Endoscopic Hip Surgery in the Treatment of External Snapping Hip for A 22 Years Old Women

The snapping hip is a painful and disabling condition, related to a conflict between the greater trochanter and the soft tissue surrounding it. It is characterized by an audible click and sometimes visible on the thigh lateral region during the movements.

The classical treatment is with opened surgery, but only few cases are reported. We present the case of a young 22 years old Caucasian female with external snapping hip and associated with tendinitis of the medium and maximus gluteus.

The diagnosis was done clinically and radiologically with a nuclear magnetic resonance. The treatment was performed by a hip endoscopy after failure of medical treatment and physiotherapy.

PDF LINK

Risk Factors Affecting Postoperative Walking Ability Following Hip Fracture Surgery in the Elderly

Hip fractures are frequent in elderly people, and subsequent Activities of Daily Living (ADL) depend on whether practical walking ability is achieved postoperatively.

The aim of this study was to examine the factors affecting postoperative walking ability following a hip fracture. A retrospective study of 95 patients (85 females, 10 males, mean age 77.4 ± 10.8 years) was conducted.

All patients were operated in our hospital between 2007 and 2014. Information about age, sex, type of fracture, complications, surgical method, preoperative walking ability, preoperative ADL, dementia, osteoporosis treatment, and preoperative wait (days) was obtained from the patients’ clinical records, and factors affecting postoperative walking ability were examined.

PDF LINK

Not Every Limp in Childhood is Arthritis

Musculoskeletal pain is a frequent cause of morbidity in children and it usually presents in small child as limp. Its causes are multiple, most often benign, but their identification and differentiation of potentially serious diseases is essential to establish adequate treatment and avoid unnecessary scans.

In a large percentage of cases the diagnosis is made with a detailed history, a thorough physical examination and minimum complementary tests.

Musculoskeletal pain is a frequent cause of morbidity in children and it usually presents in small child as limp [1]. Its causes are multiple, most often benign, but their identification and differentiation of potentially serious diseases is essential to establish adequate treatment and avoid unnecessary scans.

PDF LINK

Is the Short Posterior Stabilization by TLIF and Cages A Good Way for A Correct Spinal Alignment in the De Novo Scoliosis? A Case Report

Scoliosis is a medical condition in which a person’s spinal axis has a three-dimensional deviation. The main diagnostic criterion is spinal curvature exceeding 10° on a plain antero-posterior X-ray image.

Scoliosis can occur before skeletal maturity and persist over time (idiopathic scoliosis) or it can occur in adulthood (de novo scoliosis). “De novo scoliosis” is due to disc degeneration, osteoporosis, and osteoarthritis of the facet joints.“Idiopathic scoliosis” represents temporal continuity of a spinal deformity, and is already present in prepuberty or adolescence.

It normally becomes symptomatic with disc degeneration. Although the etiology of these conditions is different, they can coexist and overlap .

PDF LINK

A Case of Crowned Dens Syndrome with Huge Calcifications

An 81-year-old woman presented to our hospital with a 1-month history of headache and neck pain. She had no neurological symptoms, articulation disorder, or swallowing disorder.

The plain radiograph showed calcification deposits around the atlantoaxial joint and anterior vertebral body. The computed tomography scan of her neck showed details of these calcifications.

Huge crownshaped deposits of hydroxyapatite or calcium pyrophosphate dihydrate were seen. The C-reactive protein level was slightly increased to 0.78 mg/dL. Oral non-steroidal anti-inflammatory drug (NSAID) therapy resulted in complete improvement of her symptoms.

PDF LINK

Crystal Induced Arthropathies: A Pictorial Review

Crystal induced arthropathies are disorders involving crystal deposition in the articular and peri articular soft tissues with resultant inflammation. Gout and calcium pyrophosphate dihydrate (CPPD) crystal deposition disease are the two most common types of crystal- deposition arthritis. The diagnosis is primarily based on clinical and laboratory findings, especially synovial fluid analysis. Radiographs can further aid clinicians in establishing the correct diagnosis.

Acute gout most frequently involves the first metatarsophalangeal (MTP) joint at first presentation. However, it has non-specific radiographic features. Chronic gout has a characteristic radiographic appearance with tophus considered to be a hallmark feature.

Tophi are seen as focal eccentric soft tissue swelling of the affected joints or soft tissues resulting in a "lumpy bumpy appearance" and cause well-defined punched out juxta-articular erosions with sclerotic rims and overhanging edges due to pressure on the adjoining bone

PDF LINK

Towards Consensus on the Reporting of Core Outcome Domains in Total Joint Replacement Clinical Trials: The Derivation of the Preliminary Core Outcome Domain Set

There is no consensus on how to report total joint replacement (TJR) trials. To our knowledge, core outcome domains for TJR clinical trials have not been defined. Our objective was to develop data-driven, consensus-based, preliminary recommendations for core outcome domains for TJR clinical trials.

