Disrupted Tendon Case Study

The Ponseti method involves 4-8 weeks of plaster casts that run from the toes to the groin. The casts are changed every 5-7 days after gentle stretching and manipulation to slowly and gently move the foot into the correct position. Eighty percent of patients will require an Achilles tenotomy to correct residual equinus deformity (AFP, 2012). Achilles tenotomy is a quick minor procedure that can be done in the doctor’s office. After the procedure, the patient is placed back in a cast for a few more weeks while the Achilles tendon regrows to the needed length. After the Achilles tendon has healed, the cast is removed and the patient must use an abduction brace “which is worn 23 hours a day for 3 months and then 14-16 hours, while asleep, until the child’s fourth birthday (AFP,

Following the cast removal, the patient must undergo a rehabilitation program in order to return to normal movement and function. Heel lifts should be immediately placed in the patient's shoes. The reason why the lifts are placed in both shoes is to relive any pressure or tension in the injured foot and in the non-injured foot to keep the person balanced and not potentially hurt the other side (tendon, hip). Because immobilizing the foot in a cast may cause joint stiffness, muscle atrophy, and blood clots, many doctors recommend an early-motion approach. This approach puts the patient in physical therapy within just a few days after the surgery. Therapy may be needed for up to 4 or 5 months. Ice, massage, and whirlpool treatments may be used at first to control swelling and pain. Massage and ultrasound help heal and strengthen the tendon. Range of motion exercises should begin while in therapy. About 2 weeks after ROM exercises have been used is when the progressive resistance exercises are added. Some of these resistance exercises can be done in the pool. The buoyancy of the water helps people walk and exercise safely without putting too much pressure or tension on the healing tendon. If the patient chooses a splint may be worn while walking for 6 to 8 weeks after the surgery. Then 10 weeks after the surgery aggressive training exercises can

Mr. Krupp had the repair to the torn bicep tendon on 6/30/17. He reported that he was given a cold compression device and that really helped with the pain. On 7/10/17 I met him at the MSU sport medicine clinic. We met with Dr. Supinanski. The sutures were removed to the left inner aspect of the arm. There are no signs of infection. Mr. Krupp said he has not taken any pain medications for days. Instructions are no lifting with the left hand of a pound or more. He will start physical therapy now. At the next appointment Dr. Scorfar will address the left shoulder. At this point, no repair to the left shoulder can be done, we need to let the bicep tendon heal

You may need to wear the splint, brace, immobilizer, or cast for up to 6 weeks. You may be given crutches to help you move around.

This is a strain occurring on the posterior tibial tendon. This common problem affects the foot and the ankle when the posterior tibial tendon is torn or inflamed. Consequently, the tendon is unable to provide support and stability to the arch of the foot, leading to flatfoot. Flat feet leads to arch pain, heel pain, heel spurs and plantar fasciitis. When you are suffering from posterior tibial tendon, pain becomes worse when you engage in strenuous activities such as running or walking. It is also known as adult acquired flatfoot, due to its high prevalence among adults. Although it usually affects one foot, some people have had it in both feet. This condition is progressive. Therefore, it will keep getting worse if not attended to once it starts developing.

Currently, magnetic resonance imaging (MRI) is the modality of choice by clinicians in the diagnosis of RCT. According to a systematic review conducted by Smith, Daniell, Geere, Toms, and Hing (2012), MRI can discriminate between tendinopathy and partial- and full RCTs. The same study indicated that MRI has high soft-tissue image resolution making it the most favored imaging modality for RCT. Furthermore, Smith et al. (2012) reported

Majority of the patients that suffer with this injury have to have an open reduction internal fixation (ORIF) in order to correct the issue. The open reduction internal fixation is said to be less invasive on the bone, ligaments, muscles, and tendons, it also will relieve pain and prevent a reoccurring dislocation of the metatarsal.4 After surgery the patient is non-weight bearing for six weeks then will slowly progress to full weight bearing over a course of a couple of months. As for the rehabilitation process, the patient will most likely be in physical therapy for a long period of time. Part of the rehabilitation plan for an LFD consist of picking marbles up with the toes and placing them into a container, tracing the alphabet with the injured foot, balance exercises, and theraband exercises. One of the reason for the rehabilitation process is to regain most of the range of motion back in the ankle and foot. It also helps with rebuilding strength in the muscles of the foot and

Supraspinatus tendonitis typically occurs when there is an impingement of the supraspinatus muscle of the shoulder joint between the acromion as it passes by the acromion and humerus head. In response, the supraspinatus tendon and the contiguous peritendinous soft tissues become inflamed. The supraspinatus is a muscle located in the supraspinatus fossa of the scapula located in the shoulder and is largely affected by supraspinatus tendonitis. The supraspinatus allows for the abduction of the shoulder and its insertion is the greater tuberosity of the humerus. Tendonitis is the inflammation of a tendon and commonly occurs in the elbows, knees, and shoulders. Therefore, supraspinatus tendonitis is the inflammation of the supraspinatus. This condition is a very common inflammatory problem because it can be caused by the abduction of the arm, which is involved in many sports and activities.

If you have pain on the outside of your ankle, your peroneal tendon might be to blame. This tendon runs from your lower leg to the middle of the outside of your foot. It passes over the outside of your ankle so when this tenon is irritated or injured, you can have pain in your foot and ankle. Here are some of the symptoms of a peroneal tendon injury and treatments that might help.

The purpose of this study was to demonstrate the diagnostic value of MRI in diagnosing the presence or absence of the most common injuries of the knee; the meniscus tears, the cruciate ligament

Oakland Raiders offensive tackle Menelik Watson suffered a ruptured Achilles tendon during the team’s 30-23 preseason loss to the Arizona Cardinals at the O.co Coliseum on Sunday and will more likely miss the entire season, according to ESPN.

If the knee joint does not have the full range of movement before having surgery, the recovery will be more difficult. It's likely to take at least three weeks after the injury

Two years ago I injured my right arm, and as a pitcher was facing a few long months without baseball. I was angry, frustrated, and anxious. The injury itself was tendonitis, an elusive malady, not easy to pin down like a simple broken bone. Tendonitis acts like a rash; it spreads only when "itched." The more I threw, the more it spread, until some days I would lose the feeling entirely in my right hand. But the psychological aspect was the most painful - the injury was a knife in my mind, sinking deeper the more I struggled. So I unenthusiastically resigned myself to not using my right arm for a few months.

Tendons are densely packed fibrous connective tissue. They are responsible for the transmission of mechanical forces from skeletal muscle to the bone; act as joint stabilizers and “shock absorbers” to reduce muscle damage. Tendons are able to resist tensile forces due to the organization of their matrix. They are composed of approximately 70% of water and 30% of dry matter including collagen and a non-collagenous matrix. The predominant collagen present within the tendon is type I collagen, nevertheless it is also found small amounts of type II, III, IV and V collagen[1]. On the other hand, the non-collagenous matrix of the tendon contains a wide range of glycoproteins such as proteoglycans and other small molecules[2].

Magnetic resonance imaging represents the optimal imaging tool in the evaluation of the knee injuries, which has been shown to be an accurate and non invasive method of demonstrating the presence and extent of injuries of the