Medicine and Health Sciences Commons^™

Persistent Oropharyngeal Dysphagia Caused By Systemic Light Chain Amyloidosis Despite Hematologic Response: A Case Report, Haw-Wen Jeng, Tyng-Guey Wang, Kuo-Chang Wei

Rehabilitation Practice and Science

We report a case of a 44-year-old woman who developed progressive dysphagia and shoulder stiffness, ultimately leading to a diagnosis of multiple myeloma (MM) with systemic light-chain (AL) amyloidosis. Despite intensive systemic therapy for MM with good serological response and nine months of comprehensive swallowing rehabilitation, her tongue mobility remained severely restricted, with only minimal improvement in laryngeal elevation. Videofluoroscopic swallowing study (VFSS) confirmed poor tongue control, reduced laryngeal elevation, and penetration of thin liquids. She ultimately passed away despite hematologic control. This case underscores the profound impact of amyloid deposition on swallowing function, even in the context of medically …

Current Injection Treatment For Adhesive Capsulitis, A Narrative Review, Laurence Roy-Bélanger, Tian Yue Ding, Édouard Marcoux, Mathieu Boudier-Revéret

Rehabilitation Practice and Science

This narrative review outlines the current practices related to ultrasound-guided (USG) injection treatments for adhesive capsulitis (AC), including injection sites, approaches, medications, and doses.

USG procedures are increasingly accessible for AC, offering diverse injection approaches and medication dosing. Given the methodological variations in existing studies, a summary of current practices is essential. We conducted a narrative review of recent literature retrieved from computerized databases.

Glenohumeral (GH) and coracohumeral ligament (CHL) injections may improve outcomes for AC, with some evidence suggesting potential benefits of targeting the CHL. Subacromial bursa injections alone appear to be less effective. Multi-site injection techniques show promising …

Axillary Web Syndrome Following Breast Cancer Surgery: A Review Of Current Literature, Christina Soong, Tyng-Guey Wang, Shaw-Gang Shyu

Rehabilitation Practice and Science

Axillary web syndrome (AWS), a complication primarily following breast cancer surgeries involving axillary lymph node dissection (ALND), presents as painful cords extending from the axilla, impairing shoulder mobility and potentially delaying cancer treatment. This review consolidates existing knowledge on AWS, covering its clinical presentation, risk factors, pathophysiology, and management strategies. AWS typically arises within weeks post-surgery but may develop later, manifesting as fibrous cords that hinder arm movement. Diagnosis relies primarily on clinical examination, and the reported incidence varies significantly across different populations and study designs. Risk factors include ALND, younger age, low body mass index, and adjuvant therapies. The …

Immersive Computer-Assisted And Traditional Balance Training Methods On Balance Performance In Young Athletes: A Randomized Comparative Study, Hsien-I Lai, Yun-Hsin Huang, Chen-Yu Chien, Chung-Lan Kao

Rehabilitation Practice and Science

Introduction: Balance is essential for athletic performance. This study compared immersive computer-assisted balance training using the Bertec Balance Advantage CDP/IVR system with traditional soft mat training in young athletes.

Methods: Twenty-two young athletes were randomly assigned to a soft mat group (n = 10) or a Bertec group (n = 12). Both groups completed four training sessions over two weeks. Balance was assessed pre- and post-training using the Sensory Organization Test (SOT), Limits of Stability (LOS) test, and Dynamic Visual Acuity (DVA) test. Two-way mixed ANOVA and Bonferroni-corrected post-hoc analyses were performed.

