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Query: UMLS:C0234233 (Tenderness)
 375 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A consecutive series of patients who have undergone arthroscopy and lateral retinacular release for patellofemoral subluxation was evaluated so that the results could be compared to an earlier series of open patellofemoral reconstructions. Of 96 patients, 4 had bilateral releases; therefore, 100 knees were evaluated. The average age was 28 years. Specific symptoms and signs were reviewed. All patients were initially treated conservatively with specific exercises. Failure of the exercise program to improve symptoms significantly, the patient's inability to perform normal daily activities, or expected associated pathology were indications for surgery. The surgical technique consisted of arthroscopy with treatment of associated pathology and lateral retinacular release using the Smillie meniscotome through the inferior lateral portal. The patella could be tilted approximately 90 degrees medially when the release was accomplished. Pain, function, and patellar instability were evaluated preoperatively and postoperatively by signs of tenderness on the retinaculum or bone, patellar mobility, effusion, muscle atrophy, and tone. Range of motion was also evaluated. Average followup was 36 months. When evaluated subjectively by the patients, pain improved from a mean preoperative grade of 3.4 to 1.7 postoperatively, function improved from 3.4 to 1.7, and instability from 3.4 to 1.6. Objective evaluation found that tenderness on the patella improved from a mean preoperative grade of 3.3 to 1.7 postoperatively. Tenderness on the retinaculum improved from 3.2 to 1.7. Patellar mobility improved from 3.3 to 1.7. Effusion dropped from 3.2 preoperatively to 1.5 postoperatively; quadriceps atrophy from a mean preoperative grade of 3.2 to 1.5, and quadriceps tone from 3.2 to 1.6.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Lateral retinacular release in patellofemoral subluxation. Indications, results, and comparison to open patellofemoral reconstruction. 371 81

A rare injury of traumatic separation of the epiphysis of the coracoid process associated with Grade I acromioclavicular sprain occurred in a nine-year-old girl. The accident occurred when she was asleep. The mechanism of injury was unknown. Tenderness and mild swelling around the coracoid process were seen. The anteroposterior radiograph of the shoulder with the arm abducted 150 degrees (abduction view) clearly demonstrated the epiphyseal separation with subtle displacement at the base of the coracoid process. She was treated by simple immobilization and recovered fully with normal shoulder arm function.
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PMID:Epiphyseal separation of the coracoid process associated with acromioclavicular sprain. A case report and review of the literature. 372 77

The accuracy in clinical diagnosis of meniscal tears was assessed in 100 knees. Arthroscopy was performed in each case to establish the diagnosis. The clinical diagnosis was correct in 87 cases, correct but incomplete in 4, and incorrect in 9. In those with meniscal tears repeated popping occurred in 43%, swelling in 51%, and pain localized to the joint line in 63%. Tenderness over the joint line, the most accurate clinical sign, was positive in 77% and false positive in 11% of meniscal tears. McMurray's test was positive in 58% and false positive in 5%, while the medial-lateral grind test was positive in 68% and false positive in 1%. At least one of these manipulative tests was positive in 79% of meniscal tears. Repeated examination and addition of the medial-lateral grind test to the clinical evaluation of meniscal tears significantly improves diagnostic accuracy.
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PMID:Clinical diagnosis of meniscal tears. Description of a new manipulative test. 375 97

An epidemiologic group of 285 17-year-old adolescents was studied with the aid of a questionnaire for frequency and intensity of headache and for symptoms of dysfunction of the masticatory system. They were also subjected to a functional examination of the masticatory system. Recurrent headaches occurred significantly more often among the girls (18%) than the boys (6%). Girls also reported significantly more intense headaches than boys. Fatigue in the jaws and difficulties in chewing were commoner in those with frequent and more intensive headaches. Tenderness to palpation of the masticatory muscles and impaired mandibular mobility were significantly commoner findings among those with recurrent headaches and those with more intense headaches. Tooth-grinding and clenching were related to frequency but not to intensity of headache. The investigation showed a significant relationship between frequency and intensity of headaches and signs and symptoms of dysfunction of the masticatory system.
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PMID:Headache and dysfunction of the masticatory system in adolescents. 380 91

This study investigates the dynamic and resting intramuscular pressures associated with eccentric and concentric exercise of muscles in a low-compliance compartment. The left and righ leg anterior compartments of eight healthy males (ages 22-32 yr) were exercised by either concentric or eccentric contractions of the same load (400 submaximal contractions at constant rate, 20/min for 20 min at a load corresponding to 15% of individual maximal dorsiflexion torque). Tissue fluid pressures were measured with the slit-catheter technique before, during, and after the exercise. Average peak intramuscular pressure generated during eccentric exercise (236 mmHg) was significantly greater than during concentric exercise (157 mmHg, P less than 0.001). Peak isometric contraction pressure in the eccentrically exercised compartment was significantly higher both within 20 min postexercise and on the second postexercise day (P less than 0.001). Resting pressure 2 days postexercise was significantly higher on the eccentrically exercised side (10.5 mmHg) compared with the concentrically exercised (4.4 mmHg, P less than 0.05). The ability to sustain tension during postexercise isometric contractions was impaired on the "eccentric" side. Soreness was exclusively experienced in the eccentrically exercised muscles. We conclude that eccentric exercise causes significant intramuscular pressure elevation in the anterior compartment, not seen following concentric exercise, and that this may be one of the factors associated with development of delayed muscle soreness in a tight compartment.
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PMID:Muscle soreness and intramuscular fluid pressure: comparison between eccentric and concentric load. 380 24

