“Effectiveness of neural mobilisation combined with postural correction exercises in a patient with lateral knee pain’’- A Case report

Author(s):  
D.R. Watson Arulsingh ◽  
Praveen Kumar Kandakurthi ◽  
Ramprasad Muthukrishnan ◽  
Sukumar Shanmugam
Author(s):  
G. Hegde ◽  
A. Subramanian ◽  
C. Azzopardi ◽  
A. Patel ◽  
S. L. James ◽  
...  

2017 ◽  
Vol 8 (4) ◽  
Author(s):  
Patrick Haubruck ◽  
Ulf Brunnemer ◽  
Arash Moghaddam ◽  
Gerhard Schmidmaier

A case of an adolescent female patient who suffered from first grade open multi-fragment fracture of the tibia (AO42-C2) with a large hypermobile intermediate fragment is presented in this case report. Intramedullary nailing of the tibia remains the treatment of choice despite a high risk of malformation and anterior knee pain especially in multi-fragment fractures. Here the suprapatellar approach as a semiextended nailing technique seems favorable. The specialty in our case was an early change of procedures necessary due to persistent swelling during external fixation based on the hypermobile intermediate fragment. Decision in favor of this surgical technique was conducted in order to achieve beneficial alignment and union while protecting the softtissue despite the hypermobile intermediate fragment and decrease the risk of anterior knee pain. In our case we achieved successful alignment and proper bone healing without any signs of anterior knee pain or limitations in the range of motion of the knee. With this report we would like to recommend the suprapatellar approach as a favorable alternative in intramedullary nailing in this type of fracture also in young patients.


2019 ◽  
Vol 27 (2) ◽  
pp. 115
Author(s):  
Tyng-Guey Wang ◽  
Kuo-Chang Wei
Keyword(s):  

2020 ◽  
Vol 30 (4) ◽  
pp. 507
Author(s):  
Rajesh Botchu ◽  
Aamer Iqbal ◽  
Shekhar Kalia ◽  
David Beale ◽  
StevenL James

2021 ◽  
pp. 201-204

BACKGROUND: Osteoarthritic knee (OAk) pain is common, yet the standard of care often yields unsatisfactory pain relief. There remains a role for novel treatment options. Percutaneous motor peripheral nerve stimulation (mPNS) of the knee is a novel minimally invasive procedure that stimulates motor end points leading to muscle contraction associated with the painful joint. Pain relief is hypothesized to be achieved through central pain modulation. CASE REPORT: We report the case of a patient who experienced refractory osteoarthritic knee pain after 9 months of conservative care. Following 7 weeks of mPNS treatment, the patient achieved improvement in OAk pain relief and activities of daily living as measured by notable improvements in the Brief Pain Inventory-Short Form and Knee Injury and Osteoarthritis Outcome Score at 8- and 12-weeks postimplant. The Patient Global Impression of Change at the end of stimulation was much improved. CONCLUSION: Motor PNS may offer a safe and effective treatment alternative for chronic refractory pain related to OAk. KEY WORDS: Osteoarthritis, knee, pain, peripheral nerve stimulation


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