Thigh Contusion
Total Page：16
File Type：pdf, Size：1020Kb
Load more
Recommended publications
-
Muscle Imaging 17 William Palmer and M
Muscle Imaging 17 William Palmer and M. K. Jesse Learning Objectives 17.2 Imaging Modalities in Skeletal Muscle • Review the role of imaging in muscle diseases. Evaluation • Detect and classify acute muscle injury by imaging. Radiograph, while excellent for bone pathology, has limited • Review unique imaging features in idiopathic utility in the evaluation of muscle. Although the majority of infammatory myopathy. muscle pathology is occult on routine radiographic images, • Identify the imaging features of other common X-ray may be useful in a few conditions. Certain infamma- infectious, traumatic, and vascular muscle tory or autoimmune myopathy, for example, is characterized pathologies. by unique soft tissue calcifcations of which radiographs • Discuss the differential considerations in muscle may be the most reliable modality for detection. Magnetic lesions. resonance imaging and ultrasound offer excellent special resolution, allowing for the detailed evaluation of muscle microanatomy. Ultrasound offers an added beneft of dynamic imaging but is less sensitive than MRI for muscle edema and low-grade injury. Because of the superior sensi- 17.1 Introduction to Muscle Imaging tivity in detecting subtle injury, MR imaging evaluation is largely considered the diagnostic gold standard. Evaluation and characterization of skeletal muscle pathology is a frequently encountered indication for musculoskeletal imaging. Causes of muscle pathology are diverse and include 17.3 Traumatic Muscle Injuries traumatic, autoimmune, infectious, infammatory, neuro- logic, and neoplastic. Each etiology while dramatically dif- Muscle injury is common among athletes and poses a serious ferent in the pathophysiology may present with similar limitation to continued performance. The location and extent imaging features. An understanding of the subtle differences of a muscle injury has implications on the recovery and func- in imaging features between the pathologic conditions may tional outcome. -
F-MARC Football Medicine Manual 2Nd Edition F-MARC Football Medicine Manual 2Nd Edition 2 Editors - Authors - Contributors | Football Medicine Manual
F-MARC Football Medicine Manual 2nd Edition F-MARC Football Medicine Manual 2nd Edition 2 Editors - Authors - Contributors | Football Medicine Manual Football Medicine Manual Editors DVORAK Jiri Prof. Dr F-MARC, Schulthess Clinic Zurich, Switzerland JUNGE Astrid Dr F-MARC, Schulthess Clinic Zurich, Switzerland GRIMM Katharina Dr FIFA Medical Offi ce Zurich, Switzerland Authors 2nd Edition 2009 ACKERMAN Kathryn E. Harvard Medical School Harvard, USA BABWAH Terence Dr Sports Medicine and Injury Rehabilitation Clinic Macoya, Trinidad BAHR Roald Prof. Dr Oslo Sports Trauma Research Center Oslo, Norway BANGSBO Jens Prof. Dr University of Copenhagen Copenhagen, Denmark BÄRTSCH Peter Prof. Dr University of Heidelberg Heidelberg, Germany BIZZINI Mario PT Schulthess Clinic Zurich, Switzerland CHOMIAK Jiri Dr Orthopaedic University Hospital Bulovka Prague, Czech Republic DVORAK Jiri Prof. Dr F-MARC, Schulthess Klinik Zurich, Switzerland EDWARDS Tony Dr Adidas Sports Medicine Auckland, New Zealand ENGEBRETSEN Lars Prof. Dr Oslo Sports Trauma Research Center Oslo, Norway FULLER Colin Prof. Dr University of Nottingham Nottingham, England GRIMM Katharina Dr FIFA Medical Offi ce Zurich, Switzerland JUNGE Astrid Dr F-MARC, Schulthess Clinic Zurich, Switzerland KHAN Karim Prof. Dr Editor in Chief British Journal of Sports Medicine Sydney, Australia Editors - Authors - Contributors | Football Medicine Manual 3 KOLBE John Prof. Dr University of Auckland Auckland, New Zealand LÜSCHER Thomas Prof. Dr University of Zurich Zurich, Switzerland MANDELBAUM Bert Dr Santa Monica Orthopaedic and Sports Medicine Group Santa Monica, USA MAUGHAN Ron Prof. Dr University of Loughborough Loughborough, Great Britain PETERSON Lars Prof. Dr Gothenburg Medical Center Gothenburg, Sweden REILLY Thomas Prof. Dr Liverpool John Moores University Liverpool, Great Britain SALTIN Bengt Prof. -
SUPPLEMENTARY MATERIAL Supplementary 1. International
