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Article: Non-surgical treatment of oblique diaphyseal fractures of the fourth and fifth metacarpals in a professional athlete: A case report.

Boccolari, Paolo / Pantaleoni, Filippo / Donati, Danilo / Tedeschi, Roberto

International journal of surgery case reports

2024 Volume 115, Page(s) 109256

Abstract: Introduction: Metacarpal fractures are common sports-related injuries, often requiring tailored treatment strategies, especially in athletes. The management of oblique diaphyseal fractures poses unique challenges due to their inherent instability. This ... ...

Abstract	Introduction: Metacarpal fractures are common sports-related injuries, often requiring tailored treatment strategies, especially in athletes. The management of oblique diaphyseal fractures poses unique challenges due to their inherent instability. This case report discusses a non-surgical approach in treating such fractures in a professional athlete. Case presentation: A 26-year-old professional soccer player sustained oblique diaphyseal fractures of the fourth and fifth metacarpals during training. Given the athlete's professional demands and the fracture's nature, a conservative treatment was implemented. This included the application of a modified ulnar gutter brace, allowing for immobilization of the metacarpophalangeal joints (MP) while permitting active mobilization of the interphalangeal joints(IP). Clinical discussion: The non-surgical treatment focused on achieving skeletal stability and maintaining hand function. Despite the complexity of oblique fractures, the conservative approach was successful, enabling the athlete to resume professional activities with minimal risk of fracture displacement. Regular radiographic follow-ups showed no further displacement, highlighting the effective management of such fractures through personalized conservative treatment plans. Conclusions: This case underscores the viability of conservative treatment for specific metacarpal fractures in athletes. Tailoring the treatment to accommodate the athlete's professional needs and understanding the biomechanical characteristics of the fracture are crucial for successful outcomes. The case also suggests that non-surgical management can be a viable option for certain complex metacarpal fractures, especially in high-demand patients.
Language	English
Publishing date	2024-01-12
Publishing country	Netherlands
Document type	Case Reports
ISSN	2210-2612
ISSN	2210-2612
DOI	10.1016/j.ijscr.2024.109256
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Article ; Online: "Integrating the Drucebo Effect into PM&R: Enhancing Outcomes through Expectation Management".

Tedeschi, Roberto / Platano, Daniela / Donati, Danilo / Giorgi, Federica

American journal of physical medicine & rehabilitation

2024

Language	English
Publishing date	2024-05-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	219390-5
ISSN	1537-7385 ; 0002-9491 ; 0894-9115
ISSN (online)	1537-7385
ISSN	0002-9491 ; 0894-9115
DOI	10.1097/PHM.0000000000002544
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Article: Surgical resolution of chronic thoracic pain stemming from a rare osteo-muscular conflict: A case report.

Vita, Fabio / Davoli, Fabio / Stefano, Galletti / Ferri, Riccardo / Tedeschi, Roberto / Donati, Danilo

International journal of surgery case reports

2024 Volume 118, Page(s) 109589

Abstract: Introduction: Chronic thoracic pain presents significant diagnostic and therapeutic challenges, particularly when arising from rare osteo-muscular conflicts. This report details a unique case of chronic pain due to an osteo-muscular conflict between the ...

Abstract	Introduction: Chronic thoracic pain presents significant diagnostic and therapeutic challenges, particularly when arising from rare osteo-muscular conflicts. This report details a unique case of chronic pain due to an osteo-muscular conflict between the right tenth rib and the internal oblique muscle, highlighting the complexities involved in diagnosis and the potential for surgical resolution. Case presentation: A 33-year-old male with a decade-long history of chronic right hemithorax pain, unresponsive to conservative treatments, underwent diagnostic evaluation. Advanced imaging techniques, including a thoracic CT scan, revealed an ipodense area between the ninth and tenth ribs, suggesting an osteo-muscular conflict. Surgical intervention, specifically a partial costectomy of the right tenth rib, was pursued, resulting in significant symptom relief and improved quality of life. Clinical discussion: This case underscores the importance of considering advanced diagnostic evaluations in persistent chronic pain cases and the effectiveness of targeted surgical interventions in resolving anatomical conflicts. It contributes to the body of knowledge on managing complex musculoskeletal conditions and underscores the need for personalized treatment approaches. Conclusion: Surgical intervention in selected cases of chronic pain due to rare anatomical conflicts can offer significant relief and enhance patient outcomes. This case advocates for a nuanced approach to the diagnosis and treatment of chronic thoracic pain, emphasizing the role of advanced imaging and the potential benefits of surgical resolution.
Language	English
Publishing date	2024-03-28
Publishing country	Netherlands
Document type	Case Reports
ISSN	2210-2612
ISSN	2210-2612
DOI	10.1016/j.ijscr.2024.109589
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Article ; Online: "Efficacy and patient acceptability of 3 orthosis models for radial nerve palsy".