Results: Both groups improved in postural stability and …

Guideline Of Pulmonary Rehabilitation In Patients With Interstitial Lung Disease, Chia-Ho Lin, Seong-Woong Kang, Ming-Lung Chuang, Pin-Kuei Fu, Chin-Ming Chen, Ko-Long Lin, Ssu-Yuan Chen, Li-Wei Chou, Kuan-Cheng Chen, Yuan-Yang Cheng

Rehabilitation Practice and Science

Interstitial lung disease (ILD) includes a group of chronic respiratory disorders characterized by pulmonary inflammation and fibrosis, often resulting in dyspnea, exercise intolerance, and reduced quality of life. Although pulmonary rehabilitation (PR) is effective in managing these symptoms, no guideline has comprehensively summarized its principles, components, and supporting evidence in ILD. This guideline provides an evidence-based framework for designing and implementing PR tailored to ILD patients. Core recommendations include individualized exercise prescription following the FITT principle, aerobic and resistance training, breathing exercises, supplemental oxygen use, and disease-specific self-management strategies. The guideline also presents validated assessment tools to aid clinical application …

Clinical Application Of Intraoperative Neurophysiological Monitoring During Resection Of A Spinal Tumor: A Case Report, Chia-Hung Hou, Sanford P C Hsu, Pang-Wei Chang, Chen-Liang Chou, Tsui-Fen Yang

Rehabilitation Practice and Science

Surgical resection of a spinal tumor is the first choice of treatment in clinical practice, however it carries a significant risk of creating new postoperative neurological deficits. It is believed that the concomitant use of intraoperative neurophysiological monitoring (IONM) during tumor resection can not only increase safety of the procedure, but also improve surgical outcomes.

Case description:

A 52-year-old female who was in good health and neurologically intact presented with intermittent claudication, numbness and weakness of bilateral lower extremities, and bowel and urinary incontinence in June 2021. L-spine MRI revealed an intradural extramedullary tumor at T8 level. She received T7-9 …

Early Intervention In A Child With Aymé-Gripp Syndrome: A Case Report, Liang-Jun Ou-Yang, Pei-Hsuan Huang, Hsiang-Ning Chang, Chih-Chi Chen, Chia-Ling Chen, Chia-Ying Chung

Rehabilitation Practice and Science

Aymé-Gripp syndrome is an autosomal dominant inherited disease. The de novo pathogenic variant of the MAF gene, located at 16q23.2, is considered the primary common cause of this disease. The pathogenic variant causes interference with lens and eye development and embryonic development. Patients with Aymé-Gripp syndrome typically present with bilateral cataracts, bilateral congenital sensorineural hearing loss, and Down syndrome-like facial features. Dual sensory impairment is observed in these patients. Delayed developmental milestones in the aspect of gross motor, fine motor, speech, and language, cognitive function, and social interaction can be detected early in life. Here we presented a 4-year-old male …

Evaluations Of Exercise Intolerance With Cardiopulmonary Exercise Tests In A 24-Year-Old Young Male With Obesity With Tetrahydrobiopterin Deficiency: A Case Report, Chun-Yu Chen, Shin-Tsu Chang, Ko-Long Lin, Mu-Hsun Wu

Rehabilitation Practice and Science

Phenylketonuria (PKU) is a rare amino acid metabolism genetic disorder. Tetrahydrobiopterin (BH4) metabolism defects cause variant PKU. BH4 coenzyme deficiency disables phenylalanine metabolism into tyrosine, causing brain damage and intellectual impairment. Patients follow a low-phenylalanine diet for life, increasing the risk of obesity, hypertension, and metabolic syndrome. A 24-year-old male patient with BH4 deficiency underwent a pulmonary function test and cardiopulmonary exercise test (CPET). Forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) were within normal values, with an 80.68% ratio. The 20-watt bicycle exercise test indicated moderate functional impairment (27.3 ml/kg/min of peak oxygen intake). The …

Evaluating Dysphagia In Patients With Cervical Spinal Cord Injury Using The Modified Barium Swallow Impairment Profile, Ting-Huan Chen, Bai-Hong Chen, Shih-Chung Chang

