نتائج البحث - "Christine Detrembleur"

1

Touch® double mobility arthroplasty for trapeziometacarpal osteoarthritis: outcomes for 92 prostheses

المؤلفون: Pauline Gonzalez-Espino, Daniel Goffin, Morgane Pottier, Christine Detrembleur

المساهمون: UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur

المصدر: Hand Surgery and Rehabilitation, (2021)

الوصف: Trapeziometacarpal prostheses have been used in the treatment of first carpometacarpal joint osteoarthritis for many years. No studies have demonstrated statistical superiority over gold-standard trapeziectomy, but they have been proved to enable shorter convalescence, better pain relief and faster functional recovery. The aims of the present study were to report functional results in a large cohort treated with the Touch® new-generation dual mobility trapeziometacarpal prosthesis, with comparison to results in the literature. A retrospective study included 92 Touch® prostheses. Assessment comprised pre- and post-operative pain, QuickDASH score and satisfaction rate. Mean follow-up was 1.33 ± 0.4 years. Pain significantly improved after surgery. Functional QuickDASH scores did not significantly differ from those reported in the age-matched general population. Return to work was fast, at 2.6 months. Satisfaction scores were high. There were no major complications such as dislocation, fracture or loosening, but the rate of De Quervain’s tenosynovitis was higher than in other studies. The Touch® prosthesis appeared to be a safe and stable implant, providing good satisfaction and very good functional scores and fast return to work and leisure activity. Considering the high rate of postoperative De Quervain’s tenosynovitis, we suggest opening the first sheath of the extensors tendons while positioning the prosthesis.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a43424d28714bf82be5f4880f607f5f7Test
https://doi.org/10.1016/j.hansur.2021.08.005Test

2

Locally developed external fixators as definitive treatment of open tibia diaphyseal fractures: a clinical prospective study conducted in Ivory Coast

المؤلفون: Michel Kodo, Christine Detrembleur, Olivier Cornu, Kouamé Jean-Eric Kouassi, Loïc Fonkoue, Jean Regis Akobe, Adélaide Aya Kouassi

المساهمون: UCL - SSS/IREC/MORF - Pôle de Morphologie, UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur

المصدر: International orthopaedics, Vol. 46, no.1, p. 79-87 (2022)

الوصف: BACKGROUND: This study sought to evaluate the effectiveness of locally developed external fixators (LDEF) as definitive treatment for open tibia diaphyseal fractures (OTDF) in Ivory Coast. METHODS: Gustilo I, II, and IIIA OTDFs of patients admitted within 24 hours of injury were prospectively included and treated with LDEF. The rates of union, mal-union, septic complications, as well as the functional results were assessed, in addition to the LDEF construct's integrity. Predictive factors of failure or poor results were assessed. RESULTS: Overall, 40 OTDF patients were admitted within 24 hours of injury. Gustilo I, II, and IIIA fractures were observed in three, 13, and 24 patients, respectively. Uneventful fracture healing was obtained in 29 cases, with an average union time of 8.47 months. Mal-union and non-union were registered in three and four cases, respectively. Pin-track infection (PTI) was observed in 13 cases and deep infection in seven. Infection resolved in all patients except four, who developed chronic osteomyelitis. None of the non-unions were associated with an infection. The overall functional result was satisfactory in 32 patients. PTI was the only predictive factor for chronic infection. Biplanar frames, when compared to monoplanar constructs, were associated with a significantly improved functional outcome. CONCLUSION: LDEF improved significantly the OTDF management, as it provided better stability and superior fracture healing rates than what is observed with the standard of care in the same environment. PTI remains an essential problem but with, hopefully, limited negative consequences.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8dee4b75efbd89b4de357869e71b8f50Test
https://doi.org/10.1007/s00264-021-05073-7Test

3

Trapeziometacarpal prosthesis: an updated systematic review

المؤلفون: S. Remy, Olivier Barbier, M. Bonnelance, Xavier Libouton, Christine Detrembleur

المساهمون: UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur

المصدر: Hand Surgery and Rehabilitation, Vol. 39, no. 6, p. 492-501 (2020)

