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伴有腕关节掌侧插入节段不稳定的肩锁关节扭伤的物理治疗管理:病例报告

Physiotherapeutic Management for Acromioclavicular Joint Sprain With Volar Intercalated Segment Instability at the Wrist: A Case Report.

作者信息

Nathani Harsh R, Ramteke Swapnil U, Jaiswal Pratik R

机构信息

Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

出版信息

Cureus. 2024 Apr 16;16(4):e58399. doi: 10.7759/cureus.58399. eCollection 2024 Apr.

DOI:10.7759/cureus.58399
PMID:38756306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11097279/
Abstract

Among sports enthusiasts and young individuals, acromioclavicular (AC) joint injuries are highly prevalent. In this, we discussed the comprehensive assessment and management of a 22-year-old male patient who is a student by occupation and a recreational badminton player who presented with left shoulder and wrist pain following a road traffic accident. The study highlights the clinical findings, diagnostic assessment, and therapeutic interventions for the patient with volar intercalated segment instability and a grade 1 AC joint sprain. The methodology involves a case report of the patient's clinical evaluation, including range of motion, manual muscle testing, and diagnostic imaging. The patient was managed conservatively with physiotherapy interventions, including Mulligan's movement with mobilization, cryotherapy, light amplification by stimulated emission of radiation, and progressive exercises. The results of the study demonstrate the successful implementation of a multidisciplinary conservative management approach for alleviating pain, restoring function, and promoting optimal recovery for the patient. The implications of the study underscore the significance of tailored physical therapy rehabilitation in the management of AC joint sprains and wrist instabilities.

摘要

在体育爱好者和年轻人中,肩锁关节(AC)损伤非常普遍。在此,我们讨论了一名22岁男性患者的综合评估和管理,该患者职业为学生,是一名业余羽毛球运动员,在道路交通事故后出现左肩和手腕疼痛。该研究强调了掌侧插入节段不稳定和1级肩锁关节扭伤患者的临床发现、诊断评估和治疗干预。方法包括该患者临床评估的病例报告,包括活动范围、徒手肌力测试和诊断性成像。该患者采用物理治疗干预进行保守治疗,包括穆里根松动手法、冷冻疗法、激光疗法和渐进性锻炼。研究结果表明,多学科保守管理方法成功实施,可减轻患者疼痛、恢复功能并促进最佳恢复。该研究的意义强调了定制物理治疗康复在肩锁关节扭伤和手腕不稳定管理中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/abbaa6af24b8/cureus-0016-00000058399-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/7d3030b48fc3/cureus-0016-00000058399-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/39c2f9cd9c23/cureus-0016-00000058399-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/13d2b21c6f71/cureus-0016-00000058399-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/07802b0d4968/cureus-0016-00000058399-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/c36c0a907053/cureus-0016-00000058399-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/abbaa6af24b8/cureus-0016-00000058399-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/7d3030b48fc3/cureus-0016-00000058399-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/39c2f9cd9c23/cureus-0016-00000058399-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/13d2b21c6f71/cureus-0016-00000058399-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/07802b0d4968/cureus-0016-00000058399-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/c36c0a907053/cureus-0016-00000058399-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5e/11097279/abbaa6af24b8/cureus-0016-00000058399-i06.jpg

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Exercise-based intervention as a nonsurgical treatment for patients with carpal instability: A case series.基于运动的干预作为腕部不稳定患者的非手术治疗:病例系列。
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The Diagnosis and Treatment of Acute Dislocation of the Acromioclavicular Joint.
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