Daniel Prohaska

Diagnosis and management of adhesive capsulitis.

Adhesive capsulitis is a musculoskeletal condition that has a disabling capability. This review discusses the diagnosis and both operative and nonoperative management of this shoulder condition that causes significant morbidity. Issues related to medications, rehabilitation, and post surgical considerations are discussed.

Clinical commentary and literature review: diagnosis, conservative and surgical management of adhesive capsulitis

Adhesive capsulitis is a painful musculoskeletal condition of the glenohumeral joint causing limitation of motion and pain. To date the aetiology of adhesive capsulitis remains somewhat of a mystery. Standard of care generally consists of conservative management which can be followed by surgical intervention if adequate function is not attained. Conservative treatment can often be a long and frustrating course. Patience and persistence usually prevail with a functional return following either conservative or surgical intervention.

Superior labrum anterior to posterior (SLAP) rehabilitation in the overhead athlete.

Due to the complexity of shoulder pathomechanics in the overhead athlete, injuries located in the superior aspect of the glenoid, known as superior labral anterior to posterior (SLAP) lesions, are often a surgical and rehabilitation challenge. In an effort to determine surgical versus conservative care of SLAP lesions a thorough clinical examination and evaluation are necessary. If surgery is identified as the treatment of choice, post operative rehabilitation will vary pending surgical findings including the extent and location of the SLAP lesion, and other concomitant findings and procedures. This manuscript will provide an overview of the pathology, examination and evaluation of SLAP lesions, surgical management and post operative rehabilitation following various SLAP categories.

Recent advances following anterior cruciate ligament reconstruction: rehabilitation perspectives: Critical reviews in rehabilitation medicine

Injuries to the anterior cruciate ligament are common. Surgical reconstruction is more prevalent than ever. This review article discusses treatment of the patient following surgical reconstruction of the anterior cruciate ligament. Various phases of rehabilitation are discussed with emphasis on early return of passive motion, early weight bearing, bracing, kinetic chain exercises, neuromuscular electrical stimulation and accelerated rehabilitation. Although evidence exists for the treatment of the surgically reconstructed cruciate ligament, more is needed to better define specific timeframes for advancement. Evidence exists that many of these young individuals are not fully returning to unlimited high level activities. This review article presents some of the latest evidence regarding anterior cruciate ligament rehabilitation in an attempt to help the busy clinician understand and relate basic and clinical research to rehabilitation of a patient following reconstruction.

Chondroblastoma in a metatarsal.

Chondroblastoma is a rare primary tumor of bone. Bone tumors affecting the foot are also relatively uncommon. This report presents a case of a chondroblastoma in the second metatarsal epiphysis treated with curettage.

Thrower's Exostosis in a Collegiate Pitcher

The patient was an 18-year-old male collegiate pitcher who was referred to physical therapy for the treatment of chronic posterior right shoulder pain, which was most noticeable during the late cocking phase of throwing. Previous imaging was interpreted as normal. Despite a completed course of rehabilitation and diagnostic arthroscopy 3 months prior, the patients shoulder pain did not improve. Additional radiographs and a magnetic resonance arthrogram were ordered, which revealed an exostosis along the posterior inferior glenoid rim. Following arthroscopic removal of the exostosis, the patients symptoms resolved and he is now throwing without pain or limitations. J Orthop Sports Phys Ther 2009;39(9):702. doi:10.2519/jospt.2009.0409