Radicular Pain after Hip Disarticulation: A Clinical Vignette.

Abstract:

:A 36-year-old male with history of industrial accident causing traumatic left hip disarticulation, pubic symphysis and right sacroiliac joint fractures presented with a three-year history of left-sided lower back pain radiating down the amputated limb. Computed tomography lumbar spine showed osteophytes surrounding the sacroiliac joint bilaterally with reduced left L4-L5 foraminal space. A fluoroscopically-guided left sacroiliac steroid injection led to mild improvement in low back pain. Magnetic resonance imaging (MRI) of the lumbar spine without contrast showed transitional type L5 vertebral body with left-sided flowing osteophytes abutting the extraforaminal L4 and L5 nerves. Ultimately, multi-level left fluoroscopically-guided transforaminal epidural steroid injection at L4-L5 and L5-S1 significantly improved symptoms. Though phantom radiculopathy is a rare entity, clinical suspicion of degenerative spine disease or other pathology contributing to nerve impingement in patients with amputations should remain; this unique case discusses bony osteophyte complex as the cause for phantom radiculopathy instead of previously described disc herniation. MRI remains a key tool in delineating causes of low back pain among patients with lower extremity amputations.

journal_name

Am J Phys Med Rehabil

authors

Philip K,Sambasivan A

doi

10.1097/PHM.0000000000001585

subject

Has Abstract

pub_date

2020-09-02 00:00:00

eissn

0894-9115

issn

1537-7385

pub_type

杂志文章
  • Cycling progressive resistance training for people with multiple sclerosis: a randomized controlled study.

    abstract:OBJECTIVE:To evaluate the effects of cycling progressive resistance training combined with balance exercises on walking speed, balance, fatigue, fear of falling, depression, and quality of life in patients with multiple sclerosis. DESIGN:In this prospective randomized controlled trial, 45 patients were randomized into...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PHM.0b013e3181d3e71f

    authors: Cakt BD,Nacir B,Genç H,Saraçoğlu M,Karagöz A,Erdem HR,Ergün U

    更新日期:2010-06-01 00:00:00

  • Left-ventricular function and physical performance on the 6-min walk test in older patients after inpatient cardiac rehabilitation.

    abstract:OBJECTIVE:The 6-min walk test (6mWT) is widely used to assess physical performance in cardiac rehabilitation settings. Factors affecting the walked distance before starting physical training have been described, whereas information on factors affecting the increase of the walked distance after physical training is stil...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e31815e67d8

    authors: Polcaro P,Lova RM,Guarducci L,Conti AA,Zipoli R,Papucci M,Garuglieri S,Raimo D,Fattirolli F,Macchi C,Gensini GF

    更新日期:2008-01-01 00:00:00

  • Health-related quality of life and disability in survivors of multiple trauma one year after intensive care unit discharge.

    abstract:OBJECTIVE:To evaluate health-related quality of life and disability in multiple-trauma patients requiring intensive care unit management. DESIGN:A total of 87 survivors of multiple trauma, with a median age of 31 yrs and a median Injury Severity Score of 22, were enrolled in the present study. The Nottingham Health Pr...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.phm.0000107497.77487.c1

    authors: Dimopoulou I,Anthi A,Mastora Z,Theodorakopoulou M,Konstandinidis A,Evangelou E,Mandragos K,Roussos C

    更新日期:2004-03-01 00:00:00

  • Neuromuscular adaptations to electrostimulation resistance training.

    abstract::A combination of in vivo and in vitro analyses was performed to investigate muscular and neural adaptations of the weaker (nondominant) quadriceps femoris muscle of one healthy individual to short-term electrostimulation resistance training. The increase in maximal voluntary strength (+12%) was accompanied by neural (...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.phm.0000197570.03343.18

    authors: Maffiuletti NA,Zory R,Miotti D,Pellegrino MA,Jubeau M,Bottinelli R

    更新日期:2006-02-01 00:00:00

  • Sensitivity of median sensory nerve conduction tests in digital branches for the diagnosis of carpal tunnel syndrome.

    abstract:OBJECTIVE:To compare the sensitivity of median sensory nerve conduction tests performed by stimulating digital branches in patients with carpal tunnel syndrome. DESIGN:A prospective study in 506 hands of patients with carpal tunnel syndrome diagnosed electrophysiologically. RESULTS:The sensitivity of median sensory n...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.PHM.0000104662.71129.B9

    authors: Aydin G,Keleş I,Ozbudak Demir S,Baysal AI

    更新日期:2004-01-01 00:00:00

  • Correlation of standardized testing results with success on the 2001 American Board of Physical Medicine and Rehabilitation Part 1 Board Certificate Examination.

