Journal of orthopaedics and sports medicine最新文献

{"title":"Outcome of C-arm Guided Epidural Steroid Injections in Patients with Prolapsed Lumbar Intervertebral Disc with Radiculopathy","authors":"Tamjid Ali MD, Moshiur Rahman Khasru, Salek Akm, Alauddin Sikdar, Quazi Tamanna Haque","doi":"10.26502/josm.511500112","DOIUrl":"https://doi.org/10.26502/josm.511500112","url":null,"abstract":"Background: Prolapsed Lumbar Intervertebral Disc (PLID) is one of the most common health problems worldwide, as well as in our country, and is one of the potential causes of temporary disability, morbidity, and reasoning of absence at workplaces. Objective: To find out the outcome of C-arm guided transforaminal and caudal epidural steroid injection for low back pain with radiculopathy due to PLID. Methodology: This was a randomized clinical trial conducted among purposively selected 54 patients with PLID with radiculopathy as per selection criteria, attending the Department of Physical Medicine & Rehabilitation in BSMMU, Dhaka, from March 2020 to February 2021. Patients (N=54) were randomly allocated into two groups; patients in group A (n=26) were treated with C-arm guided transforaminal and caudal epidural steroid injection with conservative treatment, and patients in group B (n=28) were treated with conservative treatment only. All patients were followed up in 1st week, 1st month, and 3rd month. Results: The mean age of the participants in group A and group B were 40.88 (± 8.70) and 43.00 (± 11.54) years, respectively. In group A, 9 (34.6%) were housewives, 4 (15.4%) were manual workers, while in group B, 10 (35.7%) were housewives, and 8 (28.6%) were manual workers. In group A, 21 (80.8%) had three disc involvement, while in group B, 19 (67.9%) had three discs involvement, where L4-5-disc involvement was most common in both groups. There was no significant statistical difference between the groups regarding VAS scores at baseline (p=0.235), 1st week (p=0.164), and 1st month (p=0.125). The VAS score was significantly reduced in group A compared to group B at 3rd month (p=0.001). The ODI score was significantly reduced in group A compared to group B at 1st week (p=0.034), 1st month (p=0.016), and at 3rd month (p=0.001). Conclusion: C-arm guided transforaminal and caudal Epidural Steroid Injection significantly improves pain and functional outcomes of patients with radiculopathy due to PLID. Long-term, large scale and multicenter research studies are required to establish the outcome and effectiveness of this procedure.","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":"69349626","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 of Bone Edema-like Lesions in Patients with Knee Osteoarthritis","authors":"David A. Kolin, Antonio Madrazo-Ibarra, Hersh Patel1, Arda Dalkir, Amoli Vad, N. Vad, Kaitlin M Carroll, Douglas N Mintz, V. Vad","doi":"10.26502/josm.511500092","DOIUrl":"https://doi.org/10.26502/josm.511500092","url":null,"abstract":"Context: The presence of subchondral Bone Edema-Like Lesions (BELs) in patients with Knee Osteoarthritis (OA) is associated with increased pain and a faster progression of OA. However, the exact prevalence of BELs is controversial due to contradicting findings reported in previous studies. Aim: To evaluate the prevalence of BELs by Magnetic Resonance Imaging (MRI), in patients with adjacent full-thickness cartilage loss of the knee. Settings and Design: Single center cross-sectional study. Methods: We evaluated 100 consecutive MRI studies of patients with Kellgren and Lawrence grade IV knee osteoarthritis from April 2019 to May 2019. The primary outcome of the study was to evaluate the prevalence of BELs. The secondary outcome was to evaluate the association of BELs with the demographic characteristics of patients including age, sex, body mass index, presence of osteophytes, and previous diagnosis of osteoporosis or osteopenia. Results: All patients had pain at the time of MRI evaluation. The average age was 66.5 ± 10.1 years and the average body mass index was 27.3 ± 5.1 kg/m². A total of 86 patients (86%) had BELs on the evaluated MRI, with both male and female patients being equally affected (P=0.405). No demographic characteristic showed a significant association with the presence of BELs. However, while not statistically significant, male patients, patients with obesity, and patients with osteophytes had an increased risk of having BELs. Conclusion: The majority of patients with symptomatic grade IV knee osteoarthritis have BELs on MRI evaluation. No demographic characteristic was associated with a greater risk of presenting BELs.","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":"69349781","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 service evaluation examining the requirement for Level 2 critical care in a major trauma centre","authors":"P. Galea, K. Joyce, Sarah Galea, F. Loughnane","doi":"10.22541/au.164175447.73916057/v1","DOIUrl":"https://doi.org/10.22541/au.164175447.73916057/v1","url":null,"abstract":"Critical care provision is fundamental in all developed health systems\u0000in which severe disease and injury is managed. This is especially true\u0000in major trauma centres and high-acuity establishments, where acutely\u0000unstable patients can be admitted at any time, requiring clinical\u0000monitoring and interventions appropriate for their burden of illness.