Pub Date : 2023-01-01DOI: 10.4103/ijors.ijors_10_23
S. Keshkar, D. Mazumder
{"title":"Our Legend: Dr. Sailendra Bhattacharya","authors":"S. Keshkar, D. Mazumder","doi":"10.4103/ijors.ijors_10_23","DOIUrl":"https://doi.org/10.4103/ijors.ijors_10_23","url":null,"abstract":"","PeriodicalId":317392,"journal":{"name":"International Journal of Orthopaedic Surgery","volume":"530 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116586705","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 : 2023-01-01DOI: 10.4103/ijors.ijors_11_23
S. Keshkar, Sabyasachi Santra
{"title":"Artificial intelligence and robotics in orthopaedics: Concepts and concerns","authors":"S. Keshkar, Sabyasachi Santra","doi":"10.4103/ijors.ijors_11_23","DOIUrl":"https://doi.org/10.4103/ijors.ijors_11_23","url":null,"abstract":"","PeriodicalId":317392,"journal":{"name":"International Journal of Orthopaedic Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114776184","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 : 2023-01-01DOI: 10.4103/ijors.ijors_5_23
Subhra Chattpadhyay, Nitasha Sharma, Subhadip Adhikari, S. Biswas
Chronic osteomyelitis is a complex and devastating surgical disease with a variety of etiologies and a multimodal approach towards its treatment. The aim of treatment is eradication of infection and restoration of function of the limb with surgical management being the cornerstone of treatment. Despite the need of surgical debridement in the treatment of chronic osteomyelitis, the reliable radiological and tissue diagnosis along with appropriate antimicrobial therapy is paramount for the success of treatment. Biofilm forms the most notorious reason for persistence of infection in a bone and needs thorough debridement till only viable tissue is left behind. Control of chronic osteomyelitis is challenging for the surgeons even today and demands patience from both the surgeon and the patient. Here, we are going to report an unusual case of osteomyelitis in a 4 year of male child.
{"title":"An unusual case of chronic osteomyelitis in a 4-year-old male child: A case report","authors":"Subhra Chattpadhyay, Nitasha Sharma, Subhadip Adhikari, S. Biswas","doi":"10.4103/ijors.ijors_5_23","DOIUrl":"https://doi.org/10.4103/ijors.ijors_5_23","url":null,"abstract":"Chronic osteomyelitis is a complex and devastating surgical disease with a variety of etiologies and a multimodal approach towards its treatment. The aim of treatment is eradication of infection and restoration of function of the limb with surgical management being the cornerstone of treatment. Despite the need of surgical debridement in the treatment of chronic osteomyelitis, the reliable radiological and tissue diagnosis along with appropriate antimicrobial therapy is paramount for the success of treatment. Biofilm forms the most notorious reason for persistence of infection in a bone and needs thorough debridement till only viable tissue is left behind. Control of chronic osteomyelitis is challenging for the surgeons even today and demands patience from both the surgeon and the patient. Here, we are going to report an unusual case of osteomyelitis in a 4 year of male child.","PeriodicalId":317392,"journal":{"name":"International Journal of Orthopaedic Surgery","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129066541","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 : 2023-01-01DOI: 10.4103/ijors.ijors_10_22
C. Das, Partha Das, Navonil Gupta
Background and Objective: Congenital talipes equinovarus (CTEV) also known as clubfoot is one of the common congenital orthopedic foot deformities in children. It is a complex deformity that is hard to correct, and the management is arguable and continues to be one of the significant challenges in pediatric orthopedics. It is believed that the initial treatment should be nonsurgical, which is started soon after birth within the first 2 weeks of life. We aimed to assess the efficacy of Ponseti’s technique for the treatment of CTEV in our institute for 6 years. Materials and Methods: One hundred eighty patients between 2 weeks and 12 years of age who had attended the CTEV clinic of the Department of Orthopaedics of our medical college in the last 6 years, until December 2020, were taken for the study to correct idiopathic CTEV using the Ponseti technique. Children included in the study were assessed every week before cast placement for the severity of the deformity using the Pirani scoring system. Once a week, manipulation and serial casting of the CTEV foot were started by the technique described by Ponseti. Patients were followed up at weekly intervals until forefoot and midfoot deformities were corrected. Percutaneous Achilles tenotomy was done to prevent rocker-bottom deformity and for correcting Equinus deformity after correction of other deformities. All patients were maintained on foot abduction brace after correction until 4 years of age or more. Results: At 6-month follow-up, Ponseti’s technique gave us 84.8% excellent results, 13.1% good results, and 2.1% poor results. A total of 86.6% required percutaneous tenotomy, whereas 13.4% did not require tenotomy. Conclusion: The Ponseti technique is still a safe, economical, and convenient treatment modality for CTEV, which gives successful results, and thus radically decreases the need for extensive corrective surgery even in older children.
