Arthroscopic suture anchor for recurrent anterior shoulder instability

This study was performed to determine the effectiveness of arthroscopic suture anchor labro-capsulorrhaphy for anterior shoulder instability. Nineteen shoulders in 19 patients with traumatic anterior instability were evaluated for recurrence, return to activity, range of motion and feeling of pain after arthroscopic suture anchor of the labral injury, using Mitek, Panalok, Ethicon anchor. In a beach-chair position and general anesthesia, posterior and anterior portals were used for the arthroscopy. Suture of the glenoid lesion using one or two anchor was performed. A postoperative program was followed for six weeks. Sixteen shoulders had excellent results with no re-dislocation, full range of motion and return to prior activity without pain. One shoulder developed dislocation five months after the operation and two patients complained from pain during the extremes of motion. The final results were not related to the age of the patient, number of dislocations, Hil-Sachs lesion and the different conditions of the labrum

Study of the patterns of accidental fractures and dislocations in the Republic of Yemen

We have studied and analyzed 4320 cases of accidental fractures and dislocations seen and treated at a busy trauma center in the Republic of Yemen. The aims were to identify the patterns of fractures and its relationship to age, sex, mechanism of injury, and other factors. The study confirmed that males were subjected much more than females to injuries and that the first two decades of life were more prone to accidental fractures than other age groups. Fall from a height [FFH] was recognized as a major cause of accidental injury [46% of cases]. It is possible to postulate some recommendations that might help to reduce the incidence of accidental fractures. We also recommend that a similar analytical study be conducted for our society for proper estimation of the size of the problem and concluding the possible policy to control and limit the grave social and economic impact of these injuries

Arthroscopic repair of meniscal tears by the inside out technique

Twenty patients having longitudinal meniscal tear in the middle of the meniscal arc were included in the study. The aim was to present our experience and to report the results and follow up. We had used the inside out technique. The follow up evaluation, for a period of two years, of the results was done by a comprehensive examination for the affected knee. The overall results showed that up to 75% is considered satisfactory and that 85% of them were self-satisfied. In conclusion, this study demonstrates that arthroscopic meniscal repair in knees with isolated meniscal tears has a potential clinical successful outcome

Contraception in diabetic women: comparative metabolic study of norplant, depot medroxyprogesterone acetate, low dose oral contraceptive pill and cuT 380 A

The objective of this study was to evaluate the long-term intake of Norplant, depot medroxyprogesterone acetate [DMPA] and low dose oral contraceptive pill [OCs] on glycemic control, lipoprotein metabolism and coagulation profile in diabetic women. This study included 80 uncomplicated controlled diabetic women. The clinical, metabolic and coagulation status was followed up at three, six and nine months visits. Results revealed that fasting blood sugar increased in OCs and DMPA users. Total cholesterol [TC] and LDL-cholesterol [LDL-C] decreased in all groups, except DMPA was increased. Triglyceride [TG] only increased in OCs group. HDL-cholesterol [HDL-C] increased with OCs and decreased with Norplant and DMPA. In diabetics, Norplant resulted in minimal metabolic alterations, followed by OCs, while DMPA had unfavorable outcome