en
jalali
1398
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1
gregorian
2019
8
1
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online
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fulltext
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Sagittal Alignment Following the Kyphoplasty of Acute Versus Chronic Osteoporotic Vertebral Compression Fracture
Background: As a minimally invasive operation, kyphoplasty has become popular in the treatment of osteoporotic vertebral compression fracture (OVCF).
Objectives: This study aimed to evaluate how the timing of kyphoplasty affects the parameters of sagittal alignment in OVCF.
Methods: In this prospective study, the patients with OVCF, who underwent kyphoplasty at our center, were recruited. Pre- and post-operative vertebral height, local and total kyphosis, coronal axis, sagittal vertebral axis, pelvic tilt, lumbar lordosis, sacral slope, and spino-cranial angle were evaluated and compared between acute OVCF (kyphoplasty performed within 1 month after injury) and chronic OVCF (kyphoplasty performed after 1 month from injury) patients.
Results: Kyphoplasty was done for 18 acute and 28 chronic OVCF patients. All of the evaluated parameters, except spino-cranial angle, were significantly improved after the kyphoplasty. A significant difference was observed between the mean lumbar lordosis improvement of the two groups (P=0.026). In particular, the Mean±SD lumbar lordosis improved 6.1±6.6º in the acute patients and 0.92±7.86º in the chronic group. No other significant difference was observed between the improvement of the spinopelvic parameters in the two groups.
Conclusion: The timing of kyphoplasty impacts the improvement of spinopelvic parameters, as well as the reduction of pain and restoration of vertebral height.
Kyphoplasty, Osteoporosis, Vertebral compression fracture, Sagittal alignment
1
6
http://jros.iums.ac.ir/browse.php?a_code=A-10-41-67&slc_lang=en&sid=1
2019/03/29
1398/1/9
2019/07/12
1398/4/21
Farshad
Nikouei
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003818
0031947532846003818
No
Hasan
Ghandhari
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003819
0031947532846003819
No
Mohammadamin
Haghbin
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003820
0031947532846003820
No
Omid
Momen
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003821
0031947532846003821
Yes
Amir
Aghaie Aghdam
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003822
0031947532846003822
No
fa
Comparison of Computed Tomography Scan and Plain Radiograph for the Assessment of Postoperative Union in Patients Treated for Scaphoid Nonunion
Background: The appropriate monitoring of union following the treatment of scaphoid nonunion is essential. However, there is no consensus regarding the optimal imaging modality for this evaluation.
Objectives: Here, we compared the reliability of plain radiographs with computed tomography (CT) scanning in determining the union of scaphoid following the scaphoid nonunion.
Methods: In this retrospective study, 25 patients, who underwent the surgical treatment of scaphoid nonunion and had both plain radiographs and CT images, were included. The surgical procedure included open reduction, illiac crest bone graft, and K-wire fixation. Two different observers assessed the healing of scaphoid nonunion by both imaging modalities and graded as healed or non-healed.
Results: The mean±SD age of the patients was 29.1±6.8 years. The mean±SD time interval from the operation to imaging was 6.5±2.5 months. Based on the plain radiographs, all patients achieved the scaphoid union. However, in the CT evaluation, 23(92%) patients showed the scaphoid union. Accordingly, CT images and plain radiographs agreed in 23 cases and disagreed in two cases. This difference was not statistically significant (P=0.5).
Conclusion: In a subset of patients, who underwent the operation for the treatment of scaphoid nonunion, plain radiographs might falsely confirm a scaphoid union. In these patients, a complementary CT evaluation might be helpful in the accurate assessment of scaphoid healing.
Scaphoid nonunion, Union, Plain radiograph, Computed tomography scan
7
12
http://jros.iums.ac.ir/browse.php?a_code=A-10-41-68&slc_lang=en&sid=1
2019/03/292019/05/16
1398/2/26
2019/07/122019/07/13
1398/4/22
Hooman
Shariatzadeh
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003823
0031947532846003823
No
Farid
Najd Mazhar
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003824
0031947532846003824
No
Hamidreza
Dehghani Nazhvani
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003825
0031947532846003825
No
Hojjat
Eghbali Jelodar
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003826
0031947532846003826
Yes
fa
Traumatic Pseudoaneurysm of Peroneal Artery: A Case Report and Review of the Literature
Introduction: Post-traumatic Pseudoaneurysm (PTP) is a rare condition. Because of its clinical course and presentation like a tumor lesion, its early diagnosis and appropriate treatment is necessary.
Case Presentation: In this study, we present a case of PTP in the left peroneal artery two years after trauma that presented with calf mass.
Conclousion: Magnetic resonance imaging and magnetic resonance angiography were used for the diagnosis, and the patient was successfully managed with endovascular stenting.
