Journal of orthopaedics and sports medicine最新文献

{"title":"Foot Macrodactyly with Simple Syndactyly: A Case Report from Northern Tanzania","authors":"Casto Elilindia Mlay, Mubashir Alavi Jusabani, Tumaini Fedrick Minja, Elvin James Meshack, Rogers Joackim Temu","doi":"10.26502/josm.511500040","DOIUrl":"https://doi.org/10.26502/josm.511500040","url":null,"abstract":"We report a case report of a 5years old girl who presented with progressive enlarged and fusion of the second and third toes of the right foot since birth which impairs shoe wear. After a clinical history and examination and radiological evaluation, the diagnosis of right foot macrodactyly was established. Following surgical excision of the macrodactyly patient showed good clinical outcome after 1year of follow-up. Numerous treatment options have been suggested without consensus, specific treatment is individualized. The primary goal for treatment is a pain-free and functional foot that can accommodate normal shoes.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349094","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":"Treatment of a Displaced Occipital Condyle Fracture - A Case to be discussed","authors":"V. F, Ullrich Bw, G. F., Hofmann Go, M. T","doi":"10.26502/josm.511500050","DOIUrl":"https://doi.org/10.26502/josm.511500050","url":null,"abstract":"Before the advent of computed tomography, occipital condyle injuries were solely a postmortem diagnosis. Nowadays, CT is well established in the diagnostic workflow of trauma management, allowing accurate planning and proper treatment. Anderson and Montesano as well Tuli developed radiologic classifications, each based on a small number of cases, in regards to the stability of the lesion and also provided treatment recommendations. In this case study we present a 24-year-old man suffering massive trauma to the head and thorax from a agricultural vehicle accident, leading to a displaced avulsion fracture of the right occipital condyle with high atlanto-occipital instability (Anderson Montesano type III). However, the patient did not develop any neurological deficit. Within the scope of the damage control polytrauma algorithm, the atlanto-occipital instability was initially stabilized in a HALO fixator. For devinitive treatment, we decided on an internal occipito-cervical fixation with a permanent fusion of the injured C0/C1-segment without reduction of the J Orthop Sports Med 2021; 3 (3): 140151 DOI: 10.26502/josm.511500050 Journal of Orthopaedics and Sports Medicine 141 dislocated fragment at a time 14 days after the accident. The fixation construct spanned from the occiput to C3 in order to achieve a high primary stability. At 3-months follow-up, CT scans showed bony healing of the right condyle in an unchanged displaced position and a successful posterior fusion of C0/C1. After one year, a complete implant removal was done.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349097","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":"Knee Mega-Prosthesis in the Management of Complex Knee Fracture of the Elderly a Case Series and Review of the Literature","authors":"S. Aharram, J. Amghar, Mounir Yahyaoui, O. Agoumi, A. Daoudi","doi":"10.26502/josm.511500034","DOIUrl":"https://doi.org/10.26502/josm.511500034","url":null,"abstract":"Purpose: the goal of this paper is to share our experience with the use of mega knee-prosthesis as a treatment option for complex DFF in the elderly patient and do a review the literature.  Methods: we operated 4 patients with complex DFF using a mega knee-prosthesis. All patients were operated by one senior surgeon. No patients were lost at follow-up. One patient died 7 months after the surgery from flu. All patient were female and the average age at the time of the surgery was 79, 5. Clinical outcomes were measured through the WOMAC, Oxford knee score and pain NRS. Post-operative autonomy was measured using the Parker score. A follow-up radiographic analysis was performed independently by the surgeon and a radiologist. Results: At an average follow-up of 2,3 years (range, 0,6 to 4,2 years), the average Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) was 17,25 (range, 7 to 37), the average Oxford knee score was 35,25 (range, 25 to 41) and the average pain Numerical Rating Scale (NRS) was 0,5 (range, 0 to 1). Conclusion: The use of cemented knee mega-prosthesis for complex intra-articular distal femoral fractures is a viable treatment option in elderly patient with osteoporotic bone as it allows immediate full weight bearing and a rapid return to pre-operative functional status.