Pub Date : 2021-12-01DOI: 10.21608/ejor.2021.225621
Daifallah Osama, A. Moshrif, Hamid Khalifa, Rabab Ali
Although gout is a common rheumatic disease with worldwide prevalence of about 1.3%, mal-awareness might impact the disease control and especially the patient's compliance with urate lowering therapies. The aim of this research is to study the level of awareness, attitude, and misconceptions among the Egyptian population towards gout and compare between levels of awareness and different demographic factors. In this cross-sectional study, 1200 participants (18-60 years) were randomly enrolled (53.8% were females). A prepared validated questionnaire was used for data collection about the knowledge, attitude, and misconceptions towards gout and its risk factors and possible complications. The relation between socio-demographic factors of participants and their level of awareness was calculated using chi-square test. After demographic data collection, the entry question of the survey was; do you know a disease called gout? Only the responders with "yes" were the target of the evaluation by completing the questionnaire. In this study, data was collected from 1200 adult participants, the socio-demographic characteristics show that 706 (58.8%) were females while 494 (41.2%) were males. participants who had previous information about gout were 632 (52.7%) while 568 (47.3%) don't know gout. There was a high statistically significant difference between participants who know and those who don't know gout as regard to education, occupation, marital status and residence (p value = 0.000, 0.000, 0.037 and 0.000 respectively). Regarding to complications of gout, 230 (36.9%) of the participants know that gout can lead to kidney disease while only 30 (4.8%) think it does not with high statistically significant difference between participants regarding gender (p value= 0.001). The level of awareness about gout was insufficient among the general population in Egypt. There was a significant relation between gender, age, marital status and the level of awareness. Considering plantar fasciitis as a frequent clinical presentation of gout is a common misconception among Egyptians. Awareness campaigns on gout should be organized and encouraged by the health authorities.
{"title":"AWARENESS AND ATTITUDE OF EGYPTIAN POPULATION TOWARDS GOUT","authors":"Daifallah Osama, A. Moshrif, Hamid Khalifa, Rabab Ali","doi":"10.21608/ejor.2021.225621","DOIUrl":"https://doi.org/10.21608/ejor.2021.225621","url":null,"abstract":"Although gout is a common rheumatic disease with worldwide prevalence of about 1.3%, mal-awareness might impact the disease control and especially the patient's compliance with urate lowering therapies. The aim of this research is to study the level of awareness, attitude, and misconceptions among the Egyptian population towards gout and compare between levels of awareness and different demographic factors. In this cross-sectional study, 1200 participants (18-60 years) were randomly enrolled (53.8% were females). A prepared validated questionnaire was used for data collection about the knowledge, attitude, and misconceptions towards gout and its risk factors and possible complications. The relation between socio-demographic factors of participants and their level of awareness was calculated using chi-square test. After demographic data collection, the entry question of the survey was; do you know a disease called gout? Only the responders with \"yes\" were the target of the evaluation by completing the questionnaire. In this study, data was collected from 1200 adult participants, the socio-demographic characteristics show that 706 (58.8%) were females while 494 (41.2%) were males. participants who had previous information about gout were 632 (52.7%) while 568 (47.3%) don't know gout. There was a high statistically significant difference between participants who know and those who don't know gout as regard to education, occupation, marital status and residence (p value = 0.000, 0.000, 0.037 and 0.000 respectively). Regarding to complications of gout, 230 (36.9%) of the participants know that gout can lead to kidney disease while only 30 (4.8%) think it does not with high statistically significant difference between participants regarding gender (p value= 0.001). The level of awareness about gout was insufficient among the general population in Egypt. There was a significant relation between gender, age, marital status and the level of awareness. Considering plantar fasciitis as a frequent clinical presentation of gout is a common misconception among Egyptians. Awareness campaigns on gout should be organized and encouraged by the health authorities.","PeriodicalId":340257,"journal":{"name":"Egyptian Journal of Orthopedic Research","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129978505","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 : 2021-12-01DOI: 10.21608/ejor.2021.225616
Mohamed Abdel-wanis
Received 26/6/2021 Accepted 2/10/2021
接收26/6/2021接收2/10/2021
