2017-18 Chairman’s Corner

Posted by on May 10, 2018 in Uncategorized |

W. Craig Clark, MD, PhD, FICS, FACS Chair, Board of Directors (2016-2018) It is my pleasure to invite you to join me for the 42nd Annual Scientific Meeting of the American Academy of Neurological and Orthopaedic Surgeons. We will gather in April for this yearly event in Chicago, Illinois at the W Lakeshore Hotel where a highly informative educational program has been developed. We have secured a number of highly regarded speakers from several of the Chicago area medical schools and I anticipate an excellent turnout. All members of the Academy are encouraged to make plans now to attend. Information about the scheduled scientific program including invited speakers and their presentation titles can be seen by clicking HERE. The entire program, including sessions of the ICS US Section, can be seen by visiting www.ficsonline.org/asu18. A PDF version of the registration brochure can also be downloaded by clicking HERE (the printed version will be coming in the mail shortly). I encourage everyone to register today and make your hotel reservations at the W Lakeshore as soon as possible. Please note that the registration process requires hotel rooms to be reserved prior to registering in order to receive a reduced registration rate. Visit www.ficsonline.org/reg18 to learn more. As our educational partner, ICS will once again handle all registration details so click on the link above to reserve your spot. See you in Chicago this April. Previous message… I am pleased to announce that plans for the Academy’s 42nd Annual Scientific Meeting in Chicago next April are coming along nicely. Our organizers are working closely with faculty from local Medical Schools and several highly regarded surgeons from the Chicago area have agreed to participate in our program. Our invited speakers will present cutting edge information on topics related to Neurological and Orthopaedic Surgery as requested in needs assessment surveys. In addition to our invited faculty from the Chicago area and other parts of the country as well, we have received a number of interesting presentation proposals from members and non-members alike. The sessions being presented on Friday morning, April 27th and Saturday morning, April 28th will be finalized in the coming weeks and registration information will be available shortly thereafter. Visit back often for updated information. Previous message… Planning has commenced for the 42nd Annual Scientific Meeting of the American Academy of Neurological and Orthopaedic Surgeons; being held in Chicago, Illinois, April 26-28, 2018 at the W Lakeshore Hotel. We will again join the United States Section of the International College of Surgeons (ICS) for their annual meeting in order to provide an enhanced experience for members of both groups. Our Scientific Organizing Committee representatives to the ICS Planning Committee are actively...

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Can Tetanus Infection Result in Acquired Talipes Equinovarus? A Case Report

Posted by on Sep 28, 2015 in Uncategorized |

Can Tetanus Infection Result In Acquired Talipes Equinovarus? A Case Report Auwal Abdullahi Neurological Rehabilitation Unit, Department of Physiotherapy, Bayero University, Kano, Nigeria Abstract Background: Acquired talipes equinovarus is usually seen in conditions such as post-polio syndrome, cerebral palsy, meningitis and sciatic nerve damage. However, it may be possible in any condition favouring contracture development. Aim: The aim of this article is to report a case of a 7 year old child who developed acquired talipes equinovarus following tetanus infection. Method: The talipes equinovarus was managed initially for 2 days using manual stretching, and later on using serial casting and wedging. Result: The serial casting and wedging for 18 days resulted in plantigrade foot position. Conclusion: Tetanus infection is characterized by generalized body spasms and rigidity. In the presence of spasms and rigidity contracture may develop, and if this affects the foot, talipes equinovarus may develop. However, early mobilization of the foot can help prevent contracture and subsequently talipes equinovarus.   Can Tetanus Infection Result in Acquired Talipes Equinovarus? A Case Report Auwal Abdullahi Neurological Rehabilitation Unit, Department of Physiotherapy, Bayero University, Kano, Nigeria Background Talipes equinovarus is an orthopedic condition characterized by inversion of the forefoot, adduction of the forefoot relative to the hind foot and equines (Adams, 1981; Anand & Sala, 2008). The inversion of the forefoot occurs mainly at the talocalcaneonavicular (TCN) joint, the adduction of the forefoot takes place at the talonavicular and the anterior subtalar joints, and the equinus deformity is present at the ankle joint, TCN joint and the forefoot (Anand & Sala, 2008) Talipes equinovarus can be either congenital or acquired (Barker et al., 2003; Macnicol et al., 2003). The incidence of the congenital type varies considerably from 0.6 to 6.8 per 1000 live birth (David & Johnson, 1993; Barker et al., 2003; Paton et al., 2010). For the congential type, many factors such as genetic and breach birth (Wynnne-Davis, 1972), maternal smoking (Honein et al., 2000), prenatal exposure to ectasy; methyl enedioxyme methamphetamine (McElhatton et al., 1999) and intrauterine crowding or positional effects (Wynne-Davis, 1964) have been implicated.Acquired talipes equinovarus is believed to have neurogenic causes such as poliomyelitis, meningitis, sciatic nerve damage and vascular causes (Volkmann Ischaemic Paralysis) (Anand & Sala, 2008). Previous reports have associated the acquired type with conditions such as spina bifida, myelomeningocele, sacral agenesis, arthrogryposis, congenital myopathy, constriction-band syndrome, Freeman-Sheldon syndrome (distal arthrogryposis), fetal alcohol syndrome and Down’s syndrome (Barker et al, 2003; Macnicol, 2003). However, there seems to be no previous reports associating talipes equinovarus with tetanus. Tetanus is a serious bacterial infection of the nervous system caused by Clostridium tetani, a bacillus which secrets tetanospasmin that causes muscle spasm and rigidity (Longmore et al,...

