Pub Date : 2024-01-18DOI: 10.36349/easjop.2024.v06i01.001
Mohammad Sabbir Hossain, Md Shahiduzzaman, Md. Shahadat Hossain, Mohammad Anisur Rahman
Introduction: Neglected Achilles tendon ruptures present a significant challenge in orthopedic surgery, with varied outcomes and complications. This study aims to evaluate the effectiveness of Baker's Procedure in the reconstruction of neglected Achilles tendon ruptures and to analyze the associated postoperative outcomes and complications. Methods: This prospective interventional study was conducted from January 1, 2012, to May 31, 2013, at multiple centers in Dhaka, Bangladesh. It included 42 patients aged 18 to 60 years with neglected Tendo-Achilles ruptures, defined as injuries untreated for over 4 weeks. Baker's Procedure, involving gastrocnemius aponeurosis advancement, was employed for reconstruction. Result: Of the 42 participants, 71.43% were male, with a mean age of 30.7 years. Injuries predominantly occurred in the right Achilles tendon (57.14%) and were mainly caused by sharp-metal objects (57.14%) and toilet-pan accidents (35.71%). Postoperative complications included stitch or wound infections (21.43%), pain (14.29%), stiffness (28.57%), and calf-muscle weakness (35.71%). Excellent, good, and fair outcomes were achieved in 64.29%, 21.43%, and 14.29% of patients, respectively. Conclusion: Baker’s Procedure is effective in reconstructing neglected Achilles tendon ruptures, with a majority of patients achieving excellent or good outcomes. However, the relatively high rate of postoperative complications, particularly infections, calf muscle weakness and stiffness, highlights the need for improved surgical and postoperative strategies. These findings underscore the importance of tailored.
{"title":"Incidents of Complications after Reconstruction of Neglected Achilles Tendon Injury by Baker's Procedure","authors":"Mohammad Sabbir Hossain, Md Shahiduzzaman, Md. Shahadat Hossain, Mohammad Anisur Rahman","doi":"10.36349/easjop.2024.v06i01.001","DOIUrl":"https://doi.org/10.36349/easjop.2024.v06i01.001","url":null,"abstract":"Introduction: Neglected Achilles tendon ruptures present a significant challenge in orthopedic surgery, with varied outcomes and complications. This study aims to evaluate the effectiveness of Baker's Procedure in the reconstruction of neglected Achilles tendon ruptures and to analyze the associated postoperative outcomes and complications. Methods: This prospective interventional study was conducted from January 1, 2012, to May 31, 2013, at multiple centers in Dhaka, Bangladesh. It included 42 patients aged 18 to 60 years with neglected Tendo-Achilles ruptures, defined as injuries untreated for over 4 weeks. Baker's Procedure, involving gastrocnemius aponeurosis advancement, was employed for reconstruction. Result: Of the 42 participants, 71.43% were male, with a mean age of 30.7 years. Injuries predominantly occurred in the right Achilles tendon (57.14%) and were mainly caused by sharp-metal objects (57.14%) and toilet-pan accidents (35.71%). Postoperative complications included stitch or wound infections (21.43%), pain (14.29%), stiffness (28.57%), and calf-muscle weakness (35.71%). Excellent, good, and fair outcomes were achieved in 64.29%, 21.43%, and 14.29% of patients, respectively. Conclusion: Baker’s Procedure is effective in reconstructing neglected Achilles tendon ruptures, with a majority of patients achieving excellent or good outcomes. However, the relatively high rate of postoperative complications, particularly infections, calf muscle weakness and stiffness, highlights the need for improved surgical and postoperative strategies. These findings underscore the importance of tailored.","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"67 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139526719","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 : 2023-12-09DOI: 10.36349/easjop.2023.v05i06.002
Sahidur Rahman Khan, Muhammad Eusuf Harun, Md. Ferdous Rayhan, K. Naher, S. M. Z. Hasan, Md. Syedur Rahaman, Tanvir Ahasan Juglol Khan
