Journal of Musculoskeletal Surgery and Research最新文献_第5页

Cavovarus deformity of one foot with planovalgus deformity of the contralateral foot (Wind-swept heels): A case report 单足内翻畸形伴对侧足平外翻畸形(风扫足跟)1例

Journal of Musculoskeletal Surgery and Research Pub Date : 2023-04-01 DOI: 10.25259/jmsr_20_2023

Sami A Nogod, M. Osman, Montaser S Fatooh, A. M. Khairy, H. Abd-elmaged, Osama G Nubi

{"title":"Cavovarus deformity of one foot with planovalgus deformity of the contralateral foot (Wind-swept heels): A case report","authors":"Sami A Nogod, M. Osman, Montaser S Fatooh, A. M. Khairy, H. Abd-elmaged, Osama G Nubi","doi":"10.25259/jmsr_20_2023","DOIUrl":"https://doi.org/10.25259/jmsr_20_2023","url":null,"abstract":"Normal alignment of the arches and adequate stability is essential for the foot to function correctly. Pes planus and pes cavus are fairly common foot deformities, but it is uncommon to see both in the same patient simultaneously. This study aimed to describe the clinical presentation and prognosis of an uncommon combination of bilateral foot abnormalities named “windswept heels” resembling windswept knees. A 43-year-old female employee experienced frequent pain in her right foot and swelling and pain in her left foot, mainly when walking barefoot. She had a severe cavovarus deformity of the right foot with pressure callosities on the lateral side, clawing of the toes, and a positive Coleman’s block test. With the loss of the medial arch, severe heel valgus, and forefoot abduction, the left foot developed a planovalgus deformity. The left foot’s talus-first metatarsal angle and the right foot’s calcaneal inclination angle increased on weight-bearing radiographs. The left foot underwent staged surgical treatments, including medial sliding calcaneal osteotomy, gastrocnemius recession, and cotton osteotomy. For the right foot, lateral sliding calcaneal osteotomy, plantar fasciotomy, and peroneus longus tendon transfer. The American Orthopaedics Foot and Ankle Society Score (AOFAS) was used to measure the clinical and functional outcomes. At 1 year, her AOFAS scale was 85 compared to 59 before surgery. Since this presentation resembles the windswept knee deformity, we propose calling this disorder windswept heel deformity.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114614881","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}

引用次数: 0

Four levels pedicle fractures in a renal failure patient: A case report and literature review 肾衰患者椎弓根四节段骨折1例并文献复习

Journal of Musculoskeletal Surgery and Research Pub Date : 2023-04-01 DOI: 10.25259/jmsr_29_2023

Khalid Alghamdi, Abdurrahman Tabbaa, Ibrahim Omer

引用次数: 0

Low back pain: Prevalence and functional impairment among the general population in Tabuk city, Saudi Arabia 腰痛:沙特阿拉伯塔布克市普通人群的患病率和功能损害

Journal of Musculoskeletal Surgery and Research Pub Date : 2023-03-24 DOI: 10.25259/jmsr_8_2023

F. Waly, Amal S. Albalawi, Abdulrahman A. Alatawi, N. Albalawi, A. Alwakeel, Samaher S. Alsubhi, D. M. Alqasmi

{"title":"Low back pain: Prevalence and functional impairment among the general population in Tabuk city, Saudi Arabia","authors":"F. Waly, Amal S. Albalawi, Abdulrahman A. Alatawi, N. Albalawi, A. Alwakeel, Samaher S. Alsubhi, D. M. Alqasmi","doi":"10.25259/jmsr_8_2023","DOIUrl":"https://doi.org/10.25259/jmsr_8_2023","url":null,"abstract":"\u0000\u0000Low back pain (LBP) is a main cause of disability worldwide and can negatively affect the individual’s life and work quality. This research aimed to estimate the prevalence of chronic non-specific LBP among the general population of Tabuk city, Saudi Arabia, and to evaluate its related risk factors and functional impairment.\u0000\u0000\u0000\u0000A cross-sectional survey study was performed through a web-based and structured questionnaire consisting of sociodemographic data and risk factors. We used the Modified Oswestry LBP Disability Questionnaire (Arabic version) to measure the disability index among the study participants. The invitation to participate in the questionnaire was posted on different social media platforms.\u0000\u0000\u0000\u0000LBP was found in 46% of the participants (n = 768), and it was significantly associated with multiple risk factors, including age group ≥30 years old (P = 0.002), obesity (P = 0.002), smoking (P = 0.004), having comorbidities, particularly anemia, diabetes, hypertension, and hyperthyroidism (P < 0.001), and positive history of psychological problems (P = 0.039). Regular practice of physical activities had a significant protective effect (P = 0.032). The Oswestry Disability Index reported minimal disability among participants who had LBP.\u0000\u0000\u0000\u0000The study detected a relatively high prevalence of LBP in Tabuk (46.2%, 95% confidence interval [CI]: 42.7–49.8%) and identified several significant risk factors, including age ≥30 years, body mass index ≥25 kg/m2, smoking, and presence of comorbidities and psychological factors. Regular exercise was a protective factor against chronic LBP. The Oswestry Disability Index showed minimal disability and functional impairment.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132683010","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}

