Pub Date : 2019-01-01DOI: 10.22259/2639-3654.0201002
Uqba Nafea Yousif, May Nafia Yousif
We report the case of 55years old lady who presented with acute painful and stiff knee joints diagnosed and followed up radiologically and Sonographically as Calcific LCL which is a rare disorder but it’s important to exclude other more serious pathological disorders by thorough clinical and sonographical or radiological examination.
{"title":"Case Report: Calcific Lateral Collateral Ligament (LCL) Syndrome","authors":"Uqba Nafea Yousif, May Nafia Yousif","doi":"10.22259/2639-3654.0201002","DOIUrl":"https://doi.org/10.22259/2639-3654.0201002","url":null,"abstract":"We report the case of 55years old lady who presented with acute painful and stiff knee joints diagnosed and followed up radiologically and Sonographically as Calcific LCL which is a rare disorder but it’s important to exclude other more serious pathological disorders by thorough clinical and sonographical or radiological examination.","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68288127","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 : 2019-01-01DOI: 10.22259/2639-3654.0201003
Mabruka A Zletni, N. Rhuma, Awatif M Abushhaiwia
Background: Henoch-Schönlein (HSP) is one of the most common vasculitis in children, it is manifested by skin purpura, arthritis, abdominal pain and renal involvement. Typically HSP is considered as self-limiting, benign condition, although renal involvement (HSP nephritis, HSN)is the principle cause of morbidity in this disease. Aim of the study: To evaluate renal involvement in patient with HSP and to identify factors that are predictive of nephritis based on demographic data, clinical characteristics, and treatment given to those patients and to determine the follow-up time needed for diagnosing HSN patients. Study design: retrospective descriptive analytic study. Patients and methods: medical files of 75 children who diagnosed as HSP from January 2005 to June 2017 and were followed up in rheumatology and nephrology clinics at Tripoli Children Hospital were reviewed. For all patients included in the study, we collect the following data: Age, gender, clinical examination at presentation, laboratory data including complete blood count, C reactive protein, ESR, and complete urinalysis at presentation, also we follow the results of urinalysis for up to one year after presentation. Results: A total of 75 patients with a HSP were enrolled in the study. Of these 40 were boys giving a male to female ratio of 1.14: 1.The mean age of onset was 6.5 ± 1.5 years (range of 2 -12 years), with most cases (93.4%) occurred in those aged less than 10 years old. HSN was the 3rd most common manifestations of HSP in our study preceded by rash in 100% of patients and gastrointestinal manifestations in 65%. HSN occurred in 3075 of cases (40%).The most common HSN manifestations was microscopic hematuria and proteinuria in 10.7% of patients followed by microscopic hematuria in 8% of patients, isolated hypertension in 5.3% of patients. In other 5.3% of patients hypertension was associated with gross hematuria, table2. We evaluated the relationship between HSN and various factors using a univariate analysis as shown in table3, we noticed that there was no significant statistical difference between patients with and without HSN in terms of sex, gender, presence of severe abdominal pain and arthritis. 93.3% of patients with HSNmanifest within 6 weeks of disease onset and only 2 patients developed their renal involvement months later. Figure3. Conclusion: HSN occurred in 40% of patients with HSP with 28 out of 30 who developed HSN(93.3%) developing within the initial 6 weeks of the disease. None of the studied factors were associated with higher risk of HSN by univariate statistical analysis.
