Latar belakang: Morfometri tulang radius distal (radial inclination, palmar tilt, radial height, dan ulnar variance) merupakan parameter penting dalam evaluasi dan tatalaksana fraktur radius distal dimana keselarasan anatomi harus dikoreksi. Pada saat ini, pengobatan cedera radius distal di Indonesia masih didasarkan pada morfometri populasi barat atau dari sisi kontralateral. Tujuan dari penelitian ini adalah untuk menentukan morfometri radius distal pada populasi Indonesia dan untuk mengetahui apakah terdapat perbedaan nilai antara jenis kelamin laki-laki dan perempuan serta antara sisi kanan dan kiri. Metode: Morfometri radius distal diukur dari 400 foto polos pergelangan tangan kanan dan kiri proyeksi AP dan lateral dari sampel yang memenuhi syarat yang didapat dari RS KESDAM Moh. Ridwan Meuraksa Jakarta pada bulan Juni sampai September 2010. Parameter radial inclination, palmar tilt, radial height, dan ulnar variance diukur. Data dicatat dalam tabel dan dikelompokkan antara jenis kelamin pria dan wanita, sisi kanan dan kiri. Analisis statistik dilakukan dengan uji Mann-Whitney.
Abstrak AbstractBackground: Several promising methods to reduce the peritendinous adhesion after repair include amniotic membrane and hyaluronic acid application on the repaired tendon site. This study aimed to compare the effect of lyophilized amniotic membrane, application of hyaluronic acid, and their combination in preventing peritendinous adhesion after tendon repair in New Zealand white rabbits.Methods: 64 flexor digitorum fibularis tendon from 16 rabbits were cut and then repaired by modified Kessler technique. Samples were allocated into four test groups; group I as control had simple tendon repair, group II had amniotic membrane wrapping at repair site, group III had hyaluronic acid application at repair site, and group IV had combination of amniotic membrane wrapping and hyaluronic acid application. On 6 th week, 8 tendon from each group underwent macroscopic and histologic evaluation of peritendon adhesion by Tang scoring system. The rest of samples were evaluated for tendon gliding at tenth week by measuring active and passive range of motion of metatarsophalangeal joint.
ABSTRAK ABSTRACTBackground: Palmaris longus (PL) tendon is often used as graft in tendon or ligament reconstruction. PL absence is a normal variation in human body. Its prevalence was different in various population. Serbian population had an absence rate of 42.4%, but in the Korean population it was only 4.0%. This study aimed to determine the prevalence of PL absence in various ethnic of Indonesian population and its relationship with gender and side of hand dominance. Methods:We conducted a cross-sectional study in 1230 people from six ethnicities in Indonesia. The absence of PL was determined by Schaeffer test and confirmed with Mishra and Thompson test. Data collection was performed by a single examiner in various cities in Indonesia. The relationship between PL absence with ethnicity, gender, and hand dominance were determined by Chi-square test.Results: Prevalence of PL absence in overall Indonesian population was 10.4% (bilateral 37.5% and unilateral 62.5%). The highest were in Batak and Madura ethnicities (15.5%), followed by Sunda (11.8%), Java (10.0%), Betawi (6.0%), and the lowest was Minang ethnicity (4.1%) (p = 0.008). Prevalence of PL absence in female and male were 10.7% 10.2%, respectively, p > 0.05). Conclusion:Compared to range of prevalence in other countries in the world, prevalence of PL absence in Indonesian population was moderate (10.4%). There was significant difference found between ethnicity, but not in gender. Surgeon should consider this data when planning for reconstruction procedures using PL graft in Indonesian population.
Child abuse is a pervasive social and medical problem that remains a major cause of disability and death among children.
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