Restriction of motion of the joints due to peri-articular ossifications constitute a major problem in the rehabilitation of patients with transverse spinal cord lesion. The therapeutic possibilities as well as the preventive measurements are described and illustrated with a few case reports.
The files of 64 patients (70 tennis elbows) treated in our department because of tennis elbow complaints, were reviewed. The results showed injection with a corticosteroid preparation to be effective in alleviating the pain in the short term (91% improvement within 1 week), but the incidence of recurrence of symptoms to be high (51%) after an average period of 3 months). Physical therapy appeared to be less effective (47% improvement after an average of 6 weeks or 20 sessions), but recurrence of symptoms was far less frequent (5%).
The authors describe the different congenital anomalies of the upper extremity. Starting from a case, thereafter they give a precise description of the Poland syndrome.
Therapeutic activities of CO2 water bathes are explained by a synergism between many factors. The first ones are related to immersion it-self: hydrostatic pressure and Archimedes force inducing orthosympathetic inhibition and muscular relaxation. The second ones depend on the pharmacological properties of carbon dioxide acting directly on the blood vessels of the skin, causing vasodilation and heat sensation. As "dry" carbon dioxide bath is devoid of the physical factors which are necessary for a successful therapeutic activity, such an administration has no interest in balneotherapy.
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