Medicine and Health Sciences Commons^™

A Case Of Inferior Dislocation Of Right Shoulder, Gauri A. Nair

Digital Journal of Clinical Medicine

Dislocation of the shoulder is the commonest of all large joint dislocations. Inferior dislocation of the shoulder, also called luxatio erecta, is a rare form. It appears in less than 0.5% of all shoulder dislocations. Patient characteristically presents with an arm locked in upright position - Luxatio erecta. Its etiology, clinical presentation and radiographic findings are distinct. An awareness of associated potential neurovascular injuries and rotator cuff tears is important in this rare entity and should be excluded with high index of suspicion. Preferred modality of treatment depends upon the age of the patient and the extent of neurovascular involvement. …

Comparative Study Between Clinical Outcomes Of All Inside Technique And Standard Antero-Medial Technique In Anterior Cruciate Ligament Reconstruction, Abd Elkakim Farrag, Mohamed Alhalawany, Mahmoud Hamada

Al-Azhar International Medical Journal

Background: Although theoretically superior to traditional technique, anatomical single bundle ACLR via all-inside technique does not appear to demonstrate statistically significant advantages over conventional technique, as with the Lysholm scoring system. Aim of the work: This study compared the post-operative clinical outcomes of arthroscopic ACL restoration using the "all-inside approach" versus the "traditional procedure". Patients and Methods: Between March 2020 and December 2021, fifty patients were admitted to the department of Orthopedic surgery and Traumatology in Sayed Galal University Hospital with torn ACL exhibiting high grade pivot shift (II or III) under anesthesia. Results: The mean age of the patients …

Role Of Overnight Pulse Oximetry In Diagnosis Of Obstructive Sleep Apnea Syndrome, Ahmed Gamal Eldin, Abd El-Hay Abd El-Hay, Ibrahim Yousef

Al-Azhar International Medical Journal

Background: Obstructive sleep apnea hypopnea syndrome (OSAHS) is a serious public health concern in terms of incidence. Despite being the golden measure for determining the quality of sleep and detecting sleep disrupted breathing, polysomnography (PSG) is costly, consuming time, labor-intensive, less widely accessible, needs continuous observation and skill for the interpretation. Objective: To evaluate the sensitivity and specificity of overnight pulse oximetry (OPO) as a technique for detecting OSAHS. Patients and Methods: This cross-sectional research was done at Bab El-Shaaria University Hospitals in Cairo. In total, fifty persons were included in this research: forty patients were suffering from the manifestations …

Treatment Modalities Of Complex Regional Pain Syndrome After Hand Surgery A Systematic Review And Meta-Analysis Study, Ali Mahmoud, Fawzy Hamza, Tarek Zayid

Al-Azhar International Medical Journal

ABSTRACTBackground: complex regional pain syndrome is a complex medical condition. Physical/occupational treatments, psychiatric counseling, neuropathic pain medicines, anti-inflammatories, and surgical intervention are utilized to treat complex regional pain syndrome (CRPS).Methods: systematic review and meta-analysis study of complex regional pain syndrome treatment modalities after hand surgeries in most recent literature. This research was conducted and reported following PRISMA (for systematic review and meta-analysis recommended reporting items). From 2016 to 2021.Results: 10 studies showed Responders with a high event in bisphosphonate than in Ketamine study with highly significant heterogeneity among included studies p-value 0.0005. 12 studies were included 6 studies showed adverse …

A Comparative Evaluation Of Intra-Articular Injections Of Hyaluronic Acid, Adipose Mesenchymal Stromal Cells, Platelet-Rich Plasma And Corticosteroids In Patients With Knee Osteoarthritis., Younis Akl, Mohammed Elnahas, Shehab Mohamed Kamel

Al-Azhar International Medical Journal

*Background: Estimation of the clinical effects of platelet-rich plasma (PRP), steroids, hyaluronic acid (HA), or adipose mesenchymal stromal cells (MSC) injections in the treatment of knee osteoarthritis (OA). *Methods: From 2003 to 2021, researchers used Google Scholar, PubMed, Web of Science, Cochrane library, and other databases for randomized control trials (RCTs) with knee osteoarthritis that compared steroids, HA, adipose MSC, PRP, or in a head-to-head combination. *Results: There were a total of 24 trials in this study. Steroids are listed as the most useful intervention for pain or function management, whereas multiple PRP and adipose MSC were considered as the …

Surgical Management Of Cervical Myelopathy Anterior Versus Posterior Approaches, Abou Soud Mahmoud, Abdulkafy Sharafuddin, Usama El-Shokhaiby

