PubMed Health⌕ Search

Biomedical subjects

J C Connor

Publications and source records attributed to J C Connor.

6 recordsLinked to original sources

Effects of continuous passive motion following Austin bunionectomy. A prospective review.

Thirty-nine patients suffering from hallux valgus deformity were randomized into one of two treatment groups following a corrective Austin procedure. One group received physical therapy only (n = 18), and the other group received physical therapy and continuous passive motion (n = 21). Continuous passive motion was initiated immediately after surgery and patients were instructed to use continuous passive motion for 8 hr a day for 24 days. On the 7th, 14th, 21st, 28th, 60th, and 90th days, range of motion, return to conventional shoes, use of oral analgesics, and complication rate were measured. The group using continuous passive motion had greater range of motion at each postoperative visit compared with the group who used physical therapy only (P < 0.05). The group who used physical therapy only took longer to return to conventional shoes and to cease oral medication than the group who used continuous passive motion (P < 0.01). The use of continuous passive motion as an adjunct to physical therapy following an Austin procedure expedites the rehabilitation time and increases the rate of return to functional range of motion.

Adult↗

Benign giant cell tumor of the ankle joint.

Benign giant cell tumors are usually found on the hand, however, the authors discuss a case in which the tumor occurred on the ankle joint. Treatment is complete surgical excision because a relatively high recurrence rate has been reported in the literature.

Adult↗

It wasn't about race. Or was it?

Hope Barrows, a partner at the national accounting firm Fuller Fenton, drove to the office on Sunday and swiped her access card to enter the parking garage. She noticed that another car followed her in--without using an access card. Hope could see that the driver was a man, but she didn't recognize him. Concerned for her safety, she got out and asked to see his ID. Dillon Johnson, an associate at the same firm, was rushing to meet a colleague to review a client's file. Seeing the garage door was open, he drove straight through. He was puzzled when the car in front of him stopped. The female driver got out of her car, walked over to him, and asked for his ID. He felt he was being unfairly questioned because he was black. Hope was white. Now it's Monday, and managing partner Jack Parsons is being deluged with calls. The company seems to be splitting into two angry camps. Some charge that the organization is racist; others are outraged that a woman was made to feel unsafe. One thing is clear: this incident is just the tip of the iceberg. Jack would like to think that Fuller Fenton embraces diversity, but the experiences of Dillon and other African-Americans at the firm tell a very different story. In fact, Jack knows that Dillon was taken off a team for fear that the client--an old-line company in Texas--might object. Jack is trying to calm people down, but he doesn't know what his next step should be. Four commentators offer advice in this fictional case study.

Black or African American↗

Continuous passive motion as an alternative treatment for iatrogenic hallux limitus.

The use and effect of continuous passive motion (CPM) was evaluated for 10 patients suffering from iatrogenic hallux limitus. All patients had previous hallux valgus corrective surgery. After their initial evaluation, patients were instructed to begin CPM therapy at home for a minimum of 4 hr. a day and were instructed to increase range of motion (ROM) as tolerated. CPM was used for 4 weeks. ROM was measured on day 0, 28, 48, 90. There were significant increases in mean extension (p < 0.025) and mean flexion (p < 0.05). All patients reported a decrease in pain and stiffness of the first metatarsophalangeal joint. Seven of the 10 patients treated with CPM had increases in ROM. Three patients, all of whom had first metatarsal elevatus, required an additional surgical procedure. Patients suffering from iatrogenic hallux limitus with no associated first metatarsal elevatus can utilize CPM as a viable alternative to return to functional ROM.

Contracture↗