Background:Shoulder pain is one of the most commonly reported musculoskeletal problems after low back pain.One common reason for the shoulder pain is supraspinatus tendinitis that is often associated with impingement ...Background:Shoulder pain is one of the most commonly reported musculoskeletal problems after low back pain.One common reason for the shoulder pain is supraspinatus tendinitis that is often associated with impingement syndrome.Objective:To find the effects of kinesio taping in reducing pain and disability in subjects with supraspinatus tendinitis.Methodology:In this study,patients were randomly allocated the treatment using a set of predefined inclusion and exclusion criteria.Subjects were managed with kinesio taping.Pre-and post-evaluation of the patients was done using Numerical Pain Rating Scale(NPRS)and Disability of Arm Shoulder&Hand Questionnaire(DASH)score and the data gathered was entered and analyzed using SPSS version 23.Results:Mean difference of 2.65 was reported between the pretreatment and post treatment values of NPRS in KT taping group which was significant(P<0.05).Mean difference of 27.25 was reported between the pre-treatment and post-treatment values of DASH score in KT taping group which was significant(P<0.05).Conclusion:Kinesio taping is an effective Program in management of supraspinatus tendinitis.展开更多
Background: Several treatment options have been proposed to treat lateral epicondylitis. Both Platelet rich plasma (PRP) and Extra-corporeal Shock Wave Therapy (ESWT) are new treatment modalities for tendinopathy. Pat...Background: Several treatment options have been proposed to treat lateral epicondylitis. Both Platelet rich plasma (PRP) and Extra-corporeal Shock Wave Therapy (ESWT) are new treatment modalities for tendinopathy. Patients and Methods: Thirty seven patients suffering from chronic lateral epicondylitis (tennis elbow) for at least six months were treated in this study. The patients were divided into two treatment groups, the first group including 20 patients treated by ESWT and the second group including 17 patients treated by local injection of platelet-rich plasma. The results were evaluated using the visual analogue scale and the DASH score. Results: In the first group (treated by ESWT), the average follow-up period was 21.55 months. The average VAS improved from 8.2 to 1.95 and the average DASH score improved from 72.25 to 51.7. Moreover, 11 cases were satisfied (55%), 3 cases (15%) were satisfied with reservation and 6 cases (30%) were not satisfied. In the second group (treated by PRP), the average follow-up period was 18.47 months. The average VAS improved from 8.52 to 1.47, the DASH score improved from 72 to 48.23. Concerning patient satisfaction, 13 cases were satisfied (83.33%), 3 cases (10.52%) were satisfied with reservation and 1 case (5.55%) was not satisfied. Conclusion: Platelet rich plasma was proved to achieve superior results when compared to ESWT as regards pain relief, improvement of elbow function and patient satisfaction at follow-up.展开更多
Background: Intra articular elbow fractures are considered to be one of the most complex injuries in orthopedic trauma. Some are too comminuted for open reduction and internal fixation. Recently total elbow replacemen...Background: Intra articular elbow fractures are considered to be one of the most complex injuries in orthopedic trauma. Some are too comminuted for open reduction and internal fixation. Recently total elbow replacement (TER) had gained popularity for the treatment of comminuted elbow trauma when other treatment options are not possible. Methods: Since 2007-2013 we treated 18 patients with TER due to comminuted distal humeral fractures. We used the Disabilities of the Arm, Shoulder and Hand scoring system (DASH) to evaluate the patient’s satisfaction. In addition, we evaluated the elbow range of motion and collateral stability. Results and Conclusions: Functional range of motion was achieved with high patient’s satisfaction. Based on the results, we conclude that TER is a reasonable option for complex elbow fractures when open reduction and internal fixation is not suitable.展开更多
Thirty three patients with post-traumatic stiff elbow were divided into two groups. The first group included 18 patients with an average age of 31.05 years treated by open arthrolysis. The second included 15 patients ...Thirty three patients with post-traumatic stiff elbow were divided into two groups. The first group included 18 patients with an average age of 31.05 years treated by open arthrolysis. The second included 15 patients with an average age of 31.66 years treated by arthroscopic method. The results were evaluated using the Mayo clinic score and DASH score for elbow function. In the open group, after an average period of follow-up 19.33 months, the average range of flexion-extension movement improved from 51.11° to 103.94°. The average Mayo clinic score improved from 63.38 to 92.83 and the average DASH score improved from 68.1 to 40.23. There were 13 cases (72.22%) excellent, 4 cases (22.22%) good and 1 case (5.55%) with the poor result. In the arthroscopic group, after an average period of follow-up 17.73 months, the average range of flexion-extension movement improved from 59.46° to 101.53°. The average Mayo clinic score improved from 62.93 to 92.73 and the average DASH score improved from 69.25 to 46.4. There were 10 cases (66.66%) excellent, 3 cases (20%) good and 2 cases (13.33%) with the poor result. Both open and arthro-scopic treatment can be effective in treatment of post-traumatic stiff elbow. Arthroscopic treatment is associated with less post-operative pain and morbidity. However, open treatment provides better range of motion and marked improvement of elbow function.展开更多