Pseudoaneurysm, Trauma, Tumor like lesion
13
16
http://jros.iums.ac.ir/browse.php?a_code=A-10-41-69&slc_lang=en&sid=1
2019/03/292019/05/162019/04/27
1398/2/7
2019/07/122019/07/132019/07/1
1398/4/10
Omid
Mahmoudi Nasab
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003846
0031947532846003846
No
Mohsen
Heidari
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003847
0031947532846003847
Yes
Sam
Haji Alilu Sami
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003848
0031947532846003848
No
Mohammad Mehdi
Azizi
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003849
0031947532846003849
No
Mohammad Reza
Kooshesh
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003850
0031947532846003850
No
fa
Trigger Wrist: A Case Series Study
Background: Trigger wrist is a relatively rare hand disorder that refers to the painful snapping and clicking or triggering at the wrist level during finger or wrist movements.
Objectives: In this study, we aimed at reporting a series of trigger wrist and discussing their etiology, as well as their clinical manifestation and outcomes.
Methods: In this retrospective study, the patients with the definitive diagnosis of trigger wrist were reviewed. Their demographics and clinical symptoms were extracted from their medical records. The symptoms of median neuropathy, including weakness or atrophy of the thenar muscles, persistent numbness, and paresthesia were recorded to investigate the association with carpal tunnel syndrome (CTS).
Results: A total of seven patients with the mean±SD age of 35.5±10.3 years were included in the study. A benign mass was the etiology of trigger wrist in all cases, with giant cell tumor of flexor tendon sheet as the most common etiology (57.1%). Trigger wrist was associated with CTS in three cases (42.8%), in all of whom the tumor size was larger than the average. Pain and snapping with or without palpable mass were the main clinical symptoms of the patients that completely disappeared by surgical removal of the lesion. A mean 40.3 months follow-up of the patients was uneventful.
Conclusion: Benign neoplasms could be considered as the most common etiology of trigger wrist. Since many patients with trigger wrist might have CTS, too, the careful differentiation of these entities is necessary. Once accurately diagnosed, surgical intervention is entirely curative.
Trigger wrist, Etiology, Tumor, Clinical manifestation
17
22
http://jros.iums.ac.ir/browse.php?a_code=A-10-41-70&slc_lang=en&sid=1
2019/03/292019/05/162019/04/272019/04/29
1398/2/9
2019/07/122019/07/132019/07/12019/07/5
1398/4/14
Omid
Mahmoudi Nasab
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003827
0031947532846003827
Yes
Mohammadamin
Haghbin
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003828
0031947532846003828
No
Mohammad Reza
Kooshesh
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003829
0031947532846003829
No
Farid
Najd Mazhar
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003830
0031947532846003830
No
fa
Pure Ankle Dislocation Treated With Casting and Early Range of Motions and Rehabilitation
Introduction: Ankle dislocations are a group of injuries requiring immediate orthopedic interventions to avoid subsequent neurovascular complications and impairments. In most cases, they are associated with a malleolar fracture in the ankle. However, in the sporadic cases, especially the ones due to high-energy traumas, ankle dislocations are not associated with malleolar fractures and are referred to as "pure ankle dislocations".
Case Presentation: Here, we report a rare case of pure ankle dislocation in a 38-year-old female athlete with no previously established predisposing risk factors. The patient was referred to our emergency department following a catastrophic fall down during exercise, resulting in severe ankle pain and deformity. The patient was treated with urgent reduction of the displacement and 6 weeks of immobilization by casting followed by intensive physiotherapy.
Conclusion: At the end of the 3-month follow-up, no symptoms of instability were observed, and the patient could walk normally; at the 6-month follow-up, the patient could perform her sport activates similar to the initial level.
Pure ankle dislocation, Range of motions and rehabilitation, Tibiotalar joint, Ankle ligament, Ankle instability, Orthopedics
23
26
http://jros.iums.ac.ir/browse.php?a_code=A-10-41-71&slc_lang=en&sid=1
2019/03/292019/05/162019/04/272019/04/292019/05/13
1398/2/23
2019/07/122019/07/132019/07/12019/07/52019/07/28
1398/5/6
Mehdi
Moghtadaei
Department of Orthopedics Surgery, Hazrate Rasoole Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003851
0031947532846003851
No
Mikaiel
Hajializade
Department of Orthopedics Surgery, Hazrate Rasoole Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003852
0031947532846003852
Yes
Seyed Mani
Mahdavi
Department of Orthopedics Surgery, Hazrate Rasoole Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003853
0031947532846003853
No
Habib-o-lah
Gorgani
Department of Orthopedics Surgery, Hazrate Rasoole Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003854
0031947532846003854
No
Ali
Yeganeh
Department of Orthopedics Surgery, Hazrate Rasoole Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003855
0031947532846003855
No
fa
Missed Forearm Artery Pseudoaneurysm Following a Direct Stab Wound
Introduction: Pseudoaneurysm, accompanied by penetrating trauma in the forearm, is rarely reported. Considering that clinical examination is not standard in these cases, clinical suspicion and application of suitable diagnostic modalities would be promising and helpful. Most of these patients were referred to the emergency units but were not correctly diagnosed.
