DOCSLIB.ORG

Poster Abstracts

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Poster Abstracts POSTER ABSTRACTS • The FDA has not cleared the drug and/or medical device for the use described in this presentation ANKLE/FOOT/CALF E-poster #100: Arthroscopic Management for E-poster #111: Osteochondral Lesions of the Osteochondral Lesions of the Talar Dome Ankle: A Retrospective Clinical Study Masato Takao, JAPAN Alvaro Ojeda, CHILE E-poster #101: Autologous Chondrocyte E-poster #112: Confidence of the Implantation for Osteochondral Lesions of conservative treatment for the acute ankle the Talus; A 12 Month Clinical, Arthroscopic & lateral ligament injury. Biopsy Evaluation Kozo Ohtera, JAPAN Ian Henderson, AUSTRALIA E-poster #113: Extracorporeal Shock Wave E-poster #102: Ankle Arthroscopy in Local Therapy in Tibial Stress Fractures Anesthesia Juan Herrera, COLOMBIA Luciano Lucania, ITALY E-poster #115: Arthroscopy and Endoscopy E-poster #103: Intra-articular fractures of the of Hindfoot Pathology distal tibial epiphysis in young sportsmen. Gonzalo Mora, SPAIN Vitaly Kuksov, RUSSIA E-poster #117: Pseudarthrosis of the Medial Tubercle of the Posterior Process of the Talus: E-poster #104: Arthroscopic-Assisted A Misdiagnosed Cause of Chronic Ankle Pain Tibiotalocalcaneal Arthrodesis Using in Athletes Intramedullary Nail Elias Dagher, FRANCE Hitoshi Sekiya, JAPAN E-poster #121: Physiotherapy Programme E-poster #105: Combined Anterior and Following Halux Valgus Corrective Surgery Posterior Impingement Syndrome of the and Plaster Cast Free Healing Process Ankle Izabela Maziarz, POLAND Ian Henderson, AUSTRALIA E-poster w/ Standard #122: Results of E-poster #106: Endoscopy in Percutaneous Endoscopic Plantar Facia Release Repair of Achilles Tendon Rupture. Is it a Rajesh Bazaz, USA Waste of Time? Athanasios Fortis, GREECE E-poster w/ Standard #123: Results of Functional Postoperative Treatment of E-poster #107: Plantar Fascitis Treated with Professional and Amateur Athletes After Radiofrequency. Preliminary Results. Achilles Tendon Ruptures Ramon Barredo, USA Witek Ewa, POLAND E-poster #108: Arthroscopy Assisted E-poster w/ Standard #124: Anatomical Reduction and Internal Fixation for Triplane Reduction of Anterior Tibio- Fibular Avulsion Fracture of the Ankle: A Case Report Fracture: An Accurate and Secure Fixation Hideaki Nishi, JAPAN Technique E-poster #110: MRI Evaluation for Yousef Salameh, ISRAEL Consecutive Change of the Intensity of E-poster w/ Standard #125: Efficacy of Anterior Talofibular Ligament Autografts Mesotherapy on Achilles Tendinopathy. A Comparison with Articular Portion and Bone Placebo-Controlled Study Tunnel Portion Gianluca Camillieri, ITALY Masatoshi Tobita, JAPAN E-poster w/ Standard #126: A New E-poster #157: The Relationship of the Anatomical Reconstruction of the Lateral Glenoid Notch Angle and the Attachement of Ankle Ligaments. the Antero-superior Labrum Hideji Kura, JAPAN Pol Huysmans, NETHERLANDS E-poster w/ Standard #127: Pathoanatomy E-poster #159: Biomechanical Comparison of and Treatment of the Unstable Os Subfibulare the Bioabsorbable Retroscrew System, Delta or Old Avulsion Fractures of the Lateral Screw, and Bioscrew Xtralok for Tibialis Malleolus Anterior Graft-Tibial Tunnel Fixation Kensuke Yasumura, JAPAN Haw Chong Chang, SINGAPORE E-poster w/ Standard #128: Risk Factors for E-poster #160: Biomechanical Evaluation of Stress Fractures, Orthopaedic Acute and Bioknotless and Bio-corkscrew Suture Overuse Injuries in Female Infantry Recruits Anchors in the Repair of Rotator Cuff Tears Gideon Mann, ISRAEL Jennifer Ammon, USA E-poster w/ Standard #129: Diagnostic E-poster #161: Retroscrew System Value of Stress X-P, Ultrasound, and MR Biomechanical Fixation Characteristics Differ imaging for Disruption of the Anterior During Submaximal Cyclic and Load to Talofibular Ligament. Failure Testing in PorcineTibiae