This article describes the development of a new instrument, the Blank Infant Tenderness Scale (BITS), designed to measure mothers' perceptions of infant tenderness needs. These infant needs include physiological requirements, such as nourishment and adequate body temperature, and contact requirements, such as physical closeness and manipulation. Guided by Sullivan's (1953) theorem of tenderness, a 36-item instrument was constructed. To assess reliability and validity of the BITS and to develop a beginning data base with new mothers, 65 healthy postpartum mothers participated in the study. The results demonstrated that the BITS has high internal consistency and construct validity, and sufficient split-half reliability. Parity was found to affect mothers' perceptions, with multiparous mothers differentiating more among infant tenderness needs than primiparous mothers. Although maternal age did not significantly influence mothers' perceptions, a graded effect was noted. The results further support the view that both physiological and contact needs are important in providing an infant with tenderness.
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PMID:Development of the Infant Tenderness Scale. 384 72

A series of 379 musicians with painful overuse syndrome ("RSI") were examined and studied. The commonly used diagnosis for the condition of "tenosynovitis" or "tendinitis" could not be substantiated as it appeared to be a distinct clinical entity rather than a collection of unrelated disorders. The patients in this series showed muscular and joint capsule overuse. Those with painful hands and wrists showed persisting tenderness in the intrinsic muscles and joint ligaments, notable in the carpometacarpal joints of the thumb and the radial side of the wrist. Tenderness of more proximal muscle groups was also usually present. Pain generally started in a particular area, then spread both proximally and distally. The patients felt depressed. The treatment that evolved from the study was radical rest of the tender structures by the total avoidance of pain-inducing activities. The condition did not appear to be inflammatory in nature. The prevention of overuse lies in the control of use.
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PMID:Overuse syndrome of the upper limb in musicians. 394 18

Superior mesenteric vein thrombosis is an abdominal emergency that is rarely diagnosed early. Abdominal pain, vomiting, fever, and hematochezia are the characteristic presenting complaints. Tenderness, distension, and diminished intestinal sounds were the prominent abdominal physical findings in this case and were often associated with tachycardia and hypotension. This is a case that demonstrates all the nonspecifics, and one in which the patient survived beyond all others reported in the literature to date.
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PMID:Superior mesenteric vein thrombosis: a case report. 405 77

When head and blunt abdominal injuries are combined, the head injury is often afforded too much attention and the abdominal injury too little, especially when the patient is unconscious. If mismanaged, the abdominal injury is often the more serious threat to life. Except for extradural hemorrhage, neurosurgical intervention, when indicated, can be delayed until the patient has been thoroughly evaluated for the presence of extra cranial injuries with higher therapeutic priority. Abdominal examination of the unconscious or uncooperative patient is difficult. Tenderness as a sign of abdominal injury cannot be elicited. Abdominal rigidity (in the absence of rigid extremities), a silent abdomen, shock, and extreme restlessness may indicate intra-abdominal changes. Abdominal paracentesis is a valuable diagnostic aid, and the finding of blood, bile-stained fluid, intestinal contents or air is an indication for immediate laparotomy. Once all injuries are known, priorities for treatment can be assigned. Often head and abdominal injuries can be treated concomitantly.
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PMID:The management of abdominal injuries in the presence of head injury. 530 89

Liquid crystal thermography was used to determine low back skin temperature patterns in 62 patients hospitalized for low back pain and 22 college volunteers with no previous history of back pain. The patients were separated into four groups according to their diagnoses at discharge: patients with 1) degenerative discogenic lesions, 2) acquired lesions, 3) congenital and developmental lesions, 4) back pain resulting from unknown causes. No significant differences were found between the average equilibrated thermogram temperatures of the control subjects (32.4 +/- 0.5 degrees C) and patient groups. However, the temperature gradients found on the thermograms of patients with discogenic lesions (3.1 +/- 0.6 degrees C) and acquired lesions (3.1 +/- 1.0 degrees C) were significantly greater (p less than .05) than those of the pain-free subjects (2.5 +/- 0.5 degrees C). Tenderness to palpation was associated with elevated skin temperatures in 80 percent of the patients studied. This study suggests that liquid crystal thermography may be a potentially useful tool for localizing soft tissue trauma in patients with low back pain.
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PMID:Liquid crystal thermography. A new tool for evaluating low back pain. 621 53


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