{"title":"Henoch-Schonlein Purpura Nephritis in Libyan Children; Single Center Experience","authors":"Mabruka A Zletni, N. Rhuma, Awatif M Abushhaiwia","doi":"10.22259/2639-3654.0201003","DOIUrl":"https://doi.org/10.22259/2639-3654.0201003","url":null,"abstract":"Background: Henoch-Schönlein (HSP) is one of the most common vasculitis in children, it is manifested by skin purpura, arthritis, abdominal pain and renal involvement. Typically HSP is considered as self-limiting, benign condition, although renal involvement (HSP nephritis, HSN)is the principle cause of morbidity in this disease. Aim of the study: To evaluate renal involvement in patient with HSP and to identify factors that are predictive of nephritis based on demographic data, clinical characteristics, and treatment given to those patients and to determine the follow-up time needed for diagnosing HSN patients. Study design: retrospective descriptive analytic study. Patients and methods: medical files of 75 children who diagnosed as HSP from January 2005 to June 2017 and were followed up in rheumatology and nephrology clinics at Tripoli Children Hospital were reviewed. For all patients included in the study, we collect the following data: Age, gender, clinical examination at presentation, laboratory data including complete blood count, C reactive protein, ESR, and complete urinalysis at presentation, also we follow the results of urinalysis for up to one year after presentation. Results: A total of 75 patients with a HSP were enrolled in the study. Of these 40 were boys giving a male to female ratio of 1.14: 1.The mean age of onset was 6.5 ± 1.5 years (range of 2 -12 years), with most cases (93.4%) occurred in those aged less than 10 years old. HSN was the 3rd most common manifestations of HSP in our study preceded by rash in 100% of patients and gastrointestinal manifestations in 65%. HSN occurred in 3075 of cases (40%).The most common HSN manifestations was microscopic hematuria and proteinuria in 10.7% of patients followed by microscopic hematuria in 8% of patients, isolated hypertension in 5.3% of patients. In other 5.3% of patients hypertension was associated with gross hematuria, table2. We evaluated the relationship between HSN and various factors using a univariate analysis as shown in table3, we noticed that there was no significant statistical difference between patients with and without HSN in terms of sex, gender, presence of severe abdominal pain and arthritis. 93.3% of patients with HSNmanifest within 6 weeks of disease onset and only 2 patients developed their renal involvement months later. Figure3. Conclusion: HSN occurred in 40% of patients with HSP with 28 out of 30 who developed HSN(93.3%) developing within the initial 6 weeks of the disease. None of the studied factors were associated with higher risk of HSN by univariate statistical analysis.","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68288177","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 : 2019-01-01DOI: 10.22259/2639-3654.0202001
B. Saberi
{"title":"Surgical Anatomical Notes Related to the First and Second Cervical Vertebrae","authors":"B. Saberi","doi":"10.22259/2639-3654.0202001","DOIUrl":"https://doi.org/10.22259/2639-3654.0202001","url":null,"abstract":"","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68288631","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 : 2019-01-01DOI: 10.22259/2639-3654.0202003
Varsha Narayanan, R. Gandhi
{"title":"Understanding Collagen Supplements in Arthritis - Immunomodulation with Undenatured Collagen II Versus Cartilage Building with Hydrolysed Collagen II","authors":"Varsha Narayanan, R. Gandhi","doi":"10.22259/2639-3654.0202003","DOIUrl":"https://doi.org/10.22259/2639-3654.0202003","url":null,"abstract":"","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68288653","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 : 2019-01-01DOI: 10.22259/2639-3654.0202002
B. Saberi
FBSS is een chronisch pijnsyndroom met een breed scala aan klachten. Veel patiënten zitten thuis en kampen met langdurig ziekteverzuim. Mede hierdoor kunnen ook psychologische problemen zoals stemmingsstoornissen ontstaan. Deze kunnen zich uiten in angst, depressie en overmatig vermijdingsdrang. Veel mensen met FBSS voelen zich gestigmatiseerd en proberen er alles aan te doen om uit die vicieuze cirkel te komen. Ze blijven doorgaans zoeken naar een medische oplossing voor hun probleem en zijn zelfs bereid nog een operatie te ondergaan.
