Massive irreparable rotator cuff tears (RCT) present a challenging problem when they occur in the young, active patient population. One treatment option involves tendon transfer, which traditionally has involved the latissimus dorsi transfer (LDT). However, the lower trapezius transfer (LTT) has emerged as an effective alternative with its own set of advantages, such being a tendon transfer that is “in line” and “in phase” with the shoulder functions it restores. Moreover, biomechanical and clinical studies have supported the LTT as an effective treatment option that restores the shoulder function to a great degree with successful outcomes. In this review, we discuss the indications, biomechanics, open and arthroscopic assisted surgical techniques, and outcomes of LTT for massive irreparable RCTs.
{"title":"The Utility of Lower Trapezius Transfers in Massive Irreparable Posterior- Superior Rotator Cuff Tears","authors":"Gary Ulrich MD, Shariff Bishai DO, MS","doi":"10.26502/josm.511500120","DOIUrl":"https://doi.org/10.26502/josm.511500120","url":null,"abstract":"Massive irreparable rotator cuff tears (RCT) present a challenging problem when they occur in the young, active patient population. One treatment option involves tendon transfer, which traditionally has involved the latissimus dorsi transfer (LDT). However, the lower trapezius transfer (LTT) has emerged as an effective alternative with its own set of advantages, such being a tendon transfer that is “in line” and “in phase” with the shoulder functions it restores. Moreover, biomechanical and clinical studies have supported the LTT as an effective treatment option that restores the shoulder function to a great degree with successful outcomes. In this review, we discuss the indications, biomechanics, open and arthroscopic assisted surgical techniques, and outcomes of LTT for massive irreparable RCTs.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","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":"69349830","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}
Atef Ibrahim Awad, Waleed Meligy, Ehab Elshal, Hany Elhalafawy, Elsayed Elhamy Negm
Diaphyseal Renal tubular is an uncommon medical disorder that comprises four variant types. It affects the skeletal system in different ways, most commonly osteomalacia and rarely osteopetrosis. Renal tubular acidosis with bone disease is representing a challenge to orthopaedic surgeon when facing fracture fixation which is more obvious in osteopetrotic bone disease. Our case represents bilateral femoral shaft fracture that had been fixed by two different surgeons with 2 different ways of fixation (weight bearing versus load sharing implants).
{"title":"Bilateral Fracture Femur in a Patient with Renal Tubular Acidosis -Type 1 (Osteopetrosis Type) Platting or Nailing? A Case Report","authors":"Atef Ibrahim Awad, Waleed Meligy, Ehab Elshal, Hany Elhalafawy, Elsayed Elhamy Negm","doi":"10.26502/josm.511500125","DOIUrl":"https://doi.org/10.26502/josm.511500125","url":null,"abstract":"Diaphyseal Renal tubular is an uncommon medical disorder that comprises four variant types. It affects the skeletal system in different ways, most commonly osteomalacia and rarely osteopetrosis. Renal tubular acidosis with bone disease is representing a challenge to orthopaedic surgeon when facing fracture fixation which is more obvious in osteopetrotic bone disease. Our case represents bilateral femoral shaft fracture that had been fixed by two different surgeons with 2 different ways of fixation (weight bearing versus load sharing implants).","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","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":"136257067","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 : 2023-01-01Epub Date: 2023-05-15DOI: 10.26502/josm.511500106
Rajiv Supra, Rajesh Supra, Devendra K Agrawal
The Total Hip Arthroplasty (THA) has become one of the most reliable surgical interventions that has improved the quality of life in many patients. THA allows patients to have increased mobility, range of motion, and reduced pain in patients with degenerative hip joints. This surgical procedure has become an effective treatment option for several chronic conditions affecting the hip joint. Although this surgery has been shown to give promising results in patients with hip pathology, selecting the approach for THA is a critical step in pre-operative planning. The best approach for this surgical procedure depends on multiple factors and each present with their own challenges, success rates, and limitations. To further elucidate the advantages and disadvantages associated with different surgical approaches, we critically review each surgical approach along with the different causes of failure of the THA procedure.
