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Juniper Publishers - Osteoporosis and Osteopenia in Patients with Osteoarthritis

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  Orthopedics and Rheumatology Open Access Journal    Abstract Both osteoporosis and osteoarthritis are recognized as age related skeletal disorders, but it is commonly held that these diagnoses do not often occur together in the same patient. Recent studies of bone mineral density scores in subjects with osteoarthritis indicate that osteoporosis occurs worldwide in 21-32% of patients with advanced osteoarthritis. Advanced age and low body-mass-index are major discriminating factors for osteoporosis in osteoarthritis. Because of clinical implications of osteoporosis in patients being managed for osteoarthritis, it is important to identify and refer for osteoporosis evaluation those patients at risk. Osteoarthritis Osteoarthritis (OA) most frequently involves the hands, knees, hips, and spine; it is diagnosed on the basis of joint pain and radiographic evidence of non-uniform narrowing of a joint space, osteophytes, and sub...
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Juniper Publishers - Fractures of the Proximal Third Tibia Treated With Intramedullary Interlocking Nails and Blocking Screws

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  Orthopedics and Rheumatology Open Access Journal Abstract Background: Internal splint age of proximal metaphyseal tibial fractures has gained acceptance as a method of early stabilization of such injuries. Intramedullary nailing is a challenging procedure .This study tries to evaluate treatment outcomes of closed reduction and intramedullary nailing with the aid of blocking screws to maintain the reduction and stabilize theses injuries. Patients and Method: Thirty patients (23 males and 7 females) with proximal metaphyseal tibial fractures were treated and followed from June 2010 and February 2014 (44 months) with average 19 months. Age ranged between 23 to 55 years (average, 38 years). According to A.O. Classification 13 cases were Type A 2.1, 9 cases were Type A 2.1 (II), and 8 cases were Type A 3.2. Seven cases were open fractures and according to Gustilo Anderson classification 4 cases were Grade (I), 3cases were Grade (II). All cases were treated by in...
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Is a Simple Spinal Sprain From Whiplash Injury Really That Simple? - Juniper Publishers

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Orthopedics and Rheumatology - Juniper Publishers Opinion The answer of course is a resounding NO. I want to educate you on what a spinal sprain is and WHY is it critical that you get under the care of a doctor who understands how to test for, document, and effectively treat the spinal ligament injuries. Unless you think a life or chronic pain, or poor health is ideal for you, a loved one or anyone else that you may know, we really hope you take this to heart. First you need to understand that a spinal sprain is an injury to the ligaments, which are the tough straps that hold the spinal motion units (2 or more vertebra) together. This is what they look like (Figure 1). Each spinal motion unit (two vertebrae working together as a unit) has ten of these ligaments that hold it in alignment while it performs its intricate movement patterns under high pressure or “load”. Understand that running between and through these vertebra are your spinal cord and all of ...
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