Orthopedic implants used in Operation TheaterRiyaBaghele
Bones are made up of collagen protein and calcium phosphate mineral. They store and release calcium and the bone marrow contains stem cells that produce blood cells. There are several types of bone fractures including closed or open, complete or partial. Broken bones may be treated with internal fixation surgery using orthopedic implants like plates, screws, pins or rods to hold the bones in place for healing. Common implants are made from titanium alloys and stainless steel.
This document discusses total knee replacements, including the anatomy of the knee, causes of osteoarthritis, the replacement surgery process, and recovery. It covers that total knee replacements involve replacing damaged bone and cartilage surfaces with metal and plastic implants. Recovery requires extensive rehabilitation over 3-6 months to regain range of motion and strength. With proper rehabilitation, total knee replacements can significantly reduce pain and improve mobility, allowing patients to resume many daily and recreational activities. The document emphasizes that prevention through lifestyle changes, exercise, and weight management can help avoid needing a total knee replacement.
The seminar discussed ankle injuries, focusing on anatomy, classification systems, and common injuries. The ankle is supported by strong ligaments and tendons and permits dorsiflexion and plantar flexion. Common injuries include ligament sprains and fractures of the medial and lateral malleoli. Injury patterns are classified using systems like Lauge-Hansen which consider the mechanism of force and resulting bone and soft tissue injuries. Proper treatment aims to restore normal ankle alignment and joint surfaces.
Unicondylar knee replacement (UKA) is a less invasive procedure than total knee replacement that replaces only the damaged or arthritic parts of one compartment of the knee. UKA aims to resurface the diseased compartment without altering knee joint kinematics by preserving the cruciate ligaments. UKA is indicated for isolated uni-compartmental osteoarthritis with pain localized to one side and intact ligaments. Contraindications include osteoarthritis in both compartments and an absent ACL. Proper technique during UKA involves avoiding overcorrection and preventing tibial spine impingement. Advantages include preserving normal knee function while allowing for quicker recovery, but disadvantages include potential secondary degeneration and loosening requiring conversion to total
This document discusses patellofemoral joint instability. It begins by outlining causes of instability including soft tissue factors like muscle imbalance or MPFL insufficiency, as well as bony abnormalities. Assessment techniques are described like evaluating alignment, patella tracking, and imaging. Treatment options are then covered including conservative care, realignment procedures like tibial tubercle transfer, and soft tissue reconstruction like MPFL repair. Specific techniques are outlined for addressing issues like patella alta or trochlear dysplasia. The importance of individualizing treatment based on each patient's anatomy and needs is emphasized.
This document discusses non-operative management of ACL-deficient knees. It begins by outlining the objectives of describing usual care after ACL injury, defining copers and non-copers, and exploring psychological factors and outcomes with conservative management. It then notes that over 90% of ACL injuries receive surgery annually, costing $3 billion, though operative management has not been proven superior. The document explores identifying copers versus non-copers, and the prevalence of true copers being 37-63%. Psychological factors like fear-avoidance, self-efficacy, and catastrophizing are examined. Graded exercise and exposure interventions are discussed as evidence-based approaches for non-operative ACL management.
This document discusses the role of various imaging modalities in sports medicine. It begins by outlining the importance of imaging for accurately diagnosing injuries while also noting risks of over-imaging like confusion from inconsistent reports. Modalities covered include plain radiography, ultrasound, CT, CT arthrography, MRI, and MRI arthrography. Each is described in terms of its technique, advantages, and disadvantages. The document concludes by touching on safety considerations, increasing availability of these tools, and impact on diagnosis and treatment planning.
This document summarizes a workshop on safe exercise for people with osteoporosis or osteopenia. It provides information on the team leading the workshop, aims to give guidance on helpful and harmful exercises. It discusses common problems for this patient group like stiffness, weakness, and falls. It defines osteoporosis and sites of common fractures. Modifiable risk factors for osteoporosis like weight, smoking, diet and exercise are outlined. The physiotherapist discusses types of exercises and provides guidance for low, medium and high risk patients. Case scenarios are presented and discussed. A nurse consultant discusses common queries to their helpline and a new focus on developing protocols for strengthening bones safely through exercise.
