Papers

No siempre es fácil el diagnóstico en Medicina Ortopédica, la mayoría de los cuadros clínicos pueden ser muy confusos. 

Los siguientes estudios son parte de los utilizados como referencias bibliográficas en los cursos de certificación GCI en Medicina Ortopédica Cyriax ofrecidos en más de 35 países.

Por favor, no dude en enviar un resumen de los casos clínicos interesantes de patologías músculo-esqueléticas que haya tenido oportunidad de experimentar en su clínica. 

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Estudios Científicos:

Tendon Fenestration  (Percutaneous tenotomy – Percutaneous tendon needling – Dry needling tendon)

• Ultrasound-Guided Tendon Fenestration

• Sonographically Guided Percutaneous Needle Tenotomy for Treatment of Common Extensor Tendinosis in the Elbow

• Management of Achilles tendinopathy by ultrasound-guided percutaneous tenotomy

• Ultrasound-guided percutaneous longitudinal tenotomy for the management of patellar tendinopathy

• Sonographically guided patellar tendon fenestration: prognostic value of preprocedure sonographic findings

• Should ultrasound-guided needle fenestration be considered as a treatment option for recalcitrant patellar tendinopathy? A retrospective study of 47 cases

• Ultrasound-guided tendon fenestration versus open-release surgery for the treatment of chronic lateral epicondylosis of the elbow: protocol for a prospective, randomised, single blinded study

• Ultrasound-guided percutaneous needle tenotomy using Tenex system for refractory lateral epicondylitis; short and long-term effectiveness and contributing factors

• Sonographically guided percutaneous needle tenotomy for treatment of common extensor tendinosis in the elbow: is a corticosteroid necessary?

• Comparison of the efficacy of corticosteroid, dry needling, and PRP application in lateral epicondylitis

• The Effectiveness of Minimally Invasive Techniques in the Treatment of Patellar Tendinopathy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

• Greater Trochanteric Pain Syndrome: Percutaneous Tendon Fenestration Versus Platelet-Rich Plasma Injection for Treatment of Gluteal Tendinosis

• Ultrasound-Guided Fenestration of the Carpal Ligament Using a Double-Needle Approach

• IMpact of Platelet Rich plasma OVer alternative therapies in patients with lateral Epicondylitis (IMPROVE): protocol for a multicenter randomized controlled study: a multicenter, randomized trial comparing autologous platelet-rich plasma, autologous whole blood, dry needle tendon fenestration, and physical therapy exercises alone on pain and quality of life in patients with lateral epicondylitis

• Ultrasound-guided needle release of the transverse carpal ligament with and without corticosteroid injection for the treatment of carpal tunnel syndrome

• Percutaneous Tendon Needling without Ultrasonography for Lateral Epicondylitis

• Percutaneous Needle Tenotomy for the Treatment of Lateral Epicondylitis: A Systematic Review of the Literature

• Ultrasound-guided tenotomy improves physical function and decreases pain for tendinopathies of the elbow: a retrospective review

• Ultrasound-Guided Fenestration of Tendons About the Hip and Pelvis: Clinical Outcomes

• Ultrasound-Guided Percutaneous Tenotomy for Gluteal Tendinopathy

• Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review

• Tendon needling for treatment of tendinopathy: A systematic review

• Dry needling as a method of tendinopathy treatment

• Sonographically guided percutaneous needle tenotomy for the treatment of chronic tendinosis

• Ultrasound-Guided Dry Needling of the Healthy Rat Supraspinatus Tendon Elicits Early Healing Without Causing Permanent Damage

• Platelet-Rich Plasma Injection With Percutaneous Needling for Recalcitrant Lateral Epicondylitis: Comparison of Tenotomy and Fenestration Techniques

• Ultrasound-guided dry needling with percutaneous paratenon decompression for chronic Achilles tendinopathy

• Molecular and structural effects of percutaneous interventions in chronic achilles tendinopathy

