A New Protective Soft Splint for Contact Sports

1994 ◽  
Vol 3 (4) ◽  
pp. 282-291
Author(s):  
Christopher M. Bouvette ◽  
Gerard A. Malanga ◽  
William P. Cooney ◽  
Michael J. Stuart ◽  
Richard W. Miller
Keyword(s):  
Case Reports ◽  
Healing Process ◽  
Contact Sports ◽  
Orthotic Device

Athletes who sustain metacarpal injuries such as nondisplaced and minimally displaced fractures or metacarpophalangeal dislocation have benefited from the use of a newly developed Plastizote hand/wrist orthotic device. This orthosis allows appropriate immobilization as well as early, safe, and effective return to contact sports during the healing process. Three case reports are presented along with applications and methods for fabricating this lightweight splint.

scholarly journals Dynamic orthotic cranioplasty: treatment of the older infant.

2000 ◽  
Vol 9 (3) ◽  
pp. 1-4 ◽  
Author(s):  
Timothy R. Littlefield ◽  
Jeanne K. Pomatto ◽  
Kevin M. Kelly
Keyword(s):  
Prospective Studies ◽  
Case Reports ◽  
Deformational Plagiocephaly ◽  
Present Evidence ◽  
Orthotic Device ◽  
Cranial Growth

The Dynamic Orthotic Cranioplasty Band is a cranial orthotic device used to treat deformational plagiocephaly in infants. The device works by applying a mild holding pressure to the most anterior and posterior prominences, where growth is not desired, while encouraging growth in adjacent flattened regions. Although this technique has been successfully used to treat infants as young as 3 months of age, it is often assumed that decreasing cranial growth and increasing cranial rigidity prohibit treatment in infants older than 1 year of age. The authors' experience with older infants suggests the contrary. Through a series of case reports, they present evidence that this treatment remains viable during the 2nd year of life and that improvement has been observed in infants in whom treatment has been initiated as late as 18 months. These examples certainly suggest that additional prospective studies are warranted.

Dry needling for scar treatment

2020 ◽  
Vol 38 (6) ◽  
pp. 435-439
Author(s):  
Evgeni Rozenfeld ◽  
Eleanora Sapoznikov Sebakhutu ◽  
Yuval Krieger ◽  
Leonid Kalichman
Keyword(s):  
Wound Healing ◽  
Case Reports ◽  
Healing Process ◽  
Preliminary Evidence ◽  
Mechanisms Of Action ◽  
Wound Healing Process ◽  
Dry Needling ◽  
Physiological Mechanisms ◽  
Positive Effects ◽  
Intervention Protocol

Objective: To review current scientific knowledge as to the efficacy of dry needling of scars on pain and other related symptoms and explore the possible physiological mechanisms of action. Methods: A narrative review of scientific literature published in English. Results: Two randomized controlled trials found that dry needling of scars (using the classic “surrounding the dragon” technique in one study and intradermal needling in a second study) was more effective than sham or control interventions with respect to scar appearance and pain. Two case reports have suggested that scar needling generates a rapid decrease in pain and improvement of mobility in scarred tissues. Another two case reports have reported positive effects of scar needling on the wound healing process. These findings are supported by an animal study examining the effect of needling on the wound healing process and the physiological mechanisms of action underlying the technique. Conclusion: There is preliminary evidence that the “surrounding the dragon” needling technique is a beneficial treatment for patients suffering from scar pain and other scar-related symptoms and can facilitate wound healing and make this process less painful. Further high-quality studies should be conducted to verify/quantify the efficacy of this method, to better understand the underlying mechanisms of action underlying the effects of scar needling and to establish an effective intervention protocol.

Aetiology and prevention of injuries in youth competitive non-contact sports

2013 ◽  
Author(s):  
Per Bo Mahler
Keyword(s):  
Risk Factors ◽  
Intervention Studies ◽  
Case Reports ◽  
Case Series ◽  
Prevention Strategies ◽  
Significant Information ◽  
Contact Sports

Unfortunately, most studies quoted in the following sections are based on case reports and case series rather than randomized prospective or intervention studies and therefore give limited significant information about risk factors and the influence of prevention on injury.6–9 It is also noteworthy that little information is available on children in certain sports10,11 and that adult data have therefore been used to extrapolate when appropriate. Taking this in to consideration, the present chapter underlines certain trends that can be drawn from the literature and that give a reasonable basis on which to develop and promote prevention strategies.

