IP International Journal of Orthopaedic Rheumatology最新文献

Synovial chondromatosis of the shoulder: A rare case report 肩关节滑膜软骨瘤病：罕见病例报告

IP International Journal of Orthopaedic Rheumatology Pub Date : 2024-07-15 DOI: 10.18231/j.ijor.2024.011

Ekaansh Karir, Sachin Joshi

{"title":"Synovial chondromatosis of the shoulder: A rare case report","authors":"Ekaansh Karir, Sachin Joshi","doi":"10.18231/j.ijor.2024.011","DOIUrl":"https://doi.org/10.18231/j.ijor.2024.011","url":null,"abstract":"Synovial chondromatosis is a monarticular svnovial proliferative disease in which cartilaginous or osteocartilaginous metaplasia occurs within the synovial membrane of joints, bursae or tendon sheaths. The disease has been classified into three phases. 1: Early: with svnovial chondrometaplasia but no loose bodies; 2: Transitional: with active svynovial disease and loose bodies; 3: Late: With loose bodies but no synovial disease.Cartilaginous metaplasia from joint, tendo, or bursal synovial lining differentiates this entity from loose bodies arising from degenerative arthritis, osteochondritis dissecans. and osteochondral fractures. A 54 Year Hindu male presented to the orthopaedic OPD with complains of pain and swelling in left shoulder which was insidous in onset, gradually progressive in nature and not relieved by medications. Patient also complained of clicking noise during shoulder movements which was insidous in onset and gradually progressive in nature. Synovial chondromatosis is a synovial lesion seen generally in adults with a male predominance. It occurs most commonly in the knee, unsually also occuring at the hand, wrist, elbow and shoulder. It can lead to mechanical symptoms, decreased range of motion and effusion. Histopath shows nodules of moderately cellular hyaline cartilage. D/D can include Myositis Ossificans, Synovial Chondrosarcoma and Synoval Sarcoma. Treatment is usually observation if asymptomatic. It symptomatic, then arthroscopic or open synovectomy can be done, arthroscopy increases chances of recurrence.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"54 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141644629","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

Seamless collaboration: The integral role of anaesthesiologists and orthopedicians in patient care 无缝协作：麻醉医师和矫形医师在患者护理中的重要作用

IP International Journal of Orthopaedic Rheumatology Pub Date : 2024-07-15 DOI: 10.18231/j.ijor.2024.004

A. Shetti

引用次数: 0

Comparative study between hyaluronic acid & platelet rich plasma in treatment of knee osteoarthritis 透明质酸与富血小板血浆治疗膝骨关节炎的比较研究

IP International Journal of Orthopaedic Rheumatology Pub Date : 2024-07-15 DOI: 10.18231/j.ijor.2024.007

Aniruddha Indra, Chinmoy Das, P. Das

引用次数: 0

Suprascapular nerve block versus intraarticular corticosteroid in the treatment of periarthritis shoulder 肩胛上神经阻滞与关节内皮质类固醇在肩关节周围炎治疗中的比较

IP International Journal of Orthopaedic Rheumatology Pub Date : 2024-07-15 DOI: 10.18231/j.ijor.2024.008

Avinish Kumar Singh, Chinmoy Das, P. Das, Ananta Hazarika

{"title":"Suprascapular nerve block versus intraarticular corticosteroid in the treatment of periarthritis shoulder","authors":"Avinish Kumar Singh, Chinmoy Das, P. Das, Ananta Hazarika","doi":"10.18231/j.ijor.2024.008","DOIUrl":"https://doi.org/10.18231/j.ijor.2024.008","url":null,"abstract":"Periarthritis shoulder, Frozen shoulder or adhesive capsulitis, presents as a significant clinical challenge with various therapeutic strategies being explored. This study aimed to compare the efficacy of suprascapular nerve block (SSNB) and intraarticular steroids, both adjunctive to physical therapy, in managing periarthritis shoulder. : We conducted a comparative study involving 50 patients diagnosed with frozen shoulder. Patients were segregated into two groups: one received SSNB (n=25), and the other received intraarticular steroids, followed by physical therapy in both groups.: Patients undergoing SSNB showed a significant reduction in SPADI scores over a 12-week follow-up period, with a mean reduction of 64%. This group also recorded patient satisfaction scores of 8.5 ± 1.2 on a VAS (0-10) and a quality of life score of 85 ± 10 on the SF-36 scale. In contrast, the intraarticular steroids group, while also showing improvement, lagged behind the SSNB group in these metrics.: SSNB, when combined with physical therapy, emerges as a promising therapeutic strategy for periarthritis shoulder, demonstrating superior efficacy compared to intraarticular steroids in terms of pain reduction, function enhancement, and patient satisfaction. Further extensive studies are warranted to affirm these findings.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"27 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141649092","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

