Reza Shahryar Kamrani; Ehsan Vahedi; Behnam Panjavi
Abstract
Abstract
Scapholunate interosseous ligament injuries are common important conditions which include a wide range of pathologies in wrist joint. A lot of factors have significant role on clinical course or stage of disease. Treatment protocol depends on the stage of disease. Partial vs complete ...
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Abstract
Scapholunate interosseous ligament injuries are common important conditions which include a wide range of pathologies in wrist joint. A lot of factors have significant role on clinical course or stage of disease. Treatment protocol depends on the stage of disease. Partial vs complete lesion, reparability, radioscaphoid angle, radiolunate angle, reducibility and degenerative changes are modifiers of disease stage. Re-education and strengthening of supinator muscles, percutaneous pinning, arthroscopic debridement, open repair, capsulodesis, screw fixation and ligament reconstruction with local tendons are common treatment options used for scapholunate injuries. In this article we will review the stages of disease as well as the various treatment options. Some case series related to each treatment options will be discussed.
Seyed Amir Mahlisha Kazemi Sheshvan; Mohammad-Reza Shakeri; Behnam Panjavi; Mehrzad Mahdizadeh; Houman Alizadeh; Mohammad-Reza Shakeri; Bahador Aalami Harandi
Abstract
Background: Developmental dysplasia of the hip (DDH) is a common problem and inappropriate treatment may result in serious complications. Several techniques have been used to monitor the status of the hip after reduction. Each has its own problem so that ultrasound found a special place where the assessment ...
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Background: Developmental dysplasia of the hip (DDH) is a common problem and inappropriate treatment may result in serious complications. Several techniques have been used to monitor the status of the hip after reduction. Each has its own problem so that ultrasound found a special place where the assessment is needed. The aim of this study was to determine the diagnostic value of transinguinal and transgluteal ultrasound in comparison to CT scan in the evaluation of femoral head position in acetabulum in DDH treatment in spica cast. Methods : A cross-sectional study was performed on 37 affected hips in 24 infants at the age of 9 to 36 months during one year in a teaching hospital in Tehran, Iran. After close or open reduction and applying spica cast, an opening was made over the anterior edge of the inguinal region and transinguinal and transgluteal ultrasound was performed to confirm the quality of reduction in the acetabulum. The sensitivity, specificity, positive and negative predictive values of the postoperative ultrasonography was compared with CT scan. Data analysis was done by statistical tests. Results: The rate of agreement between ultrasonography and CT scan results was 91% (p < /i>
Seyed Amir Mahlisha Kazemi Sheshvan; Behnam Panjavi; *Saeed Reza Mehrpour; Mohammad Naghi Tahmasebi
Abstract
True duplication of the patella is extremely rare. We describe a case of duplication of the patella in an eight-year-old boy with the history of progressive deformity of his left knee.
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True duplication of the patella is extremely rare. We describe a case of duplication of the patella in an eight-year-old boy with the history of progressive deformity of his left knee.
Javad Gorji, MD; Behnam Panjavi, MD; Mohammad Reza Abbaszadeh, MD
Abstract
Background: Classification and treatment of lateral humeral condyle fracture in children is a matter of controversy. We report the results of treatment in 26 cases along with a comprehensive literature review.Methods: Medical records and radiographs of 26 children (8 girls, 18 boys) who had been treated ...
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Background: Classification and treatment of lateral humeral condyle fracture in children is a matter of controversy. We report the results of treatment in 26 cases along with a comprehensive literature review.Methods: Medical records and radiographs of 26 children (8 girls, 18 boys) who had been treated for lateral humeral condyle fracture over 20 year period were reviewed. The cases had a mean age of 4.5 years (1.9-8 years). The patients were evaluated for elbow range of motion, deformity, neurological deficit, and avascular necrosis with an average follow-up of 6 (3-20) years. Results: From the 26 cases, 17 patients had less than 2 millimeters displacement, and had been treated non-operatively 8 patients with displaced fracture had received internal fixation. One case that presented late and had ulnar nerve symptom with fracture non-:::union:::, underwent only anterior transposition of the nerve. The cases had all full range of motion, with no avascular necrosis. The one non-:::union::: case had a carrying angle of 26 degrees.Conclusions: Lateral humeral condyle fracture in children requires surgical treatment more than most other pediatric fractures. Initial displacement of over 2 millimeters or any later displacement in the early post fracture period would require surgical intervention.
