unsatisfactory, the patient often suffering financially due to loss of bonus earnings, and the firm losing through employing a semi-fit man. It was therefore decided to treat a series by physiotherapy using the services of our two whole-time physiotherapists. The following basic criteria were laid down :-(I) That no case should be labelled as " tenosynovitis " unless a crepitus was palpable on ...

BACKGROUND Sandhivata is a disease described under Vatavyadhi and resembles osteoarthritis (OA) in respect to etiology, pathology, and clinical features. Knee joints are more prone to be affected by this disease because it is the most frequently involved joint in daily works. Acharya Sushruta has indicated Agnikarma, when severe pain occurs in Twak, Mamsa, Sira, Snayu, Sandhi, and Asthi due to ...

An English setter (case 1) and a Tibetan mastiff (case 2) presented with intermittent weight-bearing lameness on the right hind limb when trotting. The dogs had a history of femoral head and neck ostectomy (FHNO). Orthopedic examination revealed pain and crepitus on the right hip joint. The dogs underwent total hip replacement (THR). At the 2-year (case 1) and 1-year (case 2) follow-up, both do...

Accepted 24 October 1997 A 1 0-year-old girl presented with a four-month history of progressive difficulties with swallowing, regurgitation and weight loss. Medical history did not reveal any episode of choking, dysphagia or respiratory symptoms. Dysphagia had worsened during the last two weeks. On admission physical examination was unremarkable. There was no swelling, tenderness or crepitus in...

Osteoarthritis (O.A) affects over 50 million Americans. This includes mostly O.A of the shoulder, hip, and knee. Shoulder osteoarthritis (O.A) has been demonstrated in cadaver and radiographic studies to affect up to 33% of patients over the age of 60 [1]. Patients with shoulder O.A have pain, crepitus, decreased ability to place their hand at a desired point in space and loss of motion, severe...

We describe six knees in five patients, referred to us after accidental irrigation with chlorhexidine 1% in aqueous solution during arthroscopy. All six knees developed persisting pain, swelling and crepitus with loss of range of movement. Radiographs showed loss of joint space in all three compartments due to extensive chondrolysis, with many loose bodies and synovitis. Histological examinatio...

Ultrasound is a useful modality for the diagnosis of different types of pelvic fractures in horses of many breeds and uses. Ultrasound provides the referral veterinarian and the ambulatory practitioner an alternative to traditional diagnostic modalities (radiography and nuclear scintigraphy). Pelvic fracture should be suspected in horses with acute onset, severe hind limb lameness with or witho...

Robotic assisted laparoscopic surgery is becoming more widely available, but despite its multiple benefits, it is not without risk. This case is of a 62-year-old female who presented to the emergency department for dyspnea two days after robotic assisted laparoscopic hysterectomy. Physical exam revealed diffuse facial, neck, upper extremity, torso, and lower extremity crepitus, which was diagno...

Chondromalacia patellae is difficult to diagnosis clinically with accuracy. In order to clarify the relevant symptoms and signs, 78 patients presenting with a clinical diagnosis of chondromalacia were examined by arthroscopy. In 49% of the knees no abnormalities were found. Presenting symptoms were similar in the normal and abnormal groups. Physical signs were more helpful in diagnosis and it i...

The case describes a young girl developing cervicofacial emphysema after fall. She presented in emergency with gradually worsening upper body swelling without any sign of distress. Swelling was found on the right side of the face, all around the neck and right arm with crepitus in all these areas. CT scanning of head, neck and chest were performed and a small area of communication between nasop...