Purpose:The aim of this study was to analyze if any difference exists on the type of immobilisation(above elbow vs.below elbow)in the conservative treatment of distal end radius fractures in adults.Methods:The study w...Purpose:The aim of this study was to analyze if any difference exists on the type of immobilisation(above elbow vs.below elbow)in the conservative treatment of distal end radius fractures in adults.Methods:The study was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses.An electronic literature search was performed up to 1st October 2021 in Medline,Embase,Ovid and Cochrane database using the search terms,"distal end radius fractures OR fracture of distal radius","conservative treatment OR non-surgical treatment","above elbow immobilisation"and"below elbow immobilisation".Randomized clinical trials written in English,describing outcome of distal end radius fractures in adults by conservative or non-surgical means using above elbow immobilisation or below elbow immobilisation were included and assessed according to the risk of bias assessment(RoB2)tool by Cochrane collaboration.Non-randomized clinical trials,observational studies,retrospec-tive studies,review articles,commentaries,editorials,conference presentations,operative techniques and articles without availability of full text were excluded from this review.The meta-analysis was performed using Review Manager version 5.4.1(The Cochrane Collaboration,Copenhagen,Denmark).Results:Six randomized clinical trials were included for quantitative review.High heterogeneity(I2>75%)was noted among all the studies.The standard mean difference(MD)between the disability of the arm,shoulder and hand scores in both the groups was 0.52(95%CI:-0.28 to 1.32)which was statistically non-significantt.There was no statistical difference in the radial height(MD=0.10,95%CI:-0.91 to 1.12),radial inclination(MD=0.5,95%CI:-1.88 to 2.87,palmar tilt(MD=1.06,95%CI:-0.31 to 2.43)and ulnar variance(MD=0.05,95%CI:-0.74 to 0.64).It was observed that shoulder pain occurred more commonly as a complication in above elbow immobilisation and the values were statistically significant(above elbow:38/92,41.3%;below elbow:19/94,20.2%).Conclusion:This two-armed systematic review on the above elbow or below elbow immobilisation to be used for conservative treatment of the distal end radius fracture in adults resulted in non-significant differences in terms of functional and radiological scores among the 2 groups but significant increase in the complication rates in the above elbow group.展开更多
文摘Background:Shoulder pain is one of the most commonly reported musculoskeletal problems after low back pain.One common reason for the shoulder pain is supraspinatus tendinitis that is often associated with impingement syndrome.Objective:To find the effects of kinesio taping in reducing pain and disability in subjects with supraspinatus tendinitis.Methodology:In this study,patients were randomly allocated the treatment using a set of predefined inclusion and exclusion criteria.Subjects were managed with kinesio taping.Pre-and post-evaluation of the patients was done using Numerical Pain Rating Scale(NPRS)and Disability of Arm Shoulder&Hand Questionnaire(DASH)score and the data gathered was entered and analyzed using SPSS version 23.Results:Mean difference of 2.65 was reported between the pretreatment and post treatment values of NPRS in KT taping group which was significant(P<0.05).Mean difference of 27.25 was reported between the pre-treatment and post-treatment values of DASH score in KT taping group which was significant(P<0.05).Conclusion:Kinesio taping is an effective Program in management of supraspinatus tendinitis.
文摘Background: Several treatment options have been proposed to treat lateral epicondylitis. Both Platelet rich plasma (PRP) and Extra-corporeal Shock Wave Therapy (ESWT) are new treatment modalities for tendinopathy. Patients and Methods: Thirty seven patients suffering from chronic lateral epicondylitis (tennis elbow) for at least six months were treated in this study. The patients were divided into two treatment groups, the first group including 20 patients treated by ESWT and the second group including 17 patients treated by local injection of platelet-rich plasma. The results were evaluated using the visual analogue scale and the DASH score. Results: In the first group (treated by ESWT), the average follow-up period was 21.55 months. The average VAS improved from 8.2 to 1.95 and the average DASH score improved from 72.25 to 51.7. Moreover, 11 cases were satisfied (55%), 3 cases (15%) were satisfied with reservation and 6 cases (30%) were not satisfied. In the second group (treated by PRP), the average follow-up period was 18.47 months. The average VAS improved from 8.52 to 1.47, the DASH score improved from 72 to 48.23. Concerning patient satisfaction, 13 cases were satisfied (83.33%), 3 cases (10.52%) were satisfied with reservation and 1 case (5.55%) was not satisfied. Conclusion: Platelet rich plasma was proved to achieve superior results when compared to ESWT as regards pain relief, improvement of elbow function and patient satisfaction at follow-up.
