Ghasem Mosabebi, Fazel Shokri,
Volume 1, Issue 2 (3-1997)
Abstract
The total of IgM and IgA in serum and synivial fluids of 45 patients with Rheumatiod Arthritis (RA) are measured by critical method of ELISA. %93 of the patients had RF in their serum. The results show that there is no difference between the rate of IgMRF and IgARF in serum and synovial fluid.It was found that percentage Rf the ratio in serum is higher than that of synovial fluid by the calculation of Re titre to total immunogloboline. The fifference is significant from statistical point of view. The main places of RF production probably is in the joins of patient who are contracted.
Shadan Pedram Razi, Zahra Haji Habibzadeh,
Volume 1, Issue 3 (6-1997)
Abstract
The purpose of this study is to determine the risk factors of back pain involved patients who come to orthopedic clinics. Findings demonstrated that factors such as age, weight, abdominal circumference, parity, exercise and posture related to back pain in both groups.
Hamid Gerami ,
Volume 1, Issue 5 (12-1997)
Abstract
Cornold process of the elbow is one of the main keystone for the stability of this joint, which is fracture endangered the elbow stability. Fracture of the base of cornold, by (type lll Regan and Morrey classification) usually is followed by instability of elbow and D.J.D and limitation of motion are complications which may affect the outcome of the treatment. Interfragmentary screw, suturing the fragment, distraction and external fixator are well known attempts for reducing these complications. Buttress plate technique with one third semitubular plate maybe an alternative way for management of this type of fracture, good fixation and early motion is achieved by this technique but respect for adjacent soft tissue anatomy is time consuming and must be considered.
Khalilolah Nazem, Arsalan Mahmoudian,
Volume 12, Issue 4 (2-2010)
Abstract
Background: The effectivity of applying antiseptics in preparation of the operative site on the reduction of post-operative infections is not quite clear and controversies exist about the best method for doing this. The aim of this study is to compare the traditional two-stage method of first, washing the site with povidone iodine scrub and then painting with aqueous povidone iodine with the method of washing the site only with povidone iodine scrub. Materials and Methods: In this retrospective study, patients who had been under knee arthroscopy in 2 separate hospitals by the same surgeon were compared with regard to post operative infection. In one hospital, the operative site was only washed with povidone iodine scrub, while in the other hospital this same procedure was followed by painting with aqueous povidone iodine. The primary goal of this study was to identify the patients who had manifested clinical and laboratory signs of superficial or deep infection or septic arthritis one month postoperatively. Results: A total 300 patients were studied in two equal groups. All the patients had only been under diagnostic or curative non-bony operations. No superficial or deep infection or septic arthritis were seen in any of the patients in the two groups. Conclusion: Preoperative preparation of the knee with povidone iodine scrub is a safe method for prevention of infection and can be used instead of the common two-stage method of using povidone iodine scrub and then painting with aqueous povidone iodine since this can decrease the time and cost of surgery.
Mahmood Jabal Ameli, Hosseinali Hadi,
Volume 13, Issue 4 (1-2011)
Abstract
Background: Spontaneous rupture of tendon is a rare disease that often occurs following an underlying disease or drug usage. However, the association of this condition with primary hyperparathyroidism has rarely been reported. Case: In a case-study, two cases of spontaneous tendon rupture associated with primary hyperparathyroidism are reviewed. The first one is a middle-aged woman that due to bilateral patellar tendon rupture is operated for secondary repair and augmentation of tendons. The second one is a middle-aged man with unilateral triceps brachii tendon rupture who has been operated for primary tendon repair. Conclusion: Since paramount force is needed for tendon rupture, in spontaneous tendon rupture cases, patient evaluation for detecting underlying diseases and drug usage is necessary. In cases that the history of an underlying disease is not indicated, evaluation of serum level concentrations of Ca, P, ALP, and PTH is recommended for contraindication of primary hyperparathyroidism.