Kazunori Oae, JAPAN John Nyland, USA BASIC SCIENCE E-poster #164: Classification of PCL and E-poster #150: Injury Pattern of the Associated Lesions Using Stress-Radiography Degenerative Adolescent Porcine Spine Techniques Exposed to Traumatic In-Vitro Loading Guido Garavaglia, SWITZERLAND Leif Swärd, SWEDEN E-poster #165: Bone Growth Factors and E-poster #151: The Meniscofemoral Staminal Cells: From Experimentation In Vitro Ligaments of the Knee in Japanese to Clinical Medicine. Shinya Nagasaki, JAPAN Jolanda Taglioretti, Italy E-poster #153: Long Term Sport Involvement E-poster #166: Cell Viability of Menisci Does Not Lead To Significantly Greater Frozen at Three Different Temperatures: Incidence Of Sporting Injuries In Elite Young Experimental Study in Rabbits Athletes Moises Cohen, BRAZIL Nicola Maffulli, UNITED KINGDOM E-poster #167: A Surgical Technique for E-poster #154: Reconstruction of a Bone Autologous Medial Femoral Condyle Defect with Injectable Biodegradable Bone Transplantation in Rabbits Substitute: A Histological and Biomechanical Moises Cohen, BRAZIL Studies in Rabbits Chih-Hwa Chen, TAIWAN E-poster #168: Medial Meniscus Transplantation Using Synthetic Glue for E-poster #155: The Effect Of Bipolar Fixation In Rabbits Radiofrequency Energy On The Structure Of Moises Cohen, BRAZIL The Meniscus Of The Knee Joint- An Invitro Study E-poster #169: Microsurgical Evaluation of Vijay Bhalaik, UNITED KINGDOM the Posterolateral Corner Anastasios Tokis, GREECE E-poster #156: Clinical and Anatomical Study About Double Bundles in the Anterior Cruciate Ligament Masaaki Ito, JAPAN E-poster #170: The Effect of Shock Wave E-poster #201: Malpositioning of the Ulnar Treatment At The Tendon-Bone Interface - A and Humeral Component of Total Elbow Histomorphological and Biomechanical Study Prosthesis and Revision Rate in Rabbits Margarita van der Hoeven, NETHERLANDS Ching-Jen Wang, TAIWAN E-poster #202: Viscosupplementation Not E-poster #171: Immunohistochemical Effective for the Treatment of Posttraumatic Analysis of Mechanoreceptors in the Human Osteoarthritis of the Elbow Posterior Cruciate Ligament Richard van Brakel, NETHERLANDS Moises Cohen, BRAZIL E-poster #203: Results of the Kudo Total E-poster w/ Standard #175: Mechanical Elbow Arthroplasty in Patients with Sever Properties of the Anterior Cruciate Ligament Destruction of the Elbow Joint due to Treated with Radiofrequency Shrinkage Rheumatoid Arthritis Deteriorate In Vivo Over Time, Even When Rinze Reinhard, NETHERLANDS Sufficient Volume of Ligament Tissue Remains Intact Around the Treated Portion E-poster #204: Epicondylitis. Arthroscopic Eiji Kondo, JAPAN Treatment Alberto Pienovi, ARGENTINA E-poster w/ Standard #176: The Integration Process at the Bone-Tendon Interface in E-poster #205: Four Years Preliminary Anterior Cruciate Ligament Reconstruction:an Experience with Personal Technique for All Immunohistological Study in a Rabbit Model Inside Arthroscopic Repair of Triangular Tomonoshin Kanazawa, JAPAN Fibrocartilage Marco Conca, ITALY E-poster w/ Standard #177: Myofibroblast Expression in Injured Medial Collateral and E-poster #206: Microsurgical Dissection of Anterior Cruciate Ligaments the Carpal Tunnel in Respect to Guido Garavaglia, SWITZERLAND Neurovascular Structures At Risk During Endoscopic Carpal Tunnel Release E-poster w/ Standard #178: Effects of Harilaos Vasiliadis, GREECE Parecoxib on Bone Healing Sigbjorn Dimmen, NORWAY E-poster #207: Arthroscopy for Snapping Elbow Due to Congenital Radial Head E-poster w/ Standard #179: The Role of Dislocation: A Case Report Radiofrequency Microdebridement in Yoshiaki Kurihara, JAPAN Meniscus Surgery: A Study in a Sheep Model Wolf Petersen, GERMANY E-poster #208: Shockwave Therapy in Tennis Elbow - Our first two years E-poster w/ Standard #180: Reducing the Carlos Leal, COLOMBIA Killer turn in single bundle PCL Reconstruction: Anatomical and Extracortical E-poster #210: Endoscopic Olecranon Bursa Fixation Under Cyclic Loading Resection Thore Zantop, USA Gonzalo Mora, SPAIN ELBOW/WRIST/HAND E-poster #212: Arthroscopic Treatment of E-poster #200: Risks Evaluation in Posterior Stiff Elbow Transolecranon Surgical Approach: A Traffic Jin Soo Park, KOREA Lights Model Andrea Salvi, ITALY E-poster #213: Arthroscopic Repair Of Combined TFCC Tears; A New Clinical Entity Michael Redler, USA E-poster #215: Physiotherapeutic Approach E-poster #304: Anatomical Angle of the in Epicondylopathy of the Humerus Anterior Cruciate Ligament in the Coronal Izabela Maziarz, POLAND Plane Masaaki Takahashi, JAPAN E-poster #216: Open Treatment of Stage III Kienbock’s Disease With Lunate E-poster #305: The Effect of the Oral Revascularization Compared With Contraceptive Pill on Ligamentous Laxity Arthroscopic Treatment Without Mark Burman, CANADA Revascularization E-poster #306: PLLA Ligament as a Ligament Gursel Leblebicioglu, TURKEY Augumentation Device Masao Ishimura, JAPAN E-poster w/ Standard #217: A New Technique for Reconstruction of the MCL of E-poster #307: Stress Fractures of the Femur the Elbow Using Triceps Tendon After Cross-pin ACL Reconstruction Denise Eygendaal, NETHERLANDS Rafael Loureda, SPAIN E-poster w/ Standard #218: Distal Biceps E-poster #308: Active and Passive Tendon Anatomy and Endoscopy Mechanisms of Anterior Cruciate Ligament Gregory Bain, AUSTRALIA Rupture: Correlation with MRI and Operative Findings of Injury Severity E-poster #219: Midcarpal Anatomy as a David Parker, AUSTRALIA Guide to Understanding Carpal Mechanics Gregory Bain, AUSTRALIA E-poster #309: Consequences of a Mid-third BPTB-autograft Excision on Patellofemoral E-poster w/ Standard #220: Complex, Biomechanics and Knee Kinematics Comminuted Distal Radius Fractures: Michael Bohnsack, GERMANY Treatment by Modified
Load more

Recommended publications
  • Frequently Asked Questions
    Frequently Asked Questions What are the requirements for license renewal? Licenses Expire Contact Hours Required Each three-year registration renewal period in the licensee’s month of birth. 36 contact hours How do I complete this course and receive my certificate of completion? On-Line Submission: Go to PT.EliteCME.com and follow the prompts.You will be able to print your certificate immediately upon completion of the course. Fax Submission: Fax to (386) 673-3563, be sure to include your credit card information. All completions will be processed within 2 business days of receipt and certificates e-mailed to the e-mail address provided.* Mail Submission: Use the envelope provided or mail to Elite, PO Box 37, Ormond Beach, FL 32175. All completions will be processed and certificates issued within 10 business days from the date it is mailed.* *Please note - providing a valid e-mail address is the quickest and most efficient way to receive your certificates when submitting via fax, e-mail or mail. Submissions without a valid e-mail address will be mailed to the address provided at registration. How much will it cost? Cost of Courses Course Title Contact Hours Price Acute Injury and Pain: A Strategy, Management and Rehabilitation Discussion for Physical 3 $18.00 Therapists An Overview of Oncology Rehabilitation 4 $24.00 Common Injuries and Therapy Management for Runners 4 $24.00 Lifestyle and Therapy Approaches to Osteoporosis 3 $18.00 Reducing and Eliminating Workplace Injuries Through Ergonomics 2 $12.00 Stroke: Risk Factor Assessment, Rehabilitation Protocols and Best Practices for Prevention 2 $12.00 BEST VALUE 18-HOUR COURSE BOOK PACKAGE SAVE $11.00 18 $97.00 Are you a department approved provider? Elite Professional Education, LLC is recognized by The New York State Education Department’s Board of Physical Therapy as an approved provider of physical therapy and physical therapist assistant continuing education.
