evidence of fracture union was seen. All patients were evaluated by the Mayo Elbow Performance Score for function, stability, pain, and range of motion (ROM) at elbow. Radiographs were assessed for the status of the bony union, any signs of avascular necrosis (AVN) and osteoarthritis. Further assessment was also done for wound complications, elbow function and any other complication. The duration of follow-up ranged from 1.5 to 6 years (mean of 3.6…
disease? Legg-Calve-Perthes disease (here called “Perthes disease”), defined as osteonecrosis of the juvenile hip (Chaundhry, Phillips, Feldman), is a common hip disease affecting school age children. Another name for Perthes disease ischemic necrosis of the hip is a condition that happens when their the femoral head losses blood loss temporary. This disease occurs usually in boys the age of between 4-8 years. The case of this disease is 1 in 1200 children. (Hart,Grottkau e al) .…
signalling apoptosis and the release of certain factors following re-epithelialisation [21]. With continued remodelling the outgrowth of capillaries is halted, blood flow to the area is reduced and metabolic activity in the area declines. An acellular, avascular scar is the final result of an acute wound healing…
antihypertensive drugs and nephritis treatment was unknown. The patient also had history of surgical procedures which were performed in the bilateral total hip replacement due to femoral head necrosis. Her primary surgery was performed in 2007 at the local hospital due to bilateral femoral head avascular necrosis and was treated with total hip arthroplasty. Six years post-operatively, patient had recurrent symptoms of right hip pain and therefore she underwent for her second surgery on right…
11. Extensor pollicis brevis a. The extensor pollicis brevis originates on the posterior distal surface of the radius, and inserts on the proximal posteriolateral surface of the thumb (AnatomyExpert, 2014). b. Its main functions are to extend the metacarpal bone and the 1st phalanx (AnatomyExpert, 2014). 12. Abductor pollicis longus a. The abductor pollicis longus originates on the middle posterior surface of the ulna and radius, and inserts onto the proximal posteriolateral end of the 1st…
Colapinto and McCallum developed a radiological classification of injuries of the posterior urethra based on RUG (Table 1) (Colapinto and McCallum, 1977): Type 1 Membranous urethra is stretched but not severed. Type 2 Membranous urethra is ruptured above the urogenital diaphragm, with extraperitoneal pelvic leakage above the urogenital diaphragm. Type 3 Membranous urethra is ruptured. The injury extends into the bulbous urethra. Leakage above and below the urogenital diaphragm. Table 3:…
1. I diagnose the patient as having slipped capital femoral epiphysis. I believe her condition is stable, but will worsening if not treated. She claims that the pains come and go, especially after engaging in physical activity, but two weeks after going to the doctor, she is unable to lift herself out of the pool. She needs assistance from her father. Her lower leg is also laterally rotated. She is a 10 year- old girl who is very active, but still obese for her age, weighing 135 lbs. “Slipped…
location of the injury. Joint failure occurs in connections such as the shoulder or hip and is commonly caused by osteoarthritis but other factors can increase the risk. Some of these factors are rheumatoid arthritis, traumatic arthritis and avascular necrosis. To lower the risk of joint failure, a healthy body weight should be maintained through proper nutrition and a healthy exercise regimen. This will also reduce the risk of occurrence of osteoarthritis, the most common cause of joint…
Systemic Lupus Erythematosus Systemic Lupus Erythematosus, commonly known as SLE or Lupus is said to be a disease of the immune system called autoimmune diseases where ones immune system attacks the body with the production of antibodies. The attack causes damage and swelling to the tissues of the body. Inflammation caused by lupus can be very detrimental to major organs such as the lungs, heart, kidneys, brain and nervous system all of which are very important for the proper function of the…
Lesser toe deformities What are the common deformities of the lesser toes? The most common deformities affecting the lesser toes are- Hammertoes, mallet toes, and claw toes. What is a Mallet toe? Mallet toe deformity is characterized by a flexion deformity of the Distal Interphalangeal joint (DIP joint) of the toe. It usually involves the longest lesser toe. It could be due to a congenital or developmental anomaly. The most common cause of an adult onset mallet toe is due to lack of room for the…