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

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.

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.

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.

The purpose of the study was to compare triceps sparing approach with olecranon osteotomy regarding the effects on functional outcomes of fracture of distal humerus managed with open reduction internal fixation(orif) , by reviewing 71 cases of fracture distal humerus surgically managed with either of approaches during December 2012 to September 2016. The medical reports and radiographs of 42 males and 29 females patients with a mean age of 38.12±15.06 and 34.87±14.11 for olecranon osteotomy and triceps sparing approach respectively and a mean follow up time of 10.2months (range 3-18 months) were retrospectively and prospectively reviewed . flexion , extension, range of motion , mayo elbow performance score (MEPS) , disability of shoulder arm and hand score (DASH SCORE), duration of surgery and blood loss were used to assess the functional outcome of fracture distal end humerus treated with ORIF through the triceps sparing approach or olecranon osteotomy . according to AO foundation (AO) Classification there were 2 cases of type A , 2 cases of type B , 22 cases of type C1 , 26 cases of type C2 and 19 cases of type C3 fractures . although there was no overall statically significant difference in the average flexion , extension , ROM , MEPS AND DASH SCORE between the triceps sparing group (n=47) and olecranon osteotomy group (n=24). Out o 24 patients off group OO ,9(37.5%) , 9(37.5%) , 6(25%) and out of 47 patients 24(51%), 16(34%) , 7(15%) obtained excellent , good , fair MEP score respectively. No patient fallen under poor category of MEP score . On the basis of MEPS, DASH , flexion , extension and ROM results were better in type A, B , C1 AND C2 by using triceps sparing approach and the results were better in typeC3 fracture by using of olecranon osteotomy approach.

Percutaneous treatment of tibial plateau fractures under arthroscopic control, although minimal, is a cause of a decrease in morbidity compared toopen surgery. The objective of this work is to report the functional results, inshort and medium term, of these percutaneous osteosynthesis under arthroscopiccontrol. Fifteen patients were treatedby percutaneous screwing with arthroscopic control for fractures classified Shatzker I to III. The average age was 32 years; the average follow up was 39, 9 months (24 -119 months). We have not noticed postoperative infection, the results were considered good, the score IKS (International Knee Society) average was 83.2 for the knee score and 89 for the function score. One patient presented a secondary bone depression at 35 days post-surgery. Percutaneous treatment of fractures separation or separation anddepression of the lateral plateau conducted under arthroscopy provides satisfaction in terms of postoperative indolence, early recovery and rehabilitation, and seems to have satisfactory results in the short and medium term. We cannot assess the impact on the evolutionosteoarthritis due to lack of sufficient experience.

The corona mortis, or crown of death, is described as an abnormal vascular connection between the obturator and external iliac or inferior epigastric veins or arteries located at the back of the superior pubic ramus in the space of Retzius. The corona mortis has been said to cause massive uncontrolled or profuse bleeding and even life-threatening hemorrhage. Detailed anatomical knowledge of its prevalence, variable anastomotic connections, and morphological characteristics is therefore crucial to reduce the risks of possible iatrogenic errors in surgical procedures in the pubic region, especially the ilio-inguinal approach to the acetabulum. Every surgeon dealing with superior pubic ramus fractures and acetabulum fractures needs to be aware of these anastomoses and avoid undue hemorrhage.