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349092","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":"Chest Expander Spring a Low Cost Home Physiotherapy-Based Exercise Rehabilitation after Total Hip Arthroplasty","authors":"B. Kornah, Saied K.Abdel-hameed, Abdel-hamid A. Atallah, M. I. Abuelesoud, Tharwat Abdel ghany, M. Abdelaziz, Mohamed Abdel-AAl, Nagi saleem","doi":"10.26502/josm.511500031","DOIUrl":"https://doi.org/10.26502/josm.511500031","url":null,"abstract":"Background: The demand for total hip arthroplasty (THA) is rising. Postoperative exercise rehabilitation helps patients recover normal joint functions by strengthening the muscles surrounding the replaced","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349085","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":"Geographic Distribution of Pediatric Orthopaedic Surgeons throughout the United States","authors":"B. Ehrlich, M. Fanelli, Amanda K Young, Bhumkida Maddineni, M. Cornell, Daniel Sylvestre, M. Seeley","doi":"10.26502/josm.511500018","DOIUrl":"https://doi.org/10.26502/josm.511500018","url":null,"abstract":"Introduction: The purpose of this study was to explore the geographic distribution of pediatric orthopaedic surgeons (POS) in the US as an accurate assessment of pediatric orthopaedic surgical care. Methods: A list of all POS in the US was compiled using publicly available information from the Pediatric Orthopaedic Society of North America (POSNA). Name, practice location, and other contact information were recorded for a total of 1,188 surgeons. Surgeons were sorted into congressional districts (CDs). Using Dr. Richard Cooper’s Trend Model and projections for the demand of orthopaedic surgeons in 2020, each state and CD was classified as having optimal, suboptimal, and greater-than-optimal numbers of POS. Results: The most POS were in California, Texas, Florida, and New York and the least were in Wyoming and Montana. The median number of POS per state was 23 (range: 0-134). The median number of POS per CD was 2 (range: 0-38). Out of a total number of 435 CDs in the US, there were 187 CDs that had 0 POS. Furthermore, all 435 CDs had suboptimal numbers of POS. Discussion and Conclusion: Currently, there is no surgeon: population ratio standard for POS specifically. Furthermore, numbers generated about orthopaedics in general are based on national figures and do not take into account local demographic, economic, and physician practice pattern variations that can cause suggested ratios to differ. However, the data generated from this study suggests that POS are not evenly distributed throughout the US and many areas are not optimally served.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349081","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 Thoroughgoing Detail of Surgical Dressings","authors":"Mohiuddin Ak","doi":"10.26502/josm.5115001","DOIUrl":"https://doi.org/10.26502/josm.5115001","url":null,"abstract":"","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349397","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":"Sports Psychiatry: The Mental Health Needs of the College Athlete","authors":"Ryan Mast, J. P. Gentile","doi":"10.26502/josm.5115004","DOIUrl":"https://doi.org/10.26502/josm.5115004","url":null,"abstract":"Although young adulthood is often characterized by social and intellectual development and multiple transitions, college-aged individuals are also routinely exposed to situations that place them at high risk of mental health disorders. For college student-athletes, the pressures of academics, paired with the demands of a college athletic program, certainly have the potential to increase the risk of psychiatric conditions. This article will assist the clinician in understanding the unique challenges faced by the college athlete, recognize the importance of screening college athletes for mental health concerns, and appreciate unique treatment considerations.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349913","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":"No Difference in Failure Rates Between Hybrid Grafts Compared with Hamstring Autografts Following ACL Reconstruction","authors":"A. Jimenez, R. Kakazu, Barton R. Branam, A. Colosimo, B. Grawe","doi":"10.26502/JOSM.5115003","DOIUrl":"https://doi.org/10.26502/JOSM.5115003","url":null,"abstract":"Background: Hamstring tendon autografts, for ACL (anterior cruciate ligament) reconstruction, have demonstrated a higher re-rupture rates when graft diameter of <8 mm is chosen. In the event that an autograft yield a graft diameter <8 mm, augmentation with allograft creates a hybrid graft with increased diameter. Clinical outcomes of this hybrid graft have yet to be established. Purpose: To assess clinical outcomes and failure rates of an adult population who undergo augmentation with allograft compared to patients with hamstring autograft alone. Methods: A retrospective chart review of primary ACL reconstructions performed by 4 sports fellowship trained surgeons at a single institution between 2010-2016 identified 23 patients with hamstring autografts and allograft augmentation. A comparison group of 23 patients consisted of patients who underwent ACL