Congenital bilateral humeroradial synostosis (HRS) is a rare condition. It is generally divided into 2 categories. In the first group, which is mainly sporadic, additional upper limb hypoplasia typically coexists. In the second group, which is classically familial, HRS is commonly an isolated upper extremity anomaly. HRS can lead to variable degrees of functional disability. The clinical case reported here illustrates a possibly avoidable presentation of this uncommon condition. In this case report, we present a 6-week-old male who presented with bilateral radius fractures. Radiography revealed congenital HRS at both elbows. No other associated congenital abnormalities were detected, and there was no family history of similar conditions in any first-degree relatives. In cases of congenital HRS, movement at the elbow joint is not possible. Parents who are unaware of this information might try to straighten their infant’s elbows, which in turn may result in fractures of the proximal radius. Hence, early diagnosis and proper parental education could prevent fractures as a sequela of HRS.

Background: This paper presents the results of a modified team-based learning (MTBL) in the Orthopaedic Department of the Omdurman Islamic University. It is a modification of the team-based learning (TBL) developed by Dr. Larry K. Michaelson, who explored the benefit of small group learning within large classes. TBL differs from other forms of small group work, which involves developing and using learning teams in large settings as an instructional strategy. Objectives: The main difference between conventional TBL and MTBL is that students learn in small groups in a single large class with a single facilitator in conventional TBL. In contrast, in MTBL, students learn in separate small classes with different facilitators. In this study, we investigated the impact of MTBL on the learning of students in an orthopaedic course. Students’ satisfaction and grades, following the MTBL for an orthopaedic class, were analyzed and compared to another batch of students in a conventional lecture learning strategy. The two batches were taught by the same faculty members. Methods: The MTBL was implemented as a teaching method in orthopaedics and traumatology course in 2020. A total of 282 students were surveyed for their satisfaction with this new pedagogical approach, and 153 students responded to the questionnaire. We adopted a self-administered questionnaire answering on a five-option Likert scale. The five options represented the levels of agreement. At the end of the course, students’ exam scores were compared to the results of their previous batch, in which teaching was carried out utilizing conventional lectures only (a total of 128 students). Results: The results showed that the majority of the students involved in the study (66.5%) were satisfied with the MTBL. The students thought that it increases the long retention of knowledge and should be used more frequently in the curriculum, and they recommend it to other students. The analysis of the examination results using the Chi-square test revealed a significant difference between the results of the students who studied the course in the form of MTBL and those who studied the course in the form of a traditional lecture with a clear improvement in the results following MTBL orthopaedic course (P-value = 0.0000). Conclusions: We, therefore, conclude that the MTBL where students are divided into separate small groups with different instructors improves the performance and the grades of the students in the exam. It also reveals that the students feel satisfied with the learning technique. We recommend it be more frequently used in the curriculum.

Introduction Arthroplasty has always been associated with complications, such as the possibility of periprosthetic infection. The presence of an active infection at the site of the planned surgery is considered a contraindication for the new implant. However, it is unclear whether there is an association between the presence of remote musculoskeletal infection and the development of infection in the prosthetic joint itself. We report six cases involving patients with active ongoing musculoskeletal infections at a remote site who underwent arthroplasty. Presentation of cases Four male and two female patients were included in this review. Three patients underwent total hip arthroplasty, one underwent hip hemiarthroplasty, and two underwent total knee arthroplasty. All surgeries were performed in the presence of different stages of infection at a remote site; two had active infections with pus-discharging sinus, one was being treated with long-term oral antibiotic suppression, and three patients were diagnosed with remote prosthetic joint infections on the basis of joint aspiration or intraoperative cultures. Clinical assessments of pain, wound erythema or drainage, and soft tissue swelling were performed at follow-up. Radiography and analysis of inflammatory marker levels were performed preoperatively and 6 weeks postoperatively. Discussion All six patients were followed-up for at least 18 months (mean, 4.6 years; range, 18 months to 9 years). No evidence of superficial surgical-site infection or deep prosthetic joint infection was observed. Conclusion The presence of an active infection at a remote site might not be a contributing factor to periprosthetic joint infection.

Background: The use of social media (SM) in health profession education has been shown to be beneficial for the promotion of student collaboration and enhancement of learning. However, this is an evolving area where comparative studies are lacking, and further research is needed to determine the best ways to use SM in medical schools and identify the outcomes. Objectives: This study aimed to consider SM application-based discussion groups as a method of using SM in medical education to assess the effect on students’ examination grades and students’ attitudes toward it. Methods: In this quasi-experimental study, 182 fourth-year medical students taking the orthopedics and traumatology course were divided into two groups. In the study group (n = 78), SM-based discussion was adopted as a supplementary learning tool. No additional teaching methods were used in the control group (n = 104). The final grades of the students from the two groups were analyzed, together with the data collected from an online questionnaire completed by the students in the study group. Results: There was no statistically significant effect of using online discussions on the improvement of examination grades. However, 89.87% of the students felt that SM-based discussions motivated them to learn and enhanced their learning; nevertheless, 77.01% of the students believed that it is easier to ask questions in the forum than during outpatient clinics and clinical rounds, and lectures. The rates of students who agreed that this method was a helpful feedback and revision tool were 83.55% and 91.65%, respectively. Conclusions: WhatsApp and Telegram discussion groups represent a promising way to utilize SM in medical education as they promote students’ connection and learning. The SM applications could also provide valuable feedback and are regarded as revision tools. Nevertheless, there was no significant association between the implementation of this academic activity and better examination grades.

Objectives:The overall aim of this study is to evaluate the incidence of acetabular dysplasia in asymptomatic Sudanese adults. Methods: This is a cross-sectional population-based study, which includes radiographic examination of the Hip. A total of 240 hips are studied in scout view which is routinely done in patients undergoing CT KUB. The morphology of acetabulum is assessed by measuring the center edge angle (CEA), acetabular angle, acetabular depth to width ratio. Results:The study shows that the mean center edge angle is 36.07° (SD±5.74°), 36.01° (SD ±3.37°) for the Rt and Lt hips respectively. Mean acetabular angle is 37.5° (SD±3.7°) for the Rt and 36.9° (SD±3.9°) for the Lt hip, mean depth to width ratio is 0.3 (SD±0.03) and .29 (SD±.03) for the both hips respectively. The CEA is dysplastic in 1.7%, the acetabular depth/width ratio in 19.2% and the acetabular angle in 0.8% of the hips. The study shows statistical significant relationship between male gender and abnormal acetabular angle. Also, there is statistical significant relationship between left side and center-edge angle dysplasia. Conclusions: the incidence of hip dysplasia in Sudanese population is found to be higher when compared to South Asian and Indian population and lower than Sami and other Asian population.