Journal of musculoskeletal disorders and treatment最新文献

{"title":"Management Strategies in Chronic Lumbar Facet Joint Syndrome - A Review of Literature","authors":"Mb Rajesh, R. Chamma, A. Ranganathan","doi":"10.23937/2572-3243.1510068","DOIUrl":"https://doi.org/10.23937/2572-3243.1510068","url":null,"abstract":"Citation: Rajesh MB, Chamma R, Ranganathan A (2019) Management Strategies in Chronic Lumbar Facet Joint Syndrome A Review of Literature. J Musculoskelet Disord Treat 5:068. doi.org/10.23937/25723243.1510068 Accepted: August 24, 2019: Published: August 26, 2019 Copyright: © 2019 Rajesh MB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. persists for ≥ 3 months. These acute episodes develop into chronic low back pain (persists more than 3 months) in 8-12% of patients [3]. 85% are non-specific low back pain not attributable to a specific pathology (fracture, infection, osteoporosis, tumour) [4].","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73722215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wartime Orthopedic Surgical Judgment","authors":"I. Gavrankapetanović, Adnan Papović","doi":"10.23937/2572-3243.1510067","DOIUrl":"https://doi.org/10.23937/2572-3243.1510067","url":null,"abstract":"Orthopedic surgical judgment and a decision-making process in peace is a topic that has been discussed and written about for decades, but the wartime surgical judgment is something that cannot be predicted or prepared for. There is no wartime surgery class in any medical school worldwide that can prepare a surgeon for his/her work under a wartime environment applying all of their knowledge, skill and effort to achieve the best possible result for a patient. With this short note, authors would like to raise awareness on all surgical and medical staff worldwide working under wartime conditions and giving their super-human efforts to save patients.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"49 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75010911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Three Treatment Strategies on Quality of Life for Patients with Chronic Low Back Pain: A Multidisciplinary Approach as Key to Success","authors":"O. Eloy, Bustamante-Montes Lilia Patricia, Rodríguez-Cisneros David Gustavo, González-Alvarez Rafael","doi":"10.23937/2572-3243.1510064","DOIUrl":"https://doi.org/10.23937/2572-3243.1510064","url":null,"abstract":"","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74514249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total Talar Extrusion with Medial Malleolar Fracture","authors":"Mb Rajesh, R. Chamma, A. Ranganathan","doi":"10.23937/2572-3243.1510066","DOIUrl":"https://doi.org/10.23937/2572-3243.1510066","url":null,"abstract":"Background: Total extrusion of the talus with disruption of all the ligaments is called “missing talus”. It is a rare injury, associated with severe soft tissue damage and/or fracture. It is a tri-articular dislocation involving talotibial dislocation from above, subtalar joint below and talonavicular joint anteriorly. We present a report of a patient treated with immediate reimplantation and K-wire stabilisation leading to a successful outcome. Case presentation: A 57-year-old tourist had a closed anterolateral extrusion of the talus with a displaced medial malleolar fracture. There was no associated talar fractures. Initial attempts at closed reduction failed. He underwent immediate reimplantation surgery and K wire stabilisation across the talo-calcaneal (sub-talar) and talo-navicular joints. There was a soft tissue interposition preventing initial reduction by the extensor digitorum tendon. This had to be released to secure accurate anatomical reduction. He had a good outcome with full function of the ankle joint. Conclusion: The preferred surgical approach in the management of total extrusion of the talus is immediate reimplantation to ensure minimal disruption to the blood supply. However, it must be emphasised that soft tissue interposition prevents timely reimplantation and is likely to delay definitive treatment.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85839672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Clinical Variables and Physical Activity Levels of Patients with Knee Osteoarthritis in Ibadan, Nigeria","authors":"Odole Adesola C, Ekediegwu Ezinne C, Issa Mercy U","doi":"10.23937/2572-3243.1510065","DOIUrl":"https://doi.org/10.23937/2572-3243.1510065","url":null,"abstract":"Objectives: Osteoarthritis (OA) is a major cause of disability worldwide and it often results in pain, decreased physical functioning and physical activity level. This study was aimed to investigate the Pain Intensity (PI), Physical Function (PF) and Physical Activity Level (PAL) of patients with knee OA and the difference in their PI and PF across the different physical activity levels (PALs). Methods: A purposive sample of 110 individuals diagnosed with knee OA participated in this survey. The International Physical Activity Questionnaire (IPAQ), Visual Analogue Scale (VAS) and Ibadan Knee/Hip Osteoarthritis Outcome Measure (IKHOAM) were used to measure the PAL, PI and PF of the participants respectively. Data was analyzed