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Surgical versus conservative treatmentfor Neer´s type II and III proximal humerous fracture
كسور الجزء القريب لعظم العضد نوع نير (II و (III دراسة مقارنة بين العلاج الجراحي والعلاج التحفضي

Author: Abdul Jabbar Rashid Abed د. عبد الجبار رشيد عبد
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2015 Volume: 28 Issue: 4 Pages: 196-201
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Proximal fractures of the humerus constitute 5-8% of all fractures although more than 80% of these heal without surgical intervention, the rate of nonunion vary between 1% and 23% in displaced non impacted fractures of the surgical neck. The most commonly used classification for these fractures is Neer´s classification. The aim of treatment is to attain a painless functional shoulder.Objectives: To compare the results of surgical versus conservative treatment of fracture neck of humorous Neer´s types II & III regarding functional outcome.Patients and methods; Prospective study including 40 patients having fracture proximal humerous Neer`s type II& III attending Al-Yermouk teaching hospital from Nov 1st 2011 to Nov 1st 2013. Twenty patients were treated surgically and twenty were treated conservatively, all the patients were subjected to early physiotherapy and followed up at 3 months then functional evaluation of shoulder was done using Constant's Scoring System; Results: The study sample included 40 patients; we got better results regarding pain, strength, range of motionand daily life activities in surgical treatment than conservative treatment. Conclusion: Early operative management with adequate reduction and early physiotherapy is worth trial to gain early functional outcome.

كسور الجزء القريب لعظم العضد تشمل 5-8% من كافة الكسور واشهر طريقة لتصنيفا هي طريقة نير والهدف من علاجها هو للحصور على كتف وضيفي خالي من الالم.اربعون مريض مصابون بهذا الكسر تم معالجتهم في مستشفى اليرموك التعليمي اعتبارا من 1تشرين الثاني 2011 الى 1 تشرين الثاني 2003, 20منهم تم معالجتم بالطريقة التحفضية و 20 بالطريقة الجراحية, جميعهم تم تعرضهم للعلاج الفيزيائي المبكر وتوبعوا لمدة ثلاثة اشهر بعدها تم تقييم الحاصل الوظيفي للكتف اعتمادا على تدرج كونسانت. تم الحصول على نتائج افضل للمرضى المعالجين بالطريقة الجراحية من ناحية الالم وقوة المفصل ومدى حركته والوضائف اليومية. عليه تبين نتيجة البحث ان العلاج الجراحي لهذه الكسور والعلاج الفيزيائي المبكر كان محاولة جيدة للحصول على وضائف الفضل للكتف.


Article
Role of Ultrasonography in Diagnosis ff Rotator Cuff Disease

Authors: Abdul Jabbar Rashid Abed --- Khalid Ahmed Abbas --- Thaer Rasim Mohammed
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2016 Volume: 29 Issue: 4 Pages: 230-235
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Back ground: The shoulder joint is an elegant and complex piece of machinery. The rotator cuff tendons are keys to the healthy function of the shoulder and rotator-cuff tear is an especially painful injury and can happen at any ageObjectives; to evaluate the role of ultrasonography in the diagnosis of rotator cuff tear.Patients and method; From March 2013 to September 2015 forty eight patients were enrolled in a prospective comparative study and divided into full thickness, partial thickness tear or intact tendons according to clinical and ultrasonographic criteria and these results were assessed by surgery and results comparedResults: Sensitivity of clinical diagnosis was 95.3%., specifity 20% and predictive value 33.3% and sensitivity of ultrasonography was 100%, Specifity 37.5% and Predictive value of 100 %.Conclusions; Ultrasonography is well tolerated and cost-effective and useful test in diagnosis and detection of rotator cuff tear.


Article
Role of Ultrasonography in Diagnosis of Rotator Cuff Disease
دور كوي محيط الرضفه في تحجيم الام مقدمة الركبة في عمليات زراعة مفصل الركبة الكامله

Authors: Yasir Yousif Ali ياسر يوسف علي --- Shakir Hamad Zghair شاكر حمد صغير --- Abdul Jabbar Rashid Abed عبدالجبار رشيد
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2017 Volume: 30 Issue: 1 Pages: 47-51
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Back ground: The shoulder joint is an elegant and complex piece of machinery. The rotator cuff tendons are keys to the healthy function of the shoulder and rotator-cuff tear is an especially painful injury and can happen at any age.Objectives; to evaluate the role of ultrasonography in the diagnosis of rotator cuff tear.Patients and method; From March 2013 to September 2015 forty eight patients were enrolled in a prospective comparative study and divided into full thickness, partial thickness tear or intact tendons according to clinical and ultrasonographic criteria and these results were assessed by surgery and results compared. Results: Sensitivity of clinical diagnosis was 95.3%., specifity 20% and predictive value 33.3% and sensitivity of ultrasonography was 100%, Specifity 37.5% and Predictive value of 100 %.Conclusions; Ultrasonography is well tolerated and cost-effective and useful test in diagnosis and detection of rotator cuff tear.

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