Pub Date : 2023-01-01DOI: 10.4103/jajs.jajs_142_22
Elise Chua, Dhiren Shah
{"title":"Hip and knee arthroplasty: A review of complications and advances in imaging","authors":"Elise Chua, Dhiren Shah","doi":"10.4103/jajs.jajs_142_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_142_22","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357851","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}
Matthew Mariathas, Emily Hughes, Roger Wolman, Neeraj Purohit
Introduction: Musculoskeletal injuries are a frequent occurrence in dancers of all skill levels, and the knee is the most common anatomical location. Our purpose was to identify the specific knee injuries encountered in a large cohort of dancers presenting to a tertiary-level dance injury clinic with knee pain. The relevant imaging findings of the identified knee injuries are highlighted. Methods: All new patients referred to the specialist dance injury clinic between March 2012 and February 2017 were entered into a database. Those with a knee-specific injury were selected with documentation of relevant demographic information. Clinic notes were analyzed for information related to a preceding acute traumatic event, and any relevant imaging was reviewed. This formed the basis for the review with Pubmed being utilized to identify relevant papers on the specific pathologies including etiology, imaging findings, and management. Results: Data from a cohort of 197 dancers presenting with a knee complaint were reviewed, composed of 144 women and 53 men with an average age of 28 years (range: 12–75 years). The most common knee complaint was anterior knee pain (n = 111) followed by medial-side knee pain (n = 42). The most frequent diagnoses included patellofemoral pain syndrome (n = 69), medial meniscal injury (n = 29), and Hoffa’s fat pad impingement (n = 13). Conclusion: An anatomy--based approach with regard to the site of pain can be useful in identifying any potential abnormality. Knowledge of the radiological appearances of the most frequently seen knee abnormalities in dancers will aid in prompt and correct diagnosis.
{"title":"Knee pain in elite dancers: A review of imaging findings","authors":"Matthew Mariathas, Emily Hughes, Roger Wolman, Neeraj Purohit","doi":"10.4103/jajs.jajs_4_23","DOIUrl":"https://doi.org/10.4103/jajs.jajs_4_23","url":null,"abstract":"Introduction: Musculoskeletal injuries are a frequent occurrence in dancers of all skill levels, and the knee is the most common anatomical location. Our purpose was to identify the specific knee injuries encountered in a large cohort of dancers presenting to a tertiary-level dance injury clinic with knee pain. The relevant imaging findings of the identified knee injuries are highlighted. Methods: All new patients referred to the specialist dance injury clinic between March 2012 and February 2017 were entered into a database. Those with a knee-specific injury were selected with documentation of relevant demographic information. Clinic notes were analyzed for information related to a preceding acute traumatic event, and any relevant imaging was reviewed. This formed the basis for the review with Pubmed being utilized to identify relevant papers on the specific pathologies including etiology, imaging findings, and management. Results: Data from a cohort of 197 dancers presenting with a knee complaint were reviewed, composed of 144 women and 53 men with an average age of 28 years (range: 12–75 years). The most common knee complaint was anterior knee pain (n = 111) followed by medial-side knee pain (n = 42). The most frequent diagnoses included patellofemoral pain syndrome (n = 69), medial meniscal injury (n = 29), and Hoffa’s fat pad impingement (n = 13). Conclusion: An anatomy--based approach with regard to the site of pain can be useful in identifying any potential abnormality. Knowledge of the radiological appearances of the most frequently seen knee abnormalities in dancers will aid in prompt and correct diagnosis.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357853","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}
{"title":"Early changes in the bone mineral density on dual-energy X-ray absorptiometry scan of patients undergoing primary cemented total knee arthroplasty: A prospective cohort study","authors":"Punit Tiwari, Aamna Athwal, Pankaj Mahindra, Rajnish Garg, Harmeet Kaur, SandeepSingh Jaura","doi":"10.4103/jajs.jajs_140_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_140_22","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357855","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}
{"title":"CT guided evaluation of dedicated aimer versus free hand drilling technique in the placement of femoral and tibial tunnels in double bundle ACL reconstruction","authors":"Nitin Rawal, Shekhar Tank, MahipalAjitsinh Padhiyar, Dutt Saurabh, MahipalSingh Sidhu, Vinod Kumar","doi":"10.4103/jajs.jajs_10_23","DOIUrl":"https://doi.org/10.4103/jajs.jajs_10_23","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135494965","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}
{"title":"Osteochondritis dissecans of the shoulder: A narrative review of the current literature","authors":"Rajesh Itha, Raju Vaishya, Abhishek Vaish","doi":"10.4103/jajs.jajs_35_23","DOIUrl":"https://doi.org/10.4103/jajs.jajs_35_23","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135494966","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}
{"title":"Anatomy and isometry of coracoclavicular ligaments: A cadaveric study","authors":"CYashavantha Kumar, SrinivasB S Kambhampati, PAshok Kumar, NS Devraj, PRahul Krishnan","doi":"10.4103/jajs.jajs_21_23","DOIUrl":"https://doi.org/10.4103/jajs.jajs_21_23","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135494970","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}
Muscular, soft tissue, and bony injuries are common among athletes. Different imaging modalities can be used to assess these patients depending on the type of injury and the expert opinion. Multiple imaging modalities are used to diagnose, investigate, and decide an appropriate medical or surgical treatment. Among the modalities that are used, magnetic resonance imaging and ultrasound (US) are commonly used to illustrate soft tissue injuries. Radiographs are cheap and are commonly used. The British Athletic Muscle Injury Classification is a grading system used for muscle injuries and can be used to predict the time it takes for a player to return fully. Tendons and ligaments are graded from 1 to 3, and the Fredericson grading system is used to classify bony injuries. Many of the common sports injuries are graded using these grading systems. Good communication and collaboration among sports physicians, surgeons, and radiologists are essential to adequate injury management in athletes. Appropriate choice of imaging modalities, classification systems, and a knowledge of common sports injuries can facilitate this.
