Comparative Evaluation of Clinical and Ultrasound Examination in Neonatal Hip Screening for the Detection of Developmental Dysplasia of the Hip – A Hospital-Based Cross-Sectional Study

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Journal of Clinical Orthopaedics | Vol 7 | Issue 2 |  Jul-Dec 2022 | page: 59-65 | Viveksheel Kashyap, Rajeev Reddy Kikkuri, Anmol Mittal, Karri Sandeep Reddy, Richa Singhal

DOI: 10.13107/jcorth.2022.v07i02.533

Author: Viveksheel Kashyap [1], Rajeev Reddy Kikkuri [2], Anmol Mittal [3], Karri Sandeep Reddy [2], Richa Singhal [4]

[1] Department of Orthopaedics, Paras HMRI Hospital, Patna, Bihar, India,
[2] Department of Orthopaedics, Sunshine Hospitals, Telangana, Hyderabad, India,
[3] Department of Orthopaedics, J.N. Medical College, KLE University, Belgaum, Karnataka, India,
[4] Department of Pediatrics, Safdarjung Hospital, New Delhi, India.

Address of Correspondence
Dr. Rajeev Reddy Kikkuri,
Department of Orthopaedics, Sunshine Hospitals, Telangana, Hyderabad, India.
E-mail: rajeevkikkuri@gmail.com

Abstract

Background: During infancy, among developmental abnormalities of the hip joint, a broad-spectrum anomaly is developmental dysplasia of the hip (DDH). To examine this abnormality, no standardized screening protocol is available. Clinical examination is most frequently followed, and in doubtful cases, ultrasound (US) examination is used to confirm the diagnosis.

Aims: The present study aims to compare the sensitivity and specificity of clinical to US examination in neonatal hip screening to detect DDH.

Materials and Methods: This is a 1-year hospital-based cross-sectional study. Newborns who were referred to the Department of Orthopaedics with suspected DDH and examined by both clinical examination and US examination were included in the study. The Chi-square test and Fisher’s t-test were used for statistical analysis.

Results: Out of the 75 babies, referred two-thirds were girls. The mean age of the babies was 6.25 ± 3.50 days. The breech presentation was the common risk factor (85.33%) for DDH, and LSCS was the standard mode of delivery. Clinical diagnosis of DDH was positive among babies, more on the left side than the right side. Eight babies (10.67%) were diagnosed to have DDH based on Graf’s test using USG. Among them, 4 (50%) babies had a clinical diagnosis of DDH. The sensitivity of the clinical trial with USG as reference standard was 50%

Conclusion: Due to the lower sensitivity of clinical examination, USG screening should be done to detect DDH.

Keywords: Hip dislocation, infant, newborn, ultrasonography, mass screening

References

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How to Cite this article: Kashyap V, Kikkuri RR, Mittal A, Reddy KS, Singhal R. Comparative Evaluation of Clinical and Ultrasound Examination in Neonatal Hip Screening for the Detection of Developmental Dysplasia of the Hip – A Hospital-Based Cross-Sectional Study. Journal of Clinical Orthopaedics Jul-Dec 2022;7(2):59-65.

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Financial Burden of COVID-19 on Orthopeadic Surgeons

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Journal of Clinical Orthopaedics | Vol 7 | Issue 2 |  Jul-Dec 2022 | page: 66-72 | Sachin Kale, Sagar Soni, Sarang Aggarwal, Nikhil Reginald Isaacs, Ronak Mishra, Sankalp Shashwat, Suraj Doshi

DOI: 10.13107/jcorth.2022.v07i02.537

Author: Sachin Kale [1], Sagar Soni [1], Sarang Aggarwal [1], Nikhil Reginald Isaacs [1], Ronak Mishra [1], Sankalp Shashwat [1], Suraj Doshi [1]

[1] Department of Orthopaedic, Dr. D. Y. Patil University , School of Medicine Hospital and Research Centre, Nerul,
Navi Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Nikhil Reginald Isaacs,
Department of Orthopaedic, Dr. D. Y. Patil University , School of Medicine Hospital and Research Centre, Nerul,
Navi Mumbai, Maharashtra, India.
E-mail: nikhil-isaacs@hotmail.com

Abstract

Background: Coronavirus disease 2019 (COVID-19) has spread throughout the world, affecting people from all walks of life, including orthopedic doctors in India. We’ve We’ have seen a significant decrease in the number of patients. The study’s study’s goal was to determine the extent to which the epidemic has affected Indian orthopaedic practice.