{"title":"Ponseti Technique for CTEV: Our Experience at TMCH","authors":"C. Das, Partha Das, Navonil Gupta","doi":"10.4103/ijors.ijors_10_22","DOIUrl":"https://doi.org/10.4103/ijors.ijors_10_22","url":null,"abstract":"Background and Objective: Congenital talipes equinovarus (CTEV) also known as clubfoot is one of the common congenital orthopedic foot deformities in children. It is a complex deformity that is hard to correct, and the management is arguable and continues to be one of the significant challenges in pediatric orthopedics. It is believed that the initial treatment should be nonsurgical, which is started soon after birth within the first 2 weeks of life. We aimed to assess the efficacy of Ponseti’s technique for the treatment of CTEV in our institute for 6 years. Materials and Methods: One hundred eighty patients between 2 weeks and 12 years of age who had attended the CTEV clinic of the Department of Orthopaedics of our medical college in the last 6 years, until December 2020, were taken for the study to correct idiopathic CTEV using the Ponseti technique. Children included in the study were assessed every week before cast placement for the severity of the deformity using the Pirani scoring system. Once a week, manipulation and serial casting of the CTEV foot were started by the technique described by Ponseti. Patients were followed up at weekly intervals until forefoot and midfoot deformities were corrected. Percutaneous Achilles tenotomy was done to prevent rocker-bottom deformity and for correcting Equinus deformity after correction of other deformities. All patients were maintained on foot abduction brace after correction until 4 years of age or more. Results: At 6-month follow-up, Ponseti’s technique gave us 84.8% excellent results, 13.1% good results, and 2.1% poor results. A total of 86.6% required percutaneous tenotomy, whereas 13.4% did not require tenotomy. Conclusion: The Ponseti technique is still a safe, economical, and convenient treatment modality for CTEV, which gives successful results, and thus radically decreases the need for extensive corrective surgery even in older children.","PeriodicalId":317392,"journal":{"name":"International Journal of Orthopaedic Surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134348649","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 : 2023-01-01DOI: 10.4103/ijors.ijors_3_23
Debanjana Das, Aloke, Sarmistha Maitra
Pseudotumor deltoideus is a relatively recently coined term to describe the condition of the spectrum of eccentric bone irregularities around the deltoid tubercle region of the humerus. Usually, these patients complain of varying degrees of pain, swelling, and discomfort in and around the deltoid tuberosity region of the humerus. The radiological findings of these patients are characterized by relative cortical lucency in and around the deltoid tuberosity of humerus, cortical irregularity, and adjacent eccentric marrow abnormality in computed tomography and magnetic resonance imaging scans. Most probably, these are previously less-reported anatomical variations of the deltoid tuberosity region of the humerus. Advanced imaging studies and extended follow-up suggest that this clinical entity has got an indolent process, which can be managed conservatively. The purpose of this presentation is to highlight this lesser known and reported cause of shoulder and arm pain and to make this cause be considered while formulating a management protocol.
