The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Feb 2019
Randomized Controlled TrialCost-Effectiveness Evaluation of Manual Physical Therapy Versus Surgery for Carpal Tunnel Syndrome: Evidence From a Randomized Clinical Trial.
Carpal tunnel syndrome (CTS) results in substantial societal costs and can be treated either by nonsurgical or surgical approaches. ⋯ Economic and decision analyses, level 1b. J Orthop Sports Phys Ther 2019;49(2):55-63. Epub 30 Nov 2018. doi:10.2519/jospt.2019.8483.
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J Orthop Sports Phys Ther · Feb 2019
Case ReportsCervical Fracture With Posterior Ligamentous Injury While Skydiving.
A 46-year-old male soldier reported to an emergency department with severe acute neck pain immediately following a hyperflexion injury during recreational skydiving. He was evaluated in the emergency department, including radiographs, and released with a diagnosis of "acute neck strain." After presenting with continued neck pain, he was sent for consultation with a physical therapist. ⋯ In addition, the radiologist recommended computed tomography and magnetic resonance imaging, which confirmed bilateral C6 lamina fractures and multiple ligamentous disruption at C5-6. J Orthop Sports Phys Ther 2019;49(2):113. doi:10.2519/jospt.2019.8360.
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A 51-year-old woman presented to physical therapy with complaints of weakness in her left arm, progressive numbness in both hands, and mild progressive neck pain radiating into the left upper arm. She reported that her condition had started after playing in an amateur tennis tournament 4 weeks prior and progressed to inability to play tennis. Following examination by the physical therapist, the patient was referred to her physician, who ordered magnetic resonance imaging of the spine, which showed a bony exostosis at C1-2 with myelopathy. J Orthop Sports Phys Ther 2019;49(2):112. doi:10.2519/jospt.2019.7942.