Al-Azhar International Medical Journal

Background: The most prevalent cause of spinal cord impairment is cervical spondylotic myelopathy (CSM). In the older, it is also the primary cause of spinal-cord-related impairment. Spinal cord compression can result from ventral pathologies or from dorsal compression causing progressive disability and impairing the quality of life. Aim of study: This study aims to compare anterior cervical discectomy and fusion using inter body fusion cages with posterior lamin ectomy in the management of one or multiple level cervical spon dylotic myelopathy Patients and methods: 20 patients had cervical spondylotic myelo pathy were identified in our research. There were 16 men …

Joint Degeneration Cycle: A Novel Educational Model With Degenerative Intervertebral Disc Disease As An Example, Ahmed El-Sherif

Al-Azhar International Medical Journal

A four-stations educational model is presented for understanding degenerative joint disorders. Using this model in patient education is supposed to bring maximum benefit from all treatment modalities. It could also be used in medical education to alert physicians to the importance of interventions targeting all the stations of the cycle. Joint stability is an important part of its function. It depends on the joint integrity, surrounding ligaments, and muscles. The imbalance between the forces involved in the joint function will accelerate its degeneration. The degenerative process involves anatomical arthropathic changes that usually aim at restoring joint stability. These arthropathic changes …

Comparative Study Between Minimally Invasive Right Anterior Mini-Thoracotomy Versus Conventional Median Sternotomy In Isolated Aortic Valve Replacement: Early Outcome, Ashraf Abdelaziz, Hazem G. Bakr, Ibrahim M. Helmi

Journal of Medicine in Scientific Research

Background In cardiac surgery, minimally invasive surgical procedures have recently been adopted. These innovative procedures have a number of benefits, including less postoperative discomfort, fewer morbidity and mortality, faster recovery, and shorter hospital stays at lower costs. Patients and methods Outcomes of 30 patients who underwent isolated aortic valve replacement, were subjected to a prospective comparative study, were compared. In group A (n = 15) minimally invasive right anterior mini-thoracotomy approach and in group B (n = 15) conventional median sternotomy approach had been used. Results The second group had much higher total morbidity than the first. In …

The Effectiveness Of Chest Physiotherapy On Mechanically Ventilated Neonates With Respiratory Distress Syndrome: A Randomized Control Trial, Abeer E. S. Hamed, Rabab Salah El Din Mohamed

Journal of Medicine in Scientific Research

This study aimed to investigate the effect of chest physiotherapy on mechanically ventilated neonates with respiratory distress syndrome. Thirty neonates were concluded in the study where their age ranged from 1 to 28 days. They were divided into two equal groups. Group A was the control group that received medical treatment and mechanical ventilation. Group B or the study group has received the same treatment and the chest physiotherapy program. The physiotherapy session was conducted daily until the child was weaned off the ventilator. The results showed significant differences in vital signs, blood gases, oxygen saturation, respiratory stay, and hospital …

Treatment Of Fracture Base Of First Metacarpel Bone (Bennet's Fracture) By Percutanous Locked Kirschner Wires Technique, Mohammed Shemes, Ehab Elzahed, Abd El-Hakim Abd Allaha

Al-Azhar International Medical Journal

Abstract Background Locked K-wire technique with connector has more advantages than others technique and immediately mobilization, so life-changing events that affect the patient's life Aim of the study: Assessment clinical and radiological outcomes of locked Kirschner-wire technique with an external connect to fixation of Bennett's fracture. Patients and Methods: A prospective study was conducted on twenty patients having Bennett's fracture during the period between July 2019 and June 2021, those who matched completely with inclusion criteria were included and followed up for 6 months. Results The mean age of all studied patients was 31.8 from 18-50 years .100% male. The …

Gibbon Surgical Review, Volume 5, Issue 1, 2022

Gibbon Surgical Review

In this Issue:

6 - A History of ECMO and its Use During the COVID-19 Pandemic

8 - The First Pig-to-Human Heart Xenotransplantation

9 - Residency Interviewing in the Zoom Era

10 - An Interview with Dr. Andrew Newman

12 - Lung Transplantation for Patients with Severe COVID-19 Pulmonary Disease

14 - Risk Factors for Five-year Mortality after Carotid Endarterectomy

18 - An Interview with Dr. Scott Cowan

18 - General Surgery 101: The J-Pouch

20 - The Business of Surgery: Recognizing Barriers to Gender Equity

At-Home Aerobic Exercise Improves Functional Ability Of Patients With Rheumatoid Arthritis With Limited Exercise Options, Daniel Harris

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using

Neuberger GB, Aaronson LS, Gajewski B, et al. Predictors of exercise and effects of exercise on symptoms, function, aerobic fitness, and disease outcomes of rheumatoid arthritis. Arthritis Rheum. 2007;57(6):943-952. https://doi.org/10.1002/art.22903

and its application for a patient with rheumatoid arthritis.

