Journal of Clinical Orthopaedics最新文献

{"title":"Giant Cell Tumor of FDP Tendon Sheath in Young: A Rare Case Report","authors":"S. Kale, Abhiraj Patel, Sattwik Sreeram, S. Doshi, Nikhil Isaacs, Ronak Mishra","doi":"10.13107/jcorth.2023.v08i01.553","DOIUrl":"https://doi.org/10.13107/jcorth.2023.v08i01.553","url":null,"abstract":"Introduction: Giant cell tumor of the tendon sheath of the hand (GCTTS) is a benign tumor of unknown cause. The clinical diagnosis is supported by pre-operative imaging. The standard of care is surgical resection along with histological confirmation. It appears as a palpable enlargement that is painless. Although pre-operative imaging and fine-needle aspiration cytology (FNAC) corroborate its suspicion, histology following surgical resection is mostly responsible for establishing its diagnosis. Due to its rarity, a case of GCT of the flexor tendon sheath of the right index finger is reported here. Case Report: We give an example of a patient with giant cell tumor (GCT) of the flexor digitorum profundus tendon sheath in a male patient who is 18 years old. On examination, a 1.8 × 1.2 × 1.0 cm swelling was seen covering an adjoining tendon on the palmar surface of the right index finger at the middle phalanx. The swelling was well-defined, had a smooth surface, was consistently firm, and could be easily pushed in a sideways direction. An isolated soft-tissue shadow was visible in the affected area of the hand’s X-ray, but there was no bone involvement. As a professional shooter, the patient utilizes his right index finger as a trigger finger. Conclusion: In adults with hand soft-tissue tumors, GCTTS should be considered as a possible differential diagnosis, especially when there’s any evidence of repeated inconsequential minor trauma. The patient should be monitored to find and treat recurrences. Keywords: Giant-cell tumors, FDP tendon, GCTTS.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"21 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72367536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bracing for Impact – Bracing in Adolescent Idiopathic Scoliosis","authors":"K. Chaudhary","doi":"10.13107/jcorth.2023.v08i01.561","DOIUrl":"https://doi.org/10.13107/jcorth.2023.v08i01.561","url":null,"abstract":"Bracing plays a vital role in the non-operative treatment of adolescent idiopathic scoliosis (AIS), especially when detected early. Recent high-quality studies confirm that bracing can alter the natural progression of a curve, potentially preventing the need for surgery. The concept is based on the ability of external force to guide spine growth, which has been experimentally proven. However, bracing cannot straighten the spine; its primary goal is to halt the curve’s progression. The evidence for bracing is strong, with studies showing that approximately two-thirds of AIS curves can be controlled through bracing. However, there are concerns about the broad application of bracing indications, potentially leading to unnecessary treatment for some patients. Identifying the 25% of patients who will benefit from bracing remains a challenge. Bracing is most effective when applied to curves between 25-45° during the rapid growth phase, but compliance is crucial for success. The choice of brace type matters less than its quality and corrective effect. The practice of bracing requires a close orthotist-surgeon relationship, and follow-up visits are essential to monitor progress. Ultimately, bracing remains a valuable non-surgical option for AIS, but careful patient selection and close monitoring are necessary for optimal results. Keywords: Brace, Adolescent idiopathic scoliosis.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87326519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foot Falls – Managing Flatfeet in Children and Adolescents","authors":"R. Deshmukh","doi":"10.13107/jcorth.2023.v08i01.563","DOIUrl":"https://doi.org/10.13107/jcorth.2023.v08i01.563","url":null,"abstract":"Flat feet are rarely symptomatic in children. The reason for consultation is usually parental anxiety and peer pressure. Majority of the patients and their parents needs to be treated with assurance. The clinical assessment of the foot must however be performed systematically in order to detect signs of symptomatic flat feet that are detected early and treated within time. Asymptomatic flexible flat feet constitute the majority of these feet and need to be assessed for a tight tendo achilles. Feet with a tight tendo achilles are most likely to become symptomatic and may need some form of treatment. The treatment is primarily conservative however in exceptional circumstances joint sparing osteo tomies of the feet are recommended Evaluation of the foot should detect any signs of a rigid flat foot. The cause of rigidity if established early can be addressed to prevent long term morbidity. Keywords: :Flexible Flatfoot, Rigid Flatfoot Achilles tendon contracture, Foot Osteotomies.