Journal of Bone and Joint Diseases最新文献

{"title":"Ethics, spirituality, and the surgeon/physician","authors":"V. Chauhan","doi":"10.4103/jbjd.jbjd_16_23","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_16_23","url":null,"abstract":"","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132281793","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":"Is tension band wiring (osteosynthesis) with three Kirschner wires provide better outcome as compared with two Kirschner wires in patella fracture: A prospective randomized study","authors":"Mohit Singh, Sachin Kumar, Shylendra Kumar, R. Khare, A. Yadav, Deepak Kumar","doi":"10.4103/jbjd.jbjd_48_22","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_48_22","url":null,"abstract":"Background: Fractures of the patella constitute approximately 1% of all skeletal injuries, resulting from either direct or indirect trauma. Many forms of internal fixation for patellar fractures have been described in the literature but perfect anatomical reduction during surgery has an excellent outcome irrespective of the method of fixation used. The conventional method of patellar tension band wiring (TBW) is being done always with the help of two parallel Kirschner wires (K-wires). Objectives: Here in our prospective study, we intended to see whether the use of three parallel K-wires in comparison to the conventional one results in superior functional outcomes. Materials and Methods: A prospective cohort study was carried out in New Delhi from November 2016 to November 2019 in a total of 44 patients with patellar fractures operated by TBW with 22 patients in two parallel K-wires and three parallel K-wires groups, respectively. Patients were followed up postoperatively for 1 year and assessed by Lysholm knee score (LKS), pain status, working status, and other variables Normality of data was tested by Kolmogorov–Smirnov test and paired t test/Wilcoxon rank-sum test. Results: The total mean age was 40.27 years (41.86 in 2K-wire and 38.68 in 3K-wire) in this study. LKS (0.00 in both groups on first day; 99.23 and 99.45 after 1 year in 2K-wire and 3K-wire groups, respectively, pain status (was 5.0 in both groups on the first day and 1.0 after 6 month), and working status (was 5.0 in both groups on the first day and 1.09 after 1 year), were not significantly different throughout the mean to follow up periods for both groups (P > 0.05). Conclusions: No significant difference was observed between patellar TBW in 3K-wire and 2K-wire groups.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"132 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134130550","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":"Active range of motion of bilateral hip joint in young adults with chronic low back pain versus healthy controls: A comparative study","authors":"Amit Saraf, Naman S Parakh, Vakul Mahipal, A. Sandhu, T. Aggarwal, Poonji Gupta","doi":"10.4103/jbjd.jbjd_2_23","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_2_23","url":null,"abstract":"Background: Loss of quality of life, increased medical costs, and time away from work are all linked to chronic low back pain (CLBP). CLBP is recognized as a complex problem due to its biopsychosocial character. To remedy the issue of this incapacitating condition, it is critical to pinpoint potential contributing elements. The intersegmental parts of the kinematic chain connecting the lumbopelvic and knee joints are the hip joints. This complex runs in unison during both practical and leisurely physical activity. Materials and Methods: This was a single-center, observational study conducted in young adult patients with nonspecific CLBP and healthy controls who were compared for their active range of motion in bilateral hip joints. Results: There was no significant difference in the mean ages and gender distribution in both groups. The flexion, extension, internal rotation, external rotation, and abduction range of motions at bilateral hips were significantly reduced in the case group as compared with the healthy control group. Conclusion: The lumbopelvic compensation in the patients with CLBP affects the range of motion at the hip joint due to kinematic of the lower body musculature. The restriction in movement increases with the activities involving excessive hip joint motions.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116311363","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":"Physiological adaptations of skeletal muscle and bone to resistance training and its applications in orthopedics: A review","authors":"C. Pal, V. Agarwal, Richa Srivastav, Mayur Gupta, S. Singh","doi":"10.4103/jbjd.jbjd_9_23","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_9_23","url":null,"abstract":"Resistance training is defined as practicing the execution of different physical exercises that steadily upsurges the muscular force production for improving musculoskeletal strength, power, and endurance. It is of several types and utilizes specific equipment that provides gradational weight increases and can direct them toward the aimed muscle group. Physiological adaptations occur in muscles in response to increasing resistance at levels of muscle fibers and neuromuscular motor units. It increases the cross-sectional area of the individual muscle fiber causing muscle hypertrophy, which is expressed as increased diameter, thickness, and strength of the muscle. There is an increase in the number of motor units recruited, the firing rate of each motor unit during a maximal contraction, activation, and force generation by the muscle. Resistance training enhances bone mineral content and density. New bone formation occurs in areas experiencing mechanical strain that exceeds a minimum force level encountered in daily activities. Benefits of resistance training include significant improvements in general health, balance, coordination, physical vigor, and mental well-being. Functional gains occur in terms of boosted joint function and reduced potential for injury due to increased bone, muscle, tendon, and ligament strengths. It has been safely used across a multitude of disorders requiring physical therapy. It plays a credible role in the rehabilitation of orthopedics patients suffering from disabling musculoskeletal weakness after fracture treatment and chronic painful ailments such as osteoarthritis, osteoporosis, rotator cuff tendinopathy, and neck and low back pain. We here present a review of the varied musculoskeletal physiological adaptations seen in the human body in response to resistance training and its applications in orthopedics.