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Malaysian Orthopaedic Journal

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https://www.readbyqxmd.com/read/29725520/multiple-scattered-and-small-lesions-of-lower-limbs-idiopathic-calcinosis-cutis-a-case-report
#1
N A Ferdaus-Kamudin, N H Mohamed-Haflah
Calcinosis cutis is a rare presentation and not many cases have been reported especially of idiopathic type. We are reporting a case of idiopathic calcinosis cutis of lower limbs in a 33-year old female who presented to our clinic for multiple painless swellings over her lower limbs for the past six months, without any history of trauma or infection. We have decided to observe her condition on regular follow-up and conservative management.
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725519/lymphatic-filariasis-presenting-as-a-swelling-over-the-upper-arm-a-case-report
#2
G M Sharma, A R Bhardwaj, N R Relwani, S Dubey
Filariasis continues to be one of the endemic problems worldwide with 40% of the cases in India. We report a case of lymphatic filariasis in a 32-year old female who presented with a non-tender swelling over left upper arm. Blood sample showed no eosinophilia while the FNAC was diagnostic of W. bancrofti. Patient responded well with oral diethylcarbamazine. High index of suspicion of filariasis is indicated when dealing with a swelling of unknown cause especially in filariasis endemic areas.
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725518/bilateral-clavicle-fractures-a-case-report
#3
M Y Bajuri, H W Boon
Bilateral clavicle fractures are not frequently seen. To treat these injuries surgically or non-surgically is still a debatable issue. Implant option for surgical management is also in doubt. We would like to share our experience in treating a patient with bilateral clavicle fracture surgically. He had excellent outcomes in terms of function and radiology. Surgical option for bilateral clavicle fractures promises excellent outcome in terms of early rehabilitation and return in function.
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725517/concomitant-traumatic-peroneal-tendon-dislocation-and-medial-malleolus-fracture-a-case-report
#4
A R Vosoughi, M A Erfani
Peroneal tendon dislocation in association with medial malleolus fracture is a very rare traumatic injury to the ankle. A 19-year old male patient was referred after injury sustained in a motorcycle accident with car, with concomitant traumatic peroneal tendon dislocation and medial malleolus fracture. The possible mechanism of this unusual injury could have been sudden external rotation force to the pronated foot in full dorsiflexed position of the ankle. Diagnosis of peroneal tendon subluxation or dislocation should be carefully evaluated in patients with single medial malleolus fracture...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725516/surgical-fixation-of-a-comminuted-inter-trochanteric-fracture-in-a-patient-with-bilateral-below-knee-amputation
#5
B H Lee, S W Ho, C Y Kau
Surgical fixation of hip fractures in patients with below knee amputation is challenging due to the difficulty in obtaining optimal traction for reduction of the fracture. Surgeons may face difficulty in positioning such patients on the traction table due to the absence of the foot and distal lower limb. There are several techniques described to overcome this technical difficulty. In this case report, we present a case of a 64-year old gentleman with bilateral below knee amputation presenting with a comminuted right intertrochanteric fracture...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725515/a-limb-threatening-long-arterial-dissection-caused-by-humerus-neck-fracture-a-case-report
#6
R Kurnaz, M Ikizler, M Ozbayburtlu, T Gunes
Proximal humerus fracture is a common arm trauma and rarely occurs with vascular injury which however is a serious complication. In this case report, we present a long segment dissection of the axillary and brachial arteries as a rare complication due to fragmented proximal humerus fracture and shoulder dislocation. An 80-year old female patient was seen at the emergency department. Radiograph examination has revealed a fragmented proximal humerus fracture besides dislocation of the head of humerus towards the axillary area...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725514/actinomycosis-of-distal-phalanx-twenty-years-after-flap-reconstruction-of-index-finger-a-case-report
#7
N Prashant, A Azuhairy
Actinomycosis is a chronic granulomatous suppurative infection caused by anaerobic bacteria from genus Actinomyces which are normal flora of mouth, colon and vagina. Actinomycosis of upper extremity is rare. We report a case of actinomycosis of the distal phalanx of finger many years after flap reconstruction. The patient presented with two months' history of chronic discharging sinus from the tip of his right index finger, which had sustained a degloving injury 20 years previously. It had been treated with an anterior chest wall flap which had healed uneventfully but was bulky due to excess tissue from the donor site...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725513/acetabulum-protrusion-following-ceramic-liner-fracture-a-case-report