Methods: An online survey of currently practicing Indian orthopaedic doctors was done. The study enlisted the help of 500 orthopaedic surgeons. A statistical analysis was performed to determine the relationship between the demographic profile of study participants and other orthopaedic practice characteristics.

Results: Maximum participants belonged to the age group of 30-–40 years (39.8%) and only 13.6% belonged to the age group of 51-–60 years. Approximately, 85.8% participants were married. Out of all, 86% participants were consultants and 14% were residents. Most of the participants (35.2%) have 5-–10 years of practice experience. Most of the participants were working in charity hospitals (31.4%) and very few of them (4.8%) were working in government hospitals.

Conclusion: Practicing orthopaedic surgeons working in the private sector and running their own (individual) hospitals and clinics have been the most badly afflicted in terms of earnings, while those working in the government sector and medical universities have been the least afflicted.

Keywords: Coronavirus disease 2019COVID-19, financial loss, orthopedic surgeons, clinical practice, World Health
Organization. WHO

References

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How to Cite this article: Kale S, Soni S, Aggarwal S, Isaacs NR, Mishra R, Shashwat S, Doshi S. Financial Burden of COVID-19 on Orthopeadic Surgeons. Journal of Clinical Orthopaedics Jul-Dec 2022;7(2):66-72.

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Prevention and Management of Sudden Cardiac Death in Athletes

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Journal of Clinical Orthopaedics | Vol 7 | Issue 2 |  Jul-Dec 2022 | page: 73-77 | Alwar Thiagarajan, Ayyadurai Prakash, Gopalakrishnan Janani, Rao Vikram, Sivaraman Arumugam

DOI: 10.13107/jcorth.2022.v07i02.535

Author: Alwar Thiagarajan [1], Ayyadurai Prakash [1], Gopalakrishnan Janani [1], Rao Vikram [1], Sivaraman Arumugam [1]

[1] Centre for Sports Science, Department of Arthroscopy and Sports Medicine, Sri Ramachandra Institute of Higher
Education and Research, Chennai, Tamil Nadu, India.

Address of Correspondence
Dr. Ayyadurai Prakash,
Centre for Sports Science, Department of Arthroscopy and Sports Medicine, Sri Ramachandra Institute of Higher
Education and Research, Chennai, Tamil Nadu, India.
E-mail: prakashortho@outlook.com

Abstract

Sudden cardiac death (SCD) is the biggest challenge of all sports emergencies, as it is the leading cause of preventable deaths in both professional and recreational athletes. There is also an ongoing concern about COVID-19-associated cardiac pathology among athletes because myocarditis is an important cause of SCD during exercise. Hypertrophic cardiomyopathy represents 24% of SCD and Sudden Unexplained Death (normal heart at autopsy) represents 34% of SCD. To make sports participation safer, it is important to synergistically combine primary prevention of SCD by pre-participation identification of athletes affected by at-risk cardiomyopathies and secondary prevention with backup defibrillation of unpredictable sudden cardiac arrest on the field. The prompt application of an automated external defibrillator itself is associated with a greater likelihood of survival. With the advancement in the field of sports cardiology, the implantation of implantable cardioverter defibrillator has been promising in getting the athlete back on the field including in contact sports. Hence, knowledge of primary and secondary prevention is of great importance in reducing the incidence of SCD as well as improvising existing strategies.

Keywords: Athlete’s heart, preparticipation cardiac screening, on-field death, cardiac arrest, ECG changes.

References

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How to Cite this article: Thiagarajan A, Prakash A, Janani G, Vikram R, Arumugam S. Prevention and Management of Sudden Cardiac Death in Athletes. Journal of Clinical Orthopaedics Jul-Dec 2022;7(2):73-77.

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Incarcerated pes anserinus around a proximal tibial osteochondroma: a rare extra-articular Cause of locked knee

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Journal of Clinical Orthopaedics | Vol 7 | Issue 2 |  Jul-Dec 2022 | page: 78-80 | Sachin Khemkar, Eknath Pawar, Vipul Shet, Mrinal Kambli, Nihar Modi, Mitali Mokashi

DOI: 10.13107/jcorth.2022.v07i02.539

Author: Sachin Khemkar [1], Eknath Pawar [1], Vipul Shet [1], Mrinal Kambli [1], Nihar Modi [1], Mitali Mokashi [1]

[1] Department of Orthopaedics, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Sachin Khemkar,
Department of Orthopaedics, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
E-mail: sachinkhemkar@gmail.com

Abstract

Background: Osteochondroma is the most common benign skeletal neoplasm and is found most often in long bones, especially in the distal femur and proximal tibia. They usually present as painless swelling near the joint and can be complicated by mechanical irritation, compression or injury of adjacent structures, fracture, malignant transformation, and post-operative recurrence. Locking of the knee refers to flexion of the knee without complete extension and passive extension is limited resulting in significant pain. Excision is a successful form of the treatment for symptomatic osteochondromas.