{"title":"A NEW ALGORITHM TO HELP IN DIAGNOSIS ON THE CAUSE OF SCIATICA","authors":"Mohamed Abdel-wanis","doi":"10.21608/ejor.2021.225616","DOIUrl":"https://doi.org/10.21608/ejor.2021.225616","url":null,"abstract":"Received 26/6/2021 Accepted 2/10/2021","PeriodicalId":340257,"journal":{"name":"Egyptian Journal of Orthopedic Research","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131088062","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 : 2021-12-01DOI: 10.21608/ejor.2021.225622
M. Almamoun, Walid Abouzeid, Mohamed Abdel Tawab
After spinal fusion surgery, sacroiliac joint (SIJ) pain has lately attracted attention as a cause of low bac k pain. There are two risk factors for postoperative SIJ pain: lumbosacral fusion and long segment lumbar fusion. lumbosacral fusion has a very significant incidence of SIJ pain in multiple-segment lumbar fusion. Furthermore, the development of SIJ pain in such circumstances may be early. Patients who had multiple-segment lumbar fusion at Sohag and Fayoum Universities between November 2013 and January 2018 were included in the study. The overall number of eligible patients was 191, with 64 developing postoperative low back pain. Seventeen of them reported new-onset SIJ pain. Using Japanese Orthopedic Association (JOA) ratings, we evaluated postoperative SIJ pain development, duration from surgery to SIJ pain beginning, and postoperative treatment results in SIJ pain patients. The incidence of new-onset SIJ pain was correlated with the lumbar fusion group and the lumbosacral fusion group. SIJ pain was substantially more common with lumbosacral fusion group (28.6%) than with lumbar fusion group (4.7%). The lumbar fusion group had a mean time of onset of SIJ pain of 9.43±1.32 (3-16) months after surgery and the lumbosacral fusion group had a mean time of onset of 3.64±2.65 (2-11) months after surgery, demonstrating that incidence occurred substantially sooner in the lumbosacral fusion group. The mean JOA score in the lumbar fusion group increased considerably from 4.45 at the time of onset to 9.87 at the time of final follow-up; however, in the lumbosacral fusion group, it improved from 5.17 at the time of onset to 7.21 at the time of final follow-up, showing no significant improvement. In this study, we Correlate postoperative SIJ pain with two risk factors (long segment lumbar fusion (>2) levels and lumbosacral fusion). Keyword: Sacroiliac joint, Lumbar, Lumbosacral, Fusion, Back pain.
{"title":"CORRELATION BETWEEN LONG SEGMENT LUMBAR/LUMBOSACRAL FUSION WITH SACROILIAC JOINT DYSFUNCTION: A DOUBLE CENTERED LONG-TERM CLINICAL OUTCOME","authors":"M. Almamoun, Walid Abouzeid, Mohamed Abdel Tawab","doi":"10.21608/ejor.2021.225622","DOIUrl":"https://doi.org/10.21608/ejor.2021.225622","url":null,"abstract":"After spinal fusion surgery, sacroiliac joint (SIJ) pain has lately attracted attention as a cause of low bac k pain. There are two risk factors for postoperative SIJ pain: lumbosacral fusion and long segment lumbar fusion. lumbosacral fusion has a very significant incidence of SIJ pain in multiple-segment lumbar fusion. Furthermore, the development of SIJ pain in such circumstances may be early. Patients who had multiple-segment lumbar fusion at Sohag and Fayoum Universities between November 2013 and January 2018 were included in the study. The overall number of eligible patients was 191, with 64 developing postoperative low back pain. Seventeen of them reported new-onset SIJ pain. Using Japanese Orthopedic Association (JOA) ratings, we evaluated postoperative SIJ pain development, duration from surgery to SIJ pain beginning, and postoperative treatment results in SIJ pain patients. The incidence of new-onset SIJ pain was correlated with the lumbar fusion group and the lumbosacral fusion group. SIJ pain was substantially more common with lumbosacral fusion group (28.6%) than with lumbar fusion group (4.7%). The lumbar fusion group had a mean time of onset of SIJ pain of 9.43±1.32 (3-16) months after surgery and the lumbosacral fusion group had a mean time of onset of 3.64±2.65 (2-11) months after surgery, demonstrating that incidence occurred substantially sooner in the lumbosacral fusion group. The mean JOA score in the lumbar fusion group increased considerably from 4.45 at the time of onset to 9.87 at the time of final follow-up; however, in the lumbosacral fusion group, it improved from 5.17 at the time of onset to 7.21 at the time of final follow-up, showing no significant improvement. In this study, we Correlate postoperative SIJ pain with two risk factors (long segment lumbar fusion (>2) levels and lumbosacral fusion). Keyword: Sacroiliac joint, Lumbar, Lumbosacral, Fusion, Back pain.","PeriodicalId":340257,"journal":{"name":"Egyptian Journal of Orthopedic Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131571433","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 : 2021-12-01DOI: 10.21608/ejor.2021.225620
M. Mohamed, Islam Abdel-sabour, Ahmad Addosoki, Mohamed Abdel-wanis