Orthopedic implants used in Operation TheaterRiyaBaghele
Bones are made up of collagen protein and calcium phosphate mineral. They store and release calcium and the bone marrow contains stem cells that produce blood cells. There are several types of bone fractures including closed or open, complete or partial. Broken bones may be treated with internal fixation surgery using orthopedic implants like plates, screws, pins or rods to hold the bones in place for healing. Common implants are made from titanium alloys and stainless steel.
This document discusses total knee replacements, including the anatomy of the knee, causes of osteoarthritis, the replacement surgery process, and recovery. It covers that total knee replacements involve replacing damaged bone and cartilage surfaces with metal and plastic implants. Recovery requires extensive rehabilitation over 3-6 months to regain range of motion and strength. With proper rehabilitation, total knee replacements can significantly reduce pain and improve mobility, allowing patients to resume many daily and recreational activities. The document emphasizes that prevention through lifestyle changes, exercise, and weight management can help avoid needing a total knee replacement.
The seminar discussed ankle injuries, focusing on anatomy, classification systems, and common injuries. The ankle is supported by strong ligaments and tendons and permits dorsiflexion and plantar flexion. Common injuries include ligament sprains and fractures of the medial and lateral malleoli. Injury patterns are classified using systems like Lauge-Hansen which consider the mechanism of force and resulting bone and soft tissue injuries. Proper treatment aims to restore normal ankle alignment and joint surfaces.
Unicondylar knee replacement (UKA) is a less invasive procedure than total knee replacement that replaces only the damaged or arthritic parts of one compartment of the knee. UKA aims to resurface the diseased compartment without altering knee joint kinematics by preserving the cruciate ligaments. UKA is indicated for isolated uni-compartmental osteoarthritis with pain localized to one side and intact ligaments. Contraindications include osteoarthritis in both compartments and an absent ACL. Proper technique during UKA involves avoiding overcorrection and preventing tibial spine impingement. Advantages include preserving normal knee function while allowing for quicker recovery, but disadvantages include potential secondary degeneration and loosening requiring conversion to total
This document discusses patellofemoral joint instability. It begins by outlining causes of instability including soft tissue factors like muscle imbalance or MPFL insufficiency, as well as bony abnormalities. Assessment techniques are described like evaluating alignment, patella tracking, and imaging. Treatment options are then covered including conservative care, realignment procedures like tibial tubercle transfer, and soft tissue reconstruction like MPFL repair. Specific techniques are outlined for addressing issues like patella alta or trochlear dysplasia. The importance of individualizing treatment based on each patient's anatomy and needs is emphasized.
This document discusses non-operative management of ACL-deficient knees. It begins by outlining the objectives of describing usual care after ACL injury, defining copers and non-copers, and exploring psychological factors and outcomes with conservative management. It then notes that over 90% of ACL injuries receive surgery annually, costing $3 billion, though operative management has not been proven superior. The document explores identifying copers versus non-copers, and the prevalence of true copers being 37-63%. Psychological factors like fear-avoidance, self-efficacy, and catastrophizing are examined. Graded exercise and exposure interventions are discussed as evidence-based approaches for non-operative ACL management.
This document discusses the role of various imaging modalities in sports medicine. It begins by outlining the importance of imaging for accurately diagnosing injuries while also noting risks of over-imaging like confusion from inconsistent reports. Modalities covered include plain radiography, ultrasound, CT, CT arthrography, MRI, and MRI arthrography. Each is described in terms of its technique, advantages, and disadvantages. The document concludes by touching on safety considerations, increasing availability of these tools, and impact on diagnosis and treatment planning.
This document summarizes a workshop on safe exercise for people with osteoporosis or osteopenia. It provides information on the team leading the workshop, aims to give guidance on helpful and harmful exercises. It discusses common problems for this patient group like stiffness, weakness, and falls. It defines osteoporosis and sites of common fractures. Modifiable risk factors for osteoporosis like weight, smoking, diet and exercise are outlined. The physiotherapist discusses types of exercises and provides guidance for low, medium and high risk patients. Case scenarios are presented and discussed. A nurse consultant discusses common queries to their helpline and a new focus on developing protocols for strengthening bones safely through exercise.