    abstract:OBJECTIVE:To determine if standardized testing results and other factors correlate with success on the 2001 American Board of Physical Medicine and Rehabilitation part 1 board certification examination (POE). DESIGN:An anonymous two-part survey was distributed to 302 senior resident physicians in the American College ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.PHM.0000083688.23340.EA

    authors: Fish DE,Radfar-Baublitz L,Choi H,Felsenthal G

    更新日期:2003-09-01 00:00:00

  • Evaluation of autonomic nervous system functions in post-stroke patients.

    abstract:OBJECTIVE:In this study, we aimed to investigate whether there is a sympathetic and parasympathetic system dysfunction in hemiplegic or hemiparetic patients after a cerebrovascular accident. DESIGN:Sympathetic skin response and R-R interval variation were evaluated in a total of 65 subjects: 37 hemiparetic or hemipleg...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-200210000-00001

    authors: Muslumanoglu L,Akyuz G,Aki S,Karsidag S,Us O

    更新日期:2002-10-01 00:00:00

  • Barthel Index information elicited over the telephone. Is it reliable?

    abstract::This study examined the comparability of estimates of functional status elicited through a telephone interview and a face-to-face interview. The Barthel Index, a commonly used measure to assess activities of daily living, was administered over the telephone and then again in the home to 366 individuals, up to 5 yr aft...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199501000-00003

    authors: Korner-Bitensky N,Wood-Dauphinee S

    更新日期:1995-01-01 00:00:00

  • Effects of hypnotics on sleep patterns and functional recovery of patients with subacute stroke.

    abstract:OBJECTIVE:To identify relationships between sleep patterns and functional outcomes in patients with subacute stroke with insomnia. DESIGN:We prospectively studied 30 patients with subacute stroke. Each patient completed the St. Mary's Hospital sleep questionnaire, the Korean modified Barthel index, a computerized neur...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3181c9fc5e

    authors: Kim CR,Chun MH,Han EY

    更新日期:2010-04-01 00:00:00

  • Applying leadership skills in conflict management. Synopsis of the AAP program presentation at the 49th annual assembly of the American Academy of Physical Medicine and Rehabilitation, Orlando, Florida, October 1987.

    abstract::This brief paper has reviewed a few of the basic concepts related to the understanding of leadership styles. The unavoidable nature of conflict in organizations has been described. One of the best ways a person can make conflict more manageable is to become increasingly aware of his or her own fundamental leadership s...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Daresh JC

    更新日期:1988-02-01 00:00:00

  • Word finding difficulty as a post-polio sequelae.

    abstract:OBJECTIVE:Seventy-nine percent of respondents to the 1990 National Post-Polio Survey reported difficulty "thinking of words I want to say," with 37% reporting frequent, moderate-to-severe word finding difficulty. This study was undertaken to objectively document polio survivors' word finding difficulty and to identify ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-200007000-00005

    authors: Bruno RL,Zimmerman JR

    更新日期:2000-07-01 00:00:00

  • A Rare Complete Metacarpal Pseudoepiphysis in a Teenager With a Scaphoid Fracture.

    abstract::A 13-yr-old adolescent boy presented with wrist pain after falling off a scooter onto his outstretched hand. Radiographs revealed a nondisplaced hairline fracture of the scaphoid bone and an irregular radiolucent line in the proximal metaphysis of the second metacarpal bone, consistent with an anomalous growth plate, ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000000715

    authors: Geffen RB,Colberg RE

    更新日期:2017-11-01 00:00:00

  • Effects of a 1.5-day multidisciplinary outpatient treatment program for fibromyalgia: a pilot study.

    abstract:OBJECTIVE:The purpose of this pilot study was to determine the effect of a 1.5-day multidisciplinary fibromyalgia treatment program on impact of illness, depression, and life fulfillment. DESIGN:A sample of 100 consecutive enrollees in a 1.5-day multidisciplinary group outpatient fibromyalgia treatment program between...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.PHM.0000046625.72055.35

    authors: Pfeiffer A,Thompson JM,Nelson A,Tucker S,Luedtke C,Finnie S,Sletten C,Postier J

    更新日期:2003-03-01 00:00:00

  • Early inpatient rehabilitation admission and stroke patient outcomes.