We surveyed two groups of experts/stakeholders, who rated potential core outcome domains (mapped to Outcome Measures in Rheumatology Trials (OMERACT) filter 2.0 framework) for their relevance to TJR clinical trials during the 2014 American Academy of Orthopaedic Surgeons [AAOS]

Outcome Research Interest Group of the Orthopaedic Research Society (ORS) annual meeting and the 2014 OMERACT meeting. Ratings were on a 1-9 scale, 1-3 indicating domain of limited importance, 4-6 being important domain, and 7-9 being critically important domain.

PDF LINK

Towards Consensus on the Reporting of Core Outcome Domains in Total Joint Replacement Clinical Trials: The Derivation of the Preliminary Core Outcome Domain Set

There is no consensus on how to report total joint replacement (TJR) trials. To our knowledge, core outcome domains for TJR clinical trials have not been defined. Our objective was to develop data-driven, consensus-based, preliminary recommendations for core outcome domains for TJR clinical trials.

We surveyed two groups of experts/stakeholders, who rated potential core outcome domains (mapped to Outcome Measures in Rheumatology Trials (OMERACT) filter 2.0 framework) for their relevance to TJR clinical trials during the 2014 American Academy of Orthopaedic Surgeons [AAOS].

Outcome Research Interest Group of the Orthopaedic Research Society (ORS) annual meeting and the 2014 OMERACT meeting. Ratings were on a 1-9 scale, 1-3 indicating domain of limited importance, 4-6 being important domain, and 7-9 being critically important domain.

PDF LINK

The Ishiguro Technique for the Treatment of Adolescent Mallet Thumb Fracture

Mallet thumb is the avulsion of the extensor pollicis longus tendon from the base of the distal phalanx with or without bony fragment. Abruption injuries of the extensor tendon are rare in adolescents and in most of the cases complete healing and functional restoration can be achieved by conservative treatment.

However, when the disruption is extensive (i.e., it affects more than one third part of the articular surface) and the extent of the dislocation is more than 1.5 mm, then surgical intervention is necessary.

To present the feasibility of the Ishiguro’s method which is more beneficial than open surgery in the treatment of mallet thumb fracture. Case report: A 16-year-old male patient presented tenderness and swelling around the interphalangeal joint of the right thumb.

X-ray imaging showed fracture at the base of the distal phalanx including one third of the articular surface. Under digital nerve block anesthesia we performed closed reduction and extension block pinning. The right thumb was immobilized with Bennet splint for 3 weeks.

PDF LINK

Osteoporosis and Fracture

Osteoporosis is a condition that is defined by a loss of bone substance that renders the entire bone weaker mechanically thus more likely to fracture. The majority of the more than 10 million Americans with osteoporosis are at risk of fracturing the hip, spine (vertebra) or wrist (distal radius).

Nearly 1.5 million fractures are attributed in part to osteoporosis annually in the US, making osteoporosis a public health issue of a very large scale. The direct costs (in current dollars) attributed to care/treatment of osteoporosis-related fracture is in the range of $20 billion per year in the US.

With a population living longer and co-existing medical conditions (e.g. cancer survivors) and medication (e.g., corticosteroids) that predispose to osteoporosis, the number of osteoporosis related fractures is expected to increase for the next 60 years [National Osteoporosis Foundation website, accessed August 2, 2016.

PDF LINK

Advanced Procedures in Foot and Ankle Surgery

Clinical Research on Foot and Ankle is an academic peer-reviewed international journal that publishes articles on a wide range of fields related to foot surgery, sports medicine, Achilles heels problem, different techniques of physical therapies, wound management and healing procedure, and other medical issues related to ankle care. The previous issue Volume 4, Issue 2 of the Journal published five research articles and two case reports.

Madadi et al. In their research article conducted a systematic review of attaining better knowledge on the usefulness of different imaging modalities in the diagnosis of calcaneal fracture. Authors concluded that literature on evaluating different imaging modalities was completely lacking or very limited. They further talked about the limitations of their study, saying that their study could not muster enough support to establish the advantage of one modality over the other.

In the research article Amaha et al. Assessed anterolateral ankle pain in two distinct areas by using computed tomography (CT) and magnetic resonance imaging (MRI) with arthroscopic examination. Authors concluded that scar tissue formation due to inadequate care and the presence of microinstability might be the etiologic factors associated with abnormal findings.

READ MORE….