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127015583","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":"Unstable intertrochanteric fracture management by proximal femoral locking plate: Outcome of review studies and its extended role in difficult fracture scenario","authors":"Gaurav Govil, L. Tomar, Pawan Dhawan","doi":"10.4103/jbjd.jbjd_5_23","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_5_23","url":null,"abstract":"","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130193339","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":"Study on results of laminectomy with short-segment pedicle screw fixation in dorsolumbar fractures with respect to anatomical reduction, functional recovery and pain","authors":"Deepanshu Maheshwari, G. Tonk, S. Agarwal","doi":"10.4103/jbjd.jbjd_43_22","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_43_22","url":null,"abstract":"Background: The aim of this study was to report the results of laminectomy with short-segment pedicle screw fixation in thoracolumbar fracture. Materials and Methods: Forty-two patients were analyzed prospectively, followed up in the outpatient department for the period of 24 months. Results: Most of the patients in the study had reasonable to good neurological recovery in the postoperative period assessed in the form of American Spinal Cord Injury Association (ASIA) score. There was also an excellent improvement in the components of anatomical reduction such as vertebral height, Cobb’s angle, and anterior wedge angle, which was directly related to functional recovery of the patient. Patients postoperatively also got relieved in pain in the dorsolumbar region assessed based on Denis pain scale. Conclusion: Laminectomy with pedicle screw fixation is an excellent option for patients with thoracolumbar fracture; it not only decompresses the spine but also provides stability with minimal manageable complications.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125131927","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":"To elucidate the difference in diagnostic accuracy of radiological and histological modalities of bone tumors: A tertiary care experience","authors":"Siddharth Deshwal, Deepak Kumar, Surinder Kumar, Ashish Kumar, Ankit Kumar, P. Agarwal","doi":"10.4103/jbjd.jbjd_25_22","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_25_22","url":null,"abstract":"Introduction: The objective of this study was to retrospectively compare the difference in diagnostic accuracy of radiological and histological modalities of bone tumors. Materials and Methods: Imaging techniques such as X-ray, computerized tomography (CT) scan, and magnetic resonance imaging (MRI) were compared with the Histological findings in 1314 patients with bone tumors. Results: Histologically, 27.4% were malignant bone tumors, whereas 72.60% were benign. The X-rays showed a diagnostic accuracy of 87.3%, with sensitivity of 81.8%, specificity of 90.0%, positive predictive value (PPV) of 79.5%, and negative predictive value (NPV) of 91.2%. CT scan presented a diagnostic accuracy of 76.08%, with 80.4%, 68.5%, 74.1%, and 78.4% of sensitivity, specificity, PPV, and NPV, respectively. The MRI documented a diagnostic accuracy of 97.4%, sensitivity of 97.7%, specificity of 96.8%, PPV of 98.05%, and NPV of 96.4%. Conclusion: These data showed a good correlation between radiological and histological modalities.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123313306","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":"Surgical management of symptomatic solitary osteochondroma of femur neck in an adult: A case report","authors":"Arpan Nag","doi":"10.4103/jbjd.jbjd_37_22","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_37_22","url":null,"abstract":"Osteochondromas are the common benign bone tumors of the long bones, usually asymptomatic and mostly found incidentally in children and adolescents on radiographs. Osteochondromas are usually present as sessile and pedunculated swelling arising from the metaphyseal region of long bone ends. We reported a 35-year-old woman, who presented with a hard painful mass in the left gluteal region and decreased hip movements. Radiological examination showed a tumor arising from the base of femur neck. The appropriate surgical approach wasused for the complete resection of bone swelling, cartilage cap, and surrounding bursa without hampering surrounding structures as they are at risk of injury during surgical resection of the tumor. Histopathology confirmed the diagnosis of an osteochondroma. Proximal femur or neck of the femur is an unusual site for ostechondroma to occur; the risk of sarcomatous degeneration and malignant transformation of such swelling presenting late is more. Complete resection of such bone tumors keeping in mind the risk associated is the foremost aim.