Search

Slipped capital femoral epiphysis (SCFE) in children after treatment of femoral neck fracture is a very rare condition. This complication should be recognized promptly and treated urgently. The risk of development of this complication can be minimized by anatomical reduction of the fracture and stable internal fixation of the fracture. Five years old male child sustained right sided femur neck fracture and was treated with closed reduction and Hip spica cast application. The fracture healed with a varus deformity. After 7 months, he developed slip of femoral epiphysis with a coxa vara deformity of proximal femur, which was treated with in situ fixation with Cannulated screws. His subsequent course remained uneventful up to five months.Slipped capital femoral epiphysis (SCFE) after treatment of femoral neck fracture in children is a rare complication that should be recognized and treated promptly. The onset of SCFE may show inadequate reduction or fixation of the fracture. Anatomic reduction and stable internal fixation for femoral neck fracture in children provides best outcomes. Postoperative care and delayed weight bearing are also equally important to avoid complications. [ABSTRACT FROM AUTHOR]

Objective: To determine the frequency of vertebral fractures in patients presenting with hip fractures. Methods: This prospective study was conducted at The Indus Hospital, Karachi, from May 2018 to November 2018. All patients above 40 years presenting with hip fractures were enrolled and a dorsal lumbar lateral view radiograph was obtained to investigate for vertebral fractures. Data was entered and analyzed using SPSS. Post-stratification, Chi-square/Fisher exact test was applied as appropriate to assess the significant association. P value of ≤0.05 was considered significant. Results: Three hundred thirty five patients were enrolled. Of these, 189 (56.4%) were females and 165 (49.3%) presented with neck of femur fractures. Out of 335 hip fractures patients, 77 (23%) were found to have concomitant vertebral fractures, with 73 (96.1%) having a compression fracture. T12 was the most common vertebra involved and 68.8% of patients were asymptomatic. Co-morbid conditions were statistically significantly associated with vertebral fractures. Conclusion: There is a high prevalence of asymptomatic vertebral fractures in our population, but low compared to studies from western countries. There is a need to evaluate these fractures separately for the prevention of morbidity and mortality. [ABSTRACT FROM AUTHOR]

Objectives: To determine the association between the numbers of clinical features either due to end stage renal failure (ESRF) or Secondary hyperparathyroidism (SHPT) and size of parathyroid gland. Methodology: An analytical study was carried out between 1st of January to 30th of June of 2006 by the collaboration of nephrology centre and radiology department of Al-Noor Specialist Hospital, Makkah, Saudi Arabia. Patients with (ESRF) on hemodialysis for more than 12 months, receiving medical treatment who had increased parathyroid hormone level with more than one clinical features of hyperparathyroidism were selected. Subjects were divided into two categories, having enlarged (A) and not enlarged (B) parathyroid glands. Ultrasonographic examinations of the neck were performed by using high frequency transducers in the range of 7.5 to 10 MHz by using Aloka pro sound 5500 machine. Pearson correlation (r) and linear regression analysis was done between number of clinical features and number of subjects in each category. Results: Only 17(31%) were found to have enlarged gland out of total 54 subjects. Males 32(59%) outnumbered the females. Subjects’ Parathyroid hormone ranged from 111-6047 pg/ml with mean 1266±994 (SD), while for subjects with enlarged glands the range was 820-6047 pg/ml with mean 1645±804 (SD). Number of subjects in category A were found to increase with increase in frequency of clinical features by doing regression analysis with correlation coefficient (r=0.98, p=0.002) while category B didn’t show any kind of correlation (r=0.36, p>0.54). Comparison of correlation by Fisher’s Z transformation of data a significant difference was found between categories A and B (p<0.05). Conclusion: Frequency of subjects with enlarged gland increased with increasing number of clinical features. [ABSTRACT FROM AUTHOR]

Objective: To know the characteristics of the diabetic patients on regular dialysis at Al-noor Specialist Hospital, Makkah, Saudi Arabia. Methodology: The data had been collected retrospectively from 13-11-2005 to 12-12-2005 from the diabetic patients directly those were on dialysis due to end stage renal disease (ESRD) and from their files. Results: The total study subjects were 51 with mean age of Diabetics was (55.2 years±7.9) showing male predominance 31(60.8%). All were Saudies. The mean duration of Diabetes mellitus & dialysis were (16.8years) and (22 months), respectively. The mean age of start of Diabetes mellitus & dialysis was (37.4 years) & (53.5 years). The mean duration of onset of diabetes to dialysis was (16.1 years). Out of the total, 29(56.9%) were non-smoker. Patients with family history of diabetes with other associated illnesses were 23(45%) followed by 15(29.4%) had family history of only diabetes. Type II diabetics were 40(78.4%). Regarding metabolic profile, patients with high blood glucose level were 10(19.6%) while 3(5.9%), 50(98%) & 18(35.3%) patients had high cholesterol, low density lipoprotein & triglyceride levels, respectively. Conclusion: Maximum number of patients were in sixth decade of life. Up to three fourth patients had family history of diabetes. Most of the subjects had only diabetic nephropathy. Maximum patients had high low density lipoprotein level. [ABSTRACT FROM AUTHOR]