PURPOSE OF THE STUDY: The aim of this study is to describe injury patterns, characteristics, treatment modalities and functional outcomes after punching related injuries. MATERIAL AND METHODS: Retrospective data of cases admitted to emergency department following punch injury between January 1, 2012, and December 31, 2022. was collected. Patient's demographic data, the dominant and injured upper extremity side, punched object, a time of patient admission were recorded. Smoking habit and blood ethanol level were documented. Trauma mechanism, diagnosis (1: dermabrasions: skin, 2: lacerations: neurovascular structures or tendons and 3: osseous pathologies), treatment modalities were analyzed. Outcomes were assessed using the DASH questionnaire (Disabilities of the Arm, Shoulder, and Hand) at the last follow-up. RESULTS: A total of 1052 patients (male=968 (92%), female=84 (8%)) with mean age 24.6 ± 7.2 included this study. Six hundred and twenty-one (59%) patients punched a solid object and 675 (64%) had osseous pathology. The most commonly fractured bone, injured tendon, injured nerve, and injured artery were 5th metacarpal, extensor digitorum communis (EDC), ulnar nerve, and ulnar artery, respectively. The majority of the patients, (73%) were smokers while 15% of the patients had high level of blood ethanol concentration on admission (82±12.3 mg/100 ml). A comparison between smokers and non-smokers did not reveal any significant differences (p=0.425) in terms of diagnosis whereas 74% of alcoholic patients admitted with lacerations which was statistically significant (p=0.023). Injuries of 321 (30.5%) patients required surgery in the operating room, while 711(67.5 %) patients received interventions in the emergency room setting. The average DASH score differed between subgroups, with significantly higher scores in patients with laceration type injuries (7.2 SD), indicating more disability (p=0.001) DISCUSSION. The study reveales a high prevalence of hand injuries among individuals aged 18 to 40, with the dominant hand being most affected, primarily due to physical violence and self-harming behaviors. Primary contributing factors to this pattern are the escalated incidents of physical violence and self-harming behaviors arising from an inability to manage anger impulses. Punching solid objects, especially during late afternoon and evening periods often associated with alcohol use, was a common cause, resulting in metacarpal fractures being the most reported injury. Multiple tendon and nerve injuries were frequent, highlighting the severity and complexity of these traumas, often necessitating surgical intervention. CONCLUSIONS: These findings highlight the several key aspects, including demographic characteristics of the patient population, common causes and types of injuries observed, and the association between alcohol use as well as the specific injury profiles. Satisfactory results can be achieved with both conservative and surgical treatment for punch injuries. KEY WORDS: punching, fisting, boxing injuries, laceration, blood ethanol level.

• MeSH
• dospělí MeSH
• fraktury kostí terapie   diagnóza   MeSH
• lacerace * etiologie   diagnóza   terapie   MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• poranění šlachy diagnóza   terapie   chirurgie   MeSH
• retrospektivní studie MeSH
• výsledek terapie MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

The hand is a unique structure in human body performing complex activities of daily life making it prone to injuries. While operating on zone VI extensor tendon injury, a surprising entity was observed. The extensor digitorum to the right index finger was absent. This is an extremely rare entity in the literature. Also, all previous studies on the extensor digitorum are cadaveric. Our findings are first of its kind intraoperative, incidental, and confirmed on MRI. Thus, it becomes a case report of special worth mentioning in literature.

• Klíčová slova
• extensor digitorum communis,
• MeSH
• anatomická variace MeSH
• dospělí MeSH
• lidé MeSH
• poranění prstů ruky * chirurgie   diagnóza   MeSH
• poranění šlachy chirurgie   diagnóza   MeSH
• prsty ruky abnormality   chirurgie   diagnostické zobrazování   MeSH
• šlachy * abnormality   chirurgie   diagnostické zobrazování   MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• kazuistiky MeSH

Transection of the radial nerve is frequently associated with humeral shaft fractures that are part of a very complex upper extremity injury. In the presented case, a 19-year-old man with a 10-cm radial nerve defect with a need for nerve grafting to recover complete sensory and motor deficit of the radial nerve. In our case, at the same time we provided the tendon transfer of musculus (m.) pronator teres to m. extensor carpi radialis brevis, m. flexor carpi ulnaris to m. extensor digitorum communis, m. palmaris longus to m. extensor pollicis longus, and long sural nerve graft because of an extensive zone of the injury. The assumption was that if these two procedures are performed in one surgery, it will accelerate overall recovery, restore the functionality of the upper limb more quickly, and thus enable a faster recovery.