引用次数: 0

Correlation of native knee joint septic arthritis and bacteremia: A retrospective study 膝关节脓毒性关节炎与菌血症相关性的回顾性研究

Journal of Musculoskeletal Surgery and Research Pub Date : 2023-03-18 DOI: 10.25259/jmsr_28_2023

Melissa C. Soderquist, Emily Ren, Esha R. Kadakia, Mark K. Solarz

{"title":"Correlation of native knee joint septic arthritis and bacteremia: A retrospective study","authors":"Melissa C. Soderquist, Emily Ren, Esha R. Kadakia, Mark K. Solarz","doi":"10.25259/jmsr_28_2023","DOIUrl":"https://doi.org/10.25259/jmsr_28_2023","url":null,"abstract":"\u0000\u0000Septic arthritis is an orthopedic emergency, delayed treatment results in rapid, and irreversible joint destruction with significant morbidity and mortality. The correlation between the infectious organism(s) isolated from blood and synovial fluid remains unclear. Native joint septic arthritis (NJSA) is often secondary to bacteremia and other contiguous sources of infection. This investigation examined the correlation in infectious organisms between blood and synovial fluid in patients with NJSA and concurrent bacteremia.\u0000\u0000\u0000\u0000A retrospective chart review was performed on 712 NJSA cases at an urban, level-one trauma center. Patients diagnosed with septic knee arthritis through synovial fluid analysis with white blood cell count >50,000 and/or positive culture from the knee joint on aspiration were included in the study. The organism identified on blood culture in the bacteremic patient was then correlated to the organism found on synovial fluid analysis.\u0000\u0000\u0000\u0000We identified 104 patients at our institution with septic knees; 48 with bacteremia and 56 that did not have bacteremia. Of these patients with bacteremia, 34 patients (70.8%) had the same organism isolated in the knee and the blood. This correlation was statistically significant, with P = 0.003. Furthermore, patients with bacteremia underwent a mean of 1.85 ± 0.76 debridement procedures versus 1.21 ± 0.80 procedures in those without (P = 0.001).\u0000\u0000\u0000\u0000This study shows a correlation between the organism isolated from the knee and the blood in patients with NJSA in conjunction with bacteremia as well as a correlation between the bacteremic patient and the number of surgical interventions required per patient.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"11 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114034313","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}

引用次数: 0

Femoral fracture fixation followed by ipsilateral amputation: A case report 股骨骨折固定后同侧截肢1例

Journal of Musculoskeletal Surgery and Research Pub Date : 2023-03-18 DOI: 10.25259/jmsr_156_2022

S. Cerbasi, Gianclaudio Orabona, Denis Dulla, R. Pascarella

{"title":"Femoral fracture fixation followed by ipsilateral amputation: A case report","authors":"S. Cerbasi, Gianclaudio Orabona, Denis Dulla, R. Pascarella","doi":"10.25259/jmsr_156_2022","DOIUrl":"https://doi.org/10.25259/jmsr_156_2022","url":null,"abstract":"Severe crushing injury of the lower limb presenting as a concomitant femoral subtrochanteric fracture, ipsilateral open knee dislocation, and associated popliteal artery injury is unusual. Due to poor general and local conditions, despite a vascular repair, we performed a femoral fracture fixation followed by transfemoral amputation of the lower limb. The report aimed to demonstrate the effectiveness of this definitive treatment as one of the options in these difficult cases. The knee dislocation reduction was performed in the emergency operating room and the lower limb was stabilized with an external fixator. Vascular surgeons performed revascularization of the extremity with a femoropopliteal vascular bypass. Leg fasciotomies were performed and broad-spectrum antibiotics were administered. Several attempts at fasciotomy revisions and necrotic tissue debridement were made by plastic surgeons. Ten days after hospitalization, concomitant local rhabdomyolysis and deep soft-tissue infection lead to life-threatening sepsis. An above-the-knee amputation was quickly required. We performed an emergency proximal nailing of the femoral fracture and, subsequently, a transfemoral amputation at the distal third. In this case, we described the successful use of intramedullary nailing as a good option for stabilizing acute subtrochanteric fracture of a limb that required an above-the-knee amputation. This strategy saved the patient’s life, and intramedullary fixation with a short nail provided reliable bone stability for rapid and better functional recovery.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124270850","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}