{"title":"Surgical Approaches in Total Hip Arthroplasty.","authors":"Rajiv Supra, Rajesh Supra, Devendra K Agrawal","doi":"10.26502/josm.511500106","DOIUrl":"10.26502/josm.511500106","url":null,"abstract":"<p><p>The Total Hip Arthroplasty (THA) has become one of the most reliable surgical interventions that has improved the quality of life in many patients. THA allows patients to have increased mobility, range of motion, and reduced pain in patients with degenerative hip joints. This surgical procedure has become an effective treatment option for several chronic conditions affecting the hip joint. Although this surgery has been shown to give promising results in patients with hip pathology, selecting the approach for THA is a critical step in pre-operative planning. The best approach for this surgical procedure depends on multiple factors and each present with their own challenges, success rates, and limitations. To further elucidate the advantages and disadvantages associated with different surgical approaches, we critically review each surgical approach along with the different causes of failure of the THA procedure.</p>","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9734911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emmanuel Wong, Wai Ting Lee, Cherrie Chau, Hay Yeung Cheng, Ronald Kwok
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{"title":"Comparison of Effectiveness of Chiropractic Spinal Manipulation and Conservative Therapy for Low Back Pain","authors":"Emmanuel Wong, Wai Ting Lee, Cherrie Chau, Hay Yeung Cheng, Ronald Kwok","doi":"10.26502/josm.511500072","DOIUrl":"https://doi.org/10.26502/josm.511500072","url":null,"abstract":",","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","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":"69349489","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}
Background: Low Back Pain has been shown to be an important health and socio-economic problem of occupational diseases, which plague a large segment of the population in industrialized countries. Reviews of the literature describing LBP point prevalence in the developed world have produced variable of prevalence rates. Low back pain is common in Bangladesh also, responsible for an enormous burden of chronic disease, so this study aimed to disseminate the findings to take necessary steps to minimize low back pain and reduce the costs and injuries associated with ergonomic hazards of workers. Objective: To identify the prevalence and factors associated with low back pain among the staff of a pharmaceutical company of Dhaka city. Methods: A descriptive cross-sectional study was conducted in General Pharmaceutical Company in Mohammadpur, Dhaka. The study was carried out of Pharmaceutical Company in Mohammadpur, Dhaka, Bangladesh. The duration of the period from 10th October 2019 to 10th January 2020. Randomly interview was done by standard questionnaire containing extremely simple and well-structured question. Results: Total 349 sample was collected from General pharmaceutical company in Dhaka, Bangladesh. The result of this study showed that the prevalence of low back pain is 45.3% among the staff of this pharmaceutical company. Regarding sex, females have recorded 51.2% of those suffering from back pain. Factors such as socio-economic factors, family factors, body mass index, physical factors, psychological factors, medical history and sleeping disturbance were associated with the prevalence of LBP among staff of pharmaceutical company. Conclusion: Preventive strategies such as maintaining weight, fairness of stress and a comfortable work environment can help reduce the incidence of LBP among staff working in pharmaceutical company.
