Orthopedics

Cricket is known as the most popular sports in Bangladesh. Female participation in professional cricket is increasing day by day. The Present study was conducted to find out the cricket injuries & its related pattern among injured female cricketers. A cross-sectional study was carried out by a self-constructed questionnaire. 51 injured female cricketer comprising 21 Bowlers, 21 Batsmen & 9 Wicket keepers were included in this study. The maximum age range was 18 to 20 years old (56.9%) where a greater percentage of participants had 4 years of cricket experience. Results indicated that Bowlers are more prone to injury than any other cricketing role. Shoulder, Elbow, & Ankle injury were founded as the high prevalence of injury compares to other anatomical sites of injury. Senior female cricketers were reported more likely to experience a recurrence injury than junior cricketers. Proper Knowledge about the mechanism of injury & its related factors might help to reduce the prevalence of injury.

Spontaneous rupture of the tibialis anterior tendon is uncommon. This article presents a case report of an Atraumatic Tibialis Anterior Tendon. Rupture of the tibialis anterior tendon can be caused by open, closed, direct, or indirect trauma, or it can occur spontaneously. Closed rupture is uncommon. Review of the literature reveals few reported cases of spontaneous rupture. Keywords: Atraumatic.; Tibialis Anterior Tendon, treatment

A rare feature in civil registries, vascular limb trauma is a serious injury that requires rapid and effective interaction between diagnosis and management. We report on the epidemiological, clinical and management aspects of these injuries in a context of working with limited resources. This was a retrospective, monocentric, descriptive and analytical study of 45 patients victims of vascular trauma of the limbs, between January 1, 2017 and June 30, 2022 at the CUTO-CR of the CNHU-HKM of Cotonou. Men were the majority in our series with a sex ratio of 6.5. The average age of the population was 33.71 years. Road traffic accidents were the most common occurrence with a 33.3% frequency. Vascular injuries from broken glass were the most common (40%). Upper limb vascular injuries were the most represented (65.46%) principally arterial lesions (67.27%). As major complications, five secondary amputations had to be performed for limb ischemia and we recorded one death. Vascular trauma of the limbs is a relatively rare entity in civil practice in Cotonou. Despite the time taken for the management far beyond the standards and limited resources, results were generally satisfactory.

Musculoskeletal pain (MSK) is a common issue during pregnancy. Some hormonal and anatomical changes that can affect the MSK system, creating complains about MSK pain.The objectives of the study to determine the prevalence and to assess the MSK pain and its associated factors among pregnant women. A cross-sectional study was conducted among 96 pregnant women attended in a selected tertiary public hospital situated in Dhaka city. Purposive sampling technique was used and data were collected from face to face interview with a structured administered questionnaire with consideration of inclusion and exclusion criteria. The Severity of MSK pain was assessed by a visual analogue scale (VAS) and data were analyzed by SPSS (Version 20). Results indicated as 59% prevalence of MSK pain was found among pregnant women with low back pain (LBP) being the common prevalent site as compared to others. The maximum age range of participants was 21 to 30 years old and housewives were more than half of the participants. Maximum completed below level of SSC. In addition, most of the participants had a history of normal delivery. However, there was a highly significant relation (p= 0.001) found between MSK pain with the month of pregnancy period. MSK pain was moderately high among pregnant women where certain factors are responsible for influencing MSK pain. To reduce the severity and prevalence of MSK pain, women should be aware of their number of pregnancy and some related factors.

Mycetomas are chronic, inflammatory, and often multi-fistulized pseudotumors of the skin, caused by exogenous fungi (eumycetomas) or aerobic bacteria (actinomycetes), and characterized by the production of grains. These are severe lesions, mostly seen in tropical and subtropical regions. Their management is challenging and can sometimes require radical treatment.We report the case of a 23-year-old male farmer with no known medical history, residing in Adré, a town located 1060 km from N'Djamena, the capital of Chad. He presented to the outpatient clinic with a painless swelling of the left knee evolving over four years. The patient reported a history of trauma from an acacia thorn prick. Clinical examination revealed a large, inflamed, polyfistulized knee with a “watering can” appearance. Upon pressure, multiple blackish grains of various sizes were visible to the naked eye. A diagnosis of left knee mycetoma with bone involvement was made. The patient underwent arthrotomy with sample collection and joint lavage, combined with antifungal treatment. The course was marked by recurrence, which required radical surgical intervention.This localization is particularly severe due to the near-systematic bone involvement.

Knee Osteoarthritis (KOA) is a degenerative joint disease and a major public health problem all over the world. The present study is focused to evaluate the Socio-demographic and Risk factors associated with radiographic evidence of KOA subjects who were attended to Government Ayurveda Hospitals in Jaffna District from January 2013 to August 2014. There were 177 (70.8%) female and 73 (29.2%) male with a mean age of 57.02 (SD±8.78) years and highly significant association between age and gender (P<0.05) and BMI and gender (P<0.05) of KOA subjects. The findings of this study had indicated that risk factors as age, gender, family history, menopause and BMI were similar to the findings of KOA studies of other research studies.

Bimalleolar fractures are common injuries that have a favorable outcome if treated properly. Weber type C fractures require osteosynthesis of the malleoli and stabilization of the tibiofibular syndesmosis. The aim of this study is to evaluate the treatment of these injuries using a less expensive technique involving pins and steel wire for pinning. Over a period of two years, 15 patients were treated for bimalleolar fractures with syndesmosis involvement. The average age was 34.2 years. The surgical technique was performed with an open approach, involving pinning of the lateral malleolus, syndesmosis, and medial malleolus cerclage. The functional assessment at six months showed an excellent outcome with an average Karlson and Peterson score of 90.13 (range: 85 to 97). The use of simple and less expensive techniques improves the prognosis of bimalleolar fractures in developing countries.

A Primary cutaneous leiomyosarcoma located in the left thigh is reported in a 83-year-old patient. The clinical examination found a voluminous ulcero-budding infected tumor, measuring 15 cm long axis. The result of the histological examination and the immuno-histochemical profile revealed the diagnosis of a leiomyosarcoma. The patient underwent extensive excision with cutaneous margins of three to five cm and carried the Gracilis muscle deep down. After one year of control we did not notice local recurrence. The prognosis remains poor. We recommend long-term follow-up of patients to prevent recurrence. The purpose of this work is to show the difficulties to make the diagnosis and describe our management of this rare case.

Replantation of hands has become common in various institutions. But, many problems remain in our context especially the quality of the preservation and real-time of replantation, making surgical care more difficult and thus undermines functional proof our patients. We report one case of a young patient presented with a total amputation at the wrist joint of the left hand, despite technical problems in our emergency department, replantation was successfully possible with an acceptable functional and aesthetic result.our patient have recovered a useful function in their replanted hand in daily activities and work. A need of early rehabilitation is stressed and these severe injuries require long periods of rehabilitation; for a good functional recovery, social and professional reintegration of these patients.

Aneurysmal bone cyst (ABC) is a benign cystic lesion of bone composed of blood-filled spaces separated by connective tissue septa. it usually affects the metaphyseal in long bone (70-90%) and then vertebrae (15% of cases) Talus is an infrequent site of ABC and may be confused with other benign bone tumors because of its behavior less aggressive and his prognosis more favorable than the classical proximal lesions. The curettage with or without bone graft showed a high success rate to treat ABC of the talus cryosurgery for a recurrent lesion and talectomy as the last resort in some cases.