Foot and Ankle
mohamad taghi peivandi; Farshid Bagheri; Ali Birjandi nezhad; Sara Amel Farzad; Lida Jarahi; Milad Esmail zade; Amin Razi; Reza Habibzadeh shojaie
Abstract
Introduction The use of parathyroid hormone in the management of fracture disorders is poorly documented. Aim of study was evaluation of parathyroid hormone efficacy on :union: of tibia/fibula diaphysis fractures. Materials and methods: It was a hospital-based study who conducted on patient with non-:union: ...
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Introduction The use of parathyroid hormone in the management of fracture disorders is poorly documented. Aim of study was evaluation of parathyroid hormone efficacy on :union: of tibia/fibula diaphysis fractures. Materials and methods: It was a hospital-based study who conducted on patient with non-:union: or delayed-:union: fracture of tibia/fibula. At Shahid Kamyab hospital, patients with inclusion criteria, entered the study after completing the conscious consent form in both case and control groups. CBC, ESR, Ca, P, Mg, ALK-P, Cr, BUN tests were performed as baseline, then in the case group prescribe oral D-Calcium and monthly injection of parathyroid hormone for 3 months at a daily dose of 8 units and in the control group, prescribe oral D-Calcium and the expected treatment method, and those who had a specific risk factor such as digoxin tablets or kidney failure were excluded from the study. After entering the study and receiving the hormone once the month, patients evaluate with radiographic parameter. Results: Of evaluated cases, mean and standard deviation of age in the intervention group was 16.9 ± 37.7 years and in the control group was 13.8 ± 39.1 years (P = 0.73). In terms of gender in the two groups, 24 cases were male and 6 cases were female (P = 1.0). In addition in clinical findings, fracture type (P = 1.0), fracture shape (P = 0.18), fixation method (P = 0.26), radiographical result (P = 0.06) did not have a statistically significant difference between the two groups. Conclusion: We not find any positive effect of this hormon on fracture status, as clinical or para clinical evaluation.
Mohammad Taghi Peivandi, MD; Javad Sheikhian, MD; Hossein Ebrahimzadeh, MD; Farshid Bagheri, MD
Abstract
Background: Low back pain, in any community has a high prevalence. Acute sciatica does not usually have a very quick and effective non-operative remedy. Lingering disability and very slow return to work is a major finding in most cases. We aimed at testing the effect of early epidural steroid injection ...
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Background: Low back pain, in any community has a high prevalence. Acute sciatica does not usually have a very quick and effective non-operative remedy. Lingering disability and very slow return to work is a major finding in most cases. We aimed at testing the effect of early epidural steroid injection in pain relief and in shortening the disability period.Methods: Forty patients (25 male, 15 female) referring to two hospitals in Meshhad with acute radiculor pain during one-year period were enrolled in a prospective study. The cases had clinical and MRI proof of a disc herniation occurring within 6 weeks of their referral and had not responded to regular medical treatment for 2 to 3 weeks. After full evaluation and completing the “Prolo” scoring questionnaire, the patients were injected epidurally with 40mg of Triamcinolone and 2% Lidocaine for 3 times in two days intervals. The cases were then assessed shortly after injection and in 3 and 6 months.Results: Improvement in SLR positivity was statistically evident after the third injection. Dramatic reduction in pain and therefore, analgesic medication use was observed in second and third follow-up (p < /em>≥.05). Over all 27.5% of patients were fully satisfied and 62.5% were partially satisfied with the results.Conclusion: Epidural steroid injection following acute radicular back pain has short-term dramatic effect in pain control, but does not improve function or effectiveness of an individual to a significant degree.
