Journal of Research in Orthopedic Science最新文献

{"title":"Lever Test: Role of Its Assistance in Diagnosis of Anterior Cruciate Ligament Injury","authors":"Pramod Valsalam, Ibad Sha I, A. Edwin","doi":"10.32598/JROSJ.7.3.702.1","DOIUrl":"https://doi.org/10.32598/JROSJ.7.3.702.1","url":null,"abstract":"Background: The diagnosis of ACL tear is aided by clinical tests and imaging evaluation with MRI. The main clinical tests include Lachman, Anterior Drawer  and Pivot shift test. A newer clinical test called lever test was proposed recently with higher sensitivity compared to traditional tests. Objectives: To investigate the sensitivity, specificity and other statistical parameters of newly proposed  lever test for ACL injury along with other established tests, Lachman test, Anterior Drawer test and Pivot Shift test. Methods: 242 patients consecutive patients with a complaint of knee pain  were included in the study over a period of 4 years between ages of 18 to 50 years. They were evaluated with clinical tests Lever test, Lachman test, Anterior Drawer test and Pivot Shift test without anaesthesia and under anaesthesia. Results of diagnostic arthroscopy was taken as gold standard. Results: A total of 242 consecutive subjects were eligible during the study period, of which 182 were males while the remaining 60 were females. Compared to gold standard, without anaesthesia the lever test had a sensitivity of 85.57%, specificity of 25.00%, PPV of 82.18%, NPV of 30.00%, and accuracy of 73.55%. Similarly regarding other tests the sensitivity and specificity without anaesthesia were, Lachman test sensitivity of 93.81%, specificity of 20.83%, PPV of 82.73%, NPV of 45.45%, and accuracy of 79.34%, Anterior Drawer test sensitivity of 80.41%, specificity of 33.33%, PPV of 82.98%, NPV of 29.63%, and accuracy of 71.07%, Pivot Shift test sensitivity of 40.21%, specificity of 91.67%, PPV of 80.17%, NPV of 95.12%, and accuracy of 50.41%.  The results under anaesthesia compared to arthroscopy findings were Lever Test Lachman Anterior Drawer Pivot Shift Accuracy, % 77.69, 79.34, 71.90, 80.99 Sensitivity, % 91.75, 98.97, 93.81, 98.97, Specificity, % 20.83, 36.33, 20.83, 58.33 PPV, % 82.41, 81.36, 58.33, 87.95 NPV, % 38.46, 66.67, 39, 36.84. Conclusion:  The lever test needs to be studied extensively considering multiple variables like correlation with BMI, position of wrist, partial injuries and also interobserver variations before it gets standardized into routine examination.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"603 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123071951","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":"Radial Neck Fracture With 180° Rotational Displacement in Pediatrics: A Case Report of a 6-Year-Old Child","authors":"A. Tabrizi, A. Afshar, H. Taleb","doi":"10.32598/JROSJ.7.2.519.1","DOIUrl":"https://doi.org/10.32598/JROSJ.7.2.519.1","url":null,"abstract":"Introduction: Radial neck fracture is one of the rare traumas in the upper extremity among the children accounting for 5%-10% of the pediatric elbow injuries. The valgus strain-induced radial neck displacement often ranges from 10° to 90. Rotational displacement with 180° rotation is very rare. Case Presentation: In this case report, we present a 6-year-old child who had radial neck fracture with 180 rotation and joint surface tilt toward the distal direction after falling on her outstretched hand. The close reduction was conducted under the fluoroscopic guide and the radial neck-shaft was restored with 15 angulation. The elbow was immobilized by a long forearm cast for 3 weeks. Based on conventional radiography taken after 3 weeks, a complete union was achieved. Six-month follow-up showed no radial growth disturbance and radial head avascular necrosis. Conclusions: The radial head could be displaced in the form of 180° rotation during the radial neck fracture. In this regard, careful attention to the joint surface is important to minimize the lateral displacements or angulation and to avoid any misdiagnosis. The closed reduction was a successful treatment and caused no complications.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133048611","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":"Different Traumatic Spinal Column Fractures and Traumatic Spinal Cord Injury: An Epidemiologic Study","authors":"A. Andalib, H. Akbari Aghdam, Emran Ahmadi","doi":"10.32598/JROSJ.7.2.628.1","DOIUrl":"https://doi.org/10.32598/JROSJ.7.2.628.1","url":null,"abstract":"Background: Trauma and traumatic injuries are the most common causes of disabilities among the young population in developing countries. Besides morbidity and mortality, traumatic injuries can significantly decrease the quality of life and life expectancy of the victims. Objectives: Traumatic Spinal Cord Injury (TSCI) is an acute, traumatic lesion of the spinal cord. It usually produces economic problems that can emotionally and psychologically affect the patients. This study aims to evaluate spinal column fractures and TSCI in Iran. Methods: In this study, we evaluated