فهرست مطالب

Journal of Orthopedic and Spine Trauma
Volume:4 Issue: 2, Jun 2018

  • تاریخ انتشار: 1397/04/20
  • تعداد عناوین: 7
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  • AmirReza Farhoud* Page 18
  • Babak Mirzashahi*, Pejman Mansouri, Arvin Najafi, Saeed Besharati, MohammadTaha Kouchakinejad, Alireza Mohseni, Pouria Rezaeian Pages 19-22
    Background

    This study aimed to determine the outcome of surgical treatments in patients with degenerative cervical myelopathy (DCM). During one - year follow - up period, we evaluated patient - reported functional and quality of life (QOL) measures .

    Methods

    I n a retrospective single - center study, we collected data of patients with DCM who underwent cervical fusion surgeries i n Imam Khomeini Hospital , Tehran, Iran, from 2011 to 2015. Patients underwent single or multi - level anterior cervical discectomy and fusion (ACDF), anterior cervical corpectomy and fusion (ACCF), or posterior laminectomy and fusion. We utilized patient - reported assessments including Short Form 36 (SF - 36), Visual Analogue Scale (VAS), Neck Disability Inde x (NDI), and Nurick grade. Follow - up was performed at 6 weeks, 3 months, 6 months, and 12 months post - operatively to assess the outcome of surgery .

    Results

    Ninety patients (56 men, 34 women) with a mean age of 54.1 (27 - 87) years were included. Compariso n of pre - and post - operative scores showed significant improvement in SF - 36 parameters, VAS, NDI, and Nurick grade (P < 0.001). Also, women’s VAS scores improved more than men's VAS scores during the follow - up period (P < 0.050). Age and type of surgery di d not significantly affect the SF - 36 parameters, VAS, NDI, and Nurick grade (P > 0.05) .

    Conclusions

    Cervical surgeries in patients with different severity of DCM can improve different aspects of QOL during one - year after surgery .

    Keywords: Cervical Vertebrae, Intervertebral Disc Degeneration, Spinal Fusion, Patient Outcome Assessment, Quality of Life
  • MohammadReza Minator Sajjadi, Reza Zandi, MohammadAli Okhovatpour, Pooyan Jalalpour, MohammadReza MosharI* Pages 23-25
    Background

    In different ways, drugs are administered to reduce postoperative analgesia after arthroscopic anterior cruciate ligament (ACL) reconstruction. The purpose of this study is to compare the dexmedetomidine (DEX) intra - articular injection with bupivacaine hydroc hloride and sterile 0 . 9 % saline administration following arthroscopic ACL reconstruction .

    Methods

    Sixty cases who underwent ACL reconstruction were randomly divided into three groups. The first group received intra - articular DEX; the second group recei ved intra - articular bupivacaine, and the final group received intra - articular 0.9% saline. Post operative pain was measured by Visual Analogue Scale (VAS) .

    Results

    The mean VAS scores at 6 and 24 hours after surgery were lower in the bupivacaine group, c ompared to the other groups. Pain was more severe in the control group ( 0 . 9 % saline), with higher VAS scores reported at 1, 6, and 24 hours after surgery .

    Conclusions

    Bupivacaine has more significant effects than DEX in postoperative pain management after arthroscopic ACL reconstruction .

    Keywords: Intra-Articular Injections, Postoperative Pain, Arthroscopy, Anterior Cruciate Ligament Reconstruction, Bupivacaine, Dexmedetomidine
  • Hamid Rabie, Audrey Angelliaume, MohammadHossein Nabian, MohammadHasan Sharafi Pages 26-31
  • Sam Hajialiloo Sami, Amir Mohsen Khorrami*, Sajjad Noori Pages 32-34
    Background

    In the fingertips, the glomus tumors usually involve the subungual areas with typical triad symptoms including pain, tenderness to palpation, and cold sensitivity. The glomus tumor of volar aspect of digits is rare .

    Case Presentation

    A case of glomus tumor was presented at the volar side of the distal phalanx of the ring finger of a 52 - year - old woman. The tumor was painful and tender to palpation, yet insensitive to cold. The atypical location and insensitivity to col d led to a 4 - year delay in diagnos is. After the surgical excision of the lesion, the extracted mass was sent for histologic evaluation and the diagnosis of glomus tumor was confirmed. One - year follow - up of the patient was event - free .

    Conclusions

    Atypical glomus tumor should be considered in the differential diagnosis of finger pain, even in the absence of characteristic diagnostic features .

    Keywords: Glomus Tumor, Finger Phalanges, Differential Diagnosis
  • Mahmoud Farzan, Amirreza Farhoud, Mohammad Zarei, Furqan Mohammed Yaseen Khan, MohammadJavad Dehghani Firoozabadi Pages 35-37
    Background

    Osteoid osteoma (OO) is a benign osteoblastic neoplasm, mostly occurring in long bones of lower extremity. Its manifestation in unusual locations can be a diagnostic challenge and distressing for patients. OO in carpal bones is uncommon; its occurrence in triquetrum is even more so.

    Case Presentation

    This study reports on a nineteen-year-old female with history of wrist pain for 4 years. She had sustained trauma to the same wrist before commencing of pain. Patient's pain was unresponsive to conservative treatments. Her routine x-rays were mostly interpreted as normal and obtaining further imaging helped us in diagnosis of OO of triquetrum. Surgical resection of the nidus was performed.

    Conclusions

    Manifestation of OO in small carpal bones may not be typical; identifying the lesion or nidus could be challenging. Whatever unusual the location or presentation of such lesions may be, obtaining advanced imaging can be of significant help; therefore, we suggest clinicians to have low threshold in ordering advanced imaging specifically in patients suffering from chronic pain. Also, persistent history of nocturnal pain is a sign which is worth attention

    Keywords: Osteoid Osteoma, Tumors, Diagnosis, Carpal Bones, Triquetrum Bone
  • Behnam Panjavi, Seyyed Hadi Kalantar Pages 38-39