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126814090","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":"Role of teriparatide (rh PTH) in fracture healing of osteoporotic patient","authors":"Jeetesh V. Patel, Vinod Kumar, Ashutosh Verma, Rohit Yadav, C. Pal","doi":"10.4103/jbjd.jbjd_34_22","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_34_22","url":null,"abstract":"Introduction: Osteoporosis a disease where decreased bone strength increases the risk of a fracture. It is the most common reason for fracture among the elderly. Osteoporosis, an imbalance between bone resorption and bone formation. The diagnosis of osteoporosis can be made using conventional radiography and by measuring the bone mineral density. Osteoporosis is diagnosed when the bone mineral density is less than or equal to 2.5 standard deviations below that of a young reference. Teriparatide, a recombinant form of parathyroid hormone (identical to a portion of human parathyroid hormone (PTH)), intermittent use activates osteoblasts more than osteoclasts, which leads to an overall increase in bone turnover. Teriparatide is the only anabolic agent (i.e., bone growing) indicated for use in postmenopausal women with osteoporosis at a high risk for fracture or with a history of osteoporotic fracture, patients with multiple risk factors for fracture. It has been FDA-approved since 2002. Materials and Methods: Over duration of october 2016 to march 2018, 60 patients who have fracture with osteoporosis admitted in S.N. Medical College, Agra. Patient suspected to have osteoporosis based on conventional radiography. Selected patients in the study undergone confirmation of osteoporosis by dual energy absorptiometry and those who are below 2.5 standard deviation are kept in study. Patients fitting into inclusion criteria would form the study group. Data collected by interviews, observation of clinical and radiological findings. 60 patients divided in two groups as cases and controls. Cases are subjected to teriparatide therapy and controls given placebo. Results: Bone formation marker alkaline phosphatase were 150% above baseline after 8 weeks in the teriparatide-treated patient. At 8 weeks, approximately 91.037% in the teriparatide group showed improved healing of osteoporotic fracture compared to 57.14% in the placebo group. Conclusion: Our findings suggest that teriparatide provide selective advantages to fracture healing or functional recovery in the management of osteoporotic fractures. Teriparatide effective in accelerating and increasing the rate of fracture healing. However, more randomized controlled trials are needed to evaluate with certainty the impacts of Teriparatideosteoanabolic role in fracture healing to decide on incorporate this drug as a standard option for conservative management of osteoporotic fracture.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129932902","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":"A comparative study between platelet-rich plasma, corticosteroid, and autologous whole blood injection in patient of plantar fasciitis","authors":"Utkarsh Ravikant, Ashish Kumar, Imran Sajid, Siddharth Dubey, Shashank Pal","doi":"10.4103/jbjd.jbjd_29_22","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_29_22","url":null,"abstract":"Introduction: Majority of the patient with heel pain are diagnosed with plantar fasciitis (PF). PF is the condition characterized by isolated inferior heel pain particularly with the first steps of the day or after sitting for hours and the reason is due to degeneration of the plantar fascia and perifascial structures. Regular walking on hard surfaces, wearing hard sole footwear, and obesity are the risk factors for this condition. Injecting steroids is the most popular method of treating the condition but has its own advantages and disadvantages. There have been cases reported of rupture of plantar fascia after giving corticosteroid injections, especially when it was given repeatedly. Platelet-rich plasma (PRP) is known to enhance the healing process of the body as it has platelet-derived growth factors that boost the healing of soft tissue, bone healing, and also tendon healing. Aims and Objective: The objective of our study was to know among the PRP injection, autologous whole blood steroid injection which is a superior mode of intervention in PF management. Materials and Methods: A sample size of 225 was taken and patients were divided into 3 groups, in which Group A was given PRP injection, Group B was given steroid injection, and Group C was given whole blood. The follow-up was done on 2 weeks, 4 weeks, and 12 weeks. Patients of age more than 18, those who were clinically diagnosed PF, and those who were not improving with 3 months of conservative management were included in the study. Patients with any ligament injury or with Buerger’s disease, pseudo-gout, and Haglund disease were excluded from the study. All patients were asked for their pain to quantify it according to visual analog scale (VAS) scale and the score was noted on pre-injection follow by on 2 weeks, 4 weeks, and 12 weeks. Results: The VAS score before infiltration was almost similar (P > 0.05) in Group A (7.8 ± 1.26), Group B (7.5 ± 1.05), and Group C (7.8 ± 0.87). The VAS score significantly decreased in Group B who were injected steroids in the initial 2 weeks when compared to that of Group A who were injected PRP and Group C who were injected whole blood. A significant decrease in VAS was seen in Group A at after 12 weeks when compared to Group B and Group C. Conclusion: Our study showed that autologous PRP therapy can lead to a sustained reduction in symptom complaints when compared to corticosteroid injections and autologous whole blood. PRP injection holds promise as a potential therapy to hasten the healing of chronic PF.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"143 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131774838","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}