scholarly journals Osteonecrosis of the hip treated with core decompression: a case report

2011 ◽  
Vol 5 (2) ◽  
Author(s):  
HO Ong’ang’o ◽  
P Wabomba
Keyword(s):  
Case Report ◽  
Core Decompression

Poster 217 Treatment of Avascular Necrosis of the Proximal Femur with Core Decompression and Stem Cell Injection: A Case Report

PM&R ◽  
2014 ◽  
Vol 6 (9) ◽  
pp. S261
Author(s):  
Pegah Dehghan ◽  
Shane Drakes ◽  
Mark Thomas ◽  
Farshad Adib
Keyword(s):  
Stem Cell ◽  
Case Report ◽  
Avascular Necrosis ◽  
Proximal Femur ◽  
Core Decompression ◽  
Cell Injection ◽  
Stem Cell Injection

scholarly journals Pulmonary Embolism after Core Decompression of the Femoral Head Using Injectable Bone Graft Substitute: A Case Report

Hip & Pelvis ◽  
2021 ◽  
Vol 33 (3) ◽  
pp. 167
Author(s):  
Oriol Pujol ◽  
Marius Aguirre ◽  
Alberto Gargallo ◽  
María-Luz Uria ◽  
Luis Riera ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Case Report ◽  
Femoral Head ◽  
Bone Graft ◽  
Core Decompression ◽  
Bone Graft Substitute ◽  
Injectable Bone Graft

scholarly journals Proposal of early retreatment with iloprost in partially responsive patients with bone marrow edema syndrome: a case report

2012 ◽  
Author(s):  
Simone Meini ◽  
Grazia Panigada
Keyword(s):  
Bone Marrow ◽  
Case Report ◽  
Surgical Procedures ◽  
Bone Marrow Edema ◽  
Bone Destruction ◽  
Core Decompression ◽  
Harris Hip Score ◽  
Single Cycle ◽  
Advanced Stages ◽  
Magnetic Resonance Imaging Mri

Background Avascular Necrosis (AVN) is defined as the cellular death of bone components due to an alteration of the blood supply, resulting in Edema of the Bone Marrow (BME), structural collapse and bone destruction. In advanced stages, AVN requires surgery. One emerging medical treatment for supporting osseous perfusion is the administration of iloprost.Materials and methods A 38-year-old woman presented with severe BME of the left hip (primary), persisting for 6 weeks. She was treated with iloprost iv at 2 ng/kg/min for 6 hours/day for 5 days, and after 4 weeks, the treatment was repeated at 1.5 ng/kg/min for 6 hours for 5 days because she exhibited only a partial response to the first treatment. Complete remission was obtained, documented clinically and on Magnetic Resonance Imaging (MRI). Her Harris Hip Score (HHS) increased from 29.90 to 97. No significant adverse events related to iloprost were registered. No surgical procedures were necessary.Conclusions In most cases, iloprost is administered in a single cycle of treatment over 5 days at 1-2 ng/kg/min for 6 hours/day, but no research has investigated the effectiveness of early retreatment after the first cycle results in only a partially response. Only a few studies examining small numbers of patients have evaluated iloprost in AVN/BME, preferring, in most cases, the dose of 1 ng/kg/min and obtaining clinical improvement both in BME and in AVN in times comparable to surgical core decompression. This case report demonstrates the safety and effectiveness of early repetition of the maximal dose of iloprost before BME evolves into AVN, as well as in cases initially appearing serious and requiring surgical procedures.

scholarly journals Core Decompression and Biological Treatment in Osteonecrosis of the Hip due to Systemic Lupus Erythematosus, 8-year Follow-up: A Case Report

2021 ◽  
Vol 9 (C) ◽  
pp. 74-79
Author(s):  
Sholahuddin Rhatomy ◽  
Ismail Hadisoebroto Dilogo
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Case Report ◽  
Femoral Head ◽  
Lupus Erythematosus ◽  
Biological Treatment ◽  
Core Decompression ◽  
Treatment Result ◽  
Harris Hip Score ◽  
Systemic Lupus

BACKGROUND: Osteonecrosis most commonly affects the femoral head, especially in middle-aged adults. It can be caused by trauma, chronic inflammation, or infection. It leads to collapse of the entire femoral head and culminates with total hip replacement. CASE REPORT: A 29-year-old female with systemic lupus erythematosus (SLE) had a chief complaint of bilateral hip pain. She was diagnosed with early osteonecrosis of the femoral head (FICAT stage II) using magnetic resonance imaging and core decompression surgery was performed using three small diameter (4 mm) drillings and added biological treatment. She was evaluated with a visual analog scale (VAS), Harris hip score (HHS), and plain radiography in the pre-operative stage and post-operative follow-up. RESULTS: Functional outcome at 8-year follow-up showed improvement with significantly decreased VAS (pre-operative: 5, post-operative: 0), significant improvement of HHS from 52.725 points (poor) pre-operative to 92.025 points (excellent) post-operative, and subsided femoral head lesion. CONCLUSIONS: Surgical decompression and biological treatment result in decreased intraosseous pressure and enhanced osteogenesis. It can restrict the SLE disease progression and limit the number of cell death.

Avascular necrosis of the hamate treated with core decompression: a case report

2018 ◽  
Vol 43 (7) ◽  
pp. 778-780 ◽  
Author(s):  
Ali Tabrizi ◽  
Ahmadreza Afshar ◽  
Ali Aidenlou
Keyword(s):  
Case Report ◽  
Avascular Necrosis ◽  
Core Decompression

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

A Tape-Recorded Therapy Method for Stutterers: A Case Report

1970 ◽  
Vol 35 (2) ◽  
pp. 188-193 ◽  
Author(s):  
Maryann Peins ◽  
Bernard S. Lee ◽  
W. Edward McGough
Keyword(s):  
Case Report
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