Ahmad Reza Ghandi, Hossein Ali Hadi, Ahmad Reza Behruzi, Ahmad Reza Holakooie,
Volume 15, Issue 4 (9-2012)
Abstract
Background: Genu varum is a deformity marked by outward bowing of the leg which is accompanied with pain only in severe cases. Failure in timely diagnosis results in the loss of quality of life in future and high health care costs. The purpose of this study was to evaluate genu varum prevalence in male students aged 7-16 years and identify the cases in need of treatment. Materials and Methods: In this cross-sectional study, femoral intercondylar distance (ICD) of 3692 male students aged 7-16 years who were chosen randomly in Arak city was measured. ICD>0.5 cm was considered as genu varum and to determine whether cases need treatment, the MT-MF angle and WBL% were used. Results: The results indicated that the prevalence of genu varum was 2.53% in primary school, 6.98% in junior high school, and 16.33% in senior high school students. The findings showed a significant relationship between the prevalence of genu varum and age, BMI, and the history of lower limb trauma with or without fracture. Overall, 33% of the students required treatment. Conclusion: Considering the importance of having healthy knees, clinical examination and regular screening programs for identifying cases with mild genu varum is recommended. The importance of implementation of regular screening programs is confirmed by the increasing prevalence of diseases associated with age and the high percentage of patients requiring treatment.
Ahmadreza Ghandi, Parsa Yousefi, Hosseinali Hadi, Ahmadreza Behrouzi, Aahdieh Sadat Ghafari,
Volume 15, Issue 7 (12-2012)
Abstract
Background: Transient hip tenosynovitis is one of the common causes of pain and limping in children and includes 0.4% to 0.9% of admissions in emergency wards. The aim of this study is to evaluate this disease in terms of clinical presentations, age and sex distribution, and six-month recurrence. Materials and Methods: In this cross-sectional study, 51 children with diagnosis of transient hip tenosynovitis were investigated. Inclusion criteria were physician's clinical suspicion of acute tenosynovitis according to clinical presentations, physical exam, and age range of 3 to 8 years. Results: Among the 51 children with tenosynovitis, 34 patients were male with age of 61.70±19.1 months and 17 patients were female with mean age of 48.35±20.49 months that presented a significant statistical difference (p=0.026). The most common complaint was hip pain and the most commonly involved joint was the hip. Also, most of the patients had the history of viral diseases. Conclusion: Transient hip tenosynovitis is more common in boys. The right hip is the most involved joint and the majority of patients have the history of recent viral diseases.
Ahmad Reza Behruzi, Akram Esmaili,
Volume 15, Issue 10 (3-2013)
Abstract
Background:Anterior interosseous branch of median nerve injury is the most common nerve injury in displaced humerus supracondylar fractures but it is rare in undisplaced ones. This study reports a case of undisplaced humerus supra condylar fracture with median motor nerve injury. Case: The patient was a 4.5 year-old child with elbow pain and swallowing due to trauma to his right elbow. The examination of distal of humerus showed significant tenderness and limitation in range of motion. Flection and pulp to pulp test of first and second fingers were abnormal and all other sensory but motor examinations of wrist and fingers were normal. Radiographic study of humerus showed an undisplaced extension fracture in the distal of humerus. Complete :::union::: of fracture site was seen after treatment by splint for 3 weeks and nerve injury was fully resolved after physiotherapy. Conclusion: Although nerve injury in undisplaced fracture of humerus is rare, despite pain and emotional condition of child and his/her parents, accurate sensory and motor nerve examination is very important.
Ahmad Reza Behruzi, Hossein Ali Hadi, Ahmad Reza Ghandi, Akram Esmaili,
Volume 16, Issue 1 (4-2013)
Abstract
Background: Noticing the particular importance of timely detection of scoliosis due to its progression over the time and associated complications such as non-symmetric appearance, movement restrictions, and sometimes disturbance in cardiac or respiratory function, this screening study was designed to investigate the prevalence of scoliosis in pupils aged 9-16 in Arak.
Materials and Methods: In this cross-sectional study, 984 students aged 9-16 years in Arak, Iran, who were randomly selected by clustering method, were screened for scoliosis by Adams test and suspected pupils were examined by orthopedics and PA X-ray was applied for them. For diagnosis confirmation, the Cobb angle was calculated and angle>6 was considered as scoliosis.
Results: Based on the results, the prevalence of scoliosis was 1.52% and 1.21% in female students and 3.21% in male students. The Cobb angle of about 67% of the cases was less than 10 which indicated minor scoliosis.
