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Arthrofibrosis — a myth or true joint disorder?

Andrzej Walocha Bartosz Rutowicz Wojciech Przybycień Michał Zarzecki Michał Kłosiński Paweł Depukat Bernard Solewski Ewa Mizia Anna Gil Ewa Walocha

Folia Medica Cracoviensia | 2022 | Vol. 62 | No 1 | 55-70 | DOI: 10.24425/fmc.2022.141691

Keywords arthrofibrosis knee joint trauma rehabilitation physical therapy range of motion

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Abstract

Authors, mostly specialists on rehabilitation and orthopedic surgery prove that arthrofibrosis is a commonly overlooked phenomenon, which may lead to serious limitation in the range of movement, leading to limitation in patients quality of functioning. The main goal of this article is to emphasize the importance of understanding a such complex condition. Non typical patomechanism, lack of biomarkers dedicated to this dysfunction and general lack of under-standing in this pathology causes that risk factors and the most effective strategies remain vastly unknown. Pathophysiology of the arthrofibrosis in the joints is definitely multifactorial, but intense production of collagen seems to be the main factor. Most modern pharmacological methods concentrate on the regula-tion of collagen fiber production and reducing the inflammation. Inflammation from joint contractures stimulates the proliferation of activated cells that results in the production of extracellular matrix macromolecules to form fibrotic tissue that is deposited into the capsule, thereby resulting in fibrosis.
Lack of unified classification scale is caused by relatively high variation of the functions fulfilled by particular joints and each treatment plan should be constructed individually. Quality of surgical treatment and physical therapy play a major role in both prevention and treatment of such complex condition as arthrofibrosis.
Both iatrogenic mistakes and overly aggressive manual therapy are some of main factors increasing the risk of this pathological condition. Introducing properly conducted physical therapy treatment in the early stage is crucial to main the range of movement and preventing this significant problem.

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Authors and Affiliations

Andrzej Walocha

Bartosz Rutowicz

Wojciech Przybycień

Michał Zarzecki

Michał Kłosiński

Paweł Depukat

Bernard Solewski

Ewa Mizia

Anna Gil

Ewa Walocha

Boom Boxing Studio, Kraków, Poland
Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
Laboratory of Nursing Theory and Fundamentals, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland

Anatomy of the deep brachial artery — general overview (cadaveric study) — discussion on terminology

Wojciech Przybycień Michał Zarzecki Agata Musiał Paweł Depukat Bartłomiej Kruszyna Agata Mazurek Julia Jaszczyńska Kinga Glądys Ewa Walocha Ewa Mizia Grzegorz Wysiadecki Jerzy Walocha

Folia Medica Cracoviensia | 2021 | Vol. 61 | No 3 | 85-93 | DOI: 10.24425/fmc.2021.138953

Keywords deep brachial artery course anatomical variation nomenclature

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Abstract

There are only very few studies on the anatomy of the deep brachial artery — DBA (arteria profunda brachii), both regarding its course, branching pattern and contribution to the cubital rete. Most of the textbooks are based on data which remain unchanged for years. The aim of this article was to summarize the current knowledge on this vessel, based on the anatomical and clinical studies and other sources available including also own cadaveric study. We tried to present also some controversies regarded to the nomenclature of the branches of the DBA.

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Authors and Affiliations

Wojciech Przybycień

Michał Zarzecki

Agata Musiał

Paweł Depukat

Bartłomiej Kruszyna

Agata Mazurek

Julia Jaszczyńska

Kinga Glądys

Ewa Walocha

Ewa Mizia

Grzegorz Wysiadecki

Jerzy Walocha

Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
Department of Clinical Nursing, Institute of Nursing and Obstetrics, Jagiellonian University Medical College, Kraków, Poland
Department of Normal and Clinical Anatomy, Chair of Anatomy and Histology, Medical University of Łódź, Łódź, Poland

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Arthrofibrosis — a myth or true joint disorder?

Abstract

Authors and Affiliations

Anatomy of the deep brachial artery — general overview (cadaveric study) — discussion on terminology

Abstract

Bibliography

Authors and Affiliations