• Dry Needling of a Healthy Rat Achilles Tendon Increases Its Gene Expressions: A Pilot Study

• Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series

• Dry needling in lateral epicondylitis: a prospective controlled study

• The use of dry needling versus corticosteroid injection to treat lateral epicondylitis: a prospective, randomized, controlled study

• Utility of Percutaneous Ultrasonic Tenotomy for Tendinopathies: A Systematic Review

• Percutaneous Ultrasonic Tenotomy Reduces Insertional Achilles Tendinopathy Pain With High Patient Satisfaction and a Low Complication Rate

• Percutaneous ultrasonic tenotomy for chronic elbow tendinosis: a prospective study

• Ultrasonic Percutaneous Tenotomy for Recalcitrant Lateral Elbow Tendinopathy: Clinical and Sonographic Results at 90 Months

• The Effectiveness of High-Energy Extracorporeal Shockwave Therapy Versus Ultrasound-Guided Needling Versus Arthroscopic Surgery in the Management of Chronic Calcific Rotator Cuff Tendinopathy: A Systematic Review

• Comparing Ultrasound-Guided Needling Combined With a Subacromial Corticosteroid Injection Versus High-Energy Extracorporeal Shockwave Therapy for Calcific Tendinitis of the Rotator Cuff: A Randomized Controlled Trial

• Which method is more effective in treatment of calcific tendinitis in the shoulder? Prospective randomized comparison between ultrasound-guided needling and extracorporeal shock wave therapy

• The outcome of ultrasound-guided needle decompression and steroid injection in calcific tendinitis

• Calcific tendinitis of the rotator cuff: a randomized controlled trial of ultrasound-guided needling and lavage versus subacromial corticosteroids

• Extracorporeal shock wave therapy, ultrasound-guided percutaneous lavage, corticosteroid injection and combined treatment for the treatment of rotator cuff calcific tendinopathy: a network meta-analysis of RCTs

• Ultrasound imaging-guided percutaneous treatment of rotator cuff calcific tendinitis: success in short-term outcome

Plasma Rico en Plaquetas (PRP) – Proloterapia (PT)

• Tennis elbow, study protocol for a randomized clinical trial: needling with and without platelet-rich plasma after failure of up-to-date rehabilitation

• Comparison of the therapeutic effects of ultrasound-guided platelet-rich plasma injection and dry needling in rotator cuff disease: a randomized controlled trial

• Platelet rich plasma compared to dry needling in the treatment of non-insertional Achilles tendinopathy

• Platelet-rich plasma versus Tenex in the treatment of medial and lateral epicondylitis

• Dextrose Prolotherapy Versus Control Injections in Painful Rotator Cuff Tendinopathy

• Effects of hypertonic dextrose injection in chronic supraspinatus tendinopathy of the shoulder: a randomized placebo-controlled trial

• Effectiveness of prolotherapy in the treatment of chronic rotator cuff lesions

• Prolotherapy for Refractory Rotator Cuff Disease: Retrospective Case-Control Study of 1-Year Follow-Up

Tratamiento CV: Tracción – Manipulación

• The biomechanical influence of traction on the cervical spine.

• High-Force Versus Low-Force Lumbar Traction in Acute Lumbar Sciatica Due to Disc Herniation: A Preliminary Randomized Trial.

• Herniated Lumbar Disks: Real-time MR Imaging Evaluation during Continuous Traction.

• Effects of segmental traction therapy on lumbar disc herniation in patients with acute low back pain measured by magnetic resonance imaging: A single arm clinical trial

• Mechanical effects of traction on lumbar intervertebral discs: A magnetic resonance imaging study

• Effectiveness of Traction in Young Patients Representing Different Stages of Degenerative Disc Disease

• Effects of patient-specific three-dimensional lumbar traction on pain and functional disability in patients with lumbar intervertebral disc prolapse

• Mechanical Traction for Lumbar Radicular Pain: Supine or Prone? A Randomized Controlled Trial

• Herniated Lumbar Disks: Real-time MR Imaging Evaluation during Continuous Traction.