{"title":"Imaging in sports medicine","authors":"Rajesh Botchu, HosseinAbdolmohammadpour Bonab, Dmitry Treytyak, Neha Nischal, KarthikeyanP Iyengar","doi":"10.4103/jajs.jajs_1_23","DOIUrl":"https://doi.org/10.4103/jajs.jajs_1_23","url":null,"abstract":"Muscular, soft tissue, and bony injuries are common among athletes. Different imaging modalities can be used to assess these patients depending on the type of injury and the expert opinion. Multiple imaging modalities are used to diagnose, investigate, and decide an appropriate medical or surgical treatment. Among the modalities that are used, magnetic resonance imaging and ultrasound (US) are commonly used to illustrate soft tissue injuries. Radiographs are cheap and are commonly used. The British Athletic Muscle Injury Classification is a grading system used for muscle injuries and can be used to predict the time it takes for a player to return fully. Tendons and ligaments are graded from 1 to 3, and the Fredericson grading system is used to classify bony injuries. Many of the common sports injuries are graded using these grading systems. Good communication and collaboration among sports physicians, surgeons, and radiologists are essential to adequate injury management in athletes. Appropriate choice of imaging modalities, classification systems, and a knowledge of common sports injuries can facilitate this.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357852","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}
R. Mukartihal, Rajdeep Das, Bharath Krishna, S. Patil
Corticosteroids have been a mainstay in the treatment protocols and guidelines of COVID-19. However, its use in high dosage or for extended duration renders patients immunocompromised after COVID-19 recovery, and thus, susceptible to secondary opportunistic infections. We report the two cases of septic hip arthritis due to Aspergillus species in corticosteroid immunosuppressed post-COVID-19 patients. One patient recovered successfully from the arthritis and subsequently underwent total hip arthroplasty with good outcome. The second patient presented late to us in a critical condition and had two comorbid conditions along with, due to which, in spite of all measures, could not be revived and succumbed to death. We highlight the issue of the rare cause of fungal hip arthritis in immunosuppressed post-COVID-19 patients and stress the necessity to remain vigilant and identify the causative organisms correctly, especially fungal pathogens in such susceptible populations in the present COVID-19 era.
