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  • ISSN: 2373-9290
    Volume 4, Issue 1
    Case Report
    Chiun-Hua Hsieh, Tai-Yin Wu, Cheng-Kuang Chen, Kao-Shang Shih, Chen-Kun Liaw* and Sheng-Mou Hou Chiun-Hua Hsieh
    Multiple major bone fractures in children could be a result of major trauma, primary or secondary bone disease. Children with underline end stage renal disease (ESRD) are prone to the development in renal osteodystrophy and result in fractures in the long run if medical care is not sufficient. In countries with good healthcare, children with underline ESRD will receive adequate medical treatment before the development of severe osteoporosis. In countries with poor healthcare, these children seldom live long enough to develop fractures. We describe a 15-year-old boy with multiple bilateral femoral fractures who was finally diagnosed with osteitis fibrosa cystica. This kind of case is rare and the functional outcome is satisfactory under multidisciplinary collaborative treatment. Orthopedic surgeons should maintain high clinical suspicion in face of cases with multiple fractures resulting from a low trauma injury.
    Adrian Cuellar*, Oscar L. Casado, Alberto Sanchez, Asier Cuellar, Ricardo Cuellar
    In this report is described an isolated avulsion of the middle glenohumeral ligamentfrom its glenoid insertion. She suffered an abrupt turn with external rotation and posterior displacement of the humeral head. The lesion of the middle glenohumeral ligament was diagnosed/assessed preoperatively by MRI. The rupture was produced at the junction between the labrum and the ligament. The middle glenohumeral ligament was re-attached into the glenoid edge by means of two bone anchors. The triggering painful movements and microinstability disappeared. The loss of the anterior stabilization that provides the middle glenohumeral ligament could therefore justify underlying shoulder microinstability.
    Short Communication
    Alok Chandra Agrawal* and Roop Bhushan Kalia
    Tendinopathies are chronic affections of the attachments of muscles to the bones. These have traditionally been treated conservatively by activity restriction, non-steroidal anti-inflammatory drugs, physical therapy and judicious use of orthotics. Unresponsive patients are being treated by locally acting steroid injections with varied results. Surgical options are used sparingly when indicated. Platelet rich plasma has been tried by various researchers with the aim of a biological cure with minimal side effects and has shown promising results. The objective of this article is to describe the biological role of PRP, elucidate the current various techniques of PRP production and to evaluate the results of the use of PRP in tendinopathies.
    Review Article
    Ersin Kuyucu* and Mehmet Erdil
    According to the reports of the World Health Organization, obesity is an epidemic health problem increasing day by day. Its effects on the human body also include the muscle & skeleton system, and due to the excessive load on the joints, it also leads to defects in the hip, the knee, and the ankle joints. The arthroscopic surgery results and the functional recovery are affected in a negative way. In this review, we have evaluated 15 lower extremity arthroscopic surgeries, which included 5536 patients. Our purpose is to examine the results of lower extremity arthroscopy conducted on obese patients, and the effects of these findings on the surgical survey. Orthopedic surgeons should keep this issue in mind to ensure it does adversely affect functional outcomes.
    Christian Konrads*, Piet Plumhoff, Stephan Reppenhagen, Maik Hoberg, Maximilian Rudert and Thomas Barthel
    Background: Prepatellar and olecranon bursitis are common pathologies, mostly in men between 40 and 60 years of age. About one third of all cases are septic. Endoscopy gives the possibility to treat bursitis of the knee or elbow via two small stab incisions. In our fellows we noticed that this procedure is very little known. We analysed the clinical outcomes of endoscopic bursectomy of the knee and elbow. The aim of this study was to determine potential problems and clinical outcome after endoscopic bursectomy of knee or elbow.
    Methods: In this retrospective study we included 15 consecutive patients with endoscopic bursectomy of the knee or elbow treated in our hospital between 2010 and 2013. The average follow-up was 36 (range 24-56) months. For evaluation we used the numeric-pain-scale (0-10) and rates of complications and revisions.
    Results: The operations were performed in symptomatic patients with palpable bursitis of the knee (n=9) or elbow (n=6). No patient had revision surgery or any complications. All patients didn't have any pain at the operation site at follow-up.
    Conclusion: Endoscopic bursectomy is feasible in palpable bursitis of the knee or elbow. It is a save procedure and revealed very good clinical outcome and patient satisfaction.
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