[Purpose] The purpose of this study was to evaluate whether ultrasound alone or
ultrasound with bee venom is effective in treating delayed onset muscle soreness of the
biceps brachii muscle, using the visual analogue scale, range of motion test (flexion and
extension), and serum creatine kinase level. [Subjects] Twenty women participated in this
study. [Methods] Repeated eccentric contractions were used to induce delayed onset muscle
soreness in the elbow flexor of the subjects. The subjects were randomized to be treated
with ultrasound alone or ultrasound with bee venom. We evaluated the effects of treatments
in the 2 groups. Individual subjects were assessed using the visual analogue scale, range
of motion test, and serum creatine kinase level. The assessment parameters were evaluated
4 times: before exercise and 24, 48, and 72 hours after exercise. [Results] The visual
analogue scale scores were significantly different before and after the experiment in both
the group treated with ultrasound and the group treated with ultrasound and bee venom. The
difference in elbow flexion and extension before and after the experiment was
significantly different in both groups. No significant difference was found in the serum
creatine kinase levels before and after the experiment. [Conclusion] Treatment with
ultrasound and bee venom is effective for managing delayed onset muscle soreness.
The results indicate that patients with migrainous vertigo show abnormal VEMP findings, suggesting that migrainous vertigo might have a lesion at the sacculocollic pathway.
Various methods have been used to treat zygomatic arch fractures, but no optimal modality exists for reducing these fractures and supporting the depressed bone fragments without causing esthetic problems and discomfort for life. We developed a novel aqua splint and suture technique for stabilizing isolated zygomatic arch fractures. The objective of this study is to evaluate the effect of novel aqua splint and suture technique in isolated zygomatic arch fractures. Patients with isolated zygomatic arch fractures were treated by a single surgeon in a single center from January 2000 through December 2012. Classic Gillies approach without external fixation was performed from January 2000 to December 2003, while the novel technique has been performed since 2004. 67 consecutive patients were included (Classic method, n = 32 and Novel method, n = 35). An informed consent was obtained from all patients. The novel aqua splint and suture technique was performed by the following fashion: first, we evaluated intraoperatively the bony alignment by ultrasonography and then, reduced the depressed fracture surgically using the Gillies approach. Thereafter, to stabilize the fracture and obtain the smooth facial figure, we made an aqua splint that fit the facial contour and placed monofilament nonabsorbable sutures around the fractured zygomatic arch. The novel aqua splint and suture technique showed significantly correlated with better cosmetic and functional results. In conclusion, the aqua splint suture technique is very simple, quick, safe, and effective for stabilizing repositioned zygomatic arch fractures. The aqua splint suture technique can be a good alternative procedure in isolated zygomatic arch fractures.
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