Displaying publications 1 - 20 of 87 in total

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  1. Faisham W.I., Zulmi, W.
    Malays Orthop J, 2009;3(1):81-84.
    MyJurnal
    Forearm deformity secondary to giant solitary ulna exostosis is rare. We describe a rare presentation of symptomatic solitary giant exostosis involving the entire distal ulna resulting in ulnar bowing of the forearm in a five-year-old boy. The tumour was completely resected and the defect was reconstructed with an allograft wrapped with a free autogenous periosteal tubular sleeve to deliver fresh pluripotential cells for better incorporation and integration. The distal ulna physes was preserved. An osteotomy was performed on the radius to correct the deformity. One year after surgery, the deformity remains corrected with normal bone length and excellent hand function. There is no evidence of local recurrence and the allograft has fully incorporated.

    Matched MeSH terms: Wrist Joint
  2. Singh TS, Sadagatullah AN, Yusof AH
    Singapore Med J, 2015 Oct;56(10):562-6.
    PMID: 25814075 DOI: 10.11622/smedj.2015130
    The purpose of this study was to examine the differing curves of the volar distal radius of healthy Malaysian Malays, so as to obtain detailed morphological information that will further the understanding of volar plate osteosynthesis in Malaysian Malays.
    Matched MeSH terms: Wrist Joint
  3. Quiroz JC, Geangu E, Yong MH
    JMIR Ment Health, 2018 Aug 08;5(3):e10153.
    PMID: 30089610 DOI: 10.2196/10153
    BACKGROUND: Research in psychology has shown that the way a person walks reflects that person's current mood (or emotional state). Recent studies have used mobile phones to detect emotional states from movement data.

    OBJECTIVE: The objective of our study was to investigate the use of movement sensor data from a smart watch to infer an individual's emotional state. We present our findings of a user study with 50 participants.

    METHODS: The experimental design is a mixed-design study: within-subjects (emotions: happy, sad, and neutral) and between-subjects (stimulus type: audiovisual "movie clips" and audio "music clips"). Each participant experienced both emotions in a single stimulus type. All participants walked 250 m while wearing a smart watch on one wrist and a heart rate monitor strap on the chest. They also had to answer a short questionnaire (20 items; Positive Affect and Negative Affect Schedule, PANAS) before and after experiencing each emotion. The data obtained from the heart rate monitor served as supplementary information to our data. We performed time series analysis on data from the smart watch and a t test on questionnaire items to measure the change in emotional state. Heart rate data was analyzed using one-way analysis of variance. We extracted features from the time series using sliding windows and used features to train and validate classifiers that determined an individual's emotion.

    RESULTS: Overall, 50 young adults participated in our study; of them, 49 were included for the affective PANAS questionnaire and 44 for the feature extraction and building of personal models. Participants reported feeling less negative affect after watching sad videos or after listening to sad music, P