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Congenital Muscular Dystrophy (CMD)

Posted by on Jul 20, 2015 in Uncategorized |

The American Academy of Neurology (AAN) is an association of neurologists and neuroscience professionals and the American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) is an association of neurologists, doctors of physical medicine and rehabilitation (PMR), and other health care professionals. Experts from the AAN and AANEM carefully reviewed the available scientific studies on diagnosing and managing CMD. We are pleased to provide access to the information from those studies and other key information that was published in March of 2015. Click here to visit the American Academy of Neurology website and view complete details and information about the guidelines....

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A Physical Therapist Perspective on Evaluation and Treatment for Cervical Radiculopathy

Posted by on Mar 30, 2015 in Publications |

A Physical Therapist Perspective on Evaluation and Treatment for Cervical Radiculopathy Mardel Grant, P.T. (Grand Rapids, MI) and Charles Xeller, M.D. (Houston, Texas) Introduction From time to time the physical therapist will evaluate and treat patients, referred by the orthopedist, with neck or cervical pain. Typically, these patients with neck pain will have a diagnosis of cervical radiculopathy with presenting symptoms that can be caused by several conditions such as disc herniation, cervical spondylosis, tumor, and trauma. Treatment results and outcome can be quite favorable in most patients that have been referred by an orthopedist or other physician, as far as my own experience (Mardel Grant, P.T.) has shown, and the best treatment available is subject to variable opinion as no specific, or best treatment has emerged according to a review of some of the articles on cervical radiculopathy. Cervical radiculopathy is defined as irritation of nerve roots due to pressure/pinching/ impaction by a pathological structure causing pain and neurological symptoms and signs (such as motor weakness, atrophy of upper extremity muscles, sensory deficits). The patient with a complaint of neck and radiating upper extremity pain will look forward to evaluation and treatment by a skilled physical therapist. Wolf and Levine cited the works of Heckman et al and Radhakrishnan et al., which have indicated that people aged 50-54 were most affected by cervical radiculopathy with a rate of incidence of 83 per 100,000. (1,2,3) Approximately 10 years ago, I had a diagnosis of cervical radiculopathy, as a result of an awkward lift involving a heavy implement, as the mechanism of injury. This action placed strain on my cervical spine. As I worked through the physical rehabilitation independently with complete return of my functional ability, it has prompted me to share some information on this topic of cervical radiculopathy. Consequently, the purpose of this article to discuss the conservative management of cervical radiculopathy Clinical Characteristics of Cervical radiculopathy The patient that presents with cervical radiculopathy will quite often have a referred pain pattern from a specific nerve root level in the cervical spine, which may affect the dermatome and myotome of the affected upper extremity. The most common areas of referred pain pattern, after a review of selected articles, and discussion with master clinicians, and orthopedists, indicates that pathology at C5-6 and C6-7 regions of the cervical spine are the most areas of origin. These aforementioned regions are the most difficult to treat, in my opinion, secondary to the nature of the cervical spine posture, and disease process that affects biomechanical function. Muscle function is altered due to changes in the length-tension relationship of the global stabilizers and mobilizers of the cervical spine. The negative sequelae leads to further...

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