Asian Journal of Orthopaedic Research

Retrolisthesis: Post-Operative Complication of Discectomy in Long Term Follow Up

Aung Kyi Winn — 2021-07-02

Twenty-one years ago, a 47-year-old male suffered from back pain for 7 months then developed disc herniation at L4-L5, L5-S1 level. Patient underwent open discectomy and recovered gradually. Five years after operation, patient developed mild back pain with numbness over L5-S1 sensory area of right foot and found to be developed retrolisthesis via MRI analysis. Retrolisthesis is a rare condition, and this case was chosen as case report due to its unusual presentation where it can develop as complication of lumbar disc surgery.

Comparative effects of Conventional Vs. Scapula Rehabilitation Protocol on Pain, Position of Scapula and Function in Shoulder Dysfunction Patietns Over a Period of 3 Weeks

Swara Desai (PT) — 2021-07-01

Aim: To study the comparative effects of conventional vs. conventional and scapula rehabilitation protocol on pain, position of scapula and function in shoulder dysfunction patients over 3 weeks.

Study design: Randomized control trial, double blinded.

Place and duration of Study: Musculoskeletal OPD at K.J. Somaiya College of Physiotherapy, Mumbai, and the community setting, 18 months.

Methodology: The study was conducted on 31 participants (15male,16females) in the age group of 40-65 years (mean age- 50.48 +6.62). The patients were divided into two groups Group A (conventional) and Group B (conventional+ scapula rehabilitation) using random table number. Visual analogue scale, Lennie test and SPADI were used as outcome measures. Outcome measures assessed pre intervention and post 3weeks (9 sessions).

Results: Total 31 samples were recruited and allocated into 2 groups by random number table. The average age of the patients was 50.48 (+6.62) with 56% females and 44% males. P value of less than 0.05 was considered statistically significant VAS (P= 0.6827), Lennie (1H P= 0.9510, 2H P= 0.2431, 3H P= 0.6127, V P= 0.6490) and SPADI (P= 0.7825) were found to be not significant between the two groups. Within the group, for Group A, VAS (P= 0.0003) and SPADI (P= 0.002) were all significant. For Group B, VAS (P< 0.0001), Lennie (1H P= 0.0454 and 3H P> 0.0313) and SPADI (P= 0.0001) were significant.

Conclusion: Conventional and scapula rehabilitation protocols, both have an effect on pain and function in older adults.

Figure of Eight Bandage Versus Arm Sling for Treating Middle third Clavicle Fractures in Adults

S. V. Gowtam — 2021-07-06

Clavicle fractures make 2 to 5 % of skeletal injuries; in adult age group. While treating fractures of clavicle, primary aim is to restore the shoulder activity to status before the injury; and guide towards healing with minimal residual deformity; with minimal pain and near normal shoulder range of movements. The study was conducted at Krishna Institute of Medical Sciences, Karad, over a period of 40 months; in 100 patients.