Pub Date : 2021-08-01DOI: 10.32598/jrosj.8.3.783.1
A. Norasteh, H. Zarei
Context: The present study provides an analysis of methods in assessment and measurement of knee arthrokinematic movements. Evidence Acquisition: in this study, an exhaustive review of the methods for assessment of knee joint arthrokinematics is provided. For this, some known databases including Science Direct, PubMed, EMBASE, CINAHL, and Google Scholar, for the period 1985 to February 2020 are explored. Results: After the assessment steps, 14 articles were chosen based on the criteria and objectives of the research; 13 articles in entirety and one as a summary. Through a review of the studies, it was observed that various methods were used in assessment and measurement of the knee joint arthrokinematic movements. In the beginning, focus was on transitional motion in which knee arthrokinematic movements were studied in static state; but with time, knee transitional movement was studied in dynamic state as well. More recent studies scrutinized three main types of arthrokinematics: motion rolling, gliding and spinning. There were also studies that tried to implement tools which required minimum cost and scrutinized the knee arthrokinematic movements without complicated state-of-the-art equipment. All the said equipment were designed with the aim of diagnosis of how the arthrokinematic movements of an injured knee compared to a healthy one. Conclusion: Results of our analysis show that the literature is rich with a variety of instruments for measuring knee arthrokinematic movements. By classifying the instruments, it was found that studies of four different measurement methods including static, dynamic, functional and qualitative have examined the arthrokinematic movements of the knee.
{"title":"Assessment Methods of Knee Joint Arthrokinematics: A Review of Literature","authors":"A. Norasteh, H. Zarei","doi":"10.32598/jrosj.8.3.783.1","DOIUrl":"https://doi.org/10.32598/jrosj.8.3.783.1","url":null,"abstract":"Context: The present study provides an analysis of methods in assessment and measurement of knee arthrokinematic movements. Evidence Acquisition: in this study, an exhaustive review of the methods for assessment of knee joint arthrokinematics is provided. For this, some known databases including Science Direct, PubMed, EMBASE, CINAHL, and Google Scholar, for the period 1985 to February 2020 are explored. Results: After the assessment steps, 14 articles were chosen based on the criteria and objectives of the research; 13 articles in entirety and one as a summary. Through a review of the studies, it was observed that various methods were used in assessment and measurement of the knee joint arthrokinematic movements. In the beginning, focus was on transitional motion in which knee arthrokinematic movements were studied in static state; but with time, knee transitional movement was studied in dynamic state as well. More recent studies scrutinized three main types of arthrokinematics: motion rolling, gliding and spinning. There were also studies that tried to implement tools which required minimum cost and scrutinized the knee arthrokinematic movements without complicated state-of-the-art equipment. All the said equipment were designed with the aim of diagnosis of how the arthrokinematic movements of an injured knee compared to a healthy one. Conclusion: Results of our analysis show that the literature is rich with a variety of instruments for measuring knee arthrokinematic movements. By classifying the instruments, it was found that studies of four different measurement methods including static, dynamic, functional and qualitative have examined the arthrokinematic movements of the knee.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128723126","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}
Pub Date : 2021-08-01DOI: 10.32598/jrosj.8.3.772.1
M. Mardani-Kivi, M. Karimi Mobarakeh, Ehsan Kazemnejad Leili, Zahra Haghparast ghadim-limudahi
Background: There are several methods like Kirschner wire, suture fixation, different plaque and etc. for surgical treatment of Neer’s type-II fractures of distal end of clavicle. Objectives: Due to lack of gold standard in treatment of fractures of distal end of clavicle, this study was conducted to compare therapeutic outcomes of tension band wire (TBW) and suture fixation (SF) in treatment of this type of fractures. Methods: This retrospective cross sectional-analytic study was performed on patient with confirmed unilateral unstable Neer’s type-II fracture of distal end of clavicle. Based on surgeon preferred protocol for fixation of fractures, for patients from 21 September 2010 to 20 March 2013 pin and wire were used (TBW group) and patients from 21 March 2013 to 23 September 2015, were enrolled as SF group. Demographic information were recorded separately for both groups. All patients were evaluated and scored based on constant score, VAS, symptomatic hardware, loss of reduction in 3 and 6 months and final visit after surgery. Results: Among 85 patients, 41 and 44 patients were allocated in TBW and SF groups respectively. Mean of follow-up time was 36.7 months. Our findings showed that both groups in three follow-up periods were similar with regard to shoulder function based on constant score, VAS score, loss of reduction, and nonunion. But SF group had lesser symptomatic hardware rather than TBW group (P=0.001). Conclusion: Although the results of pain intensity and function were similar in two groups, existence of symptomatic hardware and need of hardware removal in TBW method are weak points which should be considered.
