Treatment of Coxarthrosis with Functional Myoneurostimulation

2004 ◽  
Vol 11 (4) ◽  
pp. 20-24
Author(s):  
V E Belen'kiy ◽  
A A Grishin ◽  
E N Krivosheina ◽  
V E Belen'kiy ◽  
A A Grishin ◽  
...  
Keyword(s):  
Electric Current ◽  
Hip Joint ◽  
Physical Condition ◽  
Clinical Picture ◽  
Blood Circulation ◽  
Clinical Status ◽  
Pain Syndrome ◽  
Joint Movement ◽  
Treatment Results ◽  
Main Factors

In 19 patients with typical clinical picture of 1-II bilateral coxarthrosis method of functional myoneurostimulation was used as monotherapy. Treatment course consisted of 15 procedures, 30 minutes each. Treatment results were assessed clinically and bimechanically. After treatment the intensity of pain syndrome decreased significantly; strength of muscles surrounding hip joint increased; the limitation of joint movement due to adductive contracture decreased; walk pattern was normalized. As a rule clinical status of patients that was achieved during the treatment lasted for 6 months. After that mentioned positive changes gradually became less pronounced. Repeated courses of stimulation improved physical condition of patients. Authors believe that efficacy of myoneurostimulation is determined by two main factors, i.e. influence of electric current upon articular and periarticular structures (neuro-muscular and ligamentous system, particularly) at movement as well as significant improvement blood circulation in the pathologic region.

TRANSIENT SYNOVITIS OF THE HIP JOINT IN CHILDREN

PEDIATRICS ◽  
1959 ◽  
Vol 24 (6) ◽  
pp. 1042-1049 ◽  
Author(s):  
Alexander Spock
Keyword(s):  
Hip Joint ◽  
Streptococcal Infection ◽  
Weight Bearing ◽  
Bed Rest ◽  
Transient Synovitis ◽  
Treatment Results ◽  
B Virus ◽  
Coxsackie B Virus ◽  
Roentgenographic Examination ◽  
Coxsackie B

A clinical review of 47 eases of transient synovitis of the hip joint occurring in patients less than 14 years of age is presented. Evidence from clinical, bacteriologic and serologic data is presented to show that in four patients acute streptococcal infection was associated with the development of transient synovitis. In one other patient clinical and serologic data disclosed a similar parallelism with an infection by the Coxsackie B virus. These findings suggest that these agents may be among those etiologically responsible for this syndrome. An obese or stocky physique probably predisposes a child to this disease. Patients with transient synovitis do not have any diagnostic abnormalities which can be detected by roentgenographic examination. Prevention of weight bearing by bed rest until the patient is completely asymptomatic provides the best form of therapy, and failure to follow such treatment results in prolongation of the illness. Antibiotics do not appear to influence the course of the disease. Three patients in this series developed Legg-Perthes disease within an interval of 3 to 17 months after convalescing from transient synovitis of the hip.

ANALYSIS OF THE RESULTS OF LASER DESTRUCTION OF THE ARTICULAR BRANCH OF THE OBTURATOR NERVE IN ELDERLY AND SENILE PATIENTS WITH DEGENERATIVE COXARTHROSIS

2021 ◽  
pp. 756-763
Author(s):  
В.А. Бывальцев ◽  
А.А. Калинин ◽  
А.К. Оконешникова ◽  
А.В. Егоров ◽  
Э.Е. Сатардинова ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Surgical Complications ◽  
Pain Syndrome ◽  
Obturator Nerve ◽  
Articular Branch ◽  
Sf 36

