Hand Flexor Tendons Healing Assessment by Ultrasound After Primary Surgical Repair with and Without Intra Operative Injection of Platelet Rich Plasma (PRP)
Mohamed Salah Elfeshawy,
Mohamed Osama Ouf,
Ahmed Rami Majeed
Issue:
Volume 10, Issue 2, June 2022
Pages:
10-15
Received:
4 March 2022
Accepted:
7 April 2022
Published:
14 April 2022
DOI:
10.11648/j.ijmi.20221002.11
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Abstract: Introduction: Tendon injury represents a common cause of morbidity worldwide and of the commonest causes of disability especially among the worker group. Aims: Assessment of early healing progress and exclusion of any deviation in normal healing process using high resolution ultrasound regarding the changes in morphology and function of deep flexor tendon after surgical repair with and without PRP injection and correlate ultrasound picture with clinical outcome to reduce the post operative immobility period. Setting and design: Prospective, controlled study. Method and materials: We included 40 patients and compared between tendon healing and the early return to activities. 20 patients had an intraoperative PRP injection, while 20 others did not. Results: All repaired tendons in both groups shows a spindle like shape after 2 week. A persistent spindle shape of the tendon in ultrasound more than 12 weeks was related to significant improvement of tendon excursion and better dynamic movement of the repaired tendons (p < 0.05). The increased Power Doppler signal of the tendons more than 12 weeks was related to a significant increased tendon excursion and a so better dynamic movement of the fingers (p < 0.05). Ultrasound shows that PRP injection in primary tendon repair significantly improved the time needed to resume activities after tendon injuries, with a median of 6 weeks (SD 6-8) in Control Group and a median of 4 weeks (SD 4-6) in PRP Group. Post-operative pain was significantly improved in the second and third week in the PRP Group. Conclusions: The gray scale and Duplex ultrasound might be useful to rate and predict outcome of repaired tendon, reduce the post operative immobility period and rapid regain of hand function.
Abstract: Introduction: Tendon injury represents a common cause of morbidity worldwide and of the commonest causes of disability especially among the worker group. Aims: Assessment of early healing progress and exclusion of any deviation in normal healing process using high resolution ultrasound regarding the changes in morphology and function of deep flexor...
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The Pelvic Inlet and Outlet Radiographic View in Filipinos: A Retrospective Study of CT Scan Measurements and 3-Dimensional Computed Tomography Reconstructions
John Ricardo Buenacosa Chua,
Joshua De Castro Unsay
Issue:
Volume 10, Issue 2, June 2022
Pages:
16-21
Received:
29 April 2022
Accepted:
12 May 2022
Published:
19 May 2022
DOI:
10.11648/j.ijmi.20221002.12
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Abstract: Injuries to the pelvic ring pose a significant challenge requiring urgent multidisciplinary management. Adequate radiological evaluation is essential in assessing these injuries. The standard radiologic evaluation of the pelvis includes an AP, inlet, and outlet view. The inlet and outlet view are classically taught to be orthogonally taken with a 45-degree angulation from the anteroposterior plane. However, there is growing evidence that there is a significant individual variation within the population and these values need to be re-analyzed. This is a retrospective study done in a level I trauma center. A total of 110 patients (62 males and 48 females) older than 18, who had clinically indicated Computed Tomography (CT) scan done without any pelvic pathologies were included. A 3D Multiplanar reconstruction (MPR) and 3D reconstruction CT scans were derived from the DICOM images and various methods were used to analyze the ideal angulations based on the 2-Dimensional and 3-Dimensional images rendered. Mean and standard deviation were calculated for each angle measured with a comparison between gender and presence or absence of dysmorphic sacra. A correlational analysis was then done comparing the angles obtained on the sagittal CT scan from the 3D MPR and the ideal inlet and outlet angle from the 3D reconstructed images. The mean caudal angulation for the inlet view was 31.448 ± 7.25° with no significant difference for the normal and dysmorphic sacrum and the mean cephalad angulation for screening for the ideal outlet view was 38.39 ± 6.96° with individuals with dysmorphic sacra having an angulation 5° more than the normal group. The study re-evaluated the ideal screening inlet and outlet angulations in the Filipino population which demonstrated a mean of 31° of caudal angulation for the inlet view and a mean of 38° of cephalad angulation on outlet views.
Abstract: Injuries to the pelvic ring pose a significant challenge requiring urgent multidisciplinary management. Adequate radiological evaluation is essential in assessing these injuries. The standard radiologic evaluation of the pelvis includes an AP, inlet, and outlet view. The inlet and outlet view are classically taught to be orthogonally taken with a 4...
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Severity and Patterns of COVID-19 Among Sudanese Patients Using High Resolution Computed Tomography: Jabra Isolation Centre Based Study
Abdulaziz Hussein,
Saida Abdalkreem,
Duha Abdu,
Abdelmonem Adam,
Mohammed Khalifa,
Aseif Abdalla,
Sayd Ahmed Mohammed,
Ahmed Balil
Issue:
Volume 10, Issue 2, June 2022
Pages:
22-28
Received:
19 May 2022
Accepted:
1 June 2022
Published:
8 June 2022
DOI:
10.11648/j.ijmi.20221002.13
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Abstract: Background: Following the emergence of COVID-19, chest CT exams were utilized as a supplement to RT-PCR for diagnosis and follow-up when RTPCR findings became unavailable. Aims: characterize the patterns and severity of COVID-19 using high resolution computed tomography among Sudanese patients in Jabra Isolation Center, Khartoum State. methods and Materials: A total of 50 patients having COVID-19 who had chest CT and were confirmed positively by RT-PCR were involved in this study. clinical and laboratory data were collected by reviewing the hard medical records. radiology abnormalities were categorized based upon the patterns and distribution within the lungs. The CT-SS was determined by adding individual scores from each of the six lung regions; rated by Likert scale as 0 (0%), 1 (1–25%), 2 (26–50%), 3 (51–75%), or 4 (76–100%). The total severity score was reached by summing the sex lobe scores into mild and severe cases. Results: (33 were men and 17 were women, 26 patients have more than 60 years, they were the majority age group, There were 28 cases of mild and 22 cases of severe disease). Study found that (COVID-19) was distributed as Multi-lesions in 46 cases (92%), bilaterally, and diffused within the lung fields in (39,77%, 41,81% respectively). Peripheral ground glass opacities patterns (GGOs) were the most domain feature. There was a significant difference in distribution of disease between right and left lungs (p < 0.05). Where the right lung was the most infected in both mild and severe cases. The lower lobes of both lungs were the most involved sites by COVID-19 in compare with the upper and middle lobes in both lungs. Conclusions: In COVID-19, thin-section high-resolution chest CT is a critical medical imaging tool for detecting the lung parenchymal diseases. Semi-quantitative CT scoring system can be used to assess the severity of lung involvement rapidly and effectively.
Abstract: Background: Following the emergence of COVID-19, chest CT exams were utilized as a supplement to RT-PCR for diagnosis and follow-up when RTPCR findings became unavailable. Aims: characterize the patterns and severity of COVID-19 using high resolution computed tomography among Sudanese patients in Jabra Isolation Center, Khartoum State. methods and ...
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