Unveiling the unforeseen: Asymptomatic pigmented villonodular synovitis at popliteal fossa 揭开意外的面纱腘窝处无症状色素性绒毛状滑膜炎

IP International Journal of Orthopaedic Rheumatology Pub Date : 2024-07-15 DOI: 10.18231/j.ijor.2024.009

Hannan Sheik Kabir, Abdulla Khaleel P, EG Mohan Kumar

引用次数: 0

Experience of accelerated ponseti method as a more convenient technique for newly diagnosed CTEV cases 加速蓬塞蒂法作为一种更方便的技术用于新诊断的 CTEV 病例的经验

IP International Journal of Orthopaedic Rheumatology Pub Date : 2024-07-15 DOI: 10.18231/j.ijor.2024.006

Somesh Saha, Chinmoy Das, Swapnaneel Dutta

{"title":"Experience of accelerated ponseti method as a more convenient technique for newly diagnosed CTEV cases","authors":"Somesh Saha, Chinmoy Das, Swapnaneel Dutta","doi":"10.18231/j.ijor.2024.006","DOIUrl":"https://doi.org/10.18231/j.ijor.2024.006","url":null,"abstract":"The study's primary objective is to assess the effectiveness of this accelerated approach in achieving successful early correction of clubfoot deformity and improving the overall quality of life for these patients This is a prospective based hospital study where 50 patients (70 foot) taken into consideration. 50 patients randomised in two groups .one of which treated with conventional ponseti casting and other with accelerated ponseti casting. The mean days of plaster duration in accelerated casting group was 19.25 days as compared to 45.25 days in standard casting group (statistically significant, p<0.001). Also, Pirani score at the end of last follow up was comparable in both the groups. Tenotomy rate was slightly higher in accelerated casting group (88%) as compared to standard group (80%) which may be attributed to higher initial Pirani score in former (5.5) as compared to later (5.0). Clubfoot is socially stigmatized in underdeveloped nations; the early and optimistic outcome of the accelerated Ponseti casting procedure has a profound effect on parents as well as the orthopaedic surgeon treating them. The total length of the Ponseti casting treatment has been significantly shortened by the accelerated method without any complications.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"32 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141648034","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

Operative management of chronic isolated rectus femoris rupture with semitendinosus graft and biofiber: A case report 使用半腱肌移植物和生物纤维手术治疗慢性孤立性股直肌断裂：病例报告

IP International Journal of Orthopaedic Rheumatology Pub Date : 2024-07-15 DOI: 10.18231/j.ijor.2024.010

Kunal Nune, Shripad Joshi, Parth Mehta, G. Gadekar

{"title":"Operative management of chronic isolated rectus femoris rupture with semitendinosus graft and biofiber: A case report","authors":"Kunal Nune, Shripad Joshi, Parth Mehta, G. Gadekar","doi":"10.18231/j.ijor.2024.010","DOIUrl":"https://doi.org/10.18231/j.ijor.2024.010","url":null,"abstract":"Rectus femoris tear is rare and often overlooked in emergencies. The majority of quadriceps muscle belly injuries can be successfully treated conservatively and for less active, older populations Non-operative management is reasonable. A case report of a 19-year-old male Kabbaddi player who sustained an injury to his rectus femoris muscle belly while playing 5 months back. This young patient did not recover the functional outcome required to get back to running and participating in kabaddi despite 5 months of physiotherapy and non-operative management and had complaints of Pain over midthigh and weakness in quadriceps during hip flexion and knee extension. This leads to Hindrances in Jumping, running, and kicking movements. Tenderness over the midthigh and palpable defect with Pain upon resisted hip flexion or extension was seen.3/5 quadriceps power was noted. Ultrasound and MRI were done to confirm the clinical diagnosis. Operative treatment using the semitendinosus allograft with bio fiber reconstruction system to augment rectus femoris repair allowed immediate full passive flexion of the knee and an early graduated physiotherapy program leading to a return to running and his previous level of sport without any restrictions. Surgical treatment of rectus femoris tear seems to be a good option for Chronic tears.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141648216","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

