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Preiser disease in pediatric population – a review

100%
Kopcik K., Kwinta R.
European Journal of Clinical and Experimental Medicine
|
2024
|
issue 4
905-910
EN
Introduction and aim. Preiser disease is an avascular necrosis of the scaphoid. It is a rare disease, and even less common among the pediatric population. Disease is idiopathic, occurring without trauma or scaphoid non-union. Diagnostic methods include classic radiology, CT, MRI and bone scan. Treatment may be both surgical and conservative, and main aim is pain relief and widening range of motion of the wrist. The main aim of this paper is to summarize available knowledge about Preiser disease in the pediatric population. Material and methods. The paper is based on scientific publications available in PubMed and NCBI databases. After evaluation of abstracts, papers were selected and analyzed, considering the references citied. Analysis of the literature. Preiser disease is rare in the pediatric population. Children tend to present better results after conservative treatment than adults. Currently there are no unified treatment recommendations in Preiser disease, as knowledge about this condition is still limited. Wider research is vital to unify management recommendations. Conclusion. Preiser disease can affect patients of both sexes at any age, but it is exceedingly rare in children. There is a need for controlled randomized studies to establish the treatment standards, which is challenging due to the rarity of the disease. By now, non-surgical treatment tends to be the most common among the pediatric population. Surgical methods implemented in this condition include vascularized bone grafts and proximal row carpectomy.
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Niestandardowe postępowanie fizjoterapeutyczne w leczeniu jałowej martwicy dalszej nasady kości udowej – studium przypadku

63%
Zyznawska J., Wicher D.
Sztuka Leczenia
|
2022
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vol. 37
|
issue 1
21-30
EN
Avascular necrosis is a disease characterized by the formation of necrotic changes in the bone tissue without the involvement of pathogenic microorganisms. This disease mainly occurs in the area of the femoral head, tibial tuberosity, and heel tumor. One of the elements of treatment is the surgical removal of dead tissue, followed by physical therapy to restore the lost function. The aim of the study was to presented the model of rehabilitation of the patient diagnosed with avascular necrosis in atypical area – the area of the medial femoral condyle in the left knee joint. Material and methods: A 24-year-old patient after the removal of medial condyle necrosis of the femur. Accompanying symptoms: severe pain, swelling, difficulty in movement and limited mobility in the left knee joint. An individually tailored physiotherapeutic procedure was implemented with a variety of techniques in the field of physical therapy, kinesiotherapy and manual therapy, in some cases deviating from the accepted norms. Results: The proposed rehabilitation procedure led to the restoration of the proper joint homeostasis.
PL
Jałowa martwica kości to schorzenie charakteryzujące się̨ powstawaniem zmian martwiczych tkanki kostnej bez udziału drobnoustrojów chorobotwórczych. Choroba ta głownie występuje w obrębie głowy kości udowej, guzowatości kości piszczelowej oraz guzie piętowym. Jednym z elementów leczenia jest operacyjne usunięcie martwej tkanki, po którym prowadzi się fizjoterapię, przywracającą utraconą funkcję. Celem pracy jest przedstawienie modelu rehabilitacji pacjentki, u której zdiagnozowano jałową martwicę chrzęstno-kostną w obrębie nietypowym – okolicy kłykcia przyśrodkowego kości udowej w stawie kolanowym lewym.  Materiał i metody: Pacjentka, lat 24, po zabiegu usunięcia martwicy kłykcia przyśrodkowego kości udowej. Objawy towarzyszące: silny bol, obrzęk, trudności w poruszaniu się̨ i ograniczenie ruchomości w stawie kolanowym lewym. Wdrożono indywidualnie dopasowane postępowanie fizjoterapeutyczne z różnorodnymi technikami z zakresu fizykoterapii, kinezyterapii i terapii manualnej, w niektórych przypadkach odbiegające od przyjętych norm. Zaproponowane postępowanie rehabilitacyjne doprowadziło do przywrócenia prawidłowej homeostazy stawu.
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