scholarly journals Accuracy and Efficacy of Ultrasound-Guided Pes Anserinus Bursa Injection

2021 ◽  
Author(s):  
Jong Hwa Lee ◽  
Jae Uk Lee ◽  
Seung Wan Yoo
Keyword(s):  
Visual Analog Scale ◽  
Treatment Efficacy ◽  
Soft Tissues ◽  
Conventional Technique ◽  
Inflammatory Condition ◽  
Therapeutic Tool ◽  
Sonographic Guidance ◽  
Pes Anserinus ◽  
The Us ◽  
Vas Scores

The term “pes anserinus tendinobursitis (PATB)” is generally used to describe the inflammatory condition of pes anserinus bursa (PAB). Ultrasound (US) is widely used as a diagnostic and therapeutic tool to improve the assessment and management of joints and soft tissues. We performed the study to prove the accuracy and efficacy of US-guided injections in patients with PATB by comparing blind interventions. Forty-seven patients were randomly assigned to an US-guided and a blind injection group. The patients in the US-guided group were given injections under sonographic visualization. Otherwise, in the blind group, injections were provided in the conventional technique without any sonographic guidance. After the management, the accuracy of the injections was assessed by identifying the injectate location using the US. Treatment efficacy was evaluated using the visual analog scale (VAS) of knee tenderness. The US-guided group showed that the injectates were located at the PAB accurately in all participants, whereas the blind group revealed that the materials were found to be at the bursa side only in 4 out of 22 patients. VAS scores of the US-guided group significantly improved compared to the blind group. In conclusion, US-guided PAB injections are more accurate and efficacious than blind approaches.

Strategies to Enhance Patient Care and Compliance with Pain Order Duplications and Gaps

2021 ◽  
pp. 001857872110323
Author(s):  
Shayna Cruz ◽  
Amberene Daya ◽  
Andrea Quinn ◽  
Amanda Ries
Keyword(s):  
Pain Management ◽  
Patient Care ◽  
Visual Analog Scale ◽  
Patient Preferences ◽  
Joint Commission ◽  
Hospital Level ◽  
Analog Scale ◽  
Vas Scores ◽  
Enhance Patient Care ◽  
The Joint Commission

According to the Joint Commission every patient has a right to pain management. Due to multimodal pain management, pain orders have the potential for duplication as well as gaps in therapy. At our institution, we evaluated pain orders and implemented strategies that aimed to reduce those gaps. We found that current ordering practices permitted the use of varying visual analog scale (VAS) ranges (e.g., VAS 1-3 and 1-5) which inherently increased the potential for duplicate therapies. When gaps in therapy occurred, medication orders for corresponding VAS scores were not available and thus, therapy was delayed. Additionally, current administration policies did not take into account patient preferences for less potent agents which can also cause a delay in care. In summary, simple strategies, discussed in this article, may be implemented at the hospital level to optimize patient care while maintaining recommendations by the Joint Commission for clear medication orders.

scholarly journals Ultrasound-Guided Percutaneous Needle Electrolysis in Dancers with Chronic Soleus Injury: A Randomized Clinical Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
B. De-la-Cruz-Torres ◽  
I. Barrera-García-Martín ◽  
F. Valera-Garrido ◽  
F. Minaya-Muñoz ◽  
C. Romero-Morales
Keyword(s):  
Eccentric Exercise ◽  
Soleus Muscle ◽  
Sports Injuries ◽  
Exercise Program ◽  
Exercise Group ◽  
Muscle Injuries ◽  
Therapeutic Tool ◽  
Clinically Important Difference ◽  
Improved Outcomes ◽  
The Us

