Publications by authors named "Majid Sajjadi Saravi"

8 Publications

  • Page 1 of 1

A Comparison of Hand Pain and Hand Function after Z-plasty Reconstruction of the Transverse Carpal Ligament with Traditional Median Neurolysis in Carpal Tunnel Syndrome.

Arch Bone Jt Surg 2016 Apr;4(2):145-9

Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran.

Background: Carpal tunnel syndrome is the most common focal mono-neuropathy. A study was designed to compare the effects of traditional open carpal tunnel release with median neurolysis and Z-plasty reconstruction of the transverse carpal ligament on post-operative hand pain and hand function in patients with idiopathic carpal tunnel syndrome.

Methods: Fifty-two patients with idiopathic carpal tunnel syndrome entered the study. The patients were randomly assigned into two groups to undergo simple transverse carpal ligament release or division of the ligament with Z-lengthening reconstruction. Forty-five patients completed the study. Two patients of the simple open surgery group and 5 patients of the Z-plasty reconstruction group did not complete the follow up course. After the procedure, the patients were followed to assess post-operative pain and hand function during a 12-week period.

Results: The scores of hand pain on the first day after surgery were not statistically different between the two groups (P=0.213). But the score of hand pain was significantly lower in the Z-plasty reconstruction group at week 1, week 3, and week 6 after surgery (P<0.001). However, at week 12, no patient complained of hand pain in both groups. Considering hand function, no patient had normal hand grip after the first week, but after three weeks, a significantly higher proportion of patients in the Z-plasty reconstruction group had reached near normal hand grip (76.1% vs. 29.1%;). However, at weeks 6 and 12, the differences were not statistically different between the two groups.

Conclusion: We observed significant reduction in hand pain, shorter duration of hand pain and shorter period of time to reach normal hand grip by Z-plasty reconstruction of the TCL.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4852041PMC
April 2016

A Survey of Severity and Distribution of Musculoskeletal Pain in Multiple Sclerosis Patients; a Cross-Sectional Study.

Arch Bone Jt Surg 2015 Apr;3(2):114-8

Masoud ShayestehAzar MD Mohammad Hossein Kariminasab MD Majid Sajjadi Saravi MD Department of Orthopedic Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.

Background: Pain, a common phenomenon in multiple sclerosis (MS) patients, is associated with many symptoms and problems.

Aim: To investigation severity and distribution of musculoskeletal pain in MS patients.

Methods: In this cross-sectional study, 115 members of the Mazandaran MS Association with confirmed MS were randomly selected to participate in the study. The patients were asked to fill out Numerical Rating Score and Nodric questionnaires, respectively. The data was analyzed by SPSS ver. 16 software.

Results: The mean age of the participants was 30.43±5.86 years and 88 cases (76.5%) were female. The mean disease duration was 26.34±24.32 months and 87.8% of the cases were experiencing pain at the time of study. The mean pain severity was 3.75±2.25 and worst pain experienced was 5.73±2.12. The most common pain sites were: the knees (55.7%), wrist (43.5%), and neck (41.7%). Women experience higher prevalence of shoulder, upper back, and ankle pain (P<0.05). In 62 cases (53.91%) MS interfered with daily functioning at least for a time. The prevalence of upper back and neck pain was higher in cases with a shorter disease duration (P<0.05).

Conclusions: Pain was very common in patients with MS and not relevant to sex or age. In the majority of the cases more than 1 limb was involved and the prevalence of pain in the lower limbs was higher, especially in the knees. In females, the prevalence of pain in the shoulders, upper back, and ankle was higher compared to males. Also, neck and upper-back pain were found in the early stages of the disease.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4468621PMC
April 2015

Comparison of surgical complications of intertrochanteric hip fractures between non-osteoporotic and osteoporotic patients.

J Pak Med Assoc 2013 Jun;63(6):752-5

Department of Orthopaedic Surgery, Imam-Khomeini Hospital, Mazandaran University of Medical Sciences, Sari.

Objective: To determine the role of bone quality in post-treatment complications among patients of intertrochanteric fracture.

Methods: The cross-sectional descriptive study was done on 61 patients who presented with intertrochanteric hip fractures to two affiliated hospitals of Mazandaran University of Medical Science, Sari, Iran between February 2009 and December 2010. All the patients went through open reduction and internal fixation using 4-hole dynamic hip screw. The patients were followed up from 2 to 60 months. Data was analysed using SPSS 18.

Results: The final rate of malunion, nail protrusion and mortality was 8.3% (n=3), 5.6% (n=2) and 8.4% (n=3) respectively. There was no significant difference between osteoporatic (n=36; 59%) and non-osteoporatic (n=25; 41%) groups regarding the surgical complications of intertrochanteric hip fracture.

Conclusion: The quality of bone made no significant difference among patients who were treated for intertrochanteric fracture.
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June 2013

Anterior shoulder dislocation and ipsilateral humeral shaft fracture.