using ANOVA at α set at 0.05. Results: Participants (59 males, 51 females) were aged 55.59 ± 10.51 years. Participants mean PI, PF and duration of onset of knee pain score were 3.86 ± 2.03, 76.1 ± 16.91 and 6.42 ± 7.57 months respectively. Majority (80.9%) had low PAL. There was no significant difference in PF (F = 0.058, p = 0.05) across the three PALs (low 73.46 ± 17.58, moderate 83.97 ± 5.76 and vigorous 83.97 ± 5.76). There was also no significant difference in PI (F = 0.058, p = 0.05) across the three PALs (low 4.08 ± 2.04, moderate 3.05 ± 1.34 and vigorous 2.92 ± 1.77). Conclusions: Participants who were more active reported lower PI and higher PF. No significant difference was found between PI and PF on the basis of their PALs, however those who reported low physical activity had higher PI and lower PF. Hence, it is necessary for physiotherapists to assess PALs of individuals with knee OA and provide suitable specific instructions on this to alleviate pain and improve PI.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82121326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reversed Shoulder Arthroplasty on Chronic Glenohumeral Dislocations: A Small Retrospective Cases Series","authors":"F. Miguel, Sousa Henrique, Torres Tiago Pinheiro, L. Pedro","doi":"10.23937/2572-3243.1510061","DOIUrl":"https://doi.org/10.23937/2572-3243.1510061","url":null,"abstract":"Introduction: Anterior dislocation of the shoulder may go undiagnosed and may thus left untreated for a variable length of time. Chronic locked anterior dislocations of the glenohumeral joint is a rare condition. Its diagnosis and management can be challenging. Reverse shoulder arthroplasty has yelded satisfactory outcomes in patients with cuff tear arthropaty and other degenerative changes of the shoulder joint. The concept of this implant theoretically allows stabilization of the dislocated shoulder independently of soft tissues defects. Methods: The aim of this study was to evaluate the short term clinical outcomes of patients with the diagnosis of chronic anterior locked glenohumeral dislocation surgically treated with a reverse shoulder arthroplasty. 6 patients were included and treated in our institution with a reversed shoulder arthroplasty for chronic anterior glenohumeral dislocations. They were clinically evaluated at latest followup with the Constant-Murley Score. All patients had preoperative shoulder trauma series X-rays and CT-scan. Results: The average age was 69.5 years and time from dislocation to surgical treatment was 7 weeks. The average time of the latest follow-up and clinical evaluation was 8 months. One of the patient had severe anterior glenoid bone loss and was treated with humeral head autograft. Median Constant-Murley (CM) score at the latest follow-up was 65. Postoperative radiographs at latest follow-up showed no sign of scapular notching, humeral or glenoid loosening or heterotopic ossification. No other complications that required surgical or medical treatment were registered. Conclusion: Some few recent studies have shown promising results for patients who undergo reverse shoulder arthroplasty for chronic anterior dislocation. Besides that, few are the follow-up studies described. With this clinical cases series, it can be concluded that, facing with a rare condition as a chronic anterior locked glenohumeral dislocation, a reversed shoulder replacement can be a reliable method of treatment and good and predictable functional results can be expected. Citation: Frias M, Sousa H, Torres TP, Lourenço P (2018) Reversed Shoulder Arthroplasty on Chronic Glenohumeral Dislocations: A Small Retrospective Cases Series. J Musculoskelet Disord Treat 4:061. doi.org/10.23937/2572-3243.1510061 Accepted: November 22, 2018: Published: November 24, 2018 Copyright: © 2018 Frias M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. ISSN: 2572-3243 DOI: 10.23937/2572-3243.1510061 Frias et al. J Musculoskelet Disord Treat 2018, 4:061 • Page 2 of 4 • was completely released. The glenoid was exposed and then reamed until a “subchondral smile” of cancellous bone was reached. A bone graft harvested from the resected humeral head was performed. If an an","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88624316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decreased Self Report Physical Activity One Year after an Acute Ankle Sprain","authors":"Hubbard-Turner Tricia, J TurnerMichael, Burcal Chris, Song Kyeongtak, A WikstromErik","doi":"10.23937/2572-3243.1510062","DOIUrl":"https://doi.org/10.23937/2572-3243.1510062","url":null,"abstract":"Background: Decreased physical activity levels have been reported in those with chronic ankle instability. It is unknown when this decline in activity occurs. Therefore, the purpose of this study was to examine physical activity levels before and one year after an acute lateral ankle sprain (LAS). Methods: Twenty subjects (7 males and 13 females, age = 21.7 ± 2.7 yr, mass = 79.4 ± 18.1 kg, ht = 173.2 ± 9.5 cm) with an acute LAS and twenty healthy subjects (7 males and 13 females, age = 20.4 ± 2.9 yr, mass = 80.6 ± 22.3 kg, ht = 172.4 ± 8.7 cm) participated. Subjects were given activity questionnaires to estimate their physical activity levels the week before they were injured and one year after the injury. Results: There was a significant interaction (p = 0.001) for the NASA physical activity scale. Subjects in the LAS group scored significantly less at the 1-year mark compared to their pre-injury levels (p = 0.001), and significantly less (p = 0.02) than the healthy group at the 1-year mark. Conclusion: It appears one year after a LAS subjects are significantly less physically active. Further research is needed to understand why subjects have decreased physical activity, as this decreased activity could lead to the development of other chronic injuries and/or illnesses.