I have chosen an article titled, “Long-term follow-up of trapeziectomy with abductor pollicis longus tendon interposition arthroplasty for osteoarthritis of the thumb carpometacarpal joint.” This article comes from the Journal of Orthopaedics, Volume 10, Issue 2, Pages 59-64, June 2013. The authors of this article are Erez Avisar, Michael Elvey, Ziv Wasrbrout, and Maurice Aghasi. The hypothesis of this article was that the participating patients with moderate to severe osteoarthritis of the thumb would receive higher quality long-term results after receiving a trapeziectomy with abductor pollicis longus (APL) interposition arthroplasty. The primary reason for this investigation is to try and determine the optimal treatment for carpometacarpal (CMC) arthritis care as well as to analyze the patient’s post-surgical well-being after a prolonged period of time, fifteen years in this case.
The article first introduced that CMC is the most common joint in the hand to become arthritic and is characterized by pain, weakness, and deformity all of which can lead to significant disability (Aghasi, M., et. al, 2013). The pathophysiology of the arthritis is deemed to derive from either: 1) human evolutionary adaptation which has sacrificed the stability of the CMC joint or 2) the weakening of the palmar beak ligament and destabilization of the saddle joint leading to degenerative alterations. Once conservative methods of treatment, such as hand therapy, splinting, and steroidal injections have been exhausted surgical intervention is taken. This particular surgery involves an incision 1cm distal to the base of the first metacarpal and continuing proximally over the CMC joint, through the snuff-box, and ending 2.5 cm proximal to the radial styl...
... middle of paper ...
...ndependent variable in this study is the surgery and the dependent variable is the symptomatic and functional evaluations. Further testing needs to be completed on this topic to provide more definitive evidence that this particular surgery is the most effective in alleviating pain and increasing joint functionality in the long term. The one major drawback to this study was that it had an extremely small sample size, n=13. This makes it very difficult to say that the hypothesis is 100 percent acceptable. Further research is warranted on this topic.
Works Cited
Aghasi, Maurice., Avisar, Erez., Elvey, Michael. & Wasrbrout, Ziv. "Long-term follow-up of trapeziectomy with abductor pollicis longus tendon interposition arthroplasty for osteoarthritis of the thumb carpometacarpal joint.” Journal of Orthapaedics Vol. 10. Issue 2. (June, 2013): 59-64. Web. 4 June. 2013.
Shiel W Jr.and Stoppler M. (2011). Osteoarthritis . Available: http://www.medicinenet.com/osteoarthritis/article.htm . Last accessed December 2013.
That's basically it. A surgery that baseball players and fans have grown to appreciate, and one of the more scientific breakthroughs in modern sports medicine. And after doing this report I’m fascinated by the modern science and how a tendon in your wrist can be used as a ligament.
The knee joint is formed by the articulation of the distal end of the femur and the proximal end of the tibia. The fibula is only involved to the extent that it serves as an attachment site for connective tissue. In this paper, the anatomy of the joint will be discussed.
The higher the infirmity, the lower the percentage. Global rating of Knee Function scales deliver a technique of attaining statistics in a more quick, flexible, and efficient way. Although, with any conclusion quota important readings of outcomes can only be accepted with the thought of the clinometric assets, powers, and flaws of the tool. Single leg hop tests is a technique that your doctor may practice to define your aptitude to return to exercises, sports and events after knee surgery. It is generally practiced throughout the return to function stage in an anterior cruciate ligament restoration procedure. This is used to evaluate the useful firmness of your knee (Shen. W,
Retrieved September 16, 2000 from: http://www. www.sechrest.com/mmg/knee/kneeacl.html. Arthroscopic ACL Reconstruction -. et al. (July 11, 1999).:Arthroscopy.com. Retrieved September 16, 2000 from: http://www.arthroscopy.com/sp05018.htm.