Total knee arthroplasty aims to restore mechanical alignment, preserve the joint line, balance ligaments, and maintain the Q angle through various surgical techniques. Restoring mechanical alignment involves cutting the femur and tibia perpendicular to the mechanical axis to allow forces through the knee to pass through the center. This optimizes load sharing and prevents excessive wear. Maintaining the original joint line height is also important for proper knee function and biomechanics. Ligament balancing in both the coronal and sagittal planes is required to achieve stability throughout range of motion.
The HAGL lesion involves an avulsion of the inferior glenohumeral ligament from its humeral insertion, which is a rare cause of shoulder instability comprising less than 10% of cases. It often occurs with a traumatic mechanism of hyperabduction and external rotation. MRI arthrography is the best imaging modality to diagnose a HAGL lesion. Surgical repair is usually recommended and case series have reported good outcomes with no recurrent instability after repair.
This document provides information about osteoarthritis of the knee and knee replacement surgery from Dr. MD Akbark Khan, an orthopaedic surgeon. It discusses the risk factors, clinical features, grading system, non-operative and operative treatment options for osteoarthritis. It then focuses on knee replacement surgery, providing details about the procedure, implants, goals of surgery, post-operative rehabilitation and x-rays. The document serves to educate patients about osteoarthritis and the knee replacement process.
Management of Ankle Injuries discusses the epidemiology, anatomy, assessment, differential diagnoses, and management of various ankle injuries. Ankle injuries range from ligament sprains to fractures and dislocations. The most common ankle injuries are sprains of the lateral ligament complex. Ankle fractures are also very common and can be classified based on the bones involved. Treatment depends on the type and severity of injury but generally involves RICE (rest, ice, compression, and elevation) for sprains and surgery for unstable or displaced fractures.
Functional training methods are based on the principle of specificity and aim to train for a purpose using valid principles. Functional training focuses on closed kinetic chain exercises that are multi-joint, weight-bearing, and sport-specific movements like pushups and squats. In contrast, open chain exercises isolate muscles and joints like bicep curls. Understanding fascia is also important for functional training as it provides stability and allows for movement. Training should consider an individual's functional anatomy - hips need mobility, lumbar spine needs stability, and thoracic spine needs mobility. Overall, functional training integrates body systems and movements to prepare for sports performance.
An exercise program is a planned set of physical activities tailored to an individual's needs that details the exercises and amount of time spent on each. It provides health benefits like improved heart, lung, and muscle fitness as well as reduced disease risk and better psychological wellbeing. Creating S.M.A.R.T. goals that are specific, measurable, achievable, relevant and time-bound can help individuals follow exercise programs and achieve their fitness goals. Key principles of effective fitness training include overload, specificity, progression, variation, and recovery to continually challenge the body and avoid injury or burnout.
The document discusses periarticular cocktail injections for pain management after total knee arthroplasty (TKA). It describes the author's cocktail containing epinephrine, ketorolac, ropivacaine, morphine, and cefuroxime in normal saline. The cocktail provides multi-modal preemptive analgesia and is administered in two doses, after bony cuts and implant placement. It significantly reduces pain and narcotic use while improving range of motion and patient satisfaction compared to prior pain management methods. The document also reviews the pharmacology of the injection components and compares the author's cocktail to others used at different institutions.
The presentation provides information on frozen shoulder, including its definition, symptoms, and treatment options. Frozen shoulder is characterized by stiffness and pain in the shoulder joint, and symptoms typically develop gradually over three stages - the freezing stage with severe pain on movement, the frozen stage with worsening stiffness, and the thawing stage where range of motion returns over 6 months to 2 years. Treatment involves counseling, medications like NSAIDs, physical therapy including manual techniques, and potentially surgery. The presentation educates on frozen shoulder pathology and provides home exercises to improve range of motion.
This document discusses the management of multi-ligament knee injuries (MLKI). It notes that MLKI have a low incidence but can cause life-threatening neurovascular complications. While the literature lacks large comparative studies, it generally supports early surgical treatment and rehabilitation. There is debate around issues like timing of surgery, repair vs reconstruction, graft choices, and postoperative rehabilitation. Proper assessment of neurovascular injury is important in the acute setting. Surgical management aims to anatomically reconstruct the injured structures using validated techniques to improve outcomes.