Rehabilitation Practice and Science

Background/Purpose: To clarify the characteristics of dysphagia in patients with cervical spinal cord injury (CSCI) by using modified barium swallow impairment profile (MBSImP) scoring in a videofluoroscopic swallowing study (VFSS). Methods: This retrospective study included the data of 10 patients with CSCI (9 men and 1 woman) with dysphagia admitted to the rehabilitation ward of a university medical hospital who had undergone VFSS. The patients’ oral, pharyngeal, and esophageal impairments were evaluated using the MBSImP. Results: Comprising the MBSImP overall score, the median oral impairment total score (OT) was 10.5 (interquartile range [IQR]: 9–11), the median pharyngeal impairment total score …

Effect Of Robotic Training On The Mobility Of Children With Cerebral Palsy: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials, Fu-An Yang, Ya-Chu Shih, Li-Fong Lin, Chih-Wei Peng, Chien-Hung Lai, Tsan-Hon Liou, Reuben Escorpizo, Hung-Chou Chen

Rehabilitation Practice and Science

In this study, we conducted a systematic review and meta-analysis to investigate the effect of robotic training on the mobility of children with cerebral palsy. The PubMed, Cochrane Library, PEDro, and Embase databases were searched for relevant studies from their inception to June 17, 2023. We selected studies that (1) were randomized controlled trials (RCTs), (2) included patients with cerebral palsy aged years, (3) compared robotic training with conventional rehabilitation alone, and (4) reported mobility outcomes. Continuous variables are expressed as standardized mean differences (SMDs) with 95% confidence intervals (CIs). The analysis was performed using RevMan 5.4 software. We included …

Effectiveness Of Specialized Oral Care For Post-Acute Stroke Patients, Hui-Chuan Chen, Hsiao-Han Wei, Yi-Hsuan Yang, Hsial-Lun To, Hsiao-Fan Wang, Ying-Han Hong

Rehabilitation Practice and Science

(1) Background: Poor oral health is a common problem in stroke patients. In Taiwan, there are professional oral care processes for patients with special needs such as stroke patients, which are guided by dental hygienists. This study sought to investigate the effectiveness of specialized oral care for hospitalized stroke patients; (2) Methods: This prospective study was conducted in the Rehabilitation ward at the Taipei City Hospital. Sixty-six patients were randomly divided into two groups. The specialized oral care group (n=34) was guided by dental hygienists. The control group (n=32) received only routine oral care. The oral health outcome measure was …

Application Of Intravenous Laser Irradiation Of Blood (Ilib) In Physical Medicine: A Narrative Review, Ya-Chi Chuang, Yuan-Yang Cheng

Rehabilitation Practice and Science

Intravenous laser irradiation of blood (ILIB) involves a type of intravascular treatment which applies a helium-neon laser possessing a wavelength of 632.8nm. Since its first use in 1981 by Russian scientists, it is now widely applied in the treatment of various diseases, including chronic musculoskeletal pain, wound healing, spinal cord injury, stroke, traumatic brain injury, coronary artery disease, type 2 diabetes mellitus, rheumatoid arthritis and acute kidney injury. The underlying mechanism for ILIB may be associated with its anti-oxidative (through regulating the reactive oxygen species systems) and anti-inflammatory effects (by reducing the production of inflammatory cytokines). Moreover, positive effects on …

Management Of Dysphagia In Tracheostomized Patients: A Narrative Review, Chih-En Liu, Shu-Mei Yang, Ming-Yen Hsiao

Rehabilitation Practice and Science

Swallowing disorders are prevalent in tracheostomized patients and are associated with a high incidence of aspiration. This narrative review discusses the primary causes and subsequent management strategies for dysphagia in this population. Factors such as reduced laryngeal elevation, compromised hypopharyngeal and laryngeal sensations, impaired vocal cord function, loss of glottic airflow and subglottic pressure, weakened cough reflex, increased respiratory secretions, and disuse muscle atrophy have been identified as major contributors. These challenges can lead to severe complications, including aspiration pneumonia and respiratory failure. Comprehensive evaluations that combine clinical assessments with a thorough review of a patient’s medical history are crucial. …

