Total knee arthroplasty is gaining popularity in individuals with advanced stages of knee osteoarthritis among the affording economic class. The aim of the study was to assess the effects of preoperative rehabilitation in the management of post-operative quadriceps lag. The study design was non-randomised clinical study conducted from January 2017 to March 2017 at Ghurki Trust Teaching Hospital, Lahore, Pakistan. Non probability convenient sampling technique was applied to collect data of 30 patients with TKA. The data was collected by self-designed questionnaire, and goniometric range of knee extension was used as the main outcome. Independent sample t-test was applied to assess the difference between the groups. The mean age of the patients was 64.37±11.66 years. The mean score for Extensor Lag with pre-operative rehabilitation regime was 12.53º±36.57º and without this regime it was 23.20 ±79.18º (p value 0.005 & t-value -3.035). ---Continue

Abstract Soft-tissue calcification is characterised by the deposit of calcium in the damaged collagen fibres. The pathology of the phenomenon is not fully known. Trauma, spinal cord injury and traumatic brain injury have been reported as possible risk factors. Hypertrophic calcification of medial collateral ligament can be post-traumatic with unexplained aetiology. It can restrict the normal range of joint motion, affecting performance of activities of daily living, resulting in disturbance of quality of life. It may be managed conservatively, but if unsuccessful, surgical removal of the calcification may be carried out. Here, we present a case of post-traumatic heterotrophic calcification of medial collateral ligament of knee joint and review of current literature. Keywords: Heterotrophic calcification, Lower extremity functional scale, medial collateral ligament, Continuous...

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Aim: To find out correlation between heavy school bags and upper limb disabilities among school going children. Methods: This descriptive cross-sectional survey, using non-probability convenience sampling, was conducted on 396 students of 11 to 15 years after ethical approval in 6 months. Height (in cm) and weight (in Kg) were noted and BMI was calculated. Students with the normal BMI were included in the study. Weigh of the students were recorded with their shoes off while the weight of the bags was calculated with all the stationary included. Quick DASH scale score was calculated and correlated with the weight of the bag by applying Chi-Square test. Results: The mean age of the participants was13.49±1.12 years. The mean weight of the school bag was 6.10±2.1Kgs while the students were carrying more than one-quarter of their body weight. The disability calculated from the quick DASH scale was as high as 40%. Chi-square showed a significant correlation between the upper limb disabilities and the weight of the bag. Conclusion: The study showed that there is a significant correlation that the use of heavy school bags can cause upper limb disabilities in children. Keywords: Heavy School Bags, Upper Limb Disabilities, Children, Disabilities of Arm Shoulder and Hand

Background: Currently world is within the clutches of the coronavirus disease (COVID-19) , caused by the SARS-CoV-2 virus, COVID-19 virus has evolved to human-to-human spread . COVID-19 infection can cause fever, fatigue, dry cough, severe pneumonia, respiratory distress syndrome and in some instances death. Release of cytokine is the main process by which COVID-19 affects human system. High level of chemokines and pro-inflammatory cytokines has been observed among the patients with COVID-19. Methodology: 100 COVID-19 positive patients with cytokine storm and100 COVID-19 positive patients without cytokine storm with 18+ age and both gender were included after their formal consent. Interleukin-6, interleukin-8 and Vitamin-D were determined by their respective ELISA kits. SPSS software was applied for statistical analysis. Results: the results of current study showed the raised levels of interleukin-6 and interleukin 8 in case group as compared to controls. Levels of Vit D were compromised in case of Covid patients with cytokine storm than controls respectively. Conclusion: it was concluded that increased oxidative stress and lacking anti-oxidants may add to the development and advancement of cytokine storm in corona virus positive patients. Keywords: Vitamin D, Transforming growth factor beta, SARS-COV2, IL-6, IL8, SOD, cytokine storm.