Medicine and Health Sciences Commons^™

Using Of Fragment Specific Plate 2.5 Millimetre In Cases Of Distal Radius Fracture, Ibrahim Ahmed Hussien, Amro Ahmed Fouaad, Ahmed Samy Al-Noamany

Al-Azhar International Medical Journal

Background: Fractures of the distal radius inside the joint are a common injury. Whether caused by high-energy trauma or, more commonly among the elderly and those with osteoporosis, low-energy trauma, these fractures tend to be unstable and require immediate medical attention. The use of external fixators for intra-articular distal radius fractures has been supplanted by the use of internal fixators. Aim and objectives: to examine the radiological and clinical results of treating distal radius fractures that occurred on the dorsum of the individual's right and left arms (dorsal or dorso-radial) using a fragment-specific plate (2.5 mm). Subjects and methods: Hospitals …

Endoscopic Assisted Management Of Benign Osteolytic Bone Lesions, Ahmed Mohamed Shawky, Mahmoud Seddik Hassan, Amro Ahmed Fouaad Attia, Ahmed Ismail Hammouda

Al-Azhar International Medical Journal

Background: Benign lytic bone lesions have various clinical and histopathological forms, the most frequent lytic lesions are unicameral bone cyst, giant cell tumor, aneurysmal bone cyst, fibrous dysplasia, osteoblastoma and enchondroma, and they are rarely to be symptomatic and usually diagnosed accidentally on imaging. Treatment has wide range from conservative treatment with regular follow up to many surgical interventions without significant established consensus to support any of them. Aim of the work: this study evaluates the outcome of endoscopic assisted management of benign osteolytic bone lesions for 2 year of follow up. Patients and methods: In this prospective, 20 patients …

Management Of Pelvic Pain Caused By Endometriosis, Denisa Oana Balalau, Ioana Andreea Ciupitu, Delia-Maria Bogheanu, Alexia-Ioana Ghiocel-Zariosu, Cristian Balalau, Liana Ples, Daniela Gabriela Bălan, Ioana Paunica, Marina-Romina Sima

Journal of Mind and Medical Sciences

Endometriosis is a disorder of the epithelium and/or endometrial-like stroma outside the endometrium and myometrium, usually with an associated inflammatory process. It mainly affects young women of reproductive age, the prevalence being estimated at approximately 10%. Due to the varied clinical symptoms marked by chronic pelvic pain, dysmenorrhea, infertility, dyspareunia, dysuria, endometriosis requires a complex treatment. Endometriosis is a major health problem with socioeconomic impact, which is why many gynecological societies have published different guidelines to assist clinicians in the diagnosis and treatment of endometriosis. The variety of available treatments combined with the complexity of this disease leads to significant …

Efficacy Of Repetitive Transcranial Magnetic Stimulation On Spasticity In Egyptian Multiple Sclerosis Patients, Abdelrahman M. Khattab, Mahmoud M. Abd Elsayed Saleh, Ahmed E. Sarhan

Al-Azhar International Medical Journal

Background; One of the most common neurologic disorders is multiple sclerosis. To improve quality of life, many tools have been employed. Repetitive transcranial magnetic stimulation (rTMS) is a new established technique to treat spasticity and improve the outcome of rehabilitation program in various neurologic conditions. Aim and objectives; To assess the effect of high frequency rTMS on improving spasticity in a sample of Egyptian MS patients. Patients and methods; 40 patients were recruited from the MS unit at Al-Azhar University hospitals with established diagnosis of MS and spasticity. Recruitment started from beginning of Jan, 2022 for 6 months. Patients were …

A Comparison Study Between Transosseous Pull Out And Anchors In Gamekeeper’S Injury, Mohamed Mohamed Bissar, Hassan Mahmoud Baraka, Amro Ahmed Fouaad, Ayman Shwky Morad