SUPPLEMENTARY MATERIAL Supplementary 1. International Myositis Classification Criteria Project Steering Committee Supplementary 2. Pilot study Supplementary 3. International Myositis Classification Criteria Project questionnaire Supplementary 4. Glossary and definitions for the International Myositis Classification Criteria Project questionnaire Supplementary 5. Adult comparator cases in the International Myositis Classification Criteria Project dataset Supplementary 6. Juvenile comparator cases in the International Myositis Classification Criteria Project dataset Supplementary 7. Validation cohort from the Euromyositis register Supplementary 8. Validation cohort from the Juvenile dermatomyositis cohort biomarker study and repository (UK and Ireland) 1 Supplementary 1. International Myositis Classification Criteria Project Steering Committee Name Affiliation Lars Alfredsson Institute for Environmental Medicine, Karolinska Institutet, Stockholm, Sweden Anthony A Amato Department of Neurology, Brigham and Women’s Hospital, Harvard Medical School, Boston, USA Richard J Barohn Department of Neurology, University of Kansas Medical Center, Kansas City, USA Matteo Bottai Institute for Environmental Medicine, Karolinska Institutet, Stockholm, Sweden Matthew H Liang Division of Rheumatology, Immunology and Allergy, Brigham and Women´s Hospital, Boston, USA Ingrid E Lundberg (Project Director) Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden Frederick W Miller Environmental -
Treatment of Myositis Ossificans with Acetic Acid Phonophoresis: a Case Series Angela Bagnulo, BA, DC, FRCCSS(C)1 Robert Gringmuth, DC, FRCCSS(C), FCCPOR(C)2
ISSN 0008-3194 (p)/ISSN 1715-6181 (e)/2014/353–360/$2.00/©JCCA 2014 Treatment of Myositis Ossificans with acetic acid phonophoresis: a case series Angela Bagnulo, BA, DC, FRCCSS(C)1 Robert Gringmuth, DC, FRCCSS(C), FCCPOR(C)2 Objective: To create awareness of myositis ossificans Objectif : Sensibilisation à la myosite ossifiante (MO) (MO) as a potential complication of muscle contusion comme complication possible de contusions musculaires by presenting its clinical presentation and diagnostic grâce à la présentation de son tableau clinique et de features. An effective method of treatment is offered for ses symptômes. Une méthode efficace de traitement est those patients who develop traumatic MO. offerte pour les patients qui sont atteints de myosite Management: Patients in this case series developed ossifiante traumatique. traumatic MO, confirmed on diagnostic ultrasound. Traitement : Les patients de cette série de cas Patients participated in a treatment regimen consisting souffrent de myosite ossifiante traumatique, confirmée of phonophoresis of acetic acid with ultrasound. par échographie. Les patients ont participé à un régime Outcome: In all cases, a trial of phonophoresis de traitement consistant en une irrigation d’acide therapy significantly decreased patient signs, symptoms acétique par phonophorèse. and the size of the calcification on diagnostic ultrasound Résultats : Dans tous les cas, un essai de traitement in most at a 4-week post diagnosis mark. par phonophorèse a diminué considérablement les Discussion: Due to the potential damage to the muscle signes et les symptômes des patients ainsi que la taille de and its function, that surgical excision carries; safe la calcification détectée par échographie dans la plupart effective methods of conservative treatment for MO are des cas 4 semaines après le diagnostic. -
Topical Diagnosis in Neurology
V Preface In 2005 we publishedacomplete revision of Duus’ Although the book will be useful to advanced textbook of topical diagnosis in neurology,the first students, also physicians or neurobiologists inter- newedition since the death of its original author, estedinenriching their knowledge of neu- Professor PeterDuus, in 1994.Feedbackfromread- roanatomywith basic information in neurology,oR ers wasextremelypositive and the book wastrans- for revision of the basics of neuroanatomywill lated intonumerous languages, proving that the benefit even morefromit. conceptofthis book wasasuccessful one: combin- This book does notpretend to be atextbook of ing an integrated presentation of basic neu- clinical neurology.That would go beyond the scope roanatomywith the subject of neurological syn- of the book and also contradict the basic concept dromes, including modern imaging techniques. In described above.Firstand foremostwewant to de- this regard we thank our neuroradiology col- monstratehow,onthe basis of theoretical ana- leagues, and especiallyDr. Kueker,for providing us tomical knowledge and agood neurological exami- with images of very high quality. nation, it is possible to localize alesion in the In