Portals provide a basic setup for accessing information. They allow users to view content through a central interface. Setting up a basic portal requires selecting a template and adding content modules that display things like news, documents, and links to other resources.
Post op rehabilitation pelvi acetabular fixationUday Bangalore
The document outlines post-operative rehabilitation guidelines following pelvic and acetabular fixation surgery. It recommends early mobilization following anatomical reduction and stable fixation. Exercises begin with static quadriceps exercises on day 1, progressing to dynamic exercises and passive range of motion by day 3. Toe-touch weight bearing with crutches is allowed by day 2-4, progressing to full weight bearing around 12 weeks once fracture healing is confirmed. The guidelines vary slightly depending on surgical approach and whether the fracture is unilateral or bilateral.
This document discusses osteotomies around the hip, including:
- Pelvic and femoral osteotomies are surgical procedures where the bone is cut to change alignment.
- They are used for conditions like hip dysplasia, osteoarthritis, fractures, and deformities.
- Various techniques are described for different anatomical locations and clinical indications to achieve stability, union, pain relief and correction of deformities.
- Key measurements used to assess hip dysplasia on imaging are also outlined.
Physiotherapy involves therapeutic exercises, massage, electrotherapy, and other physical treatments to address various health conditions. It is used to treat incontinence, osteoarthritis of the knee, pain, cervical trauma, asthma, bone density issues, and other conditions. Physiotherapy focuses on physical recovery and rehabilitation while rehabilitation is a multidisciplinary process that also considers mental, social, and work aspects of recovery in addition to physical therapy.
This document discusses facet joint injections for treating back pain. It describes the innervation and anatomy of normal and degenerative facet joints. Facet joint injections involve injecting local anesthetics and/or steroids into or near the facet joint under fluoroscopy or CT guidance. They can be used diagnostically to determine if facet joints are a source of pain or therapeutically to reduce inflammation and pain. The techniques for cervical, lumbar, and C1-C2 injections are covered, along with important technical aspects and potential complications. While facet joint injections are commonly used to treat facetogenic back pain, more research is still needed to evaluate their long-term effectiveness.
This document discusses surgical procedures and postoperative management for joint injuries and diseases of the elbow. It describes common fractures of the elbow region including the radial head. Surgical options for fractures include open reduction and internal fixation, arthroscopic techniques, and radial head excision. The goals of surgery and rehabilitation are to relieve pain, restore alignment and stability, and regain strength and range of motion. Postoperative management involves immobilization, progressive range of motion and strengthening exercises. Total elbow arthroplasty is an option for severe arthritis.
The document provides guidance on assessing the musculoskeletal system. It details how to inspect and palpate various joints and structures, including the temporomandibular joint, sternoclavicular joint, cervical, thoracic and lumbar spine, shoulders, arms, elbows, wrists, and tests range of motion and neurological function. Assessment findings considered normal include symmetry, smooth movement, and no pain. Abnormalities include tenderness, swelling, limited range of motion, muscle weakness or atrophy.
Muscle metabolism relies on ATP as the direct source of energy for contraction. ATP stores are quickly depleted after 4-6 seconds of contraction and must be regenerated through creatine phosphate interaction, anaerobic glycolysis, and aerobic respiration. When muscle activity reaches 70% of maximum, oxygen delivery is impaired and lactic acid builds up, diffusing into the bloodstream. Muscle fatigue occurs when ATP production cannot keep up with demand, leading to relative ATP deficit, contractures, and lactic acid accumulation.
This presentation will discuss the different recovery methods used to enhance sports performance. We will look at the General Adaptation Syndrome (GAS) and its application to training stress. From here, we will take you the differnce between a recovery unit, recovery day and how these would look when implemented into the Strength & Conditioning program.
This document provides information about elbow disarticulation amputations including the level of amputation, statistics, causes, management, surgical issues, prosthetic components, and functional restoration. Some key points are:
- Elbow disarticulation permits normal bone growth in children and allows for a faster and bloodless surgery compared to higher levels of amputation.