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89953278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non Standard Deviation – Managing angular deformities around the knee in young age","authors":"Binoti A. Sheth","doi":"10.13107/jcorth.2023.v08i01.559","DOIUrl":"https://doi.org/10.13107/jcorth.2023.v08i01.559","url":null,"abstract":"Angular deformities around the knee in children are common presentations in day to day practice. While some of the deformities are physiological that need careful observation, the others are pathological and need timely medical or surgical intervention. Systematic evaluation of the deformity is the first step in making the correct decision about the management. The right choice of treatment, the correct timing and perfect execution of the technique are necessary for optimum outcome. This article describes the aetiology, clinicoradiological evaluation and management of angular deformities around the knee in children. Keywords: Knee, Angular deformity, Children.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74547508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Setting the Standard of Care – Ponseti Casting for Club Feet","authors":"A. Ranade, Bharati Deokar-Sharma","doi":"10.13107/jcorth.2023.v08i01.567","DOIUrl":"https://doi.org/10.13107/jcorth.2023.v08i01.567","url":null,"abstract":"","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73153014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout in COVID-19 Residency","authors":"S. Kale, Pratik Dhabalia, A. Chalak, Abhiraj Patel, Abhineet Chand, Sonali Das","doi":"10.13107/jcorth.2023.v08i01.551","DOIUrl":"https://doi.org/10.13107/jcorth.2023.v08i01.551","url":null,"abstract":"Introduction: Burnout is a syndrome denoting the outcome of chronic work stress which has not been managed successfully. Burnout has only sometimes been at the forefront of studies in healthcare, where patient care and management have received more attention. This study focuses particularly on burnout of residents and healthcare workers during the COVID-19 pandemic that has changed the working environment. Material and Methods: Questionnaires in the form of surveys have been used to receive feedback regarding work experience within the bubble of isolation and high patient load unique to COVID-19 pandemic. A full and complete analysis of the research is provided after the definition, description, and measurement of burnout are given. Results: According to a review of the burnout literature, burnout affects medical students, residents, and practicing doctors, with prevalence rates ranging from 28% to 45% for each group. First-year residency during the COVID-19 pandemic, in particular, is plagued with unmanageable burnout symptoms and a depleted support system. Burnout among residents is said to be caused by time demands, a lack of control, poor work organization, naturally challenging employment settings, and interpersonal connections. Workplace solutions might take the form of burnout education, workload adjustments, diversifying job roles, stress management training, mentorship, emotional intelligence seminars, and training in emotional intelligence. In addition, developing interpersonal and professional relationships, meditation, therapy, and exercise are examples of self-directed behavioral, social, and physical activities.. Conclusion: Educators should consider including pertinent instructions and interventions during the process of instructing resident doctors. In addition, they should actively become aware of burnout. Early detection aids in better management of burnout. Keywords: burnout, COVID-19, residency, work-life balance.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75079395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When all is not good – managing an adolescent with Osgood Schlatter disease","authors":"T. Agarwal, P. Suratwala","doi":"10.13107/jcorth.2023.v08i01.557","DOIUrl":"https://doi.org/10.13107/jcorth.2023.v08i01.557","url":null,"abstract":"Anterior knee pain in children above 10 years of age is a part of every orthopaedic surgeon OPD practice. Osgood-Schlatter disease is the most common cause in skeletal of immature athletic children. It is a condition, in which the patellar tendon insertion on the tibial tuberosity becomes inflamed. It tends to occur more commonly in boys and it occurs in the second decade of life ( 10-15 years). It is a self limiting condition and and occurs secondary to repetitive extensor mechanism stress activities such as jumping and sprinting. OSD is a clinical diagnosis, and only radiographic evaluation may be done to confirm the diagnosis. Pain level dictates overall treatment, and management includes symptomatic treatment with ice and NSAIDs, as well as activity modification. & relative rest from inciting activities in association with lower extremities stretching exercises. In this paper we discuss the etiology, presentation, evaluation, and management of osgood schlatter disease. Keywords: osgood Schlatter disease , osteochondritis, anterior knee pain.