الوصف: The trapeziometacarpal prosthesis is mostly used in Europe to treat osteoarthritis of the basal joint of the thumb. Its supposed benefits are that it restores the length of the thumb, improves strength, function and mobility while reducing recovery time compared to other surgical treatments. However, previous reviews of the literature could not confirm these assumptions. This article provides an updated systematic review to help answer to these questions through a methodical statistical analysis and to quantify the two main complications, namely failure and deep infection. To achieve these aims, a selection of articles including implant case series was done in the Medline database based on specific criteria. Data about pain, function, strength, infection, and failure were compiled and a statistical analysis was performed. Results show a fast recovery in terms of pain and function but the positive effect on strength seems limited. The failure rate represented by the revision rate is high and the deep infection rate is fairly low. Randomized controlled studies are needed to obtain reliable data to compare the prosthesis to other surgical treatments. [La prothèse trapézo-métacarpienne: revue de la littérature mise à jour] La prothèse trapézo-métacarpienne est principalement implantée en Europe pour traiter la rhizarthrose. Ses avantages supposés sont la restauration de la longueur du pouce, la diminution de la douleur, l'amélioration de la force, de la fonction et de la mobilité avec un temps de récupération postopératoire restreint par rapport aux autres traitements chirurgicaux. Les précédentes revues de la littérature n'ont cependant pas permis de confirmer ces suppositions. Le présent article est une revue de la littérature mise à jour afin d'apporter une partie des réponses à ces questions à travers une analyse statistique méthodique et de quantifier deux complications majeures à savoir l'échec et l'infection profonde. Pour atteindre ces objectifs, une sélection d'articles rapportant des séries de prothèses a été réalisée suivant des critères spécifiques dans la base de données Medline. L'ensemble des données concernant la douleur, la fonction, la force, l'échec et l'infection ont été répertoriées et une analyse statistique a été effectuée. Les résultats ont montré une amélioration postopératoire rapide en termes de douleur et de fonction, mais l'effet positif sur la force semble limité. Le taux d'échec, représenté par le taux de révision, est élevé et le taux d'infection profonde est particulièrement bas. Des études randomisées contrôlées seraient intéressantes afin d'obtenir des données fiables permettant la comparaison avec les autres traitements chirurgicaux de la rhizarthrose.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bbbb2f21d6e802ac5b3f48f4db2b9691Test
https://doi.org/10.1016/j.hansur.2020.08.005Test

4

Current versus revised anatomical targets for genicular nerve blockade and radiofrequency ablation: evidence from a cadaveric model

المؤلفون: Christine Detrembleur, Loïc Fonkoue, Bernard le Polain de Waroux, Arnaud Steyaert, Catherine Behets, Jean-Eric Kouame Kouassi, Olivier Cornu

المساهمون: UCL - SSS/IONS - Institute of NeuroScience, UCL - SSS/IONS/CEMO - Pôle Cellulaire et moléculaire, UCL - SSS/IONS/NEUR - Clinical Neuroscience, UCL - SSS/IREC/MORF - Pôle de Morphologie, UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service d'anesthésiologie, UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur

المصدر: Regional Anesthesia and Pain Medicine, Vol. 45, no. 8, p. 603-609 (2020)

الوصف: IntroductionRecent studies have proposed revised anatomical targets to improve accuracy of genicular nerve (GN) radiofrequency ablation (RFA). This study aims to compare the accuracy of classical and revised techniques for fluoroscopic-guided GN-RFA in cadaveric models.Materials and methodsFourteen knees from seven fresh frozen human cadavers were included in this study. For each cadaver, RF cannulas were placed to capture the GN according to the current targets in one knee, and the revised targets in the other knee, randomly. The stylet was removed from the cannula, plunged into non-diffusible black paint, and reintroduced entirely in the cannula, to create a limited black spot on the tissues at the top of the active tip. Anatomical dissection was performed, and the accuracy of both techniques was compared.ResultsThe mean distance from the top of the active tip to the nerve was significantly lower with revised than current targets for the superior-medial GN (0.7 mm vs 17.8 mm, p=0.01) and the descending branch of the superior-lateral GN (3.7 mm vs 24.4 mm, p=0.02). In both superior-medial GN and superior-lateral GN, the accuracy rate was higher with revised than current targets: 100% vs 0% and 64% vs 35%, respectively. In addition, the accuracy of revised targets for the recurrent fibular nerve and the infrapatellar branch of saphenous nerve was 100%.ConclusionThis study demonstrates that the revised targets are more accurate than the current targets for GN-RFA.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a2c74f79c6cd94f97dfe36ee44b84eecTest
https://doi.org/10.1136/rapm-2020-101370Test

