Mansoura, Dakahlia | Egypt
Main Specialties: Adult Reconstructive Orthopaedics, Foot & Ankle Orthopaedics, Orthopaedic Sports Medicine, Orthopaedic Surgery of the Spine, Orthopaedic Trauma, Orthopaedics
Additional Specialties: Spine, footand ankle, upperlimb, Arthroplasty, pediatric surgeries
Primary Affiliation: Mansoura University - Mansoura, Dakahlia , Egypt
16PubMed Central Citations
Ahmed Zaghloul, Elalfy M Mohamed. Hip Joint: Embryology, Anatomy and Biomechanics. Biomed J Sci & Tech Res 12(3)-2018. BJSTR. MS.ID.002267. DOI: 10.26717/ BJSTR.2018.12.002267.
Biomedical Journal of and the acetabular labrum is identifiable as a separate entity . At 11 weeks the embryo is 50-mm long. The femoral head is spherical and 2mm in diameter. It i
Introduction: Hip joint is matchless developmentally, anatomically and physiologically. It avails both mobility and stability. As the structural linkage between the axial skeleton and lower limbs, it plays a pivotal role in transmitting forces from the ground up and carrying forces from the trunk, head, neck and upper limbs down. This Article reviews the embryology, anatomy and biomechanics of the hip to give a hand in diagnosis, evaluation and treatment of hip disorders. Discussion: Exact knowledge about development, anatomy and biomechanics of hip joint has been a topic of interest and debate in literature dating back to at least middle of 18th century, as Hip joint is liable for several number of pediatric and adult disorders. The proper acting of the hip counts on the normal development and congruence of the articular surfaces of the femoral head (ball) and the acetabulum (socket). It withstands enormous loads from muscular, gravitational and joint reaction forces inherent in weight bearing. Conclusion: The clinician must be familiar with the normal embryological, anatomical and biomechanical features of the hip joint. For early diagnosis, evaluation and proper treatment of hip disorders.
Orthopedics and Rheumatology Open Access Journal
Introduction: Management of metacarpal shaft fracture is dictated by the stability and personality of the fracture. It may be conservative or surgical. Surgical management of Metacarpal fractures has different techniques and different instruments.
Methods: The study included 40 patients presented at Emergency Hospital, Faculty of Medicine, Mansoura University, with 48 fractured metacarpals in 30 hands. 20 patients were fixed by open reduction and internal fixation using mini-plates, the other 20 patients were fixed by percutanous K wires.
Results: In this study, it was found that after 6 weeks of follow up, group A showed 93.3 % satisfactory results, while group B showed 86.7 % satisfactory results, while after 3 months of follow up both groups showed satisfactory and good results in 93.3 % of cases.
Conclusion: Mini-plates fixation in oblique and spiral fractures provide stable and rigid internal fixation that allows early active range of motion and early excellent results. Percutaneous K-wire fixation has the advantages of preserving the soft tissue.
Ortho & Rheum Open Access J
Kienböck’s disease is a condition of uncertain etiology that results in osteonecrosis of the carpal lunate. It usually affects the dominant wrist of men aged 20-40 years.
Elalfy M Mohamed. Metacarpal Fractures: Current Concepts of Management. Ortho & Rheum Open Access 2017;8(5): 555748. DOI: 10.19080/OROAJ.2017.08.555748.
Orthopedics and Rheumatology Open Access Journal ISSN: 2471-6804
OAJ.2017.08.555748 Ortho & Rheum Open Access J Copyright © All rights are reserved by Elalfy M Mohamed Metacarpal Fractures: Current Concepts of Management *Elalfy M Mohamed Orthopedic Surgeon, Mansoura University Hospital, Egypt Submission: September 29, 2017; Published: October 13, 2017 *Corresponding author: Elalfy M Mohamed, Faculty of Medicine, Orthopaedic surgery resident at Mansoura University Hospitals, Egypt, Email: Introduction Epidemiology: Metacarpal fractures comprise between 18–44 % of all hand fractures. Non-thumb metacarpals account for around 88 % of all metacarpal fractures, with the fifth finger most commonly involved [1-3] (Figure 1). Figure 1: Non-thumb metacarpals account for around 88 % of all metacarpal fractures, with the fifth finger most commonly involved. Mechanism of Injury: Most metacarpal fractures occur in the active and working population, particularly adolescents and young adults and usually result from a direct blow, crush, or missile injury. Trauma to the hand is common, frequently resulting in metacarpal, fractures and dislocations head [3,4]. Symptoms and Examination Findings: Prominent swelling, decreased range of motion, and tenderness is found at the metacarpophalangeal (MCP) joint. Axial load to the MCP joint worsens pain (Figure 2). Figure 2: Axial load to the MCP joint. Treatment Options Appropriate treatment includes adequate assessment, physical examination, and directed imaging. Such an approach should lead to a rational plan that focuses on the rehabilitation of all damaged components, including osseous, articular, and soft tissue structures [5,6]. Management of non-thumb metacarpal shaft fracture is depending on the stability and personality of the fracture. Undisplaced fracture with any fracture configuration can be managed by conservative method with a slab or a splint immobilizing the wrist in extension and MP joint in flexion greater than 70° (Clam digger slab/cast), allowing early IP mobilization [7-11]. 0