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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Pages 19-22Background
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 .
MethodsI 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 .
ResultsNinety 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) .
ConclusionsCervical 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 -
Pages 23-25Background
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 .
MethodsSixty 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) .
ResultsThe 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 .
ConclusionsBupivacaine 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 -
Pages 32-34Background
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 PresentationA 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 .
ConclusionsAtypical 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 -
Pages 35-37Background
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 PresentationThis 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.
ConclusionsManifestation 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