Introduction: Lumbar spondylolisthesis, a condition characterized by the displacement of one vertebra over another, often leads to chronic back pain and functional impairment. Posterior decompression and TLIF are used as surgical options for patients with lumbar spondylolisthesis. Aim of the Study: The aim of this study was to assess the clinical & radiological outcomes of posterior decompression & transforaminal lumbar interbody fusion (TLIF) among patients with lumbar spondylolisthesis. Methods: This prospective observational study was carried out at NITOR, Dhaka, Bangladesh, during the period from January 2020 to December 2021. Total 30 patients with degenerative lumbar spondylolisthesis were included in this study. Result: In this study, majority of participants were aged 41-50 (47%), predominantly female (60%). Clinical outcomes showed significant improvements post-treatment: low back pain and leg pain, measured by VAS, decreased substantially, and disability scores (ODI and Roland-Morris) also improved markedly. Quality of life, assessed by SF-36, showed notable enhancements in both physical and mental scores. Radiologically, there were significant improvements in disc and foraminal height, reduction in spondylolisthesis severity, and restoration of lumbar lordosis and spinal stability. The average surgery time was around 147.5 minutes, with a mean blood loss of 382.7 mL and an average hospital stay of 7.1 days. A 90% fusion rate was achieved at 1-year follow-up, with dural tears being the most common complication. Despite some complications, the majority of surgeries were completed safely. Conclusion: Posterior decompression and TLIF appear to be effective in treating lumbar spondylolisthesis, as evidenced by improved clinical and radiological outcomes.
{"title":"Clinical & Radiological Outcomes of Posterior Decompression & Transforaminal Lumbar Interbody Fusion (TLIF) among Patients with Lumbar Spondylolisthesis – A Prospective Study","authors":"Sahidur Rahman Khan, Muhammad Eusuf Harun, Md. Ferdous Rayhan, K. Naher, S. M. Z. Hasan, Md. Syedur Rahaman, Tanvir Ahasan Juglol Khan","doi":"10.36349/easjop.2023.v05i06.002","DOIUrl":"https://doi.org/10.36349/easjop.2023.v05i06.002","url":null,"abstract":"Introduction: Lumbar spondylolisthesis, a condition characterized by the displacement of one vertebra over another, often leads to chronic back pain and functional impairment. Posterior decompression and TLIF are used as surgical options for patients with lumbar spondylolisthesis. Aim of the Study: The aim of this study was to assess the clinical & radiological outcomes of posterior decompression & transforaminal lumbar interbody fusion (TLIF) among patients with lumbar spondylolisthesis. Methods: This prospective observational study was carried out at NITOR, Dhaka, Bangladesh, during the period from January 2020 to December 2021. Total 30 patients with degenerative lumbar spondylolisthesis were included in this study. Result: In this study, majority of participants were aged 41-50 (47%), predominantly female (60%). Clinical outcomes showed significant improvements post-treatment: low back pain and leg pain, measured by VAS, decreased substantially, and disability scores (ODI and Roland-Morris) also improved markedly. Quality of life, assessed by SF-36, showed notable enhancements in both physical and mental scores. Radiologically, there were significant improvements in disc and foraminal height, reduction in spondylolisthesis severity, and restoration of lumbar lordosis and spinal stability. The average surgery time was around 147.5 minutes, with a mean blood loss of 382.7 mL and an average hospital stay of 7.1 days. A 90% fusion rate was achieved at 1-year follow-up, with dural tears being the most common complication. Despite some complications, the majority of surgeries were completed safely. Conclusion: Posterior decompression and TLIF appear to be effective in treating lumbar spondylolisthesis, as evidenced by improved clinical and radiological outcomes.","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"207 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139010805","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 : 2023-10-06DOI: 10.36349/easjop.2023.v05i05.002
Hedi Rbai, Aymen Ben Fredj, Abderrahmen Daadoucha, Anouar Boughattas
Simultaneous bilateral acetabular fractures are extremely rare. The authors report a rare case of simultaneous bilateral acetabular fracture in an adult due to a road accident. Clinical diagnosis can be misleading in many patients seen in the context of polytrauma. Managing these fractures is a complex task that requires careful planning and surgical intervention, and the foremost goal of surgical intervention is to achieve an anatomically precise reduction of the fracture, as this factor greatly influences the future function of the hip joint.
