Journal of orthopedics & rheumatology最新文献

{"title":"A Rare Case of Aspergillus Spondylodiscitis In B-Cell Acute Lymphoid Leukemia","authors":"S. Sachin","doi":"10.13188/2334-2846.1000056","DOIUrl":"https://doi.org/10.13188/2334-2846.1000056","url":null,"abstract":"","PeriodicalId":90612,"journal":{"name":"Journal of orthopedics & rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66210494","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":"Is there an Increase in Intra-operative Bleeding during Emergency Hybrid Open-Door Laminoplasty for Posttraumatic Cervical Cord Patients?","authors":"G. Liu","doi":"10.13188/2334-2846.1000054","DOIUrl":"https://doi.org/10.13188/2334-2846.1000054","url":null,"abstract":"Study Design: Retrospective Cohort Study Objectives: There are no reports describing the potential increase in intra-operative blood loss with the use of hybrid open-door laminoplasty in post-traumatic cervical cord injuries. Summary of background data: Early surgical intervention for traumatic cervical cord injury has demonstrated outcome benefits but is not without complications. Methods: A retrospective review of patients who underwent opendoor hybrid laminoplasty by a single surgeon was performed. Patients were divided into 2 groupsGroup A: isolated traumatic spinal cord injury without vertebral fracture, Group B: non-traumatic spinal cord injury. Results: 30 consecutive patients, of whom 8 had isolated traumatic cervical injury, underwent hybrid open-door laminoplasty. A longer mean operative time (254 vs 199 minutes, p=0.005), hospital stay (44.1 vs 11.1 days, p=0.006) and ICU or high dependency unit stay (10.3 vs 1.5 days, p=0.004) was noted in the traumatic patients when compared to the non-traumatic patients. A greater amount of intraoperative blood loss was found in the traumatic patients (median 350 ml; range 110-750) and less in the non-traumatic patients (median 130 ml; range 50-400, p=0.032). Patients in both groups showed post-operative neurological recovery with a JOA score improvement of 1.9 ± 3.1 (p=0.14) in the traumatic group and 1.4 ± 1.7 (p=0.001) in the non-traumatic group. Conclusions: Emergency open-door hybrid laminoplasty can be performed in patients with traumatic spinal cord injury. While early surgical decompression for post-traumatic patients improves neurological outcomes, a higher intra-operative bleeding should be anticipated in post-traumatic patients. Citation: Liu G*, Lee BH, Tan JYW, Ng JH, Tan JH. Is there an Increase in Intra-operative Bleeding during Emergency Hybrid Open-Door Laminoplasty for Posttraumatic Cervical Cord Patients? J Orthopedics Rheumatol. 2021; 8(1): 5. J Orthopedics Rheumatol 8(1): 5 (2021) Page 02 ISSN: 2334-2846 is a modified muscle-sparing technique of the traditional open-door laminoplasty [13]. The hybrid open-door laminoplasty technique incorporates a C4-6 open-door laminoplasty with instrumentation to reduce laminar door closure, a C3 dome-like osteotomy, and an upper C7 partial laminectomy (Figure 1,2). This technique preserves the semispinalis cervicis muscle attachments at the C2 level and the trapezium muscle attachments at C7, to reduce the incidence of postoperative axial neck pain and cervical kyphosis [14-17]. Statistical analysis was performed using IBM Statistical Package for Social Science (SPSS) Version 24.0 (IBM Corp, 2016). Pearson’s chi-squared analysis and independent t-tests were used to compare the demographic variables and outcome variables between both groups. A p-value of < 0.05 was considered significant in our study.","PeriodicalId":90612,"journal":{"name":"Journal of orthopedics & rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66210308","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":"Does a Normal Hip Ultrasound at 3-6 Months of Age Predict a Normal X-ray?","authors":"VV Upasani","doi":"10.13188/2334-2846.1000055","DOIUrl":"https://doi.org/10.13188/2334-2846.1000055","url":null,"abstract":"Objective: Ultrasound (US) may be used to diagnose/monitor developmental dysplasia of the hip (DDH) prior to femoral head ossification, after that, radiographs (XR) may become a better choice. The objective of this study was to compare US to XR performed on the same day for diagnosis or monitoring of DDH in patients 3 to 6 months of age. Methods: 92 patients (183 hips) ages 3 to 6 months who were seen for hip screening for DDH were retrospectively reviewed. All patients had a same-day hip ultrasound and plvis radiograph. Alpha angle, hip stability, femoral head coverage, acetabular index (AI), IHDI grade, and