all of the cases diagnosed with TSCIs between 2012 and 2018. A total of 1014 patients were included in our study. Prevalence of spinal column fractures was evaluated and the percentage of each type of fractures was extracted. The need for surgery and the percentage of TSCI were also evaluated. Results: The most common cause of trauma was vehicle and road accidents (83.4%) followed by falling (12.7%). A total of 21 patients (2.1%) died due to injuries. The incidence of TSCI among patients with traumatic spinal column fractures were 62 cases (6.1%). Also, 67.7% of patients with TSCI underwent surgery. Furthermore, we found that the lumbar area received the highest incidence of TSCI (38.3% of all TSCIs) followed by thoracic spine fractures (27.4% of all TSCIs). Also thoracic and cervical spine fractures were mostly associated with mortality compared with other sites of spine fractures (47.6% and 38.1% of all mortalities, respectively). Conclusion: In our study, most cases (83.4%) were injured by road accidents which indicates the low safety of vehicles and roads in Iran. Epidemiological features of spinal column injuries and TSCI vary among different societies due to different causes. So far, this study is the first one to evaluate different spine fractures and TSCI and other associated factors in the Iranian population.The results indicate a high incidence of thoracic and lumbar fractures and a higher mortality rate in thoracic and cervical fractures.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129498431","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":"Translated Article: Resection of a Rare Proximal Radius Malignant Chondrosarcoma (Grade III) Bone Tumor and Reconstruction of the Forearm Functionality: A Case Report","authors":"S. Jami, Jiandang Shi","doi":"10.32598/JROSJ.7.2.674.1","DOIUrl":"https://doi.org/10.32598/JROSJ.7.2.674.1","url":null,"abstract":"Background: Chondrosarcoma is one of the common malignant bone tumors and is characterized by thin tumors. The cells produce tumor cartilage. It occur usually 3rd decade of life, affected more men than women. Objectives: To perform alternate surgical procedures for remove tumor and obtain fully forearm functionality by reconstruction.  Methods: A patient affected by a rare proximal radius chondrosarcoma bone tumor and it became malignant (grade III). Resection the tumor along with chemotherapy and radiotherapy was done. Surgical treatments are mainly recommended for most types of chondrosarcoma treatment. However, the treatment of chondrosarcoma clinically and surgically is controversial due to different techniques. Results: Patients was fully recovered with excellent wrist and elbow joint functionality. Reconstruction of bones were fused by the support of metallic implants. There was no tumor recurrence occur during post-operative follow-up period. Conclusion: Chondrosarcoma of bone generally has an excellent prognosis when optimal diagnosed and treated by an experienced team of specialists. Its clinical treatment is always challenging due to of the rarity of these lesions and few institutions having enough patients to study about it.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132314306","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":"Comparison of Cobb Angles on Radiographs With Magnetic Resonance Imaging in Idiopathic Scoliosis","authors":"Hasan Ghandhari, Naveed Nabizadeh, Farshad Nikouei, Maryam Ameri Mahabadi, Seyed Mani Mahdavi, T. KamalY., Amir Aghaie Aghdam","doi":"10.32598/JROSJ.7.1.29","DOIUrl":"https://doi.org/10.32598/JROSJ.7.1.29","url":null,"abstract":"Background: Patients with idiopathic scoliosis are exposed to repetitive x-ray for angle measurement. Therefore, the discovery or development of alternative techniques with less radiation has continuously been a major concern. Objectives: In this study, we compared the Cobb angles on supine Magnetic Resonance Imaging (MRI) with those on standing plain radiographs to figure out how precisely the supine MRI can show the real curve. Consequently, the need for certain exposures throughout the management of idiopathic scoliosis might be eliminated. Methods: A total of 103 patients with idiopathic scoliosis were included in this prospective study. The standing radiographs and supine MRI were obtained with less than a 1-month time lag. One senior author assessed Cobb angles of the major curves were on both standing radiographs and MR images. All the eligible patients had already signed the consent for diagnostic imaging, including MRI. The individuals, who were not requested for x-ray and MRI, were excluded from this study. Results: The Mean±SD Cobb angle was 55.5±11.2°‎‏ on the standing plain radiographs and 44.5±10°‎‏ on MR images (P<0.001). The Mean±SD difference between the Cobb angles on the standing plain radiographs and MR images was 11±1.4°‎‏. A significant positive correlation was found between the Cobb angles calculated on plain radiographs and MRI (r=0.996, P<0.001). Accordingly, Cobb angles on MRI could be converted to Cobb angles on plain radiographs under the formula of MRI=0.9* XRAY-5.31 (absolute error of 5.31°‎‏). Conclusion: Cobb angles on supine MRI correlates with measured ones on standing radiographs with an acceptable range of error and could be used as a valuable alternative for radiographic Cobb angle measurement.