    abstract:OBJECTIVE:The aim of this study was to examine the associations of onset days, time from stroke onset to inpatient rehabilitation facility (IRF) admission, and patient outcomes (FIM gain, discharge destination, and IRF length of stay), using nationally representative data. DESIGN:A secondary data analysis was conducte...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000000226

    authors: Wang H,Camicia M,DiVita M,Mix J,Niewczyk P

    更新日期:2015-02-01 00:00:00

  • Not Always as It Seems: A Case of Ascending Paralysis.

    abstract::Although generally presenting as a chronic, progressive peripheral neuropathy, we present a case of acute alcoholic neuropathy initially mistaken for acute Guillain-Barré syndrome. Electrodiagnostic evaluation of alcoholic neuropathy reveals an axonal neuropathy and may be complicated by demyelination if comorbid nutr...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001244

    authors: Staszel JP,Miknevich M

    更新日期:2020-03-01 00:00:00

  • Activation of the quadriceps muscle during semisquatting with different hip and knee positions in patients with anterior knee pain.

    abstract:OBJECTIVE:We measured the surface electromyographic activities of vastus medialis obliquus and vastus lateralis in 16 subjects with patellofemoral joint pain syndrome. DESIGN:Each subject performed bilateral static knee extension exercises at 60% of his or her maximal voluntary effort under different combinations of h...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00002060-200111000-00003

    authors: Lam PL,Ng GY

    更新日期:2001-11-01 00:00:00

  • Altered Functional Connectivity of Amygdala with the Fronto-Limbic-Striatal Circuit in Temporal Lobe Lesion as a Proposed Mechanism for Poststroke Depression.

    abstract:OBJECTIVE:Poststroke depression (PSD) is an important complication that affects stroke rehabilitation. Abnormal cortical-subcortical connectivity may be associated with the development of PSD. However, few studies have focused on the emotional network of PSD in the temporal lobe lesions. The aim of is study was to inve...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001081

    authors: Zhang XF,He X,Wu L,Liu CJ,Wu W

    更新日期:2019-04-01 00:00:00

  • Subjective Quality-of-Life Predictors for Older Adults with Physical Disabilities.

    abstract:OBJECTIVES:To study changes in quality of life (QOL) and to explore predictors of QOL of community-dwelling older adults with physical disabilities. DESIGN:A 2-yr longitudinal study involved a convenience sample of 49 people with physical disabilities aged 60-94 yrs. QOL was estimated twice at a 2-yr interval with the...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e318186b5bd

    authors: Levasseur M,Desrosiers J,St-Cyr Tribble D

    更新日期:2008-10-01 00:00:00

  • Restoration of Vision After Brain Injury Using Magnet Glasses.

    abstract::Visual impairments are common after traumatic brain injury (TBI) and negatively affect quality of life. We describe a 39-year-old woman with a severe TBI who was evaluated by the inpatient optometry and vision rehabilitation service with findings of complete right homonymous hemianopia and right cranial nerve III pals...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000000592

    authors: Houston KE,Paschalis EI,Angueira DC,Bronstad PM,Barrett AM,Iaccarino MA

    更新日期:2017-04-01 00:00:00

  • Physical Medicine and Rehabilitation Role on Notalgia Paresthetica: Case Report and Treatment Review.

    abstract::Notalgia paresthetica is a rarely reported T2-T6 sensory neuropathy whose etiology and treatment are not fully established. Although it is believed to be common in dermatological practice, it remains underrecognized, underdiagnosed, and therefore underreported. This case-report provides a physical medicine and rehabil...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/PHM.0000000000000946

    authors: da Cruz CM,Antunes F

    更新日期:2018-12-01 00:00:00

  • Upper-limb position sense deficits in adults with cerebral palsy.

    abstract:OBJECTIVE:The aim of this study was to examine proprioceptive performance in adults with hemiplegic cerebral palsy and the possibility that a home-based sensorimotor training program could improve proprioceptive performance. DESIGN:This study is a preintervention/postintervention assessment of 12 adults participating ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PHM.0000000000000100

    authors: Langan J,Kern KL,Hurvitz EA,Brown SH

    更新日期:2014-09-01 00:00:00

  • Recurrent laryngeal neuropathy in a systemic lupus erythematosus (SLE) patient.

    abstract::A 41-yr-old woman with hoarseness, multiple joint pain, and generalized myalgia was diagnosed with systemic lupus erythematosus (SLE) 7 mos before visiting our clinic. SLE-related vocal cord palsy of the left side was identified after otolaryngologic evaluation. We performed laryngeal electromyography (LEMG) on both c...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e31815b669e

    authors: Lee JH,Sung IY,Park JH,Roh JL

    更新日期:2008-01-01 00:00:00

  • Evaluation of Longitudinal Assessment for Use in Maintenance of Certification.