{"title":"Simultaneous Bilateral Acetabular Fractures: A Case Report","authors":"Hedi Rbai, Aymen Ben Fredj, Abderrahmen Daadoucha, Anouar Boughattas","doi":"10.36349/easjop.2023.v05i05.002","DOIUrl":"https://doi.org/10.36349/easjop.2023.v05i05.002","url":null,"abstract":"Simultaneous bilateral acetabular fractures are extremely rare. The authors report a rare case of simultaneous bilateral acetabular fracture in an adult due to a road accident. Clinical diagnosis can be misleading in many patients seen in the context of polytrauma. Managing these fractures is a complex task that requires careful planning and surgical intervention, and the foremost goal of surgical intervention is to achieve an anatomically precise reduction of the fracture, as this factor greatly influences the future function of the hip joint.","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"243 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134944494","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 : 2023-09-28DOI: 10.36349/easjop.2023.v05i05.001
Chedi Saadi, Mehdi Bellil, Souheil Ketata, Mohamed amine Jaouedi, Mohamed ben salah, Mondher Kooli
Synovial chondromatosis (SC) is a rare disease. It is a chondrocytic metaplasia and is characterized by the presence of cartilaginous loose bodies in the involved joint, bursa or tendon sheath, it occurs most often in those aged 30_50 years and 3 times more in males than females, The shoulder is an exceptional location. It causes significant functional disability in young people. The clinical presentation is not specific, and the diagnosis is based on MRI. Confirmation is still anatomopathological. Classically, the mainstay treatment for SC of the shoulder has been open arthrotomy and removal of loose bodies, followed by either complete or partial synovectomy, removing the affected tissue, with recent advances in arthroscopic techniques and methods, arthroscopy becomes the gold standard. We present this case report of a 26-year-old man, who was left-hand dominant, a maintenance technician, amateur football player presented a left shoulder inflammatory pain; ; plain radiography demonstrated multiple calcific densities over the glenohumeral joint , the MRI showed multiple calcified intra-articular loose bodies around the anterior and posterior joint and axillary recess ; At arthroscopy, a large number of loose bodies were observed together with marked synovitis ,it only allowed the removal of small foreign bodies < 1 cm, partial synovectomy was performed with a shaver ; anatomopathological examination confirmed the diagnosis of sc. the extraction of giant fragments >2 cm was impossible so it was subsequently removed by open surgery. This was carried out one month later using a delto-pectoral approach: all foreign bodies > 1 cm were successfully extracted. We report this case report in order to review the role of shoulder arthroscopy and magnetic resonance imaging (MRI) in diagnosis and treatment and to highlight the operative difficulties, technical tips of arthroscopic extraction of giant Synovial chondromatosis of the shoulder.