5

RELIABILITY AND VALIDITY OF THE HIP ABDUCTOR ISOMETRIC ENDURANCE TEST: A NEW METHOD TO ASSESS THE ENDURANCE OF THE HIP ABDUCTORS

المؤلفون: Christine Detrembleur, Véronique Feipel, Philippe Mahaudens, Joachim Van Cant

المصدر: International Journal of Sports Physical Therapy. 15:238-245

مصطلحات موضوعية: medicine.medical_specialty, Muscle fatigue, biology, business.industry, Context (language use), 030229 sport sciences, Isometric exercise, biology.organism_classification, Test (assessment), 03 medical and health sciences, Medius, 0302 clinical medicine, Physical medicine and rehabilitation, Median frequency, medicine, Hip abductor, business, 030217 neurology & neurosurgery, Reliability (statistics)

الوصف: Background Substantial deficits in the performance of the hip abductor muscles are reported in females with common lower extremity conditions. In this context, the hip abductor isometric test (HAIE) test has been developed to assess the endurance of the hip abductors. Purposes The aims of the study were: 1) to assess the test-retest reliability of the HAIE test and 2) to determine if the HAIE test is valid for the measuring hip abductor muscle fatigue. Design Diagnostic accuracy of clinical tests; test retest reliability and validity. Methods Fifty-two healthy females, aged 18-30 years, were recruited. In two identical sessions, spaced by seven days, the participants performed the HAIE test and the test-retest reliability (ICC, SEM and MDC) was calculated. In ten subjects, surface EMG was used during the test in order to observe the change in the median frequency of EMG output of the gluteus medius and to determine if decrease of the median frequency is correlated with performance on the test, in order to discern validity. Results The HAIE test demonstrated good test-retest reliability (ICC = 0.84, SEM = 11.5 seconds and MDC = 32.8 seconds). Significant differences were noted between the average median frequency of participants for the last four fifteen second intervals (p = 0.02). Moderate correlation between MFslope and endurance time (r = 0.56, p = 0.008) and strong correlation between MFslope75s and endurance time (r = 0.71, p = 0.001) were found. Conclusion The results from this study support that the HAIE test is a reliable test for evaluating the endurance of the hip abductors. Further investigations should continue to explore the validity of the test, especially to determine which muscles limit the endurance time in healthy and unhealthy subjects. Level of evidence 2b.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::e136ae7d7236383a1e1656e792646b26Test
https://doi.org/10.26603/ijspt20200238Test

6

Kinematic cervical rotation performance in patients with acute non-specific neck pain during the DidRen test improves after manual mobilizations regardless of the painful spinal level

المؤلفون: Christine Detrembleur, Laurent Pitance, Jean-Michel Brismée, Nathalie Roussel, Frédéric Dierick, Renaud Hage

مصطلحات موضوعية: medicine.medical_specialty, Neck pain, business.industry, Spinal level, Kinematics, Rotation, Test (assessment), Text mining, Physical medicine and rehabilitation, Non specific, Medicine, In patient, medicine.symptom, business

الوصف: Background: Evaluation of kinematic axial cervical rotation performance is of major importance in the context of studying sensorimotor control of the neck. However, studies are missing on acute neck pain, on the influence of the level of provocation of spinal pain, and on the potential benefits of manual therapy mobilizations. Methods: A non-randomized prospective trial with intervention assessed the influence of acute non-specific neck pain on kinematic parameters during a fast axial head rotation task standardized with the DidRen laser test device. First, we compared kinematic parameters between patients and healthy controls. Second, we assessed whether upper or lower spinal pain location influenced these kinematic parameters. Finally, we examined the short-term effect of passive cervical mobilizations in patients on these kinematic variables. Results: We observed that patients were significantly slower (total time) to perform the DidRen laser test (4.5 s; p; pppp-1; p-1; p-2; p-2; p-1; p-1; p-2; ppp; ppp

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::1a54c58a84ef97d96a295176f90225dfTest
https://doi.org/10.21203/rs.3.rs-403229/v1Test

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A Comparison of Genicular Nerve Blockade With Corticosteroids Using Either Classical Anatomical Targets vs Revised Targets for Pain and Function in Knee Osteoarthritis: A Double-Blind, Randomized Controlled Trial