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85392473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiotherapy Management of Chronic Low Back Pain Patients with Yellow Flags: A Systematic Review","authors":"M. Kieran","doi":"10.23937/2572-3243.1510060","DOIUrl":"https://doi.org/10.23937/2572-3243.1510060","url":null,"abstract":"CLBP is the leading cause of years lived with disability worldwide and patients with yellow flags have the worst outcomes and contribute significantly to the societal cost. Clinicians are aware of the importance of yellow flags but feel undertrained to deal with them. Furthermore there is a lack of clarity for clinicians looking at how to specifically manage these patients from guidelines and an incredibly varied set of approaches available to clinicians. The objective of this review was to review the effectiveness of the physiotherapy interventions for chronic low back pain patients with yellow flags that have been studied. Three approaches were used for retrieving literature. Searches were conducted initially using the terms “physiotherapy”, “chronic low back pain”, psychosocial and “management or treatment”, using the databases PubMed, Embase, PEDro and CINHAL from January 1987 up to February 2017. In addition content experts were consulted to ensure no additional papers were missed and citation tracking was implemented. 39 studies were identified with 20 meeting the selection criteria. Interestingly the term yellow flags is not used in the treatment literature and instead specific psychosocial terms are used. This review tentatively suggests specific exercise and passive interventions are more beneficial for reducing measures of pain, whilst psychological input and general exercise appears more targeted towards psychosocial measures. as hernia nucleus, infection, inflammatory disease, osteoporosis, rheumatoid arthritis, fracture or tumour [8]. There is no effective cure for non-specific low back pain (NSCLBP) and this represents the 90% of the LBP population that cannot be classified as specific LBP [9]. Most guidelines are based on the assumption that symptoms resolve spontaneously and that return to work equals recovery [6,10]. However, when pain is assessed it appears patients may be returning to work despite their pain [11], and whilst spontaneous recovery occurs in approximately a third of patients after 3 months, 71% still have pain after 1 year [12]. CLBP patients with psychosocial, psychological and social, risk factors are known to have poorer outcomes and increased management costs [13,14]. The term “yellow flags” was originally used to describe psychosocial risk factors that predict disability in LBP patients [15]. These risk factors are predictors of return to work and disability in CLBP patients [16]. The risk factors can be identified using a questionnaire or a clinical diagnosis [17]. Questions cover beliefs that are associated with delayed return to work and disability. These include fears about pain, injury, recovery and being despondent or anxious. It is suggested that having a few strongly held negative beliefs or several weaker ones could be used to identify at risk patients [14]. These beliefs increase a patient’s perception of threat and modern neuroscience suggests that pain is the conscious interpretation that tissue i","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"175 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77783705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biologics for Osteoporosis: Where Do We Stand?","authors":"Gheita Tamer A, Fathi Hanan M","doi":"10.23937/2572-3243.1510059","DOIUrl":"https://doi.org/10.23937/2572-3243.1510059","url":null,"abstract":"Citation: Gheita TA, Fathi HM (2018) Biologics for Osteoporosis: Where Do We Stand?. J Musculoskelet Disord Treat 4:059. doi.org/10.23937/2572-3243.1510059 Accepted: November 10, 2018: Published: November 12, 2018 Copyright: © 2018 Gheita TA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Biologics for Osteoporosis: Where Do We Stand?","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85996573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hip Alpha Angle in Asymptomatic Population","authors":"Seijas Roberto, Alvarez Pedro, A. Oscar, Sallent Andrea, B. David, Cugat Ramón","doi":"10.23937/2572-3243.1510058","DOIUrl":"https://doi.org/10.23937/2572-3243.1510058","url":null,"abstract":"","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78100710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}