intra-oral appliances such as transpalatal arch and nance appliance fail to resist against forces that tend to loosen the anchorage. the infirmity arises due to the long lever arm and the mesial force that is perpendicular to the long axis of the appliance. the butterfly arch is presented here as an intra-oral appliance that withstands the mesially directed forces with a mechanism that puts str...

UNLABELLED Skeletally immature patients with adolescent idiopathic scoliosis are at risk for curve progression. Although numerous nonoperative methods have been attempted, including physical therapy, exercise, massage, manipulation, and electrical stimulation, only bracing is effective in preventing curve progression and the subsequent need for surgery. Brace treatment is initiated as either fu...

Functional bracing has been widely accepted as the gold standard for treating humeral shaft fractures conservatively. We conducted a literature review to verify the efficacy of this treatment method. Sixteen case series and two comparative studies fulfilled the criteria set. Analysis of these clinical studies showed that humeral shaft fractures when treated with functional bracing heal in an av...

We present a systematic review of the results of the Ponseti method of management for congenital talipes equinovarus (CTEV). Our aims were to assess the method, the effects of modifications to the original method, and compare it with other similar methods of treatment. We found 308 relevant citations in the English literature up to 31 May 2010, of which 74 full-text articles met our inclusion c...

As a form of treatment in cerebral palsy, bracing has yet to meet universal acceptance. 2 , 5 , 6 Besides published opinions slighting the value of braces, in practice one frequently encounters a prejudice against prescribing them in "spastic" disease. This attitude, it must be granted, is not groundless. Phelps, 4 a proponent of braces, refers to the danger of aggravating spasticity with brace...

Methods Setting: outpatient tertiary referral clinics. Participants: consecutive patients from start of the database to 31/12/2010. Inclusion criteria: IS; Risser 0-2; 11° to 20° Cobb; age 10 years or more; first evaluation. Exclusion criteria: consultations only; immediate prescription of a brace. Groups: Physiotherapic Specific Scoliosis Exercises SEAS school (PSSE: at least 45 min/week, 3 co...

The medial collateral ligament (MCL) is the most frequently injured ligament in the knee, with mild-to-moderate tears often going unreported to physicians. Medial collateral ligament injuries can result from both contact and noncontact sporting activities. The mainstay of treatment is nonoperative; however, operative management of symptomatic grade II and grade III injuries is considered when l...

Materials and methods 69 adolescents, aged 10 to 18 years, were classified into two groups according to the method of treatment. 39 patients underwent Cheneau bracing and physiotherapy with the DoboMed program, and 30 were treated with physiotherapy only. All children were asked about their social, emotional and biological problems related to their illness and method of treatment. The group bei...

Study Design Prospective radiographic study. Objective To test the reliability of the Distal Radius and Ulna Classification (DRU). Methods This single-center study included prospectively recruited subjects with adolescent idiopathic scoliosis managed with bracing. The left-hand radiographs were measured using the DRU classification by two examiners. Intra- and interobserver reliability analysis...

BACKGROUND Lower back pain (LBP) can persist into adulthood as a sequelae of adolescent lumbar scoliosis, particularly under certain conditions influenced by aspects of bodily biomechanics and/or other factors. Here we describe the use of tailored bracing used in an adult with pre-existing lumbar scoliosis suffering from LBP. CASE DESCRIPTION A 40-year-old female presented with acute LBP. The...