (2) ◽  
pp. 113-121 ◽  
Author(s):  
Nicholas J. Lowery ◽  
Jason B. Woods ◽  
David G. Armstrong ◽  
Dane K. Wukich
Keyword(s):  
Systematic Review ◽  
Surgical Management ◽  
Foot And Ankle ◽  
Charcot Neuroarthropathy

scholarly journals 1511 A Review of Non-Surgical Management of Hand Osteoarthritis

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
J Shah
Keyword(s):  
Hyaluronic Acid ◽  
Conservative Management ◽  
Structural Damage ◽  
Symptomatic Relief ◽  
Current Treatment ◽  
Hand Osteoarthritis ◽  
Loss Of Function ◽  
Inclusion Criteria ◽  
Management Options ◽  
Surgical Interventions

Abstract Introduction Hand osteoarthritis (OA) is a common musculoskeletal condition leading to pain and loss of function. Current treatment aims to target the symptoms of hand OA involving a combination of non-surgical and surgical interventions. During the COVID-19 pandemic, there has been a renewed interest in conservative management. The purpose of this article is to review non-surgical therapies in hand OA, their mechanism of action and efficacy. Method An online search of PubMed for articles between 1st January 2004- 1st February 2020 was performed according to specific terms and agreed inclusion criteria. Results The search produced 289 results of which 28 met the inclusion criteria comprising 13 RCTs, 8 systematic reviews, 5 clinical trials and 2 international guidelines. Conclusions Topical NSAIDs remain first-line pharmacological agents in the management of hand OA. Increasingly, oral NSAIDs have been recommended however their use must be balanced against their potential adverse effects. Supplementation with chondroitin sulfate may help to delay the structural damage in hand OA, which may reduce the need for oral NSAIDs. Intra-articular injections of hyaluronic acid and corticosteroids are effective treatments and provide longer symptomatic relief, additionally hyaluronic acid may improve function over a longer period of time. Targeted hand exercises are widely recommended however may only provide short-term improvements and vary according to the different subtypes of hand OA. In summary, there are multiple conservative management options for hand OA which should be considered prior to operative intervention given the current restrictions on surgical practice.

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