{"title":"Giant Synovial Chondromatosis of the Shoulder: The Limits of Arthroscopic Treatment and Technical Tips","authors":"Chedi Saadi, Mehdi Bellil, Souheil Ketata, Mohamed amine Jaouedi, Mohamed ben salah, Mondher Kooli","doi":"10.36349/easjop.2023.v05i05.001","DOIUrl":"https://doi.org/10.36349/easjop.2023.v05i05.001","url":null,"abstract":"Synovial chondromatosis (SC) is a rare disease. It is a chondrocytic metaplasia and is characterized by the presence of cartilaginous loose bodies in the involved joint, bursa or tendon sheath, it occurs most often in those aged 30_50 years and 3 times more in males than females, The shoulder is an exceptional location. It causes significant functional disability in young people. The clinical presentation is not specific, and the diagnosis is based on MRI. Confirmation is still anatomopathological. Classically, the mainstay treatment for SC of the shoulder has been open arthrotomy and removal of loose bodies, followed by either complete or partial synovectomy, removing the affected tissue, with recent advances in arthroscopic techniques and methods, arthroscopy becomes the gold standard. We present this case report of a 26-year-old man, who was left-hand dominant, a maintenance technician, amateur football player presented a left shoulder inflammatory pain; ; plain radiography demonstrated multiple calcific densities over the glenohumeral joint , the MRI showed multiple calcified intra-articular loose bodies around the anterior and posterior joint and axillary recess ; At arthroscopy, a large number of loose bodies were observed together with marked synovitis ,it only allowed the removal of small foreign bodies < 1 cm, partial synovectomy was performed with a shaver ; anatomopathological examination confirmed the diagnosis of sc. the extraction of giant fragments >2 cm was impossible so it was subsequently removed by open surgery. This was carried out one month later using a delto-pectoral approach: all foreign bodies > 1 cm were successfully extracted. We report this case report in order to review the role of shoulder arthroscopy and magnetic resonance imaging (MRI) in diagnosis and treatment and to highlight the operative difficulties, technical tips of arthroscopic extraction of giant Synovial chondromatosis of the shoulder.","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135470284","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 : 2023-08-29DOI: 10.36349/easjop.2023.v05i04.003
D. Debnath, Senior Consultant, Dr. Md. Reazul Haq, Jihadul Islam, Dr. Tanjimul Islam
Introduction: Paediatric femoral shaft fractures are common injuries in the age group treated by an orthopaedic surgeon. These fractures typically occur either in the early childhood when weak woven bone is changing to the stronger lamellar bone or at adolescence when children are subject to high energy trauma from motor vehicle accidents or from sports [1]. Femoral shaft fractures represent around 2.2% of all bony injuries in children. There are varieties of approaches to treat femoral fractures in the field of medical science. The aim of this study is to compare the outcomes between TENS and DCP approach for paediatric femur shaft fracture. Methodology: This was a prospective comparative study conducted at the department of Orthopaedics Surgery in Dhaka Orthopaedics Hospital, Dhaka, Bangladesh during December, 2017 to November, 2019. The ethical clearance of this study was obtained from the ethics committee of the hospital and a total of 23 children were enrolled in this study. The children were divided into two groups, TENS group n=14), DCP group (n=9). The collected data were analyzed using Statistical Package for Social Sciences (SPSS), software, version-23.0. Results: A total of 23 children aged 6-18 were enrolled in this study. Among the children 78 % were male and 22% were female. The mean age of the children was 10.7 years. In TENS group 9(63%) children fall from height and followed by 4(28%) got road traffic accident, and 1(7%) blunt trauma whereas in DCP group, 6(66%) fall from height and followed by 2(22%) got road traffic accident, and 1(11%) blunt trauma. In TENS group, 2(14%) children had radiologically comminuted fracture and followed by 3(21%) oblique, 9(63%) transverse whereas, in DCP group,1(11%) children had comminuted radiological fracture and followed by 2(22%) oblique and 6(66%) transverse In TENS group, the mean duration of surgery was 53.00 ±9.20 minutes while the mean duration of surgery in DCP group was 60.00±16.52 minutes, which was .....