• Reducibility of cervical disk herniation: evaluation at MR imaging during cervical traction with a nonmagnetictraction device.

• Manipulative therapy in lower back pain with leg pain and neurological deficit.

• Manipulation of the cervical spine: risks and benefits.

• Upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headache: a multi-center randomized clinical trial.

• Manipulative therapy in lower back pain with leg pain and neurological deficit.

• Hérnias de Disco Lombares – Quais fatores determinam a redução de seu tamanho?

• Effects of vertebral axial decompression on intradiscal pressure

• Computed tomographic investigation of the effect of traction on lumbar disc herniations

• Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation

• Biomechanical analysis in the lumbar spine during two-step traction therapy

• Lumbar mechanical traction: a biomechanical assessment of change at the lumbar spine

Fisiopatología Columna Vertebral:

• Knowledge and use of craniovertebral instability testing by Australian physiotherapists

• Occult Hypermobility of the Craniocervical Junction: A Case Report and Review

• Risk factors and clinical presentation of craniocervical arterial dissection: A prospective study

• The herniated thoracic disc: A review of literature

• Effects of Cervical Extension on Deformation of Intervertebral Disk and Migration of Nucleus Pulposus.

• Effect of lordosis on the position of the nucleus pulposus in supine subjects. A study using magnetic resonance imaging.

• Postural changes of the dural sac in the lumbar spines of asymptomatic individuals using positional stand-up magnetic resonance imaging.

• The response of the nucleus pulposus of the lumbar intervertebral discs to functionally loaded positions.

• The acute response of the nucleus pulposus of the cervical intervertebral disc to three supine postures in an asymptomatic population

• Effects of Cervical Extension on Deformation of Intervertebral Disk and Migration of Nucleus Pulposus

• Effect of short-term unloading on T2 relaxation time in the lumbar intervertebral disc–in vivo magnetic resonance imaging study at 3.0 tesla

• Thoracic Disk Herniation, a not Infrequent Cause of Chronic Abdominal Pain

• Predictive signs of discogenic lumbar pain on magnetic resonance imaging with discography correlation.

• Do more MRI findings imply worse disability or more intense low back pain? A cross-sectional study of candidates for lumbar disc prosthesis.

• MRI Findings of Disc Degeneration are More Prevalent in Adults with Low Back Pain than in Asymptomatic Controls: A Systematic Review and Meta-Analysis.

• Magnetic resonance imaging documentation of coexistent traumatic locked facets of the cervical spine and disc herniation.

• Patients with sciatica still experience pain and disability 5 years after surgery: A systematic review with meta-analysis of cohort studies.

• Lumbar disc herniation: MR imaging assessment of natural history in patients treated without surgery

• Lumbar disk herniation: MR imaging assessment of natural history in patients treated without surgery.

• Spontaneous resorption of sequestrated intervertebral disc herniation.

• The probability of spontaneous regression of lumbar herniated disc: a systematic review

• Analysis of the cranio-cervical curvatures in subjects with migraine with and without neck pain

• Anatomy, biology, physiology, and biomechanics of intervertebral disk and other anatomical structures of the lumbar spine

• MRI Findings of Disc Degeneration Are More Prevalent in Adults With Low Back Pain Than in Asymptomatic Controls: A Systematic Review and Meta-Analysis

• The Association between the Cross-Sectional Area of the Dural Sac and LowBack Pain in a Large Population: The Wakayama Spine Study.

• The neuroradiographic diagnosis of lumbar herniated nucleus pulposus: II. A comparison of computed tomography (CT), myelography, CT-myelography, and magnetic resonance imaging.