    Matched MeSH terms: Wrist
  4. Abd Razak NA, Abu Osman NA, Wan Abas WA
    Disabil Rehabil Assist Technol, 2013 May;8(3):255-60.
    PMID: 22830946 DOI: 10.3109/17483107.2012.704654
    This study examined the kinematic differences between a body-powered prosthesis and a biomechatronics prosthesis as a transradial amputee performed activities that involve flexion/extension and supination/pronation of the wrist.
    Matched MeSH terms: Wrist Joint/physiopathology*
  5. Martin JL, Vlachou PA
    Radiology, 2018 11;289(2):568-571.
    PMID: 30332363 DOI: 10.1148/radiol.2018162112
    History A 58-year-old woman was seen in the rheumatology clinic for bilateral wrist and knee pain that was unresponsive to physiotherapy and intra-articular steroid injections. Remote fracture of the left tibia from a motor vehicle collision was reported and was previously treated with conservative management. Serologic work-up for inflammatory disease was negative. The patient reported no prior surgical or medical history. Social history revealed remote immigration from Malaysia. Radiographs of the hands and knees were obtained ( Figs 1 - 4 ). [Figure: see text][Figure: see text][Figure: see text][Figure: see text].
    Matched MeSH terms: Wrist; Wrist Joint
  6. Anuar Ithnin, Kong, Dinnee, Venkataraman, Saraswathy
    Int J Public Health Res, 2012;2(2):137-143.
    MyJurnal
    Carpal tunnel syndrome (CTS) is a hand disorder which indicates the presence of symptoms such as pain, numbness, and muscle weakness among the patient. CTS is an occupational related disorder which can occur in any profession. However, it can be prevented and managed. The aims of the research were to determine the prevalence of acquiring CTS among nurses who worked in the wards and occupational risk factors involving the upper limbs during nursing tasks performance. The specific aims were to determine the relationship between the prevalence of acquiring CTS and individual factors (age, gender, race, educational level, duration of work and medical history), relationship between the prevalence of acquiring CTS and occupational risk factors in nursing tasks. Nurses profession was chosen as they are performing multitask involving upper limbs especially the wrist joints. Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) was used to determine the level of severity in CTS. Occupational risk factors were assessed by using the Rapid Upper Limb Assessment (RULA). This research was a cross sectional mode which was carried out at a government university medical centre from November through December 2010. Eighty nurses were involved in the research. The respondents were required to fill in the socio-demographic information sheet. Those having CTS were required to fill in the BCTQ. Assessments were performed by observing of the job activity through RULA. The results showed that the prevalence for nurses acquiring CTS is 7.5%. The RULA assessment also indicated that the risk factor was in the highest level with a score of 7. No relationship was shown between the prevalence of CTS and race, gender, educational level and medical history. Significant relationship was indicated by the prevalence of CTS and occupational risk factors. In conclusion, a significant prevalence of CTS related to age of more than 30 years old, Malay races compared to Indian, working experience of more than 10 years and respondents with right hand dominant. Occupational risk factors also indicated among the active nurses. Therefore, it is important for us to modify the work environment, work flow, work methodology and ergonomic factors in order to prevent the nurses from acquiring CTS. Furthermore, education about the condition of CTS should be implemented and reinforced especially among the higher risk nurses.
    Matched MeSH terms: Wrist Joint
  7. Thwin SS, Fazlin F, Than M
    Singapore Med J, 2014 Jan;55(1):37-40.
    PMID: 24452976
    Multiple tendons of the abductor pollicis longus (APL) in the anatomical snuffbox of the wrist can lead to the development of de Quervain's syndrome, which is caused by stenosing tenosynovitis. A cadaveric study was performed to establish the variations present in the tendons of the anatomical snuffbox in a Malaysian population, in the hope that this knowledge would aid clinical investigation and surgical treatment of de Quervain's tenosynovitis.
    Matched MeSH terms: Wrist/anatomy & histology*
  8. Lim CH, Ng BH, Teh HL
    BMJ Case Rep, 2019 Nov 21;12(11).
    PMID: 31753829 DOI: 10.1136/bcr-2019-232828
    Matched MeSH terms: Wrist Joint/physiopathology
  9. Sukadarin, E.H., Deros, B.M., Nawi, N.S.M., Rambely, A.S., Bakar, S.A., Tamrin, S.B.M.
    MyJurnal
    Posture is one of the most important factor that need to be considered in any postural analysis. Awkward, extreme,
    and repetitive postures can increase the risk of musculoskeletal disorders (MSDs). As observational methods are more
    widely used than instrumentation-based methods to assess postural problems, this study reviews and assesses the
    scientific literature of observational methods and focused on pen and paper based specifically. In order to identify the
    published methods, a list of English or Malay articles dating as far back as 1990 was compiled from PubMed, Science
    Direct and Google Scholar. The keywords were ergo*, posture*, method*, observational*, postural problems*, pen and
    paper*, posture analysis*, indirect* and macro-ergo*. In addition, a secondary search was also performed using
    bibliography of retrieved articles so that additional papers for conducting review and evaluations can be collected. A
    total of 121 articles that assessed postural problems in working activities were found. However, after intensive
    screening process only 6 articles were selected to be further analyzed. Posture of upper arms/shoulder, lower arms/
    elbow, wrist, neck, back/trunk and leg were highlighted in this study. The limitations and the strengths of the
    published pen and paper based observational method focusing on those postures were also discussed. The finding of
    this review will benefit researchers in the process of understanding unsafe posture in workplace. It could also provide
    to researcher on how to improve the current pen and paper based observational method for assessing postural
    problems.
    Matched MeSH terms: Wrist; Wrist Joint
  10. Passiatore M, Perna A, De-Vitis R, Taccardo G
    Malays Orthop J, 2020 Mar;14(1):1-6.
    PMID: 32296475 DOI: 10.5704/MOJ.2003.001
    Introduction: Carpal tunnel syndrome is one of the most common peripheral neuropathies. Only a few studies evaluate the efficacy of "nutraceuticals" on peripheral nerves and neuropathic pain. The aim of the present investigation is to evaluate the role of Alfa-Lipoic Acid-R (ALA-R) on clinical and functional outcomes in patients affected by mild to moderate carpal tunnel syndrome.

