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Showing posts from June, 2021

Juniper Publishers - Outcome of Endoscopic Calcaneoplasty in Insertional Achilles Tendinopathy with Retrocalcaneal Bursitis. A New Prospective Study

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  Orthopedics and Rheumatology Open Access Journal Abstract Introduction: The aim of this study in to analyze the outcome of Endoscopic Calcaneoplasty Technique for the treatment of Insertional Achilles Tendinopathy with Retrocalcaneal Bursitis. Methods: This prospective study consists of 6 patients (3 men, 3 women) with mean age of 44.3 years who were operated by a single surgeon from March to November 2014. The bone cutter shaver was used to remove sufficient amount of inflamed retrocalcaneal bursa and superior part of calcaneum under fluoroscopy guidance. All patients were discharged on the following day and allowed weight bearing as tolerated. American Orthopedic Foot and Ankle Society (AOFAS) score, SF-36 health survey score and Ogilvie-Harris score were documented at 3rd and 6th months follow up. Results: All patients were followed up for at least 6 months. AOFAS scores showed significant improvement at 3rd and 6th months with p value of 0.028. SF-36 s

Juniper Publishers - Wartenberg’s Syndrome: an Unusual Bilateral Case.

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  Orthopedics and Rheumatology Open Access Journal Abstract Wartenberg’s Syndrome is described as the entrapment of the superficial branch of the radial nerve, with only sensory manifestations and no motor deficits. Wartenberg’s syndrome may be associated with the symptoms of de Quervain’s tenosynovitis. A positive Tinel’s sign over the course of the nerve is the most common physical examination finding. For the surgical management there is evidence in the literature documenting the good result reported by simple neurolysis of the nerve and removing anatomical variations of the muscle brachioradialis. In this article we report an unusual bilateral case of this rare peripheral nerve compression. Introduction In 1932 Wartenberg as first author describe a compression of the radial sensory nerve in the third distally of the forearm, reporting five monolateral cases. He was so impressed by the simila

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 interl

Juniper Publishers - Repair and Rehabilitation of Zone Five Tendon Injuries of the Wrist

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  Orthopedics and Rheumatology Open Access Journal Abstract Background: Volar cut wrist injuries represent a challenge for most hand surgeons as the anatomical complexity of the hand mirrors its functional efficiency. A specialized management approach is often necessary to treat such injuries which are variables and multidisciplinary team can decrease the morbidity rate. Purpose: To evaluate the clinical outcome of early repair and rehabilitation of zone 5 tendon injuries of the wrist and return to work after trauma. Patients and Methods: This study included thirteen patients with volar cut wrist injuries. Ten patients were males and three patients were females. the age ranged from 18 to 46 years (average 30 years). All injuries were single sharp cut wound in flexor zone five. Injury was accidental in all patients without skeletal involvement. Neurovascular examinations were done, the sensory and motor components of the nerve tested clinically while assessmen