Biomedical subjects

T E Rizk

Publications and source records attributed to T E Rizk.

9 recordsLinked to original sources

PubMed1994

Treatment of adhesive capsulitis (frozen shoulder) with arthrographic capsular distension and rupture.

Sixteen patients with adhesive capsulitis of the shoulder were treated in an open trial of capsular distension with intraarticular injection of 30mL of fluid containing 8mL of 1% lidocaine, 2mL of corticosteroid, and 20mL of radiocontrast material. A capsular tear during arthrography occurred in all cases. Rupture usually occurred at the subscapular bursa or the subacromial bursa. Rupture at the distal bicipital sheath occurred in two patients and was not associated with pain relief. Thirteen patients experienced immediate pain relief and increased shoulder mobility. This improvement was maintained over a follow-up interval of 6 months. Disruption of the constricted capsule by hydraulic distension seems to be the mechanism for achieving symptomatic relief in adhesive capsulitis.

Arthrography↗

PubMed1991

Corticosteroid injections in adhesive capsulitis: investigation of their value and site.

Forty-eight patients with frozen shoulder for less than six months were assigned at random to receive three shoulder injections into the subacromial bursa or glenohumeral joint at weekly intervals. The treatment groups were (1) intra-articular methylprednisolone and lidocaine, (2) intrabursal methylprednisolone and lidocaine, (3) intra-articular lidocaine, (4) intrabursal lidocaine. The same physical therapy program was carried out for all patients. Assessments of pain and range of motion were performed by a physical therapist who was uninformed about the nature of the injection therapy. There was no significant difference in outcome between intrabursal injection and intra-articular injection. Injection of steroid with lidocaine had no advantage over lidocaine alone in restoring shoulder motion, but partial, transient pain relief occurred in two thirds of the steroid-treated patients.

Adult↗

PubMed1984

Histocompatibility type and racial incidence in frozen shoulder.

An increased prevalence of histocompatibility antigen HLA-B27 has been reported previously in patients with peri-arthritis or adhesive capsulitis of the shoulder, or frozen shoulder (FS). In 50 patients who had frozen shoulder unassociated with a primary illness, HLA-B27 was detected in only two (4%), a frequency which did not differ significantly from controls. In our series, 12 (24%) of the patients were black persons. Although frozen shoulder probably occurs with greater frequency in white individuals, the difference may not be as great as reported previously.

Adult↗

PubMed1984

Arthrographic studies in painful hemiplegic shoulders.

The rehabilitation of hemiplegic patients is often prolonged by the problem of painful shoulder. The specific etiology of this problem is controversial and treatment does not always produce the desired results. Thirty hemiplegic patients with painful, stiff ipsilateral shoulder joints were studied. The mean interval from the onset of stroke to the onset of painful shoulder was 3 months. On shoulder arthrography, 23 patients had capsular constriction typical of frozen shoulder (adhesive capsulitis). Seven patients had normal arthrograms. None showed rotator cuff or capsular tears. Electromyography revealed electrical silence in the shoulder musculature at rest. These findings indicate that the painful, stiff shoulder developing after hemiplegia is not caused by rotator cuff tear or by spasticity, but probably has a pathogenesis similar to that of idiopathic frozen shoulder.

Adult↗

PubMed1983

Adhesive capsulitis (frozen shoulder): a new approach to its management.

Fifty-six shoulders in 50 patients with adhesive capsulitis were divided into 2 groups, using different treatment programs. Group A comprised 28 shoulders in 26 patients. These were treated by therapeutic heating modalities followed by therapeutic exercises and gentle rhythmic stabilization manipulation. Group B totaled 28 shoulders in 24 patients. These were treated by prolonged pulley traction accompanied by transcutaneous nerve stimulation. Group B demonstrated much greater improvement than Group A.

Activities of Daily Living↗

PubMed1982

Frozen shoulder.

The term Frozen Shoulder (FS) is a medical colloquialism rather than a diagnosis. It is usually used as a clinical description with pathogenetic inferences, as suggested by the alternative designations of periarthritis, pericapsulitis, adhesive capsulitis and obliterative bursitis. Our understanding of the basic pathology and natural history of FS is limited, and this is reflected in the wide assortment of treatments which have been advocated. In this review the present state of knowledge of this disorder will be presented in a critical fashion.

Arthritis↗

PubMed1982

I-cell disease and its rehabilitation: case study.

I-cell disease is a rare inborn error of mucolipid metabolism that is characterized by generalized hypotonia, thick and tight skin, restriction of joint motion, coarse facial features, bony deformities, and an inability to stand or walk. A case was treated with gentle stretching, neurodevelopmental therapy, and strengthening exercises of both hip and knee extensor muscles. After this treatment the patient was able to ambulate with moderate support using bilateral long leg braces.

Child, Preschool↗

PubMed1981

Transcutaneous electrical nerve stimulation and extensor splint in linear scleroderma knee contracture.

A girl with knee flexion contracture secondary to linear scleroderma with hemiatrophy was treated with hot packs, gentle stretching and a serial posterior splint. The knee range of motion gained 35 degree over a period of 16 weeks. Nine months, later knee contracture had regressed. As an alternative method of treatment, continuous stretch was applied by using a front extension splint together with transcutaneous electrical nerve stimulation. The knee range of motion gained 55 degrees over a period of 6 weeks.

Child↗

PubMedDate not supplied

Distention arthrography in the treatment of adhesive capsulitis of the shoulder.

PURPOSE: Adhesive capsulitis involving the glenohumeral joint (frozen shoulder) is an insidious and painful condition that results in gradual loss of joint motion. Recovery is frequently prolonged despite multiple therapeutic maneuvers. The authors investigate the mechanism of action and the long-term clinical result of distention arthrography for the treatment of patients with frozen shoulder. PATIENTS AND METHODS: Sixteen patients with adhesive capsulitis of the shoulder were treated with therapeutic capsular distention by using intra-articular injection of a 30-mL mixture of lidocaine, corticosteroid, and contrast media immediately following diagnostic arthrography. RESULTS: Capsular disruption was demonstrated in all cases. Thirteen patients (80%) experienced immediate pain relief and increased shoulder mobility. This improvement was maintained over a follow-up interval of 6 months or more. Disruption occurred at the subscapular bursa in eight patients, the subacromial bursa in six, and the distal bicipital tendon sheath in two. These latter two patients had no pain relief. CONCLUSION: Arthrographic distention of the constricted capsule appears to be an excellent therapeutic intervention for achieving rapid symptomatic relief from adhesive capsulitis.

Arthrography↗