Cochlear Implantation In 602 Cases: Surgical Complications During 7 Years Of Experience In A Specialized Institute, Ahmed Mustafa, Ihab K. Sefein, Mohammad M. Gaballah

Journal of Medicine in Scientific Research

Aim To assess the complications of cochlear implantation (CI) during our 7 years of experience since the start of the CI program in our institute. Patients and methods The study included 602 CI procedures performed from April 2013 to January 2020. The follow-up period ranged between 12 and 73 months. Complications were classified into perioperative, major complications requiring reimplantation, major complications not requiring reimplantation, and minor complications. Collected data were statistically analyzed. Results Of the 602 implantations, 509 were children. Age ranged between 1.2 and 64 years. Mean implantation age in pediatrics was 4.4 and 31.07 years in adults. A …

Role Of Percutaneous Tibial Nerve Stimulation In The Management Of The Detrusor Overactivity, Abourjila A. Gamal Eldin, Amr M. Elsofy, Ayman M. Gabr, Emad K. El Tair

Journal of Medicine in Scientific Research

Introduction Percutaneous tibial nerve stimulation (PTNS) is a technique that was developed a decade or more ago, but it does not seem to have become widely adopted into clinical practice. Aim The purpose of this study is focused on the efficacy of PTNS for the treatment of an overactive bladder. Patients and methods Between September 2016 and October 2019, this study included 40 patients who are complaining of irritative voiding symptoms, such as frequency, urgency, nocturia, enuresis, and urge incontinence. Those patients are divided into two equal groups subjected to PTNS and sham groups. Results Only 40 patients completed the …

Test-Retest Reliability And Minimal Detectable Change For Measures Of Wearable Gait Analysis System (G-Walk) In Children With Cerebral Palsy., Melek Volkan Yazici, Gamze Çobanoğlu, Gökhan Yazici

Turkish Journal of Medical Sciences

No abstract provided.

Arthroscopic Bankart Repair Improves Upper Limb Exercise Capacity, Shoulder Function And Quality Of Life, Fi̇gen Dağ, Fehmi̇ Volkan Öztuna, Di̇dem Deri̇ci̇ Yildirim, Özlem Bölgen Çi̇men

Turkish Journal of Medical Sciences

No abstract provided.

Factors Associated With Treatment Success After Combined Transforaminal Epidural Steroid Injection And Dorsal Root Ganglion Pulsed Radiofrequency Treatment In Patients With Chronic Lumbar Radicular Pain, Gülçi̇n Gazi̇oğlu Türkyilmaz

Turkish Journal of Medical Sciences

Background/aim: The aim of the study is to identify predictors of treatment success with combined transforaminal epidural steroid injection (TFESI) and dorsal root ganglion pulsed radiofrequency (DRG-PRF) in patients with lumbar radicular pain (LRP) associated with lumbar disc herniation. Materials and methods: The study included 48 patients with herniation-related LRP who underwent TFESI and DRG-PRF treatment between November 1, 2020 and April 30, 2021. Patient age, sex, symptom duration, history of lumbar surgery, and numeric rating scale (NRS) pain scores before and at 10 days, 1 month, and 3 months after treatment were evaluated retrospectively. Treatment success was defined as …

Morphometric Examination Of Trigeminal Nerve And Its Adjacent Structures In Patients With Trigeminal Neuralgia: A Case-Control Study, Yunus Emre Kundakci, Nadi̇re Ünver Doğan, İnci̇ Kara, Mehmet Öztürk, Zeli̇ha Fazlioğullari, Ahmet Kağan Karabulut

Turkish Journal of Medical Sciences

Background/aim: Morphological differences that can lead the trigeminal nerve to neurovascular conflict and a new solitary pontine lesion are associated with the pathogenesis of trigeminal neuralgia (TN). In this case-control study, we aimed to contribute to the current discussions about the pathogenesis of TN by investigating the anatomical structures that may have an effect on the morphometric parameters of the trigeminal nerve. Materials and methods: This study included 25 patients with TN followed up for pain in the Department of Algology, Faculty of Medicine, and 25 age- and gender-matched controls. We performed morphometric measurements including the length and volume of …

The Reliability And Validity Of The Turkish Version Of The Multiple Sclerosis Impact Scale-29, Fati̇h Özden, Mehmet Özkeski̇n, Ayşe Nur Yüceyar

