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Full-Text Articles in Medicine and Health Sciences
Delayed Localized Hypersensitivity Reactions To An Adenoviral Vector Vaccine—A Literature Review And A Case Report With Serial Ultrasonography Follow-Up, Chih-Ying Wu, Chien-Min Chen, Szu-Han Wang, Chia-Hung Lin
Delayed Localized Hypersensitivity Reactions To An Adenoviral Vector Vaccine—A Literature Review And A Case Report With Serial Ultrasonography Follow-Up, Chih-Ying Wu, Chien-Min Chen, Szu-Han Wang, Chia-Hung Lin
Rehabilitation Practice and Science
Severe acute respiratory syndrome coronavirus 2 has changed our life worldwide. Vaccination plays an important role in this pandemic to reduce virus transmission and lower the mortality risk. However, as vaccination rates increase, so do the reported adverse effects. This report describes a case of 28-year-old female with severe subcutaneous swelling persisting almost 1 month after receiving the recombinant adenoviral vector vaccine (ChAdOx1 nCov-19, AZD1222), despite paracetamol prophylaxis. The ultrasonography showed a hyperechoic swelling in the subcutaneous layer and a diffuse hypoechoic muscle layer. The phenomenon results from delayed hypersensitivity, however, its clinical picture is often confused with cellulitis and …
Swallowing Function In Parkinson's Disease: Correlation With Disease Duration And Hoehn And Yahr Stage, Yi-Ya Pan, Hsueh-Pei Wang, Ruey-Meei Wu, Tyng-Guey Wang
Swallowing Function In Parkinson's Disease: Correlation With Disease Duration And Hoehn And Yahr Stage, Yi-Ya Pan, Hsueh-Pei Wang, Ruey-Meei Wu, Tyng-Guey Wang
Rehabilitation Practice and Science
Oropharyngeal dysphagia is a common complication of Parkinson's disease (PD). Swallowing assessment scales, videofluoroscopics wallowing study (VFSS), and fiberoptic endoscopic evaluation of swallowing (FEES) are used to evaluate the swallowing function of patients with dysphagia. However, few studies have been conducted that assessed tongue muscle strength and hyoid bone movement in patients with PD. To better understand the correlation between disease duration, Hoehn and Yahr (H&Y) stage and swallowing function in patients with PD, this study evaluated the swallowing function in patients with PD using ultrasonography and Iowa Oral Performance Instrument (IOPI). Ultrasonography was performed to evaluate hyoid movement, and …
The Use Of Ultrasonography In Suspected Tibia Plateau Fracture With Lipohemarthrosis: A Casereport, Wei-Nung Hsu, Pon-An Chen, Sen-Wei Tsai
The Use Of Ultrasonography In Suspected Tibia Plateau Fracture With Lipohemarthrosis: A Casereport, Wei-Nung Hsu, Pon-An Chen, Sen-Wei Tsai
Rehabilitation Practice and Science
Knee pain is a common complaint in rehabilitation outpatient clinics. Plain radiography is typically used to detect knee pain and trauma. However, a slight depression plateau fracture could be easily overlooked on plain radiography. This is a casereport of a 57-year-old woman with left knee pain who visited the outpatient clinic for help. Ultrasonography showed fat-fluid level, but plain radiography did not reveal any fracture. Magnetic resonance examination confirmed the depression fracture of the tibial plateau and the lipohemarthrosis. Lipohemarthrosis is a highly sensitive predictor of intra-articular surface fractures. Ultrasound is a convenient and reliable tool to detect lipohemarthrosisof the …
Tibial Neuropathy After Revision Total Knee Prosthesis: A Casereport, Chun-Ping Wang, Wei-Ting Wu, Lin-Fen Hsieh
Tibial Neuropathy After Revision Total Knee Prosthesis: A Casereport, Chun-Ping Wang, Wei-Ting Wu, Lin-Fen Hsieh
Rehabilitation Practice and Science
