Amir Salari; Ahmad –Reza Mirbolok; Mozafar Hoseininejad; Ali Karimi
Abstract
Abstract
Background: Carpal tunnel syndrome (CTS) is the most common form of localized peripheral neuropathy. CTS and cervical radiculopathy (CR) often co-occur, known as double crush syndrome (DCS).
Aim: This study aimed at determining frequency of CR in patients with CTS referred to electrodiagnosis ...
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Abstract
Background: Carpal tunnel syndrome (CTS) is the most common form of localized peripheral neuropathy. CTS and cervical radiculopathy (CR) often co-occur, known as double crush syndrome (DCS).
Aim: This study aimed at determining frequency of CR in patients with CTS referred to electrodiagnosis department of Rasht Imam Reza clinic.
Materials and Methods: This was a descriptive cross-sectional study on 117 patients with CTS referred to Imam Reza clinic. The patients’ data were recorded through a questionnaire including electrodiagnosis test results, patients’ demographic data, medical history and disease primary diagnosis and related results, electromyogram (EMG)/nerve conduction velocity (NCV) tests results. NCV test shows CTS type (unilateral and bilateral) as well as its severity, while EMG test determines co-occurrence of CR and CTS, type and severity of DCS. Finally, the data were entered into SPSS 19, and analyzed using statistical tests.
Results: Out of 117 patients with primary diagnosis of CTS, 21 patients (17.9%) were male and 96 patients (82.1%) were female, with a mean age of 46.5 years. The highest frequency (41.5%) in patients with CTS belonged to housewives. 48 (41%) patients had bilateral CTS and 69 patients (59%) suffered from unilateral one. DCS prevalence in this study was about 35%. Out of 41 patients with DCS, 25 patients (61%) had unilateral DCS with moderate severity (48.8%) and C7 radiculopathy (70.7%). Using binary logistic regression analysis (method=ENTER) showed that age and body mass index (BMI) were two variables affecting on the simultaneous development of CTS and cervical spines involvement (P<0.0001).
Conclusion: Since knowing simultaneous presence of CR and CTS in patients’ therapy is necessary, patients with CTS should be examined for DCS.
Kamran Asadi; Ahmad Reza Mirbolook; Ali Karimi; Mohammad Sadegh Mousavi; Sepehr Saghari; Sadegh Abedi; Ord Gharibi; Ali Tabrizi
Abstract
Background: Bleeding
from proximal screw drill-site in femoral neck fractures may have the ability
to predict the occurance of avascular necrosis of femoural head. In this study
the relationship of bleeding from proximal screw drill-site during internal
fixation of femoral neck fractures with rate ...
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Background: Bleeding
from proximal screw drill-site in femoral neck fractures may have the ability
to predict the occurance of avascular necrosis of femoural head. In this study
the relationship of bleeding from proximal screw drill-site during internal
fixation of femoral neck fractures with rate of avascular necrosis was studied. Methods:
This study is a cross-sectional study that was carried out on 19 to 60 year
patients with femoral neck fracture that referred to health care centers in
Rasht, Iran during the year 2008. The age, sex, type of fracture based on
Garden Category were recorded. Then, presence or absence of bleeding from the
proximal screw holes within the first 5 minutes was recorded. Results: In
this study, 40 patients were enrolled with mean age of 39.78±14.4. Twenty two
patients (55%) had bleeding from the proximal end of the screw, and 18 (45%)
did not have any bleeding. Bleeding from proximal screw hole in patients
without avascular necrosis was seen in 11 cases (61.1%). This difference was
statistically significant (p < /i>=.005). Conclusions: Presence of bleeding from proximal screw
hole in femoral neck fracture reduces odds of AVN in femoral head fracture and
can help deciding between internal fixation or arthroplasty for treatment of
such a fracture.
Mohsen Mardani Kivi; Ali Karimi; Keyvan Hashemi Motlagh
Abstract
Background: The purpose of clinical examination is to make a correct diagnosis. There are several clinical tests with different diagnostic values for meniscus injuries. The aim of the present study was to evaluate the diagnostic value of modified "axial loading McMurray test". Methods: In a cross sectional ...
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Background: The purpose of clinical examination is to make a correct diagnosis. There are several clinical tests with different diagnostic values for meniscus injuries. The aim of the present study was to evaluate the diagnostic value of modified "axial loading McMurray test". Methods: In a cross sectional diagnostic study, 146 patients (120 male, 26 female) with a mean age of 35 years who had clinical symptoms of knee meniscus injury and were candidates for arthroscopic evaluation entered the study in a teaching hospital in Guilan-Iran. "Axial loading Mc Murray – ALMM" test was performed in all the cases just before doing arthroscopic evaluation of the knees. The accuracy, sensitivity, specificity, positive and negative predictive values of the ALMM in relation to the later arthroscopic findings were analyzed. Results: From the 146 patients, 92 had evidence of meniscus tear on ALMM testing. The arthroscopy was, however, positive in 82 patients. In the remaining 54 cases with negative ALMM test, 38 patients had meniscus tear at arthroscopy. 56% of tears were seen in medial meniscus, 75% of which were in posterior horn. The ALMM test had 67.1% accuracy, 68.3% sensitivity, 61.5% specificity, 89.1% predictive positive value and 29.6% negative predictive value. Conclusion: Positive "Axial loading Mc Murray" for knee meniscus injury is expected to show meniscal tear in 89% of cases
Mehran Soleimanha; Kamran Asadi; Hossein Etehaad; Mohsen Vahid; Ali Karimi; Roya Moghaddam; Zahra Haghparast Ghadim Limudahi
Abstract
Traumatic hip dislocation represents an orthopaedic emergency. Given the severity of associated complications, every effort should be made to ensure prompt diagnosis and treatment. Bilateral traumatic dislocation of the hip is rare and simultaneous asymmetric traumatic dislocation even more unusual. ...
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Traumatic hip dislocation represents an orthopaedic emergency. Given the severity of associated complications, every effort should be made to ensure prompt diagnosis and treatment. Bilateral traumatic dislocation of the hip is rare and simultaneous asymmetric traumatic dislocation even more unusual. This is a report on 17-year-old male patient with asymmetric bilateral dislocation of the hip joint with no bony fracture, following a motor-cycle accident. The right hip was reduced by closed manipulation, but the left hip required open reduction through a posterior approach. After 3 months there was a local osteoporosis in left hip which had an anterior dislocation initially.