this fifthedition of “Duus,” we have preserved nervous system and come to adecision on further the remarkablyeffective didactic conceptofthe diagnostic steps. The cause of alesion is initially book,whichparticularly meets the needs of medi- irrelevant for the primarytopical diagnosis, and cal students. Modern medical curricula requirein- elucidation of the etiology takes place in asecond tegrative knowledge,and medical studentsshould stage. Our book contains acursoryoverviewofthe be taught howtoapplytheoretical knowledge in a major neurologicaldisorders, and it is notintended clinical settingand, on the other hand, to recognize to replace the systematic and comprehensive clinical symptoms by delving intotheir basic coverage offeredbystandardneurological text- knowledge of neuroanatomyand neurophysiology. -
Predicting Recovery Time from the Initial Assessment of a Quadriceps Contusion Injury
CORE Metadata, citation and similar papers at core.ac.uk Provided by Elsevier - Publisher Connector Alonso et al: Predicting recovery time from the initial assessment of a quadriceps contusion injury Predicting recovery time from the initial assessment of a quadriceps contusion injury Albert Alonso1, Phillip Hekeik2 and Roger Adams3 1Canterbury Bulldogs Rugby League Club, Sydney 2Private practice, Sydney 3The University of Sydney Six quadriceps contusion tests were evaluated for inter-rater reliability and ability to predict the recovery time of 100 injured rugby players. All subjects were treated with a standardised and disciplined treatment program incorporating cryokinetics and modified training. Muscle firmness ratings, thigh circumference and passive knee flexion range of movement (ROM) measurements, and the unilateral palpation, brush-swipe and tap tests were all found to have substantial to excellent reliability (range: 0.66-1.00). Multiple regression analysis demonstrated that 64 per cent of the variance in the time taken to return to full training could be accounted for by an equation involving the uninjured-injured difference in knee range, relative firmness rating of the injured muscle, difference in circumferences at the suprapatellar border, being able to play on following injury and the time delay before starting treatment. [Alonso A, Hekeik P and Adams R (2000): Predicting recovery time from the initial assessment of a quadriceps contusion injury. Australian Journal of Physiotherapy 46: 167-177] Key words: Contusions; Myositis; Predictive Value of Tests; Thigh Introduction horse injuries, are the result of a direct blow to the anterior thigh with high velocity compressive forces which are excessive (Young et al 1993, Zarins and Starkey and Ryan (1996) note that obtaining Ciullo 1983). -
Delayed Sciatic Nerve Injury Resulting from Myositis Ossificans Traumatica
PM R 8 (2016) 484-487 www.pmrjournal.org Case Presentation Delayed Sciatic Nerve Injury Resulting From Myositis Ossificans Traumatica Zhe Guan, MS, Thomas J. Wilson, MD, Jon A. Jacobson, MD, Todd C. Hollon, MD, Lynda J.-S. Yang, MD, PhD Abstract A motorcyclist sustained multiple-system trauma, including a left buttock hematoma requiring decompression and evacuation. Presentation for severe hip pain and lower extremity weakness was delayed. Imaging revealed myositis ossificans traumatica compressing the sciatic nerve in the buttock. The patient underwent sciatic nerve decompression with resection of heterotopic calcification, resulting in improvement in pain and left lower extremity function. This case illustrates the contrast in differential diagnosis of peripheral nerve injury immediately posttrauma and that occurring in a slow, delayed fashion posttrauma. Myositis ossificans may be an underrecognized complication of trauma but should be considered in cases of delayed peripheral nerve injury after trauma. Introduction repair. His sacral and vertebral fractures were treated nonoperatively. During his hospital course, he was sus- Neurological deficits after peripheral nerve injury pected to have left gluteal compartment syndrome, a may occur either immediately due to direct injury at the rare disorder affecting 1 or more of the 3 anatomic site of impact or in a delayed fashion due to a variety of gluteal compartments: the gluteus maximus compart- processes that cause secondary insult, including hema- ment, the gluteus medius and minimus compartment, toma formation, delayed ischemia, or iatrogenic injury. and the tensor fasciae latae compartment. The disorder Pelvic trauma/fractures are associated with an typically presents with swelling, redness, and tender- increased risk of nerve injury, particularly to the sciatic ness over the buttock, ipsilateral hip pain, and sciatic nerve [1]. -