We describe a 74-year-old woman with right knee osteoarthritis experiencing right tibial neuropathy because of complications of total knee arthroplasty revision. Weakness in the right toe flexors and paresthesia over the sole of the right foot were observed after operation. A nerve conduction study and electromyographic examination indicated right tibial neuropathy. Radiography indicated a prosthesis fragment in the right popliteal fossa, and its location was different before and after surgery. Prosthesis fragment dislodgement was also confirmed through ultrasonography, and the nearby tibial nerve may have been entrapped because of the dislocation process and surrounding tissue fibrosis. Ultrasonography confirmed the prosthesis …
Using Objective Ultrasonographic Findings And Subjective Self-Reported Measures To Evaluate The Effectiveness Of A Novel Single Intra-Articular Injection Of Hyaluronic Acid For The Treatment Of Knee Osteoarthritis: A Preliminary Report, Shenghui Tuan, Ihsiu Liou, Minhui Li, Yunjeng Tsai, Yinhan Chen, Tinyun Liao, Chialing Hung, Hungya Huang, Shufen Sun
Using Objective Ultrasonographic Findings And Subjective Self-Reported Measures To Evaluate The Effectiveness Of A Novel Single Intra-Articular Injection Of Hyaluronic Acid For The Treatment Of Knee Osteoarthritis: A Preliminary Report, Shenghui Tuan, Ihsiu Liou, Minhui Li, Yunjeng Tsai, Yinhan Chen, Tinyun Liao, Chialing Hung, Hungya Huang, Shufen Sun
Rehabilitation Practice and Science
Purpose: Osteoarthritis (OA) is the most common musculoskeletal disease worldwide. Knee OA is the most common type of OA and is the main cause of disability in elderly people. Intra-articular (IA) injection of hyaluronic acid (HA) has been widely proven to improve pain, physical function, and quality of life among patients with knee OA. However, most of the previous studies have used low-to-moderate molecular weight (MW) HA and have evaluated the clinical benefits by using subjective self-reported measures. In this study, we evaluated the efficacy of a single IA injection of a novel cross-linked HA (HYAJOINT Plus) through objective ultrasonographic …
The Use Of Ultrasonography To Assess Outcomes And Prognostic Indicators In Carpal Tunnel Syndrome: A Study In Patients Treated With Night Splinting, Lin-Yi Wang, Mei-Yun Liaw, Yu-Chi Huang, Hsiao-Lan Chen, Yiu-Chung Lau, Ya-Ping Pong
The Use Of Ultrasonography To Assess Outcomes And Prognostic Indicators In Carpal Tunnel Syndrome: A Study In Patients Treated With Night Splinting, Lin-Yi Wang, Mei-Yun Liaw, Yu-Chi Huang, Hsiao-Lan Chen, Yiu-Chung Lau, Ya-Ping Pong
Rehabilitation Practice and Science
Background: Controversy exists regarding the use of ultrasonography (US) to assess outcome variables and prognostic indicators of carpal tunnel syndrome (CTS). Objective: To investigate the value of US in evaluating outcomes and prognosis for CTS treated with night splinting. Methods: Fifty-eight hands with mild to moderate CTS were prospectively enrolled; 42 diseased hands completed the study. Satisfaction rating, symptom severity score (SSS), functional status score (FSS), nerve conduction study (NCS) data, and US data were evaluated as outcome variables before and after 3 and 6 months of night splinting. On an intent-to-treat basis, a binary logistic regression analysis was used …
Effect Of Celecoxib On Hemophilic Arthropathyof Knee Joint With Synovitis, Ching-Yueh Lin, Chih-Ya Chang, Ming-Jen Ke, Yin-Yin Wu, Yung-Tsan Wu, Yeu-Chin Chen, Tsung-Ying Li
Effect Of Celecoxib On Hemophilic Arthropathyof Knee Joint With Synovitis, Ching-Yueh Lin, Chih-Ya Chang, Ming-Jen Ke, Yin-Yin Wu, Yung-Tsan Wu, Yeu-Chin Chen, Tsung-Ying Li
Rehabilitation Practice and Science