Lanfranchi, Elena / Vandelli, Samuele / Boccolari, Paolo / Donati, Danilo / Platano, Daniela / Tedeschi, Roberto

Hand surgery & rehabilitation

2024 Volume 43, Issue 2, Page(s) 101677

MeSH term(s)	Humans ; Radial Neuropathy/surgery ; Orthotic Devices ; Equipment Design
Language	English
Publishing date	2024-03-04
Publishing country	France
Document type	Letter
ZDB-ID	2848776-X
ISSN	2468-1210
ISSN (online)	2468-1210
DOI	10.1016/j.hansur.2024.101677
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Article ; Online: Environmental commitment of large US publicly traded companies producing healthcare equipment: a cross-sectional comparative study

Castagnini, Francesco / Castagnini, Linda / Donati, Danilo / Traina, Francesco

Environ Sci Pollut Res. 2022 Oct., v. 29, no. 50 p.76158-76165

2022

Abstract: The environmental commitment of healthcare stakeholders is poorly described despite the sector pollution and the social needs of more sustainable behaviors. A cross-sectional study comparing the environment commitment of US publicly traded companies ... ...

Abstract	The environmental commitment of healthcare stakeholders is poorly described despite the sector pollution and the social needs of more sustainable behaviors. A cross-sectional study comparing the environment commitment of US publicly traded companies producing healthcare equipment (HE), healthcare companies (H), and large capitalization corporates (LC) was designed. Using a financial database, the 20 largest US publicly traded companies by market capitalization were selected for each cohort. The last available sustainability report was investigated, aiming to assess (1) the year and the method of dissemination of the last report; (2) the adhesion to environmental standards; (3) the presence of environmental policies, quantitative targets, and tracking; (4) the third-party evaluations about company environmental sustainability. HE companies published sustainability reports in time (p = 0.048), usually as standalone reports (p < 0.001). Half of HE companies adhered to standards, less than the control groups (p < 0.001). HE companies had an acceptable environmental policy, improving over the time and posing targets, similarly to control groups (p > 0.05). The number of companies reporting quantitative targets/tracking about carbon footprint, water, and renewable energy managements differed among the three cohorts (p = 0.013, p = 0.013, and p < 0.001, respectively), with HE cohort achieving the lowest rates (70%, 70%, and 50%, respectively). Carbon neutrality and all renewable energy statements were rare among HE companies (10% and 5% of companies, p < 0.007). In HE, CDP (The Carbon Disclosure Project) scores were lower than controls (p < 0.001). US publicly traded companies producing healthcare equipment demonstrated to be far less committed to environmental sustainability than healthcare companies and large capitalization corporates. Level of evidence: IV
Keywords	adhesion ; carbon ; carbon footprint ; comparative study ; cross-sectional studies ; databases ; environmental policy ; health services ; markets ; medical equipment ; pollution ; renewable energy sources ; stakeholders
Language	English
Dates of publication	2022-10
Size	p. 76158-76165.
Publishing place	Springer Berlin Heidelberg
Document type	Article ; Online
ZDB-ID	1178791-0
ISSN	1614-7499 ; 0944-1344
ISSN (online)	1614-7499
ISSN	0944-1344
DOI	10.1007/s11356-022-21236-4
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Environmental commitment of large US publicly traded companies producing healthcare equipment: a cross-sectional comparative study.