المؤلفون: Julien Lebleu, Olivier Cornu, Catherine Behets, Christine Detrembleur, Hermann Fossoh, Jean-Eric K Kouame, Loïc Fonkoue, Arnaud Steyaert, Eric Bandolo

المصدر: Pain medicine (Malden, Mass.). 22(5)

الوصف: Objective Compare the effectiveness of genicular nerve blockade (GNB) using classical anatomical targets (CT) versus revised targets (RT) in patients suffering from chronic knee osteoarthritis pain. Design Double-blinded randomized controlled trial. Setting Pain medicine center of a teaching hospital. Methods We randomly assigned 55 patients with chronic knee osteoarthritis pain to receive a GNB (using a fluid mixture of 2 mL: lidocaine 1% + 20 mg triamcinolone) with either classical targets (CT-group, n = 28) or revised targets (RT-group, n = 27). Numeric rating pain scale (NRS), Oxford knee score (OKS), Western Ontario and McMaster Universities osteoarthritis index score (WOMAC), Quantitative analgesic questionnaire (QAQ) and global perceived effects were assessed at baseline, and at 1-hour, 24-hours, 1, 4, and 12 weeks post-intervention. Results The RT-group showed greater reduction in NRS mean score at 1-hour post-intervention (2.4 ± 2.1 vs 0.4 ± 0.9, 95% confidence interval (CI) [.0–.8] vs [1.6–3.2], P Conclusions The revised technique allowed more pain relief as well as greater proportion of successful responders at 1-hour post intervention. The large volume injected during therapeutic GNB could have compensated the lack of precision of the classical anatomical targets, mitigating differences in outcomes between both techniques.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ca798c07e3d53104ecb4d6953895051aTest
https://pubmed.ncbi.nlm.nih.gov/33538816Test

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Effects of Mulligan Mobilization with Movement in Subacute Lateral Ankle Sprains: A Pragmatic Randomized Trial

المؤلفون: Anh Phong Nguyen, Toby Hall, Laurent Pitance, Yuval David, Philippe Mahaudens, Christine Detrembleur, Benjamin Hidalgo

المصدر: J Man Manip Ther

مصطلحات موضوعية: Lateral ankle, medicine.medical_specialty, business.industry, Physical Therapy, Sports Therapy and Rehabilitation, Mulligan, Articles, law.invention, Mobilization with movement, Randomized controlled trial, law, Physical therapy, Medicine, Humans, Ankle Injuries, Manual therapy, business, Ankle sprain, human activities

الوصف: Objective: In a pragmatic and randomized clinical trial, patients with lateral ankle sprains were assessed, under blinded conditions, for their responsiveness and improvements during Mulligan mobilization-with-movement (MWM) therapy. Methods: Overall, 51 participants with subacute lateral ankle sprains (Grade I–II) were recruited. Following an MWM screening procedure, responders were randomized to either an intervention group (MWM) or a sham group. The MWM group received inferior tibiofibular, talocrural, or cubometatarsal MWM. The treatment or sham was administered upon three sessions, each 4 days apart. Changes from baseline were measured and compared between the sessions for dorsiflexion range of motion, pain, stiffness perception, and the Y-balance test. Results: In total, 43 participants were considered responders to MWM. Using a two-way repeated-measure ANOVA, a statistical and clinically meaningful improvement in dorsiflexion range of motion was revealed in the MWM group (p = 0.004, 1(rst) = +1.762 cm; 3(rd) = +2.714 cm), whereas no improvement following the first session occurred in the sham group (p = 0.454, 1(rst)trial = +1.091 cm; 3(rd)trial = +1.409 cm). Pain and stiffness significantly improved, yet below the clinically meaningful level. The MWM group demonstrated a significant improvement after three sessions for the Y-balance test (p = 0.001, +8.857 cm). Conclusion: More than 80% of participants with subacute lateral ankle sprains responded well to the MWM approach. Three sessions of pragmatically determined MWM provided a significant and clinically meaningful benefit in dorsiflexion range of motion and Y-balance test performance compared to a sham treatment.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b7a0462952edf6dcd92a7facfa37545dTest
https://pubmed.ncbi.nlm.nih.gov/33634747Test

9

Distribution of sensory nerves supplying the knee joint capsule and implications for genicular blockade and radiofrequency ablation: an anatomical study

المؤلفون: Olivier Cornu, Emmanuel Thienpont, Christine Detrembleur, Jean-Eric Kouame Kouassi, Loïc Fonkoue, Maude Coyette, Catherine Behets

