keyword
https://read.qxmd.com/read/38061089/-transcranial-direct-current-stimulation-tdcs-in-managing-pain-and-recovery-a-clinical-case-of-radial-capitellum-fracture
#21
Roberto Tedeschi, Lisa Berti, Daniela Platano
INTRODUCTION: The management of pain and functional recovery following a radial capitellum fracture poses a significant clinical challenge, especially in individuals whose professions, such as physiotherapy, demand optimal joint functionality. Transcranial Direct Current Stimulation (tDCS) emerges as a potential non-pharmacological intervention for pain management, necessitating exploration in the context of orthopedic injuries. CASE PRESENTATION: A 41-year-old male physiotherapist presented with a MASON 2 radial capitellum fracture following a fall, experiencing notable pain (NPRS 6/7) and functional impairment (DASH 45/100, PRTEE 43/100)...
January 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38051316/-standardized-reduction-and-palmar-plating-of-dorsally-displaced-distal-radius-fractures-for-safe-and-atraumatic-reconstruction-of-the-anatomy-of-the-radius
#22
REVIEW
Steffen Löw, Sebastian Kiesel
OBJECTIVE: Standardization of palmar plate osteosynthesis in order to consequently achieve physiologic anatomy of the distal radius end. INDICATIONS: Unstable dorsally displaced distal radius fractures or fractures that should be treated functionally. CONTRAINDICATIONS: Severe intraarticular joint depression that cannot be reduced with either a palmar or arthroscopic assisted approach. SURGICAL TECHNIQUE: Patient in supine position with the forearm supinated on arm table...
December 5, 2023: Operative Orthopädie und Traumatologie
https://read.qxmd.com/read/38050501/malunion-of-a-clavicle-fracture-in-a-young-adult-a-case-report-and-surgical-intervention
#23
Abhiram A Sahasrabhojanee, Ashok M Mehendale, Dhananjay Gupta, Pranav Gupta, Gauri Kakar
This case study examines the medical complexity of managing a neglected clavicle in a young patient, resulting in a complicated interstitial non-union. Despite initial therapeutic efforts, the fracture was not treated, resulting in significant pain as well as functional and aesthetic disabilities. This case outlines accurate clinical presentation and diagnostic methods. In addition, malunion clavicle fractures require multifaceted therapeutic approaches including surgical interventions, rehabilitation programs, and psychological support...
November 2023: Curēus
https://read.qxmd.com/read/38036253/postoperative-mobilization-after-terrible-triad-injury-systematic-review-and-single-arm-meta-analysis
#24
REVIEW
Sherif Ahmed Kamel, Jenna Shepherd, Awf Al-Shahwani, Eslam Abourisha, Divine Maduka, Harvinder Singh
BACKGROUND: Terrible triad is a complex injury of the elbow, involving elbow dislocation with associated fracture of the radial head, avulsion or tear of the lateral ulnar collateral ligament and fracture of the coronoid. These injuries are commonly managed surgically with fixation or replacement of the radial head, repair of collateral ligaments, with or without fixation of the coronoid. Postoperative mobilization is a significant factor that may affect patient outcomes; however the optimal postoperative mobilization protocol is unclear...
November 28, 2023: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38035674/fracture-of-the-fabella-with-radiologic-and-mri
#25
JOURNAL ARTICLE
Alexei Buruian, Vitor Pinheiro, Fernando Fonseca, Pedro Matos
The fabella is an inconstant sesamoid bone. A handful of cases have been reported so far describing fabella fracture, usually involving high energy mechanism or stress fractures after total knee arthroplasty. This paper presents a fabella fracture in a man in his 40s after suffering a car crash, the clinical and radiographic presentation, treatment and complete recovery at 4-months follow-up.
