Left Elbow Joint Research Articles

ANALYSIS OF THE SPATIO-TEMPORAL CHARACTERISTICS OF THE TECHNIQUE OF KICKING WITH THE LEFT FOOT TO THE SIDE FROM THE LEFT-HANDED STANCE OF HIGHLY SKILLED ATHLETES SPECIALISING IN HAND-TO-HAND COMBAT

The relevance of the research topic. A wide arsenal of technical actions and a wide range of potential conflict situations that regularly occur in the course of martial arts determine the peculiarities of operations, actions and mechanisms for their improvement. The aim of the research was to analyse the indicators of the spatial-temporal structure of the technique of a kick with the left foot to the side from the left- handed stand performed by highly skilled sportsmen. Research methods: analysis of literature sources, video recording and biomechanical video computer analysis using the optoelectronic system "Qualisys", methods of mathematical statistics. Results. The movement of the biolinks of the athletes' body during the phase of preparing for the impact is from 0.03 m to 0.25 m. During the kicking phase, the values of the average velocities of the right ankle and right knee joints are 4.23 m·s-1 and 2.26 m·s -1 respectively. Conclusions. The execution of a blow is effective from the point of view of biomechanical analysis, and the indicators of the kinematic structure of movements during the execution of this blow can be used both as a reference sample of sports technique and for the development of model characteristics of movements based on them. The values of the average velocities of the shoulder, elbow, and carpal joints of the right hand during the walking phase are 0.50 m·s-1, 1.10 m·s-1, and 0.95 m·s-1, respectively. The average speed of the shoulder joint of the left hand is 0.69 m·s-1, the left elbow joint - 0.97 m·s-1, and the left carpal joint - 2.03 m·s-1. Such high indicators of the average speeds of the hand joints during the walking phase indicate swinging movements to increase the force of the impact due to the use of inertial forces. The movement of the biolinks of the athletes' body during the walking phase ranges from 0.08 m to 0.63 m. The values of the indicators of the joints of the upper limbs during the two support phases when performing a left leg kick to the side from the left stance are: right shoulder joint - 0.65 m·s-1, left shoulder joint -0.52 m·s-1, right elbow joint – 2.73 m·s-1, left elbow joint – 1.71 m·s-1, right and left carpal joints – 1.84 m·s-1. In the two-support phase, the movement of the studied body points of the athletes is in the range from 0.08 m to 0.56 m. The values of the average velocities of the studied body points of the athletes during the contact phase when performing a left leg kick to the side from the left stance range from 0.23 m s- 1 to 2.53 m·s-1, and the displacement of the same points during this phase is from 0.02 m to 0.20 m

A real-time CNN–BiLSTM-based classifier for patient-centered AR-SSVEP active rehabilitation exoskeleton system

The rehabilitation of stroke has brought a serious social burden to many countries. The augmented reality steady-state visually evoked potential (AR-SSVEP) exoskeleton rehabilitation system can effectively help stroke patients recover motor function and reduce the burden on society and rehabilitation physicians. However, the decoding accuracy and efficiency of AR-SSVEP in short time stimulus are low, and the types of trajectory decoded are few. It has a negative impact on the patient’s rehabilitation interest and efficiency. In this article, a patient-centered AR-SSVEP active rehabilitation exoskeleton system is developed based on the CNN–BiLSTM fast classification algorithm. The algorithm uses CNN architecture to improve model generalization, and uses BiLSTM to improve classification accuracy. The patient-centered interactive trajectory decoding logic based on a task-driven strategy is proposed to achieve patient-defined coordinated movement trajectory of the left and right upper limb shoulder elbow joints through the 6-class brain–computer interface (BCI). The offline and online experiments were conducted on the system. In offline experiments, under a 0.5 s time window, the classification accuracy rate was 98.5%, and the information transfer rate (ITR) reached 210 bits/min. In online experiment, the patient controlled the exoskeleton of the upper limb to perform four non-repetitive trajectories, with an average time of 319 s, which was 20% more than the standard reference time. The experimental results have shown the system can effectively improve the accuracy and efficiency of motion intention identification within short time stimulus, and decode patient-defined motion trajectory. In conclusion, this study will provide a new rehabilitation way for stroke patients.

