scholarly journals EFFECTS OF PHYSIOTHERAPY IN GERIATRIC PATIENT WITH DISTAL RADIUS FRACTURE: A CASE REPORT

Author(s):  
Vaishnavi Yadav

Distal end radius fracture is said to the most common as well as more frequent fracture seen in community-dwelling individuals. Fracture distal end radius can lead to malunion, non-union, deformity ultimately leading to reduce the functional capacity of an individual. Hand functions are primarily affected in distal radial fracture. The patient was an old lady of 75 years who suffered a comminuted fracture distal end radius right side. She underwent surgery 6 days after the injury with open reduction and internal fixation. Three weeks after the surgery physiotherapy was started to increase range of motion, muscle strength and to reduce pain. Rehabilitation started at the rate of one session a day, six days a week. Rehabilitation activities include exercises to improve local circulation and relief pain, to restore normal range of motion, to improve ROM, to improve strength.

1993 ◽  
Vol 42 (4) ◽  
pp. 1615-1617
Author(s):  
Naotaka Ibi ◽  
Yoshiichi Sasaki ◽  
Ken Arai ◽  
Hiroyuki Yamamoto ◽  
Kazushige Terado ◽  
...  

2005 ◽  
Vol 30 (4) ◽  
pp. 365-368 ◽  
Author(s):  
P. H. J. BULLENS ◽  
M. DRIESPRONG ◽  
H. LACROIX ◽  
J. VEGTER

Thirty-three symptomatic scaphoid non-unions were treated by a simple, minimally invasive procedure using a percutaneous autologous corticocancellous bone graft. After an average follow-up of 3.5 years, union was observed in 29 cases. These patients had no, or mild, pain at work and an almost normal range of motion and grip strength. No progression to osteoarthritis was observed.


2021 ◽  
pp. 156918612110436
Author(s):  
Mitchell R Voss ◽  
Rebecca L Donnay ◽  
Jennifer K Homa

Introduction Dry needling has been identified as a potential intervention for a variety of diagnoses. Limited evidence exists to support the use of dry needling following surgical intervention of a distal radius fracture. This case report demonstrates the impact of dry needling in the thumb following a distal radius fracture. Methods The patient was a 31-year-old healthy female who sustained a distal radius fracture and required surgical intervention. The patient required a volar plate removal and extensor tenolysis. The patient attended traditional occupational therapy with one session of dry needling to assist in improving range of motion and decreasing pain. Results The patient benefited from the use of dry needling. The patient had no pain with functional grasping and pinching following dry needling and improved on the Kapandji score from eight to nine out of ten. The patient also reported a decrease in overall pain, from seven to two on the Numeric Pain Rating Scale. Discussion The patient benefited from dry needling in the thumb to improve both range of motion and pain symptoms. While the evidence is limited, dry needling may be an appropriate intervention to assist in recovery and reduce thumb pain following distal radius fractures.


2018 ◽  
Vol 35 ◽  
pp. 185-188
Author(s):  
Nana Nagura ◽  
Kiyohito Naito ◽  
Ahmed Zemirline ◽  
Yoichi Sugiyama ◽  
Mayuko Kinoshita ◽  
...  

1990 ◽  
Vol 29 (01) ◽  
pp. 40-43 ◽  
Author(s):  
W. Langsteger ◽  
P. Költringer ◽  
P. Wakonig ◽  
B. Eber ◽  
M. Mokry ◽  
...  

This case report describes a 38-year-old male who was hospitalized for further clarification of clinically mild hyperthyroidism. His increased total hormone levels, the elevated free thyroid hormones and the elevated basal TSH with blunted response to TRH strongly suggested a pituitary adenoma with inappropriate TSH incretion. Transmission computed tomography showed an intrasellar expansion, 16 mm in diameter. The neoplastic TSH production was confirmed by an elevated alpha-subunit and a raised molar alpha-sub/ATSH ratio. However, T4 distribution on prealbumin (PA, TTR), albumin (A) and thyroxine binding globulin (TBG) showed a clearly increased binding to PA (39%), indicating additional prealbumin-associated hyperthyroxinemia. The absolute values of PA, A and TBG were within the normal range. After removal of the TSH-producing adenoma, basal TSH, the free thyroid hormones and T4 binding to prealbumin returned to normal. Therefore, the prealbumin-associated hyperthyroxinemia had to be interpreted as a transitory phenomenon related to secondary hyperthyroidism (T4 shift from thyroxine binding globulin to prealbumin) rather than a genetically conditioned anomaly of protein binding.


2020 ◽  
Vol 3 ◽  
pp. 1
Author(s):  
Ramiro José Daud ◽  
Horacio Freile ◽  
Mauricio Freile ◽  
Soledad Mariano

A case report on a 49-year-old female with diagnoses of ocular hypertension in her left eye (LE) treated with 250 mg/day acetazolamide for 2 years. During the slit-lamp examination, complete occlusion of both iridocorneal angles was detected. Intraocular pressure (IOP) was 10 and 35 mmHg in the right eye and LE, respectively. Phacotrabeculectomy was performed in the LE. After 1 month of the procedure, the patient developed a slowly progressive miopization from −1 to −3 diopters (D) the following months. Approximately 3 months after surgery, the patient developed an episode of acute pain, athalamia, and IOP 45 mmHg in her LE. Late-onset malignant glaucoma was suspected and the patient was treated with topical hypotensive and cycloplegic agent until a prompt vitrectomy was performed. Deepening of the anterior chamber and restoration of IOP to normal range was obtained after surgery.


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