{"title":"Pseudotumor deltoideus: An unusual and rare case treated in rural coal mine hospital","authors":"Debanjana Das, Aloke, Sarmistha Maitra","doi":"10.4103/ijors.ijors_3_23","DOIUrl":"https://doi.org/10.4103/ijors.ijors_3_23","url":null,"abstract":"Pseudotumor deltoideus is a relatively recently coined term to describe the condition of the spectrum of eccentric bone irregularities around the deltoid tubercle region of the humerus. Usually, these patients complain of varying degrees of pain, swelling, and discomfort in and around the deltoid tuberosity region of the humerus. The radiological findings of these patients are characterized by relative cortical lucency in and around the deltoid tuberosity of humerus, cortical irregularity, and adjacent eccentric marrow abnormality in computed tomography and magnetic resonance imaging scans. Most probably, these are previously less-reported anatomical variations of the deltoid tuberosity region of the humerus. Advanced imaging studies and extended follow-up suggest that this clinical entity has got an indolent process, which can be managed conservatively. The purpose of this presentation is to highlight this lesser known and reported cause of shoulder and arm pain and to make this cause be considered while formulating a management protocol.","PeriodicalId":317392,"journal":{"name":"International Journal of Orthopaedic Surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121274608","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 : 2023-01-01DOI: 10.4103/ijors.ijors_1_23
B. Gupta, A. Khan, Srijan Kapoor, A. Gulia, Sanjeev Bansal
Background: There is a lot of disagreement in the orthopedics community centers on the existence, morphology, and function of the so-called “anterolateral ligament (ALL).” Objective: The purpose of the study was to determine whether the knees with or without anterior cruciate ligament (ACL) tears had ALLs in their femoral, meniscal, and tibial portions. Materials and Methods: Ninety-six patients who met the inclusion and exclusion criteria and underwent magnetic resonance imaging (MRI) knee were enrolled in the trial after being fully informed about it and receiving their agreement. The study involved 96 patients, 48 of whom had ACL tears and the remaining 48 did not. Results: Out of 96 patients, 62 (65%) patients had visible ALL on their MRI image. Visualization on MRI is that out of 62 patients, 52 (84%) were male, and 10 (16%) were female. Of 62 individuals who had visible ALL, 23 (37%) suffered an ACL injury, and the remaining 39 (61%) patients did not. Conclusion: Our investigation provided radiological proof of the ALL’s existence. Additionally, we discovered that the presence of ALL was strongly linked to meniscal and ACL tears. It is necessary to standardize anatomic nomenclature because variations in the definition of the anatomic description of ALL have caused variations in the incidence of ALL reported in research.
{"title":"Presence of anterolateral ligament in knees with or without anterior cruciate ligament tear","authors":"B. Gupta, A. Khan, Srijan Kapoor, A. Gulia, Sanjeev Bansal","doi":"10.4103/ijors.ijors_1_23","DOIUrl":"https://doi.org/10.4103/ijors.ijors_1_23","url":null,"abstract":"Background: There is a lot of disagreement in the orthopedics community centers on the existence, morphology, and function of the so-called “anterolateral ligament (ALL).” Objective: The purpose of the study was to determine whether the knees with or without anterior cruciate ligament (ACL) tears had ALLs in their femoral, meniscal, and tibial portions. Materials and Methods: Ninety-six patients who met the inclusion and exclusion criteria and underwent magnetic resonance imaging (MRI) knee were enrolled in the trial after being fully informed about it and receiving their agreement. The study involved 96 patients, 48 of whom had ACL tears and the remaining 48 did not. Results: Out of 96 patients, 62 (65%) patients had visible ALL on their MRI image. Visualization on MRI is that out of 62 patients, 52 (84%) were male, and 10 (16%) were female. Of 62 individuals who had visible ALL, 23 (37%) suffered an ACL injury, and the remaining 39 (61%) patients did not. Conclusion: Our investigation provided radiological proof of the ALL’s existence. Additionally, we discovered that the presence of ALL was strongly linked to meniscal and ACL tears. It is necessary to standardize anatomic nomenclature because variations in the definition of the anatomic description of ALL have caused variations in the incidence of ALL reported in research.","PeriodicalId":317392,"journal":{"name":"International Journal of Orthopaedic Surgery","volume":"2000 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125736286","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 : 2023-01-01DOI: 10.4103/ijors.ijors_7_23
Sayantan Makur, Arnab Karmakar, N. Das
Background: Osteomyelitis and septic arthritis are well-known osteoarticular infections in infants and neonates. The timely intervention of such infections is of utmost importance as delay in initiation of treatment may lead to irreversible joint damage and limb deformity also. The purpose of this study was not only to find out the sequelae of osteoarticular infections of infants and neonates due to delay in initiation of a definitive treatment but also to propose their management. Materials & Methods: This study was conducted after approval by the institutional review board. All neonates and infants with sequelae of osteoarticular infection due to delay in initiation of treatment from June 2019 to May 2021 were included in this study. Data for each patient were collected using the Hosp Gestor program. Various sequelae of osteoarticular infection were noted and then rehabilitative surgical management was done. Results: Out of 40 neonates and infants who got a delay in initiation of their treatment of osteoarticular infection, 31 (77%) came out with sequelae of osteoarticular infection. There was male predominance in this study. Sequelae were more due to osteoarticular infection of septic arthritis (53%) as compared with osteomyelitis (43%). Hip joint was found to be affected more. All patients were treated for their sequelae with rehabilitative operations. Among rehabilitative operations, hip reconstructive surgery was the most common procedure. The greater the delay in initiation of treatment in the acute stage, the more severe the sequelae. Conclusion: Early detection and institutional visit resulted in good outcomes. This study proves the truth behind the fact that delay in diagnosis and initiation of definitive treatment causes more complications and sequelae. This study also serves as a clinical guide to identify risk factors, awareness about early detection, and effective institutional treatment of osteoarticular infections in infants and neonates.
