Efficacy of isokinetic in the management of patellofemoral pain syndrome: a narrative review.

Patellofemoral pain syndrome (PFPS) is a common musculoskeletal condition that significantly impacts physical function and quality of life. This review evaluates the role of isokinetic knee strengthening exercises in the management of PFPS, highlighting key findings from recent studies. Isokinetic strengthening, particularly focused on eccentric quadriceps contractions, has shown significant improvements in pain reduction, functional performance, and quadriceps strength.

A Rare Case of Moyamoya Disease in Infancy: Complexities in Post-stroke Neurorehabilitation.

Although ischemic stroke in infants is not very common, it remains one of the causes of morbidity and mortality in children. One of the etiologies is Moyamoya disease, which remains a rare entity in Morocco. Management of this disease in the pediatric population remains precarious due to delayed diagnosis, given the diversity of clinical presentations and the lack of necessary technical means, such as MRI or angiography, allowing early diagnosis, as well as the lack of standardized international rehabilitation protocols and the absence of pediatric rehabilitation structures in underdeveloped countries.

Wartenberg's Syndrome: A Case of Ultrasound Revealing a Diagnosis Missed by Electromyography With Hydrodissection Offering Pain Relief and Functional Recovery.

Wartenberg's syndrome, an entrapment neuropathy of the superficial radial nerve, frequently presents significant diagnostic challenges, often with normal electroneuromyography findings despite debilitating clinical symptoms. This case report details a patient experiencing severe post-traumatic neuropathic pain highly consistent with Wartenberg's syndrome. High-resolution ultrasound proved pivotal in revealing focal nerve enlargement and confirming the diagnosis, which was missed by conventional electroneuromyography.

Longitudinally Extensive Transverse Myelitis and Bilateral Pellegrini-Stieda Syndrome Coexisting in a Young Woman With Systemic Lupus Erythematosus: Report of a Rare Case.

Systemic lupus erythematosus is a complex autoimmune disease, with longitudinally extensive transverse myelitis representing a rare yet severe neuropsychiatric manifestation that can be its inaugural presentation. While Pellegrini-Stieda disease, characterized by ossification of the medial collateral ligament of the knee, is typically a post-traumatic condition, its occurrence in the context of neurological injury is extremely uncommon. We report a rare case of a 31-year-old woman with systemic lupus erythematosus presenting with longitudinally extensive transverse myelitis and paraplegia.

Neurogenic Heterotopic Ossification: A Rare Complication of Guillain-Barré Syndrome Exacerbated by Ankylosing Spondylitis and HLA-B27.

We report an exceptional case of neurogenic heterotopic ossification (NHO) developing in a 28-year-old female with pre-existing human leukocyte antigen B27 (HLA-B27) positive ankylosing spondylitis (AS), following a severe course of Guillain-Barré syndrome (GBS). Seven days postpartum, she developed acute GBS requiring three months of intensive care, intubation, mechanical ventilation, and plasmapheresis, leading to flaccid tetraplegia and prolonged immobilization. Four months post-GBS onset, she presented with bilateral hip pain and severely restricted range of motion.

Clinical Features of Gollop-Wolfgang Complex in North Africa: A Case Study.

Gollop-Wolfgang Complex (GWC) is a rare congenital musculoskeletal anomaly marked by distal femoral duplication and tibial aplasia. While often linked with other systemic defects like those in the VACTERL association, our case uniquely presents an isolated manifestation of this complex. The exact genetic cause of GWC isn't fully understood, highlighting a gap in our knowledge of limb development disorders.

Immunoglobulin G4 biomarkers and pathogenesis in immunoglobulin G4-related spinal pachymeningitis.

This letter to the editor highlights adding the diagnostic utility of immunoglobulin G4 (IgG4) measurements and its potential role in IgG4-related spinal pachymeningitis (IgG4-RSP) pathogenesis to the case reported by Chae TS , which focused on IgG4-RSP diagnosis based on magnetic resonance imaging findings and increased plasma IgG4 concentrations. A comprehensive understanding of both IgG4 serological and cerebrospinal fluid biomarkers is essential for managing this complex condition.

