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Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_20 | Pages 17 - 17
1 Apr 2013
Rudol G Rambani R Saleem M Okafor B
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Background

There are no published studies investigating predictive values of psychological distress on effectiveness of epidural injection.

Aims

To evaluate response to epidural injection (EI) in patients with chronic lower back pain (CLBP) with and without psychological distress.


The Journal of Bone & Joint Surgery British Volume
Vol. 79-B, Issue 4 | Pages 544 - 547
1 Jul 1997
Okafor B Mbubaegbu C Munshi I Williams DJ

We reviewed 31 patients at a mean of five years after mallet deformity of the finger had been treated with a thermoplastic splint. Intra-articular fractures were present in 35% of patients. Osteoarthritic changes had developed in 48%, most in association with fracture, and 29% had a swan-neck deformity. There was a loss of extension greater than 10° in 35%; the average deficit at the interphalangeal joint was 8.3° and the average flexion arc was 48.5°.

Despite these findings, patient satisfaction was generally high, with little evidence of functional impairment.