Shoulder & Elbow
Shahwali Habib
Abstract
Background: To find causes and number of elbow joint dislocation in Kunduz regional hospital- Afghanistan in 2021. The aim is to understand what the causes are and try to reduce the incidence by informing the people and discuss with the government.Methods: We conducted a prospective case series study ...
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Background: To find causes and number of elbow joint dislocation in Kunduz regional hospital- Afghanistan in 2021. The aim is to understand what the causes are and try to reduce the incidence by informing the people and discuss with the government.Methods: We conducted a prospective case series study to figure out causes and number of elbow joint dislocations in Kunduz Regional Hospital- Afghanistan from the beginning up to the end of 2021. This study included 23 patients; the age was above 5 years old. The data were entered in spreadsheet and analyzed in SPSS program. Results: Among 23 patients, 18 (78%) were male, 5 (22%) were female. Fourteen cases were 10-30 years of age; 15 (66%) were residents of Kunduz province. In 10 (43%) fall from height, 6 (26%) road traffic accident, 5 (22%) sports injuries, and in 2 (9%) family assault were the causes of elbow joint dislocation.In 19 (84%) cases posterior dislocation, in 1 (4%) anterior dislocation, in 1 (4%) lateral dislocation, in 1 (4%) open posterior dislocation with fracture and in 1 (4%) complex closed posterior dislocation; were the types of dislocations. Elbow dislocation was more on right side (61%). 21 (92%) of elbow dislocations were treated non-operatively, and 2 (8%) operatively. In 21 (92%) there was no complication, in 1 (4%) myositis ossificans and in 1 (4%) non-reduced dislocation treated by traditional bone setter were observed.Conclusion: The most common causes of elbow dislocation were fall from height and road traffic accident. Postero-lateral was the most commonly seen type of dislocation.
Shoulder & Elbow
Nima Bagheri; Mohammad Reza Guity; Amir Hossein Karim; Farbod Ioosefi; Seyed Hadi Kalantar; Samane Mahmood Abadi
Abstract
Object: Correlation between Diabetes Mellitus (DM) and musculoskeletal problem has been established in many of the past studies. There are reports of high prevalence (up to 63%) of upper extremity impairment in diabetic patients. The main aim was to conduct a study to determine the prevalence of diabetes ...
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Object: Correlation between Diabetes Mellitus (DM) and musculoskeletal problem has been established in many of the past studies. There are reports of high prevalence (up to 63%) of upper extremity impairment in diabetic patients. The main aim was to conduct a study to determine the prevalence of diabetes and prediabetes in patients with shoulder complaints. It may help the treating physician in managing patients with shoulder problems.Methods: During a period of six months from February 2018 to August 2018, patients who consulted shoulder clinic with complain of shoulder pain were included in this cross sectional study. Eligible patients were enrolled after informed consent was obtained. A uniform checklist was completed for every patient. The key components of the checklist were: demographic data, fasting blood glucose(FBS), diagnosis, body mass index( BMI).Diagnosis of diabetes and prediabetes was done by FBS level( FBS between 100 to 126 considered prediabetes and more than 126 as diabetes. Results: 564 eligible patients were enrolled in the study. Of the 564 patients, 18.8% had DM, 25.9% had pre-diabetes, and 55.3% had normal fasting blood glucose. A higher proportion of men had abnormal fasting glucose compared to women (54% and 33.9% respectively). There was no significant difference in blood glucose levels in respect to different shoulder pathologies (P = 0.191). Conclusion: This study shows that population with shoulder complaint have a higher prevalence of DM than the normal population. This high proportion of patients with impaired blood glucose levels and shoulder pain necessitates further research in this course and advancement towards risk factors of DM. It is more important in community areas where routine screening of diabetes is not performed.
