1,721,034 research outputs found
Il trattamento conservativo della patologia tendinea del ginocchio – Conservative treatment of jumper’s knee.
No full textJumper's knee (patellar or quadriceps tendon tendon itis) is found in a high number of athletes, especially in volleyball and basketball players. Conservative treatment (rest, stretching, physical therapy and an tiinflammatory drugs) is usually successful. The ath letes often recover completely and resume their sports activity. The purpose of this study is to present the histologic findings and our surgical repair of 18 knees of patients who underwent surgery after failure of conservative treatment.
Histologic findings confirm that the so-called "jumper's knee" is a pathology localized at the bone- tendon junction. In all cases the following abnormali ties were found:pseudocystic cavities at the borderline between mineralized fibrocartilage and bone, disap pearance of the "blue line," increased thickness of the insertional fibrocartilage with myxomatous and hyaline metaplasia, mineralization, and ossification of the fibrocartilage far from the "blue line." Abnormali ties of the patellar tendon were observed only in one patient who received local injection of corticosteroids.
Eleven of the 18 surgically treated knees obtained a satisfactory result with complete resumption of sports activit
Regeneration of the Semitendinosus Tendon Harvested for Anterior Cruciate Ligament Reconstruction. Evaluation Using Ultrasonography
Full text linkIn a prospective study, 40 consecutive patients who underwent anterior cruciate ligament reconstruction with doubled semitendinosus and gracilis tendon autografts were examined pre- and postoperatively by ultrasound to investigate the anatomy of the donor site before and after the harvest of the tendons. The patients underwent ultrasonography at 2 weeks and 1, 2, 3, 6, 12, 18, and 24 months postoperatively. A total of 298 postoperative sonographic evaluations were performed. The semitendinosus tendon was imaged in the sagittal and axial planes: structure and margins were evaluated with the sagittal views; thickness and width were measured with the axial views. In all cases the following sequence of healing was documented: 2 weeks after surgery the semitendinosus tendon site was occupied by an area of increased thickness and decreased echogenicity, suggesting the presence of traumatic edema of the soft tissue surrounding the tenotomy. At 1 month, an irregular hypoechoic structure appeared in a near-anatomic position; at 2 months after surgery, thickness, width, and cross-sectional area of this structure were significantly greater than preoperatively. The amount of regenerated tissue increased up to that seen in the tissue of the 6-month examinations, which also showed a more uniform echostructure. The scans performed at 1 year showed distinct edges and reduction in thickness and width. At 18 and 24 months the echogenicity of the structure occupying the donor site was very similar to that of the normal semitendinosus tendon. However, this structure was clearly identified about 4 cm proximal to the pes anserinus, revealing a more proximal insertion of the regenerated semitendinosus tendon
Acupuncture for Breakthrough pain in cancer. A medical record
No full textPatients with chronic cancer pain frequently suffer from severe pain intensity exacerbations.
A 60-years old woman had been experiencing Breakthrough Cancer Pain (BTCP) mostly concentrated on shoulders since the resection of the upper right lung lobe one year before, reason why she underwent
Traditional Chinese Medicine treatment (TCM).
She was diagnosed with BTCP. Despite strong opioids intake during radiotherapy and chemotherapy, she continued to suffer from pain without benefiting from these medications.
She was treated with somatic and auricular acupuncture and cupping technique for 10 sessions, 2–3 sessions per week, 30 min per session.
After five/six sessions of treatment the patient felt much better, relieved from the pain with an improving Numeric rating Scale (NRS) and an important improving of Breakthrough Pain Assessment Tool-BAT and Constant-Murley Score. In cancer patients, acupuncture could represent an effective treatment option
Le superfici percettive nel trattamento della lombalgia cronica: una nuova strategia riabilitativa attraverso l’utilizzazione della linea mediana
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