Al-Azhar International Medical Journal

Background: When the thumb's metacarpophalangeal (M.C.P.) joint has a ligamentous lesion, the joint becomes noticeably unstable, which is common. Aim: to assess the functional and clinical outcomes of two different reconstruction methods of the metacarpophalangeal joint (ulnar side) of the thumb (pullout suture & anchor) in unstable injuries. Subject and Methods: This was a prospective study of 30 cases admitted to Al-Azhar University Hospitals (El Hussein Hospital and Sayed Galal Hospital) with ligamentous injuries of the MCP joint (ulnar side) from August 2018 until February 2022. Results: Regarding outcome distribution among the studied patients, we found that 19 (63.3%) were …

Role Of Conventional And Pulsed Radiofrequency In Treatment Of Low Back Pain And Sciatica, Maamoun Mohammed Abo Shosha, Mohammed Ahmed Ellabbad, Mostafa Soliman Elmaghraby, Ahmed Maher Ahmed Ibrahim

Al-Azhar International Medical Journal

Background: Low back pain is a feeling of discomfort, stiffness, or muscle tension below the costal border in the upper part of the back of the thigh, above the lower gluteal folds. Sciatica can occur with low back pain. The two most common techniques are pulsed radiofrequency (PRF) and conventional radiofrequency (CRF). Both techniques employ heat produced by particle vibration to cause a lesion. PRF employs intermittent high-frequency current injection to diffuse heat into nearby tissues and prevent temperatures from rising beyond 42 °C, known as the neuronal injury threshold.

Aim of the study: To assess the efficacy of PRF …

Platelet Rich Plasma (Prp) Injection In The Treatment Of Supraspinatus Partial Tear, Ibrahim Hussien, Mohamed Gamal Kamel Abdelkader, Abdelrahman Mostafa Tawfik

Al-Azhar International Medical Journal

Background: Many people around the world suffer from rotator cuff (RC) lesions. RC tears are also extremely common complain, and their incidence rises with age. Both bursal-sided and articular-sided tears can occur as partial-thickness tears. Aim: We aimed to determine the role of therapeutic shoulder injection with platelet rich plasma (PRP) in the management of supraspinatus partial tears. Methods: This prospective research was performed on 20 patients at Al Azhar University Hospitals (El Hussein Hospital and Sayed Galal Hospital) from September 2021 to November 2022. We included twenty patients suffering from a partial-thickness tendon tear. We measured patient satisfaction after …

Comparative Study Between Iliac Bone Grafting Verses Latarjet Procedure For Surgical Management Of Anterior Shoulder Instability With Glenoid Bone Defect, Ibrahim Ahmed Hussine, Emad Mohamed Zayid, Mahmoud Salah Tork

Al-Azhar International Medical Journal

Background and Aim: Anatomical glenoid restoration by iliac graft transplant versus latarjet surgery is competing as a management option for recurrent traumatic anterior dislocation of the shoulder associated with glenoid bone loss. All patients, who have recurrent traumatic anterior dislocation of the shoulder with loss of glenoid bone rime, will be assessed effectively for their responses to the Latarjet or the Iliac Graft Transfer. Patients and Methods: There were 40 patients presented with Anterior dislocation of the shoulder who had open Latarjet operation or ICBGT operation in this prospective random research. Rowe and ASES ratings, satisfaction level, evaluation of range …

Comparative Study Between Percutaneous Elongation And Z- Lengthening Of Tight Achilles Tendon In Idiopathic Toe Walking Children, Eissa Ragheb Refaie, Mohamed Adel Abdelhamid Ibrahim, Mohamed Shawky Abdelsamie

Al-Azhar International Medical Journal

Background: Idiopathic toe-walking is a gait pattern in which the child walks on the balls of their feet or their toes without touch of the heel to the ground, in the absence of known medical conditions as neuromuscular problems.