儿童股骨干骨折是骨科医生治疗的年龄组中常见的损伤。这些骨折通常发生在儿童早期，当脆弱的编织骨向较强的板层骨转变时，或发生在青少年时期，当儿童受到机动车辆事故或运动造成的高能创伤时[1]。股骨干骨折约占儿童所有骨性损伤的2.2%。在医学领域，治疗股骨骨折的方法多种多样。本研究的目的是比较TENS和DCP入路治疗小儿股骨骨干骨折的疗效。方法:这是一项前瞻性比较研究，于2017年12月至2019年11月在孟加拉国达卡的达卡骨科医院骨科外科进行。本研究获得了医院伦理委员会的伦理许可，共有23名儿童入组。将患儿分为两组，TENS组n=14例，DCP组n=9例。收集的数据使用SPSS (Statistical Package for Social Sciences)软件版本-23.0进行分析。结果:共有23名6-18岁的儿童入组。其中78%为男孩，22%为女孩。这些儿童的平均年龄为10.7岁。TENS组有9例(63%)高空坠落，4例(28%)发生道路交通事故，1例(7%)发生钝性外伤;DCP组有6例(66%)高空坠落，2例(22%)发生道路交通事故，1例(11%)发生钝性外伤。TENS组放射学粉碎性骨折2例(14%)，其次为斜骨折3例(21%)，横向骨折9例(63%)，DCP组放射学粉碎性骨折1例(11%)，其次为斜骨折2例(22%)，横向骨折6例(66%)。TENS组平均手术时间53.00±9.20分钟，DCP组平均手术时间60.00±16.52分钟，为.....
{"title":"Comparative Study of Paediatric Femur Shaft Fracture Treated With TENS and DCP","authors":"D. Debnath, Senior Consultant, Dr. Md. Reazul Haq, Jihadul Islam, Dr. Tanjimul Islam","doi":"10.36349/easjop.2023.v05i04.003","DOIUrl":"https://doi.org/10.36349/easjop.2023.v05i04.003","url":null,"abstract":"Introduction: Paediatric femoral shaft fractures are common injuries in the age group treated by an orthopaedic surgeon. These fractures typically occur either in the early childhood when weak woven bone is changing to the stronger lamellar bone or at adolescence when children are subject to high energy trauma from motor vehicle accidents or from sports [1]. Femoral shaft fractures represent around 2.2% of all bony injuries in children. There are varieties of approaches to treat femoral fractures in the field of medical science. The aim of this study is to compare the outcomes between TENS and DCP approach for paediatric femur shaft fracture. Methodology: This was a prospective comparative study conducted at the department of Orthopaedics Surgery in Dhaka Orthopaedics Hospital, Dhaka, Bangladesh during December, 2017 to November, 2019. The ethical clearance of this study was obtained from the ethics committee of the hospital and a total of 23 children were enrolled in this study. The children were divided into two groups, TENS group n=14), DCP group (n=9). The collected data were analyzed using Statistical Package for Social Sciences (SPSS), software, version-23.0. Results: A total of 23 children aged 6-18 were enrolled in this study. Among the children 78 % were male and 22% were female. The mean age of the children was 10.7 years. In TENS group 9(63%) children fall from height and followed by 4(28%) got road traffic accident, and 1(7%) blunt trauma whereas in DCP group, 6(66%) fall from height and followed by 2(22%) got road traffic accident, and 1(11%) blunt trauma. In TENS group, 2(14%) children had radiologically comminuted fracture and followed by 3(21%) oblique, 9(63%) transverse whereas, in DCP group,1(11%) children had comminuted radiological fracture and followed by 2(22%) oblique and 6(66%) transverse In TENS group, the mean duration of surgery was 53.00 ±9.20 minutes while the mean duration of surgery in DCP group was 60.00±16.52 minutes, which was .....","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127357224","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 : 2023-08-15DOI: 10.36349/easjop.2023.v05i04.004
Khandakar Ahmed Faisal, Khaled Mahmood, O. Ahmed, K. C. Shaha
Objective: Clinical evaluation of atrophic rhinitis and comparative study of its surgical treatments. Materials and methods: This study was carried out in the Department of ENT, Dhaka National Medical Institute Hospital from June 2006 to May 2011 including the cases of atrophic rhinitis. A total of 40 patients of atrophic rhinitis were included in this study. Thirty-two patients had modified Young’s nostril closure and eight patients had dermofat graft obliteration of nasal cavity. Preoperative and postoperative assessment of nasal mucociliary flow rate were also assessed by saccharine test. Fifteen cases were kept in control group to compare the nasal mucociliary flow rate results. Results: The results of both surgical modalities were compared at various intervals for 20 months. Conclusion: The patients with history of nasal myiasis and septal perforation do better with partial nostril closure while patients, not having history of maggots and septal perforations, had best results with dermofat graft operation. It was seen that after surgical treatment of atrophic rhinitis, either by nostril closure or dermofat grafting, there was improvement in nasal mucociliary flow or, nearly, all patients were symptomatically improved.