reconstruction with hamstring autograft of >8 mm diameter was then selected. The comparison group was matched based on age within 3 years. Graft failure was defined as revision ACL reconstruction or evidence of graft failure on clinical exam (no end point on lachman or pivot shift) or MRI evidence of retear. International Knee Documentation Committee (IKDC), Marx Activity, and Knee injury Osteoarthritis and Outcome (KOOS) scores were obtained. Patients were contacted to obtain information regarding outcome scores, revision procedures, return to sport, and complications. A minimum follow up time was set at 12 months. Results: Forty-six patients met criteria for inclusion in this study and had follow up data. The hybrid group had a total of 23 patients consisting of 7 men and 16 women with an average age of 31 years (Range 17-51 years). The autograft group had a total of 23 patients consisting of 17 men and 6 women with an average age of 33.3 years (Range 15-48). The average follow-up between both groups was 31.5 months (range 12-63 months). The graft failure rate in the hybrid group was 8.7% (2 of 23 patients), while the autograft group demonstrated a graft failure rate of 4.3% (1 of 23 patients) (p=0.49). In the hybrid ACL group, the mean IKDC was 67.8 (CI 59.8-75.9) compared to 73.8 (CI 66.6-80.9) in the autograft group (p=0.26). The average KOOS scores for the hybrid group was 75.8 (CI 67.5-84.1) compared to 86.5 (CI 81.4-91.7) in the autograft group (p=0.03). Conclusions: In an adult population, allografts augmented hybrid ACL grafts showed no statistically significant difference compared to hamstring autograft in graft failure rates. The autograft ACL group demonstrated a higher KOOS score, though the IKDC was equivalent.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349885","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":"Comparative Study of Hamstring Graft Healing Time after Anterior Cruciate Ligament Reconstruction with Augmentation of Platelet-Rich Plasma","authors":"D. Bhamare, Girish Nathani, I. Shevate, N. Parikh","doi":"10.26502/josm.51150011","DOIUrl":"https://doi.org/10.26502/josm.51150011","url":null,"abstract":"Aim: To Compare hamstring graft healing time after anterior cruciate ligament (ACL) reconstruction with the use of augmentation of platelet-rich plasma. Methods: 30 patients between age group of 18 to 40 years with complete ACL tear were randomly divided into two groups the control group in which only ACL reconstruction was done and second group in which acl reconstruction was performed along with augmentation with Platelet rich plasma. For the PRP group, 3 ml of PRP was obtained in the operation room and was injected into femoral tunnel just before after portal suture. MRI was obtained post operatively 3 month, 6 month and 9th month for both the groups. Graft healing time was defined as the time taken for the graft to reach ligamentization phase when the graft became hyperintense or was visualised similar to PCL or the remnant which was preserved during reconstruction.  Results: Patients in PRP augmented group achieved ligamentization phase significantly earlier as compared to those in the control group, with mean time of 3.4 months as compared to 8.1 months in the control group. Conclusion: PRP helps in faster healing of the Hamstring graft. However further studies are required to correlate graft healing time with return to previous activity.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349582","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":"Vital Signs Monitoring based on a Developed Accelerometer Sensor for Sporty Purposes","authors":"Atefeh Valipour, K. Maghooli","doi":"10.26502/josm.5115006","DOIUrl":"https://doi.org/10.26502/josm.5115006","url":null,"abstract":"This paper proposes developing a wireless sensor for heartbeat and respiration rate monitoring for the sportsman. The developed wireless sensor, includes an accelerometer sensor, a processor and a transceiver which operates in Industrial, Scientific and Medical (ISM) band and the frequency of 2.54 to connect with a central node for transmitting the measured data. In order to evaluate the accuracy of the presented sensor, the different experiments are carried out on several volunteers and the resultant data are compared to a gold standard for respiration rate and also heartbeat as a reference. As the outcomes illustrate, the root means square error (RMSE) and the standard deviation of the error (SD) are calculated less than 2.8 and 1.43 beats per minutes as well as 1.01 and 0.85 breaths per minutes for the heartbeat and respiration rate, respectively. Therefore, the sensor can account a good alternative for cardiorespiratory system monitoring for sporty application, due to low-cost, portable and also availability.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349929","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}