scholarly journals Thoracolumbar spinal fractures: segmental range of motion after dorsal spondylodesis in 82 patients: a prospective study

2001 ◽  
Vol 11 (1) ◽  
pp. 2-7 ◽  
Author(s):  
V. Leferink ◽  
J. Nijboer ◽  
K. Zimmerman ◽  
E. Veldhuis ◽  
E. ten Vergert ◽  
...  
Keyword(s):  
Prospective Study ◽  
Range Of Motion ◽  
Spinal Fractures ◽  
Dorsal Spondylodesis ◽  
A Prospective Study

Evaluation of Elbow Range of Motion Following Delayed Surgical Fixation of Pediatric Supracondylar Humerus Fractures: A Prospective Study

2021 ◽  
Vol 15 (10) ◽  
pp. 3296-3299
Author(s):  
Farhan Majeed ◽  
Maham Ashraf ◽  
Mohsin Tahir ◽  
Ahmad Shams ◽  
Mumtaz Hussain
Keyword(s):  
Prospective Study ◽  
Range Of Motion ◽  
Functional Outcome ◽  
Supracondylar Fracture ◽  
Delayed Presentation ◽  
Type Iii ◽  
Good Functional Outcome ◽  
Supracondylar Humerus Fractures ◽  
Surgical Fixation ◽  
A Prospective Study

Introduction: To achieve excellent functional outcome in Pediatric Supracondylar fractures, early surgical fixation is recommended. Unfortunately, there are still some cases which have delayed presentation to the medical health care, leading to delay in appropriate management required for a good functional outcome. We studied the functional outcome, in terms of range of motion following fixation of type III supracondylar fracture of humerus in children presenting 10 days after initial injury. Materials & Methods: This was a prospective study conducted at The Children Hospital and Institute of Child Health, Lahore between February 1st, 2020 and July 30th 2021. Following approval from the Institutional Ethical committee, 44 pediatric patients presenting to the Emergency and outpatient department with initial trauma to affected elbow more than 10 days old with Supracondylar Fracture of Humerus extension type III were admitted and Open Surgical Fixation with K-wires was performed and Half Cast above elbow was applied for 3 weeks. Goniometer was used to measure range of motion of the effected elbow following the removal of half cast on the day of removal of cast, at 1 week, 2 weeks, and then at 2 weekly intervals until 90 % of Range of motion of the contralateral normal elbow was achieved. Results: The mean delay in presentation was 13.20 ± 2.66 days. None of the patients had close manipulation attempted. Mean Hospital stay was 40.20 ± 1.46 hours. It took a mean of 35.25±2.79 and 49.43± 1.21 days to achieve 90% range of motion in extension and flexion (p-value ≤ 0.001). On average extension was achieved earlier than flexion range of motion. Conclusion: Our study showed good functional outcome in terms of elbow flexion and extension in patients managed after delayed presentation of supracondylar humerus fracture but taking longer time to achieve 90% ROM of the normal elbow. Despite delayed presentation being common in our population, it is not associated with increased peri and post-op complications. Because the ROM improves over time, prolonged follow up is all that is required in such patients. Key words: Delayed fixation, Pediatric, Supracondylar Fracture

A Prospective Study of Radiofrequency Rhizotomy in the Treatment of Posttraumatic Spasticity

Neurosurgery ◽  
1984 ◽  
Vol 15 (4) ◽  
pp. 526-529 ◽  
Author(s):  
David L. Kasdon ◽  
Ellen S. Lathi
Keyword(s):  
Spinal Cord ◽  
Prospective Study ◽  
Range Of Motion ◽  
Nursing Care ◽  
Posterior Root ◽  
Severe Spasticity ◽  
Rehabilitation Potential ◽  
A Prospective Study ◽  
Ablative Procedures

Abstract Posttraumatic spasticity severely impedes rehabilitation potential and nursing care. Treatment of severe spasticity has included medical therapy, spinal cord ablative procedures, anterior and posterior root lesions and peripheral denervations, and tendon releases. Open rhizotomy and percutaneous radiofrequency rhizotomy have achieved good results. We prospectively studied 25 patients with severe spasticity to assess the efficacy of percutaneous radiofrequency rhizotomy. All or most of the prospectively identified goals were accomplished in 24 of the 25 patients, with improvement persisting during an average follow-up period of 12 months. The improvement due to decreased tone was much greater than the improvement due to increased range of motion.

scholarly journals Effect of Myogenous Temporomandibular Joint Disorders on Cervical Range of Motion: A Prospective Study

2021 ◽  
Vol 13 (1) ◽  
pp. 33
Author(s):  
Nanditha Sujir ◽  
Junaid Ahmed ◽  
Mandovi Nath ◽  
Nandita Shenoy ◽  
Ravikiran Ongole ◽  
...  
Keyword(s):  
Prospective Study ◽  
Range Of Motion ◽  
Temporomandibular Joint ◽  
Temporomandibular Joint Disorders ◽  
Cervical Range Of Motion ◽  
A Prospective Study

