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Archives of Bone and Joint Surgery

Ali Birjandinejad, Mohammad-Hossein Taraz-Jamshidi, Sayyed Hadi Sayyed Hosseinian
Progressive osseous heteroplasia is a rare inherited disease that begins with skin ossification and proceeds into the deeper connective tissues. The disease should be distinguished from other genetic disorders of heterotopic ossification including fibrodysplasia ossificans progressiva (FOP) and Albright hereditary osteodystrophy (AHO). We report a case of progressive osseous heteroplasia in a twenty four years old male with a complaint of ankylosis of the entire upper left limb and digital cutaneous lesions and sparing of the other limbs and the axial skeleton...
June 2016: Archives of Bone and Joint Surgery
Zinon T Kokkalis, Konstantinos E Tolis, Panayiotis D Megaloikonomos, Georgios N Panagopoulos, Vasilios G Igoumenou, Andreas F Mavrogenis
Anatomical vascular variations are rare causes of carpal tunnel syndrome. An aberrant medial artery is the most common vascular variation, while an aberrant radial artery causing carpal tunnel syndrome is even more rare, with an incidence ranging less than 3%. This article reports a patient with compression of the median nerve at the carpal tunnel by an aberrant superficial branch of the radial artery. An 80- year- old man presented with a 5-year history of right hand carpal tunnel syndrome; Tinel sign, Phalen test and neurophysiological studies were positive...
June 2016: Archives of Bone and Joint Surgery
Senthil Nathan Sambandam, Ganeshkumar Jayasree Rohinikumar, Arif Gul, Varatharaj Mounasamy
Abscess formation following intramuscular injections is rare and they are most commonly seen in immunocompromised individuals. In this case series we present a cohort of three patients presented to us in a critically ill condition with an abscess due to intramuscular injection. Vancomycin resistant staphylococcus aureus was isolated from all three patients. These patients posed a major challenge to the healthcare system and the treating physician because of the: severity of illness, virulence and resistance of the organism, rarity of the situation, immune state of the patient, and lack of supporting evidence to properly guide management in the use of health resources...
June 2016: Archives of Bone and Joint Surgery
Olga D Savvidou, Andreas F Mavrogenis, Vasilios I Sakellariou, George D Chloros, Thomas Sarlikiotis, Panayiotis J Papagelopoulos
Two rare cases of extra-articular diffuse variant giant cell tumor of the tendon sheath are presented, at the elbow of a 68-year-old female and the foot of a 56-year-old male. Both patients presented with a palpable masses and marginal excision was performed; histological sections confirmed the diagnosis of extra-articular giant cell tumor. No adjuvant therapy was administered. At the latest follow-up, minimum 24 months after excision both patients were disease-free.
June 2016: Archives of Bone and Joint Surgery
Shishir Suranigi, Kanagasabai Rengasamy, Syed Najimudeen, James Gnanadoss
Osteochondroma or exostosis is the most common benign bone tumor, and occurring frequently in the proximal humerus, tibia, and distal femur. It rarely affects talus. Osteochondroma of talus is a very rare etiology of tarsal tunnel syndrome (TTS). We report a rare case of extensive osteochondroma of the talus in a 60 year old female presenting with multiple swellings around the ankle and symptoms suggestive of tarsal tunnel syndrome. En-block excision of the multiple masses was done. Histopathological examination confirmed the diagnosis of osteochondroma...
June 2016: Archives of Bone and Joint Surgery
Hiren Patel, Atul F Kamath
Subchondral insufficiency fracture of the femoral head (SIFFH) is characterized by acute onset hip pain without overt trauma. It appears as a low intensity band with bone marrow edema on T1-weighted MRI. The most common course of treatment is protected weight bearing for a period of several weeks. Total hip arthroplasty (THA) has been commonly used if the patient does not respond to the initial protected weight bearing treatment. We present a case of a 48-year-old male with SIFFH who was treated with core hip decompression and bone void filler as a hip-preserving alternative to THA...
June 2016: Archives of Bone and Joint Surgery
Karim Z Masrouha, Youssef El-Bitar, Marc Najjar, Said Saghieh
The management of soft tissue defects in tibial fractures is essential for limb preservation. Current techniques are not without complications and may lead to poor functional outcomes. A salvage method is described using three illustrative cases whereby a combination of flaps and antibiotic-impregnated polymethylmethacrylate beads are employed to fill the bony defect, fight the infection, and provide a surface for epithelial regeneration and secondary wound closure. This was performed after the partial failure of all other options...