break in Shenton’s line were recorded and used to diagnose the hip as normal or dysplastic. Results: 17.5% of hips were diagnosed with DDH based on XR, 12% of hips were diagnosed with DDH on US. Thirteen hips were read as normal on US but dysplastic on XR. Using XR as the definitive diagnosis, US had sensitivity of 59% and specificity of 98%. Using US as the definitive diagnosis, XR had sensitivity of 86% and specificity of 92%. Conclusion: In the 3-6 month age group, US alone may underdiagnose hip dysplasia and be inadequate to guide treatment decisions. In this age group, we suggest that pelvis radiographs be used when deciding to either initiate or conclude DDH treatment based on the higher sensitivity of the exam. Citation: Paez CJ, Hansen CH, Bomar JD, Upasani VV, Pring ME. Does a Normal Hip Ultrasound at 3-6 Months of Age Predict a Normal X-ray? J Orthopedics Rheumatol. 2021; 8(1): 5. J Orthopedics Rheumatol 8(1): 5 (2021) Page 02 ISSN: 2334-2846 XR. It is unclear whether these patients developed dysplasia after the initial US or if the dysplasia was present but the US was not sensitive enough to diagnose it. The purpose of this current study was to directly compare XR to US in infant’s age 3 to 6 months to better clarify the efficacy of each and to determine appropriate management of these patients. Materials and Methods Following IRB approval, we conducted a retrospective review of 92 patients and 183 hips ages 3 to 6 months who were being evaluated or treated for DDH at a single institution between November 2017 and May 2019. All patients who had a hip ultrasound and pelvis radiograph on the same day were included in the study. One patient did not have bilateral ultrasound, which excluded one hip from this study. All ultrasounds were performed by a single ultrasound technician with over 20 years of experience working solely in orthopedic clinics treating DDH (Figure 1). Each hip XR and US was measured by two fellowship trained, pediatric orthopedic surgeons, blinded to patient identifying information and to the result of the other study (XR or US). Pelvis radiographs were obtained in a standardized position to ensure accurate anterior-posterior images without rotation or tilt. On US, dynamic stability was assessed on both coronal and transverse views. Any instability was classified as DDH. Instability was defined as a change in femo","PeriodicalId":90612,"journal":{"name":"Journal of orthopedics & rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66210822","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":"Adipose Tissue-Derived Mesenchymal Stem Cells: A Novel Therapy in Orthopedics","authors":"A. Naja, H. Baydoun, E. Mohammad, Nassreddine Zouheir Naja, S. Saghieh","doi":"10.13188/2334-2846.1000038","DOIUrl":"https://doi.org/10.13188/2334-2846.1000038","url":null,"abstract":"Background: Mesenchymal stem cells can differentiate into a variety of cell types. They have the ability to release bioactive molecules, making them attractive tools in cell-based therapies. Adipose tissue is an ideal source of autologous mesenchymal stem cells for its abundance and easy access. Mesenchymal stem cells are routinely obtained enzymatically from lipoaspirate as stromal vascular fraction. Objectives: The aim of this review is to investigate the advantages of adipose derived stem cells in orthopedic application. Methods: Randomised controlled trials (RCTs) and non-RCTs, in addition to cohort and case control studies, as well as case series were included. Search language was restricted to English and time starting from year 2012. Only published papers were eligible. Results: Thirteen articles were included in the review, they consisted of 1 RCT, 4 nRCTs, 1 prospective comparative study, 1 longitudinal cohort study, 2 case control studies, 3 case series and one case report. The number of patients injected with stem cells ranged between 12 and 1128. A total of 1482 patients were treated with adipose derived stem cells Conclusion: The use of adipose derived stem cells had shown to be safe and effective in bone and cartilage repair.","PeriodicalId":90612,"journal":{"name":"Journal of orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43628472","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":"Topical Phytotherapeutic Treatment: Management of Normalization of Elevated Levels of Biochemical Parameter During Osteoarthritic Disorders: A prospective Study","authors":"A. Ganguly, D. Ganguly, Sudip, K. Banerjee","doi":"10.13188/2334-2846.1000041","DOIUrl":"https://doi.org/10.13188/2334-2846.1000041","url":null,"abstract":"Background: C-reactive protein (CRP), creatine kinase-muscle (CK-MM) and aldolase A (AldoA) levels are proven to be realistic biochemical markers of osteoarthritic disorders (OADs). The aim of this study is to normalize the elevated levels of CRP, CK-MM and AldoA during OADs of knee-joints and degenerative changes in lumbarspine by topical application of phytoconstituents with specialized techniques. Methods: Baseline data were collected and evaluated from 261 patients (66.67% females) with OADs confirmed with radiological images. Serum CRP, CK-MM, and AldoA levels were measured at the baseline and at the end of six weeks of treatment using appropriate kits. All patients underwent a standardized physical, radiographic examinations and evaluation of risk factors (inflammation, muscle degeneration, bone erosion, and skeletal muscle diseases) by blood examination and completed a questionnaire. All the patients were treated with topical application of phytochemicals extracted from seven Indian medicinal plants mixed with virgin sesame oil and beehive-wax for a period of six-week with specialized techniques. Results: The parameters of the risk factors for OADs at the end of six-week of treatment were highly significant (p<0.0001). The high and low ranges of all biomarkers, their percentage of improvements and Pearson’s correlation coefficient were all highly significant (p<0.0001). The improvements of pain, stiffness and daily functional activities at the end of treatment under KOOS, VAS, WOMAC index and KPS were highly significant (p<0.0001) and also reduction of weight as evidenced by BMI (p<0.0001) and radiological images as assessed by K-L grading score. Conclusions: It is firmly confirmed from the results that the elevated levels of CRP, CK-MM, and AldoA, represent the risks of inflammation, muscle degeneration, and skeletal muscle damage along with pain and all daily functional activities, body weight and radiological images as confirmed by above-mentioned international approved scales during OADs can be successful normalized by topical application of phytoconstituents within six-week with specialized treatment.","PeriodicalId":90612,"journal":{"name":"Journal of orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48897633","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":"Topical Phytotherapy is the Nobel Approach for Revision of Total Knee Replacement: A Unique Case Study","authors":"A. Ganguly","doi":"10.13188/2334-2846.1000037","DOIUrl":"https://doi.org/10.13188/2334-2846.1000037","url":null,"abstract":"Knee-osteoarthritis (KOA) can only be treated by total knee replacement (TKR), which is a well-known surgical intervention in the globe. But in some cases, TKR failed in the operated knee-joint as well as non-operated knee-joint may pose risk of KOA. In general, patients are advised to undergo revision of TKR when two prostheses of femoral and tibial compartments are prolapsed or loosen or such other reasons as well as non-operating knee-joint needs to be operated urgently. The phytotherapy with Indian medicinal plants are well-established. The present case study was aimed to determine the efficacy of topical phytotherapeutic treatment for 90 days in order to prevent the revision of TKR, improve the pain and functional performance in daily activities in four Indian patients. After 90 days of topical phytotherapy treatment, the results were observed a significant decrease in pain in both the legs and lower back under visual analogue scale (p<0.05), improvement of pain (p<0.05), stiffness (p<0.05) and physical function (p<0.05) under WOMAC Index, a significant improvement in the Karnofsky scale (<0.05), reduction of obesity confirmed by body mass index (p<0.05) and normal radiological features. In conclusion, failed TKR can be treated by phytotherapy without further revision evidenced by normalization of above-mentioned parameters.","PeriodicalId":90612,"journal":{"name":"Journal of orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44611988","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":"Topical Phytotherapy: Management of Deranged Anatomical and Abnormal Biochemical Risk Factors during Failed Total Knee Arthroplasty: A Unique Case Study","authors":"","doi":"10.13188/2334-2846.1000042","DOIUrl":"https://doi.org/10.13188/2334-2846.1000042","url":null,"abstract":"Total knee arthroplasty (TKA) is the ultimate answer to treat knee osteoarthritis (KOA) worldwide. The main purpose of TKA is to relief pain and to improve the day to day functional activities. But during failed