1/8. Inflamed retrocalcaneal bursa and Achilles tendonitis in psoriatic arthritis demonstrated by ultrasonography.OBJECTIVE: To demonstrate the use of high resolution ultrasound measurements and power Doppler mode in the diagnosis and follow up of a patient with psoriatic arthritic with retrocalcaneal bursitis and Achilles tendonitis. methods: An outpatient based ATL HDI 3000 ultrasound equipment was used with a CL10-5 MHZ 26 mm probe and musculoskeletal software. Real time B mode and power Doppler mode were used to detect changes in structure and blood flow. RESULTS: Unilateral retrocalcaneal bursitis and Achilles tendonitis were demonstrated by sonography. Power Doppler mode was useful to demonstrate an increased blood flow around an abnormal retrocalcaneal bursa. A follow up examination showed marginal thickening of the achilles tendon without any bursitis. CONCLUSIONS: ultrasonography is an objective method in the confirmation of clinical diagnosis after physical examination. During the examination it is possible to gain not only qualitative but also quantitative data. A comparative study with quantitative data is possible in longitudinal studies.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
2/8. Common conditions of the achilles tendon.The achilles tendon, the largest tendon in the body, is vulnerable to injury because of its limited blood supply and the combination of forces to which it is subjected. Aging and increased activity (particularly velocity sports) increase the chance of injury to the achilles tendon. Although conditions of the Achilles tendon are occurring with increasing frequency because the aging U.S. population is remaining active, the diagnosis is missed in about one fourth of cases. Injury onset can be gradual or sudden, and the course of healing is often lengthy. A thorough history and specific physical examination are essential to make the appropriate diagnosis and facilitate a specific treatment plan. The mainstay of treatment for tendonitis, peritendonitis, tendinosis, and retrocalcaneobursitis is ice, rest, and nonsteroidal anti-inflammatory drugs, but physical therapy, orthoties, and surgery may be necessary in recalcitrant cases. In patients with tendon rupture, casting or surgery is required. Appropriate treatment often leads to full recovery.- - - - - - - - - - ranking = 1.2258099822966keywords = physical examination, physical (Clic here for more details about this article) |
3/8. An underdiagnosed hip pathology: apropos of two cases with gluteus medius tendon tears.Until recently, gluteus medius tendon tears have been the sort of hip pathology that is relatively unknown in the realm of rheumatology. Their diagnosis can pose a serious challenge to physicians, despite diligence. In this report we summarize two relevant cases and put forward some hints for their evaluation. magnetic resonance imaging is quite beneficial in demonstrating the pathology and ruling out other likely pathologies after a prompt physical examination. physicians should exercise care and vigilance in order not to overlook these cases, in which prompt physical examination and radiological interventions remain a prerequisite in the diagnostic algorithm.- - - - - - - - - - ranking = 2keywords = physical examination, physical (Clic here for more details about this article) |
4/8. Posterior tibial tendinitis. A literature review with case reports.Overuse posterior tibial tendinitis is caused by the increased stress placed on the tendon as it tries to compensate for the increased subtalar joint pronatory movement and velocity during physical activity. The stress can cause microtrauma and rupture of some of the fibers of the tendon. This leads to an inflammatory process and the classical clinical signs and symptoms. Therapy is directed at reducing the inflammation, minimizing the fibrosis buildup, re-strengthening the weakened tissue, and controlling the pronatory force. The two case reports illustrate typical clinical signs, symptoms, and treatment for this injury.- - - - - - - - - - ranking = 0.22580998229663keywords = physical (Clic here for more details about this article) |
5/8. Chronic adductor tendinitis in a female swimmer.Although hip and groin pathologies are not as prevalent as other lower extremity injuries, information on the course of physical therapy to remedy these injuries is needed. This case study reviews an episode of chronic adductor tendinitis and the subsequent course of treatment. A 16-year-old female swimmer developed symptoms of an adductor strain that failed to respond to varied conservative treatments over 1 year. A unilateral tenotomy was performed, and follow-up treatment was provided. Although this patient is not symptom-free, she is swimming competitively at a major Division I college. Consideration of more than one causative factor and aggressive early diagnosis must be performed to prevent groin pain from becoming chronic.- - - - - - - - - - ranking = 0.22580998229663keywords = physical (Clic here for more details about this article) |
6/8. Cuboid stress fractures: a report of two cases.Stress fractures of the tarsal cuboid are rare. The literature contains three reported cases. This report presents two additional cases. These two occurred in collegiate athletes, and mimicked peroneal tendonitis on presentation. history, physical examination, plain radiographs, and bone scan were used for diagnosis. Treatment consisted of immobilization and activity modification, with complete resolution of symptoms in both cases.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
7/8. Management of acute calcific tendinitis of the shoulder.Calcific deposits located within the tendons of the rotator cuff are frequently seen in patients presenting with shoulder pain. The pathogenesis of calcific tendinitis and the optimum management of patients presenting with acute symptoms are unclear. This paper reviews the incidence, proposed etiologies, and a unique treatment approach of rotator cuff calcific tendinitis. A case report of a patient with acute calcific tendinitis and subsequent shoulder motion and strength deficits is presented. A rational evaluation and treatment plan is outlined, which includes management and posttreatment changes, and radiographic findings are discussed. A team-management approach by physical therapy and orthopaedics services is emphasized.- - - - - - - - - - ranking = 0.22580998229663keywords = physical (Clic here for more details about this article) |
8/8. In-season management of shoulder pain in a collegiate swimmer: a team approach.shoulder pain is a common problem among competitive swimmers, often limiting their ability to train and compete. Although a number of rehabilitation programs for shoulder injuries have been reported in the literature, there is a lack of objective data regarding the effectiveness of these protocols in the competitive swimming population. This case report describes the evaluation and treatment of shoulder pain in an NCAA Division I swimmer during the competitive season. Once a physical therapy diagnosis was made, a plan of care was developed to address each component impairment. This required the input of the team trainers, the team physician, and an orthopaedic surgeon. A chief component of the athlete's rehabilitation involved allowing the athlete to compete, but not practice. Excellent results were achieved, as evidenced by symptom reduction and swimming performance. This case report highlights the interactive, team approach necessary for optimal management of the injured athlete.- - - - - - - - - - ranking = 0.22580998229663keywords = physical (Clic here for more details about this article) |