Distal radius fractures are commonly treated by orthopaedic surgeons. These fractures can be treated in a variety of methods, but the options for repairing can be limited in patients with high-energy fracture patterns. To evaluate the efficacy of dorsal spanning plate in distal radial fracture fixation, at Sohag University Hospital's Orthopedics & Traumatology Department, 15 patients were included in a cross-section study from April 2020 to April 2021. As regard the modified mayo score. The mean score was 56.1 ± 13.4. There were 4 (26.7%) cases with excellent score, 9 (60%) cases with good score and 2 (13.3%) cases with fair score. As regard the range of motion. The mean flexion was 50.2 ± 5.8, the mean extension was 46.5 ± 4.3, the mean pronation was 70.3 ± 6.1, the mean supination was 71.6 ± 5.7, the mean ulnar deviation was 20.4 ± 2.1. The mean radial deviation was 16.2 ± 2.5. The mean radial height was 8.4 ± 1.9 and the mean radial tilt was 17.2 ± 2.4.reduction.Dorsal spanning plate fixation is an excellent alternative surgical option for management of high energy distal radius fractures in the setting of multi-trauma. It can also provide the benefit of early mobilization of the patient by allowing the use of the injured hand and upper extremity for weight-bearing and activities of daily living in the case of concomitant injuries
{"title":"SPANNING PLATE IN FIXATION OF COMMINUTED DISTAL RADIUS FRACTURE","authors":"M. Mohamed, Islam Abdel-sabour, Ahmad Addosoki, Mohamed Abdel-wanis","doi":"10.21608/ejor.2021.225620","DOIUrl":"https://doi.org/10.21608/ejor.2021.225620","url":null,"abstract":"Distal radius fractures are commonly treated by orthopaedic surgeons. These fractures can be treated in a variety of methods, but the options for repairing can be limited in patients with high-energy fracture patterns. To evaluate the efficacy of dorsal spanning plate in distal radial fracture fixation, at Sohag University Hospital's Orthopedics & Traumatology Department, 15 patients were included in a cross-section study from April 2020 to April 2021. As regard the modified mayo score. The mean score was 56.1 ± 13.4. There were 4 (26.7%) cases with excellent score, 9 (60%) cases with good score and 2 (13.3%) cases with fair score. As regard the range of motion. The mean flexion was 50.2 ± 5.8, the mean extension was 46.5 ± 4.3, the mean pronation was 70.3 ± 6.1, the mean supination was 71.6 ± 5.7, the mean ulnar deviation was 20.4 ± 2.1. The mean radial deviation was 16.2 ± 2.5. The mean radial height was 8.4 ± 1.9 and the mean radial tilt was 17.2 ± 2.4.reduction.Dorsal spanning plate fixation is an excellent alternative surgical option for management of high energy distal radius fractures in the setting of multi-trauma. It can also provide the benefit of early mobilization of the patient by allowing the use of the injured hand and upper extremity for weight-bearing and activities of daily living in the case of concomitant injuries","PeriodicalId":340257,"journal":{"name":"Egyptian Journal of Orthopedic Research","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132678826","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 : 2020-05-01DOI: 10.21608/EJOR.2020.161914
W. Salama, Yasser Soror, M. Ali, P. Soucacos, Hassan H. Noaman
There are different causes for finger amputation. Causes are starting from clean cut amputation up to avulsion. There are many factors affecting the results of finger replantation, as cause of injury, age of the patient, level of amputation, time passed after injury, methods for preservation of the amputated part, trained surgeons, and surgical equipments. Other factors affect the results of finger replantation are number of digital amputation, surgeon comfortability, and patient cooperation. This study included 38 patients presented by amputation of 57 fingers. The average age was 23 years old. The main cause was machine injury. The dominant hand was the right hand. The dominant finger was the thumb. The level of injury was proximal to the proximal interphalangeal joint in most of cases. The average time passed between injury and replantation was 2 hours. The average time of surgery for one digit replantation was 4 hours. The principles of treatment was exploration of the neurovascular and tendons in the amputated digit initially then that of the stump. The order of treatment was bone fixation by 2 kirschner wire, digital artery, digital vein, flexor tendon, digital nerve, extensor tendon. Skin closure should be loose. The average follow up was 58 months. All fingers have been survived except five. The average time for bone union was 8 weeks. According to Chen's criteria, the overall results were classified as grade I (excellent) in 20 cases, grade II (good) in 16 cases and grade III (fair) in 2 cases. The tendon function was excellent in 20 fingers, good in 26 fingers fair in 3 fingers, poor in 2 fingers and failure in 6 fingers. The 2 point discrimination was 6 mm in 9 fingers, 7-10 mm in 29 fingers, and 12-15 mm in 13 fingers. The mean grip and pinch strengths were 80 % and 85% respectively compared to contralateral hand. All of patient had returned to their normal daily activities. Finally, finger replantation is not an easy job and it is considered as challenging procedure even for the specialist. I think that many factors affecting the results of finger replantation have not been discovered yet.