TKA, various abnormal anatomical features and other biochemical risk factors develop in the serum of the patients along with pain and disability of performing daily activities persist. The present case study was aimed to normalize the deranged anatomical features and elevated levels of biochemical parameters, to relief pain syndromes and to improve daily physical functional abilities without revision of failed TKA correlated with radiological images with the help of topical phytotherapeutic treatment protocol. Five Indian patients were advice to undergo revision of TKA. They refused to do the further surgery and treated in OPTM Health Care (P) Ltd for 13 weeks. Anatomical measurements included the gap at the knee between the short head of the biceps femoris and the level of the bed, diameter of muscles at the thigh, the calf and, straight leg raising and knee flexions and extensions in different postural positions for both the legs, and biochemical parameters such as serum C-reactive protein (CRP), creatine kinase-muscle (CK-MM) and aldolase A (Aldo A) were measured preand post-treatment of 13 weeks using appropriate instruments. The results indicate the percentage of improvements for all abnormal anatomical and biochemical features were highly statistically significant (p<0.0001), pain under VAS (p<0.0001), pain, stiffness and physical functions under WOMAC Index all are highly significant (p<0.0001) and parameters under KOOS (p<0.0001) and BMI (p<0.0001) with improved radiological images after 13-week of post-treatment. In conclusion, the deranged anatomical and elevated levels of biochemical risk factors, impaired acute pain syndromes, and day to day functional activities including quality of life with abnormal increased body weight developed during failed total knee arthroplasty can be normalized with the help of topical phytotherapeutic treatment protocol within 13 weeks.","PeriodicalId":90612,"journal":{"name":"Journal of orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48917632","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":"Predictors of Mechanical Failure Rate in Reduction of Intertrochanteric Fracture of the Femur Using Proximal Femoral Nail with Helical Blade","authors":"A. Naja, Tammam Hanna, R. Haidar, H. Tamim, S. Saghieh","doi":"10.13188/2334-2846.1000039","DOIUrl":"https://doi.org/10.13188/2334-2846.1000039","url":null,"abstract":"Background: The optimal implant for reducing intertrochanteric fracture is unknown. Several bone-related, implant-related and radiological variables seem to play a role in predicting the rate of intraoperative and postoperative mechanical failure. The objective of this study was to evaluate the rate and predictors of mechanical failure and its relationship with quality of reduction through assessing certain radiological parameters. Materials and methods: A retrospective study reviewed patients with stable (AO/OTA Type 3.1A1) and unstable (AO/OTA Type 3.1A2 and A3) intertrochanteric femur fracture who were treated with proximal femoral nail with helical blades (PFNA) between 2011 and 2017. Exclusion criteria were patients with pathologic fractures. Followup was undertaken at 1 day, 4-6 weeks, and 3 months postoperatively by reviewing radiographs and medical charts. The primary outcome was the rate of mechanical failure. Radiologic parameters of Tip apex distance (TAD), neck shaft angle and displacements were evaluated as indicators of reduction quality. All these were compared to each other and baseline patient characteristics to identify any association. Results: We found 69 patients who underwent PFNA procedure. There was no case of intraoperative or postoperative mechanical failure or non-orthopedic complication. The postoperative radiological outcomes revealed variable quality of reduction with: mean TAD of 26.07±3.69° (bimodal), mean neck shaft angle of 133±5.6° (range: 116-140°), 35% of patients having lesser trochanter displacement, 28% having displaced femoral shaft. There was no statistical significant relation between any of the radiological outcomes and patient characteristics except between neck shaft angle and osteoporosis (p=0.03). Conclusion: The radiological outcomes are independent of the patient’s characteristics except for Neck Shaft Angle and Osteoporosis. Absence of mechanical failure despite the variability in reduction quality (optimal/suboptimal) might be explained by the decent implant design. Further studies are needed to confirm that PFNA implant design is the major preventer of mechanical failure. Level of evidence: IV","PeriodicalId":90612,"journal":{"name":"Journal of orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48622479","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":"Elbow Heterotopic Ossification Excision in Patients with Worker’s Compensation Claims","authors":"D. Salazar, B. Hill, H. Israel, Bayan, Aghdasi, A. Golz, G. Marra","doi":"10.13188/2334-2846.1000035","DOIUrl":"https://doi.org/10.13188/2334-2846.1000035","url":null,"abstract":"The effect of worker’s compensation claims following the surgical management of symptomatic heterotopic ossification (HO) about the elbow has not previously been evaluated. The purpose of this study is to report on a consecutive series of patients with HO about the elbow, and to compare the results of surgical treatment and a standardized postoperative rehabilitation regimen, with regards to the presence of a worker’s compensation claim. A retrospective review of all patients treated operatively for HO of the elbow at a single institution was performed. Forty-six elbows with HO treated surgically were identified. Seventeen of the 46 elbows (37%) had workers’ compensation claims at the time of surgery. Other than gender (p=0.007), there was no statistical difference in patient demographics or medical history. There was no statistical difference in postoperative flexion-extension arc between the two groups (p>0.05). There was a 17% (8/46) postoperative complication rate, however there was no difference in frequency of complications between groups (Worker’s Comp: 18% vs. Non-Worker’s Comp: 17%; p=0.97). Surgical management combined with postoperative HO prophylaxis and a regimented rehabilitation program is an effective treatment for patients with heterotopic ossification of the elbow and workers compensation claims did not adversely affect the postoperative range of motion arc or complications. Figure 1: X-rays of the right elbow of a patient with posteromedial heterotopic ossification. A) Anterior-Posterior View B) Lateral View C) Oblique view. The black arrows indicate the mature ectopic bone. Citation: Salazar D, Hill B, Israel D, Aghdasi B, Andrew Golz BS, et al. Elbow Heterotopic Ossification Excision in Patients with Worker’s Compensation Claims. J Orthopedics Rheumatol. 2018; 5(1): 6. J Orthopedics Rheumatol 5(1): 6 (2018) Page 02 ISSN: 2334-2846 was performed to establish the relationship between the ectopic bone and the neurovascular structures and for further preoperative planning (Figure 2). Patient demographic data, including age, type of medical insurance, gender, mechanism of injury, history of tobacco usage, and pre-existing medical conditions, were recorded and used for comparisons. Patients with a worker’s compensation claim were compared to those patients without a claim. These patients included in this study have previously been reviewed but not specifically evaluated for the effects of workers compensation claims in a previously published study [20].","PeriodicalId":90612,"journal":{"name":"Journal of orthopedics & rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43388106","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":"Distal Radioulnar Joint Synovial Osteochondromatosis - A Case Report and Review of Literature","authors":"Thomas Laios, T. Boutefnouchet, G. Shyamalan, Medhat Zekry, Panagiotis Lepetsos","doi":"10.13188/2334-2846.1000040","DOIUrl":"https://doi.org/10.13188/2334-2846.1000040","url":null,"abstract":"Synovial chondromatosis is a rare benign clinical condition, with a rare location in the wrist. This study presents a case of synovial chondromatosis in the distal radioulnar joint (DRUJ) treated successfully with surgical excision. A 45-year old right handed male presented in our department, with a 3-year history of wrist pain, without any trauma. He referred a lump around the right DRUJ which fluctuated in size associated with frequent pain, weakness and a popping with occasional locking of the wrist. Clinical examination showed a painful lobulated swelling over right DRUJ with a crepitus at the lateral stress of the joint. X-rays and MRI showed multiple coarse calcific densities around the DRUJ. The patient was treated with surgical removal of calcified loose bodies originated by the DRUJ. Biopsy results were consistent with synovial chondromatosis. One year postoperatively, patient was pain-free, with a full range of motion and no signs of local recurrence.","PeriodicalId":90612,"journal":{"name":"Journal of orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45090838","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}