Turkish Journal of Medical Sciences

Background/aim: The purpose of the study was to cross-culturally adapt the Multiple Sclerosis Impact Scale-29 (MSIS-29) into Turkish and evaluate its reliability and validity in patients with Multiple Sclerosis (MS). Materials and methods: A total of 119 individuals with MS were enrolled in the research. The neurologist classified the patients with Expanded Disability Status Scale (EDSS). In the initial evaluation, patients completed the Multiple Sclerosis Impact Scale-29 (MSIS29), the Multiple Sclerosis International Quality of Life (MusiQoL), EuroQol-5D-3L (EQ-5D-3L), and Beck Depression Scale (BDS), respectively one week later, the MSIS-29 evaluation was repeated. Internal consistency, test-retest reliability, and construct validity were …

The Clinical And Demographical Characteristics Of Turkish Pediatric Lymphedema Patients: A Multicenter Study, Pinar Borman, Ayşegül Balcan, Si̇bel Eyi̇gör, Evri̇m Coşkun, Fi̇kri̇ye Fi̇gen Ayhan, Burcu Duyur Çakit, Seçi̇l Vural, Meltem Vural, Esra Deni̇z Papatya Çakir, Deni̇z Nazi̇re Çağdaş Ayvaz, Ayşegül Yaman, Ayşe Beyhan Lale Cerrahoğlu, Sevi̇l Ceyhan Doğan

Turkish Journal of Medical Sciences

Background/aim: Reducing lymphedema-associated burden and disability in the pediatric setting requires improved awareness and understanding clinical properties of the lymphedema. The aim of this study was to evaluate the clinical and demographic characteristics of patients with pediatric lymphedema presented to different lymphedema centers in Turkey. Materials and methods: The socio-demographic and clinical characteristics of the children including age, gender, presence of genetic syndromes, duration of edema, site and stage of lymphedema and the received therapies were determined. Parental and children education on self-management techniques were recorded. Results: A total of 122 children (female: 66, male: 56) with a mean age …

Examination Of Diaphragm Thickness, Mobility And Thickening Fraction In Individuals With Copd Of Different Severity, Ceyhun Topcuoğlu, Eylem Tütün Yümi̇n, Mustafa Hizal, Suat Konuk

Turkish Journal of Medical Sciences

Background/aim: Diaphragm thickness and mobility assessed by ultrasound in individuals with Chronic Obstructive Pulmonary Disease (COPD) reflect the function of the diaphragm. The aim of this study is to compare the diaphragm thickness, mobility, and thickening fraction in individuals with COPD of different severity and healthy individuals and examine the relationship between these parameters and pulmonary function test parameters. Materials and methods: A cross-sectional observational study design was used. Thirty individuals (mild = 11; moderate = 13; severe = 6) with COPD and 29 healthy male individuals aged between 40-75 years were included in the study. The individuals included in …

Validation And Cross-Cultural Adaptation Of The Turkish Version Of The Revised Leeds Disability Questionnaire In Patients With Ankylosing Spondylitis, Mehmet Özkeski̇n, Fati̇h Özden, Özge Ocaker Aktan, Tuba Demi̇rci̇ Yildirim, İsmai̇l Sari

Turkish Journal of Medical Sciences

Background/aim: The revised Leeds Disability Questionnaire (RLDQ) is a unique assessment tool for patients with ankylosing spondylitis (AS); its comprehensive structure includes posture and neck flexibility parameters. The aim of the study was to determine the psychometric properties of the Turkish RLDQ in patients with AS. Materials and methods: A total of 100 AS patients were enrolled in the study. In the first evaluation, patients filled out the Dougados Functional Index (DFI) and Bath Ankylosing Spondylitis Functional Index (BASFI), Stanford Health Assessment Questionnaire (HAQ) in addition to RLDQ. Then, patients were refilled the revised RLDQ in the second assessment. Results: …

Effectiveness Of A Supervised Group Exercise Therapy Based On The Biopsychosocial Model Introduced Simultaneously With Anti-Tnf Therapy In Anti-Tnf-Naive Patients With Active Ankylosing Spondylitis, Nur Banu Karaca, Edi̇be Ünal, Jale Karakaya, Umut Kalyoncu, Sedat Ki̇raz

Turkish Journal of Medical Sciences

No abstract provided.

Paraoxonase-1 And Fetuin-A Levels In Children With Cerebral Palsy, Özlem Unay Demi̇rel, Özlem Güngör, Seyda İğnak Tarliğ, Meral Yüksel

Turkish Journal of Medical Sciences

No abstract provided.