Rehab Centers: Running Biomechanics in a Long-Term Monitored Recreational Athlete With a History of Achilles Tendon Rupture.
Running biomechanics in a long-term monitored recreational athlete with a history of Achilles tendon rupture.
Filed under: Rehab Centers
BMJ Case Rep. 2013; 2013:
Jandacka D, Zahradnik D, Foldyna K, Hamill J
This study represented a unique opportunity to understand changes in the human motion biomechanics during basic locomotion within a time interval of 4 years, when the monitored individual regained his original aerobic fitness, running performance and body mass index as prior to the injury. The participant visited the laboratory a month prior to the injury and during 4 years after the surgery. The surgery, subsequent rehabilitation and a 4-year running training programme in the studied recreational athlete did not completely eliminate the consequences of the Achilles tendon rupture. The function muscle deficit is namely manifested by a lower net plantar flexion moment and a lower net-generated ankle joint power during the take-off in the stance phase. The greater dorsal flexion in the affected ankle joint at the first contact with the ground and consequently higher peaks of ground reaction forces during running are consequences of the longer Achilles tendon in the affected lower extremity and weakened calf muscles.
HubMed – rehab
Sequelae of dental trauma: the malformed tooth.
Filed under: Rehab Centers
BMJ Case Rep. 2013; 2013:
Chaudhary S, Chaitra TR, Vijayran M, Kulkarni AU
Here, we report a case of 10-year-old boy who came with a complaint of missing upper front teeth and was also concerned about his aesthetics. Significant history of trauma was present in his toddler period. Diagnosis of malformed upper right central incisor (11) by radiological investigations was carried out. Surgery was performed and there was removal of the impacted malformed upper right central incisor (11). Healing was uneventful. The patient is under follow-up for aesthetic rehabilitation to be carried out.
HubMed – rehab
Cosmetic Shell Fitting Over a Sensitive Cornea in Mild Phthisis Bulbi Using Total Conjunctival Flap.
Filed under: Rehab Centers
Aesthetic Plast Surg. 2013 Jan 30;
Ding J, Chen T, Hou Z, Qin Y, Hao L, Li D
BACKGROUND: Cosmetic scleral shells provide a superior alternative to enucleation or evisceration in the setting of phthisis bulbi. However, corneal irritation often minimizes the wearing time of a scleral shell. This study aimed to evaluate the clinical effectiveness of a total conjunctival flap covering in the management of mild phthisis bulbi with a sensitive cornea. METHODS: The surgical technique involved a total conjunctival flap covering combined with superficial lamellar keratectomy to allow the fitting of a cosmetic scleral shell over a sensitive cornea. The records of patients with mild phthisis bulbi who underwent this technique from September 2003 through July 2011 were reviewed. Postoperative and long-term complications were noted. Outcome measures included cosmetic appearance, complications, and patient satisfaction. RESULTS: A total of 58 patients (58 eyes) were identified. The mean age at surgery was 28.5 years (range = 2-65 years) and the mean follow-up period (follow-up rate = 66 %) was 42.6 months (range = 6-98 months). Postoperative complications like epithelial inclusion cyst (one eye), intolerance of scleral shell wear (2 eyes), and deterioration of phthisis bulbi (3 eyes) were observed during the follow-up interval. Surgical success was achieved in 52 subjects (90 %) with the desired prosthetic appearance and motility and no further intervention was required. CONCLUSION: The total conjunctival flap is an easy and effective globe-conserving alternative to enucleation or evisceration in the cosmetic rehabilitation of patients with mild phthisis bulbi. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
HubMed – rehab
Adult multifocal pigmented villonodular synovitis-clinical review.
Filed under: Rehab Centers
Int Orthop. 2013 Jan 30;
Botez P, Sirbu PD, Grierosu C, Mihailescu D, Savin L, Scarlat MM
Pigmented villonodular synovitis (PVNS) is a rare, benign proliferative disease of the synovial tissue that affects a single joint or a tendon sheath. Data from the literature present only a few cases of multifocal PVNS. This paper presents multifocal PVNS in the adult. This disease can affect bilateral shoulders, hips and knees. The diagnosis may be delayed by the slow evolution of the disease (up to ten years); some patients may be seen with late-stage degenerative joints, serious complications, painful and functionally uncompensated, with significant locomotion deficit. PVNS requires a radical treatment with prosthetic arthroplasty associated with synovectomy. Complex imaging (X-Rays, magnetic resonance imaging (MRI), ultrasound) and macroscopic appearance of the lesions during surgery confirms the clinical diagnosis of multifocal PVNS with secondary bone lesions. Histology marks the final diagnosis of multifocal PVNS. The postoperative results are good, with recovery in functional parameters of the joints with endoprosthesis.
HubMed – rehab
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