- In the US in 1996, 5 per 1000 amputation cases involved the upper limb, mostly affecting men aged 15-45. Upper limb amputations are less common than lower limb with a ratio of 1:6.
- Causes include congenital limb deficiencies, trauma, neoplasms, vascular issues like frostbite, and infections.
Foredrag i Aabybro Golfklub d. 20. november 2013.
Golfspillere får ondt i ryggen, akkurat ligesom alle andre mennesker. Indimellem møder jeg golfspillere som har fået akutte rygsmerter, og af den grund holder de en længere pause fra golfspillet. Oftest er det helt unødvendigt.
Formålet med mit foredrag er at give spillerne en positiv indstilling til, at fortsætte deres golfspil på trods af ondt i ryggen.
Desuden er det meningen at give dem nogle enkle råd, som gør at de kan gå i gang med golf på en sikker og forsvarlig måde.
Deltagerne får svar på følgende spørgsmål:
Hvordan sikrer jeg mig at min ryg er parat til at spille golf, når jeg har ondt i ryggen?
Hvad kan jeg selv gøre for at forebygge, at golfspil vil forværre rygsmerterne?
Total knee arthroplasty aims to restore mechanical alignment, preserve the joint line, balance ligaments, and maintain the Q angle through various surgical techniques. Restoring mechanical alignment involves cutting the femur and tibia perpendicular to the mechanical axis to allow forces through the knee to pass through the center. This optimizes load sharing and prevents excessive wear. Maintaining the original joint line height is also important for proper knee function and biomechanics. Ligament balancing in both the coronal and sagittal planes is required to achieve stability throughout range of motion.
The HAGL lesion involves an avulsion of the inferior glenohumeral ligament from its humeral insertion, which is a rare cause of shoulder instability comprising less than 10% of cases. It often occurs with a traumatic mechanism of hyperabduction and external rotation. MRI arthrography is the best imaging modality to diagnose a HAGL lesion. Surgical repair is usually recommended and case series have reported good outcomes with no recurrent instability after repair.
This document provides information about osteoarthritis of the knee and knee replacement surgery from Dr. MD Akbark Khan, an orthopaedic surgeon. It discusses the risk factors, clinical features, grading system, non-operative and operative treatment options for osteoarthritis. It then focuses on knee replacement surgery, providing details about the procedure, implants, goals of surgery, post-operative rehabilitation and x-rays. The document serves to educate patients about osteoarthritis and the knee replacement process.
Management of Ankle Injuries discusses the epidemiology, anatomy, assessment, differential diagnoses, and management of various ankle injuries. Ankle injuries range from ligament sprains to fractures and dislocations. The most common ankle injuries are sprains of the lateral ligament complex. Ankle fractures are also very common and can be classified based on the bones involved. Treatment depends on the type and severity of injury but generally involves RICE (rest, ice, compression, and elevation) for sprains and surgery for unstable or displaced fractures.
Functional training methods are based on the principle of specificity and aim to train for a purpose using valid principles. Functional training focuses on closed kinetic chain exercises that are multi-joint, weight-bearing, and sport-specific movements like pushups and squats. In contrast, open chain exercises isolate muscles and joints like bicep curls. Understanding fascia is also important for functional training as it provides stability and allows for movement. Training should consider an individual's functional anatomy - hips need mobility, lumbar spine needs stability, and thoracic spine needs mobility. Overall, functional training integrates body systems and movements to prepare for sports performance.
An exercise program is a planned set of physical activities tailored to an individual's needs that details the exercises and amount of time spent on each. It provides health benefits like improved heart, lung, and muscle fitness as well as reduced disease risk and better psychological wellbeing. Creating S.M.A.R.T. goals that are specific, measurable, achievable, relevant and time-bound can help individuals follow exercise programs and achieve their fitness goals. Key principles of effective fitness training include overload, specificity, progression, variation, and recovery to continually challenge the body and avoid injury or burnout.
