S. K. Angmorterh, K. Kekessie, E. Dzidzornu, S. Aboagye, Patience Nyamekye Agyemang, Nathaniel Awentiirin Angaag, Eric Kwasi Ofori
{"title":"A Commentary on the Negative Impacts on Patient Diagnoses and Management from the Lack of Magnetic Resonance Imaging (MRI) Services at the Ho Teaching Hospital (HTH) in Ghana","authors":"S. K. Angmorterh, K. Kekessie, E. Dzidzornu, S. Aboagye, Patience Nyamekye Agyemang, Nathaniel Awentiirin Angaag, Eric Kwasi Ofori","doi":"10.26502/josm.511500075","DOIUrl":"https://doi.org/10.26502/josm.511500075","url":null,"abstract":"Magnetic Resonance Imaging (MRI) is a useful medical imaging tool in the diagnoses and management of several disease conditions including multiple sclerosis, prostate and breast cancer, epilepsy and seizure disorders, soft tissue joint disorders and vertebral spine disorders. MRI is also very useful in diagnosing breast disorders especially in younger women and following inconclusive breast ultrasound scans and mammograms. Pancreaticobiliary duct disorders like choledocholithiasis, acute and chronic pancreatitis are also well investigated with MRI. MRI services are unavailable at the Ho Teaching Hospital (HTH), a major referral hospital, and one of the five teaching hospitals in Ghana. The clinical implication of this is that patients who need MRI services have to travel long distances to other hospitals to access MRI services. The lack of MRI services at the HTH makes the diagnoses of critical medical conditions difficult, and in some cases, impossible. This commentary draws attention to the importance of MRI in the diagnoses and management of common medical conditions seen at the HTH and the lapses in diagnosing and managing patients with such conditions at the hospital.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349539","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":"Epidemiological, Biological, Physical and Radiological Surveys for the Diagnosis of Adult Skeletal Fluorosis in the Rift Valley Region of Ethiopia: A Single Point Prevalence Study","authors":"Heron Gezahegn","doi":"10.26502/josm.511500083","DOIUrl":"https://doi.org/10.26502/josm.511500083","url":null,"abstract":",","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349665","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 Approaches in Total Hip Arthroplasty.","authors":"Rajiv Supra, Rajesh Supra, Devendra K Agrawal","doi":"10.26502/josm.511500106","DOIUrl":"10.26502/josm.511500106","url":null,"abstract":"<p><p>The Total Hip Arthroplasty (THA) has become one of the most reliable surgical interventions that has improved the quality of life in many patients. THA allows patients to have increased mobility, range of motion, and reduced pain in patients with degenerative hip joints. This surgical procedure has become an effective treatment option for several chronic conditions affecting the hip joint. Although this surgery has been shown to give promising results in patients with hip pathology, selecting the approach for THA is a critical step in pre-operative planning. The best approach for this surgical procedure depends on multiple factors and each present with their own challenges, success rates, and limitations. To further elucidate the advantages and disadvantages associated with different surgical approaches, we critically review each surgical approach along with the different causes of failure of the THA procedure.</p>","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"5 2","pages":"232-240"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9734911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association of Serum Uric Acid with the Severity of Knee Osteoarthritis in a Tertiary Care Hospital","authors":"Sarker S, K. T, Dinara Na, Sharmin S","doi":"10.26502/josm.511500077","DOIUrl":"https://doi.org/10.26502/josm.511500077","url":null,"abstract":"Background: Osteoarthritis (OA) is the most common musculoskeletal condition and the most common cause of activity limitation among the middle aged and elderly population. Uric acid (UA) is constitutively present in normal cells, increased in concentration when cells are injured, and released from dying cells. Reaction of UA with oxidizing species generates UA radicals which is capable of causing biological damage. Several studies have previously showed an association between raised uric acid level and OA. Objectives: The objectives of this study were to determine the correlation between serum uric acid level and radiological severity of knee osteoarthritis according to Kellgren-Lawrence grading. Methods: This was a cross sectional study done among 80 cases of knee osteoarthritis for the period