• PREVALENCE OF LUMBAR DISC DEGENERATION OBSERVED BY MAGNETIC RESONANCE IN SYMPTOMLESS WOMEN

• Early pattern of degenerative changes in individual components of intervertebral discs in stressed and nonstressed segments of lumbar spine: An in vivo magnetic resonance imaging study

• Anulus tears and intervertebral disc degeneration: An experimental study using an animal model

• Diagnostic value of history and physical examination in patients suspected of lumbosacral nerve root compression.

• The relationships between low back pain and lumbar lordosis: a systematic review and meta-analysis.

• The associations between magnetic resonance imaging findings and low back pain: A 10-year longitudinal analysis

• The Relationship Between Findings on Magnetic Resonance Imaging and Previous History of Low Back Pain

• Analysis of Chronic Low Back Pain With Magnetic Resonance Imaging T2 Mapping of Lumbar Intervertebral Disc

• Do More MRI Findings Imply Worse Disability or More Intense Low Back Pain? A Cross-Sectional Study of Candidates for Lumbar Disc Prosthesis

• Anatomy, biology, physiology, and biomechanics of intervertebral disk and other anatomical structures of the lumbar spine

• Clinical Presentations of Lumbar Disc Degeneration and Lumbosacral Nerve Lesions

• Low Back Pain in Athletes

 Anatomo-patología de la Columna Vertebral

• The innervation of the spinal dura mater: Anatomy and clinical implications

• Innervation of the spinal dura mater

• An Immunohistochemical Study of Innervation of Lumbar Spinal Dura and Longitudinal Ligaments

• Innervation of spinal meninges and epidural structures

• Anatomical background of low back pain: variability and degeneration of the lumbar spinal canal and intervertebral disc

• Anatomical study of lumbar spine innervation

• The nerve supply of the lumbar intervertebral disc

• Neuroanatomic basis for discogenic pain

• A comprehensive review of the sinuvertebral nerve with clinical applications

• The aging spine: the role of inflammatory mediators in intervertebral disc degeneration

• Possible pathogenesis of painful intervertebral disc degeneration

• Expression and role of connective tissue growth factor in painful disc fibrosis and degeneration

•  The pathogenesis of discogenic low back pain

• Cytokine evaluation in individuals with low back pain using discographic lavage

• What is intervertebral disc degeneration, and what causes it?

• Insight into neural mechanisms underlying discogenic back pain

•  Symptomatic versus Asymptomatic Intervertebral Disc Degeneration: Is Inflammation the Key?

• Intervertebral disc, sensory nerves and neurotrophins: who is who in discogenic pain?

• Pathomechanisms of discogenic low back pain in humans and animal models

• Reasearch on mechanism of neurotrophins in discogenic low back pain

• Nerve ingrowth into diseased intervertebral disc in chronic back pain

• Nerve growth factor expression and innervation of the painful intervertebral disc

• Expression and regulation of neurotrophic and angiogenic factors during human intervertebral disc degeneration

Articulación Sacroilíaca

• The reliability of multitest regimens with sacroiliac pain provocation tests 

• Movements of the Sacroiliac Joints. A Roentgen Stereophotogrammetric Analysis

• The Mobility of the Sacroiliac Joints in Healthy Volunteers Between 20 and 50 Years of Age

• In Vivo Measurement of 3-dimensional Movement of the Iliosacral Joint

• Sacroiliac Joint Innervation and Pain

• Innervation of the Sacroiliac Joint of the Human

• Innervation of the Sacroiliac Joint. Macroscopical and Histological Studies

• Movements in the Sacroiliac Joints Demonstrated With Roentgen Stereophotogrammetry

• Manipulation Does Not Alter the Position of the Sacroiliac Joint. A Roentgen Stereophotogrammetric Analysis

• Results of sacroiliac joint double block and value of sacroiliac pain provocation tests in 54 patients with low back pain

• Intertester reliability for selected clinical tests of the sarcoiliac joint

• Clinical diagnostic tests for the sacroiliac joint: Motion and palpation tests

• Clinical tests of the sacroiliac joint. A systematic methodological review. Part 1: Reliability

