Utility of Intercostal Nerve Conventional
Thermal Radiofrequency Ablations in the
Injured Worker after Blunt Trauma

Background: Intercostal nerve blocks offer short-term therapeutic relief and serve as a diagnostic test for intercostal neuralgia. This original case report demonstrates the efficacy of radiofrequency ablations for long-term pain relief of intercostal neuralgia. To date, there have been no studies that demonstrate the efficacy of thermal conventional intercostal nerve radiofrequency ablations for intercostal neuralgia. Objective: Describe the use of conventional thermal radiofrequency ablations of the intercostal nerves to treat blunt chest wall trauma. Study Design: Case report. Setting: Clinical practice. Methods: Six patients suffering from work-related injuries to the chest wall whose treatment focused on conventional thermal radiofrequency ablations of the intercostal nerves. Results: Four of the 6 patients were pain free by their final visit. The remaining 2 patients experienced pain relief until one began wearing a brace after an L5-S1 fusion; the other required repeat treatment after 5.5 months. Limitations: Case series. There was limited follow-up as patients were either discharged after receiving potentially curative care or were lost to follow-up. Conclusions: Following conventional thermal radiofrequency ablations of the intercostal nerves, 5 of the 6 patients experienced either long-term pain relief or required no additional care. The treatment has potential efficacy for injuries, including rib fractures or intercostal neuralgia, stemming from blunt trauma to the chest wall. In addition, there may be a potential for this treatment to help patients suffering from postthoracotomy pain. Key Words: Radiofrequency ablation, intercostal neuralgia, rib fracture, blunt trauma, workers’ compensation.

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Long-Term Effects of Resistance Training on body Composition, Physical Fitness and Bone Mineral Density in a Osteopenia Elderly Woman : A Case Report with 3-Year Follow-Up

The Korean Journal of Growth and Development ◽

10.34284/kjgd.2018.02.26.1.111 ◽

2018 ◽

Vol 26 (1) ◽

pp. 111-117

Author(s):

Seon-young Lee ◽

Sang-won Seo ◽

Sang-hyup Song ◽

Ho-seong Lee

Keyword(s):

Bone Mineral Density ◽

Body Composition ◽

Case Report ◽

Resistance Training ◽

Physical Fitness ◽

Elderly Woman ◽

Long Term Effects ◽

Mineral Density

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Brain Abscess Caused by Nocardia: Case Report and Literature Review

Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery ◽

10.1055/s-0040-1719124 ◽

2020 ◽

Author(s):

Guilherme Finger ◽

Maria Eduarda Conte Gripa ◽

Tiago Paczko Bozko Cecchini ◽

Tobias Ludwig do Nascimento

Keyword(s):

Case Report ◽

Antibiotic Therapy ◽

Brain Abscess ◽

Clinical Signs ◽

Occipital Lobe ◽

High Morbidity ◽

Rare Clinical Entity ◽

Brain Abscesses

AbstractNocardia brain abscess is a rare clinical entity, accounting for 2% of all brain abscesses, associated with high morbidity and a mortality rate 3 times higher than brain abscesses caused by other bacteria. Proper investigation and treatment, characterized by a long-term antibiotic therapy, play an important role on the outcome of the patient. The authors describe a case of a patient without neurological comorbidities who developed clinical signs of right occipital lobe impairment and seizures, whose investigation demonstrated brain abscess caused by Nocardia spp. The patient was treated surgically followed by antibiotic therapy with a great outcome after 1 year of follow-up.

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Ultrasonic Percutaneous Tenotomy for Recalcitrant Lateral Elbow Tendinopathy: Clinical and Sonographic Results at 90 Months

The American Journal of Sports Medicine ◽

10.1177/03635465211010158 ◽

2021 ◽

pp. 036354652110101

Author(s):

Benjamin F.H. Ang ◽

P. Chandra Mohan ◽

Meng Ai Png ◽

John Carson Allen ◽

Tet Sen Howe ◽

...