Artificial intelligence (AI) in ortho-rheumatology 人工智能（AI）在风湿骨科中的应用

IP International Journal of Orthopaedic Rheumatology Pub Date : 2024-07-15 DOI: 10.18231/j.ijor.2024.001

S. Keshkar, Manish Khanna

引用次数: 0

Anesthetic management in orthopaedic surgery for rheumatic patients 风湿病人骨科手术的麻醉管理

IP International Journal of Orthopaedic Rheumatology Pub Date : 2024-07-15 DOI: 10.18231/j.ijor.2024.003

A. Shetti

{"title":"Anesthetic management in orthopaedic surgery for rheumatic patients","authors":"A. Shetti","doi":"10.18231/j.ijor.2024.003","DOIUrl":"https://doi.org/10.18231/j.ijor.2024.003","url":null,"abstract":"Patients with rheumatic diseases frequently require orthopaedic surgeries due to progressive joint damage and deformities. These patients pose unique challenges for anesthesiologists due to systemic involvement, altered anatomy, and chronic pain management needs. This review explores optimal anesthetic strategies to improve surgical outcomes and enhance patient safety in this vulnerable population. Preoperative assessment is crucial for identifying systemic manifestations of rheumatic diseases, including cardiovascular, respiratory, and renal involvement, which can significantly impact anesthetic management. A thorough evaluation helps tailor the anesthetic plan to individual patient needs, ensuring better perioperative care.Regional anesthesia, particularly neuraxial blocks and peripheral nerve blocks, offers significant benefits over general anesthesia in this population. These techniques can reduce postoperative pain, enhance recovery times, and decrease opioid consumption. However, the presence of spinal deformities and anticoagulation therapy in these patients requires careful consideration and meticulous planning. Multimodal analgesia, combining regional techniques with systemic medications, is recommended to manage chronic pain and minimize opioid use postoperatively. Effective pain management strategies are essential for improving postoperative outcomes and patient satisfaction.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141645026","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

A comparative study of functional outcome of percutaneous kirschner wire fixation versus philos plating of proximal humerus fractures 肱骨近端骨折经皮基尔希纳钢丝固定与哲氏钢板固定的功能效果比较研究

IP International Journal of Orthopaedic Rheumatology Pub Date : 2024-07-15 DOI: 10.18231/j.ijor.2024.005

Akshay Bhosale, Mayur Agrawal, Tushar Pimpale

{"title":"A comparative study of functional outcome of percutaneous kirschner wire fixation versus philos plating of proximal humerus fractures","authors":"Akshay Bhosale, Mayur Agrawal, Tushar Pimpale","doi":"10.18231/j.ijor.2024.005","DOIUrl":"https://doi.org/10.18231/j.ijor.2024.005","url":null,"abstract":": Proximal humerus fractures, accounting for approximately 5% of all fractures, pose a significant challenge in orthopedic management due to their complex anatomy and diverse fracture patterns. Treatment options range from conservative methods to various surgical interventions, each with its pros and cons. This study specifically compares two commonly employed surgical techniques: Open reduction & internal fixation with PHILOS plate and percutaneous k-wire fixation with/without external clamps. This study aims to address the effectiveness of each technique by evaluating functional outcomes using validated scoring systems like the Constant-Murley Score. To assess the functional outcomes of two surgical treatment methods (K-wire application and PHILOS plate fixation) for proximal humerus fractures. : A randomized prospective study was conducted on patients coming to the Orthopaedics outpatient department or casualty of tertiary care hospital for a duration of 1 year from Dec 2022 to Nov 2023. A total of 18 patients were included in the study. The mean Constant- Murley Score (CMS) was 81 +/- 6.13 for the PHILOS plating group and 76.88 +/- 7.37 for the K-wire treated group with a p-value of 0.08. The results for CMS were excellent in 22.2% of patients and good in 66.7% of patients in PHILOS treated group and excellent for 11.11%, good for 66.67% and satisfactory for 22.2% in the K-wire treated group. Both groups achieved satisfactory functional outcomes with CM Score at the final follow-up. Both techniques achieved favorable outcomes, with a majority of patients in both groups (88.89% for PHILOS and 77.78% for K-wire) achieving good to excellent results based on the CMS scores.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141648870","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