{"title":"Treatment of Distal End Clavicle Fractures: Suture Fixation Versus Tension Band Wiring","authors":"M. Mardani-Kivi, M. Karimi Mobarakeh, Ehsan Kazemnejad Leili, Zahra Haghparast ghadim-limudahi","doi":"10.32598/jrosj.8.3.772.1","DOIUrl":"https://doi.org/10.32598/jrosj.8.3.772.1","url":null,"abstract":"Background: There are several methods like Kirschner wire, suture fixation, different plaque and etc. for surgical treatment of Neer’s type-II fractures of distal end of clavicle. Objectives: Due to lack of gold standard in treatment of fractures of distal end of clavicle, this study was conducted to compare therapeutic outcomes of tension band wire (TBW) and suture fixation (SF) in treatment of this type of fractures. Methods: This retrospective cross sectional-analytic study was performed on patient with confirmed unilateral unstable Neer’s type-II fracture of distal end of clavicle. Based on surgeon preferred protocol for fixation of fractures, for patients from 21 September 2010 to 20 March 2013 pin and wire were used (TBW group) and patients from 21 March 2013 to 23 September 2015, were enrolled as SF group. Demographic information were recorded separately for both groups. All patients were evaluated and scored based on constant score, VAS, symptomatic hardware, loss of reduction in 3 and 6 months and final visit after surgery. Results: Among 85 patients, 41 and 44 patients were allocated in TBW and SF groups respectively. Mean of follow-up time was 36.7 months. Our findings showed that both groups in three follow-up periods were similar with regard to shoulder function based on constant score, VAS score, loss of reduction, and nonunion. But SF group had lesser symptomatic hardware rather than TBW group (P=0.001). Conclusion: Although the results of pain intensity and function were similar in two groups, existence of symptomatic hardware and need of hardware removal in TBW method are weak points which should be considered.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129540927","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}
Pub Date : 2021-08-01DOI: 10.32598/jrosj.8.3.787.1
Maria Eulalia Landro, Carla Daffunchio, G. Cambiaggi, G. Galatro, E. Honnorat, H. Caviglia
Background: Inhibitor development is the main treatment-related complication in patients with hemophilia. Degenerative joint lesions caused by repeated bleeding episodes are more common in patients with inhibitors than in those without inhibitors. We introduced Platelet-rich Plasma (PRP) treatment to reduce joint damage and provide symptomatic relief. Objectives: The aim of this study was to compare PRP treatment outcomes in two groups of patients with hemophilia presenting synovitis, with or without inhibitors, at 3- and 6-month follow-ups. Methods: We treated 87 patients with 143 affected joints divided into two groups: 78 patients without inhibitors with 129 affected joints and a mean age of 25.8 years, and 9 patients with inhibitors with 14 affected joints and a mean age of 16.3 years. Results: The difference in mean age between the two groups was statistically significant (P=0.007). The number of bleeding episodes, Visual Analogue Scale (VAS), and Hemophilia Joint Health Score (HJHS) before treatment and after three and six months showed no statistically significant differences between groups. We demonstrated that PRP treatment decreased the number of bleeding episodes, pain levels, and HJHS in the whole study population (P<0.001). No differences were found between patients with and without inhibitors. Conclusion: PRP was proved to be effective for synovitis treatment in patients with hemophilia with and without inhibitors.