Introduction: Recurrent hemoarthrosis leads to synovitis, bone erosion, and subsequent hemoarthropathy in hemophilia. Few clinical trials have focused on the efficacy and adverse effects of nonsteroidal antiinflammatory drugs (NSAIDs), specifically cyclooxygenase-2-selective NSAIDs, in treating hemoarthropathy in patients with hemophilia. This study investigated the effect and safety of celecoxib in treating hemophilic arthropathy with synovitis. Materials and method: A total of 15 patients with hemophilic arthropathy were prescribed 200 mg of celecoxib twice per day for 30 days. Out come measurements regarding before and after treatment, joint range of motion, pain score (visual analogue scale), bleeding frequency, synovial thickness measured using …
The Effect Of Static Wrist Position On Median Nerve Over Six Hours, Ching-Ning Hsu, Yu-Sheng Yang, Jui-Jen Hsu, Yi-Chun Tsai, Pei-Hua Lin, Chia-Ling Lee
The Effect Of Static Wrist Position On Median Nerve Over Six Hours, Ching-Ning Hsu, Yu-Sheng Yang, Jui-Jen Hsu, Yi-Chun Tsai, Pei-Hua Lin, Chia-Ling Lee
Rehabilitation Practice and Science
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, caused by the compression of the median nerve in the carpal tunnel over the wrist. The purpose of this study is to demonstrate how different wrist positions change median nerve image and their corresponding results of nerve conduction study (NCS). In this study, we investigated 40 normal wrists and 32 wrists with CTS. In both groups, subjects were randomly assigned to wear a splint, and the wrist was placed at 0, 15, 30 and 45 degrees of extension. Ultrasonography was performed before splinting, immediately after splinting and repeated again 2, …
Wrist Schwannoma Mimicking De Quervain's Disease: A Casereport, Pon-An Chen, Chung-Liang Lai, Ming-Miau Tsai, Chuan-Chin Leu, Tyng-Guey Wang
Wrist Schwannoma Mimicking De Quervain's Disease: A Casereport, Pon-An Chen, Chung-Liang Lai, Ming-Miau Tsai, Chuan-Chin Leu, Tyng-Guey Wang
Rehabilitation Practice and Science
For decades, ultrasonography has shown a high degree of accuracy in the evaluation of soft tissue tumors. In this study, we report the condition of a 80-year-old male patient who had been suffering from left thumb pain for 2 years. The patient had initially been diagnosed with de Quervain's disease, but responded poorly to conservative treatment. An ultrasonographic examination unexpectedly identified a well-margined solid tumor with marked vascularity. Suspicion of a neurogenic tumor led to an excision surgery and finally pathology revealed a Schwannoma. Following excision, the symptoms were entirely ameliorated. We concluded that, in the evaluation of persistent chronic …
Ultrasonographic Examination Of Tongue Movement During Articulation In Preschool Children, I-Chun Chen, Chien-Lun Peng
Ultrasonographic Examination Of Tongue Movement During Articulation In Preschool Children, I-Chun Chen, Chien-Lun Peng
Rehabilitation Practice and Science
Ultrasound imaging provides a unique and complete representation of tongue structure in almost all planes of interest and is rapid enough to record real-time tongue movement during speech. Recording tongue movement with ultrasound is non-invasive, and has not been shown to have any biologic effects in humans at diagnostic intensities. As a result, ultrasound has been widely used in speech studies to measure tongue functions in recent years. However, these previous studies are subject to inconsistent plane images caused by additionally movement of the traditional handheld transducer. The artifacts that result from depression of the submental soft tissue contacted by …
Sonographic Appearance Of Surgically Repaired Achilles Tendons, Kao-Shang Shih, Ya-Ping Huang, Tyng-Guey Wang, Chun-Sheng Wu, Ching-Chuan Jiang
Sonographic Appearance Of Surgically Repaired Achilles Tendons, Kao-Shang Shih, Ya-Ping Huang, Tyng-Guey Wang, Chun-Sheng Wu, Ching-Chuan Jiang
Rehabilitation Practice and Science