Castagnini, Francesco / Castagnini, Linda / Donati, Danilo / Traina, Francesco

Environmental science and pollution research international

2022 Volume 29, Issue 50, Page(s) 76158–76165

Abstract	The environmental commitment of healthcare stakeholders is poorly described despite the sector pollution and the social needs of more sustainable behaviors. A cross-sectional study comparing the environment commitment of US publicly traded companies producing healthcare equipment (HE), healthcare companies (H), and large capitalization corporates (LC) was designed. Using a financial database, the 20 largest US publicly traded companies by market capitalization were selected for each cohort. The last available sustainability report was investigated, aiming to assess (1) the year and the method of dissemination of the last report; (2) the adhesion to environmental standards; (3) the presence of environmental policies, quantitative targets, and tracking; (4) the third-party evaluations about company environmental sustainability. HE companies published sustainability reports in time (p = 0.048), usually as standalone reports (p < 0.001). Half of HE companies adhered to standards, less than the control groups (p < 0.001). HE companies had an acceptable environmental policy, improving over the time and posing targets, similarly to control groups (p > 0.05). The number of companies reporting quantitative targets/tracking about carbon footprint, water, and renewable energy managements differed among the three cohorts (p = 0.013, p = 0.013, and p < 0.001, respectively), with HE cohort achieving the lowest rates (70%, 70%, and 50%, respectively). Carbon neutrality and all renewable energy statements were rare among HE companies (10% and 5% of companies, p < 0.007). In HE, CDP (The Carbon Disclosure Project) scores were lower than controls (p < 0.001). US publicly traded companies producing healthcare equipment demonstrated to be far less committed to environmental sustainability than healthcare companies and large capitalization corporates. Level of evidence: IV.
MeSH term(s)	Carbon ; Cross-Sectional Studies ; Cytidine Diphosphate ; Delivery of Health Care ; Humans ; Water
Chemical Substances	Water (059QF0KO0R) ; Cytidine Diphosphate (63-38-7) ; Carbon (7440-44-0)
Language	English
Publishing date	2022-06-06
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1178791-0
ISSN	1614-7499 ; 0944-1344
ISSN (online)	1614-7499
ISSN	0944-1344
DOI	10.1007/s11356-022-21236-4
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Article: From Histopathology to High-Resolution Ultrasound Imaging of Skin Scars.

Ricci, Vincenzo / Cocco, Giulio / Donati, Danilo / Farì, Giacomo / Chang, Ke-Vin / Özçakar, Levent

Diagnostics (Basel, Switzerland)

2023 Volume 13, Issue 24

Abstract: Nowadays, modern ultrasound machines and high-frequency transducers allow us to accurately assess the superficial soft tissues of the human body. In this sense, sonographic evaluation of the skin and related pathologies is progressively growing in the ... ...

Abstract	Nowadays, modern ultrasound machines and high-frequency transducers allow us to accurately assess the superficial soft tissues of the human body. In this sense, sonographic evaluation of the skin and related pathologies is progressively growing in the pertinent literature. To the best of our knowledge, a standardized sonographic protocol focused on the assessment of pathological skin scars is still lacking. As such, the main purpose of the present study was to propose a technical guide to sonographically assess skin scars in the daily practice of clinicians-starting from knowledge on their histopathological features. In order to standardize the ultrasound examination, a superficial-to-deep, layer-by-layer approach has been proposed to optimize its reproducibility and to promote a common language among the different healthcare providers.
Language	English
Publishing date	2023-12-08
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662336-5
ISSN	2075-4418
ISSN	2075-4418
DOI	10.3390/diagnostics13243629
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Article ; Online: Anatomy and ultrasound imaging of the tibial collateral ligament: A narrative review.

Ricci, Vincenzo / Mezian, Kamal / Cocco, Giulio / Donati, Danilo / Naňka, Ondřej / Farì, Giacomo / Özçakar, Levent

Clinical anatomy (New York, N.Y.)

2022 Volume 35, Issue 5, Page(s) 571–579

Abstract: Medial knee pain is commonplace in clinical practice and ultrasound assessment of the tibial collateral ligament-medial meniscus complex is increasingly becoming a valuable examination tool in the outpatient setting. In the pertinent literature, basic ... ...

Abstract	Medial knee pain is commonplace in clinical practice and ultrasound assessment of the tibial collateral ligament-medial meniscus complex is increasingly becoming a valuable examination tool in the outpatient setting. In the pertinent literature, basic sonographic protocols have been proposed to evaluate the medial compartment of the knee joint. Using high-frequency ultrasound probes and high-level ultrasound machines; we matched the histo-anatomical features of the tibial collateral ligament-medial meniscus complex and its different sonographic patterns in physiological/pathological conditions to define a standardized (layer-by-layer) sonographic approach. Moreover, high-sensitive power Doppler assessments have also been performed to evaluate the nearby microcirculation. Modern ultrasound equipment appears to provide optimal "sonographic dissection" of the tibial collateral ligament-medial meniscus complex for its various physiological/pathological patterns. Likewise, high-sensitive power Doppler allows clear visualization of the microcirculation as regards the local ligamentous and capsular structures. In clinical practice, using adequate technological equipment, a detailed sonographic assessment of the tibial collateral ligament-medial meniscus complex can be performed. High-frequency B-mode ultrasound imaging and high-sensitive power Doppler perfusion patterns can be matched/integrated with the clinical findings to optimize the management of patients with medial knee pain.
MeSH term(s)	Humans ; Knee Joint/diagnostic imaging ; Medial Collateral Ligament, Knee ; Menisci, Tibial/pathology ; Pain/pathology ; Ultrasonography
Language	English
Publishing date	2022-04-11
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1025505-9
ISSN	1098-2353 ; 0897-3806
ISSN (online)	1098-2353
ISSN	0897-3806
DOI	10.1002/ca.23864
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Article ; Online: Histopathology and high-resolution ultrasound imaging for peripheral nerve (injuries).

