Wednesday, 26 July 2017

Extensor Tendon Injury in the Distal Forearm of Right Hand Owing to Accident

Extensor Tendon Injury


A Bangladeshi 24 year old man was admitted to the hospital with a right hand injury. The examination showed that the tendons of the right hand of the patient were severely injured.
X-ray report showed no bone injury. Within 24 h of the accident surgery was performed but the patient was unable to move the thumb. Therefore a second time surgery was performed.
In the second surgery extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), abductor pollicis brevis (APB), extensor pollicis brevis (EPB) were found defected and all separated tendons were repaired effectively.

Wednesday, 19 July 2017

Extensor Tendon Injury in the Distal Forearm of Right Hand Owing to Accident

Extensor Tendon Injury

A Bangladeshi 24 year old man was admitted to the hospital with a right hand injury. The examination showed that the tendons of the right hand of the patient were severely injured.

X-ray report showed no bone injury. Within 24 h of the accident surgery was performed but the patient was unable to move the thumb. Therefore a second time surgery was performed.

In the second surgery extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), abductor pollicis brevis (APB), extensor pollicis brevis (EPB) were found defected and all separated tendons were repaired effectively.


Monday, 17 July 2017

Rheumatoid Arthritis and Osteoporosis: A Case Study

Osteoporosis

Metadichol is a Nano emulsion of long-chain alcohols called as Policosanol and is present in foods such as rice, sugar cane, wheat, and peanuts. Metadichol acts on Nuclear Vitamin D receptors (VDR) that are present in cells throughout the body to stimulate the immune system and inhibit a variety of disease processes, resulting from inflammation to infection.

We present a case study of a patient with Rheumatoid arthritis with the high levels of RF antibodies, CRP and ESR levels, and low bone mineral density leading to osteoporosis. The case report shows how Metadichol by its actions on the VDR has affected key biomarkers and mitigated the disease conditions without any side effects. Also, his bone density improved dramatically.

Metadichol is safe because it consists of natural components of conventional foods and has no known adverse side effects. Its constituents are present in many foods that we consume every day.


Tuesday, 11 July 2017

Rheumatoid Arthritis and Osteoporosis: A Case Study

Rheumatoid Arthritis

Metadichol® is a Nano emulsion of long-chain alcohols called as Policosanol and is present in foods such as rice, sugar cane, wheat, and peanuts.

Metadichol® acts on Nuclear Vitamin D receptors (VDR) that are present in cells throughout the body to stimulate the immune system and inhibit a variety of disease processes, resulting from inflammation to infection.

We present a case study of a patient with Rheumatoid arthritis with the high levels of RF antibodies, CRP and ESR levels, and low bone mineral density leading to osteoporosis.

Monday, 10 July 2017

Rocuronium as Selective Local Musclerelaxant in Orthopedic Surgery

A variety of surgeries need profound muscular block solely in an exceedingly restricted surgical field. Recent accessibility of sugammadex, a cyclodextrin derivative antitoxic substance active on an amino steroid muscle relaxant, has offered the likelihood of maintaining a prolonged deep neuromuscular paralysis with a rapid reversal at the end of surgery.

Orthopedic Surgery

As a consequence, complete post anesthesia recovery is often rapidly obtained under safe clinical conditions.

However, in selected patients, a muscle relaxant can be locally injected at low doses in one or more muscles concerned within the surgical technique without a systemic paralysis.

Wednesday, 5 July 2017

Non-typhoidal Salmonella Osteomyelitis of the Femoral Neck in an Immunocompetent Child

OrthopedicsWe report a case of Salmonella osteomyelitis of the femoral neck in a healthy child. Such an occurrence in an immunocompetent child is extremely rare and has not yet been reported in the English literature.

Salmonella should be considered among the causative agents in acute osteomyelitis. Prompt antibiotic treatment is pivotal for preventing complications and decreasing the disease burden.

The non-typhoidal Salmonella serotype (NTSS) is one of the most important enteric pathogens in Taiwan, which most often results in self-limited acute gastroenteritis. However, approximately 5-7.6% of patients develop bacteremia.