{"title":"Comparative Analysis of Platelet-rich Plasma Treatment for Chronic Synovitis in Patients With Hemophilia: A Six-month Follow-up","authors":"Maria Eulalia Landro, Carla Daffunchio, G. Cambiaggi, G. Galatro, E. Honnorat, H. Caviglia","doi":"10.32598/jrosj.8.3.787.1","DOIUrl":"https://doi.org/10.32598/jrosj.8.3.787.1","url":null,"abstract":"Background: Inhibitor development is the main treatment-related complication in patients with hemophilia. Degenerative joint lesions caused by repeated bleeding episodes are more common in patients with inhibitors than in those without inhibitors. We introduced Platelet-rich Plasma (PRP) treatment to reduce joint damage and provide symptomatic relief. Objectives: The aim of this study was to compare PRP treatment outcomes in two groups of patients with hemophilia presenting synovitis, with or without inhibitors, at 3- and 6-month follow-ups. Methods: We treated 87 patients with 143 affected joints divided into two groups: 78 patients without inhibitors with 129 affected joints and a mean age of 25.8 years, and 9 patients with inhibitors with 14 affected joints and a mean age of 16.3 years. Results: The difference in mean age between the two groups was statistically significant (P=0.007). The number of bleeding episodes, Visual Analogue Scale (VAS), and Hemophilia Joint Health Score (HJHS) before treatment and after three and six months showed no statistically significant differences between groups. We demonstrated that PRP treatment decreased the number of bleeding episodes, pain levels, and HJHS in the whole study population (P<0.001). No differences were found between patients with and without inhibitors. Conclusion: PRP was proved to be effective for synovitis treatment in patients with hemophilia with and without inhibitors.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134180876","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}
Pub Date : 2021-08-01DOI: 10.32598/jrosj.8.3.723.3
H. Shariatzade, Farid Najd Mazhar, Mohsen Barkam, A. Dehghan, Mohammadreza Heidarikhoo, Abbas Esmaeli, Mazyar Rajei
Background: Optimization of the corrective osteotomy for the treatment of distal radius extra-articular malunion is an ongoing project. Objectives: In this study, we aimed to evaluate the outcome of corrective osteotomy with K-wire fixation in the treatment of patients with symptomatic distal radius extra-articular malunion. Patients & Methods: Twenty-three patients with symptomatic distal radius extra-articular malunion, mean age of 38.3±7.6 years, and a mean follow-up of 34.4±11.3 months were included. Corrective osteotomy was performed through a dorsal approach and using K-wire instead of the plate for the fixation of the osteotomy site. The outcome was assessed with radiographic measures including ulnar variance, radial tilt, radial inclination angle, radial height, and clinical measures including wrist range of motion, the short form of Disabilities of the Arm, Shoulder, and Hand (Quick-DASH), and the Modified Mayo Wrist Score (MMWS). Results: Radiographic measures and wrist range of motion in all directions were significantly improved at the last follow-up. The mean final Quick-DASH score of the patients was 16.3±8. The mean final MMWS was 92.2±13.5. According to the MMWS, 9 (39.1%) patients had an excellent function, 13 (56.5%) patients had a good function, and one (4.4%) patient had a fair function. Radiographic union was observed in all wrists within an average period of 10.2±4 weeks. No postoperative complication was recorded. Conclusion: Since K-wire fixation is less expensive, requires smaller incision, and provides acceptable radiologic and clinical outcomes, it could be regarded as a good alternative for plate fixation in corrective osteotomy for distal radius extra-articular malunion.
{"title":"Corrective Osteotomy With K-Wire Fixation For the Treatment of Symptomatic Distal Radius Extra-Articular Malunion","authors":"H. Shariatzade, Farid Najd Mazhar, Mohsen Barkam, A. Dehghan, Mohammadreza Heidarikhoo, Abbas Esmaeli, Mazyar Rajei","doi":"10.32598/jrosj.8.3.723.3","DOIUrl":"https://doi.org/10.32598/jrosj.8.3.723.3","url":null,"abstract":"Background: Optimization of the corrective osteotomy for the treatment of distal radius extra-articular malunion is an ongoing project. Objectives: In this study, we aimed to evaluate the outcome of corrective osteotomy with K-wire fixation in the treatment of patients with symptomatic distal radius extra-articular malunion. Patients & Methods: Twenty-three patients with symptomatic distal radius extra-articular malunion, mean age of 38.3±7.6 years, and a mean follow-up of 34.4±11.3 months were included. Corrective osteotomy was performed through a dorsal approach and using K-wire instead of the plate for the fixation of the osteotomy site. The outcome was assessed with radiographic measures including ulnar variance, radial tilt, radial inclination angle, radial height, and clinical measures including