المساهمون: UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - SSS/IREC/MORF - Pôle de Morphologie, UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur, UCL - (SLuc) Service de chirurgie plastique

المصدر: Surgical and Radiologic Anatomy, Vol. 41, no. 12, p. 1461-1471 (2019)

مصطلحات موضوعية: Male, musculoskeletal diseases, Knee Joint, Vastus medialis, Genicular blockade, Quadriceps Muscle, Pathology and Forensic Medicine, 03 medical and health sciences, Genicular nerve, Cadaver, Humans, Medicine, Radiology, Nuclear Medicine and imaging, Posterior branch of obturator nerve, Tibial nerve, Ultrasonography, Interventional, Aged, Aged, 80 and over, 0303 health sciences, Articular capsule of the knee joint, business.industry, Dissection, Anatomical landmarks, Radiofrequency ablation, Peroneal Nerve, Nerve Block, Anatomy, Knee innervation, musculoskeletal system, Arthralgia, Sciatic Nerve, Radiography, Saphenous nerve, medicine.anatomical_structure, 030301 anatomy & morphology, Catheter Ablation, Female, Surgery, Sciatic nerve, Anatomic Landmarks, Obturator Nerve, business, Anterior branch of obturator nerve, Joint Capsule

الوصف: BACKGROUND: Despite their emerging therapeutic relevance, there are many discrepancies in anatomical description and terminology of the articular nerves supplying the human knee capsule. This cadaveric study aimed to determine their origin, trajectory, relationship and landmarks for therapeutic purpose. METHODS: We dissected 21 lower limbs from 21 cadavers, to investigate the anatomical distribution of all the articular nerves supplying the knee joint capsule. We identified constant genicular nerves according to their anatomical landmarks at their entering point to knee capsule and inserted Kirschner wires through the nerves in underlying bone at those target points. Measurements were taken, and both antero-posterior and lateral radiographs were obtained. RESULTS: The nerve to vastus medialis, saphenous nerve, anterior branch of obturator nerve and a branch from sciatic nerve provide substantial innervation to the medial knee capsule and retinaculum. The sciatic nerve and the nerve to the vastus lateralis supply sensory innervation to the supero-lateral aspect of the knee joint while the fibular nerve supplies its infero-lateral quadrant. Tibial nerve and posterior branch of obturator nerve supply posterior aspect of knee capsule. According to our findings, five constant genicular nerves with accurate landmarks could be targeted for therapeutic purpose. CONCLUSION: The pattern of distribution of sensitive nerves supplying the knee joint capsule allows accurate and safe targeting of five constant genicular nerves for therapeutic purpose. This study provides robust anatomical foundations for genicular nerve blockade and radiofrequency ablation.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3eca21af945ac8c9836c0bb14d5de5afTest
https://doi.org/10.1007/s00276-019-02291-yTest

10

Effect of Radial Nerve Release on Lateral Epicondylitis Outcomes: A Prospective, Randomized, Double-Blinded Trial

المؤلفون: Christine Detrembleur, Alexandros Tsolias, Vincent Druez, T. Lequint, Bernard Lefebvre

المصدر: The Journal of Hand Surgery. 44:216-221

الوصف: Purpose The purpose of our study was to examine the result of lateral epicondylitis surgery with and without posterior interosseous nerve release. Methods We conducted a prospective, randomized, double-blind single-center clinical trial in 54 patients treated surgically for lateral epicondylitis, without any EMG or imaging sign of compression of the posterior interosseous nerve at the arcade of Frohse. The patients were equally divided into intervention (supplemental radial nerve release) and control groups (no radial nerve release). Clinical symptoms and disability related to the upper extremity were assessed by a blinded assessor prior to surgery, using both the Quick Disabilities of the Arm, Shoulder, and hand ( Quick DASH) and Mayo Elbow Performance Score (MEPS) and again at 1-, 3-, and 6-month intervals after surgery. Results Significant improvement was observed in both groups from the first month after surgery and for the whole evaluation period for both the MEPS and the QuickDASH scores. Conclusions Radial nerve release, in association with surgical treatment for lateral epicondylitis, was not associated with greater improvement. Type of study/level of evidence Therapeutic I.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::67d9156e3bfae5c8dfe41cc462e80b75Test
https://doi.org/10.1016/j.jhsa.2018.06.009Test

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