Ultrasound-Guided Diagnosis of Intermetatarsal Bursitis Mimicking Morton's Neuroma: A Case Report.

Metatarsalgia, a common cause of foot pain, significantly impairs quality of life and increases the risk of falls. Differentiating its underlying causes, such as Morton's neuroma and intermetatarsal bursitis, is crucial due to their distinct pathophysiology and management strategies. Clinical diagnosis can be challenging due to overlapping symptoms, underscoring the value of ultrasonography.

Radiofrequency Ablation for Chronic Hip Pain: A Case Report on the First Application in Morocco.

Hip joints are vulnerable to various disorders that can lead to severe, chronic pain. Conventional treatments typically offer only temporary relief. For patients who are not candidates for hip prostheses, radiofrequency (RF) nerve ablation may present a promising alternative.

Scientific Advances in Neural Regeneration After Spinal Cord Injury.

Spinal cord injury (SCI) is a devastating condition that results in loss of motor and sensory function, morbidity, and severe dependence. Neural regeneration, which refers to the regrowth or repair of nerve tissue or cells, holds promise as a therapeutic approach for SCI. This narrative review explores the current state of neural regeneration for SCI treatment, including endogenous neuroprotection, neuroplasticity, neuroremediation, and cell-based therapies.

Retrospective Study of Morton's Neuroma: Clinical, Paraclinical, and Therapeutic Assessment of 10 Cases.

Background Morton's neuroma is a common cause of forefoot pain, typically occurring in the third metatarsal space and characterized by symptomatic nerve compression. This condition often leads to significant functional impairment, affecting weight-bearing activities and limiting appropriate footwear due to pain and discomfort. Objective This study aims to evaluate the outcomes of conservative interventional treatment for Morton's neuroma, specifically focusing on corticosteroid injections.

Uncommon presentation of anterior inferior iliac spine avulsion fracture accompanied by adductor muscles tendinopathy: A case report.

Avulsion fracture of the anterior inferior iliac spine is an infrequent injury characterized by the detachment of an osseous fragment from the iliac spine. The patient's medical history, physical assessment, and radiographic investigations hold significance in the process of establishing a diagnosis. This particular case delineates the clinical attributes, diagnostic assessment, and therapeutic approach undertaken for a patient afflicted with this specific avulsion fracture.

Solving the Puzzle: A Compelling Case Study of Calcaneal Apophysitis With Achilles Tendon Calcification in a 14-Year-Old Patient.

Calcaneal apophysitis, known as Sever's disease, manifests as heel pain and is prevalent among children and adolescents, particularly during growth spurts and periods of heightened physical activity. Although Sever's disease is well-documented, its co-occurrence with other foot pathologies in pediatric patients is relatively uncommon. We present here a unique case of a 14-year-old female patient who presented with significant heel pain and discomfort associated with flat feet, impacting her daily activities and physical performance.

"Prompt" for PREEMPT: Dotting the I's and Crossing the T's With Ultrasound.

The management of chronic migraine (CM) underwent a significant shift with the introduction of onabotulinumtoxin A (BoNT-A) injections following the landmark PREEMPT trial in 2010. Despite its efficacy, the existing injection protocol lacks precision, prompting a call for revision in light of modern ultrasound (US)-guided techniques. This article highlights the potential of US-guided injections to enhance accuracy, safety, and efficacy in CM treatment.

Hypertonia of the Big Toe Revealing Parkinson's Disease: A Case Report.