wrist range of motion, the short form of Disabilities of the Arm, Shoulder, and Hand (Quick-DASH), and the Modified Mayo Wrist Score (MMWS). Results: Radiographic measures and wrist range of motion in all directions were significantly improved at the last follow-up. The mean final Quick-DASH score of the patients was 16.3±8. The mean final MMWS was 92.2±13.5. According to the MMWS, 9 (39.1%) patients had an excellent function, 13 (56.5%) patients had a good function, and one (4.4%) patient had a fair function. Radiographic union was observed in all wrists within an average period of 10.2±4 weeks. No postoperative complication was recorded. Conclusion: Since K-wire fixation is less expensive, requires smaller incision, and provides acceptable radiologic and clinical outcomes, it could be regarded as a good alternative for plate fixation in corrective osteotomy for distal radius extra-articular malunion.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123857969","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}
Pub Date : 2021-08-01DOI: 10.32598/jrosj.8.3.785.1
Hooman Shariatzadeh, F. Soltani, Mohsen Barkam, Ali Dehghan Marvast
Background: Carpal malalignment following the treatment of scaphoid nonunion increases the risk of Dorsal Intercalated Segment Instability (DISI) and progressive radiocarpal arthrosis. Objectives: In this study, we aimed to investigate the outcome of interpositional bone grafting without preplanning to correct carpal malalignment in treating scaphoid nonunion. Methods: Patients and Methods: In a retrospective study, 96 patients who underwent surgery to treat scaphoid nonunion (interpositional bone grafting without correction of carpal malalignment) were included. Indices of carpal malalignment, including the lunocapitate and scapholunate angles, were assessed before and one year after the surgery. A lunocapitate angle of more than15º and a scapholunate angle of more than 60º were considered a sign of DISI. Results: The study population included 93 men (96.9%) and three women (3.1%) with a Mean±SD age of 26.1±3.1 years. The mean±SD time from fracture to nonunion surgery was 8.6±4.2 months. The Mean±SD lunocapitate angle was 15.2±13.1º before and 14.4±11º one year after the surgery (P=0.48). The Mean±SD scapholunate angle was 63.9±15.2º before and 64.5±14.6º after the surgery (P=0.69). DISI was present in 67 patients (69.8%) before and 66 (68.8%) after the surgery. This difference was not statistically significant, too (P=0.89). Conclusion: Correction of carpal malalignment should be preoperatively planned to treat scaphoid nonunion to reduce the risk of postoperative DISI and subsequent radiocarpal arthrosis.
{"title":"Evaluation of Carpal Malalignment Before and After Interpositional Bone Grafting for Treating Scaphoid Nonunion","authors":"Hooman Shariatzadeh, F. Soltani, Mohsen Barkam, Ali Dehghan Marvast","doi":"10.32598/jrosj.8.3.785.1","DOIUrl":"https://doi.org/10.32598/jrosj.8.3.785.1","url":null,"abstract":"Background: Carpal malalignment following the treatment of scaphoid nonunion increases the risk of Dorsal Intercalated Segment Instability (DISI) and progressive radiocarpal arthrosis. Objectives: In this study, we aimed to investigate the outcome of interpositional bone grafting without preplanning to correct carpal malalignment in treating scaphoid nonunion. Methods: Patients and Methods: In a retrospective study, 96 patients who underwent surgery to treat scaphoid nonunion (interpositional bone grafting without correction of carpal malalignment) were included. Indices of carpal malalignment, including the lunocapitate and scapholunate angles, were assessed before and one year after the surgery. A lunocapitate angle of more than15º and a scapholunate angle of more than 60º were considered a sign of DISI. Results: The study population included 93 men (96.9%) and three women (3.1%) with a Mean±SD age of 26.1±3.1 years. The mean±SD time from fracture to nonunion surgery was 8.6±4.2 months. The Mean±SD lunocapitate angle was 15.2±13.1º before and 14.4±11º one year after the surgery (P=0.48). The Mean±SD scapholunate angle was 63.9±15.2º before and 64.5±14.6º after the surgery (P=0.69). DISI was present in 67 patients (69.8%) before and 66 (68.8%) after the surgery. This difference was not statistically significant, too (P=0.89). Conclusion: Correction of carpal malalignment should be preoperatively planned to treat scaphoid nonunion to reduce the risk of postoperative DISI and subsequent radiocarpal arthrosis.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133272279","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}
Pub Date : 2021-08-01DOI: 10.32598/jrosj.8.3.771.1
M. Jabalameli, A. Karimi, Rahmatalah Jokar, M. Mohammadpour, H. Yahyazadeh, Sina Talebi
