Chronic proximal patellar tendinopathy is a common condition in sports medicine that may be refractory to nonoperative treatments, including activity modification, medications, and comprehensive rehabilitation. Percutaneous ultrasonic tenotomy is a recently developed technique designed to cut and debride tendinopathic tissue, thus promoting pain relief and functional recovery. We present a case of a collegiate athlete with chronic proximal patellar tendinopathy who was effectively treated with percutaneous ultrasonic tenotomy after not responding to extensive nonoperative treatment, surgical debridement, and platelet-rich plasma injections. Percutaneous ultrasonic tenotomy can be considered as a treatment option in patients presenting with refractory proximal patellar tendinopathy, including those who do not respond to previous operative intervention.
the educational initiative. 2. Calculation of the total number of medications, PIMs, and the ABS score at the time of admission, transfer, and discharge with statistical comparison at each point of patient care. Results or Clinical Course: Analysis of 22 patients was conducted and compared to data collected pre-and post-intervention.Total number of medications decreased from 13.08 to 11.75 (10.18%), the number of PIM's decreased from 3.77 to 2.80 (25.73%), and the ABS score decreased from 1.84 to 1.65 (10.22%). Conclusions: The use of the MAT in combination with polypharmacy rounds, appears to be an effective means to encourage appropriate prescribing practices for reducing the total number of medications, PIMs, and the ABS score at discharge in patients over the age of 65.
Objectives: This is a prospective feasibility study of nine subjects recruited 1-3 days following transtibial amputation, from October 2013 to October 2014. The investigators assessed the accuracy of the K-level provided by an experienced clinician 6 weeks following amputation, by comparing it to an Amputee Mobility Predictor (AMP) determined K-level at 6 weeks following amputation and the subjects' actual K-level 6 months post-operatively.
Methods:This study obtained an prior to prosthetic fitting on a series of consecutive patients who underwent transtibial level amputation. The main outcome measures were clinicianpredicted K-levels, AMPnoPRO scores, SF-36 results 6 weeks post-amputation, and actual K-level function at 6 months post-amputation.Results: In 7 of 9 cases, the physician predicted K level was accurate as compared to the subjects' K-level at their 6-month follow-up, whereas the AMP predicted K-level was accurate in 4 of 9 cases. Data from the SF-36 revealed marked variance in our subjects from the societal norm for physical functioning, emotional health, and social functioning.
Conclusions:The AMPnoPRO is an established, objective tool used for predicting K-levels. In comparison, predictions made by an experienced clinician were very accurate. This is the first prospective study to assess the determination of K-levels in people with lower extremity amputation before receiving their initial prosthesis.
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