Objective: To compare between the two surgical methods for lengthening of Achilles tendon in idiopathic toe walking children with tight heel cord, regarding technique of the operation, post-operative complication rates, functional results and advantages of one technique over the other. Materials and Methods: A prospective study was done in the Hospitals of Al-Azhar University (Bab El Shaerrya, and Al-Hussein Hospitals), between …

Anterior Cervical Discectomy And Fusion Using Cages Versus Cages And Plating, Hamdy Mohamed Behiry, Mansour Ali Hendawy, Mahmoud Mohammed Bayoumi

Al-Azhar International Medical Journal

Background: The anterior column receives rapid load bearing support, the disc space height is restored, foraminal decompression occurs, and interbody fusion is facilitated by cervical intervertebral disc replacement with cage. Aim: Aim of work was to assess the interbody fusion rate and to assess incidence of complications of 20 consecutive patients for degenerative one or more level anterior cervical disc utilizing cage/s versus cage/s and plate. Patients and Methods: A comparative research of 20 patients with degenerated cervical discs managed by an anterior cervical discectomy procedure and fusion (ACDF) using either cage alone (ACDF-CA) or cage and anterior plating (ACDF-CPC). …

Retrospective Analysis Of Risk Factors And Management Of Infection After Lumbar Spine Implantation, Hussien Mohamed Mohamed, Hussein Abo El-Gheit, Mohamed Abulsoud

Al-Azhar International Medical Journal

Background: Wound infection still has a negative impact on patient outcomes after spine surgery, despite the discovery of preventative medicines as well as improvements in surgical approach and postoperative care. The risk of intraoperative/postoperative infection is increased by utilizing a posterior surgical approach, applying instrumentation, using an allograft, requiring a blood transfusion, and longer operations.

Aim of the study: To determine the prevalence and risk factors for post-operative instrumental lumbar spinal infection and evaluate functional outcomes after the management of the infections.

Patients and Methods: This study was conducted on diseased persons whom had an infection after lumbar spine instrumentation …

Cages Alone Versus Plate Fixation With Cages After Four Levels Anterior Cervical Discectomy, Karim Mohamed Mohamed Elshafei, Ibrahim Gamel Ewaiss, Taha Mohamed Adel Fawi, Hamdi Nabawi Mostafa

Al-Azhar International Medical Journal

Purpose: This study assessed clinical and radiological outcomes to support the surgical decision of ACDF using cages alone versus cage-with-plate fixation in patients with four-level spondylotic myelopathy of the cervical spine.

Methods: This study enrolled 30 patients with four levels of cervical spondylotic myelopathy. The C Group (n=15) was subjected to ACDF using four cages, and the C&P Group (n=15) had additional plate fixation. They were followed up clinically and radiologically for at least 12 months. Scheduled for surgical intervention in the neurosurgery department of Misr University and hospitals of Al Azhar University and Nasr Institute from October 2020 to …

Ultrasound-Guided Injection Of Platelet-Rich Plasma Versus Dextrose 5% In Chronic Achilles Tendinopathy: Comparitive Study, Adnan Abdelaleem Elsebaiy, Ahmed Mohamed Abdelghaffar Zidan, Gamal Attia El-Sawy, Adel Wagdi Abd-Elwahab

Al-Azhar International Medical Journal

Background: A persistent musculoskeletal condition called achilles tendinopathy in which frequently affects the tendon's insertion.

Aim and objectives: Comparing effectiveness and safety of high-resolution ultrasound-guided platelet-rich plasma injection versus 5% dextrose in the treatment of chronic Achilles tendinopathy.

Subjects and methods: Blinded randomized controlled trial, whereas 30 of diseased persons with chronic heel pain shared and equally distributed to double collections, each collection includes 15 of patients and Each of them is injected with dextrose 5% Or platelet rich plasma with evaluation of the pain.