Teratoma of the pericardium revealed by seronegative polyarthritis: A case report

Introduction: Rheumatoid arthritis (RA) is an inflammatory, autoimmune disease with preferential involvement of the synovium in the proximal joints of the hands and feet. Formerly known as chronic progressive polyarthritis or chronic rheumatoid arthritis, its course is characterised by joint erosion and destruction. Coronary heart disease and strokes, the consequences of atheromatous disease, are part of rheumatoid arthritis and are responsible for the increased morbidity and mortality observed in this disease. Cardiac tumours in children are rare. The frequent use of echocardiography has helped to detect them earlier and with greater sensitivity. Most cardiac tumours in children are congenital, primary and benign. Most are discovered in children under one year of age. The aim of this study is to report the discovery of this type of tumour in a 10-year-old child being treated for seronegative polyarthritis. Observation: We report the observation of a 10-year-old girl, from a non-consanguineous marriage, with a history of systemic arthritis on difal 25mg *2/d + MTX 0.8mg/kg/week. Present since the age of 3 with recurrent arthralgias, admitted for polyarthralgias, fever with chest pain and whose examination found swelling, pain and limitation of passive and active movement of the left knee joint and elbow joint. Biological work-up revealed inflammatory microcytic hypochromic anaemia, normal ferritin, elevated CRP and ESR, ECBU, stool culture, ASLO serology, sputum BK, sputum TB PCR, Gene Xpert in sputum, Quantiiferon, SAM work-up and rheumatoid factors (RF) were negative, antinuclear antibodies (ANA) positive. EX. Ophthalmology and abdominal ultrasound normal, chest X-ray reveals cardiomegaly (ICT 0.6), X-ray of the spine + knee + elbow showed a discreet increase in the transparency of the bone structure. ETT found an oval mass measuring 20/25mm at the level of the junction between OD and VD not managing the reflux of the tricuspid valve and THORACIC CT in favour of a mass adherent to the pericardium evoking in the first instance a teratoma. Conclusion: Cardiac tumours in children are rare, and pericardial teratomas are often benign. In this study, we emphasise the importance of looking for underlying cardiac disease in the presence of recurrent episodes of arthralgia in children. Early positive diagnosis of the disease and the therapeutic implications are vital.

Osteochondroma of the distal humerus: A rare location

Osteochondroma of the medial condyle of the humerus is rare; hence, diagnosis can be challenging as it may be confused with other causes of swelling around the elbow joint. This can lead to compression of neurovascular structure. We present a case of left medial condyle humerus osteochondroma with ulnar nerve involvement and conduct a literature review of this rare condition. A 25-year-old male patient presented with swelling around the left elbow joint for 1 year and tingling and numbness along ulnar nerve distribution for the last 3 months. He underwent an X-ray, magnetic resonance imaging, electromyography, and nerve conduction velocity that confirmed the diagnosis of an osteochondroma with ulnar nerve involvement. An excisional biopsy was subsequently done. In conclusion, the case is an atypical location of osteochondroma. The history, clinical presentation, diagnostic imaging, and management outlined may help in the early identification and management of this rare but complicated condition.

Navigating Isolated Post-Traumatic Radial Head Dislocation in Adolescents: A Case Report from Bangladesh Emphasizing Management Strategies

Background: Isolated anterior dislocation of the radial head is a rare orthopedic injury, oftenpresenting with distinct clinical features and requiring specialized management. We report the case of an 18-year-old female who presented to our hospital 5 months post-injury, complaining of restricted left elbow joint movement and pain following a fall from a low chair at home. Clinical examination revealed tenderness and anterior dislocation of the radial head, confirmed by radiographs showing isolated anterior dislocation without associated fractures. Closed reduction attempts failed, leading to an open reduction of radial head in combination with correction of malignant with ulnar osteotomy and reconstruction of annular ligament and radio-ulnar Kirschner wire placement for stabilization. An upper arm cast was applied with the forearm in neutral rotation for six weeks. At the 12-month follow-up, the patient exhibited a satisfactory range of motion within reference values, comprising 0-140 degrees of flexion-extension arc, 70 degrees of pronation, and 85 degrees of supination. This range aligned with standards set by the American Society for Surgery of the Hand. The patient reported no impediments in daily activities and returned to her pre-injury level of sports activity based on the Tegner scale. This case underscores the complexity of managing isolated anterior radial head dislocation, highlighting the significance of prompt diagnosis, appropriate reduction techniques, and meticulous postoperative care to achieve optimal functional outcomes. Central Medical College Journal Vol 7 No 1 January 2023 Page: 57-62