    [Show full text]
  • A Comparative Study on Immediate Effects of Traction Straight Leg And
    International Jour nal of Applie d Rese arc h 2019; 5(4): 274-278 ISSN Print: 2394-7500 ISSN Online: 2394-5869 A comparative study on immediate effects of traction Impact Factor: 5.2 IJAR 2019; 5(4): 274-278 straight leg and bent leg raise on hamstring muscle www.allresearchjournal.com Received: 07-02-2019 flexibility in normal individuals Accepted: 09-03-2019 Pooja D Kapadia Intern at Late Shree Fakirbhai Pooja D Kapadia and Dr. Virendra K Meshram Pansare Education Foundation’s College Of Abstract Physiotherapy, Nigdi, Pune, Background: Muscular flexibility is an important aspect of normal human function. Limited flexibility Maharashtra, India has been shown to predispose a person to several musculoskeletal overuse injuries and significantly affect a person’s level of function. The objective of our study was to find out the effect of mulligan Dr. Virendra K Meshram Traction Straight Leg Raise (TSLR) on hamstring flexibility, to find out the effect of Mulligan bent Leg Associate Professor, Raise (BLR) on hamstring flexibility & Comparison of Mulligan TSLR & Mulligan BLR on hamstring Department of Cardiovascular and Respiratory flexibility in normal individuals. Physiotherapy, Late Shree Method: For the present study, a total of 124 physiotherapy students were screened; of which 50 adults Fakirbhai Pansare education with hamstring muscle tightness were recruited and randomly divided into two groups: Group A- given Foundation’s College Of Mulligan Traction Straight Leg Raise and Group B- given Mulligan Bent Leg Raise. Hamstring Physiotherapy, Nigdi, Pune, flexibility was measured before and after the application of each stretching technique with the use of sit Maharashtra, India and reach test.
    [Show full text]
  • Physical Esxam
    Pearls in the Musculoskeletal Exam Frank Caruso MPS, PA-C, EMT-P Skin, Bones, Hearts & Private Parts 2019 Examination Key Points • Area that needs to be examined, gown your patients - well exposed • Understand normal functional anatomy • Observe normal activity • Palpation • Range of Motion • Strength/neuro-vascular assessment • Special Tests General Exam Musculoskeletal Overview Physical Exam Preview Watch Your Patients Walk!! Inspection • Posture – Erectness – Symmetry – Alignment • Skin and subcutaneous tissues – Swelling – Redness – Masses Inspection • Extremities – Size – Deformities – Enlargement – Alignment – Contour – Symmetry Inspection • Muscles – Bilateral symmetry – Hypertrophy – Atrophy – Fasciculations – Spasms Palpation • Palpate bones, joints, and surrounding muscles for the following: – Heat – Tenderness – Swelling – Fluctuation – Crepitus – Resistance to pressure – Muscle tone Muscles • Size and strength affected by the following: – Genetics – Exercise – Nutrition • Muscles move joints through range of motion (ROM). Muscle Strength • Compare bilateral muscles – Strength – Symmetry – Equality – Resistance End Feel Think About It!! • The sensation the examiner feels in the joint as it reaches the end of the range of motion of each passive movement • Bone to bone: This is hard, unyielding – normal would be elbow extension. • Soft–tissue approximation: yielding compression that stops further movement – elbow and knee flexion. End Feel • Tissue stretch: hard – springy type of movement with a slight give – toward the end of range of motion – most common type of normal end feel : knee extension and metacarpophalangeal joint extension. Abnormal End Feel • Muscle spasm: invoked by movement with a sudden dramatic arrest of movement often accompanied by pain - sudden hard – “vibrant twang” • Capsular: Similar to tissue stretch but it does not occur where one would expect – range of motion usually reduced.