Damage to intramuscular tendons is very common in sports injuries, specifically in soleus muscle injuries. This study sought to compare the effects of applying ultrasound- (US-) guided percutaneous needle electrolysis (PNE) in combination with an eccentric exercise program on pain and functionality in dancers with chronic soleus injury, located in the central tendon. Thirty dancers with injured central tendon of the soleus muscle were randomly allocated to a PNE group (n = 10), an eccentric exercise group (n = 10), or a combined group (n = 10). Pain, ankle dorsiflexion range of motion (DROM), endurance, the heel raise test, the DFOS questionnaire, and the minimal clinically important difference (MCID) were analyzed at baseline and after treatment (four weeks). Over half (52%) of the dancers had a chronic soleus muscle injury. Variables for pain, DROM, the heel rise test, ADL, technique, DFOS total, and DFOS-subjective variables showed significant differences (P<0.05) in pretreatment and posttreatment in all groups, whereas no significant differences were observed between intervention groups. However, the combined group showed a higher percentage of changes compared to the other groups, and these dancers had greater perceived changes (MCID = 4.70 ± 1.42). The conclusion of the study was that dancers with chronic soleus injury, located in the central tendon, treated with a combination of US-guided PNE and an eccentric exercise program displayed improved outcomes compared to the application of PNE therapy or eccentric exercise alone. The US-guided PNE, combined with an eccentric exercise program, is a useful therapeutic tool for the treatment of chronic soleus injury, located in the central tendon. The trial is registered with NCT04042012.

Posttraumatic Nasal Valve Collapse: Is Alar Batten Graft the Answer?

2016 ◽  
Vol 9 (3) ◽  
pp. 125-129
Author(s):  
Avinash Das
Keyword(s):  
Nasal Obstruction ◽  
Visual Analog Scale ◽  
Nasal Valve ◽  
Analog Scale ◽  
Interventional Study ◽  
Symptom Evaluation ◽  
Vas Scores ◽  
Nasal Valve Collapse

ABSTRACT Introduction Posttraumatic nasal valve collapse (NVC) is an underdiagnosed cause of nasal obstruction causing significant symptoms and has been treated by various techniques, the results of which have been variable. In our study, alar batten graft (ABG) has been used to strengthen the nasal wall. Techniques A prospective interventional study was done on 13 patients of posttraumatic NVC using an ABG to reinforce the ala, and results were measured on the basis of standardized nasal obstruction symptom evaluation (NOSE) and nasal obstruction visual analog scale (NO-VAS) scores at 6 months. Results There was a statistically significant improvement in 12 out of 13 patients, with mean improvement of 25.62 on NOSE and 2.4 on NO-VAS scores. There was a visible improvement in the extent of collapse also. Conclusion Posttraumatic NVC can be treated effectively using ABG, with significant improvement in standard scores as well as the symptomatology. How to cite this article Maggon NV, Sethi A, Das A. Posttraumatic Nasal Valve Collapse: Is Alar Batten Graft the Answer? Clin Rhinol An Int J 2016;9(3):125-129.

The Visual Analog Scale for Pain

2001 ◽  
Vol 95 (6) ◽  
pp. 1356-1361 ◽  
Author(s):  
Carol A. Bodian ◽  
Gordon Freedman ◽  
Sabera Hossain ◽  
James B. Eisenkraft ◽  
Yaakov Beilin
Keyword(s):  
Visual Analog Scale ◽  
Outcome Measure ◽  
Patient Controlled Analgesia ◽  
Analog Scale ◽  
Full Spectrum ◽  
Vas Score ◽  
Vas Scores ◽  
Relevant Outcome ◽  
Apparent Influence ◽  
Research Studies

Background The visual analog scale is widely used in research studies, but its connection with clinical experience outside the research setting and the best way to administer the VAS forms are not well established. This study defines changes in dosing of intravenous patient-controlled analgesia as a clinically relevant outcome and compares it with VAS measures of postoperative pain. Methods Visual analog scale measurements were obtained from 150 patients on the morning after intraabdominal surgery. On the same afternoon, 50 of the patients provided a VAS score on the same form used in the morning, 50 on a new form, and 50 were not asked for a second VAS measurement. Results Visual analog scale values and changes in value were similar for patients who were given a new VAS form in the afternoon and those who used the form that showed the morning value. The proportions of patients requesting additional analgesia were 4, 43, and 80%, corresponding to afternoon VAS scores of 30 or less, 31-70, and greater than 70, respectively. Change from morning VAS score had no apparent influence on patient-controlled analgesic dosing for patients with afternoon values of 30 or less or greater than 70, but changes in VAS scores of at least 10 did discriminate among patients whose afternoon values were between 31 and 70. Conclusions When pain is an outcome measure in research studies, grouping final VAS scores into a small number of categories provides greater clinical relevance for comparisons than using the full spectrum of measured values or changes in value. Seeing an earlier VAS form has no apparent influence on later values.