Effect of different postures and loads on joint motion and muscle activity in older adults during overhead retrieval.

Introduction: Pain is a common health problem among older adults worldwide. Older adults tend to suffer from arm, lumbar, and back pain when using hanging cabinets. Methods: This study used surface electromyography to record muscle activity and a motion capture system to record joint motion to research effects of different loads and retrieval postures on muscle activity and joint range of motion when older adults retrieve objects from a high place, to provide optimised feedback for the design of hanging cabinet furniture. Results: We found that: 1) The activity of BB (Biceps brachii) on the side of the body interacting with the cabinet door was greater than that of UT (Upper trapezius) and BR (Brachial radius) when retrieving objects from a high place, the activity of UT on the side of the body interacting with a heavy object was greater than that of BB and BR. 2) The activity of UT decreases when the shoulder joint angle is greater than 90°, but the activity of BB increases as the angle increases. In contrast, increasing the object's mass causes the maximum load on the shoulder joint. 3) Among the different postures for overhead retrieval, alternating between the right and left hand is preferable for the overhead retrieval task. 4) Age had the most significant effect on overhead retrieval, followed by height (of person), and load changes were significantly different only at the experiment's left elbow joint and the L.BR. 5) Older adults took longer and exerted more effort to complete the task than younger adults, and static exercise in older adults may be more demanding on muscle activity in old age than powered exercise. Conclusion: These results help to optimise the design of hanging cabinet furniture. Regarding the height of hanging cabinets, 180 cm or less is required for regular retrieval movements if the human height is less than 150 cm. Concerning the depth of the hanging cabinets, different heights chose different comfort distances, which translated into the depth of the hanging cabinets; the greater the height, the greater the depth of the hanging cabinets to use.

Особливості кутових характеристик техніки прямого удару правою рукою з лівосторонньої стійки у висококваліфікованих спортсменів, які спеціалізуються в рукопашному бою

Topicality. Among the most urgent and fundamental areas of hand-to-hand combat technique research, one can single out kinematic analysis within certain phases, as well as within the framework of a complete exercise. The Research Purpose is to determine of the angular characteristics of the right-hand strike technique from the left-sided stance of highly qualified athletes specializing in hand-to-hand combat. 12 highly qualified athletes took part in the research. The following Research Methods as theoretical analysis, pedagogical and mathematical methods have been used in the study. The Research Results. Since there is no swing phase of straight kick, the preparation phase of kicking immediately precedes the impact action phase. During the preparation phase, athletes slightly bend their left leg, the left knee joint angle decreases by 3,8° (from 123,1° to 119,3°), and in the left hip joint by 4,2° (from 134,4° to 130,2°). Since there is no early swing phase of straight kick, the preparation kick phase immediately precedes the percussive impact phase. During the preparation phase, athletes slightly bend their left leg, the left knee joint angle decreases by 3,8° (from 123,1° to 119,3°), and in the left hip joint angle – by 4,2° (from 134,4° to 130,2°). The right leg remains practically immobile: the right knee joint angle at the beginning of the phase is 137,1°, and at the end of the phase it is 136,5°, that is, it decreases by only 0,6°; the right hip joint angle at the beginning of the phase is 145,9°, and at the end of the phase is 147,8°, increasing by 1,9°. The angular indicators of the upper limbs movements during the preparation phase for the impact have the following changes: the left shoulder joint angle increases by 6° (from 44.6° to 50,6°), the left elbow joint angle decreases by 6° (from 57,3° to 51,3°), the right shoulder joint angle increases by 4,5° (from 30,4° to 34,9°), and in the right elbow joint angle increases by 19,8° (from 51,8° to 71,6°). Findings. The straight right hand kick from the left stance is one of the most widely used and effective kicks in hand-to-hand combat. Also, due this kick, the greatest damage is inflicted on the opponent.