Graston instrument-assisted soft tissue mobilization (GITSM) is a tool used by therapist and chiropractors to help break up the scar tissue and replace it with fibroblast allowing for faster recoveries (Black 2010). A series of heat, GISTM, then strength and flexibility training are required (Black 2010). Numerous studies have been conducted, by certified therapist qualified in GISTM, to examine the styles and recovery periods after an injury. After going through the treatment, patients are measured by their range of motion (ROM) to see if the treatments were effective or not (Black 2010). ROM can vary depending on the region of the body that is being treated, but the overall goal of GISTM is to allow a person to get back to their regular routines they had before their injury. A study conducted by Logan College of Chiropractic shows that plantar fasciitis (foot) can be treated by GISTM on the first day of treatment (Daniels and Morrell 2012). Another study by Duke University shows that GISTM can be effective for patients after surgery that had an injury in the Patellar tendon (knee) (Black 2010). After several treatments, GISTM can, also, be used to treat a compression fracture in the lumbar (back) (Papa 2012). Each study shows the method of GISTM, the patient’s recovery period along with the methods of recovery.
During surgery, the new tendon is woven in a figure-eight shape after it is embedded in the elbow. If you are a pitcher it usually takes 12-15 months with lots of rehabbing in between and about 6 months if you’re a position player. Dr. James Andrews is the most common name you’ll find that operates on baseball players that need Tommy John surgery. Here is a scary thought. Every single pitcher that plays baseball, no matter his age, generates enough force to rupture the ulnar collateral ligament on every single pitch.
The guidelines generate the latest high-quality evidence which can very helpful to Physiotherapists as it will allow them to provide the best quality of care to the patients and improve the quality of their clinical decision making. However, guideline recommendations can be misleading, misinterpreted or wrong for some patients. It is important to evaluate the evidence and see if it is compatible with the patient the treatment is being provided for before selecting the recommended treatment. Furthermore, guideline evidence can be difficult to scrutinise for limitations as this requires a lot of time, resources and skills which is not available for all clinicians. Overall, if used correctly and appropriately Evidence-Based guidelines can be an effective process when Physiotherapists are choosing a treatment for a
“The purpose of a doctor or any human in general should not be to simply delay the death of a patient, but to increase the person’s quality of life.” Orthopedic surgeons treat a number of conditions that affect the bones, joints, muscles, tendons, and nerves. The training to become an orthopedic surgeon requires multiple years of hard work and studying, but in the end, the success is worth all the stress and struggle experienced on the way. Most doctors must dedicate every fiber of their being, countless hours of work, and years of stress in their chosen profession. Medicine is only for those who can’t imagine doing anything else.
The purpose of this paper is to present a discussion of the application and evaluation of Post-Operative pain management in elderly patients with dementia in a rehabilitation setting.
"Chapter 37." Operative Techniques in Orthopaedic Surgery. Ed. Sam Wiesel. 4th ed. Vol. 2. Lippincott Williams & Wilkins, 2011. eBook.
Chronic lower back pain is a major health disorder in the world today (Mendelson, Selwood, Kranz, Loh, Kidson, Scott, 1983). It can cause many physical, mental, and emotional problems on the victim (Mendelson, Selwood, Kranz, Loh, Kidson, Scott, 1983). Many people find their work so unbearably painful that they often have to stay home. Others experience depression, inactivity, and social isolation (Kaplan, Sallis, Patterson). Treatments range from the conventional methods such as medication and surgery to the alternative or unconventional methods such as acupuncture. However, only a small percentage of low back pain patients have the type of condition for which surgery can be used so acupuncture is becoming more popular (Lehmann, Russell, Spratt, 1983).
...nt due to the overstretching of the muscles and tendons when the contractures bent the rest of the fingers splints are placed on the fingers for a minimum of six weeks to regain straightness in the fingertips. An occupational therapist is very helpful during recovery after surgery. Most people will have improved motion in their fingers after surgery with a well planned recovery process The rate of recurrence is roughly 50% of surgical patients. The possibility of recurrence can be very frightening to Dupuytren’s patients because of the fact that additional surgeries may be needed. The unpredictability of the disease makes it difficult to plan one’s life knowing the disease might recur be more severe than in the previous episode. Additional Surgeries carry the risk of infection, loss of already limited function, and the additional risk of nerve and tendon damage.
Medical study is a combination of clinical experience and scientific research, which requires proof and evidence. These two components can help physiotherapists with diagnosis, provide treatments for patients and making clinical decision. However, what are the ways for individuals to testify the effectiveness of these methods and treatments? Is there scientific evidence proving the information is correct and up to date? How helpful and appropriate are these methods and treatments to the patients? Hence evidence-based practice is necessary. It has a strong impact in physiotherapy, to ensure researches are more focused and relevant to physiotherapists and as a guiding principle to practice and treatment of patients.