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  1. Artikel ; Online: A Rare Case Report of Exertional Leg Pain.

    Dyrek, Paige / Kuwabara, Anne / Fredericson, Michael

    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine

    2023  Band 34, Heft 2, Seite(n) 149–151

    Abstract: Abstract: The accurate diagnosis of exertional leg pain in athletes is often delayed because of vague presenting symptoms and nonspecific physical examination findings. This case report outlines exertional leg pain in a runner caused by combined ... ...

    Abstract Abstract: The accurate diagnosis of exertional leg pain in athletes is often delayed because of vague presenting symptoms and nonspecific physical examination findings. This case report outlines exertional leg pain in a runner caused by combined popliteal artery entrapment and soleal sling syndromes, 2 uncommon causes of exertional leg pain. This case report highlights the overlapping clinical presentation of these 2 diagnoses and the intricate differences in diagnostic workup and surgical approach to management.
    Mesh-Begriff(e) Humans ; Leg ; Muscle, Skeletal ; Athletes ; Pain/etiology
    Sprache Englisch
    Erscheinungsdatum 2023-08-01
    Erscheinungsland United States
    Dokumenttyp Case Reports ; Journal Article
    ZDB-ID 1062530-6
    ISSN 1536-3724 ; 1050-642X
    ISSN (online) 1536-3724
    ISSN 1050-642X
    DOI 10.1097/JSM.0000000000001182
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Zs.A 3120: Hefte anzeigen Standort:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  2. Artikel: Malignant Pilomatricoma of the Lower Extremity: A Difficult and Rare Diagnosis.

    Subramanyam, Chaitra / Dyrek, Paige / Yao, Xu / Kay, Martin H

    Cureus

    2022  Band 14, Heft 2, Seite(n) e21957

    Abstract: Malignant pilomatricoma is a rare cutaneous malignancy that is commonly found on the head and neck. We present a patient with malignant pilomatricoma of the lower extremity with intralesional calcification and giant cells, confirmed by histopathology. ... ...

    Abstract Malignant pilomatricoma is a rare cutaneous malignancy that is commonly found on the head and neck. We present a patient with malignant pilomatricoma of the lower extremity with intralesional calcification and giant cells, confirmed by histopathology. This patient's case represents a clinically important variation of malignant pilomatricoma in an uncommon anatomical location.
    Sprache Englisch
    Erscheinungsdatum 2022-02-06
    Erscheinungsland United States
    Dokumenttyp Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.21957
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Neurogenic Thoracic Outlet Syndrome in Division 1 Collegiate Athletes: Presentation, Diagnosis, and Treatment.

    Olson, Emily Miller / Dyrek, Paige / Harris, Taylor / Fereydooni, Arash / Lee, Jason T / Kussman, Andrea / Roh, Eugene

    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine

    2023  Band 33, Heft 5, Seite(n) 467–474

    Abstract: Objective: Athletes who engage in repetitive upper-extremity exercise are susceptible to neurogenic thoracic outlet syndrome (nTOS). We sought to identify typical presenting symptoms and common findings on diagnostic workup, in addition to evaluating ... ...

    Abstract Objective: Athletes who engage in repetitive upper-extremity exercise are susceptible to neurogenic thoracic outlet syndrome (nTOS). We sought to identify typical presenting symptoms and common findings on diagnostic workup, in addition to evaluating rates of return to play following various treatment interventions.
    Design: Retrospective chart review.
    Setting: Single institution.
    Participants: Medical records of Division 1 athletes containing the diagnosis of nTOS between the years 2000 and 2020 were identified. Athletes with arterial or venous thoracic outlet syndrome were excluded.
    Independent variables: Demographics, sport, participation status, clinical presentation, physical examination findings, diagnostic workup, and treatments provided.
    Main outcome measures: Rate of return to play (RTP) to collegiate athletics.
    Results: Twenty-three female and 13 male athletes were diagnosed and treated for nTOS. Digit plethysmography showed diminished or obliterated waveforms with provocative maneuvers in 23 of 25 athletes. Forty-two percent were able to continue competing despite symptoms. Of the athletes who were initially unable to compete, 12% returned to full competition after physical therapy alone, 42% of those remaining were able to RTP after botulinum toxin injection, and an additional 42% of the remaining athletes RTP after thoracic outlet decompression surgery.
    Conclusions: Many athletes diagnosed with nTOS will be able to continue competing despite symptoms. Digit plethysmography is a sensitive diagnostic tool for nTOS to document anatomical compression at the thoracic inlet. Botulinum toxin injection had a significant positive effect on symptoms and a high rate of RTP (42%), allowing numerous athletes to avoid surgery and its prolonged recovery and associated risks.
    Clinical relevance: This study demonstrates that botulinum toxin injection had a high rate of return to full competition in elite athletes without the risks and recovery needed for surgical intervention, suggesting that this may be a good intervention especially among elite athletes who only experience symptoms with sport-related activities.
    Mesh-Begriff(e) Humans ; Male ; Female ; Treatment Outcome ; Retrospective Studies ; Decompression, Surgical ; Thoracic Outlet Syndrome/therapy ; Thoracic Outlet Syndrome/surgery ; Athletes ; Botulinum Toxins
    Chemische Substanzen Botulinum Toxins (EC 3.4.24.69)
    Sprache Englisch
    Erscheinungsdatum 2023-05-19
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1062530-6
    ISSN 1536-3724 ; 1050-642X
    ISSN (online) 1536-3724
    ISSN 1050-642X
    DOI 10.1097/JSM.0000000000001162
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Zs.A 3120: Hefte anzeigen Standort:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
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    ab Jg. 2022: Lesesaal (EG)

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  4. Artikel ; Online: Use of extracorporeal shockwave therapies for athletes and physically active individuals: a systematic review.