CLINICAL VARIANT OF OSSIFYING MYOSITIS IN PEDIATRIC PRACTICE

Introduction. Ossifying myositis is a pathological process in muscles characterized by the formation of ossification in soft tissues. At present, the etiological factors of the disease remain not fully elucidated. The triggering factors of the disease are considered to be traumatic injuries, invasive medical manipulations against the background of genetic predisposition.Aim. Invite attention of general practitioners and pediatricians to a rare disease, namely progressive ossifying fibrodysplasia in children and the peculiarities of its diagnosis.Results. The article presents a clinical case of progressive ossifying fibrodysplasia (Munchmeyer's disease) in a 4-year-old girl. At birth, the child was diagnosed with a foot deformity characteristic of this pathology (shortening of the first metatarsal finger, flexion-rotation contracture of both feet). The clinic of the disease manifested itself at the age of 3 years, when, after falling on the back, a dense formation was noticed in the area of the left shoulder blade. Half a year after the fall, swelling and pain appeared in the sacro-coccygeal region of the spine. The girl was consulted by an orthopedist, dermatologist, and oncologist. During the examination of the child, characteristic clinical features of progressive ossifying fibrodysplasia were revealed, namely, deformation and fixed position of the chest, tense neck muscles, sharp limitation of movements in all parts of the spine, limitation of bending in the left elbow joint, clinodactyly, valgus deformity of the big toes. During the ultrasound examination, the following changes were diagnosed: swelling of muscle tissue in the neck area, subscapular area on the left and sacrococcygeal joint; multiple hypoechoic formations of irregular shape, heterogeneous echo structure with hyperechoic inclusions with an acoustic shadow; a focal change in the muscle structure in the form of a loss of the characteristic pinnate structure of the perimysium. The diagnosis was confirmed histologically. No characteristic changes were found in clinical and biochemical studies. The girl is under supervision. No worsening of the child's condition has been recorded over the past four years.

Reactive arthritis after Gam-COVID-Vac vaccination: A case report.

Although the safety and efficacy of vaccinations have been evaluated through clinical trials, medical experts and authorities are very interested in the reporting and investigation of adverse events following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) immunisation in the general public. This article reports about a 41-year-old man without a history of underlying diseases, complaining of continuous morning stiffness and acute discomfort in his left elbow joint, 20 days after taking the first dosage of Sputnik V. The case was extensively studied, and a possible diagnosis of reactive arthritis was made.

Venolymphatic Malformation over the Left Elbow and Left Breast: A Rare Case Report

Venolymphatic malformations occur due to dysplasia of lymphatic and venous vessel structures. These tumour-like lesions cause tissue abnormality with impaired function and have aesthetic importance when involving the craniofacial region. Vascular lesions are classified as haemangiomas and other vascular malformations. They are named after the vessels involved in malformation like arterial, venous, lymphatic, or mixed types. Present study represents a rare case report of a 23-year-old patient who presented to our hospital with swelling over the left elbow and a lump over the left breast, which was diagnosed as venolymphatic malformation involving the left breast and left elbow joint, which is an unusually affected anatomical region by this congenital anomaly. Ultrasonography (USG), the primary tool for diagnosis, was performed. Later, the patient underwent Magnetic Resonance Imaging (MRI) for confirmation and to determine the extent of the lesion. Excision of the lesion was done over left elbow completely with a wide margin. Histopathology confirmed the final diagnosis. Venous malformations (VM) are the most common among these congenital malformations, with an incidence of over 50%. Lymphatic malformations (LM) have a much lower incidence than venous malformations, but the combination of venous and LM has a very low incidence.