November 30, 2023: BMJ Case Reports
https://read.qxmd.com/read/38025347/ipsilateral-knee-dislocation-and-ankle-fracture-dislocation
#26
Amit Kumar Salaria, Kuldeep Chand Vatsyan, Sandeep Kalia, Lokesh Gupta, Lakshya Prateek Rathore, Punit Katoch
INTRODUCTION: A dislocated knee is a potential limb-threatening injury. Simultaneous dislocation of knee and ankle joint in an ipsilateral limb is a very rare pattern of injury. A few cases of ipsilateral hip and knee dislocation were described in literature. Rare injury such as posterior dislocation knee with ipsilateral ankle fracture dislocation cases was also presented. However, lateral dislocation of knee along with the same side ankle fracture dislocation is a rare scenario. To the best of our knowledge, these two simultaneous lesions do not seem to have been reported previously...
November 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/37960834/odynophagia-in-individuals-with-neck-pain-the-importance-of-differential-diagnosis-in-physiotherapy-practice
#27
JOURNAL ARTICLE
Massimiliano Polastri, Luca Di Marco, Ernesto Andreoli
Odynophagia refers to painful swallowing caused by various underlying factors that must be excluded to determine the best treatment approach. Neck pain is a debilitating condition requiring treatment in rehabilitative settings. There are several circumstances in which odynophagia and neck pain coexist, such as tendinitis of the longus colli muscle and paravertebral calcification, prevertebral and retropharyngeal abscess, esophageal perforation, aortic dissection, thyroid cartilage fracture, thyrohyoid ligament syndrome, pneumomediastinum and subcutaneous emphysema, and after physical exercise...
November 14, 2023: J Yeungnam Med Sci
https://read.qxmd.com/read/37915143/redefining-foot-symptoms-in-a-kidney-pancreas-transplanted-type-1-diabetic-patient-challenging-the-conventional-charcot-foot-diagnosis
#28
JOURNAL ARTICLE
Plator Memaj, Jorge César Correia, Marie Davat, Domizio Suva, Karim Gariani
BACKGROUND Acute Charcot foot can be difficult to diagnose, especially because of other alternate diagnoses that can mimic this condition, particularly stress fracture and acute bone and joint infections, which are 2 conditions that require immediate management. Here, we present the case of a patient who received kidney-pancreas-transplantation for type 1 diabetes mellitus, who consulted for right foot pain after walking. CASE REPORT Our patient was a 47-year-old man who had benefited from a kidney-pancreas transplantation in 2014 for type 1 diabetes and terminal kidney failure and was recently followed for a right foot plantar ulcer that was fully healed...
November 2, 2023: American Journal of Case Reports
https://read.qxmd.com/read/37890425/-effectiveness-of-a-tablet-telerehabilitation-application-in-patients-with-distal-radius-fracture
#29
JOURNAL ARTICLE
A Suero-Pineda, A Oliva-Pascual-Vaca, M Rodríguez-Piñero Durán, P Rodríguez Sánchez-Laulhé, M A García-Frasquet, J Blanquero
INTRODUCTION: To assess whether, in patients with distal radius fracture feedback-guided exercises performed on a tablet touchscreen reduce healthcare usage and improve clinical recovery, more than the conventional home exercise program prescribed on paper. MATERIAL AND METHODS: A multicentre, parallel, two-group, pragmatic, controlled trial with assessor blinding and intention-to-treat analysis. Forty-six patients with distal radius fracture were recruited in Andalusian Public Health System...
October 25, 2023: Rehabilitación
https://read.qxmd.com/read/37885643/outcome-analysis-of-adult-distal-radius-fractures-managed-during-covid-19-pandemic
#30
JOURNAL ARTICLE
Chandrashekara Maliyappa, Anantha Raghupathi, Dilupa Rupasinghe, Persidiu Iancu, Muawia Mohamed, Layth Qazzaz
INTRODUCTION: COVID-19 pandemic created extreme pressure situation on health care services across the globe with shortage of medical staff and beds. The management of fragility fracture also affected significantly. The distal radius fractures (DRFs) are one of the common frailty fractures. There was a significant shift in the treatment of such injuries with new guidelines leaning toward more of non-operative management. CASE REPORT: A retrospective cross-sectional study of DRFs (DRF) treated during COVID pandemic for a period of 1 year in the United Kingdom...