Case Report: A case of osteochondroma of the proximal tibia illustrates extra-articular cause of locked knee secondary to the incarceration of pes anserinus tendons by the lesion.

Conclusion: Surgical excision of the bilobed pedunculated posteromedial proximal tibia osteochondroma and restoration of the gracilis and semitendinosis to its normal anatomic position resulted in the complete resolution of symptoms.

Keywords: Osteochondroma, Locked knee, Pes anserinus

References

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How to Cite this article: Khemkar S, Pawar E, Shet V, Kambli M, Modi N, Mokashi M. Incarcerated Pes Anserinus Around a Proximal Tibial Osteochondroma: A Rare Extra-articular Cause of Locked Knee. Journal of Clinical Orthopaedics Jul-Dec 2022;7(2):78-80.

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Exchange Nailing, for Atrophic Non-union of the Tibia, after Implant Breakage, Post a Non-traumatic Event

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Journal of Clinical Orthopaedics | Vol 7 | Issue 2 |  Jul-Dec 2022 | page: 81-84 | Rohit Mahesh Sane, Kedar Anil Parelkar, Sunil Hiriyanna Shetty

DOI: 10.13107/jcorth.2022.v07i02.541

Author: Rohit Mahesh Sane [1], Kedar Anil Parelkar [1], Sunil Hiriyanna Shetty [1]

[1] Department of Orthopaedics, D.Y. Patil University School of Medicine, Navi Mumbai – 400706, India.

Address of Correspondence
Dr. Rohit Mahesh Sane,
Department of Orthopaedics, D.Y. Patil University School of Medicine, Navi Mumbai – 400706, India.
E-mail: dr.sanerohit@gmail.com

Abstract

Background: The most feared complication of fracture management is non-union. Non-union can be of the following types, hypertrophic, oligotrophic, atrophic, and septic. In view of a non-union, exchange nailing is preferred and so routinely performed for non-unions and fractures of the tibia.

Case Presentation: Here, we present a case of an implant failure from an atraumatic event in a case of atrophic non-union of the tibia, which was treated by exchange nailing and bone grafting. A 22-year-old male, with a history of the left closed tibia fibula diaphysis fracture 1 year ago, underwent exchange nailing with bone grating after having an atrophic non-union with implant breakage.

Conclusion: Implant failure and non-union are caused due to a wide variety of factors. Appropriate implant selection for fracture type, reaming, fracture site compression, good reduction, and adequate and early mobilization are important factors for a satisfactory union and prevention of secondary surgeries.

Keywords: Atrophic non-union, exchange nailing, implant breakage, non-traumatic event, tibia

References

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How to Cite this article: Sane RM, Parelkar KA, Shetty SH. Exchange Nailing, for Atrophic Non-union of the Tibia, after Implant Breakage, Post a Non-traumatic Event. Journal of Clinical Orthopaedics Jul-Dec 2022;7(2):81-84.

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Spontaneous Clinical and Radiological Resolution of a Large Extruded disk in the Lumbar Spine

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Journal of Clinical Orthopaedics | Vol 7 | Issue 2 |  Jul-Dec 2022 | page: 85-87 | Sunit Mediratta

DOI: 10.13107/jcorth.2022.v07i02.543

Author: Sunit Mediratta [1]

[1] Department of Neurosurgery, Apollo Hospital, New Delhi, India.

Address of Correspondence
Dr. Sunit Mediratta,
Department of Neurosurgery, Apollo Hospital, Sarita VIhar, New Delhi, India.
E-mail: sunit_medi@yahoo.com

Abstract

Low back ache arising due to a herniated lumbar disk with radicular pain to the lower limbs is a commonly occurring problem evaluated by spine surgeons. Conservative treatment has usually been proposed for an acute disk prolapse in cases without significant motor or sensory deficit. Spontaneous radiological regression of an extruded herniated disk with complete symptomatic recovery has occasionally been reported. A case of conservatively treated large extruded lumbar disk is described who showed complete radiological resolution, along with regression of the clinical symptoms.

Keywords: Extruded lumbar disk, conservative treatment, clinical and radiological resolution

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How to Cite this article: Mediratta S. Spontaneous Clinical and Radiological Resolution of a Large Extruded disk in the Lumbar Spine. Journal of Clinical Orthopaedics Jul-Dec 2022;7(2):85-87.

 (Abstract    Full Text HTML)   (Download PDF)