Management of Lower Extremity Long-bone Fractures in Spinal Cord Injury Patients

2017 ◽  
Vol 25 (9) ◽  
pp. e204-e213 ◽  
Author(s):  
Leah M. Schulte ◽  
Ryan D. Scully ◽  
Jason E. Kappa
Spinal Cord ◽  
2015 ◽  
Vol 53 (9) ◽  
pp. 701-704 ◽  
Author(s):  
A Frotzler ◽  
B Cheikh-Sarraf ◽  
M Pourtehrani ◽  
J Krebs ◽  
K Lippuner

2021 ◽  
pp. 101137
Author(s):  
Alexis Gutierrez ◽  
Rachel Blue ◽  
Patricia Zadnik-Sullivan ◽  
Blair Ashley ◽  
Samir Mehta ◽  
...  

Author(s):  
Magdalena Mackiewicz-Milewska ◽  
Małgorzata Cisowska-Adamiak ◽  
Katarzyna Sakwińska ◽  
Iwona Szymkuć-Bukowska ◽  
Iwona Głowacka-Mrotek

Diagnosis of the cause of massive edema of the lower limbs in patients after spinal cord injury (SCI) can be difficult because of loss of pain sensation, commonly occurring in this group of patients. This paper reviews several different pathologies that can lead to lower-limb edema and the associated diagnostic difficulties. We present four cases of patients with massive edemas of lower limbs at different times after SCI undergoing treatment in the Department of Rehabilitation, University Hospital in Bydgoszcz, Poland. All patients had a lack of pain sensation in the lower limbs and significantly elevated levels of D-dimer. In two cases, deep vein thrombosis (DVT) and intramuscular hematomas (IHs) were diagnosed. IHs were probably a consequence of antithrombotic treatments implemented due to the occurrence of DVT. Heterotopic ossification (HO) was diagnosed in a third case, and, in another patient, who was hospitalized for the longest period after injury, we found humeral bone fractures. Heterotopic ossification, intramuscular haematomas, and bone fractures of the lower limb can mimic DVT. Careful observation of the edema evolution is recommended, as the onset of new symptoms may indicate a different cause of edema from that initially established.


2006 ◽  
Vol 29 (2) ◽  
pp. 138-146 ◽  
Author(s):  
Lee Stoner ◽  
Manning Sabatier ◽  
Leslie VanhHiel ◽  
Danielle Groves ◽  
David Ripley ◽  
...  

2012 ◽  
Vol 6 (1) ◽  
Author(s):  
Thomas C. Bulea ◽  
Ronald J. Triolo

A walker capable of providing vertical lift support can improve independence and increase mobility of individuals living with spinal cord injury (SCI). Using a novel lifting mechanism, a walker has been designed to provide sit-to-stand assistance to individuals with partially paralyzed lower extremity muscles. The design was verified through experiments with one individual with SCI. The results show the walker is capable of reducing the force demands on the upper and lower extremity muscles during sit-to-stand transition compared to standard walkers. The walker does not require electrical power and no grip force or harness is necessary during sit-to-stand operation, enabling its use by individuals with limited hand function. The design concept can be extended to aid other populations with lower extremity weakness.


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