• MeSH
• autologní transplantace metody   MeSH
• fraktury humeru chirurgie   terapie   MeSH
• horní končetina chirurgie   diagnostické zobrazování   patologie   zranění   MeSH
• kosterní svaly chirurgie   transplantace   MeSH
• lidé MeSH
• mladý dospělý MeSH
• nervus radialis * chirurgie   patologie   transplantace   MeSH
• nervus suralis chirurgie   transplantace   MeSH
• neurochirurgické výkony metody   MeSH
• přenos šlachy metody   MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• Publikační typ
• kazuistiky MeSH

Publikace se zaměřuje na masáž a fyzickou terapii nemocí muskuloskeletárního systému. Určeno odborné veřejnosti.; Monografie určená osobám provádějícím masáže obsahuje popis pohybového aparátu, cév, nervů a kůže s následným funkčním výkladem.

• MeSH
• anatomie MeSH
• masáž MeSH
• muskuloskeletální manipulace MeSH
• muskuloskeletální nemoci rehabilitace   MeSH
• Publikační typ
• monografie MeSH

• Konspekt
• Fyzioterapie. Psychoterapie. Alternativní lékařství
• NLK Obory
• rehabilitační a fyzikální medicína
• ortopedie

BACKGROUND: There is no international consensus on an optimal ultrasound score for monitoring of rheumatoid arthritis (RA) on patient-level yet. Our aim was to reassess the US7 score for the identification of the most frequently pathologic and responsive joint/tendon regions, to optimize it and contribute to an international consensus. Furthermore, we aimed to evaluate the impact of disease duration on the performance of the score. METHODS: RA patients were assessed at baseline and after 3 and 6 months of starting/changing DMARD therapy by the US7 score in greyscale (GS) and power Doppler (PD). The frequency of pathologic joint/tendon regions and their responsiveness to therapy were analyzed by Friedman test and Cochrane-Q test respectively, including the comparison of palmar vs. dorsal regions (chi-square test). The responsiveness of different reduced scores and the amount of information retained from the original US7 score were assessed by standardized response means (SRM)/linear regression. Analyses were also performed separately for early and established RA. RESULTS: A total of 435 patients (N = 138 early RA) were included (56.5 (SD 13.1) years old, 8.2 (9.1) years disease duration, 80% female). The dorsal wrist, palmar MCP2, extensor digitorum communis (EDC) and carpi ulnaris (ECU) tendons were most frequently affected by GS/PD synovitis/tenosynovitis (wrist: 45%/43%; MCP2: 35%/28%; EDC: 30%/11% and ECU: 25%/11%) and significantly changed within 6 months of therapy (all p ≤0.003 by GS/PD). The dorsal vs. palmar side of the wrist by GS/PD (p < 0.001) and the palmar side of the finger joints by PD (p < 0.001) were more frequently pathologic. The reduced US7 score (GS/PD: palmar MCP2, dorsal wrist, EDC and ECU, only PD: dorsal MCP2) showed therapy response (SRM 0.433) after 6 months and retained 76% of the full US7 score's information. No major differences between the groups of early and established RA could be detected. CONCLUSIONS: The wrist, MCP2, EDC, and ECU tendons were most frequently pathologic and responsive to therapy in both early and established RA and should therefore be included in a comprehensive score for monitoring RA patients on patient-level.

• MeSH
• lidé MeSH
• mladiství MeSH
• revmatoidní artritida * diagnostické zobrazování   farmakoterapie   patologie   MeSH
• šlachy diagnostické zobrazování   MeSH
• stupeň závažnosti nemoci MeSH
• synovitida * patologie   MeSH
• ultrasonografie MeSH
• zápěstí MeSH
• zápěstní kloub diagnostické zobrazování   patologie   MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• pozorovací studie MeSH

This study examined differences in the oxygenation kinetics and strength and endurance characteristics of boulderers and lead sport climbers. Using near infrared spectroscopy, 13-boulderers, 10-lead climbers, and 10-controls completed assessments of oxidative capacity index and muscle oxygen consumption (m⩒O2) in the flexor digitorum profundus (FDP), and extensor digitorum communis (EDC). Additionally, forearm strength (maximal volitional contraction MVC), endurance (force-time integral FTI at 40% MVC), and forearm volume (FAV and ΔFAV) was assessed. MVC was significantly greater in boulderers compared to lead climbers (mean difference = 9.6, 95% CI 5.2-14 kg). FDP and EDC oxidative capacity indexes were significantly greater (p = .041 and .013, respectively) in lead climbers and boulderers compared to controls (mean difference = -1.166, 95% CI (-3.264 to 0.931 s) and mean difference = -1.120, 95% CI (-3.316 to 1.075 s), respectively) with no differences between climbing disciplines. Climbers had a significantly greater FTI compared to controls (mean difference = 2205, 95% CI= 1114-3296 and mean difference = 1716, 95% CI = 553-2880, respectively) but not between disciplines. There were no significant group differences in ΔFAV or m⩒O2. The greater MVC in boulderers may be due to neural adaptation and not hypertrophy. A greater oxidative capacity index in both climbing groups suggests that irrespective of climbing discipline, trainers, coaches, and practitioners should consider forearm specific aerobic training to aid performance.