{"title":"Prevalence and Associated Factors of Low Back Pain among the Staffs of a Pharmaceutical Company of Dhaka City","authors":"K. T, Sarker S, Dinara Na, Sharmin S","doi":"10.26502/josm.511500074","DOIUrl":"https://doi.org/10.26502/josm.511500074","url":null,"abstract":"Background: Low Back Pain has been shown to be an important health and socio-economic problem of occupational diseases, which plague a large segment of the population in industrialized countries. Reviews of the literature describing LBP point prevalence in the developed world have produced variable of prevalence rates. Low back pain is common in Bangladesh also, responsible for an enormous burden of chronic disease, so this study aimed to disseminate the findings to take necessary steps to minimize low back pain and reduce the costs and injuries associated with ergonomic hazards of workers. Objective: To identify the prevalence and factors associated with low back pain among the staff of a pharmaceutical company of Dhaka city. Methods: A descriptive cross-sectional study was conducted in General Pharmaceutical Company in Mohammadpur, Dhaka. The study was carried out of Pharmaceutical Company in Mohammadpur, Dhaka, Bangladesh. The duration of the period from 10th October 2019 to 10th January 2020. Randomly interview was done by standard questionnaire containing extremely simple and well-structured question. Results: Total 349 sample was collected from General pharmaceutical company in Dhaka, Bangladesh. The result of this study showed that the prevalence of low back pain is 45.3% among the staff of this pharmaceutical company. Regarding sex, females have recorded 51.2% of those suffering from back pain. Factors such as socio-economic factors, family factors, body mass index, physical factors, psychological factors, medical history and sleeping disturbance were associated with the prevalence of LBP among staff of pharmaceutical company. Conclusion: Preventive strategies such as maintaining weight, fairness of stress and a comfortable work environment can help reduce the incidence of LBP among staff working in pharmaceutical company.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","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":"69349531","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}
Glomus tumors are rare mesenchymal perivascular tumors that often developed in adult age between 30 to 50 years, near fine peripheral neurovascular structures, most notably finger nail beds. A 34 years old woman presented to OPD with pain in the left little finger nail for last five years. On examination, we found Love’s pin test and Hildreth’s test was positive, cold sensitivity test was equivocal. She was diagnosed as glomus tumor. Surgical intervention used to remove completely the tumor and the outcome was excellent. Histopathology confirmed the diagnosis.
{"title":"Glomus Tumor of the Nail Bed with Local Pain: A Case Report","authors":"Pervez Ahsan, K. ., Israt Jahan, A. Khair","doi":"10.26502/josm.511500084","DOIUrl":"https://doi.org/10.26502/josm.511500084","url":null,"abstract":"Glomus tumors are rare mesenchymal perivascular tumors that often developed in adult age between 30 to 50 years, near fine peripheral neurovascular structures, most notably finger nail beds. A 34 years old woman presented to OPD with pain in the left little finger nail for last five years. On examination, we found Love’s pin test and Hildreth’s test was positive, cold sensitivity test was equivocal. She was diagnosed as glomus tumor. Surgical intervention used to remove completely the tumor and the outcome was excellent. Histopathology confirmed the diagnosis.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","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":"69349673","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}
In 1937, the chronic toxic effect of fluoride on skeletal fluorosis was demonstrated for the first time in history in the Indian state of Madras. Exposure to fluoride concentrations greater than eight ppm in water is reported to cause skeletal fluorosis. Skeletal fluorosis is a chronic metabolic bone disease resulting from prolonged ingestion of large amounts of fluoride. Bone knee syndrome, osteosclerosis, pathological fractures, calcification of ligaments, joint stiffness, immobility, muscle atrophy, and severe forms of neurological deficits are some of the consequences of skeletal fluorosis. Skeletal fluorosis, as such, is a highly morbid disease. Yet, the condition is overlooked, and, most importantly, little is known about its effects on the facial skeleton. This unique, investigative, cross-sectional study was initiated to evaluate the morphologic changes in the jawbone caused by skeletal fluorosis in adults diagnosed with skeletal fluorosis. A two-dimensional radiograph was used to evaluate the possible skeletal fluorosis-related morphological changes in the maxillary and mandibular bones. A total of 9 patients diagnosed with skeletal fluorosis underwent panoramic radiography of the mandibular and maxillary bones. Several skeletal fluorosis-related morphological changes were detected in the jaw bones of 6 study participants, including exostosis, osteosclerosis, thickened cortical bone, narrowed bone marrow, and periosteal plaques. According to studies, these morphological changes pose a serious threat to the healing process of the bone. Therefore, surgeons practicing in the Oro-craniofacial region must be alert to potential perioperative and postoperative complications when treating patients diagnosed with skeletal fluorosis.
