This study explores the impact of the complex regional pain syndrome (CRPS) on the lives and mobility of patients, with a particular focus on its emergence as a late complication of distal radius fractures (DRFs), a common occurrence, especially among an aging population. The absence of a standardized treatment for the CRPS and the challenge of predicting its occurrence make it a complex medical issue. This research aims to shed light on the effects of treating the CRPS through a case study involving a 75-year-old woman with untreated osteoporosis who experienced a Colles fracture after a fall. The initial management involved repositioning and stabilizing the fractured forearm with a plaster cast, followed by an operation using percutaneous pinning via a Kirschner wire. Subsequently, the patient developed CRPS symptoms and was admitted to the rehabilitation department three months post-fracture. The affected forearm exhibited swelling, warmth, pain, and severely limited range of motion. Treatment involved a combination of medications, physiotherapy, and kinesiotherapy. Significantly, the patient experienced notable improvement following these interventions. This study underscores the absence of a definitive standard for CRPS treatment but suggests that proper rehabilitation and pharmaceutical interventions can contribute positively to patient outcomes. The case further highlights the potential association between DRF and CRPS development, emphasizing the need for continued research in this field.
Osteoporosis stands out as a prevalent skeletal ailment, prompting exploration into potential treatments, including dietary strontium ion supplements. This study assessed the efficacy of supplementation of three strontium forms—strontium citrate (SrC), strontium ranelate (SrR), and strontium chloride (SrCl)—for enhancing bone structure in 50 female SWISS mice, aged seven weeks. In total, 40 mice underwent ovariectomy, while 10 underwent sham ovariectomy. Ovariectomized (OVX) mice were randomly assigned to the following groups: OVX (no supplementation), OVX + SrR, OVX + SrC, and OVX + SrCl, at concentrations equivalent to the molar amount of strontium. After 16 weeks, micro-CT examined trabeculae and cortical bones, and whole-bone strontium content was determined. Results confirm strontium administration increased bone tissue mineral density (TMD) and Sr content, with SrC exhibiting the weakest effect. Femur morphometry showed limited Sr impact, especially in the OVX + SrC group. This research highlights strontium’s potential in bone health, emphasizing variations in efficacy among its forms.
Background/Objectives: Osteoarthritis (OA) is a condition affecting many joints, including the hip. The treatment of advanced hip osteoarthritis (HOA) involves total hip arthroplasty (THA). Atrophy of abductor muscles is often diagnosed in patients with HOA. This review presents a number of studies evaluating changes that occur in the gluteus medius (GMED) and tensor fasciae latae (TFL) as a result of HOA and THA. MyotonPRO is a portable and non-invasive device that allows for the assessment of muscle quality. This review aimed to collect studies assessing changes in GMED and TFL following HOA and THA and to determine whether MyotonPRO can be used for this assessment. Methods: We conducted a comprehensive search of databases, including Google Scholar, Science Direct, and PubMed, for relevant articles published between 2012 and 2024. A total of 37 articles were included in our review. Qualified papers evaluated changes in the lower limb muscles, including TFL and GMED, as a result of HOA and THA using MyotonPRO and other methods. Results: In this article, we emphasize the influence of the tested muscles on HOA and the postoperative course after THA using MyotonPRO. We have shown that myotonPRO was used to assess muscle changes due to knee OA and GMED and TFL in other groups of patients. Conclusions: This is the first review of the literature to indicate a new direction of research using myotonPRO. The use of MyotonPRO will allow for the more detailed development of rehabilitation programs for patients with HOA and after THA.
Background/Objectives: Alkaptonuria (AKU) is a rare genetic disorder characterized by elevated levels of circulating homogentisic acid (HGA), which accumulates in connective tissues. The musculoskeletal system is particularly susceptible to HGA deposition, often resulting in severe ochronotic osteoarthropathy, especially in the hips, shoulders, knees, and spine. However, little is known about the effects of AKU on skeletal muscle tissue. The study aimed to evaluate changes in lower limb muscles associated with AKU. Methods: This case report describes the treatment of ochronotic osteoarthropathy in the knee of a 73-year-old male patient. Muscle properties were assessed using the MyotonPRO device. The rectus femoris, vastus medialis, and patellar tendon were examined both preoperatively and three months postoperatively. Results: Following total knee arthroplasty (TKA) of the right knee, the patient demonstrated significant improvement in functional outcomes. The MyotonPRO assessment revealed measurable differences in muscle properties between the operated and non-operated limbs. Postoperative measurements indicated improvements in muscle tone, elasticity, and viscoelastic parameters in the treated limb. Conclusions: This case report supports the effectiveness of TKA as a treatment for ochronotic osteoarthropathy. Furthermore, it is the first study to use the MyotonPRO to assess muscle and tendon properties in a patient with AKU. These findings highlight the need for further research into the muscular effects of this rare metabolic disorder.
The article presents the operation of the automatic pine sawn timber inspection system, which was developed at the Woodinspector company and offered commercially. The vision inspection system is used to detect various wood defects, including knots, blue stain, and mechanical damage caused by worms. Blue stain is a defect that is difficult to detect based on the color of the wood, because it can be easily confused with wood defects or dirt that do not impair its strength properties. In particular, the issues of detecting blue stain in wood, the use of artificial neural networks and improving the operation of the system in production conditions were discussed.
This review gives an overview of the current knowledge about the impact of nutrition on sarcopenia treatment effectiveness. We examined the outcomes of 11 individual clinical trials in conjunction with existing literature to assess the effectiveness of nutritional interventions. Our focus encompassed protein nutrition and its components, the provision of vitamin D. Furthermore, we explored the influence of these substances in addressing sarcopenia within the context of concurrent conditions like osteoporosis, fractures, stroke, or chronic kidney disease. Sarcopenia is a disease of the skeletal muscles that causes a decline in muscle function and mass, which affects mainly elderly people. A progressive course leads to multiple serious complications, such as increased mortality, falls, and co-morbidity. Sarcopenia treatment is limited to physical activity, mainly resistance exercise training and nutritional interventions... Our investigation underscores the significant role of proper nutrition in the treatment process. Finally, this review demonstrates the need for further high-quality research on nutrition and its impact on sarcopenia treatment outcomes.