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Showing posts with the label Clinical Rheumatology

Surgical Management of Delayed Presentation of Osteochondral Knee Injuries in Adolescents - Case Series and Literature Review

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  Orthopedics and Rheumatology - Juniper Publishers                                                 Abstract Objective: Osteochondral fractures (OCF) are injuries to the articular surface of a joint containing both cartilaginous and bone components. Various methods have been reported for the treatment of these fractures in the acute setting. There is limited data on delayed fixation. We report two cases of delayed presentation and primary fixation of OCF with bioabsorbable osteochondral dart. Cases:  The first case was of a sixteen-year old boy with a twisting knee injury resulting in a displaced 22 mm OCF on the medial facet of the patella, identified on Magnetic Resonance Imaging (MRI). The second case was of a fifteen-year old boy who presented five months following a soccer injury with persistent left knee swelling and pain. MRI identified a displaced 22....

Segmental Fracture of Both Bones with Ipsilateral Condyle of Tibia Fracture - A Case Report

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  Orthopedics and Rheumatology - Juniper Publishers                                                 Abstract Segmental fracture both bone associated with lateral condyle fracture on the same side is very rare. Segmental tibia fracture is defined by the presence of two distinct fracture lines separating the cortical and completely isolating an intermediary segment of the tibia. Segmental tibia fractures are uncommon injuries that occur in about 12.8% of tibial fractures. Most are caused by high-energy trauma. It is estimated that almost more than half of these fractures are open fractures. They are often part of multiple injuries. It often is a challenge to manage such cases as they have a significant complication rate. As such there are very few article on the management of segmental tibia fractures. There has been a significant change in the management of these i...

Adjacent Segment Disease after Anterior Cervical Inter body Fusion using Conventional Plate versus Zero-Profile Implant - A Preliminary Report

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  Orthopedics and Rheumatology - Juniper Publishers                                                    Abstract Background:  Anterior cervical discectomy and interbody fusion is a common surgical method used for treatment of single or 2 level cervical lesion. Recently, zero-profile implant, which lessened irritation of adjacent structures by preventing the contact with them, was design for anterior cervical fusion, and was assumed that it would reduce the occurrence of adjacent segment disease. Thus, authors compared the occurrence of adjacent segment disease after using conventional plate or zero-profile for anterior cervical interbody fusion. Methods:  48 consecutive cases that underwent single-level anterior cervical discectomy and fusion for lesions of cervical spine that did not respond to nonsurgical treatment and were able to follow up f...

Assessment of Knowledge about the BARC Centre and Satisfaction with the Educational Services Available

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  Orthopedics and Rheumatology - Juniper Publishers                                                  Abstract The aim if this proposal is to determine knowledge in the general population about arthritis and immunology disorders ; to ascertain if this has improved in the decade since our Needs Assessment; and the satisfaction with the educational material now available to support communities and arthritis sufferers. Background BARC (Birmingham Arthritis Resource Centre) was set up to provide education and support to people with arthritis and their carers, based on a formal Needs Assessment. BARC aims to promote self-coping to help people to deal with the physical and social disabilities caused by their disease. It is cited in the city centre public library and works alongside the regular medical NHS service provision. Services for Rheumatology have always had ...