Despite being less commonly discussed than other motor symptoms such as tremors and bradykinesia, hypertonia of the hallux holds diagnostic and prognostic significance in Parkinson's disease (PD). This motor anomaly is dissected within the context of the broader clinical spectrum of PD symptoms, emphasizing its importance alongside its cardinal symptoms. This case report underscores the importance of accurate clinical assessment especially thorough neurological evaluation in discerning hallux hypertonia, potentially enabling early disease recognition and intervention.

Beyond the Heel: Unraveling Sever's Disease and Achilles Tendinitis Through Ultrasound Diagnosis.

Sever's disease, or calcaneal apophysitis, is a common cause of heel pain in physically active children. This case report presents the evaluation, diagnosis, and management of a 10-year-old female patient with persistent left heel pain. Clinical examination and diagnostic ultrasound confirmed the diagnosis of Sever's disease.

Post-traumatic radial nerve neuroma: A case report.

Introduction: Radial nerve neuromas (RNNs) are mostly post-traumatic conditions that occur after a complete or partial section of a nerve. Here we report a case of post-traumatic RNN with good functional progression after intense physical rehabilitation.

Case Presentation: A 49 years old patient with a post-complete section of the radial nerve underwent intensive physical rehabilitation with two sessions of ultrasound-guided injections of 10 % glucose saline around the neuroma.

Screw Impingement Causing Massive Swelling of the Sciatic Nerve: A Case Report.

Sciatic nerve (SN) injuries after hip fracture dislocation are described and are not uncommon. Several factors can lead to SN injury after hip surgery; among other factors, screw plates of synthesis materials can immigrate and lead to nerve impingement. We report a case of a 22-year-old male with a history of posterior wall fracture and hip dislocation after a motorway accident.

Efficacy of Botulinum Toxin, Local Anesthetics, and Corticosteroids in Patients With Piriformis Syndrome: A Systematic Review and Meta-analysis.

Background: Piriformis syndrome (PS) is a painful condition caused by entrapment of the sciatic nerve within the piriformis muscle. PS is typically unilateral and mainly occurs related to entrapment of the sciatic nerve. Treatments include physiotherapy, analgesics, anti-inflammatory drugs, behavioral modifications, injection therapy with local anesthetics (LAs) and steroids, epidural injection, botulinum toxin (BT) injection, and surgery.

Spontaneous spinal epidural hematoma in a patient on acenocoumarol for valvular atrial fibrillation: A rare case report.

Introduction: Spontaneous spinal epidural hematoma (SSEH) is a rare finding, but one with serious clinical implications. Oral anticoagulant drugs are known to be associated with the SSEH onset, particularly when combined with drugs increasing the bleeding risk.

Case Presentation: We present the case of a 62-year-old female on acencoumarol for her atrial fibrillation complicating severe mitral stenosis with a history of Ketoprofen use for the onset of her first symptoms.

An Exceptional Clinical Presentation associating an occipital stroke, a Superior and Inferior Mesenteric Thrombosis following Covid 19 disease, case report.

Introduction: The Covid 19 pandemia since the first reported case in 2019 had a direct socioeconomic impact related to morbi-mortality and indirect in response to protection and isolation strategies. To our knowledge thrombo-embolic complications can be a mode of revelation complicating the management.

Case Presentation: We present an exceptional case of a patient with a history of Covid 19,admitted 21 days later for disturbed consciousness, in whom an ischemic occipital stroke ,intestinal and colonic ishemia had been objectified.

Constraint-Induced Movement Therapy Combined With Botulinum Toxin for Post-stroke Spasticity: A Systematic Review and Meta-Analysis.

Stroke is considered one of the main causes of adult disability and the second most serious cause of death worldwide. The combination of botulinum toxin type A (BTX) with rehabilitation techniques such as modified constraint-induced movement therapy (mCIMT) has emerged as a highly efficient intervention for stroke patients to start synchronized motor function along with spasticity reduction. The current systematic review and meta-analysis were conducted in order to evaluate the available literature about the safety and efficacy of constraint-induced movement therapy (CIMT) combined with BTX in stroke patients with upper limb spasticity.