• MeSH
• blízká infračervená spektroskopie MeSH
• dospělí MeSH
• fyzická vytrvalost * MeSH
• hemodynamika * MeSH
• horolezectví fyziologie   MeSH
• kosterní svaly fyziologie   MeSH
• lidé MeSH
• mladý dospělý MeSH
• předloktí fyziologie   MeSH
• prsty ruky fyziologie   MeSH
• síla ruky MeSH
• spotřeba kyslíku * MeSH
• svalová síla * MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• srovnávací studie MeSH

Kniha seznámí terapeuta s holistickými vztahy mezi osteopatií a kineziologickým tejpováním.

• MeSH
• bolest rehabilitace   MeSH
• kineziologie aplikovaná MeSH
• lymfatický systém MeSH
• mikrocirkulace MeSH
• muskuloskeletální manipulace MeSH
• nemoci kloubů rehabilitace   MeSH
• tejpovací páska využití   MeSH
• Publikační typ
• monografie MeSH

• Konspekt
• Fyzioterapie. Psychoterapie. Alternativní lékařství
• NLK Obory
• rehabilitační a fyzikální medicína
• osteologie

OBJECTIVE: To develop the first ultrasound scoring system of tendon damage in rheumatoid arthritis (RA) and assess its intraobserver and interobserver reliability. METHODS: We conducted a Delphi study on ultrasound-defined tendon damage and ultrasound scoring system of tendon damage in RA among 35 international rheumatologists with experience in musculoskeletal ultrasound. Twelve patients with RA were included and assessed twice by 12 rheumatologists-sonographers. Ultrasound examination for tendon damage in B mode of five wrist extensor compartments (extensor carpi radialis brevis and longus; extensor pollicis longus; extensor digitorum communis; extensor digiti minimi; extensor carpi ulnaris) and one ankle tendon (tibialis posterior) was performed blindly, independently and bilaterally in each patient. Intraobserver and interobserver reliability were calculated by κ coefficients. RESULTS: A three-grade semiquantitative scoring system was agreed for scoring tendon damage in B mode. The mean intraobserver reliability for tendon damage scoring was excellent (κ value 0.91). The mean interobserver reliability assessment showed good κ values (κ value 0.75). The most reliable were the extensor digiti minimi, the extensor carpi ulnaris, and the tibialis posterior tendons. An ultrasound reference image atlas of tenosynovitis and tendon damage was also developed. CONCLUSIONS: Ultrasound is a reproducible tool for evaluating tendon damage in RA. This study strongly supports a new reliable ultrasound scoring system for tendon damage.

• MeSH
• delfská metoda MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• odchylka pozorovatele MeSH
• poranění šlachy etiologie   ultrasonografie   MeSH
• reprodukovatelnost výsledků MeSH
• revmatoidní artritida komplikace   ultrasonografie   MeSH
• ruptura etiologie   ultrasonografie   MeSH
• senioři MeSH
• šlachy ultrasonografie   MeSH
• stupeň závažnosti nemoci MeSH
• tenosynovitida etiologie   ultrasonografie   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• konsensus - konference MeSH
• práce podpořená grantem MeSH

• MeSH
• elektromyografie MeSH
• nervové vedení fyziologie   MeSH
• Publikační typ
• atlasy MeSH

• Konspekt
• Patologie. Klinická medicína
• NLK Obory
• neurologie
• diagnostika

Skvěle dokumentovaná a přehledná učebnice s 367 barevnými vyobrazeními - anatomickými kresbami a fotografiemi - seznamuje se třemi léčebnými systémy akupunktury: body tělními, ušními a spouštěcími. Kniha má jasný didaktický koncept, body jsou přesně popsány, anatomické kresby a fotografie pomáhají rychlé lokalizaci bodu. Je to praktický návod k provádění akupunktury, který se příliš nezabývá teoriemi a výklady akupunktury, ale popisuje zejména její použití v praxi. Patofyziologicky se publikace zabývá pouze výkladem vzniku spouštěcích bodů a patofyziologií svalové bolesti. Je určena všem, kteří se akupunkturou zabývají, a je velmi lákavá tím, že má naprosto srozumitelnou obrazovou dokumentaci, která je prakticky použitelná. Jde o překlad již 3. vydání učebnice, kterou vydalo známé nakladatelství tohoto typu literatury Hippokrates (z nakladatelské skupiny Thieme Verlag).

• MeSH
• akupunktura klasifikace   metody   výchova   MeSH
• akupunkturní body klasifikace   MeSH
• Publikační typ
• učebnice MeSH

• Konspekt
• Fyzioterapie. Psychoterapie. Alternativní lékařství
• Učební osnovy. Vyučovací předměty. Učebnice
• NLK Obory
• alternativní lékařství