SunKrist Journal of Orthopedics and Musculoskeletal Disorders最新文献

{"title":"A Single Surgeon’s Experience of Infection Rates in K-Wires in Hand Surgery: Buried vs. Exposed.","authors":"","doi":"10.46940/sjomd.02.1008","DOIUrl":"https://doi.org/10.46940/sjomd.02.1008","url":null,"abstract":"Abstract There is anecdotal evidence suggesting buried K-wires are superior to unburied or exposed K-wires due to lower pin track infection rates, although the evidence remains unclear. We present a closed loop audit looking at a single surgeon’s experience of 111 consecutive cases requiring K-wires in hand surgery. Our pin track infection rates differed between a series of 3 consecutive cohorts. Pin track infection rates were 2% in an initial cohort of buried K-wires, 14.3% in a second cohort of exposed K-wires and 0% in a third cohort when practice was changed back to burying the K-wires. Our experience demonstrates there was a measurable difference in post-procedure infection rates between burying and exposing K-wire ends.","PeriodicalId":333227,"journal":{"name":"SunKrist Journal of Orthopedics and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127908509","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":"Simple and Patient-Friendly Clinical Diagnostic Tests for de Quervain’s Disease.","authors":"","doi":"10.46940/sjomd.02.1007","DOIUrl":"https://doi.org/10.46940/sjomd.02.1007","url":null,"abstract":"Abstract De Quervain’s tenosynovitis is a relatively common cause of radial sided wrist pain. The standard clinical tests, including both Eichhoff and Finkelstein’s tests, are very painful; even in a normal individual without any inflammation of the tendons. We propose a set of simple, gentle and more patient-friendly clinical tests with high accuracy.","PeriodicalId":333227,"journal":{"name":"SunKrist Journal of Orthopedics and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115438344","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":"Why Cervical Vertebrae Do Not Fracture – A Biomechanical Approach Using Loading Tests on Human Vertebrae of A 79-Year-Old Body Donor.","authors":"","doi":"10.46940/sjomd.02.1009","DOIUrl":"https://doi.org/10.46940/sjomd.02.1009","url":null,"abstract":"Abstract Purpose: Bone structure alters with increasing age. Material and structural properties are both important for bone strength. Despite having an ageing society, there is a paucity of data from elderly subjects in terms of these parameters. The aim of the present study was to conduct comparative examinations of the structure and material properties of the cervical spine (CS), the thoracic spine (TS) and the lumbar spine (LS), in order to identify both structural and biomechanical differences between the segments of the spine. Methods: We examined central bone cylinders of vertebral bodies C1 to L5 from a 79-year-old body donor in regards to their bone volume fraction (BVF), trabecular thickness (Tb.Th.), separation (Tb.Sp.), trabecular orientation (SMI) and degree of anisotropy (DA). Samples were obtained from all vertebrae with a Jamshidi needle®, and were prepared with a damp cloth in an Eppendorf reaction vessel (1.5 ml). The investigations were performed with a micro-CT device (SKYSCAN 1172, RJL Micro & Analytic GmbH, Germany). Existing deformities and fractures were registered with quantitative computed tomography (QCT). The load tests of the vertebral bodies C1 to L5 were performed on a servo-hydraulic testing machine (MTS 858, MTS Systems Cooperation, Eden Prairie, USA). Results: Regarding BVF (p=0.003), Tb.Th. (p=0.041) and SMI (p=0.012) statistically significant differences were found in the different spinal column sections. The force per area was significantly higher in the CS than in the TS and LS (CS vs. TS, p=0.022; CS vs. LS, p<0.001; TS vs. LS, p=0.012). Conclusion: Due to their unique microarchitecture cervical vertebrae are less prone to fractures than thoracic and lumbar vertebrae. Among the reasons are the higher BVF and Tb.Th. of the cervical vertebrae compared to other vertebrae. Furthermore, the SMI of the CS has more plates than rods. Thus, the CS is characterized by specific features, whose causes must be determined in further investigations.","PeriodicalId":333227,"journal":{"name":"SunKrist Journal of Orthopedics and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129591178","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":"Use of a Fascia Lata Interposition Graft to Manage Persistent Pain Following Trapeziectomy for Carpometacarpal Osteoarthritis of the Thumb.","authors":"A. Lahiri, Alexander J. Baldwin","doi":"10.46940/sjomd.02.1006","DOIUrl":"https://doi.org/10.46940/sjomd.02.1006","url":null,"abstract":"Abstract Persistent pain after trapeziectomy is relatively common, frequently caused by coexisting scapho-trapezio-trapezoidal arthritis