    [Show full text]
  • Evaluation and Management of Sports Injuries in Children
    2019 Frontiers in Pediatrics Sports Medicine Mini-Symposium Presented by MUSC Health Sports Medicine Sports Medicine Panel of Experts Michael J. Barr, PT, DPT, MSR Sports Medicine Manager MUSC Health Sports Medicine Alec DeCastro, MD Assistant Professor CAQ Sports Medicine Director, MUSC/Trident Family Medicine Residency MUSC Health Sports Medicine MUSC Department of Family Medicine Harris S. Slone, MD Associate Professor Orthopaedic Surgery and Sports Medicine MUSC Health Sports Medicine MUSC Department of Orthopaedics Sports Medicine Breakout Group Leaders Aaron Brown, ATC Athletic Trainer MUSC Health Sports Medicine Amelia Brown, MS, ATC Athletic Trainer MUSC Health Sports Medicine Brittney Lang, MS, ATC Athletic Trainer MUSC Health Sports Medicine Bobby Weisenberger, MS, ATC, PES Athletic Trainer MUSC Health Sports Medicine Sports Medicine Schedule Approximate Timeline: 2:00: Introduction – Michael Barr, PT, DPT, MSR – Sports Medicine Manager 2:05: Ankle Case Report – Harris Slone, MD 2:20: Knee Case Report – Harris Slone, MD 2:35: Shoulder Instability Case Report – Michael Barr, PT, DPT, MSR 2:50: Back Case Report – Alec DeCastro, MD 3:05: High BP Case Report – Alec DeCastro, MD 3:20: Hands On Practice of Exam Techniques – All + Athletic Trainers 3:50: Question/Answer Open Forum – All 4:00: End Sports Medicine Disclosers No relevant financial disclosers Sports Medicine Learning Objectives Learning Objectives: 1. Describe mechanisms of injury and clinical presentation for common pediatric sports related injuries of the ankle, knee, back and shoulder. 2. Demonstrate examination techniques to support the diagnosis of common pediatric sports related injuries of the ankle, knee, back and shoulder 3. Determine what imaging studies should be ordered and when to refer to a sports med/orthopaedic surgeon or to physical therapy 4.
    [Show full text]
  • Examination of the Knee
    Examination of the Knee The Examination For every joint of the lower extremity always begin with the patient in standing IN STANDING INSPECTION 1. Cutaneous Structures: Look for Erythema, scarring, bruising, and swelling in the following areas: a. Peripatellar grooves b. Suprapatellar bursa c. Prepatellar bursa d. Infrapatellar tendon e. Anserine bursa f. Popliteal fossa 2. Muscle & Soft Tissue: a. Quadriceps atrophy b. Hamstring atrophy c. Calf atrophy 3. Bones & Alignment: a. Patella position (Alta, Baha, Winking, Frog eyed), b. Varus or Valgus alignment c. Flexion contracture or Genu recurvatum RANGE OF MOTION - ACTIVE Standing is the best opportunity to assess active range of motion of the knee. 1. Ask the patient to squat into a deep knee bend. Both knees should bend symmetrically. 2. Ask the patient to then stand and extend the knee fully – lock the knee. The knee should straighten to 0 degrees of extension. Some people have increased extension referred to as genu recurvatum. GAIT 1. Look for a short stance phase on the affected limb and an awkward gait if a concomitant leg length discrepancy 2. Look for turning on block 3. Screening 1. Walk on the toes 2. Walk on the heels 3. Squat down – Active Range of Motion testing SPECIAL TESTS 1. Leg Length Discrepancy a. Look at patients back for evidence of a functional scoliosis b. Place your hands on the patients Iliac crests looking for inequality which may mean a leg length discrepancy IN SITTING NEUROLOGIC EXAMINATION 1. Test the reflexes a. L4 – Quadriceps reflex VASCULAR EXAMINATION 1. Feel for the posterior tibial artery SUPINE POSITION INSPECTION 1.