#8
K Aytekin, C Z Esenyel
Hip arthroplasty is an extremely satisfying treatment method for coxarthrosis which is in increasing use throughout the world. However, loosening of the prosthesis is a significant complication and to overcome this, ceramic liners are increasingly being selected. If the survival of ceramic surfaces is prolonged, there is a risk of fracture of the ceramic materials. New ceramic materials developed to overcome this problem are more resistant. The case presented here is of a patient in whom liner fracture developed following ceramic-ceramic hip arthroplasty...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725512/bilateral-proximal-femur-fractures-in-a-patient-with-renal-tubular-acidosis-a-case-report
#9
S S Charl, S Shahrul-Hisham, S Mohamad-Sha
The diagnosis of pathological fractures is on the rise. The morbidity involved does not only burden the patient and their families but it has a great toll on the healthcare system as well. Early identification of the patient at risk is an invaluable tool to cut cost and improve the patient's quality of life. Multiple renal pathologies have been highlighted in relation to the risk of pathological fractures; however, complications in renal tubular acidosis have been rarely documented. Nevertheless, prompt action with adequate and relevant patient education ultimately can reduce the associated morbidity...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725511/outcome-of-primary-cemented-bipolar-hemiarthroplasty-compared-with-dynamic-hip-screw-in-elderly-patients-with-unstable-intertrochanteric-fracture
#10
Y N Gashi, A S Elhadi, I M Elbushra
Introduction: Although the treatment of choice for unstable intertrochanteric fractures in elderly patients has been internal fixation for a long time, several studies have shown mechanical and technical failures. Primary cemented bipolar (PCB) hemiarthroplasty has been proposed as an alternative with some advantages concerning earlier mobilization and minimal postoperative complications. Materials and Methods: This is a prospective cohort hospital-based study conducted at three tertiary hospitals over a period of two years...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725510/role-of-serum-osteoprotegerin-as-a-diagnostic-indicator-of-primary-osteoporosis-in-perimenopausal-and-postmenopausal-women-an-indian-perspective
#11
A Pandey, Y A Khan, S S Kushwaha, F Mohammed, A Verma
Introduction: Osteoporosis (OP) is a major health problem in the older population. The aim of the study was to assess the role of serum osteoprotegerin (OPG) as a diagnostic indicator of primary osteoporosis in peri- and post-menopausal women in an Indian population. Materials and Methods: After ethical approval, 90 cases (45 cases and 45 controls) of peri- and post-menopausal females above 40 years of age presenting to our outpatient department were included in the study. It was a case controlled study conducted between July 2014 to July 2015...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725509/can-the-pirani-score-predict-the-number-of-casts-and-the-need-for-tenotomy-in-the-management-of-clubfoot-by-the-ponseti-method
#12
A Sharma, S Shukla, B Kiran, S Michail, M Agashe
Introduction: We assessed the role of the Pirani score in determining the number of casts and its ability to suggest requirement for tenotomy in the management of clubfoot by the Ponseti method. Materials and Methods: Prospective analysis of 66 (110 feet) cases of idiopathic clubfoot up to one year of age was done. Exclusion criteria included children more than one year of age at the start of treatment, non-idiopathic cases and previously treated or operated cases. Results: The initial Pirani score was (5.5±0...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725508/the-relationship-amongst-intervertebral-disc-vertical-diameter-lateral-foramen-diameter-and-nerve-root-impingement-in-lumbar-vertebra
#13
M I Yusof, M N Hassan, M S Abdullah
Introduction: The vertical diameter of the foramen is dependent upon the vertical diameter of the corresponding intervertebral disc. A decrease in disc vertical diameter has direct anatomic consequences to the foraminal diameter and area available for the nerve root passing through it. This study is to establish the relationship amongst the intervertebral disc vertical diameter, lateral foramen diameters and nerve root compression in the lumbar vertebra. Materials and Methods: Measurements of the study parameters were performed using sagittal MRI images...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725507/precontoured-clavicular-locking-plate-with-broad-lateral-end-a-newly-designed-plate-for-lateral-third-clavicle-fractures
#14
K C Kapil-Mani, P Acharya, S Arun