Disorders of the Contractile Structures 54
Disorders of the contractile structures 54 CHAPTER CONTENTS and is felt as a sudden, painful ‘giving way’ at the front of the Extensor mechanism 713 thigh. Alternatively, the muscular lesion may result from a direct contusion during contact sports (judo or American foot- Quadriceps strains and contusions . 713 ball), known as ‘Charley Horse’. Adherent vastus intermedius . 714 Patients who suffer an acute quadriceps strain will usually Tendinous lesions about the patella . 714 know right away. They are typically involved in sports requiring Rupture of the quadriceps tendon . 718 kicking, jumping, or initiating a sudden change in direction while running. Frequently, a sharp pain is felt, associated with Lesions of the infrapatellar tendon . 718 a loss in function of the quadriceps. Sometimes pain will not Lesions of the insertion at the tibial tuberosity . 719 fully develop during the athlete’s activity while the thigh is Patellar fracture . 719 warm; consequently, the extent of the injury is underesti- Patellofemoral disorders 719 mated. Stiffness, disability and pain then set in some time Introduction . 719 afterwards, e.g. late at night, and the following morning the patient can walk only with a limp.1 Mechanical theory . 719 Clinical examination shows a normal hip and knee, although Neural theory . 720 passive knee flexion is painful or both painful and limited, Clinical examination . 720 depending on the size of the rupture. Resisted extension of the Clinical manifestations . 722 knee is painful and slightly weak. As a rule, the lesion is in the 2 Strained iliotibial band 724 rectus femoris, usually at mid-thigh level. The affected muscle belly is hard and tender over a large area. -
Porro NEWORK NEWS
International Polio Network SAINT LOUIS, MISSOURIUSA Winter 2003 .Vol. 19, No. 1 Porro NEWORKNEWS Straight Answers to Your "Cramped" Questions Holly H. Wise, P7; PhD, and Kerri A. Kolehma, MS, MD, Coastal Post-Polio Clinic, Charleston, South Carolina Tired in the morning? Is it diffi- Cramps can occur throughout origins anywhere in the central cult to get comfortable for a good the day but more often occur at and peripheral nervous systems night of sleep? A complaint often night or when a person is resting. and may explain the wide range reported at the Coastal Post-Polio Although it is not known exactly of conditions in which the Clinic in Charleston, South why cramps happen mostly at cramping occurs (Bentley, 1996). Carolina, is the inability to get these times, it is thought that to sleep at night due to leg pain, the resting muscle is not being Seeking Answers twitching, or cramping. stretched and is therefore more A thorough history and possibly easily excited. Muscle cramping is a relatively a referral for screening labs will common, painful, and bother- The basis for the theory that help determine the causes for some complaint among generally I cramps occur more at rest, due to I leg pain and cramping. Polio healthy adults, and is more com- I the muscle not being stretched, I survivors can provide a descrip- mon in women than men. Some I is that passive stretching can I tion of their muscle cramps, studies estimate as many as 50- 1 relieve muscle cramping. Pain I identification of the time and 70% of older adults may experi- I associated with cramping is likely I place when they occur, and an ence nocturnal leg and foot I caused by the demand of the I activity log of the 24-48 hours cramps (Abdulla, et. -
Muscle Spasms and Strains
MUSCULOSKELETAL HEALTH Muscle spasms may have many possible causes, including, Muscle spasms but not limited to: • Poor blood circulation and strains • Overexertion of the muscles while exercising • Insufficient stretching before exercise • Excessive exercise in the heat Lynn Lambert, BPharm • Muscle fatigue Amayeza Info Centre • Dehydration • A magnesium and/or potassium deficiency • A side-effect of medication. Introduction A muscle locked in spasm produces a sudden, tight and Muscles are the “powerhouse” of the human body as their main intense pain. The pain can range in intensity from slight to agonising. A muscle in spasm may feel hard to the touch, function is to produce motion. Skeletal muscle