\u0000This single-centre, prospective service evaluation applied validated\u0000scoring systems to a surgical population, sampling and following those\u0000considered “high-risk” through to discharge or death, alongside all\u0000intensive care unit (ICU) admissions during 2019. Primarily we aimed to\u0000quantify the number of patients objectively suitable for Level 2\u0000critical care, conventionally provided in a high-dependency unit (HDU)\u0000setting. Secondary outcome measures included ICU readmission rate,\u0000in-hospital mortality, and delays to ICU admission and discharge. Of the\u0000“high-risk” surgical patients, more than eight per week were found to\u0000have peri-operative Portsmouth Physiological and Operative Severity\u0000Score for the enUmeration of Mortality and morbidity (P-POSSUM) scores\u0000that would advocate critical care admission. Only one individual\u0000received scheduled peri-operative critical care. Post-operative\u0000mortality in this group was 6.1%, though none of these patients was\u0000admitted to ICU prior to death. There were 605 ICU admissions in 2019,\u0000with 32.1% of admitted days spent at the equivalent of Level 2 critical\u0000care, which could have been administered in a HDU if one was available.\u0000The ICU readmission rate was 6.45%. This data demonstrates substantial\u0000unmet critical care needs, with patients not uncommonly managed in\u0000clinically inappropriate areas for extended periods due to delays\u0000accessing ICU. A designated HDU may mitigate clinical risk from this\u0000subgroup, reducing morbidity and in-hospital mortality, and this\u0000methodology for assessing requirements could be used in other similar\u0000institutions.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45123747","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":"Effect of Actovegin® Versus Cortisone on PMA‐Induced Inflammation on Human Cells","authors":"F. Reichl, Fangfang Liu, Christof Hogg","doi":"10.26502/josm.511500069","DOIUrl":"https://doi.org/10.26502/josm.511500069","url":null,"abstract":"Purpose: The effect of Actovegin® versus Cortisone was investigated on PMA induced human Peripheral Blood Mononuclear Cells (PBMCs). Methods: PBMCs (1 × 10 cells/ml) from ten blood donors (5 f, 5 m; 45–55 years) were grown in medium and exposed to Actovegin® or Cortisone in the presence or absence of PMA. Supernatants were collected to assess the concentration of cytokines/substances: IL-6, TNF-α, IL-8, IL-1 beta, and IL-10. The Reactive Oxygen Species (ROS) were assessed","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349438","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":"Interest of the Medial Gastrocnemius Flap in the Context of Scarring Defects Following Knee Arthroplasty Surgery","authors":"A. Jawad, Benhammou Mohammed, Aharram Soufiane, Daoudi Abdelkarim, Agoumi Omar","doi":"10.26502/josm.511500053","DOIUrl":"https://doi.org/10.26502/josm.511500053","url":null,"abstract":"Iterative lesions of the soft parts around the knee are critical clinical situations involving the functional prognosis of the joint, especially in the presence of a total prosthesis. We present three clinical cases treated with the medial gastrocnemius muscle flap. It is a simple, reliable, fast flap, not sacrificing major vessels or leg, easy to remove, large volume, covering the anterior side of the knee and with a good functional result with minimal risk of infection and a very acceptable prosthesis survival rate.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349714","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":"Ten Minutes Extension Endurance Test in Healthy Inactive vs. Active Male People","authors":"C. Anders, Tim Schönau","doi":"10.26502/josm.511500067","DOIUrl":"https://doi.org/10.26502/josm.511500067","url":null,"abstract":"","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"262 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349418","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":"Factors and Strategies for Poor Pain Relief after Vertebroplasty: A Literature Review","authors":"Binbin Tang, Kang-Zhu Liu, Xiaolin Shi, Yuliang Huang","doi":"10.26502/josm.511500068","DOIUrl":"https://doi.org/10.26502/josm.511500068","url":null,"abstract":"Study Design: Literatures review Objective: To search and review the causes and measures to Poor Pain Relief (PPR) after vertebroplasty for Osteoporotic Vertebral Compression Fractures (OVCFs) in short period postoperatively. Summary of Background Data: Vertebroplasty are more and more common for OVCF patients. However, various treatments on postoperative residual pain have been reported heavily. The PPR has been disturbing many doctors and affects the symptoms of patients. Therefore, we reviewed relevant articles in an attempt to obtain meaningful evidence on factors and strategies","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349427","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":"Hip Resurfacing Arthroplasty Failure. Conversion to Total Hip is it a Favorable Solution with Satisfactory Outcomes?","authors":"Abdel-hamid A. Atallah, Yaser El-Sayed Hassan Wahd, Mohamed A Abdel-AAl","doi":"10.26502/josm.511500052","DOIUrl":"https://doi.org/10.26502/josm.511500052","url":null,"abstract":"Background: Hip resurfacing arthroplasty (HRA) had been utilized since the 1950s. The concept favoured for selected young active patients with degenerative hip disease owing to its proposed advantages. Revision rate in most national registries nearly 3.5%. Conversion to total hip replacement may be the correct option for old patients and those whose activity levels changed and the need for hip resurfacing no longer required. Purpose: The aim of this study is to assess the midterm