ANÁLISE DOS EFEITOS DO TREINAMENTO DE FORÇA DE ALTA INTENSIDADE SOBRE A MUSCULATURA E O METABOLISMO DE ESTUDANTES UNIVERSITÁRIOS

ABSTRACT Introduction: Recent studies shows that college students have decreased physical fitness and increased obesity rates, and the rate of obesity will continue to increase over time. Objective: Study the effect of high-intensity strength training on college students’ muscle optimization and metabolic recovery. Methods: This paper adopts the experimental control method. An experimental group performed high-intensity strength training and completed the training with the help of the existing equipment in our school's gym. The control group used normal aerobic training to complete the running training and other movements in athletics. The experimental and control groups were trained three times a week for one hour at a time. Results: In the experimental group, left arm elbow joint extension was optimized to (18.405 ± 2.8878) kg after the experiment, P<0.05; right leg knee joint extension was optimized to (38.754 ± 6.6556) kg after the experiment, P<0.01; serum total cholesterol was optimized to (3.682 ± 0.2643) mmol/L after the experiment, P<0.01. Conclusion: High-intensity strength training, when compared with ordinary aerobic training, has a better optimizing effect on college students’ indicators and higher exercise efficiency. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

Rapid autologous point‐of‐care transplantation of the adipose‐derived stromal vascular fraction in a dog with cubarthrosis

AbstractA 1‐year‐old shepherd dog was presented in the veterinary hospital due to left‐sided cubarthrosis and persisting weight‐bearing lameness of the left forelimb after a fragmented coronoid process in the left elbow joint had been removed at the age of 6 months. An autologous point‐of‐care transplantation of adipose tissue‐derived regenerative cells was performed using ARC System (InGeneron, Houston, TX, USA). Pre‐ and postoperative investigations included orthopaedic and radiographic examinations, gait analyses as well as two owner questionnaires, Liverpool Osteoarthritis in Dogs and Canine Brief Pain Inventory. After 1, 2, 3, 6 and 12 months of treatment, the dog showed an improvement of peak vertical force and vertical impulse in the gait analyses as well as. The Canine Brief Pain Inventory and the Liverpool Osteoarthritis in Dogs revealed an improvement of the quality of life within all further control visits up to 12 months after the therapy.

Constraining Morphologies of Soft Tissues in Extinct Vertebrates Using Multibody Dynamic Simulations: A Case Study on Articular Cartilage of the Sauropod Dreadnoughtus

Rarity of soft tissue preservation, including of articular cartilage, in the fossil record hinders creation of biologically-realistic mechanical models. Previous studies of articular cartilage in extant taxa have documented important aspects of cartilage shapes and thicknesses, but these insights remain generalized and have yet to see systematic implementation in biomechanical modeling. Herein, we present a new method for modeling joints that allows for testing of hypotheses about articular cartilage morphology in extinct taxa. Our case study examines the left elbow joint of the sauropod dinosaurDreadnoughtus schraniusing articular cartilage reconstructions constrained by extant phylogenetic bracketing (EPB). EPB investigations of alligator and chicken articular cartilage revealed the presence of a spherical anterior projection of cartilage on the distal humerus which articulates with the radius during flexion. Importantly, this shape does not directly mirror the underlying bone. Using multibody dynamic models created in Adams™ withouta priorirestrictions on joint degrees of freedom, we simulated the effects of three alternative cartilage reconstructions based on these EPB findings which differ in mediolateral placement of a cartilage sphere and its anteroposterior thickness, encompassing a range of possibilities for the condition inDreadnoughtus. Bone kinematics and contact area (calculated in Geomagic®) were tracked. Additionally, we modeled the elbow of an alligator and turkey using the same methodology and compared the results to XROMM (X-ray Reconstruction of Moving Morphology) analysis of the same limbs. Each model produced distinct results but were generally similar supporting our modeling methodology. Based on these findings, we predict thatDreadnoughtus, and presumably other extinct archosaurs, had a spherical projection of cartilage on the anterior face of the distal end of the humerus for articulation with the radius. Though many valuable insights have been gained by existing modeling methodologies, we chose a different approach that focused on joint contact surfaces. Moreover, applying our methods within a quantitative hypothesis-testing framework can advance the field of paleobiology by testing hypotheses relating shape and kinematics that are not possible with prescribed joint motions.