June 2016: Archives of Bone and Joint Surgery
Mohammadreza Emamhadi, Shahrokh Yousefzadeh Chabok, Fariborz Samini, Babak Alijani, Hamid Behzadnia, Fariborz Ayati Firozabadi, Zoheir Reihanian
BACKGROUND: Variations of the brachial plexus are common and a better awareness of the variations is of crucial importance to achieve successful results in its surgical procedures. The aim of the present study was to evaluate the anatomical variations of the brachial plexus in adult cadavers. METHODS: Bilateral upper limbs of 32 fresh cadavers (21 males and 11 females) consecutively referred to Guilan legal medicine organization from November 2011 to September 2014, were dissected and the trunks, cords and terminal nerves were evaluated...
June 2016: Archives of Bone and Joint Surgery
Seyyed Morteza Kazemi, Mohamad Qoreishy, Ali Keipourfard, Mohammadreza Minator Sajjadi, Shahram Shokraneh
BACKGROUND: Some studies have previously shown that geometry of proximal femur can affect the probability of fracture and type of fracture. It happens since the geometry of the proximal femur determines how a force is applied to its different parts. In this study, we have compared proximal femur's geometric characteristics in femoral neck (FNF), intertrochanteric (ITF) and Subtrochanteric (STF) fractures. METHODS: In this study, 60 patients who had hip fractures were studied as case studies...
June 2016: Archives of Bone and Joint Surgery
Farshid Bagheri, Mohammad H Ebrahimzadeh, Ali Moradi, Hamid Farahpour Bidgoli
BACKGROUND: Frozen shoulder is resulting in limb disability and reduction of quality of life but the factors associated with patients' disability and quality of life is not clear. To assess pain, disability, the quality of life and factors associated with them in patients suffering from frozen shoulder. METHODS: We enrolled 120 patients (37 men and 83 women) with phase-II idiopathic frozen shoulder in our cross-sectional study. Demographic data were collected and shoulder range of motion was measured in four different directions (elevation, abduction, external and internal rotation) in both upper limbs...
June 2016: Archives of Bone and Joint Surgery
Mohammad Gharedaghi, Mohammad Taghi Peivandi, Mehdi Mazloomi, Hasan Rahimi Shoorin, Mohammad Hasani, Parham Seyf, Fatemeh Khazaee
BACKGROUND: Massive bone allograft is an option in cases of limb preservation and reconstruction after massive benign and malignant bone tumor resection. The purpose of this study was to analyze the outcome of these procedures at Imam Reza Hospital, Mashhad University of Medical Sciences. METHODS: In this study, 113 cases have been presented. Eleven cases were excluded (patients has a traumatic defect or they passed away before the completion of the study's two-year follow up period)...
June 2016: Archives of Bone and Joint Surgery
Amirali Sayadipour, Chrisopher K Kepler, Rajnish Mago, Kenneth M Certa, Mohammad R Rasouli, Alexander R Vaccaro, Todd J Albert, David G Anderson
BACKGROUND: It has been suggested, although not proven, that presence of concomitant psychiatric disorders may increase the inpatient costs for patients undergoing elective surgery. This study was designed to test the hypothesis that elective lumbar fusion surgery is more costly in patients with under treatment for depression. METHODS: This is a retrospective case-control study of 142 patients who underwent elective lumbar fusion. Of those 142 patients, 41 patients were chronically using an antidepressant medication that considered as a "study group", and 101 patients were not taking an antidepressant medication that considered as a "control group"...
June 2016: Archives of Bone and Joint Surgery
Dirk P Ter Meulen, Sjoerd P F T Nota, Michiel G J S Hageman, David C Ring
BACKGROUND: This study addresses the null hypothesis that there is no expansion of heterotopic ossification (HO) in the elbow beyond what can be seen early on. METHODS: The area of HO was measured on lateral radiographs of 38 consecutive patients that had operative treatment of HO between 2000 and 2013. Measurements from radiographs obtained between 3 to 7 weeks were compared to measurements from radiographs made 3 months or more after injury. RESULTS: There was no significant difference between the average area of HO on the first (median 2...
June 2016: Archives of Bone and Joint Surgery
Hossein Saremi, Elham Hakhamaneshi, Mohamad Ali Seif Rabiei
BACKGROUND: To evaluate safety and efficacy of percutaneous release of trigger finger in multiple digits involvement in comparison with single digit involvement. METHOD: A number of 100 patients (131 fingers) were treated by percutaneous release and divided into two groups: single digit (group A) and multiple digits (group B). They were followed up for one year. Success rate, pain, complications and duration of analgesic use were studied and then compared in both groups...
