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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Soemarjono, Arif
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Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Education Health Professions Medicine & Pharmacology Public Health

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Diagnosis dengan Ultrasound untuk Bursitis Adventisial pada Caput Metatarsal Pertama Soemarjono, Arif; Soewito, Ferius
Majalah Kedokteran Indonesia Vol 68 No 2 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.2-2018-90

Abstract

Adventitial bursitis in the plantar aspect of the first metatarsal heads is characterized by abrupt onset of localized deep and discomfort in the plantar aspect of the first metatarsal head aggravated by walking. Diagnosis of adventitial bursitis is difficult to be established based solely on clinical findings, conventional radiography does not allow diagnosis of soft-tissue disorders especially bursitis. Musculoskeletal ultrasound is a useful imaging modalities to support the clinical diagnosis of soft tissue disorders such as bursitis. To our knowledge, sonographic findings of adventitial bursitis have been rarely reported. Here we present a case report of a patient with pain in the plantar aspect of the left first metatarsal head.
Extracorporeal Shockwave Combined with High Power Laser Therapy in the Treatment of Non-union in 5th Metatarsal Bone: A Case Report Andayani, Ni Gusi Agung Ayu Putu Tika; Soemarjono, Arif; Soewito, Ferius
Surabaya Physical Medicine and Rehabilitation Journal Vol. 8 No. 1 (2026): SPMRJ, FEBRUARY 2026
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v8i1.63187

Abstract

Non-union fractures can lead to long-term physical disabilities and mental health issues. The primary treatment for long bone fractures is surgery. However, surgery may present increased perioperative risks in patients with existing comorbid conditions.  Non-surgical therapy is needed that can heal long bone fractures with minimal side effects and outcomes comparable to surgery. The aim of this report is to see the effect of GDT protocol in treating non-unions. A 44-year-old man sustained a non-union fracture in the midshaft of his left 5th metatarsal from a basketball injury. This patient underwent GDT protocol, which combines high-power laser therapy with ESWT, administered twice weekly for one month. Following two doses of GDT, the swelling reduced significantly. The Visual Analog Scale (VAS) score dropped notably after three sessions of GDT, decreasing from 8/10 to 0/10. Radiological evidence of bone healing was observed after eight sessions of GDT, confirmed by both X-ray and ultrasound imaging. Post-treatment, the patient was able to walk normally with full weight-bearing (FWB). Combining high-power laser therapy with ESWT produces a synergistic effect, improving results in this patient. There were no significant complications or adverse effects observed in patients during the GDT protocol. Further studies with larger samples and better research designs are needed to confirm this result.
Co-Authors Andayani, Ni Gusi Agung Ayu Putu Tika Ferius Soewito