Background: Anatomic distal femoral plates locking compression plate (LCP) are generally used for the fixation of distal femoral fractures. However, they are not suitable for periprosthetic femoral fracture after total knee arthroplasty (TKA), mainly owing to the impingement with prosthesis. Objectives: In this case series, we report the outcome of proximal tibial LCP fixation in the treatment of periprosthetic femoral fracture after TKA. Patients and Methods: Twelve patients with a periprosthetic femoral fracture who underwent surgical treatment were included. According to Su et al. classification, all fractures were type II, originating from the femoral component with proximal extending. Fractures were managed with open reduction and plate fixation. The plate choice was either a long low-profile proximal tibial LCP (n=9) or a short anatomic distal femoral LCP (n=3). Results: The study population included one male and 11 females with a mean age of 74.5±9.3 years and a mean follow-up of 2.8±1.3 years. Union of fracture was observed in all fractures that were fixed with a long locking plate during a mean period of 3.1±2.1 months. Fixation failed in all three patients who were managed with a short plate. These patients underwent revision surgery with a long low-profile proximal tibial LCP. In one of them, the fixation failed again and finally fixed with tumor prosthesis. The other two fractures were united with no complications. Conclusion: Long low-profile proximal tibial LCP omits the problem of impingement by prosthesis, which is caused by short anatomic distal femoral LCP in the treatment of periprosthetic femoral fractures above the prosthesis. However, future large-scale comparative studies are required before we can recommend it for routine implications in these fractures.
{"title":"Long Low-profile Proximal Tibial Locking Plate for the Fixation of Periprosthetic Femoral Fractures Above the Prosthesis: A Pilot Study","authors":"M. Jabalameli, A. Karimi, Rahmatalah Jokar, M. Mohammadpour, H. Yahyazadeh, Sina Talebi","doi":"10.32598/jrosj.8.3.771.1","DOIUrl":"https://doi.org/10.32598/jrosj.8.3.771.1","url":null,"abstract":"Background: Anatomic distal femoral plates locking compression plate (LCP) are generally used for the fixation of distal femoral fractures. However, they are not suitable for periprosthetic femoral fracture after total knee arthroplasty (TKA), mainly owing to the impingement with prosthesis. Objectives: In this case series, we report the outcome of proximal tibial LCP fixation in the treatment of periprosthetic femoral fracture after TKA. Patients and Methods: Twelve patients with a periprosthetic femoral fracture who underwent surgical treatment were included. According to Su et al. classification, all fractures were type II, originating from the femoral component with proximal extending. Fractures were managed with open reduction and plate fixation. The plate choice was either a long low-profile proximal tibial LCP (n=9) or a short anatomic distal femoral LCP (n=3). Results: The study population included one male and 11 females with a mean age of 74.5±9.3 years and a mean follow-up of 2.8±1.3 years. Union of fracture was observed in all fractures that were fixed with a long locking plate during a mean period of 3.1±2.1 months. Fixation failed in all three patients who were managed with a short plate. These patients underwent revision surgery with a long low-profile proximal tibial LCP. In one of them, the fixation failed again and finally fixed with tumor prosthesis. The other two fractures were united with no complications. Conclusion: Long low-profile proximal tibial LCP omits the problem of impingement by prosthesis, which is caused by short anatomic distal femoral LCP in the treatment of periprosthetic femoral fractures above the prosthesis. However, future large-scale comparative studies are required before we can recommend it for routine implications in these fractures.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116822513","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}
Pub Date : 2021-05-01DOI: 10.32598/jrosj.8.2.723.2
H. Shariatzade, Mohsen Barkam, A. Saied, Alireza Akbarzadeh Arab
Ganglion cysts of the dorsal wrist are generally attached to the scapholunate interosseous ligament, and surgical removal could injure this ligament. Such injury could rarely result in postoperative scapholunate instability. To date, a few cases of scapholunate instability following the excision of the dorsal ganglion cyst of the wrist have been reported. In this report, we present a 23-year-old man with scapholunate instability following the surgical resection of the dorsal ganglion cyst of his wrist. The instability was treated with open reduction and reconstruction. One year follow-up of the patient was event-free. The patient had no pain and limitation and resumed his preoperative activities. According to this case, the iatrogenic or pre-existing nature of scapholunate instability following the surgical excision of the dorsal ganglion cyst of the wrist cannot be determined. However, the patients should be informed of this complication before undergoing surgery.
