Juniper Publishers Journal of Orthopedics and Rheumatology

Orthopedics and Rheumatology - Juniper Publishers Abstract Mycobacterium kansasii , like other non tuberculosis mycobacterial (NTM), is rare opportunistic infection that can lead to septic arthritis in immune suppressed patients. We report the case of a 56‐year‐old His panic female with systemic lupusery the matosus (SLE) and scleroderma on long‐term immune suppression, who developed an M.kansasii septic arthritis of the left knee in the setting of chronic lupus arthritis. Total knee arthroplasty (TKA) was delayed as the infection progressed into osteomyelitis of the distal left femur with an associated chronic, draining wound in the popliteal fosse. There are no reports in the literature documenting the treatment of this manifestation of M.kansasii in a patient with SLE, prior to TKA. Diagnosis requires a high index of suspicion, and was accomplished with synovial fluid culture and tissue biopsy. Treatment was accomplished with staged debridement and anti‐mycobacte...

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 Orthopedics and Rheumatology - Juniper Publishers Introduction Traumatic sprain injury to the cervical spine is often much more serious than many clinicians suspect. Some patients may recover uneventfully from a spinal ligament sprain injury, but a significant number will have pain which may last indefinitely. This depends upon the Grade (degree of seriousness) of the spinal sprain that is present [1,2]. The risk of developing chronic pain will be increased if a clinician is unable to find a physical cause of pain in these patients. X-ray, CT, and MRI scan imaging techniques may not be able to show the real source of pain from injury, leading to a non-specific diagnosis and incomplete and or improper clinical treatment of the more serious grades of injury [2]. Capsular ligaments are the main stabilizer of the facet joints (Zygapophyseal joints) and have been implicated as a major source of chronic neck pain [3]. When injured they become elongated and exhibit laxity,...

Orthopedics and Rheumatology - Juniper Publishers Abstract Introduction: Several methods are used in the treatment of intra-articular proximal interphalangeal joint fractures. The purpose of this study was to evaluate the effectiveness of a simple handmade dynamic external fixator for unstable fracture-dislocations and pilon injuries of the PIP joint in an active-duty population and to investigate whether or not these patients had adequate finger movement. Materials and Methods: Eleven consecutive patients were treated with a simple dynamic external fixator between 2008 and 2014. The analysis of the results was based on the clinical, radiological, and subjective criteria judging Range of Motion of the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints, total active motion of the injured finger, and deformity. Results: The cases included 3 females and 8 males with a mean age of 34 years (range of 19-54 years). The mean follow-up...

Orthopedics and Rheumatology - Juniper Publishers Abstract The abductors of the hip notably the gluteus medius and gluteus minimus are paramount to hip stability and function, so much so they have been aptly termed the rotator cuff of the hip [1,2]. Tendinopathy of these structures is classified among a group of other diseases that also present as lateral sided hip pain called greater trochanteric pain syndrome (GTPS); this also encompasses snapping hip and trochanteric bursitis. Historically, patients with lateral sided hip pain have been presumed to have trochanteric bursitis and treated with anti inflammatory medications, physical therapy and corticosteroid injections [3]. Failure of conservative therapy, in many cases, can be attributable to tears in the abductors sometimes necessitating surgical intervention. Both arthroscopic and open repairs of the abductors have been shown to be effective treatments if conservative measures fail [1-4]. ...

  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-...