and/or impingement of bases of first and second metacarpals. A variety of treatment options have been described including revision ligament reconstruction tendon interposition and use of interposition material. This paper describes a simple technique using fascia lata autograft interposition, producing good outcome in a small series of patients, with minimal donor site morbidity and good pain relief.","PeriodicalId":333227,"journal":{"name":"SunKrist Journal of Orthopedics and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129653409","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":"Hyaluronidase to Reduce Pain from Local Anaesthetic Infiltration for Carpal Tunnel Decompression.","authors":"","doi":"10.46940/sjomd.02.1005","DOIUrl":"https://doi.org/10.46940/sjomd.02.1005","url":null,"abstract":"Abstract Aims: The aim of this prospective cohort study is to investigate the effect of hyaluronidase on pain experienced during local anaesthetic infiltration for carpal tunnel decompression. Methods: Two cohorts of twenty consecutive patients each underwent carpal tunnel release by a single surgeon over a five-month period. The first twenty patients received a local anaesthetic solution of lignocaine and adrenaline whilst the second group received a mixture of lignocaine, adrenaline and hyaluronidase (Hyalase®). All consecutive patients booked for simple open carpal tunnel decompression under local anaesthesia were included. Patients with other compressive neuropathies, generalised neuropathies or other concomitant hand pathologies were excluded from the study. The primary outcome measurement was pain experienced during local anaesthetic infiltration. Patients were asked to indicate the level of pain felt using a visual analogue scale (VAS) between 0 (no pain) to 10 (maximum pain they can imagine). Secondary outcome measures were operating time, measured as tourniquet time and early complication rates. Results: Patients administered local anaesthesia with hyaluronidase experienced significantly less pain on infiltration of the proximal palm (p < 0.05) and distal palm (p < 0.05) compared to those that did not receive hyaluronidase. Infiltration of the palm was the most painful part of the procedure for both groups. There was no statistically significant difference in pain reported on initial needle insertion (p = 0.95) or on infiltration of the distal forearm (p = 0.10). No patients in either group required additional local anaesthetic. The mean tourniquet time for the group receiving local anaesthesia without hyaluronidase was 3.79 minutes (range 3 to 5 minutes, SD 0.71) versus to 3.65 minutes (range 3 to 5 minutes, SD 0.67) for the hyaluronidase group. There was therefore no significant difference in operating time between the two cohorts (p = 0.53). No early complications were observed in either groups. Conclusion: This study finds that hyaluronidase is effective at reducing pain during local anaesthetic infiltration for carpal tunnel release. We therefore recommend its routine use.","PeriodicalId":333227,"journal":{"name":"SunKrist Journal of Orthopedics and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127841035","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 Simple and Quick Tendon Transfer Technique to Restore Thumb Extension.","authors":"","doi":"10.46940/sjomd.02.1004","DOIUrl":"https://doi.org/10.46940/sjomd.02.1004","url":null,"abstract":"Abstract\u0000Extensor pollicis longus (EPL), the long extensor tendon for the thumb, is one of the commonest tendon to rupture and require treatment. In case of closed rupture of EPL, direct repair is usually not possible, requiring tendon reconstruction to restore function. Traditionally, extensor indicis proprius (EIP) tendon is transferred under general or regional anaesthesia through two (or more) incisions. The author proposes and demonstrates that it is possible to carry out this transfer through one short incision under local anaesthesia with good outcome and minimal complications.","PeriodicalId":333227,"journal":{"name":"SunKrist Journal of Orthopedics and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132703728","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":"Gap Non-union of the Patella: Early outcome of One Stage Surgical Treatment with V-Y Quadricepsplasty and Tension Band Wiring.","authors":"","doi":"10.46940/sjomd.02.1003","DOIUrl":"https://doi.org/10.46940/sjomd.02.1003","url":null,"abstract":"Abstract Purpose: Gap non-union of the patellar is rare worldwide though commonly found in developing countries where there is a dearth of orthopaedic surgeons. It is a management challenge to the surgeon in terms of approximation of the gap between the fragments as a result of the contracture involving the quadriceps. Methods: We present two cases of gap non-union of the patella