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THE VALUE OF CORONAL IMAGE IN DETECTING EXTRA SPINAL LESION IN MAGNETIC RESONANCE IMAGING OF THE SPINE

Authors: Ibtisam Nasir Ahmed --- , Assal B Shindi --- Mubder A Mohammed Saeed
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2010 Volume: 16 Issue: 2 Pages: 78-83
Publisher: Basrah University جامعة البصرة

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Abstract

This study aimed to evaluate the clinical impact of coronal image of the spine at initial presentation formagnetic resonance imaging of the spine. Images were evaluated by two experienced radiologists, theadded value of the additional sequence was assessed. Correlation was made with surgery or clinical followupat 3 months. We concluded that the coronal image of the spine is of great value in detecting extraspinallesion in magnetic resonance imaging of the spine.

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Article
10- HUMAN PARVOVIRUS B19 ANTIBODY AMONG ARTHROPATHIC PATIENTS WITH ESPECIAL EMPHASIS ON SICKLE CELL DISEASES IN BASRAH

Authors: MUBDER A MOHAMMED SAEED --- HASSAN J HASONY --- DANIAH M SHAKIR
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2008 Volume: 14 Issue: 2 Pages: 53
Publisher: Basrah University جامعة البصرة

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Abstract

A case control study was carried out during the period from October 2006 till September 2007in Basrah Governorate. To estimate the overall prevalence of Human Parvovirus B19 (HPVB19) antibody and its association to Rheumatoid factor seropositivity among sickler and nonsickler arthropathic patients.A total of 182 blood samples were collected. Ninety (90) from arthropathic patients with orwithout sickle cell diseases (SCD), who attended the orthopaedic, rheumatology and internalmedicine consultant clinics in Basrah General Hospital and Hemoglobinopathies Center at theMaternity and Children Hospital. Ninety two (92) from control group, non arthropathic with orwithout SCD.Human parvovirus B19 IgG antibodies were serologically detected by an Enzyme- LinkedImmunosorbent Assay (ELISA). The rheumatoid factor was detected by Latex agglutination test.The overall prevalence of HPV B19 antibody in Basrah among study population was 68.7% .The prevalence of this antibody was 76.9% among arthropathic non sickler and 65.8% in sicklerarthropathic patients. These differences were shown statistically not significant P> 0.05compared to control group where prevalence was 63.2% in non arthropathic sickler and 66.7%among non arthropathic non sickler individuals.Eighty percent of arthropathic patients who had positive rheumatoid factor were also positive forHPV B19 antibody, which indicate a significant association (P<0.05).In the present study the seropositivity of HPV B19 was shown to be increased with age. Inrelation to site of joint affected, the small joints of the hand and foot were the commonest site ofmanifestation 78.1%.HPV B19 antibody was significantly more (79.7%) among persons with history of bloodtransfusion. The types of SCD had no significant effect on the prevalence of HPV B19 antibody(P>0.05). However there was a positive relation between HPV B19 seropositivity and theduration of illness (P<0.0%).In conclusion, HPV B19 is common with high prevalence in our region. There is clearassociation between HPV B19 infection and rheumatoid factor positivity. Individuals with sicklecell diseases regardless the type and those with history of blood transfusion were considered asrisk groups for acquiring HPV B19 infections.

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Article
musculoskeletal CONSIDERATIONS during pregnancy

Authors: Thamer A Hamdan --- Mubder A Mohammed Saeed --- Abdulhusein Allawi
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2014 Volume: 20 Issue: 2 Pages: 10-16
Publisher: Basrah University جامعة البصرة

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Abstract

Thamer A Hamdan , Mubder A Mohammed SaeedAbdulhusein Allawi*FRCS, FRCP, FICS, FACS, American Board (Ortho.), Professor of Orthopedic Surgery. #FICMS (Ortho.)Assistant Prof. of Orthopedic Surgery. College of Medicine, University of Basrah, Basrah,Iraq. MB, CHB, Postgraduate Iraqi Board Medical Specialization (Ortho.)Abstract Pregnancy related musculoskeletal impairment is a common complaint among pregnant women. It can potentially have a negative impact on their quality of life. The aim of this study isto calculate the incidence of pregnancy related musculo-skeletal disorders, evaluate the most common disorders and to determine the possible risk factors. This is a prospective analytic study conducted in Basrah Governorate between January 2013- January 2014. Pregnant women attended the Primary Health Care Centers and theGynecological & Obstetric Outpatient Department in Basrah hospitals were asked about any history of musculoskeletal conditions during the current pregnancy, further information wasobtained and physical examination was done for patients who had history of musculoskeletal conditions, no investigation was done and there was no follow-up of the patients. A total of 500 pregnant women with complete data were recruited. Statistical analyses were performed usingSPSS version 14, incidence and frequency were calculated using standard technique. Two hundred-sixty of the patients out of the 500 had pregnancy related musculoskeletal conditions during their current pregnancy with overall incidence of 52%. One hundred-sixty twoof the patients have pregnancy related low back pain which represent 62.3% of the total disorders, followed by carpal tunnel syndrome(CTS) in 54 patients who had pregnancy relatedcarpal tunnel syndrome (20.8%), calf pain in 28 patients, knee pain in 27 patients, hip pain in 21 patients, plantar fasciitis in 16 patients, neck pain in 6 patients, Dequverain’s disease in 5patients and one patient only had meralgia parasthetica. In conclusion, the pregnancy related musculoskeletal disorders are common and it is not trivial, for some women it may be the beginning of lifelong chronic discomfort and for others it may cause considerable disability and distress during pregnancy. Most of these problems can beidentified early and treated effectively by active self-management strategies; administered through good antenatal care.

