The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Sep 2018
Case ReportsSalter-Harris Fracture of the Proximal Humerus in an Adolescent Gymnast.
A 13-year-old male gymnast presented via direct access to physical therapy with a chief complaint of insidious-onset right anterolateral shoulder pain that occurred only when performing on the rings and high bar. Following physical examination, the patient was advised to avoid any gymnastic activities that might cause pain while completing stretching and neuromuscular training over the following 2 weeks. ⋯ The patient was diagnosed with a type 1 Salter-Harris fracture. J Orthop Sports Phys Ther 2018;48(9):729. doi:10.2519/jospt.2018.7296.
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J Orthop Sports Phys Ther · Sep 2018
Case ReportsDisplaced Fracture Dislocation of the Proximal Humerus.
The patient was a 41-year-old man who injured his right shoulder falling onto his outstretched hand while skiing. Radiographs taken in the emergency department demonstrated a 3-part fracture dislocation of the proximal humerus for which he underwent same-day surgery. Physical therapy was initiated on postoperative day 27, and postoperative radiographs and physical examination results assisted in devising an appropriate plan of care and treatment. J Orthop Sports Phys Ther 2018;48(9):728. doi:10.2519/jospt.2018.6208.
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J Orthop Sports Phys Ther · Aug 2018
Case ReportsSacral Osteosarcoma Masquerading as Posterior Thigh Pain.
A 36-year-old man with insidious onset of posterior right thigh pain that had started 1 month previously sought physical therapy consultation after his pain was nonresponsive to nonsteroidal anti-inflammatory drugs prescribed by his physician. Radiographs were noncontributory. ⋯ Subsequently, a computed tomography-guided biopsy by a radiologist confirmed a high-grade sacral chondroblastic osteosarcoma. J Orthop Sports Phys Ther 2018;48(8):665. doi:10.2519/jospt.2018.8032.
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J Orthop Sports Phys Ther · Aug 2018
Lumbar Muscle Structure Predicts Operational Postures in Active-Duty Marines.
Background The relationship between lumbar spine posture and muscle structure is not well understood. Objectives To investigate the predictive capacity of muscle structure on lumbar spine posture in active-duty Marines. Methods Forty-three Marines were scanned in this cross-sectional study, using an upright magnetic resonance imaging scanner while standing without load and standing, sitting, and prone on elbows with body armor. ⋯ This suggests that stronger erector spinae muscles predict decreased lordosis, lumbosacral extension, and anterior pelvic tilt in a highly trained population. J Orthop Sports Phys Ther 2018;48(8):613-621. Epub 17 May 2018. doi:10.2519/jospt.2018.7865.
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J Orthop Sports Phys Ther · Aug 2018
Cross-cultural Adaptation and Validation of the Nepali Translation of the Patient-Specific Functional Scale.
Background The Patient-Specific Functional Scale (PSFS) is among the most commonly used measures to assess physical function. Objectives We aimed to translate and cross-culturally validate the PSFS to Nepali and further assess its psychometric properties. Methods This longitudinal, single-arm cohort study translated and cross-culturally adapted the PSFS to Nepali (PSFS-NP) following recommended guidelines. ⋯ It can be used in clinical practice and research in Nepalese with musculoskeletal pain. J Orthop Sports Phys Ther 2018;48(8):659-664. Epub 6 Apr 2018. doi:10.2519/jospt.2018.7925.