Pseudomeningocele Following Traumatic Brachial Plexus Injury: A Case Report, Shih-Ting Huang, Ming-Hsun Lee, Simon-Fuk Tan Tang, Ching-Yu Wang, Yu-Ting Hsieh

Rehabilitation Practice and Science

An injury to the brachial plexus can lead to the development of a pseudomeningocele, a buildup of cerebrospinal fluid (CSF) in the subarachnoid space caused by tears in the affected root sleeves. External forces acting on the brachial plexus represent the main mechanism of injury. The resulting stretching and tearing of the meninges outside the nerve root led to the pseudomeningocele. Although often initially asymptomatic, a pseudomeningocele can eventually cause pain, paresthesia, muscle weakness, and paralysis. The nerve conduction studies (NCS), electromyography (EMG), and magnetic resonance imaging (MRI) can be used to identify the injury, and treatment can involve either …

Clinical Multimedia: Ultrasound Examination Of Medial Meniscus Posterior Root Tear, Yu-Xuan Wu, Chien-Ping Chen, Hung-Jui Chuang

Rehabilitation Practice and Science

This report outlines the case of a 52-year-old woman with continuous left knee pain. An initial assessment, suggesting a meniscal tear based on joint line tenderness and a positive McMurray test, led to an ultrasonographic investigation. The ultrasound revealed left medial meniscus extrusion without positional change from full extension to 90° flexion, a hypoechoic cleft in the medial meniscus posterior root (MMPR) area, and the notable absence of the MMPR anterior to the posterior cruciate ligament (PCL), identified as the ultrasonographic ghost sign. A subsequent MRI confirmed a medial meniscus posterior root tear (MMPRT). MMPRT is known to cause biomechanical …

The Lumbar Stabilization Exercise And Balance Training In Low-Grade Degenerative Lumbar Spondylolisthesis - A Prospective, Clinical Trial, Yun-Chung Lin, Mei-Yun Liaw, Tsung-Hsun Yang, Ya-Ping Pong, Yan-Yuh Lee, Chien-Wei Chen, Song-Chung Chen, Yu-Chi Huang

Rehabilitation Practice and Science

BACKGROUND: Patients with degenerative lumbar spondylolisthesis (DLS) may have low back pain (LBP), radicular pain and spinal instability. Current programs emphasize intervention of spinal stabilization exercise. However, no prospective, randomized studies have elucidated standardized treatment for DLS.

OBJECTIVE: To examine the effect of spinal stabilization exercise and Biodex balance system (BBS) training in patients with DLS.

METHODS: It was a prospective, clinical trial. Participants were allocated into three groups: (1) DLS-balance group treated with balance training (DLSB), (2) DLS non-balance training group (DLSNB), and (3) lumbar spondylosis without spondylolisthesis (SC). ALL patients underwent a rehabilitation program with lumbar stabilization exercises. …

Severe Preeclampsia With Heart Failure: A Cardiac Rehabilitation Case Report, Han Yang, Yi-Ching Lai, Chien-Chu Huang, Nai-Hsin Meng

Rehabilitation Practice and Science

This study presents a case of a 37-year-old woman who developed severe preeclampsia with heart failure at the 36th week of her first pregnancy, with a left ventricular ejection fraction of 25%. After delivering her twin babies via emergency Cesarian section, she was successfully weaned off mechanical ventilation and discharged in two weeks. We prescribed cardiac rehabilitation and assessed her functional recovery using cardiopulmonary exercise testing. During the 8 months after the delivery, we observed improvements in the left ventricular ejection fraction, peak oxygen uptake, anaerobic threshold, and oxygen uptake efficiency slope although improvement in oxygen pulse was limited. Our …