October 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/37848318/-clinical-application-and-effectiveness-of-patellar-tunnel-locator-in-medial-patellofemoral-ligament-reconstruction-surgery
#31
JOURNAL ARTICLE
Hao Chen, Youlei Zhang, Chaohui Xing, Baiqing Zhang, Wenqi Pan, Baoting Sun, Zhilei Zhen, Han Xu, Zhiying Wang
OBJECTIVE: To evaluate the operability and effectiveness of a self-developed patellar bone canal locator (hereinafter referred to as "locator") in the reconstruction of the medial patellofemoral ligament (MPFL). METHODS: A total of 38 patients with recurrent patellar dislocation who met the selection criteria admitted between January 2022 and December 2022 were randomly divided into study group (the patellar canal was established with a locator during MPFL reconstruction) and control group (no locator was used in MPFL reconstruction), with 19 cases in each group...
October 15, 2023: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/37842788/comprehensive-pulmonary-rehabilitation-for-a-90-year-old-patient-with-intertrochanteric-fracture-complicated-by-chronic-obstructive-pulmonary-disease-a-case-report
#32
JOURNAL ARTICLE
Hui Teng, Jun Tian, Qing Shu
INTRODUCTION: Chronic obstructive pulmonary disease (COPD)-induced osteoporosis, myasthenia, and disequilibrium are important risk factors for hip fracture, and decreased respiratory function after hip fracture surgery can decelerate recovery of activities of daily living (ADL) in elderly patients. CASE PRESENTATION: A 90-year-old male patient underwent an open reduction and intramedullary pinning surgery for right femoral intertrochanteric fracture. After surgery, he remained confined to bed with pain and swelling in the right lower extremity...
October 16, 2023: Physiotherapy Theory and Practice
https://read.qxmd.com/read/37831102/effectiveness-of-exercise-rehabilitation-interventions-on-depressive-symptoms-in-older-adults-post-hip-fracture-a-systematic-review-and-meta-analysis
#33
REVIEW
Rhian Milton-Cole, Kareema Kazeem, Alexander Gibson, Stefanny Guerra, Katie Jane Sheehan
This study determines the effectiveness of exercise rehabilitation interventions on depressive symptoms in older adults after hip fracture. Ovid MEDLINE, Embase, Global Health, APAPsych, CENTRAL, CIHAHL, PEDro and Open Grey were searched from database inception to June 10, 2022 for definitive, pilot or feasibility randomised controlled trials of rehabilitation interventions (versus any comparator) which reported depressive symptoms among older adults post hip fracture. Nonrandomised trials and those not published in English were excluded...
October 13, 2023: Osteoporosis International
https://read.qxmd.com/read/37805175/one-and-done-the-effectiveness-of-a-single-session-of-physiotherapy-compared-with-multiple-sessions-to-reduce-pain-and-improve-function-and-quality-of-life-in-patients-with-a-musculoskeletal-disorder-a-systematic-review-with-meta-analyses
#34
REVIEW
Marc-Olivier Dubé, Sarah Dillon, Kevin Gallagher, Jake Ryan, Karen McCreesh
OBJECTIVE: To compare single and multiple physiotherapy sessions to improve pain, function, and quality of life (QoL) in patients with musculoskeletal disorders (MSKDs). DATA SOURCES: AMED, Cinahl, SportsDiscus, Medline, Cochrane Register of Clinical Trials, Physiotherapy Evidence Database, and reference lists. STUDY SELECTION: Randomized controlled trials (RCTs) comparing single and multiple physiotherapy sessions for MSKDs. DATA EXTRACTION: Two reviewers extracted data and assessed risk of bias and certainty of evidence using Cochrane Risk of Bias tool 2...
October 5, 2023: Archives of Physical Medicine and Rehabilitation
https://read.qxmd.com/read/37783518/orthopaedic-out-of-bed-project-oobp-improving-early-mobilisation-following-femoral-fracture-using-a-therapy-led-education-programme
#35
JOURNAL ARTICLE
Rene Gray, Melissa Taylor, Ryan Bullock
Delayed mobilisation following hip fracture surgery is detrimental to patients and health systems. Prolonged hospital stay additionally results in decreased function and increased mortality. Our hospital was underperforming against the national metric for mobilisation by the day after surgery and physiotherapists were the primary healthcare professionals expected to do this. The therapy team therefore undertook a service improvement to increase the number of patients mobilised by the day after their femoral fracture surgery...
