Coronavirus disease 2019 , caused by severe acute respiratory syndrome coronavirus 2, is characterized by symptoms such as fever, sore throat, cough, fatigue, myalgias, headache, diarrhea, and dysgeusia. In a majority of the cases, it causes mild illness. However, in severe cases, the virus activates the immune system causing systemic inflammation, immune dysregulation, and pro-thrombotic state leading to various complications. Among hospitalized patients with COVID-19, pneumonia, sepsis, and respiratory failure are frequent complications. However, even in the second year of the COVID-19 pandemic, our knowledge of its myriad clinical features and complications is still incomplete and continues to evolve. Here, we present the case of a patient who developed several complications post-COVID-19 one after the other. He was admitted with severe COVID-19 for which he received standard COVID-19 treatment and mechanical ventilation. In the post-COVID-19 state extending up to six months, he serially developed deep vein thrombosis, endogenous endophthalmitis, empyema, and post-inflammatory arthritis of the hip joints. To our knowledge, such a case has not been reported earlier in the literature.
Penile strangulation is not commonly encountered in orthopedic practice. Quick decision and immediate removal of the metallic ring with readily available instruments is the key to a successful outcome. Jumbo cutter is a commonly available instrument. It can be used with ease without causing any thermal or soft tissue damage, giving satisfactory results.
BackgroundShoulder dislocation is one of the most common injuries encountered in daily practice. Among shoulder dislocations, anterior shoulder dislocation is the most common variant. There are many techniques described to reduce a dislocated shoulder. Reduction of a dislocated shoulder joint may be performed under anesthesia or without anesthesia. In this study, we have evaluated the efficacy of Prakash's method in reducing anterior shoulder dislocations without anesthesia. MethodologyThis study is a prospective study that was conducted from March 2018 to February 2020 in the department of joint replacement and orthopedics in Tata Main Hospital, Jamshedpur. One hundred two shoulders fulfilling the inclusion criteria were included in this study, and observations were noted. ResultsThe results were statistically analyzed, and it was found that this new method was successful in reducing 97.06% shoulders without any anesthesia. Out of the total 102 patients enrolled in this study, 17 (n=102, 16.67%) patients had left-sided shoulder dislocation, and 85 (n=102, 83.33%) patients had right-sided shoulder dislocation. In 91.18% (n=90 out of 102) of the patients, the reduction could be achieved on the first attempt. A second attempt was needed in 7.84% (n=8 out of 102). No complications were noted. ConclusionPrakash's method to reduce anterior shoulder dislocation is a simple technique to reduce dislocated shoulders. Through our study, we conclude that it is also an effective technique for reducing anteriorly dislocated shoulders. As there is no requirement of anesthesia, we recommend that orthopedic surgeons as well as emergency care providers should acquaint themselves with this technique.
A 22-year-old female presented with large swelling on the right subscapular region for two years duration. It gradually increased in size approximately 9 x 7 x 6 cm, situated in dorsal aspect of shoulder complex near the tip of scapula. Previously; she was operated for similar swelling of gluteal region two years back. There was no family history and trauma. General examination was within normal limit. Local examination showed large size, subcutaneous swelling involving the lateral border and angle of scapula, which was firm to hard in consistency, not adherent to underlying muscle. Rib cage and skin over the swelling appeared normal. It was associated with mild pain and tenderness.Blood investigations included complete blood count -normal, Hbs Ag -negative, HCV Ab -negative, HIV I and II -negative, serum creatinine -0.9 mg/dl, serum calcium -9.0 mg/dl, serum phosphorus 3.6mg/dl, serum PTH -56 ng/dl, Vit D-10 ng/dl, ALP -49.2mg/dl, serum uric acid -2.9 mg/ dl were within normal limits, except ESR -49mm (westergrens method) and CRP -15.7 mg/dl.CECT findings showed subcutaneous multiple, rounded opacities separated by radiolucent lines (fibrous septa), which lie outside the joint capsule [Table/ Fig-1]. Under general anaesthesia, the mass was removed enbloc with pseudocapsule and was sent for histopathological examination. Gross findings revealed a well-defined mass with spongy, cystic spaces filled with yellowish necrotic debris and thickened wall [Table/ Fig-2]. Microscopy showed cystic spaces filled with necrotic calcified material, lymphoplasmacytic infiltrate, fair number of histiocytic and multinucleated osteoclastic type giant cells [Table /Fig-3,4]. Causes that may be responsible for calcification like chronic renal failure, primary hyperparathyroidism and myositis ossificans were ruled out. So a final diagnosis of idiopathic Tumoral calcinosis was given. We followed up the patient and observed that there was no recurrence. CASE-2A single bony swelling over left dorsal aspect of feet and ankle region since 4 years was presented in a 49-year-old male . It was slowly growing over a long time and there was no history of trauma. On local examination, there was a bony hard swelling, free of overlying skin, mobile in mediolateral plane. Blood test results of complete blood count, serum calcium, phosphorus, creatinine, serum Parathormone (PTH), Antinuclear Antibody Test (ANA) which all were within normal limits.
Context: Osteoarthritis knee is a common degenerative disorder for which various treatment modalities are available. Our aim was to evaluate the functional outcome and effectiveness of proximal fibular osteotomy (PFO) in patients who are unwilling to undergo total knee arthroplasty or high tibial osteotomy (HTO). Aims: To evaluate functional outcome of medial compartment osteoarthritis managed with PFO, clinically as well as radiologically in Indian study settings. Settings and Design: Study was done at the Department of Joint Replacement and Orthopedics, Tata Main Hospital, Interventional prospective cohort study. Subjects and Methods: Consecutive samples fulfilling study criteria were evaluated preoperatively with visual analogue scale (VAS) and preoperative functional status was assessed. The functional outcome was measured by pre- and postoperative VAS, Tegner Lysholm Knee score; X rays were used to measure pre- and postoperative “Medial joint space” and “Femoro-tibial angle (FTA).” Statistical Analysis: All the data were tabulated, and then analyzed with appropriate statistical tools “MedCalc. Chi-square test, test of significance and student paired and unpaired T-test were used. Results: There was a significant improvement in VAS score, Tegner Lysholm score postoperatively as compared to the pre-perative scores. FTA and medial joint space were also increased postoperatively. Conclusions: PFO is a good surgical alternative for medial compartmental osteoarthritis of the knee with an excellent functional outcome. A simple surgical procedure, non-requirement of specialized instruments, and low cost of surgery are some of the advantages for patients who do not want to undergo HTO or total knee replacement (TKR).
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.