{"title":"Atrophic Rhinitis and its Surgical Management","authors":"Khandakar Ahmed Faisal, Khaled Mahmood, O. Ahmed, K. C. Shaha","doi":"10.36349/easjop.2023.v05i04.004","DOIUrl":"https://doi.org/10.36349/easjop.2023.v05i04.004","url":null,"abstract":"Objective: Clinical evaluation of atrophic rhinitis and comparative study of its surgical treatments. Materials and methods: This study was carried out in the Department of ENT, Dhaka National Medical Institute Hospital from June 2006 to May 2011 including the cases of atrophic rhinitis. A total of 40 patients of atrophic rhinitis were included in this study. Thirty-two patients had modified Young’s nostril closure and eight patients had dermofat graft obliteration of nasal cavity. Preoperative and postoperative assessment of nasal mucociliary flow rate were also assessed by saccharine test. Fifteen cases were kept in control group to compare the nasal mucociliary flow rate results. Results: The results of both surgical modalities were compared at various intervals for 20 months. Conclusion: The patients with history of nasal myiasis and septal perforation do better with partial nostril closure while patients, not having history of maggots and septal perforations, had best results with dermofat graft operation. It was seen that after surgical treatment of atrophic rhinitis, either by nostril closure or dermofat grafting, there was improvement in nasal mucociliary flow or, nearly, all patients were symptomatically improved.","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131585795","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 : 2023-07-04DOI: 10.36349/easjop.2023.v05i04.001
Chedi Saadi, Khairi Saibi, Meriem Oumaya, M. Ounaies, Said Baccari, L. Tarhouni
Lipomas are the most common benign form of soft tissue tumor in the body. Although they are commonly found on the upper extremity, their occurrence in the hand is rare. Giant lipomas of the hand, defined as >5 cm in diameter, are extremely rare. This manuscript reports a very rare case of giant lipoma on the palmar side of the hand in order to study the diagnostic, theurapeutic and prognostic aspects. A 61 year-old female had a large asymptomatic thenar swelling since 10 years. The clinical examination showed a subcutaneous tumor spreading the 1st commissure and making opposition of the thumb very limited. There were no inflammatory signs and no pain. The patient didn’t report any sensory deficit and the neurological examination was normal. The standard X-ray showed a tissue image without bone lesions. MRI demonstrated a large, well-limited T1, T2 hypersignal tissue formation, which developed in the subcutaneous fat of the first commissure, insinuated itself in front of the last three metacarpals, and included the deep and superficial flexor tendons. The patient was operated on under local anesthesia and pneumatic tourniquet at the root of the limb. The approach allowed a satisfactory exposure of the entire palm of the hand and revealed a lipomatous mass, encapsulated, pushing back the vascular and neural pedicles of the long fingers without invading them and remaining in front of the flexor tendons. The tumor was carefully dissected, which allowed it to be removed totally. Histology confirmed the diagnosis of benign lipoma. Complete recovery was achieved without any sign of recurrence during a follow up period of 5 years. Lipomas of the hand represent a rare benign tumor pathology; giant lipomas represent an exceedingly rare condition. The proximity of the relationships with the vascular and neural structures must lead to the greatest caution during surgical dissection. Only anatomopathological examinations confirm the histological nature of the lesion.