Screw in Lisfranc Ligament

2020 ◽  
pp. 193864002091344
Author(s):  
Stephen Sierra ◽  
Vinod K. Panchbhavi
Keyword(s):  
Case Reports ◽  
Average Distance ◽  
Healing Process ◽  
Interosseous Ligament ◽  
Screw Hole ◽  
Attachment Sites ◽  
Medial Cuneiform ◽  
Second Metatarsal ◽  
Relationship Of ◽  
The Relationship

Background. Injury to the Lisfranc interosseous ligament is currently managed with a screw. However, this can potentially further disrupt the ligament. The objective of this study was to observe the proximity of the screw or disruption it can cause at the ligament attachment sites. Methods. Twenty-three feet were studied. A 40-mm, 4.0, partially threaded, cannulated screw was inserted from the base of the second metatarsal into the medial cuneiform. The relationship of the ligament attachment sites to the screw hole were measured. Results. The screw hole contacted at least 1 of the ligament attachment sites in 20 of the 23 feet. The screw hole fully penetrated it in 7 feet, partially disrupted it in 4 feet, and had less than or equal to 1 mm of contact in 9 feet. There was no contact with either of the attachment sites in 3 feet, with an average distance of 1.5 mm separating them. Conclusion. Our results show the proximity of the ligament to the screw and the disruption that can result from its insertion. This is clinically relevant as some amount ligamentous disruption is likely to occur with insertion of the “Lisfranc screw,” which may interfere with its healing process. Levels of Evidence: Level V: Expert opinion includes case reports and technique tips

scholarly journals Management of Alveolar Osteitis in Dental Practice: A Literature Review

2017 ◽  
Vol 1 (34) ◽  
pp. 147-155
Keyword(s):  
Clinical Studies ◽  
Animal Studies ◽  
English Language ◽  
Case Reports ◽  
Healing Process ◽  
Third Molar ◽  
Exclusion Criteria ◽  
Dry Socket ◽  
High Incidence ◽  
Alveolar Osteitis

Background: Dry socket is one of the most common post-extraction complications with its incidence reaching up to 30% after impacted third molar extractions. In spite of its high incidence, there is no established treatment for the condition. Objectives: To investigate how efficient different management methods of Alveolar osteitis are, in regards to pain relief, healing process and reduction of the incidence. Materials and Methods: A literature search of “PubMed-MEDLINE” database was conducted using the keywords “dry socket management”, “alveolar osteitis”, “fibrinolytic alveolitis”, “post-extraction complications”. The inclusion criteria were clinical studies, case reports, reviews and human studies, related to alveolar osteitis published from 2011-2016, written in English language. The exclusion criteria were animal studies, studies that discussed other post-extraction complications, and in any other languages than English. Results: 63 articles were found and only 31 were reviewed. 18 out of 31 articles were included in the results, after reading the full text, due to lack of significant results in the rest of the articles. Out of these there were 12 clinical studies, 3 systematic reviews and 1 retrospective study. Conclusion: It was concluded that there is no specific management that could be rated as the best to treat dry socket, due to the lack of evidence to support the use of one management over the other, although there are many options that can help manage it and have proved to be highly effective recently and until today.

scholarly journals Management of Non-Healing Ulcer with topical application of Marham-i-‘Asal - A case study

2021 ◽  
Vol 5 (2) ◽  
pp. 78-83
Author(s):  
Afsahul Kalam ◽  
Mohd Tauseef Alam ◽  
Fouzia Farooq
Keyword(s):  
Case Reports ◽  
Healing Process ◽  
Cost Effective ◽  
Hot Water ◽  
Wound Healing Process ◽  
Medial Malleolus ◽  
Healing Ulcer ◽  
Time Period ◽  
Cost Effective Treatment ◽  
Healing Wound