Conclusion: The results of the present study necessitate school-based scoliosis screening so that early detection of the disease allows for implementation of a suitable treatment program which can prevent the development of the disease and the financial burden of surgery and its complications.
Ahmad Reza Behruzi, Mohammad Hossein Hadi, Ahmad Reza Ghandi, Ghasem Mosayebi,
Volume 16, Issue 11 (2-2014)
Abstract
Background: Osteoporosis is characterized by low bone density and loss of structural integrity which can increase the risk of bone fracture and its side effects. In the recent studies, new evidences of the relationship between immune system such as TNF-&alpha and IL-17A and bone destruction have been accumulated. The aim of present study was to investigate serum level of TNF-&alpha and IL-17A in women with post-menopausal osteoporosis.
Materials and Methods: In this analytical study 40 women with post-menopausal osteoporosis and 10 healthy women were enrolled to the study based on inclusion and exclusion criteria. The serum level of TNF-&alpha and IL-17A were calculated by using ELISA method and compared between groups.
Results: The mean level of TNF-&alpha in case and control group was 957.7±479.01 and 418.09±176.7 respectively which in case group was significantly more than control group (p=0.001). The mean level of IL-17A in case and control group was 95.23±36.7 and 125.7±30.6 respectively which in case group was significantly less than control group (p=0.019).
Conclusion: The level of TNF-&alpha in women with post-menopausal osteoporosis was more than healthy women which can mention the roll of TNF-&alpha in pathogenesis of osteoporosis and potential therapeutic roll of anti TNF-&alpha agents but because of unclear roll of IL-17A in pathogenesis of osteoporosis we could not explain its mechanism in pathogenesis of osteoporosis. It seems more studies with regard to IL-17A roll in bone metabolism is required.
Ahmad Reza Ghandy, Abbas Alimoradian,
Volume 17, Issue 8 (11-2014)
Abstract
Background: The distal radius’ fracture is one of the most prevalent fractures in menopause women. Because of no delisery of an exact dosage by inhalation calcitonin, the effect of a systemic form such as parenteral on healing up of this area was investigated.
Materials and Methods: This study was a prospective cohort on 44 women 60 years-old with distal radius’ fracture divided into 2 equal groups of control and treatment (parenteral calcitonin, just after operation, 100 I.U/day during 10 days consecutive of each month for 3 months). The rate of improvement, hand ability and stiffness of joints of hand fingers and wrist according with physical examination, time of cortex healing up, level of alkaline phosphatase, calcium and phosphor serum levels and rate of osteoporosis accord to radiography indexes.
Results: The rate of osteoporosis and pain was less tham that of control group. Prevention of osteoporosiss and the cortex healirg was significaltly more than that of control group. The hard activity (Mayo Wrist index) and ability of ceetching of objects was better in calcitonin group. There were not any significant effects of calcitonin on level of alkalire phosphatose, calcium and phosphor us serum levels.
Conclusion: Calcitonin especially with calcium supplements can accelerate the improvement of distal radius’ fracture. Then patients will tolerate fewer problems at convalescence period.
Parisa Nejati, Armita Ghahremaninia, Ali Mzaherinezhad,
Volume 18, Issue 5 (8-2015)
Abstract
Background: Subacromial impingement is one of the most common complaints of shoulder. Treatments include avoiding of painful activities, oral anti-pain drugs, physical therapy modalities, corticosteroid injection and exercise therapy. Some studies have shown that platelet- rich plasma(PRP) is effective on tendinitis and tearing of tendons, ligaments and muscles, but evidence that has proved PRP as a conservative treatment in shoulder pathologies is very limited. This study aims to investigate the effect of PRP injection on relieving pain and improving daily function of patients with shoulder impingement syndrome.
Materials and Methods: In this clinical trial study, patients older than 40 with pain more than three months were included. If they had three of four positive diagnostic clinical tests of shoulder impingement that were confirmed by shoulder MRI, could be injected PRP twice. The time between injections was 1 month. Pain was measured by visual analog scale (VAS) and function was measured by two questionnaires named disabilities of the arm, shoulder and hand (DASH) and western Ontario rotator cuff (WORC) index. Range of motion (ROM) of shoulder was measured in five directions by goniometry . All of these parameters were evaluated before intervention and in 1, 3, 6 months later.
