This case study presents the comprehensive post-laminectomy physiotherapy management of Saroj Devi, a 47-year-old female patient diagnosed with cervical canal stenosis. Following a laminectomy procedure to alleviate spinal cord and nerve root compression, Saroj experienced persistent neck pain, reduced mobility, upper limb weakness, and sensory deficits. The aim of this case study was to describe the assessment findings, goal setting, treatment interventions, and outcomes of Saroj's physiotherapy intervention. The treatment approach included pain management techniques, range of motion exercises, strengthening exercises, sensory re-education, endurance training, and patient education. Over the course of several weeks, Saroj demonstrated remarkable improvements in pain reduction, neck mobility, upper limb strength, sensory function, and endurance. This case study emphasizes the importance of physiotherapy in post-operative management of cervical canal stenosis, highlighting its role in enhancing functional recovery and improving the quality of life for patients like Saroj Devi.
Monteggia fractures account for less than 1% of all paediatric elbow dislocations, with a peak age of 4 to 10 years. Although rare, they receive considerable interest because they are often missed, resulting in poor outcomes. There have been numerous reports of Monteggia equivalents including the three most common-isolated radial head dislocation, fracture of the proximal ulna with fracture of the radial neck and both bone proximal third fractures with radial fracture more proximal than the ulnar fracture. We present a case of 6 year old boy with minimally comminuted metaphyseal fracture of ulna extending to proximal diaphysis with anterior dislocation of radial head managed by closed reduction and fixation by percutaneous Kirschner-Wires.
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