    abstract:OBJECTIVE:The aim of the study was to evaluate a longitudinal assessment program for physical medicine and rehabilitation (LA-PM&R) as a replacement for the American Board of Physical Medicine and Rehabilitation maintenance of certification examination. DESIGN:In this quality improvement study, randomly selected Ameri...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001359

    authors: Robinson LR,Raddatz MM,Kinney CL

    更新日期:2020-05-01 00:00:00

  • Use of power assist wheels results in increased distance traveled compared with conventional manual wheeling.

    abstract:OBJECTIVE:To evaluate the impact of power assist wheels on the distance traveled by manual wheelchair users and analyze potential cofactors in the magnitude of response and to test the hypothesis that wheelers would travel significantly further with power assist wheels. DESIGN:A 16-wk A (Preintervention)-B (Interventi...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3181e72286

    authors: Levy CE,Buman MP,Chow JW,Tillman MD,Fournier KA,Giacobbi P Jr

    更新日期:2010-08-01 00:00:00

  • Myotonic dystrophy mimicking postpolio syndrome in a polio survivor.

    abstract::We describe a 38-yr-old polio survivor with newly developed weakness from myotonic dystrophy. He suffered muscle atrophy and weakness in his legs as a result of poliomyelitis at the age of 3 yrs. After a stable interval of about 30 yrs, he felt new weakness and fatigue in his legs. Electromyography revealed generalize...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e318190b935

    authors: Lim JY,Kim KE,Choe G

    更新日期:2009-02-01 00:00:00

  • Functional neuroimaging and cognitive rehabilitation for people with traumatic brain injury.

    abstract::Cognitive deficits are a common consequence of traumatic brain injury. Although such deficits are amenable to rehabilitation, methods for individualizing cognitive interventions are still unrefined. Functional neuroimaging methods such as positron emission tomography and functional magnetic resonance imaging are emerg...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/01.phm.0000150787.26860.12

    authors: Strangman G,O'Neil-Pirozzi TM,Burke D,Cristina D,Goldstein R,Rauch SL,Savage CR,Glenn MB

    更新日期:2005-01-01 00:00:00

  • Gait characteristics and functional ambulation profile in patients with chronic unilateral stroke.

    abstract:OBJECTIVE:Recent technical progress in gait analysis has resulted in portable walkways with embedded pressure-sensitive sensors. Often claims are made in connection with new equipment of their straightforward clinical use. The purpose of the present study was to assess whether the functional ambulation profile (FAP), c...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.PHM.0000087490.74582.E0

    authors: Titianova EB,Pitkänen K,Pääkkönen A,Sivenius J,Tarkka IM

    更新日期:2003-10-01 00:00:00

  • Can failure on adaptive locomotor tasks independently predict incident mobility disability?

    abstract::This study examined whether inability to perform adaptive locomotor tests predicts self-reported incident mobility disability. InCHIANTI study participants (N = 611; age, 50-85 yrs) who could walk 7 m at self-selected speed and who had no self-reported mobility disability at baseline were included. The ability to comp...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e31827d634e

    authors: Deshpande N,Metter EJ,Guralnik J,Ferrucci L

    更新日期:2013-08-01 00:00:00

  • Relationship between pulmonary function and exercise capacity in individuals with spinal cord injury.

    abstract:OBJECTIVE:The aim of this study was to determine whether the relationship between impaired pulmonary function and level of spinal cord injury would relate to lower maximal ventilation during exercise (Vemax) and hence reduced aerobic capacity. DESIGN:Pulmonary function and maximal aerobic capacity (V˙O2max) were asses...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000000046

    authors: Battikha M,Sà L,Porter A,Taylor JA

    更新日期:2014-05-01 00:00:00

  • Profiles of neuromuscular diseases. Facioscapulohumeral muscular dystrophy.

    abstract::Data were collected prospectively over a 10-yr period from 53 subjects with facioscapulohumeral muscular dystrophy (FSHD) to provide a profile of impairment and disability. Manual muscle testing (MMT) indicated greater involvement of proximal musculature, although a subgroup demonstrated early weakness of the ankle do...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199509001-00007

    authors: Kilmer DD,Abresch RT,McCrory MA,Carter GT,Fowler WM Jr,Johnson ER,McDonald CM

    更新日期:1995-09-01 00:00:00