Myositis-related death was reported in two patients: acute respiratory failure in autoimmune necrotizing myopathy and dysphagia-related complications in polymyositis. Ovarian cancer during the follow-up period occurred in two patients (one with polymyositis and one with dermatomyositis). Patients with overlap myositis were more likely to have polyarthritis mimicking rheumatoid arthritis, reduced capillary density in the nail fold capillaroscopy and Raynaud syndrome. Interstitial lung disease (ILD) was most frequently seen in patients with antisynthetase syndrome. The overall median follow-up period was 23-months (9-44.75).
We enrolled 32 patients (25 were female): six patients with dermatomyositis, six with polymyositis, eleven with overlap myositis, six with antisynthetase syndrome, one with autoimmune necrotizing myopathy, one with juvenile antisynthetase syndrome and one with juvenile dermatomyositis. Comparisons between myositis subgroups were conducted using Fisher’s exact test. Disease activity and damage were measured by the newest standardized assessment-tools for clinical studies. We performed a subtype reclassification using the 2017 EULAR/ACR criteria, following the example of the EuroMyositis registry. To describe our myositis cohort in-depth.įrom January 2006 to December 2018, all newly diagnosed myositis patients were retrospectively enrolled in the study. A search for an ideal bone graft is on and may continue time to time.Īpplication Bone Bone graft Bone replacement Bone bank Principle. Bone grafts and implants can be selected as per clinical problems, the equipment available and the preference of the surgeon.
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Bone banks are the source of bone grafts and implants and necessary for providing biological material for a series of orthopedic procedures. An ideal bone graft substitutes should be biologically inert, readily available, must possess osteogenic, osteoinductive and osteoconductive properties, provide mechanical support, easily adaptable in terms of size, shape, length and substituted by the host bone. A bone graft can be harvested from the iliac crest, proximal tibia, proximal humerus, proximal femur, ribs, and sternum. Osteogenesis, osteoinduction, osteoconduction, mechanical supports are the four basic mechanisms of bone grafting and help bone tissue to regenerate completely. Autogenous, allogeneic, and artificial bone grafts are common types and sources of grafts and the advancement of allografts, synthetic bone grafts, and new operative techniques may have influenced the use of bone grafts in recent years. Bone grafts and bone graft substitutes are indicated for a variety of orthopedic abnormalities such as comminuted fractures (due to car accidents, falling from a height or gunshot injury), delayed unions, non-unions, arthrodesis, osteomyelitis and congenital diseases (rickets, abnormal bone development) and are used to provide structural support and enhance bone healing. She was not forced to miss any work because of the treatment and can now do all the things she needs to do for work.įrozen shoulder Adhesive capsulitis Manipulation Active release therapy Non-invasive treatment.īone grafting is a surgical procedure that replaces missing bone through transferring bone cells from a donor to the recipient site and the graft could be from a patient’s own body, an artificial, synthetic, or natural substitute. Over a course of five weeks, using a soft tissue manipulation technique known as active release technique along with electrified acupuncture and home exercises, we were able to increase her range of motion to near normal and her function to normal. In our course of treatment we wanted to see if we could significantly improve pain-free range of motion and normal function without using invasive treatments like surgery and manipulation under anesthesia. She had not responded to typical physical therapy but did respond to active release therapy along with adjunctive manipulation and acupuncture. This case documents the treatment of a middle-aged woman with chronic, unresponsive adhesive capsulitis (frozen shoulder) using manipulation, active release therapy, and electronic acupuncture.
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