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Intrinsic contractures of the thumb

Choueka, Jack; Scott, Susan Craig
A wide range of conditions can lead to intrinsic contractures of the thumb. A thorough understanding of the normal and pathologic anatomy as well as the disease processes and their effect on thumb function is essential in understanding and treating these contractures. Because intrinsic contractures of the thumb rarely present in isolation, a patient-specific approach based on functional needs is required. Prevention of iatrogenic contractures and progression of predictable contractures regardless of etiology is the health care provider's primary responsibility
PMID: 22117925
ISSN: 1558-1969
CID: 141989

Soft tissue healing

Chapter by: Scott, Susan Craig; Reiffel, Robert S
in: Insall & Scott surgery of the knee by Insall, John N [Eds]
Philadelphia, PA : Elsevier/Churchill Livingstone, c2012
pp. 744-?
ISBN: 1437715036
CID: 167773

The problem wound : coverage options

Chapter by: Scott, Susan Craig
in: Insall & Scott surgery of the knee by Insall, John N [Eds]
Philadelphia, PA : Elsevier/Churchill Livingstone, c2012
pp. 754-?
ISBN: 1437715036
CID: 167774

Wound Complications

Chapter by: Clarke, HD; Scott, SC; Norman Scott, W
in: Revision Total Hip and Knee Arthroplasty by
pp. 547-557
ISBN: 9781451153873
CID: 2171042

Identifying common trajectories of joint space narrowing over two years in knee osteoarthritis

Bartlett, Susan J; Ling, Shari M; Mayo, Nancy E; Scott, Susan C; Bingham, Clifton O 3rd
OBJECTIVE: Little is known about the natural history of knee osteoarthritis (OA). We sought to identify common patterns of joint space narrowing (JSN) in well-characterized knee OA patients in the placebo arm of a 2-year international study. METHODS: We performed secondary data analyses of 622 adults ages 39-80 years in North America (n = 310) and Europe (n = 312) with symptomatic knee OA. Fluoroscopically positioned semiflexed anteroposterior radiographs were obtained at 0, 12, and 24 months. Group-based trajectory modeling was used to identify distinctive groups of individuals with similar trajectories of JSN, taking into account sex, age, and body mass index. RESULTS: Seven groups were identified. Four exhibited joint space width (JSW) stability over 2 years representing the most common trajectory (71%), which was unrelated to initial JSW. Atypical courses included slow, rapid, and moderate progressors; most had significant JSN at study entry. Slow progressors (20%) had a mean JSN of 0.2 mm over 2 years. Only 2% of the sample demonstrated rapid JSN (2.1 mm), while 7% had JSN of 0.7 mm. Rapid progressors tended to be men, while slow and moderate progressors were older and heavier. CONCLUSION: Most (70%) people with OA demonstrated no significant JSN over 2 years; 20% showed slow progression, 7% had moderate, and 2% had rapid JSN. Progressors tended to have less JSW at study entry and were older and heavier; rapid progressors were more likely to be men. Understanding common patterns of the course of knee OA may offer new opportunities to target those at greatest risk of disability.
PMID: 21905250
ISSN: 2151-464x
CID: 910032

Closed injuries to the extension mechanism of the digits

Scott, S C
Injuries to the extensor mechanism create an imbalance in the precise flexion-extension system that regulates finger motion. This imbalance results in visible and functional deformities. Although these deformities are initially supple, they can become fixed and progress to joint degeneration. This article outlines early diagnosis and accurate treatment of the most common extensor tendon injuries. Avoidance of late sequellae is the goal.
PMID: 10955210
ISSN: 0749-0712
CID: 167763

A review of the association between cigarette smoking and the development of nonspecific back pain and related outcomes

