Journal of manipulative and physiological therapeutics · 2002
Osteogenesis imperfecta in a weightlifter.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Yochum Terry R, Kulbaba Stephen, Seibert Richard E
Аннотация
OBJECTIVE: To discuss the case of a 42-yr-old weightlifter with osteogenesis imperfecta.
CLINICAL FEATURES: The patient had bilateral acute elbow pain and a previous history of more than 35 fractures of the spine and extremities.
INTERVENTION: There is no current treatment for osteogenesis imperfecta. Treatment objectives were designed to minimize pain, improve range of motion, and decrease stress on the elbow joints. Nutritional supplementation was used to help maintain bone density. The elbow pain improved with treatment, and the patient has had no new fractures in the last 6 years.
CONCLUSION: Although most patients with osteogenesis imperfecta are physically inactive because of the high risk of fracture, some patients with milder forms of the condition may be involved in some athletic activities. Although manipulation is contraindicated in patients with osteogenesis imperfecta, chiropractors may be of service by offering pain relief and rehabilitation, in addition to advice regarding nutrition and supplements.
CLINICAL FEATURES: The patient had bilateral acute elbow pain and a previous history of more than 35 fractures of the spine and extremities.
INTERVENTION: There is no current treatment for osteogenesis imperfecta. Treatment objectives were designed to minimize pain, improve range of motion, and decrease stress on the elbow joints. Nutritional supplementation was used to help maintain bone density. The elbow pain improved with treatment, and the patient has had no new fractures in the last 6 years.
CONCLUSION: Although most patients with osteogenesis imperfecta are physically inactive because of the high risk of fracture, some patients with milder forms of the condition may be involved in some athletic activities. Although manipulation is contraindicated in patients with osteogenesis imperfecta, chiropractors may be of service by offering pain relief and rehabilitation, in addition to advice regarding nutrition and supplements.