1/9. Second-look arthroscopy with removal of bioabsorbable tacks.Eleven years after tearing her anterior cruciate ligament (ACL) (not reconstructed), a 36-year-old dancer reinjured her knee and required arthroscopic ACL reconstruction. At arthroscopy, the medial meniscus had a bucket-handle tear that was repaired by using three bioabsorbable tacks. The ACL was then repaired in the usual manner. Because of persistent posterior knee pain throughout her rehabilitation, we performed "second-look" arthroscopy 14 weeks after reconstruction. The meniscus had healed and was stable; however, tack motion was evident and the tacks were easily removed. Inspection of the tacks showed that the barbs had been resorbed. The patient recovered uneventfully, and pain-free flexion 28 days after surgery was 0 degrees-136 degrees. We believe this to be the first reported case demonstrating the early stages of tack degradation in meniscal repair.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
2/9. hemorrhage after bone marrow harvest: a case presentation.The purpose of this article is to describe the usual procedure and postoperative recovery after an allogeneic bone marrow harvest and to present a case study of an unusual complication of hemorrhage. The case study describes a donor who experienced hemorrhage with severe pain, muscle spasms, and prolonged limitations in range of motion and ambulation. Oncology nurses should inform donors to promptly report persistent pain, spasms, and muscle weakness. Should hemorrhage occur, blood loss should be evaluated, bedrest should be maintained, and cold packs should be applied to the area. Although excessive bleeding is a rare occurrence, nurses should be alert for this complication to prevent pain and activity impairment.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
3/9. Arthroscopic treatment for synovial chondromatosis of the shoulder.Synovial chondromatosis of the shoulder is a rare condition. The following is a description of such a case with the presenting symptoms, radiographic features, intraoperative findings, and the arthroscopic technique for treatment of this disease. Loose bodies were found in the long head of the biceps tendon sheath, the subscapularis recess, and throughout the glenohumeral joint, causing erosive damage. We feel that arthroscopy allows for better visualization of the entire glenohumeral joint, including the long head of the biceps tendon sheath and the subscapularis recess, and for ease of loose body removal. Additional advantages of arthroscopy include decreased postoperative pain, early active range of motion, shorter course of rehabilitation, and earlier functional return.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
4/9. Whole lung lavage in the treatment of pulmonary alveolar proteinosis.Although a rare condition, pulmonary alveolar proteinosis (PAP) can be a very devastating diagnosis with life-altering consequences. This case study follows the path of a young woman who is currently undergoing whole lung lavage as treatment for pulmonary alveolar proteinosis. The entire concept of flooding a lung with large quantities of saline as a treatment for lung disease is contrary to normal respiratory care. Caring for the patient with PAP provides many challenges for the perianesthesia nurse. Management of the postanesthesia airway, oxygen administration and maintenance of oxygen saturation, and pain relief skills are all of high importance to the patient with PAP. These skills plus the emotional support provided by the experienced perianesthesia nurse can ensure a safe recovery from this unusual procedure.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
5/9. Excessive radial shortening in Kienbock's disease.Two patients with Kienbock's disease who had been treated by radial shortening developed ulnar wrist pain post-operatively due to excessive radial shortening. In both cases, ulnar shortening was required to improve symptoms and function. Excessive radial shortening can cause ulnar wrist pain and compromise the improvement of grip strength and range of motion of the wrist.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
6/9. The use of hypnosis in the management of preoperative anxiety and postoperative pain in a patient undergoing laminectomy.patients undergoing laminectomy face a variety of concerns both pre- and postoperatively which may affect their emotional state and increase surgical risk. A case study of a laminectomy patient who was taught hypnosis for the control of preoperative anxiety and postoperative pain is presented. The benefits of such hypnotic intervention, as well as the long-term effects of hypnotic intervention on a patient who is in a crisis period are discussed.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
7/9. A previously unreported cause of pain after total knee arthroplasty.Total knee arthroplasty achieves consistently excellent results in most patients. The most common causes of failure are loosening and infection. This article reviews the records of five patients in whom intraarticular fibrous tissue hypertrophy was the cause of pain after total knee arthroplasty. All of the patients had increasing pain and decreasing knee motion. Evaluation for loosening, malalignment, intraarticular debris, and infection gave negative results. Examination revealed a blocked range of motion and a palpable, tender, intraarticular mass. Injection of anesthetic relieved the symptoms. Surgical excision of the hypertrophic fibrous tissue relieved symptoms and increased knee range of motion. This cause of pain in the total knee arthroplasty patient is rare.- - - - - - - - - - ranking = 3keywords = motion (Clic here for more details about this article) |
8/9. Comparison between arthroscopic and open synovectomy for the knee in rheumatoid arthritis.Ten surgical anterior capsulosynovectomies following Mori's four-block capsular incision technique in nine rheumatoid patients and 14 arthroscopic synovectomies utilizing a Wolf arthroscope with a large pituitary rongeur or a motorized intra-articular shaver in 11 patients were performed in our department. In three patients with bilateral involvement at nearly the same stage (III), we operated on the knees simultaneously, using open capsulosynovectomy on one side and arthroscopic synovectomy on the other side; we comparatively assessed the postoperative course, the subjective evaluation of the patients, and the follow-up results. Surgical intervention is milder in the arthroscopic operation, and postoperative knee pain during motion exercise is markedly less in the arthroscopically synovectomized knee. Although the postoperative management was more complex for open capsulosynovectomized knees, the results obtained at 1-2 months after synovectomy showed no significant difference between the two procedures.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
9/9. Factors influencing the postoperative range of motion in total knee arthroplasty.This study was undertaken to assess the factors influencing the postoperative range of motion after total knee arthroplasty (TKA). From January 1986 to December 1991, 111 TKA (Miller-Galante I System) surgeries were performed in 71 patients. Of those, 90 joints in 60 patients were kept under observation as the materials of this study. These patients included 37 patients with rheumatoid arthritis and 23 with osteoarthritis. The patients were divided into four groups according to postoperative range of motion (ROM), at the time averaging 51 months. The excellent group, defined as having more than 130 degrees range of motion consisted of 10 knees in 6 patients. The good group of 120 to 129 degrees had 19 knees in 13 patients; the fair group of 91 to 119 degrees consisted of 40 knees in 24 patients. In the poor group of 90 degrees or less there were 21 knees in 17 patients. Each group of patients was examined preoperatively, operatively, and postoperatively for factors relating to range of motion after TKA. The results of this study indicated factors influencing the ROM were: preoperative ROM, the primary indication, heights of postoperative joint line, patellar thickness, postoperative pain, and successive postoperative rehabilitation.- - - - - - - - - - ranking = 8keywords = motion (Clic here for more details about this article) |