Background and purpose: Ultrasonography is an accurate and non-invasive imaging tool for assessing a ruptured Achilles tendon. This study attempts to correlate the sonographic appearances of surgically repaired Achilles tendons with their clinical outcomes.Methods: Ten patients (3 men and 7 women) with surgically repaired Achilles tendons were enrolled in this study. All patients had unilateral Achilles tendon ruptures related to sports injuries. All were treated by the same orthopedic surgeon at a University Hospital, from January 1990 to September 2000. Patients had a mean age of 47.2 years (range: 22-66). Mean post-surgical duration was 6.0 years (range: 2.1-12.1). All patients …
Ultrasound Examination Of Shoulders In Wheelchair Users With Paraplegia, Jiann-Perng Chen, Yi-Pin Chiang, Gwo-Chi Hu, Wan-Yi Shih, Kuan-Wen Chen
Ultrasound Examination Of Shoulders In Wheelchair Users With Paraplegia, Jiann-Perng Chen, Yi-Pin Chiang, Gwo-Chi Hu, Wan-Yi Shih, Kuan-Wen Chen
Rehabilitation Practice and Science
Due to the prolonged use of upper extremities for weight-bearing, the shoulder joints of paraplegic wheelchair-users are prone to injury. Once shoulder pain occurs, performance of activities required for daily living would thus be disturbed. In past studies, the shoulders of the spinal cord injured patients were evaluated with arthrography or magnetic resonance images and the rotator cuff injuries were found. In the current study, we used ultrasonography to detect rotator cuff injuries of paraplegic wheelchair-users. The factors associated with ultrasonographic findings were also investigated.Thirty paraplegic wheelchair-users, 26 males and 4 females, were recruited for this study. Both shoulder joints …
Ultrasonographic Features Of Schwannoma Of The Lower Limb: Two Casereports, Hsiao-Wei Lin, Jeng-Yi Shieh, Tyng-Guey Wang, Wen-Shiang Chen, Chung-Li Wang, Yen-Ho Wang
Ultrasonographic Features Of Schwannoma Of The Lower Limb: Two Casereports, Hsiao-Wei Lin, Jeng-Yi Shieh, Tyng-Guey Wang, Wen-Shiang Chen, Chung-Li Wang, Yen-Ho Wang
Rehabilitation Practice and Science
Schwannoma is a benign encapsulated nerve sheath tumor. It typically develops in middle age with unknown cause and usually involves spinal root and peripheral nerves. We report two cases of schwannoma presenting as palpable mass over lower limbs. Both masses had heterogeneous hypoechogenicity, faint posterior enhancement, and were located eccentric to a nerve fascicle. Preoperative sonography revealed both patients had nerve tumors derived from nerve fascicles. These cases illustrate how sonographic information about the relationship between mass and surrounding structures can facilitate surgical planning.
A Pitfall Of Using Ultrasonography In Evaluating Ruptured Long Head Tendon Of The Biceps Brachii: A Casereport, Chien-Hung Shih, Chung-Che Lin, I-Ru Chen, Ya-Fang Lee
A Pitfall Of Using Ultrasonography In Evaluating Ruptured Long Head Tendon Of The Biceps Brachii: A Casereport, Chien-Hung Shih, Chung-Che Lin, I-Ru Chen, Ya-Fang Lee
Rehabilitation Practice and Science
Musculoskeletal ultrasonography is a widely used diagnostic tool to visualize shoulder tendon pathology. The diagnostic accuracy for biceps tendon pathology is high. An empty groove may be seen when there is complete rupture, and the long head tendon markedly retracts into the arm. We report a case of ruptured tendon of the right biceps brachii in a 55-year-old male injured during pull-up exercise 2 years ago. Sonography demonstrated the presence of echoic material filling the bicipital groove. This material erroneously resembled the biceps tendon and resulted in a false first impression of intact tendon. However, a careful longitudinal scan failed …
Ultrasonographic Diagnosis Of An Intramuscular Hemangioma In The Thigh: A Casereport, Jau-Jia Lin, Hsien-Hua Liao, Su-Ju Tsai, Chien-Wen Chou, Liu-Ing Bih
