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The nonsurgical interventions include activity modification, wrist splints, oral medications, local corticosteroid injections, or other managements (such as laser therapy, therapeutic ultrasound, or acupuncture) [ 17, 18].
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With the addition of the satisfaction score, a modification of the Mayo Wrist Scoring Chart was used for functional assessment, allowing for a total count of 100 points in four categories [14].
Tendons were scored at the level of the wrist using a modification of a semiquantitative scoring method (Bonar scale) for four factors: cell shape, collagen organization, cellularity, and amount of vascularization, in peritendon and endotendon, as described previously [ 58].
Therefore the proposed new modification of Brunelli procedure could result in a more mobile wrist, with no evidence of scapholunate dissociation or scaphoid subluxation.
With this modification of the scoring method, the total erosion score of one wrist ranges from 0 to 75.
Major modifications include restriction of the motion of the elbow and wrist joints to one plane, reduction of the number of digits, loss of functional claws, fusion of certain bones of the "hand" (the metacarpals and most of the carpals) into a carpometacarpus, and modification of the elements, especially those toward the tip of the limb (distal), for the attachment of feathers.
Radiographic joint damage of the hands and wrists was assessed using the van der Heijde modification to the total Sharp scoring system (vdH-S) [ 23].
We also tried a new modification for Brunelli procedure according to our own technique (3 fresh cadaver wrists).
Among the six or seven of us, we all had the staple elements — Swiss Army knife, wrist rocket, eye black, as many bandannas as possible — so the equipment modifications and additions became key.
Behavior modification?
"It's a modification to the modification".
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