1887
Volume 2003, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

ملخص

One hundred patients with chronic sciatica were stud-ied to determine the effects upon the knee and ankle joints of both the sciatic and non-sciatic sides. The frequency of the clinical involvement of the knee and ankle joints at the sciatic side were 51% and 46% respectively, compared to 20% and 6% on the non-sciatic side (p < 0.001).

The most frequent knee and/or ankle joint manifesta-tions on the sciatic side were recurrent pain and tender-ness although these symptoms may be confused with the points of valliex and secondary pain loci. Painful exten-sion, giving way of the knee joint and recurrent twist of the foot seem significant in identifying affectedjoints together with functional limitations and swelling of the knee. Age, gender; duration and affected side seem to have some im-pact on the development of these symptoms.

It is concluded that chronic sciatica may predispose the knee and ankle joints to different insults in the context of muscle weakness, changed biomechanics and neurologi-cal abnormalities, resulting in the above problems.

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References

  1. Solomon Lois, Warwick David J, Nayagam Selvaduria. Apley's System of Orthopedics and Fractures. 8th ed. Great Britain: ; 3, 371–403, 472 Arnold 2001.
    [Google الباحث العلمي]
  2. Richard A. Deyo, James N. Weinsten. D.O. Low back pain. The New England Journal of Medicine. 2001; 344::363365.
    [Google الباحث العلمي]
  3. Raymond D. Adams, Maurice Victor, Alain H. Ropper. Principle of Neurology. 6th ed. McCraw Hill 114–142, 1363 1997;:194223.
    [Google الباحث العلمي]
  4. Vroomen PC, de Krom MC, Knottnerus J A. Diagnostic value of history and physical examination in patients suspected of sciatica due to disc herniation, Asystemic review. J. Neurol. 1999; 246::899909.
    [Google الباحث العلمي]
  5. Deyo RA, Rainville J Kent. What can history and physical examination tell us about low lack pain? JAMA. 1992; 268::760765.
    [Google الباحث العلمي]
  6. Jejfery Lewis P, et al., Long term prospective study of lumbo-sacral discectomy. Journal Neuro Surgery. 1987; 67::4953.
    [Google الباحث العلمي]
  7. Robert Downey Boutin, Joseph Speath H. Donald Resnick; Degenerative disease of the spine. In: William W Orrison Jr, ed. Neuroimaging. Vol. 2. USA: W.B. Saunders Company 2000;:13021333.
    [Google الباحث العلمي]
  8. Szabo G, et al., Aprospective comparative analysis of mobility in osteoarthritic Knees, Does life style have an influence? The Journal of Bone and Joint Surgery. 2000; 82::11671169.
    [Google الباحث العلمي]
  9. Daniel H Solomon, et al., Does this patients have a torn meniscus or ligaments of the knee? JAMA. 2002; 2::8494.
    [Google الباحث العلمي]
  10. Tom G. Mayer, Rehabilitation, What do we do with the chronic patient? In: Scott Haldman, Neurologic Clinics, Lower back pain, 1999; 17: 131-147.
  11. Timothy E McAlindon, et al., Level of physical activity and the risk of radiographic and symptomatic Knee osteoarthritis in he elderly: The Framingham Study. The American Journal of Medicine. 1999; 106::151157.
    [Google الباحث العلمي]
  12. Joseph J Baundo JR. Regional rheumatic pain syndromes. In: John H Klippel, ed. Primer On The Rheumatic Diseases. 11th ed. Atalanta, Georgia: Artritis Foundation 1997;:136148.
    [Google الباحث العلمي]
  13. Nicholas E Walsh, et al., Treatment of patient with chronic pain. In: Joel A DelisaBruce M Gans, eds. Rehabilitation Medicine Principles and Practice. 2nd ed. Philadelphia: J.B. Lippincott Company 1993;:973995.
    [Google الباحث العلمي]
  14. Smillie I S. Diseases of the Knee Joint. 2nd ed. London: 169, 300, 344 Churchill Livingstone 1980;:127.
  15. Casy Karrigan D, Jennifer L Lelas, Mark E Karroky. Women's shoes and Knee osteoarthritis. Lancet. 2001; 357::10971100.
    [Google الباحث العلمي]
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  • نوع المستند: Research Article
الموضوعات الرئيسية ankleknee and sciatica

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