{"title":"Failed Back Surgery Syndrome (FBSS)","authors":"B. Saberi","doi":"10.22259/2639-3654.0202002","DOIUrl":"https://doi.org/10.22259/2639-3654.0202002","url":null,"abstract":"FBSS is een chronisch pijnsyndroom met een breed scala aan klachten. Veel patiënten zitten thuis en kampen met langdurig ziekteverzuim. Mede hierdoor kunnen ook psychologische problemen zoals stemmingsstoornissen ontstaan. Deze kunnen zich uiten in angst, depressie en overmatig vermijdingsdrang. Veel mensen met FBSS voelen zich gestigmatiseerd en proberen er alles aan te doen om uit die vicieuze cirkel te komen. Ze blijven doorgaans zoeken naar een medische oplossing voor hun probleem en zijn zelfs bereid nog een operatie te ondergaan.","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68288645","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 : 2018-01-01DOI: 10.22259/2639-3654.0101003
Bouomrani S, Regaïeg N, Ben Hamad M, Lassoued N, Belgacem N, Trabels i S, Baïli H
Introduction: Rhizomelic pseudo-polyarthritis or polymyalgia rheumatica (PMR) is a common chronic inflammatory rheumatism in the elderly. Its etiologies are by far dominated by giant cell arteritis and cancers. Other exceptional etiologies can be seen, and present a real diagnostic challenge for clinicians. We report an unusual case of PMR caused by primary hypothyroidism. Case Report: A 68-year-old patient, with no notable pathological history, was hospitalized for exploration of a PMR non-responding to corticosteroids prescribed by the family doctor. The somatic examination was without abnormalities. Extensive investigations have eliminated possible associated giant cell arteritis, connective tissue diseases, necrotizing vasculitis, infections, osteomalacia, cancer, andhaematological malignancies. Thyroid assessment revealed primary hypothyroidism with fT4 at 4.24 Pmol/l and TSH at 54.16 μmol/ml. Under thyroxine, the evolution was favorable with disappearance of any rhizomelic symptomatology. Conclusion: This observation reports an exceptional and often overlooked etiology of PMR, which is easy to find and treat. Its knowledge by clinicians makes it possible, in certain cases, to avoid several invasive explorations as well as an unjustified corticosteroid treatment that is not devoid of side effects, sometimes severe in frail elderly subjects.
{"title":"An Unexpected Etiology of Rhizomelic Pseudo-Polyarthritis (Polymyalgia Rheumatica) in the Elderly","authors":"Bouomrani S, Regaïeg N, Ben Hamad M, Lassoued N, Belgacem N, Trabels i S, Baïli H","doi":"10.22259/2639-3654.0101003","DOIUrl":"https://doi.org/10.22259/2639-3654.0101003","url":null,"abstract":"Introduction: Rhizomelic pseudo-polyarthritis or polymyalgia rheumatica (PMR) is a common chronic inflammatory rheumatism in the elderly. Its etiologies are by far dominated by giant cell arteritis and cancers. Other exceptional etiologies can be seen, and present a real diagnostic challenge for clinicians. We report an unusual case of PMR caused by primary hypothyroidism. Case Report: A 68-year-old patient, with no notable pathological history, was hospitalized for exploration of a PMR non-responding to corticosteroids prescribed by the family doctor. The somatic examination was without abnormalities. Extensive investigations have eliminated possible associated giant cell arteritis, connective tissue diseases, necrotizing vasculitis, infections, osteomalacia, cancer, andhaematological malignancies. Thyroid assessment revealed primary hypothyroidism with fT4 at 4.24 Pmol/l and TSH at 54.16 μmol/ml. Under thyroxine, the evolution was favorable with disappearance of any rhizomelic symptomatology. Conclusion: This observation reports an exceptional and often overlooked etiology of PMR, which is easy to find and treat. Its knowledge by clinicians makes it possible, in certain cases, to avoid several invasive explorations as well as an unjustified corticosteroid treatment that is not devoid of side effects, sometimes severe in frail elderly subjects.","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68287782","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 : 2018-01-01DOI: 10.22259/2639-3654.0101004
Muhammad Ali, Imran S. Yousaf, Z. Hafeez
{"title":"Parosteal Lipoma of the Forearm: A Case Report","authors":"Muhammad Ali, Imran S. Yousaf, Z. Hafeez","doi":"10.22259/2639-3654.0101004","DOIUrl":"https://doi.org/10.22259/2639-3654.0101004","url":null,"abstract":"","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68287825","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 : 2018-01-01DOI: 10.22259/2639-3654.0102005