Iran J Med Sci 2012 Sep;37(3):202-4

Department of Orthopaedic Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.

Simultaneous dislocation of shoulder and humeral shaft fracture is a rare injury, and there is no clear protocol for its treatment. Herein we present a case of a 15-year-old boy, who suffered from a job-related accident and sustained fracture of humeral shaft associated with ipsilateral anterior shoulder dislocation and fracture of greater tuberosity 15 years ago. He received closed reduction of both injuries and coaptation plaster splint for four weeks, followed by Sarmiento splint at that time. Fifteen years after the injury, he has no problem related to the previous injury, and does not experience any episode of shoulder instability.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470086PMC
September 2012

Juxta cortical tibia metastatic deposition in gastric cancer: a case report.

Case Rep Med 2012 21;2012:695627. Epub 2012 Mar 21.

Department of Orthopedic Surgery, School of Medicine, Mazandaran University of Medical Sciences, 4813894393 Sari, Iran.

We report a 41 years old man with rapidly growing and tender lump on the anteromedial surface of tibia. The patient had the history of gastrectomy and gastrojejunostomy due to gastric carcinoma. On admission, the Simple X-ray of lower extremity disclosed a slight thinning of the anterior cortex of tibia without cortical destruction. The whole-body bone scan with (99m)TC MDP revealed activity of lesion in all 3 phases. The histopathological evaluation showed an infiltration of bone with tumor cells. Review No the literature revealed in previous cases of skeletal metastasis from gastric cancer in the tibia like this.
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http://dx.doi.org/10.1155/2012/695627DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3318780PMC
August 2012

Sprengel's Deformity Associated with Musculoskeletal Dysfunctions and Renal Anomalies: A Case Report.

Case Rep Med 2012 28;2012:398254. Epub 2012 Feb 28.

Department of Orthopedic Surgery, School of Medicine, Mazandaran University of Medical Sciences, Sari 4813894393, Iran.

Background. Sprengel's deformity is a rare congenital anomaly of the shoulder girdle. The deformity is due to failure of descent of the scapula in intrauterine life. Case Presentation. We report a case of unilateral Sprengel's deformity associated with several other musculoskeletal and renal disorders consisting of absence of pectoralis major, weakness of trapezius and serratus anterior muscles, one kidney agenesis, and severe hydronephrosis of the other kidney in a 7-year-old boy. Conclusion. Sprengel's deformity can be associated with other musculoskeletal abnormalities and it is much more than a cosmetic problem.
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http://dx.doi.org/10.1155/2012/398254DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3299302PMC
August 2012

Complete spontaneous improvement of non-displaced femoral neck fracture without any surgery modality.

Am J Case Rep 2012 8;13:22-5. Epub 2012 Feb 8.

Department of Orthopedic Surgery, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.

Background: Fracture of the femoral neck is still a medical dilemma due to high rates of complications and the choice of treatment. Although rigid internal fixation with cannulated screws through open or percutaneous approaches is the traditional treatment for undisplaced fractures (Garden type I and II) to avoid secondary displacement, considerable controversy still exists regarding the rate of this problem, thus it seems that a new trend in conservative management of this types of femoral neck fracture is emerging.

Case Report: Our case is a 46-year-old woman with Garden type II femoral neck fracture, who refused all surgical options and willingly ignored her problem. Six months later she returned to our center with uneventful recovery of her fracture.

Conclusions: The previous belief about the absolute poor prognosis of Garden type II with 100% rate of secondary displacement with non-operative management must have been an overestimation or the success histories in the literature about non-operative treatment of these fractures originates from inherited weakness of the Garden classification in differentiating type I from type II. The patient gave the informed consent prior being included into the study.
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http://dx.doi.org/10.12659/AJCR.882472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616177PMC
April 2013

Surgical intervention for treatment of septic arthritis in infancy and childhood; a retrospective study.

Arch Iran Med 2009 Jul;12(4):409-11

Department of Orthopaedic Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.

Septic arthritis is a fearful condition because of its mortality and the potentially late sequels on immature skeleton including limb shortening, osteomyelitis, destruction of joint surface, severe limitation of motion, and dislocation.This study was performed to reveal the final outcome of our patients and find out the possible risk factors of poor result. The case records of 243 children who were admitted with the diagnosis of septic arthritis in Imam Khomeini and Bu Ali Sina Hospitals, Mazandaran Province, were studied between 1996 and 2005. The diagnosis was based on clinical and ultrasound findings in all patients and positive smear in 67% of them. Among these patients, we had access to 162 cases who had definitely septic arthritis and went through surgical interventions because of the involvement of the hip joint or uncertain response to medical treatments. As four out of six poor outcome cases were related to hip sepsis, hip was the main site of involvement and complications.Six cases of severe complications out of 162 showed the favorite result due to early diagnosis and intervention and highlighted the grave prognostic factors which were delayed diagnosis, infantile age and hip sepsis.
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July 2009