Proximal Humeral Epiphyseal Plate Fracture in a Collegiate Track and Field Decathlete: A Case Study

2008 ◽  
Vol 17 (1) ◽  
pp. 76-83
Author(s):  
Thomas G. Bowman ◽  
Riann Palmieri-Smith
Keyword(s):  
Differential Diagnosis ◽  
Rehabilitation Program ◽  
Epiphyseal Plate ◽  
Track And Field ◽  
Type I ◽  
Plate Fracture ◽  
Strengthening Exercises ◽  
Competitive Activity ◽  
Salter Harris

Objective:To present the case of an 18-year-old collegiate decathlete with a Salter-Harris type I epiphyseal plate fracture of the proximal humerus.Background:A collegiate decathlete was playing flag football and fell on an outstretched arm. He was taken to the emergency room and diagnosed with a type I epiphyseal plate fracture.Differential Diagnosis:AC sprain, dislocation or subluxation, rotator cuff tear, labral tear.Treatment:Active and passive range of motion exercises were completed after two days of immobilization. He then started strengthening exercises and returned to competitive activity in 10 weeks.Uniqueness:Proximal humeral epiphyseal plate fractures are uncommon injuries, especially in athletes over the age of 15.Conclusions:If an accurate diagnosis is made, an appropriate conservative rehabilitation program can be implemented to safely return an athlete to participation without permanent deformity following a type I Salter-Harris fracture.

scholarly journals Are lateral ankle injuries in children fractures or sprains?

CJEM ◽  
2018 ◽  
Vol 20 (6) ◽  
pp. 938-940 ◽  
Author(s):  
Erica Beatty ◽  
Maude Deschênes ◽  
Patrick Archambault
Keyword(s):  
Growth Plate ◽  
Ankle Injuries ◽  
Type I ◽  
Clinical Question ◽  
Distal Fibula ◽  
Lateral Ankle ◽  
Fractures In Children ◽  
Plate Fracture ◽  
Salter Harris

Clinical questionWhat is the prevalence of Salter-Harris type I distal fibula fractures in children with lateral ankle injuries?Article chosenBoutis K, Plint A, Stimec J, et al. Radiograph-negative lateral ankle injuries in children occult growth plate fracture or sprain? JAMA Pediatr 2016;170(1):e154114.

A Case Study on the Un-Used Capacity Assessment Using Time Driven Activity Based Costing for Magnetic Components

2020 ◽  
Vol 6 (1) ◽  
pp. 18-39
Author(s):  
Areena Zaini ◽  
Haryantie Kamil ◽  
Mohd Yazid Abu
Keyword(s):  
Historical Data ◽  
Manufacturing Sector ◽  
Type I ◽  
Activity Based Costing ◽  
Cost Rate ◽  
Continuous Innovation ◽  
Magnetic Components ◽  
Alignment Process ◽  
Capacity Cost

The Electrical & Electronic (E&E) company is one of Malaysia’s leading industries that has 24.5% in manufacturing sector production. With a continuous innovation of E&E company, the current costing being used is hardly to access the complete activities with variations required for each workstation to measure the un-used capacity in term of resources and cost. The objective of this work is to develop a new costing structure using time-driven activity-based costing (TDABC) at . This data collection was obtained at E&E company located at Kuantan, Pahang that focusing on magnetic component. The historical data was considered in 2018. TDABC is used to measure the un-used capacity by constructing the time equation and capacity cost rate. This work found three conditions of un-used capacity. Type I is pessimistic situation whereby according to winding toroid core, the un-used capacity of time and cost are -14820 hours and -MYR2.60 respectively. It means the system must sacrifice the time and cost more than actual apportionment. Type II is most likely situation whereby according to assembly process, the un-used capacity of time and cost are 7400 hours and MYR201575.45 respectively. It means the system minimize the time and cost which close to fully utilize from the actual apportionment. Type III is optimistic situation whereby according to alignment process, the un-used capacity of time and cost are 4120 hours and MYR289217.15 respectively. It means the system used small amount of cost and time from the actual apportionment.

Clinical overlap of functional neurologic symptom disorder and complex regional pain syndrome in pediatrics: A case report

2021 ◽  
pp. 1-8
Author(s):  
Heidi Kempert
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Gait Pattern ◽  
Rehabilitation Program ◽  
Neurologic Symptom ◽  
Physical Mobility ◽  
Unsteady Gait ◽  
Full Day

This case study documents a 13-year-old female who presented to our intensive inpatient chronic pain rehabilitation program with complex regional pain syndrome (CRPS) of her left leg, which was significantly interfering with her normal daily functioning. She participated in a full day of traditional interdisciplinary therapies, including physical and occupational therapy for 3 hours daily. As assistive equipment was altered or weaned her physical mobility, balance, and tremors worsened and/or increased. As she began advancing her legs more independently (versus requiring physical assist), she demonstrated more variable functional strength and stability, inconsistent balance reactions, and a more unsteady gait pattern. The team was treating her according to her incoming CRPS diagnosis; however, as treatment progressed, her physical and psychological presentation seemed more aligned with diagnostic criteria of functional neurologic symptom disorder (FND). Staff then treated according to the FND diagnosis resulting in successful long-term outcomes. The clinical impact from this case study includes highlighting the commonalities between CPRS and FND clinically, discussing differentiating treatment suggestions depending on the diagnosis, and emphasizing key components of family/patient education.

scholarly journals Growing up different in Neolithic China: A contextualised case study and differential diagnosis of a young adult with skeletal dysplasia

2020 ◽  
Vol 28 ◽  
pp. 6-19 ◽  
Author(s):  
Siân E. Halcrow ◽  
Melanie J. Miller ◽  
Anne Marie E. Snoddy ◽  
Wenquan Fan ◽  
Kate Pechenkina
Keyword(s):  
Differential Diagnosis ◽  
Young Adult ◽  
Skeletal Dysplasia ◽  
Growing Up

A methodology for resiliency assessment of existing bridges – a study on a bridge from 1930

2021 ◽  
Author(s):  
Guy L. Larose ◽  
Pierre-Olivier Dallaire ◽  
Theresa Erskine ◽  
Chiara Pozzuoli ◽  
Emanuele Mattiello
Keyword(s):  
Hazard Assessment ◽  
Health Monitoring ◽  
Ad Hoc ◽  
Rehabilitation Program ◽  
Wind Loading ◽  
Close Collaboration ◽  
Current State ◽  
Design Life ◽  
Existing Bridges

<p>This paper introduces the methodology RWDI has developed, tested and consolidated over the years working in close collaboration with bridge designers, owners and operators, for the multi-hazard assessment of existing bridges and the ad hoc development of a structural health monitoring programme leading to enhanced resiliency. The work is highlighted through the presentation of a case study for a 2,725 m long cantilever bridge built in 1930. The dynamics of the structure in its current state were characterised and its capacity to today and future wind loading was assessed fully following the proposed methodology prior to the initiation of a structural rehabilitation program to extend the design life of the bridge beyond its 150th anniversary.</p>

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