    Material and Methods: The present investigation is a prospective randomised controlled open label study, performed at our Hand Surgery Department (Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome) from October 2018 to March 2019. The enrolled patients were divided in two groups: Group A (ALA-R 600mg once day for 60 days) and Group B (control Group, no drug administration).

    Results: 134 patients (74 F, 60 M) met the inclusion and exclusion criteria. In Group A, there was a statistically significant pain reduction compared to the control Group. Using the Boston Carpal Tunnel Questionnaire, there were no significant improvements in the other symptoms and function.

    Conclusion: ALA-R full dose administration for two months leads to positive short term results in terms of symptoms and function improvement, even if the surgical carpal tunnel release remains the treatment of choice.

    Matched MeSH terms: Wrist
  11. Afshar A, Tabrizi A
    Malays Orthop J, 2017 Nov;11(3):45-46.
    PMID: 29326766 DOI: 10.5704/MOJ.1711.002
    A 30-year old male right handed professional tennis player complained about reduced athletic performance, chronic pain and restricted extension of his right wrist. Lateral radiograph of the right wrist demonstrated an osteophyte projecting from the dorsal lip of the lunate bone. The presence of an osteophyte on the lateral radiograph of the lunate along with the history, clinical examination, intra-operative findings, and post-operative satisfactory result made the diagnosis of dorsal luno-capitate impingement syndrome reasonable.
    Matched MeSH terms: Wrist
  12. Stieger S, Graf HM, Riegler SP, Biebl S, Swami V
    Body Image, 2022 Dec;43:232-243.
    PMID: 36201860 DOI: 10.1016/j.bodyim.2022.09.009
    Social media use is consistently associated with more negative body image, but much of this literature is cross-sectional and/or lacks ecological validity. To overcome these limitations, we examined associations between everyday social media engagement and appearance satisfaction using an experience sampling method. Fifty participants from Central Europe completed a 14-day experience sampling phase in which they reported their appearance satisfaction at two random time-points each day, as well as following active engagement with social media content, using a wrist-worn wearable and a physical analogue scale (PAS; i.e., angle of a participant's forearm between flat and fully upright as a continuous response scale). Results indicated that engagement with social media content was significantly associated with lower appearance satisfaction. Additionally, we found that engagement with the content of known others was associated with significantly lower appearance satisfaction than engagement with the content of unknown others. These effects were stable even after controlling for participant demographics, active vs. passive daily social media use, and body image-related factors. These results provide evidence that everyday social media engagement is associated with lower appearance satisfaction and additionally provides preliminary support for the use of a PAS in body image research using an experience sampling method.
    Matched MeSH terms: Wrist
  13. Ibrahim NS, Rampal S, Lee WL, Pek EW, Suhaimi A
    Cardiovasc Eng Technol, 2024 Feb;15(1):12-21.
    PMID: 37973701 DOI: 10.1007/s13239-023-00693-z
    PURPOSE: Photoplethysmography measurement of heart rate with wrist-worn trackers has been introduced in healthy individuals. However, additional consideration is necessary for patients with ischemic heart disease, and the available evidence is limited. The study aims to evaluate the validity and reliability of heart rate measures by a wrist-worn photoplethysmography (PPG) tracker compared to an electrocardiogram (ECG) during incremental treadmill exercise among patients with ischemic heart disease.

    METHODS: Fifty-one participants performed the standard incremental treadmill exercise in a controlled laboratory setting with 12-lead ECG attached to the patient's body and wearing wrist-worn PPG trackers.