Цель исследования - анализ результатов использования лазерной деструкции суставной ветви запирательного нерва у пациентов пожилого и старческого возраста с дегенеративным коксартрозом. Проспективно изучены результаты лечения 34 пациентов старше 65 лет c симптоматичным дегенеративным заболеванием тазобедренного сустава (ТБС), имеющим соматические противопоказания к выполнению его тотального эндопротезирования. В обследуемой группе в период с 2017 по 2019 г. проведена лазерная деструкция суставной ветви запирательного нерва (970 нм, частотой 9 Гц и мощностью 3 Вт в суммарной дозе 100 Дж). Средний катамнез наблюдения составил 12 мес. Для оценки эффективности хирургического лечения анализировали динамику уровня болевого синдрома в ТБС по визуально-аналоговой шкале, качества жизни - по анкете SF-36, функционального состояния ТБС - по шкале W.H. Harris и наличие операционных осложнений. В результате установлено, что применение лазерной деструкции суставной ветви запирательного нерва при дегенеративном коксартрозе у пациентов пожилого и старческого возраста (при невозможности проведения тотального эндопротезирования ТБС) позволило значительно снизить уровень дооперационного болевого синдрома, восстановить качество жизни и улучшить функциональное состояние пациентов при низком риске развития неблагоприятных последствий. The aim of the study was to analyze the results of the use of laser destruction of the articular branch of the obturator nerve in elderly and senile patients with degenerative coxarthrosis. The results of treatment of 34 patients over 65 years of age with symptomatic degenerative diseases of the hip joint (HJD) and somatic contraindications for total hip arthroplasty have been prospectively studied. In the study group, in the period from 2017 to 2019, laser destruction of the articular branch of the obturator nerve (970 nm, frequency 9 Hz and power 3 W in a total dose of 100 J) was carried out. The average follow-up was 12 months. To assess the effectiveness of surgical treatment, the dynamics of the pain syndrome in the hip joint was analyzed according to the visual analogue scale, the quality of life according to the SF-36 questionnaire, the functional state of the hip joint according to the W.H. Harris scale and the presence perioperative surgical complications. As a result, it was found that the use of laser destruction of the articular branch of the obturator nerve in degenerative coxarthrosis in elderly and senile patients (if total hip arthroplasty was not possible) made it possible to significantly reduce the level of preoperative pain syndrome, restore the quality of life and improve the functional state of patients with low risks of surgical complications.

scholarly journals Algorithm for Early Diagnosis and Treatment Tactics of Diseases Accompanied by Coxalgia in Children

2009 ◽  
Vol 16 (2) ◽  
pp. 67-71
Author(s):  
Il'ya L'vovich Lobov ◽  
S E Kul'banskaya ◽  
M A Uronova ◽  
I L Lobov ◽  
S E Kulbanskaya ◽  
...  
Keyword(s):  
Drug Therapy ◽  
Femoral Head ◽  
Early Diagnosis ◽  
Hip Joint ◽  
Blood Circulation ◽  
Perthes Disease ◽  
Diagnosis And Treatment ◽  
Joint Diseases

Examination and treatment of 524 children with coxalgia has been performed. Algorithm for early diagnosis of various hip joint diseases accompanied by coxalgia has been elaborated. The factors causing hip joint response resulting in different pathology including Leg-Calve-Perthes disease have been determined. In the majority of cases application of modified splint in combination with drug therapy enabled to normalize blood circulation in the affected joint and prevent the development of secondary deformities of the femoral head.

scholarly journals Coxitis in early axial spondyloarthritis

2019 ◽  
Vol 13 (4) ◽  
pp. 41-47 ◽  
Author(s):  
E. M. Agafonova ◽  
T. V. Dubinina ◽  
D. G. Rumyantseva ◽  
A. B. Demina ◽  
A. V. Smirnov ◽  
...  
Keyword(s):  
Disease Activity ◽  
Hip Joint ◽  
Joint Pain ◽  
Rating Scale ◽  
Axial Spondyloarthritis ◽  
Clinical Signs ◽  
Clinical Manifestations ◽  
Diagnostic Methods ◽  
Joint Movement ◽  
Joint Injury

