Radiological assessment of surgical treatment of distal radius fractures among patients at an academic center in Jeddah

Background: Distal radius fractures [DRFs] are mainly treated by surgery; however, there is no strong evidence to establish the superiority of one modality over another

Aim: To determine the most efficient surgical procedure in terms of restoring anatomical angles in DRFs

Methods: This retrospective study was conducted at King Abdulaziz University Hospital, Jeddah between 2010 and 2016. It involved 31 patients with DRF treated surgically. All patients were assessed pre-and post-operatively to measure radial height [RH], radial inclination [RI], ulnar variance [UV] and volar tilt [VT] on posteroanterior and lateral radiographs. The Shapiro-Wilk test was performed to determine the normality of measurements

Results: Pre-operative variables, including [RH], [RI], [VT], and [UV], were not significantly different among patients in all treatment groups. In group 1 [closed reduction with K-wire, external fixation, or both], all the pre- and post-treatment variables were significantly different [p < 0.05], except [UV] [p = 0.867]. Conversely, the difference between pre- and post-measurement variables in group 2 [open reduction with plate and screw] was significantly high [p < 0.05]. Further, group 3 [open reduction with K-wire plus plate and screws] and group 4 [open reduction with K-wire plus plate and screws in combination with external fixation] showed no significant difference [p > 0.05]

Conclusion: Open reduction with plate and screws was highly effective in the management of DRFs. However, additional studies are needed to establish an effective management for these fractures

Review of MRI wrist results at KAUH

Background: Magnetic resonance imaging [MRI] is defined as one of the most important modalities used for diagnosing lesions of small and complex structures in the body [1]. We aimed to investigate the most common wrist pathologies detected by MRI in KAUH [King Abdulaziz University Hospital] in Jeddah

Methodology: A retrospective study was done with a total sample size of 127 individuals who underwent wrist MRI investigation at KAUH in Jeddah [Saudi Arabia], between 2010-2016. The data entry was performed by using Microsoft Excel 2014, and statistical analysis was performed by SPSS V21

Results: The results of the analysis showed that the most common wrist pathology was ganglion cysts, constituting 17.8% of the 157 findings we observed. Other common findings were Tenosynovitis [10.2%], TFCC [Triangular fibrocartilage complex] tear [10.2%], TFCC degeneration [5.7%] and subchondral cysts [3.8%]. There was also a significant relation between normal/abnormal findings in individuals and their age of presentation. Age mean was 29.27 [ +/- 7.46 SD] for those with normal findings, and 37.33 [ +/- 15.62 SD] for those with abnormal findings, [P value less than 0.001]. Regarding X-ray investigation, we found that most of the sample [65.4%] did not undergo X-ray prior to MRI

Conclusion: It has been found that there is variance between all findings that were discovered by MRI, that there are differences between our study and those of others, and that due to the different sorts of cases that were presented to the hospital. We also found that most of the individuals with wrist pathologies did not get X-rays before MRI, so we recommend a clear policy of ordering MRI, also proper history and examination should be the essential tool to reach hand and wrist diagnoses. That will help in saving resources

Epidemiology of sports-related injuries among athletes in Jeddah, Saudi Arabia

Practicing sports regularly has a known positive impact on the well-being of individuals; however, it exposes individuals to sports-related injuries. To date, scarce epidemiological studies are available about the prevalence of sports-related injuries in Saudi Arabia

Objectives: The aim of this study was to determine the prevalence of sports injuries among basketball and soccer players in Jeddah, and to compare the number and the severity of sports-related injuries between different types of sports.

Patients and Methods: It was a crosssectional study conducted on 1054 participants aged between 10 and 60 years with sports-related injuries. Data were collected via personal interview or online surveys and analyzed using SPSS

Results: Males constituted 79.9% of participants. The median age of the sample was 24.8 +/- 7.8. 50% of injuries were related to soccer, 34% to basketball, and only 2% to swimming. Recreational practice constituted 78.9% of injuries, whereas 12.9% were professional and 8.5% were collegiate practitioners. About 38% were injured three-four times. Practicing for 2-4 hours weekly had the highest risk of injury, 62%, while the lowest rate was among practitioners for 11- 14 hours weekly. 49% got injured outdoors. Ankle, knee, and hands and fingers injuries constituted 40%, 46%, and 27%, respectively. Twisting was the mechanism of injury in 56%. Over 50% needed rest for 1-4 weeks only

Conclusions: Soccer was the most common sport associated with injury. Recreational practice, few weekly hours, and outdoor practice had the highest risks. Twisting, ankle sprains, and ligamentous injuries were the most prevalent