Influence Of Proximal And Distal Upper-Limb Motor Function On Self-Care Skills In Patients With Stroke, Masanobu Iwai, Kazuya Takeda, Soichiro Koyama, Yuichi Hirakawa, Ikuo Motoya, Hiroaki Sakurai, Yoshikiyo Kanada, Nobutoshi Kawamura, Mami Kawamura, Shigeo Tanabe

Rehabilitation Practice and Science

Background/Purpose: Some studies have reported on the influence of proximal (shoulder, elbow, and forearm) and distal (hand and fingers) upper limb function on self-care skills; however, the possibility of a spurious correlation caused by the level of function of the other affected region (proximal or distal) was not eliminated. This study investigated the partial correlations between the proximal or distal function of the affected upper limb with self-care skills after controlling for the effect of the other affected region.

Methods: This retrospective cross-sectional study included 53 patients with stroke. We examined the relationship between the proximal or distal Fugl–Meyer Assessment- …

Ultrasound-Guided Regenerative Injection For Carpal Tunnel Syndrome: A Narrative Review And Authors' Clinical Experience, Yung-Tsan Wu, King Hei Stanley Lam, Chueh-Hung Wu, Ke-Vin Chang, Wei-Ting Wu, Tyng-Guey Wang, Wen-Shiang Chen, Chih-Peng Lin, Kenneth Dean Reeves

Rehabilitation Practice and Science

Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy but current conservative treatments are unsatisfactory. Recently, clinical trials using ultrasound-guided regenerative injection with 5% dextrose water or platelet-rich plasma have reported clinically and statistically significant benefits compared to current conservative treatments for the treatment of CTS. Regenerative injection for CTS is increasingly being utilized, proportional to the worldwide expansion of skills in the use of ultrasound guidance for precise injection and localization, and due to accumulating evidence that it enhances the success rate of conservative treatment, and reduces the rate of surgery. In this narrative review, our goals …

Effects Of Extracorporeal Shock Wave Therapy On Spasticity In Post-Stroke Patients: A Narrative Review, Yen‐Hua Chen, Shu-Mei Yang

Rehabilitation Practice and Science

Spasticity is a common complication following a stroke, often leading to pain, joint contractures, and functional limitations, all of which reduce the quality of life of survivors. Extracorporeal shock wave therapy (ESWT) is recognized as a safe, non-invasive, and promising alternative treatment option for post-stroke spasticity (PSS). This narrative review aims to synthesize the current evidence from randomized controlled trials regarding the efficacy of ESWT in treating PSS. Specifically, we focused on evaluating treatment protocols, technical parameters, outcome measurements, the duration of treatment effects, and the combined effect of ESWT with other therapies, aiming to establish a comprehensive understanding of …

Ultrasonography Contributing To The Diagnosis And Treatment Of Ischial Bursitis–A Case Report, Fan Mei, Yu-Shan Fu, Lin-Fen Hsieh

Rehabilitation Practice and Science

A 59-year-old woman presented with persistent right buttock pain, exacerbated by prolonged sitting due to her occupation in watch repair. Physical examination revealed tenderness at the right ischial tuberosity and frictional melanosis. Ultrasound identified an anechoic, compressible mass in the region, a notable finding given the rarity of such detailed imaging in ischial bursitis cases. We performed ultrasound-guided aspiration and corticosteroid injection, resulting in significant symptom relief. The patient also received recommendations for physical therapy and lifestyle adjustments. Follow-up confirmed resolution of fluid and pain. This case highlights the important role of ultrasound in diagnosing and managing ischial bursitis.