RADIOSCAPHOLUNATE ARTHRODESIS — A PROSPECTIVE STUDY

Hand Surgery ◽  
2009 ◽  
Vol 14 (02n03) ◽  
pp. 73-82 ◽  
Author(s):  
Gregory Ian Bain ◽  
Phillip Ondimu ◽  
Peter Hallam ◽  
Neil Ashwood
Keyword(s):  
Prospective Study ◽  
Range Of Motion ◽  
Full Time ◽  
Non Union ◽  
Visual Analogue Pain ◽  
Forefoot Surgery ◽  
Flexion Extension ◽  
Minimal Reduction ◽  
A Prospective Study ◽  
Radioscapholunate Arthrodesis

The purpose of this prospective study was to evaluate pain levels, range of motion, patient activity and satisfaction after radioscapholunate (RSL) arthrodesis. This was in association with distal scaphoid excision and complete resection of the triquetrum. The non-union rate for radioscapholunate arthrodesis was examined and the results compared with previous studies. Twenty-three patients (14 males and nine females) with an average age of 47 (range 26–73) years underwent RSL fusion for post-traumatic osteoarthritis, rheumatoid arthritis and Kienböck's disease of the lunate with a mean follow-up of 32 (range 13–70) months. The absolute prerequisite for any of these groups of patients was a functional midcarpal joint which was assessed pre-operatively with radiographs and intra-operatively prior to RSL fusion. The average flexion to extension motion changed from 66° to 57°. The ulnoradial range of motion also increased to 43° from a pre-operative value of 22°. The patients visual analogue pain scores reduced from an average of 64 to 28 (p = 0.01). Nineteen patients had no restriction in activity and all but one was satisfied with the outcome. All patients remained in full time employment with ten returning to some form of sport. RSL fusion with excision of the distal pole of the scaphoid and the entire triquetrum led to minimal reduction in the flexion-extension arc of motion and an increase in the ulnoradial arc. There was also good pain relief and maintenance of a patient's function. Memory staples are also an effective method of securing fusion in the wrist obtaining similar results to that seen in forefoot surgery.

A Prospective Study of Flexor Tendon Repair in Zone 5

1998 ◽  
Vol 23 (5) ◽  
pp. 642-648 ◽  
Author(s):  
N. W. YII ◽  
M. URBAN ◽  
D. ELLIOT
Keyword(s):  
Prospective Study ◽  
Range Of Motion ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Digitorum Profundus ◽  
Active Motion ◽  
Flexor Tendons ◽  
Active Flexion ◽  
A Prospective Study ◽  
Flexor Digitorum

A prospective study of postoperative mobilization of flexor tendon repairs in zone 5 was conducted over a 2-year period between 1994 and 1996 using a controlled active motion (active extension - active flexion) regimen of mobilization. Fifty-two patients, who had a total of 151 flexor digitorum superficialis (FDS) and 103 flexor digitorum profundus (FDP) divisions, were available for review at a mean follow-up of 10 months. Of the 161 fingers with division of one or both flexor tendons, 66% exhibited independent FDS function and 90% achieved good or excellent results of digital range of motion. No rupture of an FDP tendon repair occurred during the study period. The data allowed us to define a new method of classifying the results of treatment of these injuries in terms of the injured wrists as a whole and not simply as a series of isolated observations for each individual finger with divided flexor tendons. The results of recovery of independent FDS action and range of finger movement achieved for injuries in which the flexors of all four fingers had been divided indicate a statistically significant interdependence of injuries of finger flexors of adjacent fingers at the wrist. Multivariate analysis showed the presence of a “spaghetti wrist” injury to have a significant adverse effect on the recovery of the independent FDS action but not on the recovery of the digital range of motion.

Trigger Fingers Requiring Simultaneous Division of the A1 Pulley and the Proximal Part of the A2 Pulley

2007 ◽  
Vol 32 (5) ◽  
pp. 521-523 ◽  
Author(s):  
M. M. AL-QATTAN
Keyword(s):  
Prospective Study ◽  
Range Of Motion ◽  
Full Range ◽  
Proximal Part ◽  
Adult Patients ◽  
Trigger Finger ◽  
A2 Pulley ◽  
A Prospective Study ◽  
A1 Pulley

In a prospective study of 50 adult patients with primary idiopathic trigger finger, four patients (8%) required simultaneous division of the proximal 3 to 4 mm of the A2 pulley as well as the A1 pulley in order to completely resolve the triggering. At final follow up at 6 to 12 months, all patients were symptom-free with a full range of motion of the fingers. This entity is discussed.

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