Results: with due attention to a six-month folloe-up, PRR injection was effective in pain reduction and improvement of patient's function (p<0.05). Shoulder Rom increased in all directions except external rotation and the power of shoulder muscles was evidently improved statistically in flexion, abduction and internal toration.
Conclusion: PRP injection could effectively reduce pain and improve daily activities in patients with shoulder impingement syndrome.
Seyyed Kazem Shakouri, Bina Eftekhar-Sadat, Farzaneh Johari, Morteza Ghojazadeh, Salar Hemmati, Ghader Ghaffari,
Volume 18, Issue 9 (12-2015)
Abstract
Background: Lateral epicondylitis may cause pain and functional disability in many daily activities. Steroid injection or phonophoresis are the recommended treatments in this regard. In this study, we aim to compare the effect of ultrasound guided local injection of dexamethasone with dexamethasone phonophoresis for treatment of lateral epicondylitis.
Materials and Methods: In this clinical trial, patients with lateral epicondylitis were randomely assigned to injection (n=18) and phonophoresis (n=18) groups. Three patients in phonophoresis group dropped out from the study. In injection group, dexamethasone with lidocaine was injected once with the guide of sonography at the base of common extensor tendon. Phonophoresis group received 5 minutes treatment with ultrasound using dexamethasone gel for 10 sessions. Patients’ pain in total and in specific and usual activities according to PRTEE questionnaire before, one and three months after treatment was calculated.
Results: Injection group compared to phonophoresis had significantly better improvement in pain (p=0.04), but there was no significant difference in serial changes of functional subscale and total score of PRTEE between groups. Injection group compared to phonophoresis had also better pain and total score one month after treatment (p=0.003 and p=0.01, respectively).
Conclusion: Dexamethasone injection compared to phonophoresis had significant improvement in patients’ pain which was more apparent one month after treatment, but the results were similar between groups three months after treatment.
Alireza Amani, Ali Kamali, Bahman Sadeghi, Ali Reza Sistani, Mahdi Tavakolizadeh, Sajad Ghodibigi, Farid Saghabi, Mojtaba Ahmadlou,
Volume 23, Issue 4 (9-2020)
Abstract
Background and Aim: Ankle injuries are among the most common musculoskeletal injuries in sports, accounting for 10% to 15% of all injuries. Since controlling pain and inflammation in ankle sprains is one of the main goals of treatment, we decided to compare the therapeutic effects of Cheleh daghi Herbal ointment with a common therapeutic gel such as piroxicam.
Methods & Materials: This study was performed as a double-blinded clinical trial for 6 months from January 2019 to August 2019. After referral, all patients completed the consent form, and the patient's details and study variables were recorded by the evaluator in the research form. To measure joint inflammation, we measured the ankle with a meter tape in the ankle area (cm) and recorded. A goniometer was also used to measure the degree of ankle movements. The symptoms of ankle ecchymosis were also checked by physical examination and observation and recorded in the checklist. Statistical analysis was performed in SPSS V. 18 using statistical tests (the Mann-Whitney U test, the Chi-square, and the independent t-test).
Ethical Considerations: The Research Ethics Committee of Arak University of Medical Sciences approved the study (Code: IR.ARAKMU.REC.1396.55) and registered by the Clinical Trial (Code: IRCT2017071720258N53).
Results: The Mean±SD age in the control group was 34.2±8.6 years, and in the case group was 35.4±8.9 years. There was no statistically significant difference according to the Mann-Whitney U test (P<0.05). Also, the Mean±SD height in the control group was 1.7±0.12 m and in the case group was 1.72±0.11 m. The results also showed a statistically significant difference between the two groups studied before and after the intervention regarding the mean indicators of pain, swelling, and inflammation around the joints (P<0.05).
Conclusion: The results of our study showed that Cheleh daghi Herbal ointment for 3 weeks could be more effective in reducing local pain and inflammation than piroxicam gel treatment.