The wounds which fail to progress through a timely sequence of repair or that proceed through the wound healing process without restoring anatomic and functional integrity are referred as chronic non-healing wounds. This study was conducted on a 50-year old male patient with a painful non-healing ulcer on the medial malleolus of the left lower limb caused by the use of hot water bag during harsh winter in Srinagar. The size of the wound was 2x2 cm on assessing the wound profile. The wound was treated with the application of an ointment made with the combination of powder of Astragalus sarcocolla and Honey in equal amounts. The ointment was applied twice a day on the wound for 20 days. After 7 days of daily application, there was a considerable reduction in the size of wound and significant improvement in other symptoms like pain and tenderness. The ulcer was completely healed in a time period of 21 days. The present case reports that, the ointment prepared with Astragalus sarcocolla and Honey is a cost effective treatment for chronic non-healing wound.

scholarly journals Guided Tissue Regeneration Principle with Inserts of PerioGlas in Endodontic Surgery: Two Case Reports

2013 ◽  
Vol 3 (2) ◽  
pp. 72-77
Author(s):  
Sattyam V Wankhade ◽  
Jyoti Lokade ◽  
Monaj Chandak ◽  
Anuja Lanjewar
Keyword(s):  
Tissue Regeneration ◽  
Root Canal ◽  
Case Reports ◽  
Healing Process ◽  
Clinical Signs ◽  
Guided Tissue Regeneration ◽  
Radiographic Examination ◽  
Endodontic Surgery ◽  
Source Of Infection

ABSTRACT Most periapical radiolucent lesions associated with infections of the root canal system heal uneventfully after endodontic treatment. However, some cases may require periradicular surgery in order to remove pathologic tissue from the periapical region and simultaneously eliminate any source of infection that could not be removed by orthograde root canal treatment. With an adequate technique, surgery can address these issues, although it may be insufficient in some situations. This report describes the healing process after surgery in two cases with a 12 months follow-up. In these cases, apicoectomy was followed by retrograde sealing with Super EBA (Harry J. Bosworth Company, Illinois, USA). The bone defect was filled with PerioGlas (NovaBone, Austin, TX, USA) and covered with a resorbable Guidor membrane (Sunstar, Foster Ave, Chicago, USA). No intraoperative or postoperative complications were observed. After 24 months of follow-up, the patient showed no clinical signs or symptoms associated with the lesion and radiographic examination showed progressive resolution of radiolucency. How to cite this article Lokade J, Wankhade S, Chandak M, Lanjewar A. Guided Tissue Regeneration Principle with Inserts of PerioGlas in Endodontic Surgery: Two Case Reports. Int J Prosthodont Restor Dent 2013;3(2):72-77.

scholarly journals Kinetic and Reaction Pathway Analysis in the Application of Botulinum Toxin A for Wound Healing

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Frank J. Lebeda ◽  
Zygmunt F. Dembek ◽  
Michael Adler
Keyword(s):  
Wound Healing ◽  
Botulinum Toxin ◽  
Chronic Wounds ◽  
Clinical Symptoms ◽  
Reaction Pathway ◽  
Botulinum Toxin A ◽  
Case Reports ◽  
Healing Process ◽  
Kinetic Scheme ◽  
Pharmacokinetic Data

A relatively new approach in the treatment of specific wounds in animal models and in patients with type A botulinum toxin is the focus of this paper. The indications or conditions include traumatic wounds (experimental and clinical), surgical (incision) wounds, and wounds such as fissures and ulcers that are signs/symptoms of disease or other processes. An objective was to conduct systematic literature searches and take note of the reactions involved in the healing process and identify corresponding pharmacokinetic data. From several case reports, we developed a qualitative model of how botulinum toxin disrupts the vicious cycle of muscle spasm, pain, inflammation, decreased blood flow, and ischemia. We transformed this model into a minimal kinetic scheme for healing chronic wounds. The model helped us to estimate the rate of decline of this toxin's therapeutic effect by calculating the rate of recurrence of clinical symptoms after a wound-healing treatment with this neurotoxin.