    RESULTS: At each stage, the absolute percentage error of the PPG was within 10% of the standard acceptable range. Further analysis using a linear mixed model, which accounts for individual variations, revealed that PPG yielded the best performance at the baseline low-intensity exercise. As the stages progressed, heart rate validity decreased but was regained during recovery. The reliability was moderate to excellent.

    CONCLUSIONS: Low-cost trackers AMAZFIT Cor and Bip validity and reliability were within acceptable ranges, especially during low-intensity exercise among patients with ischemic heart disease recovering from cardiac procedures. Though using the tracker as part of the diagnosis tool still requires more supporting studies, it can potentially be used as a self-monitoring tool with precautions.

    Matched MeSH terms: Wrist*
  14. Azhar S, Abdullah S, Soh E
    J Hand Surg Eur Vol, 2023 Mar;48(3):279-281.
    PMID: 36691295 DOI: 10.1177/17531934221148115
    Matched MeSH terms: Wrist Joint/surgery
  15. Jaais F, Sivanesan S
    Med J Malaysia, 1986 Dec;41(4):356-60.
    PMID: 3670161
    A case of metastatic malignant schwannoma of the right orbit is presented here. Although the patient had disseminated disease, it was the eye problems which were striking and most symptomatic.
    The orbital lesion was at first thought to be the primary tumour until a history of an excised right wrist mass was probed into and the histology traced.
    This report is written as malignant schwannoma is an uncommon tumour. The difficulty in diagnosing malignant schwannoma is mentioned. The importance of diagnosis of an orbital metastatic lesion is also pointed out as this is often misdiagnosed.
    Matched MeSH terms: Wrist*
  16. Sakthiswary R, Singh R
    Rev Bras Reumatol Engl Ed, 2016 09 30;57(2):122-128.
    PMID: 28343616 DOI: 10.1016/j.rbre.2016.09.001
    Rheumatoid arthritis (RA) is a well and widely recognized cause of carpal tunnel syndrome (CTS). In the rheumatoid wrist, synovial expansion, joint erosions and ligamentous laxity result in compression of the median nerve due to increased intracarpal pressure. We evaluated the published studies to determine the prevalence of CTS and the characteristics of the median nerve in RA and its association with clinical parameters such as disease activity, disease duration and seropositivity. A total of 13 studies met the eligibility criteria. Pooled data from 8 studies with random selection of RA patients revealed that 86 out of 1561 (5.5%) subjects had CTS. Subclinical CTS, on the other hand, had a pooled prevalence of 14.0% (30/215). The cross sectional area of the median nerve of the RA patients without CTS were similar to the healthy controls. The vast majority of the studies (8/13) disclosed no significant relationship between the median nerve findings and the clinical or laboratory parameters in RA. The link between RA and the median nerve abnormalities has been overemphasized throughout the literature. The prevalence of CTS in RA is similar to the general population without any correlation between the median nerve characteristics and the clinical parameters of RA.
    Matched MeSH terms: Wrist Joint/pathology*
  17. Rozali ZI, Noorman FM, De Cruz PK, Feng YK, Razab HW, Sapuan J, et al.
    Asia Pac Fam Med, 2012 Jan 30;11(1):1.
    PMID: 22283968 DOI: 10.1186/1447-056X-11-1
    INTRODUCTION: Carpal Tunnel Syndrome is known to be a common complication during pregnancy especially during the third trimester.

    AIM: This article focuses on its impact to the third trimester pregnant mothers with CTS.

    METHODS: Third trimester pregnant mothers with no other known risk factors for CTS, were interviewed and examined for a clinical diagnosis of CTS. The severity of CTS was assessed by means of symptoms severity and functionality using the Boston Carpal Tunnel Questionnaire.

    RESULTS: Out of 333 third trimester pregnant mothers, 82 (24.6%) were clinically diagnosed with CTS. Malay race was found to have significant correlation with the diagnosis of CTS (p = 0.024) and are two times more likely to get CTS during pregnancy (OR = 2.26) compare to the non-Malays. Bilateral CTS was two times higher (n = 58, 63.4%) than unilateral cases (n = 30, 36.6%), however no significant correlation between the two was found with severity (p = 0.284) or functional (p = 0.906). The commonest complaint was numbness/tingling during day time (n = 63, 76.8%). Majority of the CTS cases were mild (n = 66, 80.5%) and approximately one third (n = 28, 34.1%) had affected hand functions. All symptoms related to pain was found to have significant correlation with severity (p = 0.00, OR = 12.23) and function (p = 0.005, OR = 5.01), whereas numbness and tingling does not (Severity, p = 0.843, function, p = 0.632).