{"title":"Aspergillus hip arthritis in COVID-19 era: Two case reports","authors":"R. Mukartihal, Rajdeep Das, Bharath Krishna, S. Patil","doi":"10.4103/jajs.jajs_7_23","DOIUrl":"https://doi.org/10.4103/jajs.jajs_7_23","url":null,"abstract":"Corticosteroids have been a mainstay in the treatment protocols and guidelines of COVID-19. However, its use in high dosage or for extended duration renders patients immunocompromised after COVID-19 recovery, and thus, susceptible to secondary opportunistic infections. We report the two cases of septic hip arthritis due to Aspergillus species in corticosteroid immunosuppressed post-COVID-19 patients. One patient recovered successfully from the arthritis and subsequently underwent total hip arthroplasty with good outcome. The second patient presented late to us in a critical condition and had two comorbid conditions along with, due to which, in spite of all measures, could not be revived and succumbed to death. We highlight the issue of the rare cause of fungal hip arthritis in immunosuppressed post-COVID-19 patients and stress the necessity to remain vigilant and identify the causative organisms correctly, especially fungal pathogens in such susceptible populations in the present COVID-19 era.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70780836","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}
Shailendra Singh, D. Rastogi, Ahmad Ozair, S. Waliullah, S. Singh, R. Srivastava
Introduction: Total hip arthroplasty (THA) has a demonstrated utility in the surgical management of patients with proximal femoral fractures that fail internal fixation, with good outcomes reported from high-income countries. Given the lack of data from resource-limited settings, this work sought to report the clinical outcomes of THA for failed proximal femoral osteosynthesis from a low- and middle-income country (LMIC). Methods: The work was conducted and reported in accordance with Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. A retrospective cohort study was carried out on all patients who underwent rescue THA for failed osteosynthesis of proximal femoral fractures, from January 2016 to June 2020, at a tertiary care center in Northern India. Primary study outcomes were functional outcomes as assessed by Harris Hip Score (HHS) at 1-year postoperatively and the frequency of perioperative complication as assessed by Clavien-Dindo-Sink Grading System. Results: Twenty-eight patients with mean age of 43.25 ± 10.5 years were included, with 18 males and 10 females. For their femur fracture stabilization, the most common method used had been dynamic hip screw (n = 16, 57.1%), followed by cannulated cancellous screw (n = 6, 21.5%), proximal femoral nail (n = 3, 10.7%), dynamic condylar screw (n = 2, 7.1%), and Schanz Screw (n = 1, 3.6%). Causes of failure had included cut-out of screw (n = 14, 50.0%), avascular necrosis (n = 8, 28.6%), back-out of screw (n = 3, 10.7%), non-union (n = 2, 7.1%), and secondary osteoarthritis (n = 1, 3.6%). THA was carried out after mean 26.64 ± 9.01 months after index procedure. HHS improved significantly from 39.71 ± 10.89 preoperatively to 79.54 ± 4.22 at 1-year follow-up (mean difference 39.82, 95% confidence interval 43.66–35.98, P < 0.001). Perioperative complications occurred in two patients of Clavien-Dindo-Sink Grade III and another of Grade II, with no mortality occurring by 1 year. Conclusions: In resource-limited settings like LMICs, THA may be a safe and efficacious surgical modality for failed osteosynthesis of proximal femoral fractures.
{"title":"Total hip arthroplasty for failed osteosynthesis of proximal femoral fractures: Clinical outcomes from a low- and middle-income country","authors":"Shailendra Singh, D. Rastogi, Ahmad Ozair, S. Waliullah, S. Singh, R. Srivastava","doi":"10.4103/jajs.jajs_17_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_17_22","url":null,"abstract":"Introduction: Total hip arthroplasty (THA) has a demonstrated utility in the surgical management of patients with proximal femoral fractures that fail internal fixation, with good outcomes reported from high-income countries. Given the lack of data from resource-limited settings, this work sought to report the clinical outcomes of THA for failed proximal femoral osteosynthesis from a low- and middle-income country (LMIC). Methods: The work was conducted and reported in accordance with Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. A retrospective cohort study was carried out on all patients who underwent rescue THA for failed osteosynthesis of proximal femoral fractures, from January 2016 to June 2020, at a tertiary care center in Northern India. Primary study outcomes were functional outcomes as assessed by Harris Hip Score (HHS) at 1-year postoperatively and the frequency of perioperative complication as assessed by Clavien-Dindo-Sink Grading System. Results: Twenty-eight patients with mean age of 43.25 ± 10.5 years were included, with 18 males and 10 females. For their femur fracture stabilization, the most common method used had been dynamic hip screw (n = 16, 57.1%), followed by cannulated cancellous screw (n = 6, 21.5%), proximal femoral nail (n = 3, 10.7%), dynamic condylar screw (n = 2, 7.1%), and Schanz Screw (n = 1, 3.6%). Causes of failure had included cut-out of screw (n = 14, 50.0%), avascular necrosis (n = 8, 28.6%), back-out of screw (n = 3, 10.7%), non-union (n = 2, 7.1%), and secondary osteoarthritis (n = 1, 3.6%). THA was carried out after mean 26.64 ± 9.01 months after index procedure. HHS improved significantly from 39.71 ± 10.89 preoperatively to 79.54 ± 4.22 at 1-year follow-up (mean difference 39.82, 95% confidence interval 43.66–35.98, P < 0.001). Perioperative complications occurred in two patients of Clavien-Dindo-Sink Grade III and another of Grade II, with no mortality occurring by 1 year. Conclusions: In resource-limited settings like LMICs, THA may be a safe and efficacious surgical modality for failed osteosynthesis of proximal femoral fractures.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46016799","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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