OBJECTIVE: To discuss the management of a patient with lateral epicondylitis refractory to previous medical and conservative interventions. CLINICAL FEATURES: A 45-year-old woman had difficulty in supinating her left elbow because of pain from activities at work. Standard tests demonstrated and reproduced pain at the lateral epicondyle with resisted extension of the wrist and fingers. INTERVENTION AND OUTCOME: Specific joint manipulation for relief of lateral epicondylitis was performed. Immobilization of the elbow joint after manipulation was accomplished by means of a sugar tong plaster splint. Follow-up joint manipulation with a progressive rehabilitation program was effective in providing relief of symptoms. CONCLUSION: Resolution of pain and limited elbow motion was demonstrated after Mills' manipulation.

Chiropractic↗

PubMedDate not supplied

Pregnancy in mixed connective tissue disease: comparison with systemic lupus erythematosus.

The risk of pregnancy was evaluated in 31 patients with mixed connective tissue disease (MCTD), 31 patients with systemic lupus erythematosus (SLE) and 51 controls. The fertility rates in MCTD and SLE were unaltered by disease; however, parity was decreased and fetal wastage was increased both before and even more so after onset. It is our observation that pregnancy carries the same risks in MCTD as it does in SLE.

Adult↗