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Article
Short-term effect of ultrasound therapy on stiffness elbow joint
تاثير المعالجة القصيرة الأمد بالامواج فوق الصوتية لتيبس مفصل المرفق

Author: Fezaa Sh. Neda فزع شلال نده
Journal: Iraqi Journal of Physics المجلة العراقية للفيزياء ISSN: 20704003 Year: 2014 Volume: 12 Issue: 25 Pages: 89-93
Publisher: Baghdad University جامعة بغداد

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Abstract

Elbow stiffness is hard to treat and commonly resulted from trauma or degenerative arthritis. This study aimed to demonstrate the effectiveness of using ultrasound therapy in management of stiff elbow joint resulted from several etiological factors. A total number of 42 patients (35 male and 7 female) allocated randomly from the Department of Physiotherapy at Al-yarmouk Teaching Hospital during 2013. Each patient examined physically by physiotherapist taking in consideration the measurement of the joint movement angle using goniometer in flexion and the extension, and the pain score using visual analogue scale (VAS). Ultrasound therapy initiated thrice weekly for two weeks. At the time of entry, the means degree of flexion and extension movements were 148.45 and 113.33º. Ultrasound therapy significantly reduced the pain from of 1.238±0.932 to 0.38± 0.538score. Significant improvement observed in patients aged more than 20 years and the improvement in flexion elbow significantly correlated with the frequency of ultrasound. In Conclusions ultrasound therapy is safe, effective and provided pain relieve as well as wide range of movement in post-traumatic elbow stiffness.

من الصعب معالجة تيبس مفصل المرفق والذي يتجم من عواقب شدة خارجية او التهاب المفاصل التنكسي. هدفت الدراسة الى اظهارفعالية استعمال المعالجة بالأمواج الصوتية في معالجة تيبس مفصل المرفق الناجم من عدة عوامل مسببة. تم تعيين 42 مريضا بصورة عشوائية (35 ذكر و7 أنثى) من قسم العلاج الطبيعي التابع الى مستشفى اليرموك التعليمي خلال 2013. تم فحص كل مريض سريريا من قبل المعالج الطبي أخذا بنظر الأعتبار زوايا حركات المفصل بوساطة goniometer عند وضع الأنحناء والأمتداد , واحتساب نتيجة الألم بأستعمال مدرج الألم الماثل البصري. تم تكرار المعالجة ثلاث مرات اسبوعيا لمدة اسبوعان. عند بء الدراسة كانت معدلاتدرجة الأنحناء والأمتداد للحركات 148،45 و 113،33 درجة. قللت المعالجة بدلالة نوعية متميزة مقدار الألم من 0،932±1،238 الى 0،538±0،38 كما لوحظ ان التحسن يكون بدلالة نوعية متميزة عند المرضى الذين تتجاوز أعمارهم 20 سنة وان التحسن في حركة الأنحناء تترابط مع تكرار الأمواج فوق الصوتية بدلالة نوعية متميزة. نستنج ان المعالجة بالأمواج فوق الصوتية أمينة وفعالة وتزيل الألم كما وانها تتيح مدى واسع من الحركة للمفصل المتيبس.


Article
Supracondylar Fracture of Humerus in Children A Follow up Study of Sixty Eight Cases

Author: Saad Sahib AL-Nasir
Journal: Karbala Jorunal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2015 Volume: 8 Issue: 2 Pages: 2191-2196
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: supracondylar fracture of humerus in children is extremely common. It accounts for approximately (65%) of all fractures and dislocations in children , constituting the most common pediatric elbow fracture .Aim: the aim of this article is to study causes ,pattern ,and outcome of management of this important fracture and how to ovoid and treat its complications.Design: a descriptive case series study, to study the behavior and management of supracondylar fracture of humerus.Patients & methods: our study was designed to study this type of important fracture by careful follow up of sixty eight (68) cases collected from the period (2001-2013) in Karbala, the cases was managed in Emam Hussien Medical City, Alhyndia general hospital and Alabbas private hospital.Result: the peak age of incidence at six years , with male to female ratio of 4:1, type I and II need only conservative treatment . type III (majority need open reduction and internal fixation), stiffness of elbow was the common complication (28%) of cases.Discussion: In our study the peak age of incidence was six, this compared well with reports published elsewhere, 38% of our patients were treated surgically and this also compared well with other articles.Conclusion: supracondylar fracture of humerus need a proper and accurate treatment to avoid complications, and adequate radiological assessment is very important to decide type of management. Complications should be recognized and adequately treated to avoid permanent deformity .Keywords: supracondylar fracture of humerus, Gartland classification, cubitus varus, elbow stiffness.Abbreviations: k.wire: kirschner wire, SCFH: Supracondylar fractures humerus, ORIF: open reduction internal fixation.

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