Case Presentation: In this report, we present a 22-year-old patient with increasing pain because of a stab wound to forearm 10 days after the first referral to the emergency unit. A pseudoaneurysm was suspected in posterior interosseous of the radial artery because of the persistent pain and palpation of mass.
Conclusions: The results of bedside ultrasound in the emergency unit and CT angiography revealed pseudoaneurysm in posterior interosseous of the radial artery. The surgical treatment was the resection of the lesion and posterior interosseous ligature. All symptoms of the patient were resolved in a 2-months follow-up. Post-traumatic upper extremity pseudoaneurysm can show its signs and symptoms after a long time.
Stab wound, Pseudoaneurysm, Forearm
27
30
http://jros.iums.ac.ir/browse.php?a_code=A-10-41-72&slc_lang=en&sid=1
2019/03/292019/05/162019/04/272019/04/292019/05/132018/10/31
1397/8/9
2019/07/122019/07/132019/07/12019/07/52019/07/282018/12/22
1397/10/1
Ali
Tabrizi
Clinical Research Development Unit of Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.
0031947532846002596
0031947532846002596
Yes
Hassan
Taleb
Clinical Research Development Unit of Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.
0031947532846002597
0031947532846002597
No
Mohammad Javad
Shariyate
Department of Orthopedics, Urmia University of Medical Sciences, Urmia, Iran.
0031947532846002598
0031947532846002598
No
Ahamdreza
Afshar
Clinical Research Development Unit of Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.
0031947532846002599
0031947532846002599
No
fa
Osteoid Osteoma of the Lumbar Spine in a 3.5-Year-Old Boy
Introduction: Osteoid osteoma is the third most common benign tumor of bone. The incidence of osteoid osteoma in the spine, particularly in the patients younger than five years, is low.
Case Presentation: Here, we report a case of osteoid osteoma located in the lumbar spine (L5) occurred in a 3.5-year-old boy. The patient was referred with a chief complaint of back pain for six months that was aggravated at nights. Furthermore, no apparent spinal deformity existed. Based on the clinical and imaging findings, the diagnosis of osteoid osteoma was made, and the surgical excision of the lesion was performed. The histologic examination of the extracted tissue confirmed the diagnosis of osteoid osteoma.
Conclusions: The back pain alleviated the day after the operation, and he was event-free over 6-month follow-up visits. This report highlights the importance of osteoid osteoma in the differential diagnosis of spinal pain presented at any age.
Osteoid osteoma, Spine, Children, Differential diagnosis
31
36
http://jros.iums.ac.ir/browse.php?a_code=A-10-41-73&slc_lang=en&sid=1
2019/03/292019/05/162019/04/272019/04/292019/05/132018/10/312019/01/25
1397/11/5
2019/07/122019/07/132019/07/12019/07/52019/07/282018/12/222019/07/13
1398/4/22
Hasan
Ghandhari
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003836
0031947532846003836
No
Ebrahim
Ameri
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003837
0031947532846003837
No
Farshad
Nikouei
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003838
0031947532846003838
No
Saeid
Sabbaghan
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003839
0031947532846003839
No
Mohammadreza
Shakeri
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003840
0031947532846003840
Yes
fa
Gorham’s Disease of Cervicothoracic Spine
Introduction: Gorham’s disease is a rare enigmatic bone disorder associated with obscure osteolysis pattern, challenging diagnosis and treatment. Particularly, there is a high level of controversy regarding the diagnosis and strategy of treatment in the spinal involvement of Gorham’s disease that is generally presented with a kind of spinal deformity.
Case Presentation: Here, we report a case of Gorham’s disease of the spine manifested with spinal cord complications and lacking any spinal deformity. The patient was managed through a two-stage spinal cord decompression technique. The symptoms were resolved afterward and five-year visits did not demonstrate any significant complication.
Conclusion: This case reveals that the Gorham’s disease of the spine could be presented with spinal cord complication alone. Accordingly, the strategy of treatment should be established based on the occurrence of spinal cord complications or magnitude of spinal deformity.
Gorham’s disease, Spine, Symptoms, Spinal cord compression
37
42
http://jros.iums.ac.ir/browse.php?a_code=A-10-41-74&slc_lang=en&sid=1
2019/03/292019/05/162019/04/272019/04/292019/05/132018/10/312019/01/252018/12/20
1397/9/29
2019/07/122019/07/132019/07/12019/07/52019/07/282018/12/222019/07/132019/07/6
1398/4/15
Khodakaram
Rastegar
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003841
0031947532846003841
No
Hasan
Ghandhari
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003842
0031947532846003842
No
Ebrahim
Ameri
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003843
0031947532846003843
No
Farshad
Nikouei
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003844
0031947532846003844
No
Mohammadreza
Shakeri
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
0031947532846003845
0031947532846003845
Yes