Ricci, Vincenzo / Ricci, Costantino / Cocco, Giulio / Gervasoni, Fabrizio / Donati, Danilo / Farì, Giacomo / Özçakar, Levent

Journal of neurology

2022 Volume 269, Issue 7, Page(s) 3663–3675

Abstract: Background: Neuropathies are commonplace in clinical practice and ultrasound assessment of the peripheral nerves is increasingly becoming a valuable diagnostic tool to support the physical and electrophysiological examinations. In the pertinent ... ...

Abstract	Background: Neuropathies are commonplace in clinical practice and ultrasound assessment of the peripheral nerves is increasingly becoming a valuable diagnostic tool to support the physical and electrophysiological examinations. In the pertinent literature, several sonographic approaches have been proposed to evaluate the peripheral nerve tissue-mainly based on (semi)-quantitative measures. Objective: To define a standardized sonographic approach aiming to evaluate the different sono-histological sections of the peripheral nerve also in a qualitative way. Methods: Using high-frequency ultrasound probes and high-level ultrasound machines, we matched the histopathological features of the peripheral nerve (in acute and chronic phase) and the different sonographic patterns. Moreover, high-sensitive power Doppler assessments have been performed to assess the microcirculation of the peripheral nerve in physiological and pathological conditions. Results: Modern ultrasound equipment allows a "real-time dissection" of the peripheral nerve evaluating the sonographic patterns of its different histological compartments in physiological and pathological conditions. Moreover, high-sensitive power Doppler allows clear visualization of the microcirculation of the peripheral nerve both in the acute and chronic phases of the neuropathy. Conclusion: In clinical practice, using adequate technological equipment, (semi)-quantitative measurements of the peripheral nerve can be coupled with different sonographic patterns of its histological components-both in the acute and chronic phase of the peripheral neuropathy. This way, better/prompt diagnosis and optimal management of the patients would be possible.
MeSH term(s)	Electrophysiological Phenomena ; Humans ; Peripheral Nerve Injuries ; Peripheral Nerves/diagnostic imaging ; Ultrasonography/methods ; Ultrasonography, Doppler
Language	English
Publishing date	2022-01-29
Publishing country	Germany
Document type	Journal Article
ZDB-ID	187050-6
ISSN	1432-1459 ; 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
ISSN (online)	1432-1459
ISSN	0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
DOI	10.1007/s00415-022-10988-1
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Article: Ultrasound Evaluation of Tendinopathy in Hemophiliac Patients for the Purpose of Rehabilitation Indications.

Donati, Danilo / Spinnato, Paolo / Valdrè, Lelia / Piscitelli, Lydia / Farella, Giuseppina Mariagrazia / Pagliarulo, Enrico / Benedetti, Maria Grazia

Journal of clinical medicine

2023 Volume 12, Issue 13

Abstract: Background: Hemophilia is a inherited bleeding disorder that is characterized by intra-articular bleeding (hemarthrosis). The aim of the study was to evaluate the state of the satellite tendons of the target joints in the patient with hemophilic ... ...

Abstract	Background: Hemophilia is a inherited bleeding disorder that is characterized by intra-articular bleeding (hemarthrosis). The aim of the study was to evaluate the state of the satellite tendons of the target joints in the patient with hemophilic arthropathy and propose rehabilitation treatment with eccentric exercises. Methods: The tendons of the joints mainly affected by hemophilic arthropathy were evaluated by ultrasound. The ultrasound evaluation is associated with the use of evaluation clinical scales, such as the Hemophilia Joint Health Score (HJHS), the Functional Independence Score in Hemophilia (FISH), the Hemophilia Activity List (HAL), the DASH, the VISA-A, the VISA-P, and the VAS scale. Results: In 20 patients with hemophilic arthropathy, the thickness of the tendons that were examined was normal. In six subjects with severe joint damage, echostructural alterations were present, and signs of hyperemia and neo-vascularization were detected on color Doppler, as well as the presence of intratendinous calcifications. Conclusions: The tendons of the target joints in patients with hemophilic arthropathy are compromised by the indirect biomechanical damage caused by the joint disease, and rehabilitation treatment with eccentric exercises can be considered safe and effective in improving the tenso-elastic properties of the tendons.
Language	English
Publishing date	2023-07-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm12134513
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