Introduction: Various treatment modalities are available but no consensus has been reached for optimal treatment of lateral third clavicle fractures. Precontoured locking plates with broad lateral end for multiple screws fixation is a newly designed plate for lateral third clavicle fractures. The objective of our study was to analyse the functional outcomes as well as complications of this technique in a significant number of cases with long follow-up duration. Materials and Methods: Forty-six patients with distal third clavicle fractures were treated by precontoured clavicular locking plate with broad lateral end...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725506/comparison-of-adductor-canal-block-versus-local-infiltration-analgesia-on-postoperative-pain-and-functional-outcome-after-total-knee-arthroplasty-a-randomized-controlled-trial
#15
W Kampitak, A Tanavalee, S Ngarmukos, C Amarase, B Songthamwat, A Boonshua
Introduction: Total knee arthroplasty (TKA) is associated with intense postoperative pain for which effective analgesia is essential to facilitate early postoperative recovery. Adductor canal block (ACB) and local infiltration analgesia (LIA) have become increasingly involved in postoperative pain management after TKA. We aimed to compare their efficacy and outcomes in patients undergoing TKA. Materials and Methods: Sixty patients undergoing unilateral TKA were randomized to receive either postoperative single-injection ACB (Group A) or LIA (Group L) during the operation...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29725505/outcome-of-tendon-transfers-for-radial-nerve-palsy-in-a-malaysian-tertiary-centre
#16
J Richford, S Abdullah, M Norhafizah, I Juliana, F Rashdeen, A Razana
Tendon transfers for radial nerve palsy is a common operation with good results. We did a retrospective study on twenty patients with radial nerve palsy who underwent tendon transfer surgery and recovered between January 2008 and December 2012. Outcomes measured were motor power of wrist extension, finger extension, grip strength and DASH scores. There was significant improvement of motor power of wrist and finger extension between the preoperative period and three months post-operatively, between the pre operative period and six months post operatively and between three and six months postoperatively (p = 0...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29326772/posterior-elbow-dislocation-with-brachial-artery-thrombosis-treated-non-surgically-a-case-report
#17
S M Lim, G G Chua, F Asrul, M Yazid
The brachial artery is rarely injured in closed posterior dislocation of the elbow, unlike the high rate of vascular injury seen after dislocation of the knee. Despite the anatomical proximity of the brachial artery to the elbow joint, most cases of brachial artery injury after dislocation of the elbow are related to an associated fracture, an open injury or high-energy trauma. A high index of suspicion should be maintained as well as a thorough neurovascular examination with regards this potentially disastrous complication...
November 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29326771/dystrophic-scoliosis-in-neurofibromatosis-and-rib-head-resection-a-case-report
#18
K L Chong, K S Lam, Z Zuki
Surgical management of scoliosis in Neurofibromatosis type I may be challenging at times especially when dealing with dystrophic curves. We highlight the importance of meticulous study of the radiological imaging and careful pre-operative planning in a patient with dystrophic scoliosis.
November 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29326770/migratory-bone-marrow-edema-syndrome-of-the-hips-a-case-report
#19
A Santoso, P S Ingale, K S Park, T R Yoon
Migratory bone marrow edema syndrome (BMES) of the hip is a rare entity. We report the case of a 41-year old male with migratory BMES of the hip with eight months interval period between onset of the pain and consultation. This patient was successfully treated non-surgically. It is important to always inform the patient with unilateral BMES of the hip regarding the possibility of future involvement of the contralateral hip.
November 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29326769/osteoradionecrosis-in-subaxial-cervical-spine-a-rare-and-devastating-complication-a-case-report
#20
M Z Rashid, M H Ariffin, S A Rhani, A Baharudin, K Ibrahim
Osteoradionecrosis, a rare complication of radiation therapy, is a slow progression disease which affects the surrounding structures of spinal components. It essentially weakens the soft tissue and bony configuration and can cause nerve impingement or cord compression. We describe a patient who underwent radiotherapy for thyroid cancer and presented with cervical kyphosis with anterolisthesis of C3/C4 and C4/C5 some 32 years later. We explore the role of anterior and posterior fusion, as well as hyperbaric oxygen therapy in promoting healing...
November 2017: Malaysian Orthopaedic Journal
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