No abstract

Rotator cuff tear stands as one of the major origins of shoulder discomfort 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 care of massive rotator cuff tear continues to be a challenge in shoulder surgery. Treatment options have changed in comparison 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, minor repair 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 are 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.

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. 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'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.

Osteochondral lesions of the ankle joint are one of the common disorders, especially after ankle joint injury. This study reports the results of studes that evaluated the mosaicplasty procedure for osteochondral lesions of the ankle joint. This review included all articles published during 2000 to 2018 and search was performed in databases of Science Direct, Google Scholar, PubMed and ISI Web of Knowledge using OR, AND, NOT between the selected keywords. The results of this review article showed that mosaicplasty can reduce pain and increase function in patients with Osteochondral lesions of the ankle joint and so it can be a good treatment option.

Background: Patellofemoral pain syndrome (PFPS) is complication in the knee joint that can affect the gait of affected subjects. Various studies have been done in this field. The purpose of this study is to update the review article in the effect of PFPS on gait parameters.