断指有不同的原因。原因从截肢到撕脱伤都有。影响手指再植效果的因素有很多，如损伤原因、患者年龄、截肢程度、受伤后的时间、截肢部分的保存方法、受过训练的外科医生、手术设备等。影响断指再植效果的其他因素包括断指次数、手术舒适度和患者配合度。本研究包括38例57指截肢患者。平均年龄为23岁。主要原因是机械损伤。惯用手是右手。占支配地位的手指是拇指。大多数病例的损伤程度为近端至近端指间关节。损伤至再植的平均时间为2小时。一指再植术平均手术时间为4小时。治疗的原则是先探查断指的神经血管和肌腱，然后再探查残肢。治疗顺序为2克氏针、指动脉、指静脉、屈肌腱、指神经、伸肌腱固定。皮肤闭合应松弛。平均随访时间为58个月。除了五根手指外，其他手指都完好无损。平均骨愈合时间为8周。根据陈的标准，总体结果分为I级(优秀)20例，II级(良好)16例，III级(一般)2例。肌腱功能优良者20例，良者26例，一般者3例，差者2例，失败者6例。2点辨别力9指为6 mm, 29指为7-10 mm, 13指为12-15 mm。与对侧手相比，平均握力和捏力分别为80%和85%。所有患者均已恢复正常的日常活动。最后，手指再植不是一件容易的工作，即使是专家也认为这是一个具有挑战性的过程。我认为影响再植效果的因素有很多还没有被发现。
{"title":"FINGER REPLANTATION: GOOD AND BAD RESULTS","authors":"W. Salama, Yasser Soror, M. Ali, P. Soucacos, Hassan H. Noaman","doi":"10.21608/EJOR.2020.161914","DOIUrl":"https://doi.org/10.21608/EJOR.2020.161914","url":null,"abstract":"There are different causes for finger amputation. Causes are starting from clean cut amputation up to avulsion. There are many factors affecting the results of finger replantation, as cause of injury, age of the patient, level of amputation, time passed after injury, methods for preservation of the amputated part, trained surgeons, and surgical equipments. Other factors affect the results of finger replantation are number of digital amputation, surgeon comfortability, and patient cooperation. This study included 38 patients presented by amputation of 57 fingers. The average age was 23 years old. The main cause was machine injury. The dominant hand was the right hand. The dominant finger was the thumb. The level of injury was proximal to the proximal interphalangeal joint in most of cases. The average time passed between injury and replantation was 2 hours. The average time of surgery for one digit replantation was 4 hours. The principles of treatment was exploration of the neurovascular and tendons in the amputated digit initially then that of the stump. The order of treatment was bone fixation by 2 kirschner wire, digital artery, digital vein, flexor tendon, digital nerve, extensor tendon. Skin closure should be loose. The average follow up was 58 months. All fingers have been survived except five. The average time for bone union was 8 weeks. According to Chen's criteria, the overall results were classified as grade I (excellent) in 20 cases, grade II (good) in 16 cases and grade III (fair) in 2 cases. The tendon function was excellent in 20 fingers, good in 26 fingers fair in 3 fingers, poor in 2 fingers and failure in 6 fingers. The 2 point discrimination was 6 mm in 9 fingers, 7-10 mm in 29 fingers, and 12-15 mm in 13 fingers. The mean grip and pinch strengths were 80 % and 85% respectively compared to contralateral hand. All of patient had returned to their normal daily activities. Finally, finger replantation is not an easy job and it is considered as challenging procedure even for the specialist. I think that many factors affecting the results of finger replantation have not been discovered yet.","PeriodicalId":340257,"journal":{"name":"Egyptian Journal of Orthopedic Research","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121496886","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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