September 2023: BMJ Open Quality
https://read.qxmd.com/read/37783517/implementing-an-advanced-physiotherapy-outpatient-triaging-service-as-a-model-for-improvement-for-patients-recently-discharged-following-surgical-intervention-for-hip-fracture
#36
JOURNAL ARTICLE
Rebecca Ferrier, Jack Bell, Katie J Sheehan, Emma Sutton
Every year there are 1.3 million hip fractures globally; this is expected to rise to 6 million by 2050. Estimates of global cost is 1.75 million disability adjusted life years, and in established market economies, costs associated with hip fracture represent 1.4% of the total healthcare burden. New models of care will be required to meet this demand. Advance physiotherapy roles in elective arthroplasty across global settings have demonstrated benefit in safely reducing time burden on surgical teams and healthcare costs...
September 2023: BMJ Open Quality
https://read.qxmd.com/read/37750861/predictive-factors-for-home-discharge-after-femoral-fracture-surgery-a-prospective-cohort-study
#37
JOURNAL ARTICLE
Intonia H Chow, Tiev Miller, Marco Y Pang
BACKGROUND: Femoral fractures require protracted hospitalization and often preclude return to pre-fracture levels of mobility, function and prior residential status following hospital discharge. Early prediction of rehabilitation and discharge potential in patients with femoral fracture would optimize discharge planning. AIM: To identify predictive factors of discharge destination during the early phase of femoral fracture rehabilitation. DESIGN: Prospective cohort design...
September 26, 2023: European Journal of Physical and Rehabilitation Medicine
https://read.qxmd.com/read/37692754/the-rare-occurrence-of-giant-cell-tumor-of-the-proximal-tibia-with-pathological-fracture-in-an-elderly-male-a-case-report
#38
Madhavi M Kandarkar, Shivshankar Jadhav, Sanket M Kandarkar, Shubham Vaidya
Giant cell tumor of the bone (GCTB) is a benign bone tumor that can occasionally progress to malignancy, usually in chronic cases. It is a common benign and aggressive bone tumor that affects patients aged between 20 and 45 years. The most common location is the knee joint. It manifests as a painless or occasionally painful swelling over the affected area. A case of giant cell tumor (GCT) of the proximal tibia in a 72-year-old male is reported here, which was difficult to diagnose as it is rarely found in the geriatric age group...
August 2023: Curēus
https://read.qxmd.com/read/37659861/applications-of-maxillomandibular-fixation-occlusal-guidance-and-jaw-physiotherapy-in-the-management-of-fractures-of-the-mandible
#39
REVIEW
Daniel J Meara
The goal of mandibular fracture management is to restore form and function. Maxillomandibular fixation, elastic occlusal guidance, and postoperative physiotherapy are essential elements to optimizing outcomes. Restoration of premorbid occlusion is paramount. Thus, an expert understanding of occlusion, coupled with the application of maxillomandibular techniques to achieve bony reduction with idealized dental occlusion, is required in the proper management of mandible fractures. Postoperatively, complete recovery initially requires elastic occlusal guidance followed by jaw range of motion physiotherapy...
December 2023: Otolaryngologic Clinics of North America
https://read.qxmd.com/read/37640437/silver-trauma-review-clinic-a-novel-model-of-care-to-manage-non-operative-injuries-in-older-patients
#40
JOURNAL ARTICLE
Hannah Smyth, Deirdre Breslin, Lorcán Mullany, Vinny Ramiah, Roisin Riches, Rico Laguna, Paula Morgan, Colm Byrne
BACKGROUND: Increasing numbers of older patients are presenting to the ED following trauma. These patients require multidisciplinary care that the traditional trauma model fails to provide. A Silver Trauma Review Clinic (STRC) was developed in conjunction with the geriatric ED and multidisciplinary services to improve the post-discharge care of patients with non-operative traumatic injuries.We aimed to assess the STRC by reviewing the journey and outcomes of patients who attended the clinic...
October 2023: Emergency Medicine Journal: EMJ
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