{"title":"Giant Lipoma of the Hand: An Exceedingly Rare Condition!","authors":"Chedi Saadi, Khairi Saibi, Meriem Oumaya, M. Ounaies, Said Baccari, L. Tarhouni","doi":"10.36349/easjop.2023.v05i04.001","DOIUrl":"https://doi.org/10.36349/easjop.2023.v05i04.001","url":null,"abstract":"Lipomas are the most common benign form of soft tissue tumor in the body. Although they are commonly found on the upper extremity, their occurrence in the hand is rare. Giant lipomas of the hand, defined as >5 cm in diameter, are extremely rare. This manuscript reports a very rare case of giant lipoma on the palmar side of the hand in order to study the diagnostic, theurapeutic and prognostic aspects. A 61 year-old female had a large asymptomatic thenar swelling since 10 years. The clinical examination showed a subcutaneous tumor spreading the 1st commissure and making opposition of the thumb very limited. There were no inflammatory signs and no pain. The patient didn’t report any sensory deficit and the neurological examination was normal. The standard X-ray showed a tissue image without bone lesions. MRI demonstrated a large, well-limited T1, T2 hypersignal tissue formation, which developed in the subcutaneous fat of the first commissure, insinuated itself in front of the last three metacarpals, and included the deep and superficial flexor tendons. The patient was operated on under local anesthesia and pneumatic tourniquet at the root of the limb. The approach allowed a satisfactory exposure of the entire palm of the hand and revealed a lipomatous mass, encapsulated, pushing back the vascular and neural pedicles of the long fingers without invading them and remaining in front of the flexor tendons. The tumor was carefully dissected, which allowed it to be removed totally. Histology confirmed the diagnosis of benign lipoma. Complete recovery was achieved without any sign of recurrence during a follow up period of 5 years. Lipomas of the hand represent a rare benign tumor pathology; giant lipomas represent an exceedingly rare condition. The proximity of the relationships with the vascular and neural structures must lead to the greatest caution during surgical dissection. Only anatomopathological examinations confirm the histological nature of the lesion.","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123993889","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 : 2023-05-30DOI: 10.36349/easjop.2023.v05i03.004
Zied Mansi, Islem Chniti, Hedi Rbai, Firas Saybi
Tibial plateau fractures are articular fractures that must benefit from anatomical reduction to avoid the occurrence of complications, a source of serious functional sequelae. Their management has become largely surgical. We report a retrospective study of 100 tibial plateau fractures treated surgically between 2012 and 2018. The objectives were to study the epidemiological characteristics of tibial plateau fractures, to evaluate and compare the clinical and radiological results, in the short and long term, of different techniques for the surgical treatment of tibial plateau fractures. The average age of our patients was 45 years old. The male sex was affected in 66% with a sex ratio of 1.94. The etiologies were dominated by domestic accidents in 52% of cases, followed by public voting accidents (47%). The fracture was open in 3 cases. We adopted the classifications of DUPARC and FICAT and of SCHATZKER, thus the patients were classified: 30 cases of unituberosity fractures, 41 cases of spinotuberosity fractures and 29 cases of bituberosity fractures. Stabilization was provided by a screwed plate in 62 cases and by screwing in 32 cases, 26 of which were percutaneous. Only 1 patient had stabilization with a HOFFMAN-type external fixator for an open CAUCHOIX II fracture. 5 patients had an ILIZAROV type external fixator. Autologous corticocancellous bone grafting was performed in 12 cases. According to the criteria of HOLH AND LUCK, the anatomical results were satisfactory in 77% of cases. According to the criteria of MERLE AUBIGNE and MAZAS, the functional results were satisfactory in 82% of cases. In the light of our results and a review of the literature, it appears that the prognosis of these fractures depends on the type of fracture, the degree of comminution, the quality of the reduction, the patient's age, the time to treatment, meniscal and ligament lesions, type of surgical treatment and quality of rehabilitation.