Dynamic Response of Normal and Osteoporotic Trabecular Bone by Vibration Analysis

2005 ◽  
Author(s):  
Wafa Tawackoli ◽  
Gemunu Gunaratne ◽  
Fazle Hussain ◽  
Michael Liebschner
Keyword(s):  
Treatment Efficacy ◽  
Low Frequency ◽  
Osteoporotic Fractures ◽  
Vibrational Modes ◽  
Response Signal ◽  
Noninvasive Sensors ◽  
Low Frequency Vibration ◽  
The Us ◽  
Monitoring Treatment

Osteoporosis afflicts about 200 million people worldwide; and osteoporotic fractures are in the millions annually in the US alone and cost tens of billions of dollars [1]. Characterization of bone quality in osteoporotic patients is important with respect to monitoring treatment efficacy, though currently quite limited. While some technical hurdles in developing a noninvasive diagnostic tool using low frequency vibration have been overcome, changes in the frequency response signal of bone have not been investigated at the various bone organizational levels. Our principal hypothesis is that the vibrational modes of bone tissue change significantly with the deterioration of bone micro-architecture and that these modes can be captured by noninvasive sensors.

scholarly journals Microbial Etiology and Antimicrobial Therapy of Peri-implantitis: A Comprehensive Review

2018 ◽  
Vol 12 (1) ◽  
pp. 1113-1122
Author(s):  
Muhammad Waqar Hussain ◽  
Shahabe Saquib Abullais ◽  
Talib Amin Naqash ◽  
Mohammad Yunis Saleem Bhat
Keyword(s):  
Antimicrobial Therapy ◽  
Bacterial Infections ◽  
Soft Tissues ◽  
Anaerobic Bacteria ◽  
Dental Practice ◽  
Inflammatory Condition ◽  
Microbial Infection ◽  
Missing Teeth ◽  
Microbial Etiology ◽  
Current Article

Introduction: Implants have turned out to be a well-established therapy in dental practice for the replacement of missing teeth and restoration of function. Peri-implant disease denotes the inflammatory condition of surrounding soft and hard tissues. Two terminologies are covered under the impression of peri-implant pathology; peri-implantitis and mucositis. Peri-implant mucositis is a reversible inflammatory process limited to soft tissues around an implant. Peri-implantitis is an inflammatory condition of hard and soft tissue around the dental implant. Microbial Etiology: Bacterial infections are the most common cause of peri-implantitis. It is a variable poly-microbial infection, although generally dominated by Gram-negative anaerobic bacteria Anti-infective therapy should be included in the treatment regime, while treating the peri-implant disease. Antimicrobial therapy includes local debridement, antibiotic therapy and surface decontamination of the implant. Conclusion: The current article gives a detailed overview of microbial etiology, antimicrobial therapy and its limitations for the treatment of peri-implant Pathology.

scholarly journals INFLUENCE OF AGE AND MORPHOLOGICAL FEATURES ON THE CLINICAL MANIFESTATIONS AND TREATMENT EFFICACY OF HEMANGIOMAS IN CHILDREN

2021 ◽  
Vol 8 (1) ◽  
pp. 22-29
Author(s):  
V. Vivcharuk ◽  
V. Davydenko
Keyword(s):  
Treatment Efficacy ◽  
Soft Tissues ◽  
Clinical Manifestations ◽  
Previous Treatment ◽  
Infantile Hemangioma ◽  
Age Group ◽  
Severity Factor ◽  
Active Growth ◽  
Age Related ◽  
Cosmetic Effect

