Undiagnosed Bilateral Avascular Necrosis of the Femur in a Young Male Caused by COVID-19 Steroid Injections.

Osteonecrosis is a degenerative bone disease brought on by a change in subchondral blood flow and characterized by the loss of bone cellular components. Other names for it include ischemic bone necrosis, aseptic necrosis, and avascular necrosis. Long bones' epiphyses in weight-bearing joints are typically impacted. In extreme cases, a joint may completely collapse or subchondral bone may be obliterated. Avascular necrosis, which most frequently affects joints, especially the femoral head, occurs when the blood supply to the bones is diminished. In this article, we will explain the clinical case of a 40-year-old man who's been complaining about hip pain for two months. The patient went to Acharya Vinobha Bhave Rural Hospital (AVBRH) with the same complaint and underwent some tests; upon inspection, it was discovered that the patient had bilateral avascular femoral head necrosis. For avascular necrosis (AVN) of the left femoral head, the patient had core decompression surgery. Once post-operative physical therapy was initiated, the condition significantly improved, and it also served to prevent additional abnormalities. The goal of this case study is to examine the therapeutic strategies essential for treating bilateral femoral head avascular necrosis.

Physiotherapeutic Rehabilitative Approach in an Adult With Hemifacial Microsomia: A Case Report.

Hemifacial microsomia is described as a congenital defect in which one-half of the face has an insufficient amount of skeletal and soft tissues. Underdeveloped temporomandibular joints, mandibular ramus, masticatory muscles, ears, and anomalies in face nerves and muscles are among the symptoms of this syndrome. We discuss the case of an 18-year-old young adult who has had facial asymmetry and malformation of the right ear from birth, as well as trouble chewing. Prior to surgery, the patient's mouth opening was restricted, and following surgery, the patient reported having trouble chewing and only a superficial mouth opening. A suitable and well-designed physical therapy programme was created for the patient in response to his clinical presentation, focusing on improving mouth opening and range of motion on the affected side. The purpose of this case study is to illustrate the major role therapeutic interventions can play in the treatment of hemifacial microsomia.