• Sacroiliac joint pain syndrome in active patients: A look behind the pain

• Evaluation of the Presence of Sacroiliac Joint Region Dysfunction Using a Combination of Tests: A Multicenter Intertester Reliability Study

• Measurement of Sacroiliac Joint Dysfunction: A Multicenter Intertester Reliability Study

• The Reliability of Selected Motion- And Pain Provocation Tests for the Sacroiliac Joint

• Diagnosis of Sacroiliac Joint Pain: Validity of Individual Provocation Tests and Composites of Tests

• A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive sacroiliac joint procedures

• The Reliability of Multitest Regimens With Sacroiliac Pain Provocation Tests

• The Validity and Reliability of Provocation Tests in the Diagnosis of Sacroiliac Joint Dysfunction

• Spinal Palpation for Lumbar Segmental Mobility and Pain Provocation: An Interexaminer Reliability Study

• Diagnosing Painful Sacroiliac Joints: A Validity Study of a McKenzie Evaluation and Sacroiliac Provocation Tests

• Diagnostic performance of clinical tests for sacroiliac joint pain

• Movement of the sacroiliac joint during the Active Straight Leg Raise test in patients with long-lasting severe sacroiliac joint pain

• Provocation Sacroiliac Joint Tests Have Validity in the Diagnosis of Sacroiliac Joint Pain

• A systematic evaluation of prevalence and diagnostic accuracy of sacroiliac joint interventions.

• Assessment of the Degree of Pelvic Tilt Within a Normal Asymptomatic Population

• Descriptive Analysis of Pelvic Asymmetry in an Asymptomatic Population

• Inter-examiner and Intra-Examiner Reliability of the Standing Flexion Test

• Inter-examiner and Intra-Examiner Agreement for Assessing Sacroiliac Anatomical Landmarks Using Palpation and Observation: Pilot Study

• Inter-examiner Reliability of Four Static Palpation Tests Used for Assessing Pelvic Dysfunction

• The Value of Medical History and Physical Examination in Diagnosing Sacroiliac Joint Pain

• Four Clinical Tests of Sacroiliac Joint Dysfunction: The Association of Test Results With Innominate Torsion Among Patients With and Without Low Back Pain

• The diagnostic value of three sacroiliac joint pain provocation tests for sacroiliitis identified by magnetic resonance imaging

• The Value of Sacroiliac Pain Provocation Tests in Early Active Sacroiliitis

• Evaluation of the Presence of Sacroiliac Joint Region Dysfunction Using a Combination of Tests: A Multicenter Intertester Reliability Study

• Clinical classification in low back pain: best-evidence diagnostic rules based on systematic reviews

• Does the Gillet test assess sacroiliac motion or asymmetric one-legged stance strategies?

• Changing the Narrative in Diagnosis and Management of Pain in the Sacroiliac Joint Area 

• The sacroiliac joint – Victim or culprit

 Evaluación: Tensión selectiva – Patrón Capsular

• Clinical Research on the Efficiency of Physical Examinations Used for Diagnosis of Subacromial Impingement Syndrome

• Intertester reliability of the cyriax evaluation in assessing patients with shoulder pain.

• An examination of the selective tissue tension scheme, with evidence for the concept of a capsular pattern of the knee.

• Construct Validity of Cyriax’s Selective Tension Examination: Association of End-Feels With Pain at the Knee and Shoulder

• Reliability of Assessing End-Feel and Pain and Resistance Sequence in Subjects With Painful Shoulders and Knees

• Relation Between Subacromial Bursitis on Ultrasonography and Efficacy of Subacromial Corticosteroid Injection in Rotator Cuff Disease: A Prospective Comparison Study

• Relationship between subacromial bursitis on ultrasonography and efficacy of subacromial corticosteroid injection in rotator cuff disease: a prospective comparison study

• Which Physical Examination Tests Provide Clinicians With the Most Value When Examining the Shoulder? Update of a Systematic Review With Meta-Analysis of Individual Tests

