Eric Magrum

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  • in reply to: Patient Case Discussion #6350
    Eric Magrum
    Keymaster

    TOS = description of sxs in a region that is dynamic (rib cage/breathing).

    Vascular TOS (< 5%)- should be a red flag, and think anomalies versus Neurogenic TOS (> 90%) which you need to think of structures in the TOS region.

    What are those structures to specifically asses?

    What objective measures/”special tests” stress those specific tissues; and how can that information help you be more specific to guide treatment?

    Please continue this discussion – always a challenging patient presentation with clinical reasoning/asses-re asses to guide specific treatment decision making.

    in reply to: May Journal Club #6301
    Eric Magrum
    Keymaster

    Here are some of my thoughts/questions:
    – What about training history/errors prior to injury/beginning of season
    – Specifics of her orthotics – do they accomplish what you would think they should
    – what does imaging (-) mean – what imaging, and what results – can guide treatment decision making or mean nothing
    – Please discuss search strategy/results, and how came to choose this specific article
    – MTSS is a continuum from soft tissue to bone pathology – where do you feel she is on this spectrum?
    – ? walking, and running gait mechanics
    – what is the medial gutter in this case (knee joint assesed arthroscopically)

    Looking forward to the discussion

    in reply to: April Journal Club #6271
    Eric Magrum
    Keymaster

    Kevin Wilke was and always has been big on perturbation training for all injuries – especially ACL (unexpected perturbation training especially).

    Here’s a good resource from him.

    Page 4 starts to talk about Kinesiophobia and return to sport, and proceeds into perturbation training.

    Sorry videos not included.

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    in reply to: April Journal Club #6262
    Eric Magrum
    Keymaster

    Where do biopsychosocial factors fit in here; especially with LSI > 90%.

    How do you address?

    Lots of evidence here to be aware of and clinically asses/address.

    – Physiother Theory Pract. 2017 Feb;33(2):103-114.
    Factors informing fear of reinjury after anterior cruciate ligament reconstruction.
    Ross CA1, Clifford A2, Louw QA.

    – Decision to Return to Sport After Anterior Cruciate Ligament Reconstruction, Part I: A Qualitative Investigation of Psychosocial Factors.
    Burland JP, Toonstra J, Werner JL, Mattacola CG, Howell DM, Howard JS.
    J Athl Train. 2018

    – The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction.
    Ardern CL, Österberg A, Tagesson S, Gauffin H, Webster KE, Kvist J.
    Br J Sports Med. 2014 Dec;48(22):1613-9

    in reply to: Patient Case Discussion #6200
    Eric Magrum
    Keymaster

    From the Non Arthritic Hip CPG – newer updated articles out there as well.

    Maeyama A, Naito M, Moriyama S, Yoshimura I. Periacetabular
    osteotomy reduces the dynamic instability of dysplastic
    hips. J Bone Joint Surg Br. 2009;91:1438-1442. http://dx.doi.
    org/10.1302/0301-620X.91B11.21796

    Another more recent article with author to know (Clohisy JC)

    Intermediate-Term Hip Survivorship and Patient-Reported Outcomes of Periacetabular Osteotomy: The Washington University Experience.
    Wells J, Schoenecker P, Duncan S, Goss CW, Thomason K, Clohisy JC.
    J Bone Joint Surg Am. 2018 Feb 7;100(3):218-225.

    in reply to: Patient Case Discussion #6199
    Eric Magrum
    Keymaster

    Alright so since no one is very helpful for Sarah and this case.

    Big “gap in Knowledge” here.

    What a perfect opportunity to work on some “Clinical Questions/Searching the Evidence” to answer patient specific questions.

    So before I jump in in my thoughts, and steer this discussion.

    I would like each resident to come up with a PICO question related to this case; search the evidence, review a related article, and post clinical thoughts/applicability.

    in reply to: Test #6197
    Eric Magrum
    Keymaster

    Test 2 with attachment different

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Viewing 7 posts - 31 through 37 (of 37 total)