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Article
PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH

Authors: Thamer A Hamdan --- Yas khudair Hadood --- Mubder A Mohammed Saeed
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2015 Volume: 21 Issue: 1 Pages: 2-11
Publisher: Basrah University جامعة البصرة

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Abstract

Abstract Although retrolisthesis is not a well-known condition by many medical specialists dealing with back problems and it has been regarded as a radiological incidental finding with no clinical significance, a growing prove is now evolving stating that retrolisthesis could be a cause of many backache complaints and a sequelae of an altered spine biomechanics.Objectives: to study and analyze the various biomechanical characteristics of retrolisthesis and its relationship with various radiological parameters of the lumbar spine and other patient’s factors. Patients and Method: Forty patients, twenty six males, and fourteen females with an age range from 40–66 years with radiological evidence of significant lumbar spine retrolisthesis (slip > 3 millimeters) were evaluated clinically and radiologically by plain radiography and MRI in Basra General Hospital and Ibn AL-Bittar Private Hospital, during the period from the 1st of August 2014 to the 1st of March 2015. After a thorough history and physical examination, various radiological parameters were obtained including the lumbar lordosis, sacral slop, pelvic incidence, pelvic tilt, all those measurements were done digitally. A statistical analysis was made via IBM SPSS ver.17 and the results were compared with that of similar studies. Results: The retrolisthesis was found to be more common with more slip distance in males than in females, males=26 (65%), females=14 (35%), P-value=0.026, the mean of slip in mm in males was (4.002) and in females was (3.71). The patients had a mean BMI equal to (26.025= overweight). The most common level at which retrolisthesis occur in this study was the L5-S1 (40%) then L4-L5 (22.5%).All the radiological parameters (the lumbar lordosis, sacral slop, pelvic incidence, and pelvic tilt) were lower than the known normal values in healthy subjects. Conclusion: It seems that retrolisthesis is not just an incidental finding, it may be a kind of a compensatory reaction for an abnormal spine biomechanics. The males are affected more frequently than females with a more slip distance.The L5-S1 followed by the L4-L5 are the most common sites in both sexes. The degenerative spinal disease is the main cause of retrolisthesis in all patient’s groups regardless of sex or age.


Article
SILENT OSTEOPOROSIS IN ASSOCIATION WITH OTHER ORTHOPEDIC DISEASES

Authors: Thamer A Hamdan --- Mubder A Mohammed Saeed --- Saad J Abdulsalam
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2017 Volume: 23 Issue: 2 Pages: 3-8
Publisher: Basrah University جامعة البصرة

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Abstract

Thamer A Hamdan*, Mubder A Mohammed Saeed# & Saad J Abdulsalam@*FRCS, FRCP, FACS, FICS, Professor Of Orthopedic Surgery, Chancellor of Basrah University. #FICMS, Assistant Professor Of Orthopaedic Surgery, Basrah General Hospital, @FACMS, Orthopedic Surgeon, Al-Karkh General Hospital, Baghdad.Abstract Osteoporosis is the most common metabolic bone disease. It is a major global health problem that increases dramatically as people getting older than before because of good health services. The aim of the study is to assess how far osteoporosis is associated with orthopedic diseases and to increase the awareness in the mind of orthopedic surgeons for osteoporosis in patients who are not suspected apparently to have this disease. A sample of 522 patients referred to Dual-energy X-ray absorptiometry (DXA) clinic by orthopedic surgeons or rheumatologists was taken during a seven months period, in two centers, Basrah, 259 patients and Mosul, 263 patients. All the patients had back pain, joint pain, bone pain, fracture or other musculoskeletal complains. The only method used to assess osteoporosis in our patients was the DXA scan. Of the total 522 patients, the results of DXA scan was normal in 136 patients (26%), osteopenia in 178 patients (34%), and osteoporosis in 208 patients (40%). Back pain was the main cause of referral 184 (35%), followed by joint pain 138 (26.5%), bone pain 74 (14%), fracture 28 (5.5%), and others 98 (19%). In conclusion, osteoporosis may be a silent disease, even in patients with complains like joint pain, bone pain, or radicular symptoms.

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Article
THE EFFECT OF DENERVATION ON FRACTURE HEALING , AN EXPERIMENTAL STUDY ON RABBITS

Authors: THAMIR A. HAMDAN ا .د ثامر احمد حمدان --- Mubder A Mohammed Saeed --- Abbas Salman ISMAEL
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2014 Volume: 20 Issue: 2 Pages: 3-9
Publisher: Basrah University جامعة البصرة

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THE EFFECT OF DENERVATION ON FRACTURE HEALING , AN EXPERIMENTAL STUDY ON RABBITSThamer A Hamdan , Mubder A Mohammed Saeed & Abbas Salman IsmaelAbstract Many studies suggested a relation between denervation and fracture healing either in positive or negative effect. This is a prospective experimental study on 20 rabbits carried out in theexperimental animal’s research laboratory of Basrah University, Medical College from April 2014 to November 2014 according to ethical rules of institution. They were housed under controlled conditions of temperature and lighting, same diet was given for all animals. The rabbits was divided into two groups; group A with sciatic denervation and fracture of the tibia while group B,with fracture tibia only. The state of fracture healing was studied radiologically after 4 weeks and histopathologically at 6 weeks. The results showed significant difference between the two groups, the denervated group had poor fracture healing compared with non denervated group. In conclusion, denervation affects fracture healing negatively in rabbits.

Keywords

FRACTURE --- HEALING --- DENERVATION

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