Ultrasonographic Diagnosis Of An Intramuscular Hemangioma In The Thigh: A Casereport, Jau-Jia Lin, Hsien-Hua Liao, Su-Ju Tsai, Chien-Wen Chou, Liu-Ing Bih
Rehabilitation Practice and Science
We reported a case of a 21 years old male with left distal medial thigh pain and palpable mass after sports injury. The symptoms persisted for four years even with several kinds of treatment. He was referred to our hospital for ultrasonographic examination and we found a cystic lesion with blurred margin and hypoechoic texture, which was highly suspecious of intramuscular hemangioma within left rectus femoris muscle. After further confirmation by magnetic resonance images, he was referred to our plastic surgeon and then received surgical excision. A cavernous hemangioma was demonstrated by the pathologic stain. He got obvious relief of …
Investigation Of The Probe Position For Ultrasonography Of The Long Head Of The Biceps Brachii Tendon, Yi-Pin Chiang, Min-Jung Hsu, Ying-Hung Liu, Chia Lee
Investigation Of The Probe Position For Ultrasonography Of The Long Head Of The Biceps Brachii Tendon, Yi-Pin Chiang, Min-Jung Hsu, Ying-Hung Liu, Chia Lee
Rehabilitation Practice and Science
Musculoskeletal ultrasound has been utilized in rehabilitation medicine for many years. However, the accuracy and speed of the examination are very operator-dependent. It is often difficult for inexperienced operators to locate target structures quickly. We therefore designed this study to determine the best positioning for the transducer to detect the tendon of the long head of the biceps brachii on shoulder ultrasonography.One hundred people (200 shoulders) were recruited, including 33 men and 67 women, with a mean age of 50.8±12.5 years. Patients sat upright with the arm flexed and the forearm supinated. The ultrasound transducer was placed on the anterior …
Ultrasonography Diagnosis Of A Neglected Femoral Fracture In A Child: A Casereport, Yi-Chia Yeh, Shu-Min Chen, Ta-Shen Kuan, Chii-Jeng Lin
Ultrasonography Diagnosis Of A Neglected Femoral Fracture In A Child: A Casereport, Yi-Chia Yeh, Shu-Min Chen, Ta-Shen Kuan, Chii-Jeng Lin
Rehabilitation Practice and Science
Ultrasonography is sensitive and reliable for detecting pediatric fractures, including incomplete fractures, clavicle fractures, and fractures in unossified bones. Ultrasonography is also a good imaging modality for pediatric bone healing.A 1-year-5-month-old boy suffered from a painful mass on the left thigh due to a traction injury. His parents brought him to the emergency room, and the initial impression was soft tissue injury. The patient presented with disabling pain and was unable to walk for a few days following the injury. Ultrasonography was scheduled and revealed cortical disruption of the femoral shaft with irregular hyperechoic materials over the area of cortical …
A Ganglion Cyst Of Posterior Cruciate Ligament Detected By Ultrasonographic Examination: A Casereport, Yu-Chou Hung, Jeng-Yi Shieh, Tyng-Guey Wang, Chein-Wei Chang
A Ganglion Cyst Of Posterior Cruciate Ligament Detected By Ultrasonographic Examination: A Casereport, Yu-Chou Hung, Jeng-Yi Shieh, Tyng-Guey Wang, Chein-Wei Chang
Rehabilitation Practice and Science
A ganglion cyst of the posterior cruciate ligament (PCL) is a rare condition and it is usually an incidental finding of magnetic resonance imaging (MRI) or arthroscopy. Recent advances in ultrasound technology and the development of high-resolution transducers have enabled detailed imaging of musculoskeletal structures. We describe a 21-year-old female who complained of left knee pain after a slip and fall. A sonogram showed an echo-free, multilocular lesion with posterior enhancement, just posterior to the PCL. A ganglion cyst of the PCL was suspected, and the diagnosis was subsequently confirmed by MRI. To the best of our knowledge, this is …