    [Show full text]
  • SIMMONDS TEST:  Patient Is Prone  Doctor Flexes the Patients Knee to 90 Degrees  Doctor Squeezes the Patient’S Calf
    Clinical Orthopedic Testing Review SIMMONDS TEST: Patient is prone Doctor flexes the patients knee to 90 degrees Doctor squeezes the patient’s calf. Classical response: Failure of ankle plantarflexion Classical Importance= torn Achilles tendon Test is done bilaterally ACHILLES TAP: Patient is prone Doctor flexes the patient’s knee to 90 degree Doctor dorsiflexes the ankle and then strikes the Achilles tendon with a percussion hammer Classical response: Plantar response Classical Importance= Intact Achilles tendon Test is done bilaterally FOOT DRAWER TEST: Patient is supine with their ankles off the edge of the examination table Doctor grasps the heel of the ankle being tested with one hand and the tibia just above the ankle with the other. Doctor applies and anterior to posterior and then a posterior to anterior sheer force. Classical response: Anterior or posterior translation of the ankle Classical Importance= Anterior talofibular or posterior talofibular ligament laxity. Test is done bilaterally LATERAL STABILITY TEST: Patient is supine Doctor grasps the tibia with one hand and the foot with the other. Doctor rotates the foot into inversion Classical response: Excessive inversion Classical Importance= Anterior talofibular ligament sprain Test is done bilaterally MEDIAL STABILITY TEST: Patient is supine Doctor grasps the tibia with one hand and the foot with the other Doctor rotates the foot into eversion Classical response: Excessive eversion Classical Importance= Deltoid ligament sprain Test is done bilaterally 1 Clinical Orthopedic Testing Review KLEIGER’S TEST: Patient is seated with the legs and feet dangling off the edge of the examination table. Doctor grasps the patient’s foot while stabilizing the tibia with the other hand Doctor pulls the ankle laterally.
    [Show full text]
  • Knee Pain in Children: Part I: Evaluation
    Knee Pain in Children: Part I: Evaluation Michael Wolf, MD* *Pediatrics and Orthopedic Surgery, St Christopher’s Hospital for Children, Philadelphia, PA. Practice Gap Clinicians who evaluate knee pain must understand how the history and physical examination findings direct the diagnostic process and subsequent management. Objectives After reading this article, the reader should be able to: 1. Obtain an appropriate history and perform a thorough physical examination of a patient presenting with knee pain. 2. Employ an algorithm based on history and physical findings to direct further evaluation and management. HISTORY Obtaining a thorough patient history is crucial in identifying the cause of knee pain in a child (Table). For example, a history of significant swelling without trauma suggests bacterial infection, inflammatory conditions, or less likely, intra- articular derangement. A history of swelling after trauma is concerning for potential intra-articular derangement. A report of warmth or erythema merits consideration of bacterial in- fection or inflammatory conditions, and mechanical symptoms (eg, lock- ing, catching, instability) should prompt consideration of intra-articular derangement. Nighttime pain and systemic symptoms (eg, fever, sweats, night sweats, anorexia, malaise, fatigue, weight loss) are associated with bacterial infections, inflammatory conditions, benign and malignant musculoskeletal tumors, and other systemic malignancies. A history of rash or known systemic inflammatory conditions, such as systemic lupus erythematosus or inflammatory bowel disease, should raise suspicion for inflammatory arthritis. Ascertaining the location of the pain also can aid in determining the cause of knee pain. Anterior pain suggests patellofemoral syndrome or instability, quad- riceps or patellar tendinopathy, prepatellar bursitis, or apophysitis (patellar or tibial tubercle).
