Outcome of latarjet surgery in recurrent shoulder dislocation

Background: Shoulder dislocation is the most common form of joint dislocation. With conseguent episodes of dislocation, humeral head, the glenoid, capsule, ligaments and the labrum experiences progressive changes. Objetive of study: To evaluate the results of open surgery that follows the latarjet protocol in patients with recurrent anterior shoulder dislocation. Patients and methods: Across sectional study included 22 patients with recurrent anterior shoulder dislocation conducted in upper extremities of Al-Wasity Teaching Hospital between Ja. 2017 to Nov. 2018. All patients were evaluated preoperatively by complete medical history, physical examination, and imaging modalities that includes: plain X-rays, CT scanning and MRI then operated on by latarjet surgery that followed by physiotherapy and followed up for 9 months. Results: According to the Rowe score, significant excellent autcome was reported with 72.3% as well as the WOSI score was decreased significantly and ROW score was increased significantly post operativey. Recurrent dislocation was reported with 2 cases only (9.1%). Unesplained pain during activity was reported with 13.6% of cases and limitation of the external rotation that not effect on job and daily activity was reported with 18.2% of cases. Conclusion: latarjet surgery for recurrent anterior shoulder dislocation is effective, as long as indications are used (AU)

High resolution ultrasonographic diagnosis of plantar fasciitis: a correlation of ultrasound and MRI

In a prospective study of nine men and eight women with suspected unilateral or bilateral plantar fasciitis, twenty-three symptomatic heels were examined by both ultrasound and a pre-planned limited sagittal MRI protocol to assess the different signs. Eleven healthy volunteers [22 heels] acted as controls. The findings are tabulated and discussed in relation to other literature. It is concluded that the diagnostic accuracy of ultrasound is comparable to that of MRI in the diagnosis of plantar fasciitis and that it should be used in preference to MRI except in cases where complex pathology is suspected

Predictive values of risk factors in management of diabetic foot

Outcome of management of patients with diabetic foot is difficult to predict. Assessment of variables in history, examination and investigations were analyzed with outcome of management and whether can be assigned as prognostic factors. Prospective study of 300 patients with diabetic foot in Baghdad teaching hospital during the period from April 2000 to March 2004, certain criteria were taken in history and examination, these were investigated and treated either by conservative procedure or amputation. Most common age group was 50-59 years [33.3%]. The male to female ratio was 2:1. Conservative debridement was performed in [60%] of patients while amputation was employed in [40%]. Amputation was performed in 604 of patients above 60 years and in [75%] of patients who had diabetic foot lesions for > 2 weeks, and in 90% of smokers for 10 years or more. Amputation was needed in [71%] in those who had history of previous ulceration and 72.5% of patients who had positive history of previous amputation. Amputation was needed in [88%] of those who had their temperature >38°C, in [91%] of patients who had diabetic foot lesion of Wagner grade>III and 91% patients with X-ray findings of osteomyelitis. Highly significant association was found between amputations with following variables, smokers > 10 years, patients with a temperature of > 38°C, Hypertension > 140/90 mmHg Wagner grade >III, white blood cell count of > 20.000/cc and positive foot X-ray findings. Slight significant association of amputation and the following variables: Age >60 years, duration of foot lesion >2 weeks, history of previous amputation, previous ulceration, negative pedal pulses, deformed feet and patients who had impaired normal vision