Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Apr 1996
Case ReportsPelvic insufficiency fractures after irradiation: diagnosis, management, and rehabilitation.
Insufficiency fractures of the pelvis are commonly overlooked as causes of severe hip and low back pain. Predisposing factors include postmenopausal osteoporosis, corticosteroids, and local irradiation. Differential diagnosis includes metastatic disease to bone. ⋯ CT-guided bone biopsy was consistent with radiation osteonecrosis. After diagnosis and continued therapy, the patient progressed to ambulation with moderate discomfort. Failure to diagnose insufficiency fractures could lead to further pelvic irradiation, compromising already weakened bones and causing prolonged disability.
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Arch Phys Med Rehabil · Apr 1996
Comparative StudyBack pain and peripheral joint pain in an industrial setting.
To develop a self-reported low back pain (LBP) questionnaire and assess its usefulness in (1) describing the incidence of LBP in an industrial setting, compared to medical records and workers' compensation statistics; and (2) targeting specific work sites where the levels and patterns of pain suggest a need for specific intervention. ⋯ This questionnaire appears to be potentially useful in (1) identifying workers who are symptomatic at an early stage of their LBP problem; and (2) identifying pain patterns in different areas of the plant.