    [Show full text]
  • Sacroiliac Joint Dysfunction a Case Study
    NOR200188.qxd 3/8/11 9:53 PM Page 126 Sacroiliac Joint Dysfunction A Case Study CPT William Murray Pain is a widespread issue in the United States. Nine of physical therapist. She was evaluated and her treatment 10 Americans regularly suffer from pain, and nearly every consisted of a transcutaneous electrical nerve stimula- person will experience low back pain at one point in their lives. tion unit while in the PT clinic, aqua therapy, and ice Undertreated or unrelieved pain costs more than and heat application. $60 billion a year from decreased productivity, lost income, After several weeks, Ms. T returned to the primary care and medical expenses. The ability to diagnose and provide ap- provider and informed her that the pain has not decreased and “feels like that it is getting worse.” She also informed propriate medical treatment is imperative. This case study ex- the provider that she was having difficulty sleeping and amines a 23-year-old Active Duty woman who is preparing to constantly feeling tired secondary to pain. Throughout the be involuntarily released from military duty for an easily cor- next several months, the primary care provider tried nu- rectable medical condition. She has complained of chronic low merous medication trials with no relief for the patient. Ms. back pain that radiates into her hip and down her leg since ex- T gives a history of being prescribed numerous medica- periencing a work-related injury. She has been seen by numer- tions within several drug classifications. She stated vari- ous providers for the previous 11 months before being referred ous side effects that are related to the medications and to the chronic pain clinic.
    [Show full text]
  • The Lower Extremity Exam for the Family Practitioner
    Melinda A. Scott, D.O. THE LOWER EXTREMITY Orthopedic Associates of EXAM FOR THE FAMILY Dayton Board Certified in Primary Care PRACTITIONER Sports Medicine GOALS Identify landmarks necessary for exam of the lower extremity Review techniques for a quick but thorough exam Be familiar with normal findings and range of motion Review some special maneuvers and abnormal findings Review common diagnoses PRE-TEST QUESTIONS 20% 20% 20% 20% 20% If a patient has hip arthritis, where will he or she typically complain of pain? A. Buttock B. Low back C. Lateral hip D. Groin E. Posterior thigh 10 A. B. C. D. E. Countdown PRE-TEST QUESTIONS A positive straight leg raise test indicates 20% 20% 20% 20% 20% that the patient’s hip pain is from a A. Radicular/sciatic etiology B. Hip joint pathology C. Bursitis D. Tight Hamstrings E. Weak hip flexors 10 Countdown A. B. C. D. E. PRE-TEST QUESTIONS A positive McMurray’s tests is indicative of 20% 20% 20% 20% 20% a possible A. ACL tear B. MCL tear C. Patellar dislocation D. Joint effusion E. Meniscus tear 10 Countdown A. B. C. D. E. PRE-TEST QUESTIONS Anterior drawer test on the knee is performed with the knee in 20% 20% 20% 20% 20% A. 30 degrees flexion B. 90 degrees flexion C. Full extension D. 45 degrees flexion E. 130 degrees flexion 10 Countdown A. B. C. D. E. PRE-TEST QUESTIONS A positive squeeze test during an ankle 20% 20% 20% 20% 20% exam is indicative of A. Syndesmotic injury B.
    [Show full text]
  • Best Tests for Differential Diagnosis What Are the Metrics of Diagnosis?
    9/6/2018 Best Tests for Differential Diagnosis What are the Metrics Chad Cook PhD, PT, MBA, FAAOMPT of Diagnosis? Professor and Program Director Duke University Duke Clinical Research Institute For Diagnosis, There are Analytic Diagnostic Test Metrics Metrics • Diagnostic accuracy • Reliability • Diagnostic accuracy relates to the ability of • Sensitivity a test to discriminate between the target condition and another competing condition. • Specificity • Positive and Negative Predictive Value • Positive and Negative Likelihood Ratios Does Reliability Matter? Sensitivity and Specificity No worries, The you will Sensitivity: Percentage of people who test positive for a condition • be fine is fatal specific disease among a group of people who have the disease • Specificity: Percentage of people who test negative for a specific disease among a group of people who do not have the disease Kappa Intraclass Correlation www.zillowblog.com Coefficient 5 1 9/6/2018 Sensitivity Example Specificity Example • 50 patients with arm pain associated • 50 patients with no arm pain with cervical radiculopathy associated with a cervical strain • Test was positive in 40 of the 50 • Test was positive in 5 of the 50 cases cases • Sensitivity = 40/50 or 80% • Specificity = 45/50 or 90% • Correct 80% of the time in cases • Correct 90% of the time in cases that were cervical radiculopathy that were NOT cervical radiculopathy http://www.triggerpointbook.com/infrasp2.gif http://www.triggerpointbook.com/infrasp2.gif Likelihood Ratios • A high LR+ influences post-test probability with a positive finding • A value of >1 rules in a diagnosis • A low LR- influences post-test probability with a negative finding • A value closer to 0 is best and rules out Bossuyt P, et al.