Shoulder Pain In Polymyalgia Rheumatica: How Ultrasound Can Help, Younes El Anbari, Souhail Yachaoui, Abdulla Alrahoomi, Nabila Ouasmi, Ahmed Amine El Oumri

Rehabilitation Practice and Science

Background: chronic shoulder pain is a frequent and debilitating symptom in patients with chronic inflammatory rheumatism, such as polymyalgia rheumatica (PMR). Diagnosis and management of shoulder pain in this condition are often challenging due to overlapping clinical features with other musculoskeletal disorders. Recent advances in musculoskeletal ultrasonography have provided a valuable tool for diagnosing and guiding treatment, particularly for ultrasound-guided corticosteroid injections. Objectives: This case report aims to demonstrate the effectiveness of ultrasoundguided interventions in the diagnosis and management of shoulder pain in a patient with polymyalgia rheumatica (PMR). Methods: One female patient presenting with chronic shoulder pain underwent ultrasound …

Atlantoaxial Rotatory Fixation Due To Congenital Strabismus: A Case Report, Chih-Ting Chen, Chia-Ling Lee

Rehabilitation Practice and Science

Background Atlantoaxial Rotatory Fixation (AARF) is a relatively rare condition, most diagnosed in the children, with common etiologies including minor trauma and upper respiratory infections. However, cases of AARF resulting from congenital strabismus are yet to be reported. Objective We aimed to underscore the uncommon association between AARF and congenital strabismus and to evaluate the effectiveness of halter traction. Method In this case report, we present an 11-year-old male patient with a history of congenital strabismus, which led to the development of AARF. Results The patient was initially observed to have torticollis and strabismus at the age of 4 months. …

Comparing Findings Of Hemophilia Joint Health Score And Hemophilia Early Arthropathy Detection With Ultrasound Assessments In Taiwanese Patients With Severe Hemophilia, Yen-Ling Huang, Hong-Yi Lin, Te-Fu Weng, Sheng-Wei Zeng, Yueh-Han Ku, Yu-Hui Huang

Rehabilitation Practice and Science

Purpose: This study aimed to evaluate the correlation between Hemophilia Joint Health Score 2.1 (HJHS 2.1) and Hemophilia Early Arthropathy Detection with Ultrasound (HEAD-US) in Taiwanese patients with severe hemophilia and identify specific items within HJHS to predict early ultrasonic changes in hemophilic arthropathy (HA).

Methods: Thirty-six patients with a total of 210 joints were evaluated. We used Spearman's rank correlation coefficient to analyze the correlation between these two scales. The sensitivity, specificity, and accuracy of each HJHS item were also calculated to predict early HA.

Results:These two scales showed very strong correlation in the total scores …

A Case Report: Regenerative And Robotic Rehabilitation In A Patient With Chronic Hypoxic-Ischemic Encephalopathy, Chieh Chen, Sun-Hui Tseng

Rehabilitation Practice and Science

Hypoxic-ischemic encephalopathy (HIE) occurs when the brain is deprived of sufficient oxygen or blood flow, resulting in brain dysfunction. According to the relevant literature, no curative therapies are currently available for HIE-related lifelong disabilities. Regenerative rehabilitation employs regenerative technologies and cell therapy combined with conventional therapeutic exercises to restore normal function. This study used robotic-assisted gait training with the Lokomat and two infusions of human umbilical cord mesenchymal stem cells (hUC-MSCs) to treat an adolescent with chronic HIE. At the seven-month follow-up assessment, we determined that the patient’s motor function had improved based on the Gross Motor Function Measure-88 (GMFM-88) …

The Taiwan Version Of The Milestones 2.0 Project For Physical Medicine And Rehabilitation Residents, Kai-Hua Chen, Shin-Liang Pan, Wen-Hsuan Hou, Nai-Hsin Meng, Jan-Wei Chiu, Huan-Jui Yeh, Hung-Chou Chen, Yu-Chi Huang, Ming-Miau Tsai, Yen-Nung Lin, Hung Yu Cheng, Tsan-Hon Liou, Chung Chao Liang, Simon Tang, Wai-Keung Lee, Chung-Lan Kao, Jiunn-Horng Kang, Yu-Tai Chang, Co Yih Siow, Jin-Shin Lai