scholarly journals Plasma Rich in Growth Factors in the Treatment of Endodontic Periapical Lesions in Adult Patients: Case Reports

2021 ◽  
Vol 22 (17) ◽  
pp. 9458
Author(s):  
Katarzyna Machut ◽  
Agata Zoltowska ◽  
Elzbieta Pawlowska ◽  
Marcin Derwich
Keyword(s):  
Case Reports ◽  
Autologous Blood ◽  
Healing Process ◽  
Venous Blood ◽  
Permanent Teeth ◽  
Periapical Lesions ◽  
Root Canals ◽  
Leading Role ◽  
Canal Systems ◽  
Mechanical Shaping

Platelet-rich fibrin (PRF) is an autologous blood concentrate obtained without anticoagulants by centrifugation of patients’ peripheral venous blood. PRF is considered to enhance the formation of new bone. The aim of this manuscript was to present two case reports of permanent teeth with closed apexes with periapical lesions, treated endodontically with the use of PRF. The root canals were mechanically cleaned and shaped with NiTi files and irrigated with 5.25% sodium hypochlorite (NaOCl), 40% citric acid (CA), and triple distillated water. Before the canal systems were obturated, A-PRF was used as a scaffold and was placed below the cementodentinal junction with hand pluggers. Cone beam computerized tomography (CBCT) was used to assess the resolutions of periapical radiolucencies. After 6 months, the measurements of both periapical lesions were significantly reduced. Although the performed root canal treatments (RCTs) can definitely be recognized as successful, it must be emphasized that mechanical shaping and cleaning of the root canals with special disinfecting solutions significantly affect the clinical efficacy of RCT. It seems impossible to state that PRF played a leading role in the healing process of the presented periapical lesions. Further studies must be performed to assess whether RCT of mature teeth with an additional PRF application is superior to RCT performed alone.

scholarly journals Repair of Tendon Disruption Using a Novel Synthetic Fiber Implant in Dogs and Cats: The Surgical Procedure and Three Case Reports

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Philippe Buttin ◽  
Bastien Goin ◽  
Thibaut Cachon ◽  
Eric Viguier
Keyword(s):  
Surgical Procedure ◽  
Tendon Rupture ◽  
Avulsion Fracture ◽  
Simple Procedure ◽  
Case Reports ◽  
Weight Bearing ◽  
Healing Process ◽  
Synthetic Fiber ◽  
Increased Risk ◽  
Tendon Avulsion

Surgical management of tendon rupture is challenging. One concern is to provide adequate tensile strength to prevent distraction during weight-bearing and gap formation following repair, associated with an increased risk of repair failure. Additional challenges may arise from the nature or the chronicity of the lesion. In the event of avulsion, when the tendon is torn off at the bone insertion, its reinsertion on the bone is generally difficult and may even be impossible in the presence of an avulsion fracture, especially when the bone fragment is too small or fragmented. Repair management is also complicated in chronic cases, as degeneration of the tendon may lead to excessive scar tissue formation, tendon retraction, and muscle atrophy, resulting in a large gap and inadequate tissue for reconstruction. The authors describe the surgical procedure for implanting a novel implant, illustrated by three characteristic clinical cases: (1) an acute Achilles tendon avulsion; (2) a chronic patellar tendon rupture; and (3) a chronic avulsion fracture of the triceps tendon. In these three cases, complete recovery of the function was observed at the last clinical evaluation (6 or 8 months), and no complication was noted. A splinted dressing (6 to 8 weeks) was used successfully in two cases. A resin cast (8 weeks) was preferred in case 1, a very active dog. In conclusion, this novel implant represents a simple procedure for the effective repair of chronic tendon rupture, as well as an effective tendon reinsertion on the bone and adequate support for bone tendon healing in the treatment of tendon avulsion, even in cases of fragmented bone fracture. The thinness of the implant facilitates its insertion into the native tendon, while the bone-screw-implant interface provides immediate and lasting mechanical support. This may facilitate the healing process and potentially shorten the period of immobilization.

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