Mojgan Moaref Khanli, Mohammad Akbari, Ali Amiri,
Volume 23, Issue 6 (11-2020)
Abstract
Background and Aim: Conventional post-operative rehabilitation programs focus on quadriceps strengthening and knee range of motion. However, hip muscle weakness is evident in patients with knee osteoarthritis. The present trial study aimed to investigate the effects of adding early hip muscle strengthening exercises to conventional rehabilitation programs on pain, Range of Motion (RoM), Quality of Life (QoL), and physical function in patients with unilateral Total Knee Arthroplasty (TKA).
Methods & Materials: The intervention was initiated from the second day after surgery and continued for 10 sessions, 3 times a week on 24 participants in the control and intervention groups. Both research groups received Transcutaneous Electrical Neural Stimulation (TENS) and Infra-Red (IR), followed by exercises. The control group performed knee extensor and flexor strengthening and RoM exercises. The intervention group conducted hip-strengthening exercises in addition. Outcome measures included pain, knee flexion, and extension RoM, and QoL using the 36-Item Short Form Survey (SF-36), Timed Up and Go (TUG) test, Step Test, Six-Minute Walk Test (6MWT), and Hip and Knee Muscle Strength test.
Ethical Considerations: This research was approved by the Research Ethics Committee of Iran University of Medical Sciences (IR.IUMS.REC.1396.9511340012) and it was registered in the Clinical Trial Registration Center (Code: IRCT 20150314021459N6).
Results: All outcome measures improved in both research groups. The improvement in the scores of pain (P=0.03), knee extension RoM (P=0.007), and TUG test (P=0.033) were significantly higher in the intervention group, compared to the control group. The strength of knee flexors (P=0.023), hip flexors (P=0.040), hip extensors (P=0.028), hip adductors (P=0.040), and hip external rotators (P=0.047) significantly improved higher in the intervention group.
Conclusion: According to the present research results, both treatment approaches were effective on patients with unilateral total knee arthroplasty. Considering the better result of some of the outcome measures in the intervention group, the addition of hip strengthening exercises to knee exercises can be useful.
Hamid Reza Joneidi Jafari, Parisa Nejati, Ahmad Nazari, Azar Moezy,
Volume 24, Issue 6 (1-2022)
Abstract
Background: Rotator cuff injuries are one of the most common causes of shoulder pain.
There are different therapeutic approaches in this disease. The evidence of the positive effect of exercise therapy in this pathology is inconclusive. This study aimed to investigate the effect of a complete exercise protocol on improvement of the patients with rotator cuff injuries.
Methods: The patients with shoulder pain received the 12-week exercise protocol in 4 phases if they had confirmed rotator cuff injuries in clinical examination and shoulder MRI.
Pain was measured by visual analog scale (VAS) and function was measured by two questionnaires; disabilities of the arm, shoulder and hand (DASH) and western Ontario rotator cuff index (WORC). Range of shoulder joint motion (ROM) was measured in five directions by goniometry. All of the outcomes were evaluated before intervention and in 6, 12, 24 weeks after starting the intervention.
Ethic: This study was registered in Iranian Registry of Clinical Trials (IRCT20100718004409N13). A written consent was taken from All participants before the study.
Results: In this study Twenty-four patients with rotator cuff tendinopathy and tear were analyzed finally in terms of effectiveness of exercise therapy. The average of their age was 51.7 years old. 14 patients (53.8%) with Supraspinatus tendinopathy, 6 patients (23%) with Supraspinatus tear, 3 patients (12.5%) with Supraspinatus plus biceps tendinopathy, and one patient (4.16%) with Subscapularis plus Biceps tendinopathy were assessed. The pain score (Visual Analog Scale) decreased at all fallow-ups specially after 24 weeks (3±0.1) versus before intervention (8±0.1) (P value < 0.001). Shoulder range of motions by goniometer and also the patients function based on WORC and DASH Questionnaires were improved after 24 weeks versus before intervention that was significant statistically and clinically (P value < 0.001).
Conclusion: A 12- week exercise protocol including strengthening, stretching, PNF and dynamic stabilizer exercises was effective on pain reduction and improvement of function and shoulder joint range of motion improvement in the patients with shoulder rotator cuff tendinopathy and partial tear. The improvement of the variables lasted 6 months.