Keyword(s):

Pain Relief ◽

Extensor Tendon ◽

Tissue Healing ◽

Lateral Elbow ◽

Percutaneous Tenotomy ◽

Vas Scores ◽

The Common ◽

Lateral Elbow Tendinopathy

Background: In a study from our institution, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon for recalcitrant lateral elbow tendinopathy showed excellent safety profiles, high tolerability, efficiency, sustained pain relief, functional improvement, and sonographic evidence of tissue healing in 20 patients at 3 years’ follow-up. Purpose: To explore the long-term clinical and sonographic results of ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon. Study Design: Case series; Level of evidence, 4. Methods: The same cohort of 20 patients was recalled after 7 years, and visual analog scale (VAS) for pain and Disabilities of the Arm, Shoulder and Hand (DASH) scores, need for secondary intervention, and overall satisfaction were assessed. They were also reassessed using ultrasound imaging of the brevis and the common extensor tendon to evaluate tendon hypervascularity, tendon thickness, and the progress or the recurrence of the hypoechoic scar tissue. Results: We successfully scored 19 patients and performed ultrasound on 16 patients with a median follow-up of 90 months (range, 86-102 months). There were no adverse outcomes and satisfaction remained at 100% (6 patients, satisfied; 13 patients, very satisfied). No patient developed a recurrence of symptoms and signs of lateral elbow tendinopathy, and therefore no secondary intervention was required. The improvement from baseline and early term scores was sustained ( P < .001 for all). At 90 months, there was a significant improvement in VAS scores and DASH–Compulsory scores compared with preprocedure scores and all follow-up times until 3 months. There was no difference in VAS scores and DASH–Compulsory scores at 90 months compared with 6 and 36 months. For DASH–Work scores, there was a significant improvement at 90 months compared with preprocedure scores, but there was no difference between DASH–Work scores at 90 months and scores at all other points of follow-up. At 90 months, hypervascularity remained resolved in 79% of patients, while all patients had reduced tendon swelling and sustained resolution or reduction of the hypoechoic lesion. Conclusion: At the long-term follow-up of 90 months, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon, previously shown to enhance recovery of lateral elbow tendinopathy, demonstrated good durability of pain relief and functional recovery that was previously achieved. This was accompanied by sustained sonographic tissue healing with no significant deterioration.

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Transalveolar nasal floor elevation and implant placement: Long term follow-up case report and description of the technique

Oral and Maxillofacial Surgery Cases ◽

10.1016/j.omsc.2021.100222 ◽

2021 ◽

pp. 100222

Author(s):

Eduardo Anitua ◽

Beatriz Anitua ◽

Mohammad Hamdan Alkhraisat ◽

Laura Piñas ◽

Asier Eguia

Keyword(s):

Case Report ◽

Implant Placement ◽

Nasal Floor ◽

Long Term Follow Up

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Interdisciplinary orthodontic‐periodontal treatment of unerupted permanent maxillary incisors following traumatic injury to deciduous teeth. Case report with long‐term follow‐up (11 years)

Clinical Case Reports ◽

10.1002/ccr3.4052 ◽

2021 ◽

Author(s):

Aldo Crescini ◽

Giovan Paolo Pini Prato ◽

Debora Franceschi

Keyword(s):

Case Report ◽

Traumatic Injury ◽

Periodontal Treatment ◽

Deciduous Teeth ◽

Long Term Follow Up ◽

Maxillary Incisors

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Desmoplastic fibroma in the proximal femur: A case report with long-term follow-up

Oncology Letters ◽

10.3892/ol.2015.3603 ◽

2015 ◽

Vol 10 (4) ◽

pp. 2465-2467 ◽

Cited By ~ 3

Author(s):

YU-BAO GONG ◽

LI-MEI QU ◽

XIN QI ◽

JIAN-GUO LIU

Keyword(s):

Case Report ◽

Proximal Femur ◽

Desmoplastic Fibroma ◽

Long Term Follow Up

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SHORT TO MEDIUM RESULTS USING THE REMOTION TOTAL WRIST REPLACEMENT FOR RHEUMATOID ARTHRITIS

Hand Surgery ◽

10.1142/s0218810413500202 ◽

2013 ◽

Vol 18 (02) ◽

pp. 175-178 ◽

Cited By ~ 7

Author(s):

A. S. C. Bidwai ◽

F. Cashin ◽

A. Richards ◽

D. J. Brown

Keyword(s):

Rheumatoid Arthritis ◽

Pain Relief ◽

Surgical Intervention ◽

Case Series ◽

High Rate ◽

Wound Breakdown ◽

Radial Forearm ◽

Skin Coverage

We present the clinical outcome of patients who underwent RE-MOTION Total Wrist Replacement (TWR) for the treatment of Rheumatoid arthritis involving the wrist. Ten patients were available for follow-up, ranging from one to five years after index surgery. Two patients required surgical intervention for wound breakdown, including one patient who required a radial forearm flap for skin coverage. No patients required revision surgery or conversion to fusion. Patients who did not have complications gained statistically significant pain relief and improvement in mean overall flexion. In this small case series with short to medium results patients reported an improvement in terms of flexion and pain. Despite this, the question of efficacy of TWR compared to fusion in the long term remains unanswered due to the high rate of complications.

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