June 2016: Archives of Bone and Joint Surgery
Saroj K Golay, Philippa Rust, David Ring
BACKGROUND: To determine the prevalence of incidental Kienböck disease. METHODS: A retrospective analysis of 150,912 radiological reports or images obtained over a five year period was performed of 76,174 patients who underwent a radiograph or computed tomography scan which included the wrist, in Edinburgh and Lothian, UK. RESULTS: There were 5 cases of incidental Kienböck disease and 13 cases of symptomatic Kienböck disease. There were no significant differences in age, sex, ethnicity, comorbidities, smoking status, excess alcohol use or Lichtman stage between the incidental and symptomatic Kienböck groups...
June 2016: Archives of Bone and Joint Surgery
Joost T P Kortlever, Stein J Janssen, Jeroen Molleman, Michiel G J S Hageman, David Ring
BACKGROUND: Nonspecific symptoms are common in all areas of medicine. Patients and caregivers can be frustrated when an illness cannot be reduced to a discrete pathophysiological process that corresponds with the symptoms. We therefore asked the following questions: 1) Which demographic factors and psychological comorbidities are associated with change from an initial diagnosis of nonspecific arm pain to eventual identification of discrete pathophysiology that corresponds with symptoms? 2) What is the percentage of patients eventually diagnosed with discrete pathophysiology, what are those pathologies, and do they account for the symptoms? METHODS: We evaluated 634 patients with an isolated diagnosis of nonspecific upper extremity pain to see if discrete pathophysiology was diagnosed on subsequent visits to the same hand surgeon, a different hand surgeon, or any physician within our health system for the same pain...
June 2016: Archives of Bone and Joint Surgery
Soheil Sabzevari, Adel Ebrahimpour, Mostafa Khalilipour Roudi, Amir R Kachooei
High tibia osteotomy is a common procedure in orthopedic surgery. A precise overview on indications, patients selection, pre-operative planning, surgical technique, methods of fixation, and complications have been presented. This paper focused on the points that should be considered to achieve good long-term outcomes.
June 2016: Archives of Bone and Joint Surgery
Taghi Baghdadi, Reza Abdi, Ramin Zargar Bashi, Hossein Aslani
BACKGROUND: Children with myelomeningocele (MMC) develop a wide variety of hip deformities such as muscle imbalance, contracture, subluxation, and dislocation. Various methods and indications have been introduced for treatment of muscle imbalances and other hip problems in patients with MMC but there is no study or meta-analysis to compare the results and complications. This review aims to find the most acceptable approach to hip problems in patients with MMC. METHODS: MEDLINE was searched up to April 2015...
June 2016: Archives of Bone and Joint Surgery
Hamidreza Aslani, Seyed Taghi Nourbakhsh, Farivar A Lahiji, Keykavoos Heydarian, Mahmood Jabalameli, Mohammad Taghi Ghazavi, Mohammad Naghi Tahmasebi, Mahmoud Reza Fayyaz, Mohammad Ali Sazegari, Maziar Mohaddes, Mojtaba Rajabpour, Mohammad Emami, Seyyed Mohammad Jazayeri, Firooz Madadi, Hossein Farahini, Fardin Mirzatoloee, Mohammad Gharahdaghi, Mohammad Hossein Ebrahimzadeh, Mohammadreza Ebrahimian, Hossein Mirvakili, Kaveh Bashti, Mohtasham Almasizadeh, Mansour Abolghasemian, Afshin Taheriazam, Mehdi Motififard, Hamidreza Yazdi, Mahmood Karimi Mobarakeh, Masoud Shayestehazar, Mehdi Moghtadae, Babak Siavashi, Mohammadreza M Sajjadi, Alireza Manafi Rasi, Seyyed Kazem Chabok, Zohreh Zafarani, Shahin Salehi, Monireh Ahmadi, Amin Mohammadi, Mohammad Ebrahim Shahsavand
Periodic evaluation and monitoring the health and economic outcome of joint replacement surgery is a common and popular process under the territory of joint registries in many countries. In this article we introduce the methodology used for the foundation of the National Iranian Joint Registry (IJR) with a joint collaboration of the Social Security Organization (SSO) and academic research departments considering the requirements of the Iran's Ministry of Health and Education.
April 2016: Archives of Bone and Joint Surgery
Babak Mirzashahi, Abbas Tafakhori, Arvin Najafi, Mahmoud Farzan
Even though intervertebral disc degeneration can be found in the natural course of alkaptonuria, detection of the disease by black disc color change in a patient without any other presentation of alkaptonuria is an exceptionally rare condition. We have reported a very rare case of alkaptonuria presented with low back pain and steppage gait in a 51-year-old male with a complaint of chronic low-back pain and steppage gait who was operated on for prolapsed lumbar disc herniation. Intraoperatively his lumbar disk was discovered to be black...
April 2016: Archives of Bone and Joint Surgery
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