The document discusses periarticular cocktail injections for pain management after total knee arthroplasty (TKA). It describes the author's cocktail containing epinephrine, ketorolac, ropivacaine, morphine, and cefuroxime in normal saline. The cocktail provides multi-modal preemptive analgesia and is administered in two doses, after bony cuts and implant placement. It significantly reduces pain and narcotic use while improving range of motion and patient satisfaction compared to prior pain management methods. The document also reviews the pharmacology of the injection components and compares the author's cocktail to others used at different institutions.
The presentation provides information on frozen shoulder, including its definition, symptoms, and treatment options. Frozen shoulder is characterized by stiffness and pain in the shoulder joint, and symptoms typically develop gradually over three stages - the freezing stage with severe pain on movement, the frozen stage with worsening stiffness, and the thawing stage where range of motion returns over 6 months to 2 years. Treatment involves counseling, medications like NSAIDs, physical therapy including manual techniques, and potentially surgery. The presentation educates on frozen shoulder pathology and provides home exercises to improve range of motion.
This document discusses the management of multi-ligament knee injuries (MLKI). It notes that MLKI have a low incidence but can cause life-threatening neurovascular complications. While the literature lacks large comparative studies, it generally supports early surgical treatment and rehabilitation. There is debate around issues like timing of surgery, repair vs reconstruction, graft choices, and postoperative rehabilitation. Proper assessment of neurovascular injury is important in the acute setting. Surgical management aims to anatomically reconstruct the injured structures using validated techniques to improve outcomes.
Portals provide a basic setup for accessing information. They allow users to view content through a central interface. Setting up a basic portal requires selecting a template and adding content modules that display things like news, documents, and links to other resources.
Post op rehabilitation pelvi acetabular fixationUday Bangalore
The document outlines post-operative rehabilitation guidelines following pelvic and acetabular fixation surgery. It recommends early mobilization following anatomical reduction and stable fixation. Exercises begin with static quadriceps exercises on day 1, progressing to dynamic exercises and passive range of motion by day 3. Toe-touch weight bearing with crutches is allowed by day 2-4, progressing to full weight bearing around 12 weeks once fracture healing is confirmed. The guidelines vary slightly depending on surgical approach and whether the fracture is unilateral or bilateral.
This document discusses osteotomies around the hip, including:
- Pelvic and femoral osteotomies are surgical procedures where the bone is cut to change alignment.
- They are used for conditions like hip dysplasia, osteoarthritis, fractures, and deformities.
- Various techniques are described for different anatomical locations and clinical indications to achieve stability, union, pain relief and correction of deformities.
- Key measurements used to assess hip dysplasia on imaging are also outlined.
Physiotherapy involves therapeutic exercises, massage, electrotherapy, and other physical treatments to address various health conditions. It is used to treat incontinence, osteoarthritis of the knee, pain, cervical trauma, asthma, bone density issues, and other conditions. Physiotherapy focuses on physical recovery and rehabilitation while rehabilitation is a multidisciplinary process that also considers mental, social, and work aspects of recovery in addition to physical therapy.
This document discusses facet joint injections for treating back pain. It describes the innervation and anatomy of normal and degenerative facet joints. Facet joint injections involve injecting local anesthetics and/or steroids into or near the facet joint under fluoroscopy or CT guidance. They can be used diagnostically to determine if facet joints are a source of pain or therapeutically to reduce inflammation and pain. The techniques for cervical, lumbar, and C1-C2 injections are covered, along with important technical aspects and potential complications. While facet joint injections are commonly used to treat facetogenic back pain, more research is still needed to evaluate their long-term effectiveness.
This document discusses surgical procedures and postoperative management for joint injuries and diseases of the elbow. It describes common fractures of the elbow region including the radial head. Surgical options for fractures include open reduction and internal fixation, arthroscopic techniques, and radial head excision. The goals of surgery and rehabilitation are to relieve pain, restore alignment and stability, and regain strength and range of motion. Postoperative management involves immobilization, progressive range of motion and strengthening exercises. Total elbow arthroplasty is an option for severe arthritis.
The document provides guidance on assessing the musculoskeletal system. It details how to inspect and palpate various joints and structures, including the temporomandibular joint, sternoclavicular joint, cervical, thoracic and lumbar spine, shoulders, arms, elbows, wrists, and tests range of motion and neurological function. Assessment findings considered normal include symmetry, smooth movement, and no pain. Abnormalities include tenderness, swelling, limited range of motion, muscle weakness or atrophy.
