Repair of massive and irreparable rotator cuff tear using arthroscopic method

Rotator cuff tear is one of the major causes of shoulder pain and disability, especially in elderly patients over 60 years. Improvement of performance and reduction of pain hardly occur in patients with contracted rotator cuff tear. Despite therapeutic advances, yet there are many discussions over choosing the best type of treatment for major rotator cuff tear. Complete treatment of massive rotator cuff tear continues to be a challenge in the shoulder surgery. Treatment options have changed in compassion with traditional treatment methods in open or arthroscopic debridement surgery with or without decompression. Recently, many treatments have been introduced, including a range of non-surgical treatments, acromioplasty by debridement, biceps tenotomy, tuberoplasty by biceps tenotomy, minor repair, mini-open rotator cuff repair, arthroscopic rotator cuff, muscle movement, reverse shoulder arthroscopy, soft tissue reinforcement and hemiarthroplasty. Non-surgical massive rotator cuff control is typically assigned for patients with insignificant pain. This therapy functions by changing activities, proper use of steroid injections and physical therapy with an emphasis on the anterior deltoid exercises. But the main problem is the selection of the best treatment and making the final decision. In general, in the arthroscopic morbidity, postoperative pain along with hospital stay is less and the operation has better cosmetic results. So this information and our results have prompted us to study a variety of rotator cuff treatment methods with a focus on the arthroscopic treatment

Research Paper: Effect of Custom-Molded Insole With New Technique on Pain and Function in Females With Flexible Flat Foot: A Pilot Study

Objective A flat foot is a complex postural deformity in which the medial longitudinal arch is decreased. It is associated with diverse symptoms and varying degrees of deformity and disability. This disorder can sometimes contribute to problems in the ankles and knee as it can alter the alignment. Conservative treatments are used to treat patients with a flat foot. One common treatment is the use of insoles with medial heel skive technique. The purpose of this study was to evaluate the effect of custom-molded insoles with new technique on pain and function in females with a flexible flat foot..&nbsp; Materials & Methods This research is a quasi-experimental study of before-and-after type that included 12 subjects with a flexible flat foot from the Social Welfare and Rehabilitation Sciences University of Tehran. To provide a negative cast, plaster cast impressions were taken for each participant&rsquo;s foot. According to the method of modification (medial heel skive) that was introduced by Kirby, the positive cast of the foot was corrected. Each person received an insole with medial heel skive technique. The pain and function of each foot were evaluated with a visual analogue scale and Foot and Ankle Outcome Score before applying the treatment and at six weeks follow-up. Paired t-test and non-parametric tests were used for statistical analysis. Results It was found that the pain and function significantly improved after 6 weeks of using insoles with medial heel skive technique in subjects with flat foot (p<0.001). Conclusion According to our findings, there was a significant difference in pain and function in patients with a flat foot through medial heel skive technique. Therefore, it seems that the insoles can be an effective prescription for subjects with a flat foot

The Effect of Custom Made Foot Orthoses Fabricated With Medial Heel Skive Technique on Pain and Function in Individuals With Patellofemoral Pain Syndrome

Objectives: Patellofemoral pain syndrome (PFPS) is one of the significant causes of knee pain that results in reduced functional performance.Interventional foot orthotics may lead to improvement in symptoms. In this study, the effects of custom-made foot orthoses with medial heel skive technique on pain and functional performance after four weeks were evaluated.&nbsp; Methods: Fourteen subjects with PFPS were given custom-made foot orthoses. The pain and function parameters were evaluated with a visual analog scale (VAS) and Kujala Patellofemoral Score (KPS) before the treatment and at four weeks follow-up.&nbsp; Results: Significant improvements in pain was observed in participants with initial pain at four weeks (P<0.001). Also, an increased functional performance was seen in individuals with PFPS at four weeks (P<0.001).&nbsp; Discussion: In this study, the custom-made foot orthoses with medial heel skive technique was found to be an effective conservative treatment to reduce the pain and improve the functional performance of patients with PFPS

Breast cancer survival rate according to data of cancer registry and death registry systems in Bushehr province, 2001-2013

Background: Breast cancer is the most common female cancer worldwide. Survival rate of breast cancer, especially as an indicator of the successful implementation of screening, diagnosis and treatment programs, has been at the center of attention of public health experts Material and Methods: In a survival study, the records of breast cancer cases in cancer registry system of Bushehr Province were extracted during 2001, March to 2013, September. These records were linked and matched with records of death registry system. After determining patients, status regarding being alive or dead, survival analysis was done. Life table, Kaplan-Mayer analysis, log rank and Breslow tests were used for computing and comparing survival rates. Results: In 300 recorded breast cancer cases, mean and standard deviation of age was 51.26&plusmn;13.87. Survival rates were 95, 88, 78, 73 and 68 percent since the first year through the fifth year, respectively. Mean survival was 87.20 months (95% CI= 81.28- 93.12). There was no significant difference in mean survival regarding age and different geographical areas. Conclusion: Although survival rates of registered breast cancer patients in Bushehr Province are similar to other provinces, they are far from those of developed countries. This situation demands more extensive efforts regarding public education and improving the process of diagnosis, treatment and care of patients especially during first two years after diagnosis