outcomes of converting failed hip resurfacing arthroplasty to total hip arthroplasty. Study design: Prospective case series study. femoral thinning (4 (6 cases) component dislocation (3cases) persistent groin pain and clicking (3 cases) and wear of components (5 cases). Both components revised in Twenty-five patients while the remaining ten underwent revision of femoral component only. Results: Mean Preoperative hip scores (Oxford, WOMAC, Harris and UCLA hip scores) were 19.4, 78.3, 33,8 and 4.1 respectively improved at last follow-up to 39.8, 11.1, 92.3 and 8.1 respectively representing statistically significant improvements over pre-operative scores (p < 0.0001 for each score) No cases of neurological, vascular, deep infection or implant failure. There were 3 cases (8.6%) with complications included surgical site infection with serous drainage for more than seven days (one case), heterotopic ossification (one case) and residual groin pain in one case. All patients were satisfied particularly by their pain relief. Average postoperative Oxford, Harris and WOMAC hip scores were 17.4, 89.8 and 6.1 respectively. Representing statistically significant improvements over preoperative scores (p < 0.0001 for each score). Conclusions: Conversion of failed hip resurfacing to THA has high satisfaction rates. These results compare favorably with those for revision total hip arthroplasty.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349701","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":"Report of a Rare Case of Primary Malignant Mesothelioma of the Perineum Presenting as a Scrotal Abscess","authors":"Zhiwei Li, Qiqi Zhu, K. Xiao, Z. Xiao, P-J Yang","doi":"10.26502/josm.511500061","DOIUrl":"https://doi.org/10.26502/josm.511500061","url":null,"abstract":"A 57-year-old man presented with erythema and pain in the scrotum for 1 week, with pus exuding from the ruptured scrotum for 1 day. Physical examination showed an enlarged left scrotum, with a small area of ruptured skin, and yellowish-white discharge from the rupture was visible in the lower posterior part of the testes near the perineum, with slightly high local skin temperature, tenderness, and fluctuating sensation. The initial reproductive system ultrasound and pelvic CT were suggestive of inflammatory infection, which was confirmed by histology following two surgeries. The patient's condition did not show improvement for a long period of time, and repeat pelvic CT suggested multiple enlarged inguinal lymph nodes. Fine needle aspiration cytology suggested metastatic cancer. Histopathological examination and immunohistochemistry of the perineal scrotal area showed malignant mesothelioma, and whole-body PET-CT suggested pulmonary metastases and invasion into the surrounding tissues, such as the organs of the reproductive system. The patient received chemotherapy and immunotherapy, but the disease progressed rapidly, and he ultimately died of respiratory failure.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349315","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":"Proportion and Associated Factors of Delayed Presentation among Patients with Open Fracture at Tibebe Ghion Specialized Hospital, Bahir Dar, North West Ethiopia","authors":"Solomon Melkamu, Worku Belay, L. Maru","doi":"10.26502/josm.511500054","DOIUrl":"https://doi.org/10.26502/josm.511500054","url":null,"abstract":"Background: Clinical experience shows most patients with open fracture present late in Ethiopia. Delayed treatment associated with worst outcome and can worsen disability. Understanding associated factors for delayed hospital presentation will assist in guiding proper open fracture management. Objective: This study aims to assess the proportion of delay in hospital presentation and associated factors among patients with open fracture. Methods: this is institution based cross sectional study. We examined the records of 309 patients with open fracture ho presented to Emergency Department at Tibebe Ghion Specialized Hospital in Bahr Dar Ethiopia. J Ortho Sports Med 2022; 4 (2): 187-198 DOI: 10.26502/josm.511500054 Journal of Orthopaedics and Sports Medicine 188 We used bivariate and multivariate logistic regression to evaluate the association between presentation to a hospital with in 2hrs after the injury (delayed presentation) and seven covariates: age, sex, occupation, address, injury mechanism, injured limb and site of fracture. Results: Men accounted for about 84.8%, with a mean age of 30.33 years. The most common injury mechanism was Bullet/Blast injury in 165 (53.4%) patients, followed by road traffic accident in 75 (24.3%) patients. About 90.9% of open fractures did not present to the hospital within the Lancet Commission on Global Surgery recommended 2 hours’ time frame. Being from rural areas independently increased the risk of delayed presentation (Adjusted odds ratio, 3.327(95% CI 1.140 to 9.712)). Relative to other mechanism of injury, Bullet/Blast injury demonstrated a 69.3% reduced risk of late presentation after having open fracture (adjusted OR 0.307 (95% CI 0.122 to 0.776)). Conclusions: our study shows a significant delay among open fractures in our set up from trauma to hospital arrival and identify factors for delayed presentation. Interventions are needed to improve access to fracture care. We recommend further prospective multicenter research to identify many more factors responsible for open fracture delayed presentation.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349718","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}