Rehabilitation Practice and Science

Background: Milestones provide a framework for evaluating the trajectory of residency performance, which is one of the important works promoted by the Joint Commission of Taiwan for improving the quality of residency training. The current report aims to (1) introduce the translation and modification of the Taiwan version of the Milestones 2.0 Project for Physical Medicine and Rehabilitation Residents (Taiwan PMR Milestones 2.0 Project), (2) document the preliminary data in the first year and (3) highlight the ongoing and future plan. Methods: In January 2022, the Taiwan Academy of Physical Medicine and Rehabilitation organised a Milestones working group consisting of …

Intra-Articular Injection Therapy In Knee Osteoarthropathy: A Narrative Review, Alan Chang, Yi-Hsiang Chiu, Chueh-Hung Wu, Tyng-Guey Wang

Rehabilitation Practice and Science

Knee osteoarthropathy is a common degenerative joint disorder that can cause pain and functional impairment in affected individuals. Various intra-articular injection therapies have been explored as potential treatments for knee osteoarthropathy, including corticosteroid, hyaluronic acid, dextrose and platelet-rich plasma. Intra-articular corticosteroid injection is commonly used for short-term pain relief. Patients with higher baseline pain level and milder changes of degeneration on imaging may benefit more from corticosteroid injection. However, excessive use may lead to detrimental effects on joint tissues. Intra-articular hyaluronic acid injections have demonstrated positive effects in improving pain and function, as well as delaying the need for total …

Referred Pain: A Case Report On Shoulder Pain Caused By A Mediastinal Tumor, Cheng-I Chen, Yao-Jen Chen

Rehabilitation Practice and Science

Shoulder pain has many etiologies, with the most common causes being the shoulder joint itself and the surrounding soft tissues, such as tendons, bursae, or ligaments. However, rare pathologies can occur. This report presents a case of chronic right shoulder pain eventually diagnosed as a rare case of extra-skeletal osteosarcoma. The referred right shoulder pain was likely caused by tumor invasion of the pericardium, whose sensory innervation is provided by the phrenic nerve. The purpose of this case report is to highlight the fact that, although rare, neoplasm can be a cause of shoulder pain. Rather than just relieving symptoms, …

Ultrasonography Can Be Early Diagnostic Modality For Pediatric Calcaneus Fractures: A Case Report, Ying-Chu Chen, Szu-En Chen

Rehabilitation Practice and Science

Although calcaneus fractures may be the most common pediatric tarsal bone fracture, most occult calcaneus fractures are not visible on plain radiography, resulting in delayed diagnosis. However, ultrasonography can aid early diagnosis of this fracture with an unspecified mechanism of injury and unremarkable radiographic findings. In a pediatric patient with progressive ankle swelling and pain, initial plain radiography was unremarkable, and antibiotics were administered for suspected infective arthritis. After limping developed, ultrasonography showed symmetric growth plates of bilateral distal tibia, fibula, and tarsal bone; a step-off calcaneus cortex with periosteal reaction; increased power Doppler flow; and probe tenderness, indicating a …

Entrapment Of The Deep Branch Of The Radial Nerve By An Intramuscular Lipoma: A Case Report, Yann-Rong Chen, Ying-Chen Kuo, Yu-Hsien Lin, Yu-Ting Lin

Rehabilitation Practice and Science

Lipomas are benign tumors that are common in subcutaneous tissue and are usually asymptomatic. However, intramuscular lipomas, which are less common, can cause nerve compression in rare cases. Herein, we report the case of a 61-year-old man with an intramuscular lipoma on his right forearm. The lipoma entrapped the deep branch of the radial nerve and caused wrist drop and finger drop. A nerve conduction examination and electromyography were conducted to quantify the degree of and localize the nerve injury. Sonography provided the initial diagnosis of a lipoma, which was verified with magnetic resonance imaging. The lipoma was resected, and …