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130637926","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":"Trigger Wrist: A Case Series Study","authors":"Omid Mahmoudi Nasab, M. Haghbin, Mohammad Reza Kooshesh, F. Mazhar","doi":"10.32598/jrosj.6.3.17","DOIUrl":"https://doi.org/10.32598/jrosj.6.3.17","url":null,"abstract":"","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"293 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123197747","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":"Pure Ankle Dislocation Treated With Casting and Early Range of Motions and Rehabilitation","authors":"M. Moghtadaei, Mikaiel Hajializade, Seyed Mani Mahdavi, Habib-o-lah Gorgani, A. Yeganeh","doi":"10.32598/jrosj.6.3.23","DOIUrl":"https://doi.org/10.32598/jrosj.6.3.23","url":null,"abstract":"","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128546811","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":"Huge Intra-abdominal Meningocele in a Patient With Neurofibromatosis 1 With Previous Posterior Spinal Fusion and Instrumentation Due to Severe Scoliosis","authors":"Kh.K Rastegar, Misagh Eiji, Hasan Ghandhari, Naveed Nabizadeh, M. Bahari, Omid Momen, E. Ameri","doi":"10.32598/JROS.6.4.73","DOIUrl":"https://doi.org/10.32598/JROS.6.4.73","url":null,"abstract":"Introduction: Anterior Lumbar Meningoceles (MCs) are rare in the patient with Neurofibromatosis type 1 (NF1). Although spinal fusion with optimal resection of the meningocele might be indicated in these special cases, no report could completely describe a huge meningocele after posterior spinal instrumented fusion. Case Presentation: Here we present a 23 years old woman with a history of NF-1 and ‬previous posterior spinal fusion, who was referred to the neurosurgery department because of abdominal pain and retroperitoneal mass secondary to large anterior lumbar MC. The MC was filling the retroperitoneal cavity and protruded to the anterior wall of abdomen. ‬‬‬‬‬As an elective procedure, reduction and closure of cyst was achieved through posterior approach. Postoperatively, the patient reported satisfactory relief of abdominal pain. Conclusion: Lumbar anterior MC is rare in the patients with NF1. When surgical intervention is indicated, ‬reduction of cele should be considered.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132440678","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":"Two-Stage Procedure Planning for the Surgical Correction of Severe Congenital Kyphosis: A Technical Case Report","authors":"Saeed Sabbaghan, Hasan Ghandhari, E. Ameri, Naveed Nabizadeh, Saba Saberi, Omid Momen","doi":"10.32598/JROS.6.4.","DOIUrl":"https://doi.org/10.32598/JROS.6.4.","url":null,"abstract":"Congenital kyphosis is a less common spinal malformation, which can progress and cause neurological deficits. The treatment of severe cases is complicated. There are several techniques of surgical intervention for the correction of kyphosis, but the selection of surgical methods is entirely dependent on the patient’s condition. This article reports a 14-year-old girl with severe congenital kyphosis, who underwent hemiepiphysiodesis at age 2. Last year, her neurological deterioration began and led to paraplegia over a couple of months. To treat her, we performed 2-stage multi-level vertebral column resection (Schwab type 6). First, she underwent anterior T12-L1-L2 complete corpectomy and cord decompression. Then, the resection of posterior elements from T12 to L2 and posterior fusion with instrumentation from T8 to L5 were performed. However, concerning this kind of severe deformity, we suggest using 3D planning, which facilitates the operation.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129924092","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 Typical Metatarsal Fracture in a Patient on Long-Term Bisphosphonate Therapy","authors":"B. Valiollahi, Mostafa Salehpour, Hamidreza Bashari, Shoeib Majdi, M. Mohammadpour","doi":"10.32598/JROS.6.4.67","DOIUrl":"https://doi.org/10.32598/JROS.6.4.67","url":null,"abstract":"Bisphosphonates, more particularly alendronate, are a popular category of drugs in the treatment of postmenopausal and corticosteroid-induced osteoporosis. The present study contends that the long-term consumption of bisphosphonates causes not only subtrochanteric and femoral shaft fractures but also pathological fractures at other musculoskeletal sites. This report presents a rare case of alendronate-induced pathological metatarsal fracture in a 59-year-old female with a history of cuboid fracture following a twisting with abnormal Bone Mineral Density (BMD) (T score: −3.5; lumbar spine and −2.6; proximal femur).","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127809702","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}