Takotsubo Syndrome in a Young Patient After a Neurosurgical Operation

Cardiomyopathy syndrome (stress-cardiomyopathy) is an acute reversible systolic dysfunction of left (or rare right) ventricle without stenotic atherosclerosis and/or thrombosis of coronary artery. We are presenting a case of stress-cardiomyopathy after the neurosurgery. Aim : The aim of this observation is to demonstrate a case of takotsubo syndrome in a young patient in the early postoperative period. Key points : A 21-years-old woman was hospitalized in the neurosurgery department. Hospitalization was performed due to persistent pain in the left elbow joint with irradiation to left 4 & 5 hand fingers as well as dysfunction of the left elbow joint, as a result of previous surgical intervention for a fracture one year before. Due to the lack of a positive effect from conservative therapy, it was decided to conduct a second surgical treatment. Decompression of the left ulnar nerve was performed at the level of the cubital canal with its transposition. This was complicated by the development of takotsubo syndrome in the postoperative period, confirmed by echocardiography, ECG, as well as the absence of atherosclerotic changes in the coronary artery according to coronary angiography. Conclusio n: The early postoperative period may complicate of development of takotsubo syndrome, in the neurosurgical operations and in the young age too.

Design of a Professional Sports Competition Adjudication System Based on Data Analysis and Action Recognition Algorithm

This paper uses data analysis and action recognition algorithms to conduct in-depth research and analysis of professional sports competition judging and designs a professional sports competition-assisted judging system for use in actual judging. In this paper, a wearable motion capture system based on an inertial sensing unit is developed and designed for kayaking technical motion monitoring to achieve the acquisition, analysis, and quantitative evaluation of kayaker motion data. To limit the gyroscope and pose estimation error, a gradient descent method is used for multisensor data fusion to achieve athlete pose update, and a quaternion-driven human skeletal vector model is proposed to reconstruct the kayaker’s paddling technical movements. By calculating the angular sequences of the left shoulder, right shoulder, left elbow, and right elbow joints of the athlete’s upper limbs and comparing them with the optical motion capture system, the results show that the motion capture system developed in this paper is comparable to the optical motion capture system in terms of measurement accuracy. It ultimately affects the result of pose estimation. Therefore, high-resolution networks and low-resolution networks can continuously maintain high-resolution features of the image by allowing each representation layer to repeatedly accept the representation information of other networks. A step matrix model is constructed to encode the multiscale global temporal information of action sequences, and action classification is achieved by calculating the response of the step matrix of test samples to the step matrix of each category of actions. The algorithm achieves 78.96%, 91.84%, and 91.18% accuracy of action classification on the Northwestern-UCLA database, MSRC-12 database, and CAD-60 database, respectively. The designed visual motion tracking system was applied to record the motion data of the experimental subjects in the fine motion assessment task and construct the motion assessment database. The experimental results show that the average error between the prediction results of the proposed action assessment method and the manual scoring is 1.83, and the automated assessment of fine movements is effectively realized.

Investigating the Effect of Keyboard Distance on the Posture and 3D Moments of Wrist and Elbow Joints among Males Using OpenSim.

Musculoskeletal disorders (MSDs) of the upper extremities and computer use are common in modern societies, and both show a growing trend. This study was conducted to determine the posture and 3D moments of wrist and elbow joints at different keyboard distances on a desk. Twelve healthy right-handed male volunteers attended the motion analysis laboratory. A keyboard was placed at three different distances from the participants' bodies while performing a standard computer task. The workstation was adjusted according to ANSI/HFES-100-2007 standard for each participant to maintain a comfortable ergonomic posture for controlling confounding variables. Qualisys motion capture system, OpenSim (Ver. 4.1), and visual analog scale were used to collect and analyze the data. The highest levels of wrist flexion and radial deviation as well as elbow flexion and pronation were observed when the keyboard was at the edge of the desk. When the keyboard was 8 cm away from the edge of the desk, the right wrist flexion and radial deviation decreased 83% and 89%, respectively. In the left wrist, flexion and radial deviation decreased 94%. With increasing the distance of the keyboard from the edge of the desk, the right elbow flexion, pronation, and left elbow flexion decreased, 95%, 76%, and 85%, respectively. No significant difference was found for the left elbow pronation, wrist, and elbow joint moments, in the studied keyboard distances. However, a cut-off point has to be specified because large keyboard distances cause high extension and flexion of the limbs. The keyboard position relative to the body is an important parameter in computer work and has a significant impact on the posture of the upper extremities. A keyboard should be located at a distance that allows the upper extremities to remain in a neutral position so that the risk of MSDs is reduced.

