Case Studies in Pathophysiology (pdf)
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Added on 2021-06-17
Case Studies in Pathophysiology (pdf)
Added on 2021-06-17
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Running Head: CASE STUDY ON PATHOPHYSIOLOGY0Case studyStudent Name
CASE STUDY ON PATHOPHYSIOLOGY1Table of ContentsBackground................................................................................................................................3Case study Information..............................................................................................................3Subjective history (initial assessment)...................................................................................3Objective history (findings)...................................................................................................4Planter plate Tear.......................................................................................................................4Grading.......................................................................................................................................5Epidemiology.............................................................................................................................5Risk factors.................................................................................................................................6Differential diagnosis.................................................................................................................6Assessment.................................................................................................................................7Physical examination.............................................................................................................7Lachmans Test.......................................................................................................................8Scoring system for Lachman’s test....................................................................................8Imaging..................................................................................................................................9Management or intervention in planter plate tear......................................................................9Non operative Interventions...................................................................................................9Simple interventions.........................................................................................................10Footwear modification.....................................................................................................10Anti- inflammatory medicine...........................................................................................10
CASE STUDY ON PATHOPHYSIOLOGY2Stretching/ strengthening.................................................................................................10Icing..................................................................................................................................10Orthoses............................................................................................................................11Operative management.........................................................................................................11Plantar plate tear surgery..................................................................................................11Surgery assisted in earlier problem..................................................................................11Chronic surgery to treat plantar plate...............................................................................11Health outcome measure..........................................................................................................12Foot and Ankle Ability Measure..........................................................................................12Pain examination..................................................................................................................12References................................................................................................................................13
CASE STUDY ON PATHOPHYSIOLOGY3 Case study on Pathophysiology BackgroundThe symptoms reported in the case study indicates that the patients is suffering from Plantar plate Tearing. Planter plate tear is a common problem occurred in forefoot and can beassociated with Neuroma. This can be occurred due to lack of attention (Baravarian, Thomson, Nazarian, 2011). The injuries occurred in foot area can be considered as damage ofsupporting ligament of a toe. It includes inflammation, reduction of strength in that particular area, and rupture, Crossover in second most toe deformation. Women are older than 50 years affected more by plantar plate tear. This can be caused by excessive pressure on second metatarsal by using footwear like high heeled shoes which caused peak pressure on second most metatarsal, footwear like flocks caused excessive sweat which causes skin infection. Sometimes, patient feels tearing sensation and feel like walking on stones. Plantar plate is a ligament like structure provides strength to joints of metatarsal when there is excessive pressure occurred on that area it results plantar plate tearing and further caused low stability and dysfunction in planter plate (Camasta, 2015). It can be diagnosed by analysing symptomslike pain and instability occurred in metatarsal area, swelling on metatarsophalangeal joints and skin infection. Some physical diagnosis methods can be used are: X-rays, MRI Case study InformationSubjective history (initial assessment) The initial information provided in case study stated that the patient is a theatre nurseSuffering from burning pain in left second metatarsal region from 12 weeks. She is an old age women with body mass index of 28 kg/m2. Goes to gym three times per week and wears clogs for work.
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