Background. Infantile hemangioma (IH) is a neoplasm that is most common in childhood. Morphologically, hemangiomas are divided into superficial, deep and mixed, focal, segmental, indeterminate and multifocal. The course of IH includes phases of rapid growth followed by slow involution. The degree of involution of hemangioma is variable. Hemangiomas can lead to the appearance of permanent deformities of soft tissues or functional disorders, especially when localized on the face and vital structures. Clinical heterogeneity of hemangiomas creates significant difficulties for physicians in resolving issues of treatment tactics. Specific characteristics of the clinical behavior of hemangiomas of various morphological types can be crucial in the choice of management tactics for such patients. Objectives. The aim of the work is to study the effect of different morphological types of hemangioma in children on the effectiveness of treatment of age-related clinical features. Subjects and Methods. The study group consisted of 100 children in age from birth to 6 years who have hemangiomas of different morphological types and localizations and did not receive previous treatment. All research participants for hemangioma severity scale (HSS), hemangioma activity scale (HAS), visual analogue scale (VAS) before, during and after treatment were scored. Serum levels sFas/sFasLs before and during treatment evaluated. Results. With increasing the child’s age, the indicator as for HAS reliably decreases for all types of hemangiomas. In all types of hemangiomas predominantly an active growth took place. An abortive growth in 10% of patients was noted. For focal hemangiomas, the indicator of sFas decreases with age, and for multifocal hemangiomas it increases. In both cases, there is an increase in the sFasL indicator with increasing age of the child. In our study, in age group before 1 year in the factor structures, “age” factor was considered to be the main one and manifested by a decrease in the activity of hemangioma with an increase in the age of the child. Among children over 1 year age, during the course of treatment, the greatest contribution the “hemangioma severity factor”, the influence of which leads to a decrease in the cosmetic effect of hemangioma treatment against the background of its high severity and an increase in the indicator of apoptosis inhibition of sFas. The influence of the “treatment efficacy” factor leads to a decrease in its cosmetic effect and an increase in the severity of the manifestations of hemangioma against the background of blocking the manifestations of apoptosis. Conclusions. When starting treatment of hemangioma in the early stages, the cosmetic effect increases significantly. A decrease in sFasL in the younger age group may indicate a decrease or absence of apoptosis processes, which is clinically expressed by active proliferation. An increase in sFas in the older age group (over a year old) may indicate a blockage of apoptosis processes and, as a consequence, a slow regression of hemangioma.

Augmentation Devices for Rotator Cuff Repair

2011 ◽  
Author(s):  
Kathleen A. Derwin ◽  
Joseph P. Iannotti
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Soft Tissues ◽  
Tendon Repair ◽  
Rotator Cuff Tears ◽  
Common Cause ◽  
The Us ◽  
Cuff Repair ◽  
Cause Of Pain ◽  
Intended Use

Rotator cuff tears affect 40% or more of those over age 60 and are a common cause of pain and disability. Surgical repairs have high failure rates that range from 20 to 90%. Currently, scaffolds derived from various natural and synthetic biomaterials are being marketed as augmentation devices for rotator cuff repairs at the time of surgery 1–3. The US Food and Drug Administration (FDA) has cleared these devices “to support soft tissues where weakness exists” but not “to provide the full mechanical strength for the tendon repair”. Based on the mechanical connotation of their intended use, it is commonly believed that when applied appropriately, these devices may provide some degree of load sharing of forces across the tendon repair site and thus decrease the likelihood of tendon re-tear.

The Effect of Trabecular Microstructure and Mechanical Properties on the Pullout Strength of Suture Anchors

2009 ◽  
Author(s):  
Christopher M. Yakacki ◽  
Mariya Poukalova ◽  
Robert E. Guldberg ◽  
Angela Lin ◽  
Ken Gall
Keyword(s):  
Mechanical Properties ◽  
Rotator Cuff ◽  
Soft Tissues ◽  
Flexor Tendon ◽  
Suture Anchors ◽  
Pullout Strength ◽  
Bone Anchor ◽  
Trabecular Microstructure ◽  
The Us ◽  
Tendon Ruptures

Suture anchors are a type of bone anchor designed to attach soft tissues, such as tendons and ligaments, to bone. Suture anchors are commonly used for soft tissue repairs including rotator cuff repairs, bicep tenodesis, flexor tendon repairs, and patellar tendon ruptures among others. In 2007, over 1 million suture anchors were used in 460,000 shoulder repairs in the US alone[1].

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