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83797981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Invasive Non-Arthroplasty Treatment Options for Knee Osteoarthritis: Review","authors":"Rohan Reddy, YuChia Wang, R. Scully, S. Thakkar","doi":"10.13107/jcorth.2023.v08i01.549","DOIUrl":"https://doi.org/10.13107/jcorth.2023.v08i01.549","url":null,"abstract":"Introduction: Knee osteoarthritis (KOA) is one of the most common joint diseases in the world, such that there exists a variety of treatment methods, ranging from conservative treatments such as physical therapy and weight loss to total replacement of the diseased joint. Invasive non-arthroplasty treatment methods are growing in popularity and this review aims to explore the current literature. Better understanding of these alternatives could allow orthopedic surgeons and primary care providers to offer poor arthroplasty candidates meaningful symptomatic relief. Materials and Methods: A literature review using PubMed, Google Scholar, and SCOPUS was performed to examine the following invasive non-arthroplasty treatment options: Corticosteroid injections (CS), viscosupplementation, platelet-rich plasma injections, stem cell injections, ozone therapy, prolotherapy, radiofrequency nerve ablation (RFA), arthroscopy, and osteotomy. Articles with complete data on the outcomes following these treatment methods were included in the study. Results: CSs showed strong efficacy in providing short-term pain relief, while viscosupplementation and platelet-rich plasma have shown to be effective in long-term management as well. Aside from the more common injectable treatment options, newer options such as stem cell injection and ozone therapy have shown clinical efficacy while prolotherapy and RFA are still early-stage treatment options. Still, further studies are required to better assess these emerging therapies. Operatively, arthroscopic surgery has shown to be minimally effective while osteotomy demonstrated effective pain and functional improvement. Conclusion: Multiple therapeutic options exist for invasive management of KOA to a different degree of effectiveness and efficacy. We have analyzed the outcomes of multiple invasive non-arthroplasty treatment options for KOA. This review can better inform patients and surgeons of the pros and cons of different KOA treatment methods. Newer conservative options may have positive clinical implications but will require further investigation. Operative alternatives to arthroplasty can provide symptomatic relief but may increase the associated risk and complexity should the need for arthroplasty ever arises. Keywords: Total knee arthroplasty, injections, radiofrequency nerve ablation, arthroscopy, osteotomy.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80346937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gout Arthritis Progression in Treatment with Herbal Therapy: A Systematic Review","authors":"I. Pratama, I. Subawa","doi":"10.13107/jcorth.2023.v08i01.547","DOIUrl":"https://doi.org/10.13107/jcorth.2023.v08i01.547","url":null,"abstract":"Introduction: Gout is a common arthritis condition due to deposition of monosodium urate (MSU) and is closely related to hyperuricemia. The goal of gout treatment in the acute stage of gouty arthritis mainly focuses on relieving pain while slowing down or stopping progression and further gout flares in the chronic stage, ultimately improving joint function, and increasing the quality of life. Materials and Methods: A literature search was carried out to determine potential studies for this review up to November 2022. The search was performed using the PubMed/MEDLINE, Cochrane Library, and Google Scholar databases including keywords that matched the MeSH rule and the term used for herbal therapy and gout arthritis. Results: The search strategy generated several diverse literatures presenting a variety of randomized control trial of herbal therapy in gout arthritis patient. A total of eight studies were included in the review. Satisfactory pain relieve and decreasing of serum uric acid level were found in most of the studies. Decreasing of serum uric acid level statistically significantly found in six of the eight studies studied. Furthermore, significant fewer incident of adverse event found in four studies. Conclusion: Herbal therapy or medication are potentially more effective than western medications or placebos at slowing the progression of pain, lowering blood uric acid levels, and preventing some adverse events in gout patients. Keywords: Arthritis, gout, herbal therapy, progression, uric acid level.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78399682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spontaneous clinical and radiological resolution of a large extruded disc in the lumbar spine","authors":"S. Mediratta","doi":"10.13107/jcorth.2022.v07i02.543","DOIUrl":"https://doi.org/10.13107/jcorth.2022.v07i02.543","url":null,"abstract":"Low back ache arising due to a herniated lumbar disk with radicular pain to the lower limbs is a commonly occurring problem evaluated by spine surgeons. Conservative treatment has usually been proposed for an acute disk prolapse in cases without significant motor or sensory deficit. Spontaneous radiological regression of an extruded herniated disk with complete symptomatic recovery has occasionally been reported. A case of conservatively treated large extruded lumbar disk is described who showed complete radiological resolution, along with regression of the clinical symptoms.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75432511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}