In Russia, coxitis is one of the most common extra-axial manifestations of ankylosing spondylitis (AS). However, many issues regarding its early diagnosis remain unresolved.Objective: to compare the clinical manifestations of coxitis with the data from an instrumental examination of CoRSAR cohort (Cohort of Early Axial Spondyloarthritis) patients.Patients and methods. Examinations were made in 175 patients (mean age, 28.2±5.7 years) diagnosed as having axial spondyloarthritis (axSpA) with inflammatory back pain lasting up to 5 years, which occurred at the age of ≤45 years. There was non-radiographic axSpA (nraxSpA) in 69 patients and AS in 106 patients. 87% of patients were HLA-B27-positive. The median disease duration was 23.8 [1–60] months; BASDAI was 3.3±1.94. Regardless of complaints, all the patients underwent hip X-ray and ultrasound studies and 54 more patients had magnetic resonance imaging (MRI).Results and discussion. The clinical signs of coxitis were present in 95 (54%) patients, of them 60% were diagnosed with AS and 40% had nraxSpA. According to the numerical pain rating scale (NPRS), the median hip joint pain was 4 [3; 7]. Limited joint movement was observed in 6 (3.4%) patients. The level of hip joint pain correlated with BASDAI (r=0.53) and ASDAS (r=0.30). The ultrasound signs of coxitis were detected in 42 (24%) patients; of them 26 (62%) had the clinical manifestations of hip joint injury, and such changes were absent in 16 patients. The patients with ultrasound signs of coxitis were noted to have a higher disease activity; peripheral arthritis and enthesitis were more common. According to MRI, coxitis was diagnosed in 39 (72%) of the 54 examinees, while the disease was asymptomatic in 10%.Conclusion. Different diagnostic methods used in patients with early axSpA could reveal coxitis in 33% of cases. The patients with coxitis show higher laboratory disease activity than those without hip joint injury. It is necessary to include MRI and ultrasound in the mandatory examination of patients with axSpA.

Extremity Swelling

2018 ◽  
pp. 136-139
Author(s):  
Jennifer Repanshek
Keyword(s):  
Creatine Kinase ◽  
Clinical Picture ◽  
Muscle Pain ◽  
Clinical Status ◽  
Clinical History ◽  
Muscle Group ◽  
Heat Illness ◽  
Single Muscle ◽  
Muscle Disorders ◽  
Intravenous Fluid Administration

The case illustrates the classic clinical features and emergent management of rhabdomyolysis. The pathophysiology results from the breakdown of muscle from intense exercise, drug or alcohol use, seizure activity, trauma, heat illness, or muscle disorders. The clinical history is of a severe muscle pain, sometimes focused on a single muscle group or extremity but often diffuse. Rhabdomyolysis should be suspected in a patient with vague complaints of muscle pain, and an elevation in creatine kinase is diagnostic in this clinical picture. Patients who have been diagnosed with rhabdomyolysis must also be carefully evaluated for compartment syndrome. The mainstay of treatment is aggressive intravenous fluid administration. Serial creatine kinase values as well as the patient’s evolving clinical status should guide further management.

Results of 55 AVM Cases Treated by Embolization and/or Surgery

1997 ◽  
Vol 3 (2_suppl) ◽  
pp. 137-141
Author(s):  
T. Hattori ◽  
M. Negoro ◽  
M. Bundou ◽  
T. Iwakoshi ◽  
K. Fukui ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Data Base ◽  
Treatment Modality ◽  
Clinical Status ◽  
Patient Characteristics ◽  
Cerebral Arteriovenous Malformation ◽  
University Hospital ◽  
Treatment Results ◽  
Karnofsky Score ◽  
Embolization Procedure

In order to build a data base for future comparison, we summarized the treatment results of cerebral arteriovenous malformation (AVM) patients in our hospital. Fifty five AVM patients who had been treated at Nagoya University Hospital from 1988 to 1995 were enrolled in the study. The patient characteristics were nearly the same as other reported series. Trend of treatment modality was changing in this period and embolization was increasing in its role. Karnofsky score was used to follow the patients' clinical status. It was useful to assess pretreatment clinical status and post treatment status. The results showed the improvement of the embolization procedure.

