Introduction
Femoral anteversion is the anterior inclination of the femoral neck and head in relation to the shaft of the femur. Femoral anteversion provides torsional stability of the hip - an important clinical factor for conditions such as trauma, arthroplasty, developmental dysplasia of the hip, and Legg-Calve Perthes disease. Precise measurement is important to avoid instability in pathological conditions of the hip. Computed tomography (CT) measures the angle more accurately as compared to plain radiography and is considered the gold standard procedure for measurement. Patients are exposed to significantly more ionizing radiation in CT, especially the pediatric population, which is more susceptible.
Material and methods
A prospective study of 25 individuals was undertaken wherein the femoral anteversion angle was comparatively measured by clinical, radiographic, and CT methods.
Results
The radiological evaluation depicted mean values that were far from those of the CT evaluation as compared to the clinical evaluation.
Conclusion
The clinical method (trochanter prominence angle test) can be used to measure femoral anteversion to avoid exposure to ionizing radiation and cases where CT is unavailable.
Epidural Etanercept is promising and effective non-operative treatment for patients with sciatica. But these results need to be confirmed by a randomized controlled trial.
Proper decompression, reduction and fixation should be done in neglected cervical dislocation as it provides mechanical stability and alignment, facilitates rehabilitation, prevent kyphotic deformity as well as offers a fair chance of neurological recovery.
A spinal epidural abscess (SEA) is a rare condition that has a devastating impact on the patient’s health. It is difficult to diagnose and can present with a myriad of symptoms with or without the involvement of a neurological deficit. The conditions that lead to immunocompromised status, such as malnutrition, diabetes, intravenous drug abuse, previous surgical intervention, and human immunodeficiency virus (HIV) infection/acquired immune deficiency syndrome (AIDS) can predispose a patient to SEA. The most common organisms isolated from the affected patient include Staphylococcus aureus and Streptococcus species while an abscess in some cases can be caused by tuberculosis and fungal and parasitic infections. Among the other causative organisms is Burkholderia pseudomallei (B. pseudomallei), also known as Pseudomonas pseudomallei, which is a Gram-negative, bipolar, aerobic, motile, and rod-shaped bacterium. It is a soil-dwelling bacterium, which is endemic in tropical and subtropical regions worldwide, particularly in Thailand and northern Australia, and causes melioidosis. To our knowledge, SEA caused by B. pseudomallei from the Indian subcontinent has not been reported in the literature. In this case report, we present the case of a patient with SEA caused by B. pseudomallei.
Background: Extension fractures are more common than flexion fractures, and were classified into three subgroups by Gartland: type I, with no displacement; type II, with moderate displacement and intact posterior cortex and type III, with complete displacement. According to many authors, the ideal treatment for type 3 supracondylar humerus fractures is closed reduction and percutaneous pinning.
Methods: This study was conducted in the department of orthopaedics, Rajendra institute of medical sciences, Ranchi during the period from December 2020 to December 2022. Both male and female patients were included in the study. Implant used are K wires of various diameter ranging from 1.5 to 2 mm.
Results: The results with CRPCP are better than ORIF method as far as range of motion of elbow is concerned. Baumann angle were also comparable in both the groups.
Conclusions: In our study, in the ORIF group, the ROM of the elbow treated improved with time. There was improvement in the range of motion at the 6-months follow-up as compared to the 3-months follow-up.
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