    Rhim, Hye Chang / Shin, Jaehyung / Kang, Jane / Dyrek, Paige / Crockett, Zack / Galido, Pearl / Wade, Carrie / Hollander, Karsten / Borg-Stein, Joanne / Sampson, Steven / Tenforde, Adam S

    British journal of sports medicine

    2024  Band 58, Heft 3, Seite(n) 154–163

    Abstract: Objective: To determine the efficacy of extracorporeal shockwave therapy (ESWT) and investigate outcomes following the use of ESWT for athletes and physically active individuals.: Design: Systematic review.: Data sources: We followed the Preferred ...

    Abstract Objective: To determine the efficacy of extracorporeal shockwave therapy (ESWT) and investigate outcomes following the use of ESWT for athletes and physically active individuals.
    Design: Systematic review.
    Data sources: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and searched four databases: PubMed (NLM), Embase (Elsevier), CINAHL Complete (EBSCO) and Web of Science (Clarivate).
    Eligibility criteria for selecting studies: Included studies were randomised controlled trials, cohort and case-control studies, cases series and reports that evaluated outcomes following ESWT for athletes, physically active individuals and occupational groups requiring regular physical activity such as military cadets.
    Results: 56 studies with 1874 athletes or physically active individuals were included. Using the Oxford level of evidence rating, included studies were 18 level I (32.1%), 3 level II (5.4%), 10 level III (17.9%), 13 level IV (23.2%) and 12 level V (21.4%). Based on the level I studies, ESWT may be effective alone in plantar fasciitis, lateral epicondylitis and proximal hamstring tendinopathy and as an adjunct to exercise treatment in medial tibial stress syndrome and osteitis pubis in athletes or physically active individuals. In most studies, athletes were allowed to continue activities and training and tolerated ESWT with minimal side effects.
    Conclusion: ESWT may offer an efficacious treatment alone or as an adjunct to concurrent exercise therapy in selected sports-related injuries and without major adverse events. Further high-level research is needed to better define the role and clinical outcomes of ESWT.
    Mesh-Begriff(e) Humans ; Extracorporeal Shockwave Therapy ; Treatment Outcome ; Fasciitis, Plantar/therapy ; Pain Management ; Athletes
    Sprache Englisch
    Erscheinungsdatum 2024-02-07
    Erscheinungsland England
    Dokumenttyp Systematic Review ; Journal Article
    ZDB-ID 600592-5
    ISSN 1473-0480 ; 0306-3674
    ISSN (online) 1473-0480
    ISSN 0306-3674
    DOI 10.1136/bjsports-2023-107567
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Zs.B 1893: Hefte anzeigen Standort:
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  5. Artikel ; Online: Impact of Scalene Muscle Botulinum Toxin Injection With and Without Surgery in Neurogenic Thoracic Outlet Syndrome.

    Fereydooni, Arash / Ho, Vy T / Olson, Emily Miller / Dyrek, Paige / Harris, Taylor / Kussman, Andrea / Roh, Eugene / Lee, Jason T

    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine

    2022  Band 33, Heft 2, Seite(n) 116–122

    Abstract: Objective: Scalene blocks are part of both the diagnostic and treatment algorithm for patients presenting with symptoms of neurogenic thoracic outlet syndrome (nTOS). However, there is a paucity of data on the utility of scalene botulinum toxin ... ...

    Abstract Objective: Scalene blocks are part of both the diagnostic and treatment algorithm for patients presenting with symptoms of neurogenic thoracic outlet syndrome (nTOS). However, there is a paucity of data on the utility of scalene botulinum toxin injection (BTI) before surgical decompression. We sought to determine the impact of BTI with and without surgery at a multidisciplinary referral center.
    Design: Retrospective cohort study.
    Setting: Single institution tertiary academic center, 2011 to 2020.
    Patients: Seventy-seven consecutive patients.
    Interventions: Scalene muscle BTI for nTOS with or without surgical decompression.
    Main outcome measures: Pain relief and Quick Disability of the Arm, Shoulder and Hand (QDASH) score.
    Results: Seventy-seven patients, with a mean age of 31.4 years, had BTI for symptoms of nTOS. All patients underwent pretreatment physical therapy through the Edgelow protocol for a mean duration of 3.4 months. However, 72.7% had dynamic vascular compression on duplex ultrasound with provocative maneuvers and 85.7% had a positive physical examination finding. After BTI, 77.9% reported subjective relief, confirmed by an improved QDASH disability score. Thirty-one patients (40.3%) then went on to have further persistent symptoms and proceeded with first rib resection. After BTI + Surgery, 96.8% reported symptomatic relief and had a median QDASH score improvement of 21 (range: 10-40), with all reaching minimal clinically important differences in the QDASH score after combination therapy.
    Conclusions: In this reported series of chemodenervation in patients with nTOS, BTI is helpful in alleviating symptoms before definitive surgical decompression. BTI followed by first rib resection provides additional symptom improvement over BTI alone.
    Mesh-Begriff(e) Humans ; Adult ; Retrospective Studies ; Treatment Outcome ; Decompression, Surgical/methods ; Neck Muscles ; Thoracic Outlet Syndrome/drug therapy ; Thoracic Outlet Syndrome/surgery ; Thoracic Outlet Syndrome/diagnosis ; Botulinum Toxins/therapeutic use
    Chemische Substanzen Botulinum Toxins (EC 3.4.24.69)
    Sprache Englisch
    Erscheinungsdatum 2022-11-11
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1062530-6
    ISSN 1536-3724 ; 1050-642X
    ISSN (online) 1536-3724
    ISSN 1050-642X
    DOI 10.1097/JSM.0000000000001094
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Zs.A 3120: Hefte anzeigen Standort:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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