The radiograph depicts Legg-Calvé-Perthes disease (LCPD) of the left hip. The right hip is not affected. This childhood hip disorder is a result of idiopathic avascular necrosis of the growing bony epiphysis of the femoral head, with boys affected four times more that girls (Texas Scottish Rite Hospital for Children, n.d.). This interruption in blood supply to the bone results in necrosis, and the femoral head become flattened due to weight and pressure placed on the bone during normal physical activity (Texas Scottish Rite Hospital for Children, n.d.). View: This is an Anterioposterior view demonstrating the entire pelvis, sacrum, the lumbosacral articulation, both proximal femurs and hip joints.
lose clinical and MRI follow-up is essential. We recommend repeating diagnostic investigations and consideration of a surgical biopsy for patients who fail to respond clinically or radiographically to treatment, or who relapse on treatment. We recommend treatment with glucocorticoids for those who meet clinical and diagnostic criteria for Tolosa-Hunt syndrome We use prednisone 80 to 100 mg daily for three days. The prognosis for most patients is favorable. However, some patients follow a relapsing-remitting course requiring prolonged corticosteroid or other immunosuppressive therapy, and a few have permanent cranial nerve
DOI: 06/10/2004. Patient is a female store manager who sustained a work related injury while she was stocking and cashing at a thrift store over a period of time. Based on progress report dated 08/24/15, the patient was seen for re-assessment of chronic mechanical and myofascial pain in the lumbar region. She has undergone two lumbar surgeries, as well as a left abdominal hernia repair and a revision of the ventral hernia repair. She reports of increasing lumbar pain, described as aching, burning and stabbing that radiates into the bilateral lower extremities with paresthesias and numbness.
In 1972, Murphy experienced a muscle spasm that was later realized to be a symptom of a growing tumor in his spinal column stretching from the C2 vertebra to the T8 vertebra, leading to partial paralysis; he underwent a few surgeries to reduce the size of the tumor, but eventually his paralysis spread until he was fully quadriplegic in 1986. Injuries and growths in the high cervical region of the spine, including the C2, have limited or no movement from the neck down, though a person
He did not listen to the advice given. When participating in hitting drills during practice, he collapsed and has a seizure. He was airlifted to a neurosurgical trauma center at Indiana University Health Methodist Hospital in Indianapolis. There was pressure on the skull and presents of brain swelling and a subdural hematoma, this is a collection of blood build up in the brain. He was in the hospital for 98 das, and suffered many other major problems related to his brain injury.
His symptoms began three weeks ago ensuing a skating accident. One week post trauma, the patient visited the emergency room. At the time of the trauma, loss of consciousness, unsteadiness and transient amnesia were reported. His Glasgow coma scale was 15 and his pupils were equal and reactive to light. Furthermore, the patient reported a decreased hearing on his right ear.
Case Presentation A 58-year-old presented with complaint of pain in his leg and was unable to walk. Past history. • One year back, he fell from a ladder and suffered a left acetabular fracture. His injury was managed conservatively and he was able to walk without pain. After 6 months, he developed left coxalgia and was unable to walk, he visited the hospital after onset of pain.
Method: 50 patients were evaluated and included in the study. They were evaluated for pain using Numerical Pain Rating Scale (NPRS) and the forward head posture was assessed by measuring CV angle. The total duration of the study was 6 months. Analysis was done using SPSS Version 20. Results: Spearman’s correlation test was used to find correlation between CV angle and neck pain and the r value was found to be -0.731 with the level of significance 0.01.
The patient was taken to the operating theater for closed versus open reduction and intramedullary nailing of the left femur. Within 5 hours of his injury, the patient underwent closed reduction of the left hip with the aid of a temporary external fixator applied on the femoral shaft proximal to the fracture. The external fixator rod was used as a handle, and the reduction was successful after the first attempt, as confirmed by the C-arm (Figure 2). Subsequently, the external fixator was removed, and intramedullary nailing of the left femur was carried out. After completion of the procedure, the left hip was examined and found to be stable with the femoral head fragment not affecting the movement.
DOI: 12/18/2014. The patient is a 56-year old male route sales representative who sustained a work-related injury to his lower back due to slip/fall on black ice while walking from his truck. As per OMNI entry, he was initially diagnosed with lumbosacral sprain. MRI of the Lumbar Spine without Contrast dated 01/23/2015 showed lumbar spondylosis at L1-2 though L5-S1 discs. At L4-5, there is a 4-mm posterior osteophyte-disc complex more prominent laterally and on the left side.
Per pulmonary function tests, his condition was stable. Degenerative disc disease lower back and neck, lower back pain. Degenerative joint disease right knee. Right and left knee scope in 2008, right knee scope in 07/2010, decreased range of motion bilateral knees. Independent with activities of daily living.
DOI: 05/21/2015. Patient is a 52-year-old male control operator who sustained an injury to his low back after lifting 42-pound rolls. Patient is diagnosed with lumbar isthmic spondylolisthesis, lumbar degenerative disc disease, lumbar foraminal stenosis, and lumbar radiculopathy. MRI of the lumbar spine dated 09/01/15 showed L5 to S1 pars defects with mild spondylolisthesis. There is a 4.5mm generalized disc bulging and redundancy of the disc annulus with impingement of existing L5 nerve roots at neural foraminal level, right greater than left.
The patient is taking Norco, Morphine and Xanax. He reported 90 % relief with opioids and ability to do his ADL. There were no signs of abuse or diversion. He is on the lowest dose and denies any side effects. He has failed more conservative treatments, including NSAIDs.
IW was diagnosed with left posterior tibial tendon dysfunction/tendinosis with valgus deformity of the left heel as a result of the posterior tibial dysfunction, status post left foot reconstruction, posterior tibial tendon using flexor digitorum longus tendon transfer and left calcaneal osteotomy 05/24/11 and status post surgery on the left foot 10/15/13. Treatment plan includes x-rays of the left ankle and referral back to Dr. Ghalambor for consultation regarding his increased left ankle pain. Current request is for 1 X-ray of the Left Ankle between 3/23/2016 and