Hani A. Abduljawad, M. Elzohairy, Yousef M. Kherah, Khalid M. Hasan
{"title":"The Outcomes of Open Reduction and Internal Fixation of Clavicular Fracture","authors":"Hani A. Abduljawad, M. Elzohairy, Yousef M. Kherah, Khalid M. Hasan","doi":"10.22259/2639-3654.0102005","DOIUrl":"https://doi.org/10.22259/2639-3654.0102005","url":null,"abstract":"","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68288071","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 : 2018-01-01DOI: 10.22259/2639-3654.0102004
S. Bouomrani, M. Nefoussi
{"title":"Ewing's Sarcoma of the Foot with Multiple Synchronous Lung Metastases","authors":"S. Bouomrani, M. Nefoussi","doi":"10.22259/2639-3654.0102004","DOIUrl":"https://doi.org/10.22259/2639-3654.0102004","url":null,"abstract":"","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68288068","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 : 2018-01-01DOI: 10.22259/2639-3654.0101002
Jorge de las Heras Romero, Ana Maria Lledo Alvarez
Hallux Valgus (HV) is a condition with high prevalence in the general population that can cause important consequences in terms of pain and limitation in activities of daily living. Besides, HV surgery is a frequent surgical procedure that impose significant surgical and medical costs including implants, hospital expenses, used drugs and period of sick leave, in addition to the increased overall costs that could involve its poor management. The management of this pathology is barely unified in the current literature whilst there are many and varied surgical techniques (more than 100 described), the indications of which overlaps in many cases, leaving unclear as to what is the best approach to the treatment of this problem globally. In addition, there is no level 1 evidence available to prove which is the best option for each particular patient. It is therefore necessary to create standard format to be adopted in each clinical scenario and set out the standards to guide that process. This article aims to propose a clinical practice guideline that covers all types of HV in the population as a whole and that can be used systematically in each case. A flow chart is detailed with the preference of the surgical technique on a case-by-case basis and a clinical pathway is drawn on the management of this condition including all professionals involved from the first assessment to the final discharge.
{"title":"Clinical Practice Guideline on the Diagnosis and Treatment of Hallux Valgus","authors":"Jorge de las Heras Romero, Ana Maria Lledo Alvarez","doi":"10.22259/2639-3654.0101002","DOIUrl":"https://doi.org/10.22259/2639-3654.0101002","url":null,"abstract":"Hallux Valgus (HV) is a condition with high prevalence in the general population that can cause important consequences in terms of pain and limitation in activities of daily living. Besides, HV surgery is a frequent surgical procedure that impose significant surgical and medical costs including implants, hospital expenses, used drugs and period of sick leave, in addition to the increased overall costs that could involve its poor management. The management of this pathology is barely unified in the current literature whilst there are many and varied surgical techniques (more than 100 described), the indications of which overlaps in many cases, leaving unclear as to what is the best approach to the treatment of this problem globally. In addition, there is no level 1 evidence available to prove which is the best option for each particular patient. It is therefore necessary to create standard format to be adopted in each clinical scenario and set out the standards to guide that process. This article aims to propose a clinical practice guideline that covers all types of HV in the population as a whole and that can be used systematically in each case. A flow chart is detailed with the preference of the surgical technique on a case-by-case basis and a clinical pathway is drawn on the management of this condition including all professionals involved from the first assessment to the final discharge.","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68287774","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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