{"title":"Scapholunate Instability Following the Surgical Excision of Dorsal Ganglion Cyst of the Wrist: A Case Report","authors":"H. Shariatzade, Mohsen Barkam, A. Saied, Alireza Akbarzadeh Arab","doi":"10.32598/jrosj.8.2.723.2","DOIUrl":"https://doi.org/10.32598/jrosj.8.2.723.2","url":null,"abstract":"Ganglion cysts of the dorsal wrist are generally attached to the scapholunate interosseous ligament, and surgical removal could injure this ligament. Such injury could rarely result in postoperative scapholunate instability. To date, a few cases of scapholunate instability following the excision of the dorsal ganglion cyst of the wrist have been reported. In this report, we present a 23-year-old man with scapholunate instability following the surgical resection of the dorsal ganglion cyst of his wrist. The instability was treated with open reduction and reconstruction. One year follow-up of the patient was event-free. The patient had no pain and limitation and resumed his preoperative activities. According to this case, the iatrogenic or pre-existing nature of scapholunate instability following the surgical excision of the dorsal ganglion cyst of the wrist cannot be determined. However, the patients should be informed of this complication before undergoing surgery.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124977135","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}
Pub Date : 2021-05-01DOI: 10.32598/jrosj.8.2.755.1
Maedeh Taghizadeh Kerman, A. Yalfani, A. E. Atri, S. H. Mousavi
Background: Changes in knee muscle activity remain years after Anterior Cruciate Ligament (ACL) surgery. However, the literature on the successful or unsuccessful recovery of lower limb muscle activation during jump landing is controversial. Objectives: The present review intended to compare the surface Electromyography (EMG) of knee muscle activity in healthy and Anterior Cruciate Ligament Reconstruction (ACLR) groups in jump landing tasks. Methods: PubMed, Embase, and Web of Science databases were searched papers from 1990 to 2020 using the keywords “anterior cruciate ligament or ACL, EMG or Electromyography or Muscle activation, Landing or Jumping or Hopping”. After screening the titles, abstracts, and full text of the collected articles, 7 studies met the inclusion criteria of this review. The Critical Appraisal Skills Program tool was used for the quality assessment of the included papers. Results: The present research results suggested earlier onset muscle activity for quadriceps and hamstring in ACLR subjects, compared to healthy subjects. Furthermore, the ratio of activation of quadriceps/hamstring in the ACLR group was higher than that in the healthy individuals considering the type of rehabilitation, the time elapsed from surgery, and gender. The methodological quality of the observational studies ranged from 6 to 8 out of 12 that reflects the overall quality of the methodology. Conclusion: According to this review, we can conclude that the ACLR group exhibited different neuromuscular strategies in the pre-landing phase that might increase the recurrent risk of ACL injury.
背景:前交叉韧带(ACL)手术后，膝关节肌肉活动的改变仍会持续数年。然而，关于起跳落地时下肢肌肉激活恢复成功与否的文献存在争议。目的:本综述旨在比较健康组和前交叉韧带重建组(ACLR)在跳跃着陆任务中膝关节肌肉活动的表面肌电图(EMG)。方法:检索PubMed、Embase和Web of Science数据库1990 ~ 2020年的论文，检索关键词为“前交叉韧带或ACL，肌电图或肌电图或肌肉激活，Landing或Jumping or Hopping”。在对收集到的文章的标题、摘要和全文进行筛选后，有7项研究符合本综述的纳入标准。使用关键评估技能程序工具对纳入的论文进行质量评估。结果:目前的研究结果表明，与健康受试者相比，ACLR受试者的股四头肌和腘绳肌的肌肉活动更早发生。此外，考虑到康复类型、手术时间和性别，ACLR组的股四头肌/腘绳肌激活率高于健康个体。观察性研究的方法学质量从6到8(满分12分)不等，反映了方法学的总体质量。结论:根据这篇综述，我们可以得出结论，ACLR组在着陆前阶段表现出不同的神经肌肉策略，这可能会增加ACL损伤的复发风险。
{"title":"Knee Muscle Activity During Jump Landing Tasks Following Anterior Cruciate Ligament Reconstruction: A Review Study","authors":"Maedeh Taghizadeh Kerman, A. Yalfani, A. E. Atri, S. H. Mousavi","doi":"10.32598/jrosj.8.2.755.1","DOIUrl":"https://doi.org/10.32598/jrosj.8.2.755.1","url":null,"abstract":"Background: Changes in knee muscle activity remain years after Anterior Cruciate Ligament (ACL) surgery. However, the literature on the successful or unsuccessful recovery of lower limb muscle activation during jump landing is controversial. Objectives: The present review intended to compare the surface Electromyography (EMG) of knee muscle activity in healthy