引用次数: 1

Calcaneum tuberculosis – A rare entity: Case report and review of literature 跟骨结核——一种罕见的疾病:病例报告及文献回顾

Journal of Musculoskeletal Surgery and Research Pub Date : 2023-03-17 DOI: 10.25259/jmsr_158_2022

Pradeep Choudhary, M. Saxena, Jayesh Chouhan, Nandlal Bharwani, Mahesh Bhati

{"title":"Calcaneum tuberculosis – A rare entity: Case report and review of literature","authors":"Pradeep Choudhary, M. Saxena, Jayesh Chouhan, Nandlal Bharwani, Mahesh Bhati","doi":"10.25259/jmsr_158_2022","DOIUrl":"https://doi.org/10.25259/jmsr_158_2022","url":null,"abstract":"Calcaneum tuberculosis (TB) is a rare entity, though it is the commonly involved tarsal bone. It does not present with the typical features of TB and can be confused with other pathologies affecting the heel. Very few case reports and case series studies are present to date for describing this rare entity. We report a 23-year-old female who presented to the orthopedic outpatient clinic with pain and swelling around the left heel and posterior aspect of the ankle for 3 months. Her radiograph showed a lytic lesion in the posterosuperior aspect of the calcaneum. Therefore, magnetic resonance imaging was done, which showed a lesion around the posterior-superior aspect of the calcaneum with the involvement of retrocalcaneal bursa. An incisional biopsy was performed, followed by en bloc excision of the lesion. The histopathological examination report suggested granuloma formation with caseous necrosis and the cartridge-based nucleic acid amplification test was also positive for mycobacterial TB infection. Proper clinical history, radiological examination, and biopsy are of utmost importance in these rare entities as they help in making the definitive diagnosis. Anti-Koch treatment is an effective treatment for TB, and the patient improved within 2 months of treatment both clinically (pain, swelling, and activity of daily routine) and radiologically (for bone formation and no recurrence). This report aimed to present a lytic lesion of the calcaneum that turned out to be TB and its management. The follow-up was 18 months post-surgery and showed no signs and symptoms of recurrence.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114651492","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}

引用次数: 0

Acetabular development after open reduction to treat developmental dysplasia of the hip after walking age 开放复位后髋臼发育治疗步行年龄后髋关节发育不良

Journal of Musculoskeletal Surgery and Research Pub Date : 2023-03-16 DOI: 10.25259/jmsr_11_2023

K. Bakarman, A. Alsiddiky, M. Zamzam, Zulqurnain Rafiq

{"title":"Acetabular development after open reduction to treat developmental dysplasia of the hip after walking age","authors":"K. Bakarman, A. Alsiddiky, M. Zamzam, Zulqurnain Rafiq","doi":"10.25259/jmsr_11_2023","DOIUrl":"https://doi.org/10.25259/jmsr_11_2023","url":null,"abstract":"\u0000\u0000Treatment of developmental dysplasia of the hip (DDH) with high hip dislocation in children using a one-stage operation appears tedious and associated with complications. This study aimed to assess a less traumatic approach for the surgical treatment of irreducible hips among children with DDH after walking age. The treatment strategy involved open reduction (OR) alone and non-invasive monitoring of acetabular development.\u0000\u0000\u0000\u0000This was a retrospective analysis of 22 hips of 20 female patients with complete dislocation of the hip and a mean age of 25.09 ± 4.6 months, performed between February 2013 and February 2018. All DDH patients underwent OR alone and had an irreversible hip dislocation. After surgery, a spica cast was applied for 6 weeks and then reduced to a broomstick cast for a considerable period. Finally, night abduction brace was placed until a normal acetabular index (AI) was obtained. The mean follow-up was 44.60 ± 12.36 months.\u0000\u0000\u0000\u0000Out of 20 patients with DDH, 18 (90%) were successfully treated by OR alone. The main pre-operative AI of 41.82° ± 5.54° decreased to 16.19° ± 7.09° at the final follow-up (P < 0.001). An initial negative center-edge angle at the pre-operative stage gradually increased to a mean of 26.86° ± 6.56° during the follow-up period.\u0000\u0000\u0000\u0000Relatively less invasive approach adopted in this study not only obviated the need for an additional procedure but also had a favorable effect on the acetabular and hip joint development.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122834342","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}

