CLINICAL AND RADIOGRAPHIC EVALUATION OF ELBOWS FROM SPINAL CORD INJURIED PATIENTS.

Fabiana De Godoy Casimiro,Américo Zoppi Filho,Gabriel Faria De Oliveira,Isabella Da Costa Gagliardi,Alberto Cliquet Junior,Pedro Henrique De Magalhães Tenório

doi:10.1590/1413-785220162402154665

Fabiana De Godoy Casimiro, Américo Zoppi Filho + Show 4 more

Open Access

https://doi.org/10.1590/1413-785220162402154665

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Abstract

Objectives: To evaluate clinically and radiologically the elbows of spinal cord injured patients and compare them to the control group. Methods: Twenty patients (10 paraplegics and 10 tetraplegics) were clinically evaluated through assessment of pain scale, measurement of active and passive range of motion, degree of muscle strength and MEPS score. They were also submitted to bilateral plain radiography of the elbows. Both groups were compared to the control group. Results: Four paraplegic and three tetraplegic patients referred mild to moderate, sporadic and motion related pain. The control group was asymptomatic. No statistic significant difference was found in passive range of motion among the three groups. The tetraplegic group showed a lower active range of motion as well as lower MEPS score as compared to the control group. Equal number of patients in the spinal cord injured patients had radiological abnormalities, but those were more severe in the tetraplegic group. Conclusion: Spinal cord injured patients presented clinical and radiological elbow abnormalities, which were more evident on tetraplegics. Level of Evidence III, Case Control.

Highlights

Twenty patients being treated at the Laboratory of Biomechanics and Rehabilitation of the Locomotor System of Hospital das Clínicas da Faculdade de Ciências Médicas da Universidade Estadual de Campinas, Unicamp, SP, Brazil were divided into two groups: 10 paraplegics and 10 quadriplegics
Thirty subjects were divided into groups – paraplegics, quadriplegics and control group (CG) – with 10 individuals each, eight men and two women
There were no complaints of severe pain among all individuals and no pain whatsoever in the control group

Summary

Original Article

Clinical and Radiographic Evaluation of ELBOWS FROM Spinal Cord InjurIED Patients. Fabiana de Godoy Casimiro[1], Gabriel Faria de Oliveira[1], Pedro Henrique de Magalhães Tenório[1], Isabella da Costa Gagliardi[1], Américo Zoppi Filho[1], Alberto Cliquet Junior[1]. 1. Universidade Estadual de Campinas, Faculdade de Ciências Médicas, Department of Orthopedics and Traumatology, Campinas, SP, Brazil

MATERIALs and MeThODs

RESULTS

Medial osteophyte ulnar humerus

Osteophyte in olecranon