Pub Date : 2019-05-29DOI: 10.23937/2572-3243.1510067
I. Gavrankapetanović, Adnan Papović
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.
{"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}
Pub Date : 2019-03-31DOI: 10.23937/2572-3243.1510064
O. Eloy, Bustamante-Montes Lilia Patricia, Rodríguez-Cisneros David Gustavo, González-Alvarez Rafael
{"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}
Pub Date : 2019-03-30DOI: 10.23937/2572-3243.1510066
Mb Rajesh, R. Chamma, A. Ranganathan
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.
{"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}
Pub Date : 2019-03-20DOI: 10.23937/2572-3243.1510065
Odole Adesola C, Ekediegwu Ezinne C, Issa Mercy U
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.
目的:骨关节炎(OA)是世界范围内致残的主要原因，它通常导致疼痛，身体功能和身体活动水平下降。本研究旨在探讨膝关节OA患者的疼痛强度(PI)、身体功能(PF)和身体活动水平(PAL)，以及不同身体活动水平(PAL)下患者的PI和PF的差异。方法:有目的的抽样调查了110例诊断为膝关节OA的患者。采用国际体育活动问卷(IPAQ)、视觉模拟量表(VAS)和Ibadan膝/髋关节骨关节炎结局量表(IKHOAM)分别测量参与者的PAL、PI和PF。数据分析采用方差分析，α值为0.05。结果:男性59例，女性51例，年龄55.59±10.51岁。受试者平均PI、PF评分为3.86±2.03个月，膝关节疼痛发作时间为76.1±16.91个月，持续时间为6.42±7.57个月。多数患者(80.9%)PAL较低，3组间PF(低73.46±17.58，中83.97±5.76，高83.97±5.76)差异无统计学意义(F = 0.058, p = 0.05)。三组患者的PI(低4.08±2.04，中3.05±1.34，高2.92±1.77)差异均无统计学意义(F = 0.058, p = 0.05)。结论:活动量越高的受试者PI值越低，PF值越高，PI值与PF值在pal值上无显著差异，活动量越低的受试者PI值越高，PF值越低，因此物理治疗师有必要对膝关节OA患者的pal值进行评估，并提供相应的针对性指导，以减轻疼痛，改善PI值。
{"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}
Pub Date : 2018-12-31DOI: 10.23937/2572-3243.1510062
Hubbard-Turner Tricia, J TurnerMichael, Burcal Chris, Song Kyeongtak, A WikstromErik
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.
{"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}
Pub Date : 2018-12-31DOI: 10.23937/2572-3243.1510060
M. Kieran
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
{"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}
Pub Date : 2018-12-31DOI: 10.23937/2572-3243.1510058
Seijas Roberto, Alvarez Pedro, A. Oscar, Sallent Andrea, B. David, Cugat Ramón
{"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}
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