Results: In group 1, the mean pain score after operation (VAS) (before) was 8.1 ± …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

Management Of Distal Tibial Fractures By Ilizarov Fixator With Or Without Minimal Internal Fixation, Moaaz Elgammal, Mostafa Elgahel, Ali Elgioshy

Al-Azhar International Medical Journal

Background: Ilizarov fixator has more advantages in some types of distal tibial fractures as open, type C3according to AO classification and give satisfactory results more than plates and screws fixation because it minimizes complications. The aim of the work: To estimate the techniques, results and complications of Ilizarov in management of distal tibial fractures with or without minimal internal fixation . Patient: During the period from August 2020 through June 2021, a prospective study was conducted on fifteen patients with fifteen tibial plafond fractures treated with Ilizarov fixator. The study consisted of 12 men and 3 women, with an average …

Evaluation Of Nailfold Capillaroscopy Pattern In Patients With Primary Osteoarthritis Of The Hands, Yasser Gazar, Sherif Ismail, Ahmed Fahmy

Al-Azhar International Medical Journal

Background: Hand osteoarthritis (OA) can be a distressing disorder that impairs a patients' quality of life. There is a relation between OA and vascular damage, especially atherosclerosis, and OA are both common chronic conditions associated with aging and obesity. Aim of the study: The objective of this research was to examine nailfold microcirculation in individuals with hand OA Patients and Methods: a cross-sectional, observational study, about 56 patients with hand OA were enrolled. All subjects underwent a standard radiology X-Ray examination of the hands and a Nailfold vascular examination was performed. Results: of the 56 patients studied were females, and …

Median Nerve Injury After Local Injection, Amro Attia

Al-Azhar International Medical Journal

Background, Iatrogenic median nerve injuries after local injection of carpal tunnel syndrome occur via direct injury. Complete or partial injury was observed. Surgeon should know the risk factors and how to prevent this case. Aim of the work. To overview the incidence, commonest drugs, our expertise in treating injection-related injuries, the functional recovery and how to prevent this injuries. Patient and methods. A retrospective analysis of management of 8 cases of injection-related iatrogenic median nerve injury from 2015 to 2020, Clinical presentation, neurological, and electrophysiological, were done. Failure of Conservative treatment is indicator for surgery, in the form of exploration, …

Evaluation Of Physiotherapy Impact On Rotator Cuff Shoulder Tendinopathy In Hypothyroid And Diabetic Patients, Hany Aly, Ashraf Aamer, Abdullah Gaafar, Mohamed Belih

Al-Azhar International Medical Journal

Background: Rotator cuff, acute or chronic tendonitis, is affected by diabetes and hypothyroidism. Physiotherapy plays a pivotal role in the outcome and improvement of rotator cuff tendinopathy. This cross-sectional study was conducted on forty patients with shoulder pain to study the impact of different physiotherapy modalities programs in both hypothyroid and diabetic rotator shoulder cuff tendinitis. Results: The mean of range of motion (ROM) among hypothyroid patients was 22.3±25.69 at first visit and increased to 77.7±65.02, whereas, the mean ROM among diabetic patients was 31.00 ±24.153 at first visit and increased to 101.55 ± 61.90. The ROM was of high …

Early Outcome Of Surgical Repair Of Complete Atrioventricular Canal Defects (Comparative Study Between Children Before And After 6 Months Of Age), Elhusseiny Gamil, Mohamed Sharaa, Bahaa El Khonizy, Ayman Khalifa

Al-Azhar International Medical Journal

Background: Complete atrioventricular septal defect (CAVSD) is composed of a primum atrial septal defect, nonrestrictive inlet ventricular septal defect and common atrioventricular (AV) valve. The aim of this study was to compare the result of surgical repair of complete atrioventricular (CAVC) before and after six months of age. Methods: Between January 2018 and December 2019 at Al-Azhar University and Atfal Misr hospital, 80 patients underwent CAVC repair. These patients were divided into 2 groups according to the age and each group is of 40 patients. These patients were managed by modified patch and double patch techniques. Results: In-group A, the …

Evaluation Of Free Vascularized Groin Lymph Nodes Transfer For Treatment Of Secondary Upper Limb Lymphedema, Usama Abdelfattah, Fawzy Hamza, Tarek Elbanoby, Wael Ayad, Joon Hong