Muscle metabolism relies on ATP as the direct source of energy for contraction. ATP stores are quickly depleted after 4-6 seconds of contraction and must be regenerated through creatine phosphate interaction, anaerobic glycolysis, and aerobic respiration. When muscle activity reaches 70% of maximum, oxygen delivery is impaired and lactic acid builds up, diffusing into the bloodstream. Muscle fatigue occurs when ATP production cannot keep up with demand, leading to relative ATP deficit, contractures, and lactic acid accumulation.
This presentation will discuss the different recovery methods used to enhance sports performance. We will look at the General Adaptation Syndrome (GAS) and its application to training stress. From here, we will take you the differnce between a recovery unit, recovery day and how these would look when implemented into the Strength & Conditioning program.
This document provides information about elbow disarticulation amputations including the level of amputation, statistics, causes, management, surgical issues, prosthetic components, and functional restoration. Some key points are:
- Elbow disarticulation permits normal bone growth in children and allows for a faster and bloodless surgery compared to higher levels of amputation.
- In the US in 1996, 5 per 1000 amputation cases involved the upper limb, mostly affecting men aged 15-45. Upper limb amputations are less common than lower limb with a ratio of 1:6.
- Causes include congenital limb deficiencies, trauma, neoplasms, vascular issues like frostbite, and infections.
Foredrag i Aabybro Golfklub d. 20. november 2013.
Golfspillere får ondt i ryggen, akkurat ligesom alle andre mennesker. Indimellem møder jeg golfspillere som har fået akutte rygsmerter, og af den grund holder de en længere pause fra golfspillet. Oftest er det helt unødvendigt.
Formålet med mit foredrag er at give spillerne en positiv indstilling til, at fortsætte deres golfspil på trods af ondt i ryggen.
Desuden er det meningen at give dem nogle enkle råd, som gør at de kan gå i gang med golf på en sikker og forsvarlig måde.
Deltagerne får svar på følgende spørgsmål:
Hvordan sikrer jeg mig at min ryg er parat til at spille golf, når jeg har ondt i ryggen?
Hvad kan jeg selv gøre for at forebygge, at golfspil vil forværre rygsmerterne?
This document discusses various potential causes of back pain, including abdominal issues like gallstones and kidney stones, gynecological issues, spinal stenosis, spondylolisthesis, inflammatory back pain, osteoporotic fractures, infections, spinal tumors, and degenerative changes. It provides details on symptoms, likelihood, tests, and treatment options for different conditions. Potential diagnoses are discussed for several patient cases presenting with back pain.
2. Martin Melbye, Fysioterapeut Dip MDT
•McKenzie-klinik i privat praksis
•Sct. Davids Spine Centre, Austin/Texas
•Reumatologisk Diskus-ambulatorium
•Skagen Gigt- og Rygcenter
AALBORG RYGKLINIK
:: Din Ryg - Min Ekspertise ::
3. McKenzie Efteruddannelse
Part A
Lumbar spine
Part B
Cervical- and thoracic
spine
Part C
Problem solving
Lower extremities
Part D
Advanced problem
solving
Upper extremities
Credentialling-
eksamen
(Cert MDT)
Diploma-program
Final Diploma-exam
(Dip MDT)
www.mckenzie.dk
www.mckenziemdt.org
Part E
Extremities
Clinical workshop
Manuel Workshop
Diskusprolaps-kursus
12. Posturalt
syndrom
PYNT, J., MACKEY, G., M., HIGGS & J. (2008) Kyphosed seated postures: extending
concepts of postural health beyond the office. J Occup Rehabil, 18, 35-45.