    [Show full text]
  • Physical Examination Findings and Their Relationship with Performance-Based Function in Adults with Knee Osteoarthritis Maura D
    Iversen et al. BMC Musculoskeletal Disorders (2016) 17:273 DOI 10.1186/s12891-016-1151-3 RESEARCH ARTICLE Open Access Physical examination findings and their relationship with performance-based function in adults with knee osteoarthritis Maura D. Iversen1,2,3*, Lori Lyn Price4,5, Johan von Heideken1,3, William F. Harvey6 and Chenchen Wang6 Abstract Background: Many physical examination (PE) maneuvers exist to assess knee function, none of which are specific to knee osteoarthritis (KOA). The Osteoarthritis Research Society International also recommends the use of six functional performance measures to assess function in adults with KOA. While earlier studies have examined the relationship between PE findings and self-reported function or PE findings and select performance tests in adults with knee pain and KOA, few have examined the all three types of measures. This cross-sectional study specifically examines the relationships between results of PE findings, functional performance tests and self-reported function in adults with symptomatic KOA. Methods: We used baseline PE data from a prospective randomized controlled trial in 87 participants aged ≥40 years with symptomatic and radiographic KOA. The PE performed by three experienced physical therapists included: muscle assessment, function and special tests. Participants also completed functional performance tests and the Western Ontario and McMaster Osteoarthritis Index (WOMAC). Multivariate linear regression identified contributions of PE findings towards functional performance and WOMAC scores, adjusting for age and gender. Results: Participants’ mean age was 60.4 years (SD = 10.5), mean disease duration was 8.4 years (SD = 10.1) and 27 participants had varus knee alignment. Mean WOMAC pain and function scores were 211 (SD = 113) and 709 (SD = 394), respectively.
    [Show full text]
  • Imaging Guidelines for Nuclear Cardiology Procedures - a Report of the American Societyarchived of Nuclear Cardiology Quality Assurance Committee
    Clinical Appropriateness Guidelines: Advanced Imaging Imaging Program Guidelines EffectiveDate: October 29, 2018 Proprietary Guideline Last Revised Last Reviewed Administrative 07-26-2016 07-26-2016 Head and Neck 11-01-2016 08-15-2017 Chest 03-01-2018 03-01-2018 Cardiac 11-14-2017 11-14-2017 Abdomen and Pelvis 03-01-2018 03-01-2018 Spine 07-26-2016 02-14-2017 Extremity 07-26-2016 09-22-2017 PET or PET/CT 09-07-2017 09-07-2017 MRI Bone Marrow Blood Supply 08-27-2015 07-26-2016 Magnetic Resonance Spectroscopy (MRS) 06-19-2012 07-26-2016 Quantitative CT (QCT) Bone Mineral Densitometry 11-01-2016 11-01-2016 ARCHIVED 8600 W Bryn Mawr Avenue South Tower – Suite 800 Chicago, IL 60631 P. 773.864.4600 Copyright © 2018. AIM Specialty Health. All Rights Reserved www.aimspecialtyhealth.com Table of Contents Description and Application of the Guidelines ........................................................................4 Administrative Guidelines ........................................................................................................5 Ordering of Multiple Studies ...................................................................................................................................5 Pre-test Requirements ...........................................................................................................................................6 Head & Neck Imaging ...............................................................................................................7 CT of the Head .......................................................................................................................................................7
    [Show full text]