from August 2017 to May 2018 in Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, (Shahbagh, Dhaka). Correlation between serum uric acid level and severity of knee osteoarthritis was made by Spearman’s rho correlation. Continuous variables were tested with paired t-tests. Ordinal variables were tested with Wilcoxon signed rank test. Results: Mean serum Uric Acid was 6.08 ± 1.11 mg/dl in male and 5.99 ± 0.97 mg/dl in female patients. Majority of the patients (42.5%) suffered from Grade 3 knee osteoarthritis radiologically. Maximum uric acid level was found (6.53 ± 1.54) in Grade 4 osteoarthritis. Mean Serum Uric acid Level was 5.85 ± 0.28 in Grade 3 and 5.52 ± 0.47 in Grade 2 knee osteoarthritis. Serum Uric acid level with severity of knee osteoarthritis Spearman’s rho correlation was done. There was significant correlation between severity of knee osteoarthritis and serum uric acid (rs=+0.288; p=0.013). Conclusions: Serum uric acid levels are significantly related to the radiological severity of knee osteoarthritis. The level of serum UA was found to be in increasing order, parallel to the grades of the disease.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349544","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":"Testing IRCRA Battery and Its Predictive Value on Red-Point Performance in Youth Advanced Climbers","authors":"Antonia Ioana Vasile and, M. Stănescu","doi":"10.26502/josm.511500108","DOIUrl":"https://doi.org/10.26502/josm.511500108","url":null,"abstract":"Introduction: Various studies examined the factors that influence climbing performance measuring the contribution of anthropometric factors, physiological factors, physical factors, technical factors, psychological factors and mental factors. IRCRA developed a battery with 10 tests that evaluate key physiological parameters in climbing. Hypothesis: We can predict climbing red-point performance based on the 5 factors: antropometric factor, upper body factor, flexibility factor, core factor and training factor. Methods: The study was performed on 17 youth advanced climbers both male and female. The evaluating instrument was IRCRA performance-related test battery for climbers with 3 more added tests: push-ups, dips and hanging crunches. Results: We composed five factors that influence red-point performance, which are, in order of their importance: training factors, upper body strength factors, anthropometric factors, core strength factor and flexibility factors. The model predicted 81.7% of the climbing performance variance. Power slap at Gullich rungs was the most predicting of the upper body strength. Conclusions: The most important factor for performance in climbing is a trainable skill: strength of the upper body. Specific training on specific holds is more important than general physical preparation. Anthropometric characteristics influence performance more than core strength or flexibility in climbing. Clinical relevance : We tested the efficiency of IRCRA battery in evaluating climbing performance and concluded that this battery can be used as a selection testing for competitions. This leads to better selection for competitions according to climbers’ level of preparation and can lead to less frequent injuries.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349571","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":"The Utility of Lower Trapezius Transfers in Massive Irreparable Posterior- Superior Rotator Cuff Tears","authors":"Gary Ulrich MD, Shariff Bishai DO, MS","doi":"10.26502/josm.511500120","DOIUrl":"https://doi.org/10.26502/josm.511500120","url":null,"abstract":"Massive irreparable rotator cuff tears (RCT) present a challenging problem when they occur in the young, active patient population. One treatment option involves tendon transfer, which traditionally has involved the latissimus dorsi transfer (LDT). However, the lower trapezius transfer (LTT) has emerged as an effective alternative with its own set of advantages, such being a tendon transfer that is “in line” and “in phase” with the shoulder functions it restores. Moreover, biomechanical and clinical studies have supported the LTT as an effective treatment option that restores the shoulder function to a great degree with successful outcomes. In this review, we discuss the indications, biomechanics, open and arthroscopic assisted surgical techniques, and outcomes of LTT for massive irreparable RCTs.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349830","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}
Atef Ibrahim Awad, Waleed Meligy, Ehab Elshal, Hany Elhalafawy, Elsayed Elhamy Negm