• Diagnostic Accuracy of Clinical Tests for the Different Degrees of Subacromial Impingement Syndrome

• Validity of Cyriax’s Functional Examination for Diagnosing Shoulder Pain: A Diagnostic Accuracy Study

• Reliability and Diagnostic Accuracy of 5 Physical Examination Tests and Combination of Tests for Subacromial Impingement

DTM: Masaje de Fricción transversa Profunda

• Cyriax Physiotherapy Versus Phonophoresis with Supervised Exercise in Subjects with Lateral Epicondylalgia: A Randomized Clinical Trial

• Cyriax physiotherapy for tennis elbow/lateral epicondylitis

• Comparison of effectiveness of supervised exercise program and Cyriax physiotherapy in patients with tennis elbow (lateral epicondylitis): a randomized clinical trial

• Deep Friction Massage Versus Steroid Injection in the Treatment of Lateral Epicondylitis.

• Comparison of effects of Cyriax physiotherapy, a supervised exercise programme and polarized polychromatic non-coherent light (Bioptron light) for the treatment of lateral epicondylitis

• Corticosteroid or placebo injection combined with deep transverse friction massageMills manipulation, stretching and eccentric exercise for acute lateral epicondylitis: a randomised, controlled trial.

• Fibroblast responses to variation in soft tissue mobilization pressure.

• Rat tendon morphologic and functional changes resulting from soft tissue mobilization.

• The neuromotor effects of transverse friction massage.

• Pressure Applied during Deep Friction Massage: Characterization and Relationship with Time of Onset of Analgesia

• Quantitative application of transverse friction massage and its neurological effects on flexor carpi radialis.

• Pressure Applied during Deep Friction Massage: Characterization and Relationship with Time of Onset of Analgesia

• Evaluation and treatment of soft tissue lesions of the ankle and forefoot using the Cyriax approach: a case report.

• Increase of plasma beta-endorphins in connective tissue massage.

• Deep friction massage to treat tendinopathy: a systematic review of a classic treatment in the face of a new paradigm of understanding.

• Cyriax’s deep friction massage application parameters: Evidence from a cross-sectional study with physiotherapists.

• Masaje de fricción profunda y la presión cutánea mínima requerida para promover una deformación macroscópica del tendón rotuliano.

• The effect of deep cross friction massage on spasticity of children with cerebral palsy: A double-blind randomised controlled trial.

• Deep transverse friction massage for treating tendinitis.

• Deep Friction Massage in Treatment of Radiation-induced Fibrosis: Rehabilitative Care for Breast Cancer Survivors.

• A pilot study to compare the outcome measures in patients with supraspinatus tendinopathy when treated with either transverse frictions or transverse frictions combined with ultrasound

• The beliefs and attitudes of cypriot physical therapists regarding the use of deep friction massage.

Otras Técnicas de Tratamiento (Shock wave – Taping .etc…)

• Effect of a single administration of focused extracorporeal shock wave in the relief of Delayed-Onset Muscle Soreness: results of a partially-blinded randomized controlled trial

• Focused extracorporeal shock wave therapy combined with supervised eccentric training for supraspinatus calcific tendinopathy

• Biomechanical and histological effects of augmented soft tissue mobilization therapy on achilles tendinopathy in a rabbit model.

• A Review of Red Flags

• The effects of eccentric training on lower limb flexibility: a systematic review.

• Extracorporeal Shockwave Therapy in Patients with Morton’s Neuroma A Randomized, Placebo-Controlled Trial.

• The effect of ankle taping on functional performance in participants with functional ankle instability

• The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model

• Additive Effect of Therapeutic Ultrasound in the Treatment of Plantar Fasciitis: A Randomized Controlled Trial

• Accuracy of infraspinatus isometric testing in predicting tear size and tendon reparability: comparison with imaging and arthroscopy.

Varios

• Real-time visualization of joint cavitation.

• The Myth of Core Stability