A Case Report to Study the Effectiveness of Cupping Therapy on Medial Epicondylitis/Golfers Elbow

Golfer’s elbow or Thrower’s elbow, also known as Medial epicondylitis refers to the chronic tendinosis of the flexor-pronator musculature, that is inserted on the medial epicondyle of the humerus. The overuse or repetitive stress on the elbow joint results in this tendinopathy. The Cardinal symptom is Pain on the inner and medial aspect of elbow joint & forearm, the stiffness of elbow and tingling sensation or numbness on forearm or fingers. The non-operative treatment includes mainly Activity modification, rest, ice application, counter force bracing, anti-inflammatory medicines, corticosteroid injections while Surgery involves the open debridement and reattachment of the flexor/pronator group. A 51 years old male patient visited Kunwar Shekhar Ayurvedic hospital Shalya OPD with complaints of Severe pain (Shoola), swelling (Shotha), stiffness (Stabhdhta) on Left Elbow joint medial aspect, pain radiating from Left elbow to forearm while twisting or grasping any object or doing the strainful activities, pain and restriction in movements since 1 year. The patient was indulged in wood cutting act from last one year and after that he suffered from these problems. X Ray examination of elbow joint and hand was normal. As well as, the essential blood tests were in normal range. After careful assessment and examination, he was diagnosed with Medial epicondylitis/Golfer’s elbow. The patient was given total 4 sittings of cupping therapy on affected site. The main aim of this study is to estimate the effectiveness of Rakta Visaravana technique via Cupping therapy in Medial epicondylitis and to put forth an alternative treatment modality in its management other than the Surgical and nonsurgical regimes. However, this intervention proved to be successful in providing a symptomatic relief to the patient. Thus, Cupping therapy serves to be a good therapeutic alternative to Conventional management modalities for Medial epicondylitis/Golfer’s Elbow.

A Case Report of Capitellum Fracture Treated using Herbert Screw

Capitellar fractures are intra-articular elbow injury & it is an uncommon type of elbow injuries that can cause and affect severe functional limitation if not treated correctly. Various treatment options have evolved over the years, from cast immobilization to closed reduction fixation and now finally open reduction fixation is used as a better treatment option. Open reduction internal fixation provides excellent fixation to the fracture site and helps in achieving a stable joint that help in early mobilization of the elbow joint after trauma. Which also prevents late complications such as myositis ossificans. This is a case report of capitellar fracture, a typical type -1 Hahn-Steinthal fracture of left elbow joint in a 14 year old adolescent male treated using Herbert’s screw fixation. Here after three months of post-op follow-up it shows good interfragmental compression, early mobilization, excellent recovery & Implant removal is rarely necessary.

Relationship of Selected Kinematic Variables to The Technique of Pull Shot in Cricket

The current study aims to analyze the relationship of selected kinematic variables to the technique of pull shot in cricket. For the purpose of the study the researcher purposively selected five male inter-university cricket players from lnipe, gwalior of 18 to 24 years., the technique of pull shot in batting performance of each selected subjects was recorded on the basis of certain criteria (point system). It was divided into 2 components; 1. placement of feet and 2. execution (contact) each consist of maximum 10 points. The angles at selected joints were recorded to the nearest degree. The c.g. was measured nearest to the 1/10th of the centimetre. On the basis of sequence photographs obtained from the videography, the scholar developed stick figures from which selected kinematic variables was calculated. The center of gravity of whole body was determined by kinovea software. To find the the relationship of selected kinematic variables to the technique of pull shot in cricket pearson product moment correlation coefficient was used by means of spss software. It was found that, in case of moment execution angle at left shoulder joint and angle at left elbow joint showed significant relationship with performance.

O18 When joints vanish

O18 When joints vanish