{"title":"Bilateral Fracture Femur in a Patient with Renal Tubular Acidosis -Type 1 (Osteopetrosis Type) Platting or Nailing? A Case Report","authors":"Atef Ibrahim Awad, Waleed Meligy, Ehab Elshal, Hany Elhalafawy, Elsayed Elhamy Negm","doi":"10.26502/josm.511500125","DOIUrl":"https://doi.org/10.26502/josm.511500125","url":null,"abstract":"Diaphyseal Renal tubular is an uncommon medical disorder that comprises four variant types. It affects the skeletal system in different ways, most commonly osteomalacia and rarely osteopetrosis. Renal tubular acidosis with bone disease is representing a challenge to orthopaedic surgeon when facing fracture fixation which is more obvious in osteopetrotic bone disease. Our case represents bilateral femoral shaft fracture that had been fixed by two different surgeons with 2 different ways of fixation (weight bearing versus load sharing implants).","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"11 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":"136257067","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}
Emmanuel Wong, Wai Ting Lee, Cherrie Chau, Hay Yeung Cheng, Ronald Kwok
{"title":"Comparison of Effectiveness of Chiropractic Spinal Manipulation and Conservative Therapy for Low Back Pain","authors":"Emmanuel Wong, Wai Ting Lee, Cherrie Chau, Hay Yeung Cheng, Ronald Kwok","doi":"10.26502/josm.511500072","DOIUrl":"https://doi.org/10.26502/josm.511500072","url":null,"abstract":",","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349489","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":"Prevalence and Associated Factors of Low Back Pain among the Staffs of a Pharmaceutical Company of Dhaka City","authors":"K. T, Sarker S, Dinara Na, Sharmin S","doi":"10.26502/josm.511500074","DOIUrl":"https://doi.org/10.26502/josm.511500074","url":null,"abstract":"Background: Low Back Pain has been shown to be an important health and socio-economic problem of occupational diseases, which plague a large segment of the population in industrialized countries. Reviews of the literature describing LBP point prevalence in the developed world have produced variable of prevalence rates. Low back pain is common in Bangladesh also, responsible for an enormous burden of chronic disease, so this study aimed to disseminate the findings to take necessary steps to minimize low back pain and reduce the costs and injuries associated with ergonomic hazards of workers. Objective: To identify the prevalence and factors associated with low back pain among the staff of a pharmaceutical company of Dhaka city. Methods: A descriptive cross-sectional study was conducted in General Pharmaceutical Company in Mohammadpur, Dhaka. The study was carried out of Pharmaceutical Company in Mohammadpur, Dhaka, Bangladesh. The duration of the period from 10th October 2019 to 10th January 2020. Randomly interview was done by standard questionnaire containing extremely simple and well-structured question. Results: Total 349 sample was collected from General pharmaceutical company in Dhaka, Bangladesh. The result of this study showed that the prevalence of low back pain is 45.3% among the staff of this pharmaceutical company. Regarding sex, females have recorded 51.2% of those suffering from back pain. Factors such as socio-economic factors, family factors, body mass index, physical factors, psychological factors, medical history and sleeping disturbance were associated with the prevalence of LBP among staff of pharmaceutical company. Conclusion: Preventive strategies such as maintaining weight, fairness of stress and a comfortable work environment can help reduce the incidence of LBP among staff working in pharmaceutical company.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349531","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":"Glomus Tumor of the Nail Bed with Local Pain: A Case Report","authors":"Pervez Ahsan, K. ., Israt Jahan, A. Khair","doi":"10.26502/josm.511500084","DOIUrl":"https://doi.org/10.26502/josm.511500084","url":null,"abstract":"Glomus tumors are rare mesenchymal perivascular tumors that often developed in adult age between 30 to 50 years, near fine peripheral neurovascular structures, most notably finger nail beds. A 34 years old woman presented to OPD with pain in the left little finger nail for last five years. On examination, we found Love’s pin test and Hildreth’s test was positive, cold sensitivity test was equivocal. She was diagnosed as glomus tumor. Surgical intervention used to remove completely the tumor and the outcome was excellent. Histopathology confirmed the diagnosis.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349673","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}