{"title":"Surgical Treatment of Tibial Plateau Fractures About 100 Cases","authors":"Zied Mansi, Islem Chniti, Hedi Rbai, Firas Saybi","doi":"10.36349/easjop.2023.v05i03.004","DOIUrl":"https://doi.org/10.36349/easjop.2023.v05i03.004","url":null,"abstract":"Tibial plateau fractures are articular fractures that must benefit from anatomical reduction to avoid the occurrence of complications, a source of serious functional sequelae. Their management has become largely surgical. We report a retrospective study of 100 tibial plateau fractures treated surgically between 2012 and 2018. The objectives were to study the epidemiological characteristics of tibial plateau fractures, to evaluate and compare the clinical and radiological results, in the short and long term, of different techniques for the surgical treatment of tibial plateau fractures. The average age of our patients was 45 years old. The male sex was affected in 66% with a sex ratio of 1.94. The etiologies were dominated by domestic accidents in 52% of cases, followed by public voting accidents (47%). The fracture was open in 3 cases. We adopted the classifications of DUPARC and FICAT and of SCHATZKER, thus the patients were classified: 30 cases of unituberosity fractures, 41 cases of spinotuberosity fractures and 29 cases of bituberosity fractures. Stabilization was provided by a screwed plate in 62 cases and by screwing in 32 cases, 26 of which were percutaneous. Only 1 patient had stabilization with a HOFFMAN-type external fixator for an open CAUCHOIX II fracture. 5 patients had an ILIZAROV type external fixator. Autologous corticocancellous bone grafting was performed in 12 cases. According to the criteria of HOLH AND LUCK, the anatomical results were satisfactory in 77% of cases. According to the criteria of MERLE AUBIGNE and MAZAS, the functional results were satisfactory in 82% of cases. In the light of our results and a review of the literature, it appears that the prognosis of these fractures depends on the type of fracture, the degree of comminution, the quality of the reduction, the patient's age, the time to treatment, meniscal and ligament lesions, type of surgical treatment and quality of rehabilitation.","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135642919","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 : 2023-05-30DOI: 10.36349/easjop.2023.v05i03.005
Zied Mansi, Islem Chniti, Hedi Rbai, Mokhtar Romdhani
Epiphyseal detachment of the greater trochanter is a rare entity. Femoral head necrosis is the most dreaded complication. We report the case of a displaced Salter I epiphyseal detachment in a young high-level athlete who resumed his sports activities after synthesis by bracing.
{"title":"Isolated Epiphyseal Detachment of the Greater Trochanter in a Judoka","authors":"Zied Mansi, Islem Chniti, Hedi Rbai, Mokhtar Romdhani","doi":"10.36349/easjop.2023.v05i03.005","DOIUrl":"https://doi.org/10.36349/easjop.2023.v05i03.005","url":null,"abstract":"Epiphyseal detachment of the greater trochanter is a rare entity. Femoral head necrosis is the most dreaded complication. We report the case of a displaced Salter I epiphyseal detachment in a young high-level athlete who resumed his sports activities after synthesis by bracing.","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135643444","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 : 2023-05-30DOI: 10.36349/easjop.2023.v05i03.006
Zied Mansi, Islem Chniti, Hedi Rbai, Hatem Belgacem
The problem of extravasations has become crucial in radiology and has important medico-legal implications. Treatment of contrast product extravasations should be immediate. Ionic products with high osmolar contrast should also be definitively abolished from medical practice given the risk associated with their major hyperosmolality. The severity of the lesions is therefore a function of two essential factors: the osmolarity of the contrast product and therefore in particular its concentration and the extravasated volume
{"title":"Upper Limb Compartment Syndrome Secondary to Extravasation Contrast Medium: A Case Report","authors":"Zied Mansi, Islem Chniti, Hedi Rbai, Hatem Belgacem","doi":"10.36349/easjop.2023.v05i03.006","DOIUrl":"https://doi.org/10.36349/easjop.2023.v05i03.006","url":null,"abstract":"The problem of extravasations has become crucial in radiology and has important medico-legal implications. Treatment of contrast product extravasations should be immediate. Ionic products with high osmolar contrast should also be definitively abolished from medical practice given the risk associated with their major hyperosmolality. The severity of the lesions is therefore a function of two essential factors: the osmolarity of the contrast product and therefore in particular its concentration and the extravasated volume","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135643740","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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