引用次数: 0

Patients’ quality of life assessment following treatment of leg length discrepancy in a single center in Riyadh 利雅得单一中心治疗腿长差异后的患者生活质量评估

Journal of Musculoskeletal Surgery and Research Pub Date : 2023-03-03 DOI: 10.25259/jmsr_148_2022

Fahad S. Alhuzaimi, M. Zamzam, Abdulrahman Alaujan, Yousef A. Aldobikhi, Yazeed Alkhayyal, Mohammed O Alomar

{"title":"Patients’ quality of life assessment following treatment of leg length discrepancy in a single center in Riyadh","authors":"Fahad S. Alhuzaimi, M. Zamzam, Abdulrahman Alaujan, Yousef A. Aldobikhi, Yazeed Alkhayyal, Mohammed O Alomar","doi":"10.25259/jmsr_148_2022","DOIUrl":"https://doi.org/10.25259/jmsr_148_2022","url":null,"abstract":"\u0000\u0000Length disparities of children’s limbs might make it difficult for them to engage in social, recreational, and leisure activities. The main goals of surgical treatment of limb length discrepancy (LLD) are to restore limb function and prevent adverse social effects. The aim of this study was to assess the quality of life (QoL) of children who received therapy for limb length discrepancies.\u0000\u0000\u0000\u0000Twenty participants fit the inclusion criteria and completed the validated and translated version of the electronic questionnaire of the brief version of the world health organization questionnaire for QoL assessment the brief version (WHO-QoL-BREF). Answering the questionnaire was administered by an interviewer over the phone. The questionnaire comprised basic patient information and questions regarding the QoL.\u0000\u0000\u0000\u0000There were 12 male participants and eight females. The total WHO-QoL BREF score of the participants is 94.15 ± 10.01 (out of 125). The differences between the mean scores of all domains according to participants’ demographic, distortion, and surgical variables were insignificant.\u0000\u0000\u0000\u0000Ensuring the QoL and function improvement after treatment of LLD is crucial. More attention must be paid to selecting the appropriate procedure for the suitable patient when treating LLD.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114622502","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}

引用次数: 0

The role of transforaminal nerve block in the treatment of lumbar disc herniation and spinal canal stenosis 经椎间孔神经阻滞治疗腰椎间盘突出症和椎管狭窄的作用

Journal of Musculoskeletal Surgery and Research Pub Date : 2023-02-03 DOI: 10.25259/jmsr_139_2022

Yusuf Sharaf, Baha Taha, Zahra R. Alzaimoor, Yakub Sayyad

{"title":"The role of transforaminal nerve block in the treatment of lumbar disc herniation and spinal canal stenosis","authors":"Yusuf Sharaf, Baha Taha, Zahra R. Alzaimoor, Yakub Sayyad","doi":"10.25259/jmsr_139_2022","DOIUrl":"https://doi.org/10.25259/jmsr_139_2022","url":null,"abstract":"\u0000\u0000This study aimed to evaluate patients undergoing transforaminal nerve block treatment in lumbar disc herniation (LDH) and spinal canal stenosis.\u0000\u0000\u0000\u0000It is an observational descriptive cross-sectional study at a single tertiary care hospital. It is based on a review of electronic medical records of patients suffering from lower back pain from either LDH or spinal canal stenosis and who underwent transforaminal nerve blocks between January 2019 and December 2021.\u0000\u0000\u0000\u0000A total of 440 patients were included in this study. Study findings reported that the etiology behind the treatment was mostly due to spinal canal stenosis with 223 cases (50.7%), followed by disc bulge with 208 cases (47.3%), two cases had both diagnoses, and the others had different etiologies such as degenerative disease with scoliosis, micro decompression. The visual analog scale pain score was highest on the pre-injection time point (7.1 ± 1.1) and decreased significantly with time after the injection to reach 2.7 ± 1.04 after 6 months. Similarly, the Oswestry Disability Index was high during pre-injection (64.9 ± 7.5) and decreased significantly to 19.3 ± 16.2 after 1-day post-injection and 13.2 ± 3.8 after 6 months.\u0000\u0000\u0000\u0000This study proves that transforaminal nerve block is an alternative treatment with proven efficacy and safety with quick pain relief in these patients, especially in the early phase, with immediate benefit.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"60 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116435230","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}

引用次数: 0

Multiple synovial osteochondromatosis of the knee in a child: A case report 儿童膝关节多发性滑膜骨软骨瘤病1例报告

Journal of Musculoskeletal Surgery and Research Pub Date : 2023-02-03 DOI: 10.25259/jmsr_147_2022

A. D. N. Vergara

引用次数: 0