Stress > tid
13. Derangement-
syndrom
Flex→←Ext
Ref: Kopp (1986); Donelson (1997); Werneke (1999); Young (2003); Aina (2004); Long
(2004); Clare (2005); Alexander (2007); Scanell (2009)
Noget der sidder
forkert
Centralisering
18. Posturalt
syndrom
Stress > tid
Derangement-
syndrom
Noget der sidder
forkert
Dysfunktions-
syndrom
Forkortet væv
Lokale rygsmerter Udstrålende smerter Lokale rygsmerter
Normal bevægelighed Blokering af bevægelighed Restriktion af bevægelighed
Bevægelse er smertefrit Bevægelse smertefuld Bevægelse smertefuld
Smerter provokeres over tid i
statisk yderposition. Lindres
momentant ved korrektion af
stilingen.
Testbevægelser skaber
vedvarende forværring/lindring
Testbevægelser skaber kun
midlertidig smerteprovokation
Intermitterende smerter Konstante smerter Intermitterende smerter
Alder < 25 år Alder 25-65 Alder > 50
21. Gruppe-opgave 1
1) Hvilken bevægelsesretning er dominerende i lumbalcolumna?
2) Er der stræk på iskias-nerven?
Foroverbøjning
Sidde / Rejse
sig
Stå Gå Ligge
22. Gruppeopgave 2 - Hvad provokerer?
Foroverbøjnin
g
Sidde / Rejse
sig
Stå Gå Ligge
Morgen / I løbet af dagen /
Aften
Stationær / I
bevægelse
Foroverbøjnin
g
Sidde / Rejse
sig
Stå Gå Ligge
Morgen / I løbet af dagen /
Aften
Stationær / I
bevægelse
Spinal
stenose
Adhærent
Iskias-nerve
23. Gruppeopgave 2 - Hvad provokerer?
Foroverbøjnin
g
Sidde / Rejse
sig
Stå Gå Ligge
Morgen / I løbet af dagen /
Aften
Stationær / I
bevægelse
Foroverbøjnin
g
Sidde / Rejse
sig
Stå Gå Ligge
Morgen / I løbet af dagen /
Aften
Stationær / I
bevægelse
Spinal
stenose
Adhærent
Iskias-nerve
27. Videnskabelige reviews
• Øvelsesterapi er effektiv behandling og har en
beskyttende effekt over for LBP (Liddle, 2004; Rainville
2004; Staal 2005)
• Manglende fysisk aktivitet, svage muskler og dårlig
fysisk form er risikofaktorer for LBP (Manek 2005; Battie
2007; Rubin 2007;Urquhart 2008)
• Subgruppering baseret på symptomrespons hjælper til
at vælge korrekte øvelser (Cook 2005)
28. Randomiserede studier
• McKenzie-behandling lige så effektiv som kiropraktisk
manipulation til akut LBP (Cherkin 1998)
• McKenzie-behandling mere effektiv end kiropraktik til behandling
af kronisk LBP (Petersen 2011)
• McKenzie-behandling mere effektiv end generel træning, til
behandling af lumbal prolaps med rodtryk (Albert 2012)
• McKenzie-behandling lige så effektiv som dynamisk
styrketræning til kronisk LBP (Petersen 2002)
• Retningsbestemte øvelser effektivt til behandling af
Derangement-syndrom (Long 2004)
• Extensionsøvelser halverer risiko for tilbagefald af LBP hos
mennesker med recidiverende LBP (Larsen 2002)
29. Guidelines
• Internationale guidelines anbefaler øvelser og fysisk
aktivitet til kronisk LBP (Hildebrandt 2004)
• Danske guidelines anbefaler McKenzie-metoden som
undersøgelses- og behandlingsmetode til LBP (SST 1999)
• Indførelse af McKenzie-undersøgelse og -behandling har
reduceret antal discus-operationer med 50% (Rasmussen
2005)
30. Evidens - konklusion
•Øvelsesterapi er evidensbaseret og effektiv behandling af LBP!
•McKenzie-behandling er lige så effektiv som dynamisk træning og
manipulationsbehandling.
•McKenzie-metoden er særligt effektiv til nogle patientgrupper.
•Sikker klassifikation/diagnostik kræver træning (Cert eller Dip MDT)
31. Hvorfor selvbehandling af LBP...
Ref: Croft et al (1998); Pengel (2003)
Tid
Smerter
Tilbagefald
indenfor 12 mdr:
Varige
symptomer:
66-84% 42 %