{"title":"Management of sequelae of osteoarticular infections of infants and neonates due to delay in initiation of definitive treatment","authors":"Sayantan Makur, Arnab Karmakar, N. Das","doi":"10.4103/ijors.ijors_7_23","DOIUrl":"https://doi.org/10.4103/ijors.ijors_7_23","url":null,"abstract":"Background: Osteomyelitis and septic arthritis are well-known osteoarticular infections in infants and neonates. The timely intervention of such infections is of utmost importance as delay in initiation of treatment may lead to irreversible joint damage and limb deformity also. The purpose of this study was not only to find out the sequelae of osteoarticular infections of infants and neonates due to delay in initiation of a definitive treatment but also to propose their management. Materials & Methods: This study was conducted after approval by the institutional review board. All neonates and infants with sequelae of osteoarticular infection due to delay in initiation of treatment from June 2019 to May 2021 were included in this study. Data for each patient were collected using the Hosp Gestor program. Various sequelae of osteoarticular infection were noted and then rehabilitative surgical management was done. Results: Out of 40 neonates and infants who got a delay in initiation of their treatment of osteoarticular infection, 31 (77%) came out with sequelae of osteoarticular infection. There was male predominance in this study. Sequelae were more due to osteoarticular infection of septic arthritis (53%) as compared with osteomyelitis (43%). Hip joint was found to be affected more. All patients were treated for their sequelae with rehabilitative operations. Among rehabilitative operations, hip reconstructive surgery was the most common procedure. The greater the delay in initiation of treatment in the acute stage, the more severe the sequelae. Conclusion: Early detection and institutional visit resulted in good outcomes. This study proves the truth behind the fact that delay in diagnosis and initiation of definitive treatment causes more complications and sequelae. This study also serves as a clinical guide to identify risk factors, awareness about early detection, and effective institutional treatment of osteoarticular infections in infants and neonates.","PeriodicalId":317392,"journal":{"name":"International Journal of Orthopaedic Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130930394","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 : 2023-01-01DOI: 10.4103/ijors.ijors_4_23
Arya Roy, Sumon Dutta, Gaur Kar
Proximal interphalangeal joint (PIPJ) is a special joint, which has maximum motion among the joints of the hand. Needless to say, that injury of this particular joint may lead to fracture dislocation and dreaded complications with a disability, if not treated adequately and timely. We report a case of coronal split intra-articular fracture of middle phalangeal base managed by dynamic distraction. The aim of this report was to emphasize that in a central PIPJ dislocation dynamic distraction is a viable and safe option.