Al-Azhar International Medical Journal

Abstract Background: Vascularized lymph node flap transfer is a recent approach used for the treatment of breast cancer-related upper limb lymphedema. Objective: This work aims to evaluate the effect of vascularized lymph node transfer in the management of secondary upper extremity lymphedema. Methods: a prospective randomized clinical study was conducted including 30 patients stage II-III breast cancer-related lymphedema (BCRL) between December 2017 till June 2020. 15 patients underwent vascularized groin lymph node flap transfer (group B) using the axilla (n = 7) or distal placement (elbow/wrist) (n = 8) as a recipient site. 15 patients who were selected to undergo …

Role Of Endoscopy In Osteolytic Bone Lesion Management, Amro Attia

Al-Azhar International Medical Journal

Abstract Background: Although benign bone tumors, osteomyelitis, and locally malignant tumors are potential to be locally aggressive. Various treatment approaches, such as aspiration and injection, en bloc resection, open curettage, and other methods like sclerotherapy, and embolization are described but the most appropriate treatment should be selected after considering the risk of tumor recurrence and treatment complications. Endoscopic curettage (ESC) may be a less invasive alternative to open curettage for benign bone tumors, locally malignant swelling and osteomyelitis with minimal complications and good function output. I will describe the use of ESC for the treatment of bone lesions and report …

The Analysis Of Risk Factors Associated With Women's Urinary Incontinence; Literature Review, Denisa Oana Balalau, Octavian Gabriel Olaru, Nicolae Bacalbasa, Stana Paunica, Daniela Gabriela Balan, Anca Daniela Stanescu

Journal of Mind and Medical Sciences

Urinary incontinence (UI) is a common condition among women. Approximately 50% of them had an involuntary loss of urine at least once in their lifetime. It can be present during sexual activity, contributing to sexual dysfunction and often associated with anxiety or even depression, thus having a negative impact on the quality of life. The incidence of UI is related to the existence of predisposing factors. The best known are: age, weight, family history, race/ ethnicity, number of pregnancies and mode of birth, history of genitourinary interventions and factors related to ordinary habits: smoking, caffeine consumption, oral contraceptives. Studies on …

Dorsal Approach For Impacted Comminuted Distal Radius Fracture By Open Reduction And Internal Fixation By Plate And Screws With Bone Grafting, Mohamed Abdel-Fattah, Ahmed Mohammed, Ahmed Badawy

Al-Azhar International Medical Journal

Background: The distal radius fracture is the most common fracture seen in an emergency, making up 17% of all fractures. It is complex to treat affected comminuted distal radius fracture. Especially when the fractures are dorsally comminuted, internal fixation via a dorsal approach should be considered. Objective: To evaluate the results of dorsal plating in patients with impacted comminuted distal radius fracture. Patients and methods: This study was done at Al-Azhar University Hospitals, Air-Force military hospital & El-Mattaryah teaching hospital, during the period of December 2019 and December 2020. 13 males and 7 females (20 fractures) aged 22 to 59 …

Comparative Study Between Intramedullary K Wires Versus Mini-Plates And Screws In Fixation Of Metacarpal Shaft Fractures In Adults, Mahmoud Abdel-Hamid, Mohamed Abulsoud, Mohamed Bissar

Al-Azhar International Medical Journal

Abstract Background: Percutaneous intramedullary K. wires fixation and mini-plates fixation are reasonable options for treating unstable metacarpal fractures as they provide anatomical reduction and rigid fixation, which is adequate to permit early mobilization. Objective: To compare between mini-plates and Kirschner wires in management of unstable metacarpal shaft fractures in adults. Patients and Methods: All patients (n=30) included in this prospective comparative study were managed and followed up at Al-Azhar University Hospital from January 2019 to February 2020. Thirty patients with fracture of shaft metacarpal were divided into 2 groups: group A (n=15) were managed by percutaneous intramedullary K-wires and group …