    CONCLUSION: This study shows that even though CTS in third trimester pregnancy is prevalent, generally it would be mild. However, function can still be affected especially if patients complain of pain.
    Matched MeSH terms: Wrist
  18. Asim AM, Noor Fadzilah R, Rukmanikanthan S, Saw A
    Med J Malaysia, 2012 Oct;67(5):483-6.
    PMID: 23770863 MyJurnal
    INTRODUCTION: The distal radius is the most common fracture site in children, but local information on the fracture pattern, mechanism of injury and socio-demographic characteristics of the fracture is lacking.

    MATERIAL METHODS: We interviewed 126 children and their family members who were under follow up for this fracture in a single institution over a period of 2 years. Radiological images were reviewed to ensure that only those with fracture in the distal one third of the forearm were included.

    RESULTS: The overall incidence of this fracture increased with age, and male dominance was noted starting from schooling age. Most fractures occurred at home (38.8%), and 52.3% of all fractures were due to low energy falls. Sports injuries were mainly due to playing football, and road accidents due to riding bicycles. There were 49 (38.8%) children with incomplete fractures, and 19 (15.0%) with physeal plate fractures.

    CONCLUSION: Male dominance for distal radius fracture occurred at a comparatively younger age in our population. Preventive measures should focus on home environment since this is the most common place for fracture to occur. Special attention should be paid to boys after the school going age.
    Matched MeSH terms: Wrist Joint
  19. Abdul Hamid MF, Rajandiran SR, Yu-Lin AB, Sapuan J
    Int J Mycobacteriol, 2020 8 31;9(3):325-328.
    PMID: 32862171 DOI: 10.4103/ijmy.ijmy_97_20
    Tuberculosis (TB) is the most prevalent infectious disease in Southeast Asia. It causes both pulmonary and extrapulmonary diseases. TB of the wrist is rare and presents as osteomyelitis or tenosynovitis. We report a middle-aged male with carpal bone tuberculous osteomyelitis. He presented with left wrist pain initially treated as gouty arthritis. Within 2 weeks, he developed seropurulent discharge with osteomyelitic changes on imaging. He underwent debridement, and intraoperatively, there was destruction of most carpal bones. Histopathological examination revealed chronic granulomatous inflammation with abscess formation. Anti-TB medication was initiated, and he made a complete recovery with almost full range of wrist movement after 9 months of treatment. This case serves as a reminder that TB is a great mimicker, and a high index of suspicion is required to make a diagnosis of TB of the wrist. Early initiation of anti-TB is pivotal to prevent complications and deterioration of joint functions.
    Matched MeSH terms: Wrist/microbiology; Wrist/pathology
  20. Akma Kamaludin NA, Ferdaus Kamudin NA, Abdullah S, Sapuan J
    Chin J Traumatol, 2019 Feb;22(1):59-62.
    PMID: 30745113 DOI: 10.1016/j.cjtee.2018.04.007
    Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Clinically her right elbow was posteriorly dislocated and right wrist was deformed. Plain radiographs showed an intraarticular fracture of the distal end of radius and a comminution radial head fracture with a proximally migrated radius. Magnetic resonance imaging (MRI) showed no significant ligament injuries. We addressed her distal radius first with an anatomical locking plate followed by her radial head with a radial head replacement. Our rationale to treat the distal end radius: first was to obtain a correct alignment of Lister's tubercle and correct the distal radius height. Lister's tubercle was used to guide for the correct rotation of the radial head prosthesis. Correcting the distal end fracture radial height helped us with length selection of the radial head prosthesis and address the proximally migrated radial shaft and neck. Postoperative radiographs showed an acceptable reduction. The Cooney score was 75 at 3 months postoperatively, which was equivalent to a fair functional outcome.
    Matched MeSH terms: Wrist
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