[Evaluation of correlation between Q-angle and anterior knee pain]

Knee pain is one of common cause that patients refer to orthopedic clinics and has several reasons. One group is reversible and other is irreversible. Excessive Q-angle composes of 10% causes of knee pain reasons and is recovered [90%] by physical therapy. This study was conducted for evaluation of correlation of knee pain with excessive Q-angle and comparing both sexes and ages groups. 100 patients [50 men and 50 women] in a simple convenience study were enrolled in this research. Q-angle and pain scale [VSA] were measured and then Q-angle deviation in both sexes and ages groups analyzed using ANOVA, t-test. Spearman test with SPSS17 software. The correlation between severity of knee pain and Q-angle in general population and in both sex was significant using of Spearman's test. There was no significant correlation between different ages and Q-angle. There was significant relationship between Q-angle in men and women [P<0.05]. 10% of men, 18% of women and 14% of general population refered to orthopedic clinic had Q-angle greater than normal range. Higher level of Q-angle in females might be related to anatomical differences and high level of estrogen, multiparity, malnutrition, genetical differences and excessive activity, in females

[Comparison the effect of corticosteroid injection with physiotherapy in treatment of painful arch of shoulder]

Painful arch of shoulder is treated using both surgical and non-surgical methods. In the latter one, steroidal and non-steroidal analgesic drugs and/or physiotherapy are used. The aim of this study was to compare the effects of corticosteroid injection and physiotherapy in the treatment of disease. In this double-blinded clinical trial, 124 patients who referred to Shahrekord Kashani hospital and suffered from shoulder pain or with having limitation in its movement were considered as the patients with painful arch of shoulder. They were divided in two equal groups of 62. In the first group, 40 mg of prednisolone was locally injected in the painful site. The second one was subjected to ten sessions of physiotherapy for two weeks. The outcomes of these treatments were assessed using a questionnaire including shoulder disability and the amount of pain in the patients, 2, 6, and 11 weeks after the treatment. Data were analyzed using statistical analysis [X[2], t and repeated measures ANOVA]. The mean age of the patients was 42.3 +/- 9.5 years. The two groups were age and sex matched. The pain was relapsed in one patient of the first and 3 patients of the second group. Pain and shoulder disability were significantly decreased in the two groups [P<0.05]. The amount of shoulder disability and pain in the group received corticosteroid was less than that in the group subjected to physiotherapy [P<0.05]. Base on the results, injection of corticosteroid is more effective than using of physiotherapy in treatment of painful arch of shoulder. This cures pain and shoulder disability of the patients faster

Comparison of treatment of tibial-shaft fracture by interlocking nailing and plating methods

Interlocking nailing and plating are two conventional methods of treatment of tibial-shaft fracture. Both methods have advantages and disadvantages. Therefore, the aim of this study was to compare the advantages and disadvantages of the two methods. This clinical-trial study was done on 90 patients with fracture of tibia and fibula. Patients were randomly divided into two groups. The individuals in groups one and two treated with plating and interlocking nailing methods, respectively. The mean time of union, hospitalization and returning to work as well as thickness of callus, range of motion of knee and ankle joints were compared between the two groups. The data was analyzed using t-test. The average time of bone union, hospitalization, callus thickness, time to return to work, range of motion of knee up to 130 degree, and ankle up to 50 degree in group one [plating] and two [interlocking nailing] were 4.8 +/- 0.2.5 months vs. 3.4 +/- 0.24 months [p<0.05], 5 vs. 3 days [p<0.05], 2.5 +/- 0.05 mm vs. 4 +/- 0.06 mm [p<0.05], 3 +/- 0.05 months vs. 1.5 +/- 0.06 months [p<0.05], 0.3.5 +/- 0.04 months vs. 2 +/- 0.03 months [p<0.05], 5.2 +/- 0.07 months vs. 3 +/- 0.04 months [p<0.05], respectively. Based on the results, interlocking nailing method is better than the other one and is preferred for fixation and treatment of tibial-shaft fractures

[Evaluation of scoliosis screening results in 10-14 years old students of Shahrekord]

Scoliosis is referred to abnormal curvature of spinal column beyond 10 degrees. The most common type of it, is adolescent idiopathic scoliosis. Scoliosis screening test is the most economic and simplest method for diagnosis of the disease. Preferred age of scoliosis screening is 10-14 years old when growth spurt is occurring. This study was performed on 936 students between 10-14 years old in Shahrekord. Diagnosis was based on observation of asymmetric anatomical landmarks [such as spinout process, pelvic and shoulders], Adam's forward bending test and radiographic measurement of Cobb's angle. Eighty-six persons out of 936 were referred to orthopedic clinic. Seven cases had idiopathic scoliosis, 5 females and 2 males. Two persons had thoracic, 4 had thoracolumbar and 1 had lumbar congenital curvature. Two patients had family history of scoliosis and overall prevalence of idiopathic scoliosis was 0.7%. During exercise all 7 patients got tired sooner than their classmates and had higher incidence of back pain. Two girls and one boy needed surgery. Also 3 girls and 1 boy needed Brace treatment. Using this method, the patients can be recognized easier and more rapidly. Therefore, both the curve progression and dysfunction of limb are inhibited leads to decrease need for surgery

Nausea and vomiting after general anesthesia with halothane or isoflurane; A double blind randomized trial

Postoperative nausea and vomiting [PONV] is potentially dangerous and causes morbidity and excessive costs to the patients. Prior investigators have reported controversies about halothane- and isoflurane-induced PONV, thus, the present study was conducted to compare these two drugs. 80 candidates for elective minor orthopedic surgery were randomly allocated into two groups, halothane [n= 40] and isoflurane [n=40]. Confounding factors including sex, age, duration of surgery, NPO, history of general anesthesia, history of PONV, drugs, and history of disease were recorded in a questionnaire. PONV was assessed at three occasions [recovery, 3- and 6- hour post operative]. PONV was reported in 4 [10%] and 3 [7.5%] patients in halothane and isoflurane groups, respectively [NS]. None of the patients suffered PONV 3- or 6-hour post operative. Results revealed that the incidence of PONV can be held low, with an aggressive control of risk factors, in addition, halothane or isoflurane seems to have no preference from this aspect to each other