and Anterior Cruciate Ligament Reconstruction (ACLR) groups in jump landing tasks. Methods: PubMed, Embase, and Web of Science databases were searched papers from 1990 to 2020 using the keywords “anterior cruciate ligament or ACL, EMG or Electromyography or Muscle activation, Landing or Jumping or Hopping”. After screening the titles, abstracts, and full text of the collected articles, 7 studies met the inclusion criteria of this review. The Critical Appraisal Skills Program tool was used for the quality assessment of the included papers. Results: The present research results suggested earlier onset muscle activity for quadriceps and hamstring in ACLR subjects, compared to healthy subjects. Furthermore, the ratio of activation of quadriceps/hamstring in the ACLR group was higher than that in the healthy individuals considering the type of rehabilitation, the time elapsed from surgery, and gender. The methodological quality of the observational studies ranged from 6 to 8 out of 12 that reflects the overall quality of the methodology. Conclusion: According to this review, we can conclude that the ACLR group exhibited different neuromuscular strategies in the pre-landing phase that might increase the recurrent risk of ACL injury.","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"42 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125554657","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}
Pub Date : 2021-05-01DOI: 10.32598/jrosj.8.2.751.1
S. Ghaffari, Mehran Razavipour, Iman Sadeghian, S. Talebi
Chronic osteomyelitis is a severe and persistent condition that engages bone and bone marrow. The infection can be limited to the bone, or it can propagate to the bone marrow, the periosteum, and the surrounding soft tissues. It represents a major financial every health system and impacts the quality of life of the affected patients. Diagnosing chronic osteomyelitis remains difficult. Accordingly, laboratory and imaging studies are necessary in this respect. A 49-year-old man after high energy trauma underwent debridmant and fixation. After 3 years’ patient admitted in infection ward with fever presentation. The clinical examination didn't reveal any sign of localization of fever. Chronic osteomyelitis is not always associated with fever in this situation Other diagnoses should be considered after role out other disease osteomyelitis
{"title":"Misdiagnosis of Post-traumatic Osteomyelitis: A Case Report","authors":"S. Ghaffari, Mehran Razavipour, Iman Sadeghian, S. Talebi","doi":"10.32598/jrosj.8.2.751.1","DOIUrl":"https://doi.org/10.32598/jrosj.8.2.751.1","url":null,"abstract":"Chronic osteomyelitis is a severe and persistent condition that engages bone and bone marrow. The infection can be limited to the bone, or it can propagate to the bone marrow, the periosteum, and the surrounding soft tissues. It represents a major financial every health system and impacts the quality of life of the affected patients. Diagnosing chronic osteomyelitis remains difficult. Accordingly, laboratory and imaging studies are necessary in this respect. A 49-year-old man after high energy trauma underwent debridmant and fixation. After 3 years’ patient admitted in infection ward with fever presentation. The clinical examination didn't reveal any sign of localization of fever. Chronic osteomyelitis is not always associated with fever in this situation Other diagnoses should be considered after role out other disease osteomyelitis","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"166 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126822210","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}
Pub Date : 2020-11-01DOI: 10.32598/jrosj.7.4.674.1
S. Jami, Shi Jiandang
N/A
N/A。
{"title":"Erratum: Translated Article: Resection of a Rare Proximal Radius Malignant Chondrosarcoma (Grade III) Bone Tumor and Reconstruction of the Forearm Functionality: A Case Report","authors":"S. Jami, Shi Jiandang","doi":"10.32598/jrosj.7.4.674.1","DOIUrl":"https://doi.org/10.32598/jrosj.7.4.674.1","url":null,"abstract":"<jats:p>N/A</jats:p>","PeriodicalId":286829,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129130688","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}
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