Efficacy of Spine Segments Radiofrequency Denervation

2013 ◽  
Vol 20 (2) ◽  
pp. 26-31
Author(s):  
G. I Nazarenko ◽  
A. M Cherkashov ◽  
V. I Kuzmin ◽  
A. G Nazarenko ◽  
M. A Gorokhov ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Conservative Treatment ◽  
Pain Syndrome ◽  
Soft Tissue Injuries ◽  
Long Term Results ◽  
Control Group ◽  
Treatment Results ◽  
Radiofrequency Denervation ◽  
One Year

Early and long-term results of radiofrequency facet destruction for 245 patients with cervical, thoracic and lumbar spondyloarthrosis were presented. One hundred six patients (control group) were treated conservatively. Treatment results were assessed by pain syndrome intensity using pain audit. One year after operation good result was observed in 62 (32%) out of 195 patients and satisfactory results — in 117 (60%) patients. That method enabled to eliminate considerably vertebrogenic pain localized in one dermatome when conservative treatment failed. Our experience showed that radiofrequency facet nerves destruction was safe and did not result in soft tissue injuries. All that enabled patients to return to work at maximum short terms.

Age-specific peculiarities of the clinical picture of acute cholecystitis

2016 ◽  
Vol 94 (2) ◽  
pp. 133-137
Author(s):  
Gaik Z. Balayan
Keyword(s):  
High Risk ◽  
Elderly Patients ◽  
Acute Cholecystitis ◽  
Clinical Picture ◽  
Clinical Symptoms ◽  
Risk Group ◽  
High Risk Group ◽  
Treatment Results ◽  
Poor Treatment ◽  
Late Stages

The problem of acute cholecystitis is now becoming ever more urgent bearing in mind a rise in morbidity and poor treatment results especially in elderly patients. Hence, the importance of studying age-specific peculiarities of clinical picture and evolution of this condition. The present study included 1273 patients with acute cholecystitis divided in 2 groups. It was shown that patients of advanced age more frequently suffer complicated cholecystitis. It is concluded that patients aged 60 years and more make up a high-risk group characterized by mildly manifest clinical symptoms and hospitalization at the late stages of the disease.

scholarly journals Cardiovascular diseases: evaluation of persisting disorders in the blood circulation system and disability, criteria for severity of invalidism

2017 ◽  
Vol 95 (2) ◽  
pp. 158-162
Author(s):  
Marina A. Shurgaya
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Blood Circulation ◽  
Pain Syndrome ◽  
Pathological Process ◽  
Elderly Subjects ◽  
Circulation System ◽  
Social Significance ◽  
Important Indicator ◽  
Blood Circulation System

A most important indicator of population health, its social and economic wellbeing is premature disability. 10.3 mln people had to retire from their jobs due to disability during the ten-year period from 2005 to 2014. The number of elderly subjects among them was twice that of the younger ones, with the leading cause of disability being blood circulation disorders (61,9%). At the same time, the fraction of old subjects in the group of invalids suffering from coronary heart disease and idiopathic hypertension accounted for only 58,9% and 40,9% respectively. The quantitative evaluation of persistent dysfunction of the cardiovascular system related to circulatory disturbances included in ICD class IX and to those referred to other classes is based mainly on an assessment of the following clinical andfunctional manifestations: pain syndrome (cardialgia or angina); hypertensive syndrome; pulmonary hypertension; arrhythmia; syncope. Other aspects of pathological process are taken into consideration, such as its form and severity, presence andfrequency of exacerbations, magnitude, involvement of target organs, complications. The gerontological slant of disabling cardiovascular pathology accounts for its social significance (idiopathic hypertension, coronary heart disease, chronic heart failure) which requires the adequate solution of the problem of healthcare provisions taking account of the current demographic situation and increased life expectancy within the older population suffering from a number of chronic diseases.

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