文摘Background: Intra articular elbow fractures are considered to be one of the most complex injuries in orthopedic trauma. Some are too comminuted for open reduction and internal fixation. Recently total elbow replacement (TER) had gained popularity for the treatment of comminuted elbow trauma when other treatment options are not possible. Methods: Since 2007-2013 we treated 18 patients with TER due to comminuted distal humeral fractures. We used the Disabilities of the Arm, Shoulder and Hand scoring system (DASH) to evaluate the patient’s satisfaction. In addition, we evaluated the elbow range of motion and collateral stability. Results and Conclusions: Functional range of motion was achieved with high patient’s satisfaction. Based on the results, we conclude that TER is a reasonable option for complex elbow fractures when open reduction and internal fixation is not suitable.
文摘Thirty three patients with post-traumatic stiff elbow were divided into two groups. The first group included 18 patients with an average age of 31.05 years treated by open arthrolysis. The second included 15 patients with an average age of 31.66 years treated by arthroscopic method. The results were evaluated using the Mayo clinic score and DASH score for elbow function. In the open group, after an average period of follow-up 19.33 months, the average range of flexion-extension movement improved from 51.11° to 103.94°. The average Mayo clinic score improved from 63.38 to 92.83 and the average DASH score improved from 68.1 to 40.23. There were 13 cases (72.22%) excellent, 4 cases (22.22%) good and 1 case (5.55%) with the poor result. In the arthroscopic group, after an average period of follow-up 17.73 months, the average range of flexion-extension movement improved from 59.46° to 101.53°. The average Mayo clinic score improved from 62.93 to 92.73 and the average DASH score improved from 69.25 to 46.4. There were 10 cases (66.66%) excellent, 3 cases (20%) good and 2 cases (13.33%) with the poor result. Both open and arthro-scopic treatment can be effective in treatment of post-traumatic stiff elbow. Arthroscopic treatment is associated with less post-operative pain and morbidity. However, open treatment provides better range of motion and marked improvement of elbow function.
文摘Purpose:The aim of this study was to analyze if any difference exists on the type of immobilisation(above elbow vs.below elbow)in the conservative treatment of distal end radius fractures in adults.Methods:The study was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses.An electronic literature search was performed up to 1st October 2021 in Medline,Embase,Ovid and Cochrane database using the search terms,"distal end radius fractures OR fracture of distal radius","conservative treatment OR non-surgical treatment","above elbow immobilisation"and"below elbow immobilisation".Randomized clinical trials written in English,describing outcome of distal end radius fractures in adults by conservative or non-surgical means using above elbow immobilisation or below elbow immobilisation were included and assessed according to the risk of bias assessment(RoB2)tool by Cochrane collaboration.Non-randomized clinical trials,observational studies,retrospec-tive studies,review articles,commentaries,editorials,conference presentations,operative techniques and articles without availability of full text were excluded from this review.The meta-analysis was performed using Review Manager version 5.4.1(The Cochrane Collaboration,Copenhagen,Denmark).Results:Six randomized clinical trials were included for quantitative review.High heterogeneity(I2>75%)was noted among all the studies.The standard mean difference(MD)between the disability of the arm,shoulder and hand scores in both the groups was 0.52(95%CI:-0.28 to 1.32)which was statistically non-significantt.There was no statistical difference in the radial height(MD=0.10,95%CI:-0.91 to 1.12),radial inclination(MD=0.5,95%CI:-1.88 to 2.87,palmar tilt(MD=1.06,95%CI:-0.31 to 2.43)and ulnar variance(MD=0.05,95%CI:-0.74 to 0.64).It was observed that shoulder pain occurred more commonly as a complication in above elbow immobilisation and the values were statistically significant(above elbow:38/92,41.3%;below elbow:19/94,20.2%).Conclusion:This two-armed systematic review on the above elbow or below elbow immobilisation to be used for conservative treatment of the distal end radius fracture in adults resulted in non-significant differences in terms of functional and radiological scores among the 2 groups but significant increase in the complication rates in the above elbow group.