Goldberg, M S; Scott, S C; Mayo, N E
STUDY DESIGN: A structured review of the epidemiologic literature was performed. Thirty-eight studies published in peer-reviewed journals were reviewed. The methodologic strengths and weaknesses of the studies were described and assessed qualitatively. Four studies were excluded because of difficulties in design or interpretation. OBJECTIVES: To provide a systematic analysis of the literature to assess the evidence as to whether smoking is associated with the prevalence and incidence of nonspecific back pain and related outcomes. SUMMARY OF BACKGROUND DATA: Evidence has been gathering regarding the association of smoking with nonspecific back pain and other back disorders, but a comprehensive summary and evaluation of the data have not been published. RESULTS: Positive associations between current smoking and nonspecific back pain were found in 18 of 26 studies in men and 18 of 20 studies in women. For sciatica and herniated discs, there were four of eight and one of five positive studies in men and women, respectively. The majority of these studies were cross-sectional (18 in men and 16 in women), with only a handful of prospective studies. Positive associations between past smoking and nonspecific back pain were reported in five of nine studies in men and five of six studies in women. In addition, increases in the prevalence and/or incidence of nonspecific back pain were found in the majority of studies in which level of consumption was analyzed and reported. An attempt was made to assess whether these results could be artifactual arising from selection bias, confounding bias, publication bias, or errors in measurement. As well, the biologic mechanisms were summarized that have been suggested by various investigators. CONCLUSIONS: The available data are consistent with the notion that smoking is associated with the incidenceand prevalence of nonspecific back pain, but there are too few studies to make any conclusions for the other end points (e.g., sciatica, herniated discs). It cannot be ruled out that the association is a statistical artifact arising from either selection or confounding factors, because the evidence for nonspecific low back pain derives mostly from cross-sectional studies. In addition, it cannot be stated unequivocally that smoking preceded back pain. Long-term follow-up studies are needed to eliminate the possibility that chronic back pain preceded smoking, to better estimate dose-response correlations, and to perform biologic measurements to elucidate possible mechanisms.
PMID: 10767814
ISSN: 0362-2436
CID: 167764

The association between cigarette smoking and back pain in adults

Scott, S C; Goldberg, M S; Mayo, N E; Stock, S R; Poitras, B
STUDY DESIGN: A retrospective cohort study of adolescent idiopathic scoliosis. A comparison group of persons without scoliosis was also selected randomly from the general population. OBJECTIVES: To estimate the association between level of cigarette smoking and the prevalence and severity of back pain. METHODS: A postal questionnaire was used to elicit information on smoking histories, a variety of indices of low back pain, and potential confounding factors. The association between smoking and back pain was estimated separately for men and women in the cohort and in the comparison group using ordinal regression models. RESULTS: The questionnaire was completed by 1287 women and 184 men who had adolescent idiopathic scoliosis and by 1130 women and 621 men in the comparison population who did not have scoliosis. Statistically significant associations between back pain and current cigarette smoking were found in the two groups of women and men with scoliosis, but not among men selected from the general population. In the three former groups, proportional odds ratios comparing current smokers to persons who never smoked ranged from 1.4 to 1.9. Among current smokers, the prevalence of back pain increased with cigarette consumption, and the proportional odds ratios ranged from 1.2 to 1.8 per 10 pack-years (no. of cigarettes smoked per day x no. of years/20). In these three groups, intensity, frequency, and duration of episodes of back pain also were found to increase with smoking consumption. CONCLUSION: The finding that smokers have more frequent episodes of back pain may imply that smoking exacerbates back pain, and the observation that stronger associations between back pain and smoking were found in the scoliosis cohort suggests that smoking may have a greater impact on persons with damaged spines.
PMID: 10361658
ISSN: 0362-2436
CID: 167765

Retin-A Micro. Plastic Surgery Educational Foundation DATA Committee. Device and Technique Assessment

Scott, S C
PMID: 9734458
ISSN: 0032-1052
CID: 167766

Soft tissue expansion prior to arthroplasty in the multiply-operated knee. A new method of preventing catastrophic skin problems [Case Report]

Gold, D A; Scott, S C; Scott, W N
Ten knees in nine patients underwent gradual soft tissue expansion prior to major knee surgery. All patients had multiple prior operative procedures around the knee. The resultant multiple skin incisions were felt to potentially jeopardize the postoperative status of the soft tissues. Each knee underwent the surgical placement of a tissue expander through a bed of adjacent healthy soft tissue followed by the gradual inflation of the expander over an average of 64.5 days. The average volume of soft tissue expansion was 313.7 mL per knee. Subsequent major knee surgery requiring an arthrotomy was performed at the time of expander removal followed by uncomplicated soft tissue closure. All wounds healed without any complications.
PMID: 8872568
ISSN: 0883-5403
CID: 167767