{"title":"Radiologically Identified Morphologic Changes of Maxillary and Mandibular Bones among Diagnosed Cases of Skeletal Fluorosis in Ethiopia","authors":"Heron Gezahegn, Cleenewerck de Kiev","doi":"10.26502/josm.511500090","DOIUrl":"https://doi.org/10.26502/josm.511500090","url":null,"abstract":"In 1937, the chronic toxic effect of fluoride on skeletal fluorosis was demonstrated for the first time in history in the Indian state of Madras. Exposure to fluoride concentrations greater than eight ppm in water is reported to cause skeletal fluorosis. Skeletal fluorosis is a chronic metabolic bone disease resulting from prolonged ingestion of large amounts of fluoride. Bone knee syndrome, osteosclerosis, pathological fractures, calcification of ligaments, joint stiffness, immobility, muscle atrophy, and severe forms of neurological deficits are some of the consequences of skeletal fluorosis. Skeletal fluorosis, as such, is a highly morbid disease. Yet, the condition is overlooked, and, most importantly, little is known about its effects on the facial skeleton. This unique, investigative, cross-sectional study was initiated to evaluate the morphologic changes in the jawbone caused by skeletal fluorosis in adults diagnosed with skeletal fluorosis. A two-dimensional radiograph was used to evaluate the possible skeletal fluorosis-related morphological changes in the maxillary and mandibular bones. A total of 9 patients diagnosed with skeletal fluorosis underwent panoramic radiography of the mandibular and maxillary bones. Several skeletal fluorosis-related morphological changes were detected in the jaw bones of 6 study participants, including exostosis, osteosclerosis, thickened cortical bone, narrowed bone marrow, and periosteal plaques. According to studies, these morphological changes pose a serious threat to the healing process of the bone. Therefore, surgeons practicing in the Oro-craniofacial region must be alert to potential perioperative and postoperative complications when treating patients diagnosed with skeletal fluorosis.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","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":"69349744","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":"Skeletal Fluorosis-Induced Morphological Changes of the Temporomandi bular Joint and Associated Functional Limitations among Adults in Ethiopia","authors":"Heron Gezahegn","doi":"10.26502/josm.511500094","DOIUrl":"https://doi.org/10.26502/josm.511500094","url":null,"abstract":",","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","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":"69349791","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}
Benjamin Costantine Mfaume, Expeditho Mtisi, Samuel Bugeza, Patric Sali, A. Sheikdon, Emusugut Michael, Waiswa Gonzaga, Tonny Mutanda
{"title":"Prevalence, Patterns and Associated Factors of Acute Tibia Plateau Fractures among Adults with Tibia Fractures in Uganda","authors":"Benjamin Costantine Mfaume, Expeditho Mtisi, Samuel Bugeza, Patric Sali, A. Sheikdon, Emusugut Michael, Waiswa Gonzaga, Tonny Mutanda","doi":"10.26502/josm.511500118","DOIUrl":"https://doi.org/10.26502/josm.511500118","url":null,"abstract":"","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","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":"69349815","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}
Sharif Hossain, Mahbuba Sultana, Molla Muhammad Abdullah Al Mamun, Minhaz Uddin, Khaled Mahmud
Background: Diaphyseal femur fracture most commonly occurs due to high-velocity trauma. There are various treatment modalities for diaphyseal femur fracture in adults: traction, brace, platting, intramedullary nail, external fixator, and intramedullary interlocking nail.
{"title":"Outcome of Closed Reamed Interlocking Nailing in Closed Diaphyseal Femoral Fracture in Adult","authors":"Sharif Hossain, Mahbuba Sultana, Molla Muhammad Abdullah Al Mamun, Minhaz Uddin, Khaled Mahmud","doi":"10.26502/josm.511500124","DOIUrl":"https://doi.org/10.26502/josm.511500124","url":null,"abstract":"Background: Diaphyseal femur fracture most commonly occurs due to high-velocity trauma. There are various treatment modalities for diaphyseal femur fracture in adults: traction, brace, platting, intramedullary nail, external fixator, and intramedullary interlocking nail.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","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":"136256713","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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