treated by a one-stage procedure involving open reduction, tension band wiring with V-Y quadricepsplasty. Results: First case is a 57-year-old man who had repair of gap non-union of the left patellar, 21 months after injury. Second case is a 34-year-old lady who had repair of gap non-union of the left patellar, 5 years after injury. Conclusions: The satisfactory clinical outcome can be obtained including improved quality-of-life of the patient with this one-stage procedure.","PeriodicalId":333227,"journal":{"name":"SunKrist Journal of Orthopedics and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127470733","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":"Biomechanical Aspects of the Spine of Women with High Heels, Pain and Their Influencing Factors - A Cross-Sectional Study.","authors":"","doi":"10.46940/sjomd.02.1002","DOIUrl":"https://doi.org/10.46940/sjomd.02.1002","url":null,"abstract":"Abstract Purpose: High heels have been a fashion mainstay for women for 100s of years despite the well-known fact that wearing them often causes pain in the feet, legs and back. The cause of this pain is complex and the root cause of it has not been determined because a study exploring the biomechanical effects on the vertebral torsion moment on wearers has not been undertaken. Methods: Using video raster stereography, 140 women were measured while in bare foot and while wearing high heels. The collected parameters formed the basis for biomechanical model calculation in order to make more accurate statements about the torsion moment and muscle strength. In addition, a multivariate regression analysis was carried out to evaluate influence factors on pain that occurred while wearing high heels. Results: One hundred and thirty-six women (97 %) aged 18 to 79 years finished the study. The comparison between the measurement points showed a significant difference in the torsion moment. In the regression analysis, the heel height and the frequency of wearing high heels were significant factors influencing the occurrence of pain. Conclusions: Wearing high heels is associated with changes in the posture parameters. The torsion moment is reduced but it does not influence the development of pain which is mainly affected by the height of the heels and the frequency of wearing high heels. In the present study especially, the wearer’s feet were affected.","PeriodicalId":333227,"journal":{"name":"SunKrist Journal of Orthopedics and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126467024","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":"Manual Physiotherapy of Fascia - Introduction to Myofascial Release and Fascial Manipulation.","authors":"","doi":"10.46940/sjomd.01.1001","DOIUrl":"https://doi.org/10.46940/sjomd.01.1001","url":null,"abstract":"Abstract Fascia is formed from a superficial fascia, a deep fascia, a perimysium fascia, a perimysium fascia, a endomysium fascia. There are 6 Center of Coordination (CC) on a perimysium fascia. There are 8 Center of fusion (CF) on a deep fascia. When these abnormalities occur, fascia densification, substrate gelation, and hyaluronic acid aggregation occur. Fascial dysfunction spreads over a wide range through the deep fascia, and the past history often becomes a problem. Treatments for this fascial dysfunction include Muscle Pain Relief, Myofascial Release, and Facial Manipulation. This time, I will explain about Myofascial Release and Fascial Manipulation with case examples.","PeriodicalId":333227,"journal":{"name":"SunKrist Journal of Orthopedics and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127438742","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":"Mini Review: Pulmonary Toxicity Secondary to Immunosuppressive Agents in the Treatment of Rheumatoid Arthritis.","authors":"V. Cruz","doi":"10.46940/sjomd.03.1010","DOIUrl":"https://doi.org/10.46940/sjomd.03.1010","url":null,"abstract":"Rheumatoid arthritis (RA) is a chronic rheumatic disease, characterized by erosive and destructive arthritis, representing an important cause of disability. Interstitial lung disease is not a rare event and can be aggravated by several immunosuppressive medications. Methotrexate, once seen as a drug associated with interstitial pneumonitis, is now seen as an agent capable of slowing or preventing the progression of lung disease related to rheumatoid arthritis. Anti-TNFs currently represent the class with the greatest impact on the course of pulmonary disease in RA, with a significant increase in mortality. Among the immunobiological agents, abatacept and Rituximab stand out in relation to the pulmonary safety profile.","PeriodicalId":333227,"journal":{"name":"SunKrist Journal of Orthopedics and Musculoskeletal Disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130213668","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}