is responsible and/or appear visibly distorted. A twitch beneath the skin can for the movement of external areas of the body, for example, be seen in some cases. A spasm can last a few seconds to the limbs. Most people experience a muscular injury, such as a 15 minutes or longer, and may recur a few times before it goes spasm or a strain, at some time during their lives. Such injuries away. can occur during sport or exercise, but can also take place while sitting, walking, or even during sleep. Muscle spasms Treatment and prevention and strains are a common complaint with which patients Muscle spasms usually resolve with self-care measures present at a pharmacy. Therefore, the pharmacist’s assistant without the need to see a doctor. It is important that the patient is in an ideal position to provide practical advice, combined stops the activity which triggered the spasm. -
A Patient's Guide to Muscle Cramps Or Striated Muscles Are Those That We Move by Choice (For Example, the Muscles in Your Arms and Legs)
A Patient’s Guide to Muscle Cramps The Central Orthopedic Group 651 Old Country Road Plainview, NY 11803 Phone: 5166818822 Fax: 5166813332 [email protected] Compliments of: The Central Orthopedic Group DISCLAIMER: The information in this booklet is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailmentsA orPatient's treatments. The Guide information to should Muscle NOT be usedCramps in place of a visit with your health care provider, nor should you disregard the advice of your health care provider because of any information you read in this booklet. The Central Orthopedic Group The Central Orthopedic Group 651 Old Country Road Plainview, NY 11803 Phone: 5166818822 Fax: 5166813332 [email protected] http://thecentralorthopedicgroup.com All materials within these pages are the sole property of Medical Multimedia Group, LLC and are used herein by permission. eOrthopod is a registered trademark of Medical Multimedia Group, LLC. 2 Compliments of: The Central Orthopedic Group A Patient's Guide to Muscle Cramps or striated muscles are those that we move by choice (for example, the muscles in your arms and legs). These muscles are attached to bones by tendons, a sinewy type of tissue. Involuntary muscles, or smooth muscles, are the ones that move on their own (for example, the muscles that control your diaphragm and help you breathe). The muscles in your heart are called involuntary cardiac muscles. Introduction You have over 600 muscles in your body. These muscles control everything you do, from breathing to putting food in your mouth to swallowing. -
Myositis Ossificans Progressiva
Ann Rheum Dis: first published as 10.1136/ard.24.3.267 on 1 May 1965. Downloaded from Ann. rheum. Dis. (1965), 24, 267. MYOSITIS OSSIFICANS PROGRESSIVA BY E. FLETCHER AND M. S. MOSS From the Belfast City Hospital, Northern Ireland Myositis ossificans progressiva is a rare disease, inanition due to involvement of the masseter and and most observers have described only single cases temporalis muscles. Nevertheless, it is remarkable in their own experience. The most recent compre- that some of these patients have survived to middle hensive survey of the condition has been given by age or longer in spite of severe disablement, e.g. 51 Lutwak (1964), according to whom about 260 cases years at least in the case described by Koontz (1927) fitting the description of the disease have appeared and 61 years in a case described by Fairbank (1951). in the literature since about 1670. The aetiology of the disease remains unknown, but McKusick Clinical Features.-These can be conveniently copyright. (1960) considered that fundamental disorder resided considered under two headings. in connective tissue, and he adopted the name (.1) Congenital anomalies of the skeleton are fibrodysplasia ossificans progressiva, a terminology important, for they can be recognized at birth or first suggested by Bauer and Bode (1940). Never- before ectopic ossification makes the diagnosis theless the term "myositis" remains firmly estab- obvious. Helferich (1879) first pointed out the lished in the literature, although involvement of association of microdactyly with the condition. muscle fibres occurs only in a secondary fashion. The great toe is most frequently affected, the thumb http://ard.bmj.com/ McKusick (1960) included the disease among the in about half the cases, and at times other digits likely hereditary disorders of connective tissue (McKusick, 1960).