{"title":"Dynamic distraction in a coronal split intra-articular fracture of middle phalangeal base: A case report","authors":"Arya Roy, Sumon Dutta, Gaur Kar","doi":"10.4103/ijors.ijors_4_23","DOIUrl":"https://doi.org/10.4103/ijors.ijors_4_23","url":null,"abstract":"Proximal interphalangeal joint (PIPJ) is a special joint, which has maximum motion among the joints of the hand. Needless to say, that injury of this particular joint may lead to fracture dislocation and dreaded complications with a disability, if not treated adequately and timely. We report a case of coronal split intra-articular fracture of middle phalangeal base managed by dynamic distraction. The aim of this report was to emphasize that in a central PIPJ dislocation dynamic distraction is a viable and safe option.","PeriodicalId":317392,"journal":{"name":"International Journal of Orthopaedic Surgery","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126504068","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 : 2023-01-01DOI: 10.4103/ijors.ijors_9_23
S. Keshkar, D. Mazumder
Orthopaedics in India was developed by many stalwarts by their creativity, inventions, and innovations. “Chatterjee’s Plate” is one of them, which was conceptualised by Prof. (Dr.) M. L. Chatterjee of Calcutta National Medical College, Calcutta, and was manufactured by Calcutta Metallic in the mid-60s. This was being used for internal fixation in McMurray’s Osteotomy in old ununited cases of fracture neck femur. Though the “Chatterjee’s Plate” is not in use nowadays (due to the advent of newer and better implant and technology for such fractures), it is absolutely imperative to convey to posterity about this lifetime work and obsession of Prof. (Dr.) M. L. Chatterjee.
{"title":"From Orthopaedic Museum: The Chatterjee’s Plate","authors":"S. Keshkar, D. Mazumder","doi":"10.4103/ijors.ijors_9_23","DOIUrl":"https://doi.org/10.4103/ijors.ijors_9_23","url":null,"abstract":"Orthopaedics in India was developed by many stalwarts by their creativity, inventions, and innovations. “Chatterjee’s Plate” is one of them, which was conceptualised by Prof. (Dr.) M. L. Chatterjee of Calcutta National Medical College, Calcutta, and was manufactured by Calcutta Metallic in the mid-60s. This was being used for internal fixation in McMurray’s Osteotomy in old ununited cases of fracture neck femur. Though the “Chatterjee’s Plate” is not in use nowadays (due to the advent of newer and better implant and technology for such fractures), it is absolutely imperative to convey to posterity about this lifetime work and obsession of Prof. (Dr.) M. L. Chatterjee.","PeriodicalId":317392,"journal":{"name":"International Journal of Orthopaedic Surgery","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115551804","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 : 2023-01-01DOI: 10.4103/ijors.ijors_2_23
M. Abdulla
Spontaneous psoas muscle haematoma is a rare complication associated with bleeding diatheses such as anticoagulation, inherited coagulopathies and haemodialysis. An 80-year-old woman was admitted with a sudden onset of left sided weakness when she woke up from sleep. Magnetic resonance imaging of the brain revealed an infarct in the right occipital and left posterior parietal regions. She was started on aspirin 150 mg daily. She developed extensive purplish discolouration over the left lumbar region 5 days later. Contrast enhanced computed tomography of the abdomen showed left psoas muscle haematoma. The haematoma was managed conservatively and aspirin was discontinued. This case study describes this case, who developed spontaneous psoas haematoma (PH) after starting aspirin for stroke, which was managed conservatively. Only a few cases of spontaneous PH secondary to aspirin were previously reported.
{"title":"Spontaneous psoas muscle haematoma due to antiplatelet treatment for stroke","authors":"M. Abdulla","doi":"10.4103/ijors.ijors_2_23","DOIUrl":"https://doi.org/10.4103/ijors.ijors_2_23","url":null,"abstract":"Spontaneous psoas muscle haematoma is a rare complication associated with bleeding diatheses such as anticoagulation, inherited coagulopathies and haemodialysis. An 80-year-old woman was admitted with a sudden onset of left sided weakness when she woke up from sleep. Magnetic resonance imaging of the brain revealed an infarct in the right occipital and left posterior parietal regions. She was started on aspirin 150 mg daily. She developed extensive purplish discolouration over the left lumbar region 5 days later. Contrast enhanced computed tomography of the abdomen showed left psoas muscle haematoma. The haematoma was managed conservatively and aspirin was discontinued. This case study describes this case, who developed spontaneous psoas haematoma (PH) after starting aspirin for stroke, which was managed conservatively. Only a few cases of spontaneous PH secondary to aspirin were previously reported.","PeriodicalId":317392,"journal":{"name":"International Journal of Orthopaedic Surgery","volume":"167 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114834048","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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