1/10. risperidone in the treatment of acute stress disorder in physically traumatized in-patients.Although symptoms of acute stress disorder or PTSD in the aftermath of physical trauma may be a reason for psychiatric referral, little has been written on the management of patients in this context. We report the possible benefit of risperidone, an atypical antipsychotic, in 4 cases where flashbacks were reported in patients hospitalized for the treatment of physical trauma.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/10. Pedicled groin flaps for upper-extremity reconstruction in the elderly: a report of 4 cases.The pedicled groin flap is a useful, versatile flap for coverage of wounds of the hand and distal forearm. It produces predictable results with a procedure that is much less difficult to perform and takes less time than a free-tissue transfer. Contrary to the general belief that the groin flap should not be used in the elderly because of the risk of shoulder stiffness, we found satisfactory results with this procedure in 4 elderly patients (age range, 59-75 y) when immediate shoulder mobilization was instituted and physical therapy was continued during flap maturation and pedicle division.- - - - - - - - - - ranking = 0.16666666666667keywords = physical (Clic here for more details about this article) |
3/10. Muscular injury in a child diagnosed by 99mTc-MDP bone scan.An 11-year-old boy had bone scanning to rule out an osseous lesion of the right arm. He presented progressive pain and hard swelling of the right arm. His past medical history and general physical examination were unremarkable. He trained for karate. The scan demonstrated considerable muscular uptake in both arms. CPK and CPK MB levels were both abnormally high, suggesting muscle injury. After a 10-day rest period the bone scan returned to normal.- - - - - - - - - - ranking = 0.16666666666667keywords = physical (Clic here for more details about this article) |
4/10. Prosthetic rehabilitation in bilateral high above elbow amputation.rehabilitation in patients with bilateral high above elbow amputation presents a considerable prosthetic problem. A patient with high upper arm amputations after a high-voltage injury is presented. He was successfully fitted with multifunctional myoelectric hand prostheses. The problems in rehabilitation of adult bilateral arm amputees are discussed and the value of fitting these patients with electrically powered prostheses is assessed. The balance between technical and clinical aspects is discussed in relation to patient acceptance. In our case good acceptance and functional benefit was noted. The fact is stressed that the bilateral upper extremity amputee can regain considerable physical function with the fitting of suitable prostheses, even if the limb remnants are short and provide little or no function. An extensive team approach at specialized centres will favour the results.- - - - - - - - - - ranking = 0.16666666666667keywords = physical (Clic here for more details about this article) |
5/10. Functional soft-tissue coverage in skeletonizing injuries of the upper extremity using the ipsilateral latissimus dorsi myocutaneous flap.The concept of early "functional" soft-tissue coverage is demonstrated in three cases of severe skeletonizing avulsion/contusion injuries of the upper extremity, including the replantation of a "frozen" arm. According to the MESS score, all extremities would have been allocated to the amputation group. Therapeutic strategy consisted of primary repair of all neurovascular structures, serial debridements, and early definitive coverage with simultaneous restoration of the elbow flexor or extensor muscles. Flap survival was 100 percent in all patients, and the muscle strength achieved after vigorous physical therapy was rated M3 to M5. One patient was even able to return to competitive tennis.- - - - - - - - - - ranking = 0.16666666666667keywords = physical (Clic here for more details about this article) |
6/10. Case report: the role of arteriography in patients with isolated neurological deficit following a penetrating upper limb injury.Two cases are described of patients who presented with isolated neurological deficit following penetrating injury to the upper limb. Arteriography demonstrated brachial artery false aneurysm formation in each case. There are accepted indications for emergency angiography following stab wounds including pulse deficit, vascular bruit, expanding haematoma and hypotension with no obvious cause. Indirect indicators of vascular damage include proximity of the injury to an artery with no physical signs or isolated neurological deficit. These indications do have a significant association with concurrent arterial injury and should be investigated by elective angiography if the patient is haemodynamically stable.- - - - - - - - - - ranking = 0.16666666666667keywords = physical (Clic here for more details about this article) |
7/10. Recognizable dysfunction syndromes.Many presentations of dysfunctional postures of the upper extremity have been described in the literature. Attempts have been made to differentiate these situations by describing their physical and pathophysiologic circumstances. Unfortunately, these attempts to define and differentiate the various conditions that are recognizable patterns of upper-extremity dysfunction syndromes have not been entirely successful. This failure is perhaps because hard and firm diagnostic criteria that would specifically delineate each of these circumstances are wanting. At best, it can be said that there are patients who will present with pain as their primary complaint and who present with physical findings that would best support a diagnosis of reflex sympathetic dystrophy. There are others who present with dysfunctional postures in which pain is not a primary presenting complaint. In addition, are those in an intermediate zone, where pain and dysfunction are intermixed, and where prolonged observation may help to place them in one category or the other. Recent evidence has suggested that patients with painless dysfunctional syndrome benefit from the attentions of psychically oriented providers. The timing and appropriateness of such interventions require further study. The literature of the behavioral scientists and that of the practitioners of the medical arts is bereft of concrete explanations for causation and specific definitive solutions.- - - - - - - - - - ranking = 0.33333333333333keywords = physical (Clic here for more details about this article) |
8/10. Bilateral musculocutaneous nerve palsy. A case report.A case of bilateral, isolated, proximal musculocutaneous nerve palsy is reported. Initial physical and electromyographic examinations demonstrated complete denervation of the biceps brachii, brachialis, and coracobrachialis muscles bilaterally. Nerve conduction studies of the musculocutaneous nerves initially revealed no evoked potentials. The patient underwent resection with end-to-end anastomosis on the left and neurolysis without resection on the right. Significant functional recovery was noted bilaterally but was more rapid and complete on the side that underwent neurolysis without resection.- - - - - - - - - - ranking = 0.16666666666667keywords = physical (Clic here for more details about this article) |
9/10. Psychosocial consequences of upper limb injury.Upper limb surgeons have little in the way of training in the identification or management of the psychological aspects of limb injury. Surgeons in training tend to see their specialty in technical terms, only slowly appreciating that the psychological state of the patient profoundly affects outcome in many cases. The case report that follows charts the psychological progress of a patient following severe upper limb injury. Surgeons usually view rehabilitation in physical terms. This report emphasizes the psychological aspects of a major limb injury to a policeman (MP) who subsequently studied psychology at PhD level.- - - - - - - - - - ranking = 0.16666666666667keywords = physical (Clic here for more details about this article) |
10/10. Ultrasound diagnosis of triceps tendon rupture. A report of 2 cases.rupture of the triceps tendon is a rare injury, and clues to diagnosis on physical examination can be masked by pain and swelling. Two cases of triceps tendon rupture are reported in which ultrasonography was used to assist in the diagnosis.- - - - - - - - - - ranking = 0.16666666666667keywords = physical (Clic here for more details about this article) |
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