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Article
MRI finding versus arthroscopic finding regarding ACL injury

Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2015 Volume: 2 Issue: 1 Pages: 10-14
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

Abstract 25 patients, 20 male patients and 5 female patients with knee joint injury, all of them with single knee joint injury. 25 knee joints are examined during this study, all patients are perform MRI in different centers send with report of the MRI from expert radiologist. They perform arthroscopy in Al Sadder medical city from January 2013 – October 2014. The aim of this study is to confirmed or unconfirmed ACL injury after clinical examination and MRI which they perform to them either in our center or other centers. The majority of ACL injuries 70% occur while playing agility sports, and the most often reported sports are football. About 70% of ACL injuries are sustained through noncontact mechanisms, while the remaining 30% result from direct contact. The aim of this study is to assess the diagnostic value and compare the accuracy (sensitivity and specificity) of MRI to arthroscopic finding regarding the ACL injury.

Keywords

MRI --- ACL injury --- Radiologist


Article
Antiphospholipid Syndrome, Review of 24 Iraqi patients

Author: Ahmed Kh.Yassin *MBChB.DM.CABM د. احمد كاظم ياسين
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 / 24108057 Year: 2007 Volume: 49 Issue: 2 Pages: 215-218
Publisher: Baghdad University جامعة بغداد

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Abstract

Summary:Background: Antiphospholipid syndrome (APS) is a disorder in which vascular thrombosis and / or recurrent pregnancy losses occur in a patient who has laboratory evidence of antibodies against phospholipids or phospholipids binding protein cofactor. Usually the patient presents at an age between 35-45 years, with equal male to female ratio. Mostly they present with thrombosis or pregnancy complication. A quarter of the patients have thrombocytopenia and about one fifth have hemolytic anemia. The diagnosis rests on the criteria set as the Revised classification criteria for the Antiphospholipid syndromePatients and Methods; During the period from 1st Jan. 2002 until the 1st Jan. 2006,24 patients who met the criteria of APS (according to Revised classification criteria for the Antiphospholipid syndrome) were included in the study.The diagnosis of deep venous thrombosis (DVT) was done by using Doppler study of the selected organ, while brain CT and magnetic resonance imaging were used to diagnose cerebrovascular thromboses.Serological evidence of APA were either an abnormal KCT and KCT index and/or a positive aCL antibody test on 2 occasions.Results : Three quarter of our patients were females, more than half of them aged 21-30 years ,54.16% of our patients presented with thrombosis the commonest site of which was DVT of lower extremities. Abortion alone was the presenting problem in two patients and two patients presented with thrombosis following abortion Another two patients presented with bleeding problems. Gathering the history; follow up abortion occurred in ten of the thirteen premenapausal married ladies, of whom five had more than three abortions.Laboratory evaluation revealed anemia in 8 patients (33.33% ) and thrombocytopenia in 5 patients (20.8% ).The KCT and KCT index were suggestive of APS in 14 of the 23 patients tested (60.86%)and the aCL was positive in 15 of the 19 tested patients (78.94 %).Conclusion, We think that our study, although small, highlights some of the clinical and laboratory findings of this syndrome in Iraqi patients, larger studies are needed for better evaluation..Key Words: Antiphospholipid syndrome (APL), anticardiolipin antibodies(aCL).


Article
Saving Versus None Saving of Anterior Cruciate Ligament Remnant in Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction(ACLR)

Author: Majed Aswad Jasem Alsaad
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2016 Volume: 15 Issue: 4 Pages: 413-418
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Anterior Cruciate Ligament injury is one of the most common injuries of the knee and reconstruction is a commonly done surgical procedure. Successful outcome depend on factors that affects the stability like anatomic graft placement and secure fixation and other factors that affects the proprioception and revascularization of the graft like preservation of the ACL remnant which is used to reduce repeated graft rupture. OBJECTIVE: To compare the effect of saving of ACL remnant versus none saving on functional outcome and stability of the knee joint postoperatively. PATIENTSANDMETHODS: A prospective comparative non randomized study was used on 30 patients (28 male and 2 female) who underwent arthroscopic ACLR. The patients were divided into 2 groups (A and B), in group A (15 patients), reconstruction was done without saving of ACL remnant and in group B (15 patients), saving of the ACL remnant was performed. In one year follow up the result was compared according to the anterior drawer, Lachman, Pivot shift tests and Lasholm score changes (preoperative and postoperative). RESULTS: Regarding to Lasholm score the result was better in group B than in group A which was statistically significant (p value = 0.025). The knee stability was better in group B than in group A which was statistically insignificant. CONCLUSION: It is recommended to save the ACL remnant if possible with better knee joint functions and less repeated graft rupture.


Article
Bluetooth Performance with Bursty Noise and Traffic
اداء البلوتوث مع ضوضاء وتدفق حزمي

Author: Samah Abdulakreem Mustafa
Journal: Engineering and Technology Journal مجلة الهندسة والتكنولوجيا ISSN: 16816900 24120758 Year: 2014 Volume: 32 Issue: 1 Part (A) Engineering Pages: 63-73
Publisher: University of Technology الجامعة التكنولوجية

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Abstract

Bluetooth is a novel radio indoor wireless technology supporting short range portable devices Ad hoc intercommunication. The evaluation of its performance has been receiving more attention lately. In this paper a Personal Area Network (PAN) was set up using few Bluetooth devices to assess Bluetooth's Asynchronous Connection Less (ACL) service of overlapped devices operate in close proximity.Ad hoc connections in Bluetooth network have been assessed based onexperimental and simulation study in the presence of burst noise and traffics of concurrent transmissions on unlicensed spectrum 2.4 GHz. Measurements and simulation based results are presented to investigate the performance metrics;delivery probability, load and latency. It has been found that burst losses can trigger lengthy retransmission timeout.


Article
Comparison between Immediate and Delayed Weight Bearing in Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction

Authors: Majed A. Alsaad --- Abdulkareem H. Alsaffar --- Mohammed S. Alharris
Journal: Al- Anbar Medical Journal مجلة الأنبار الطبية ISSN: PISSN: 27066207 / EISSN: 26643154 Year: 2019 Volume: 15 Issue: 2 Pages: 30-34
Publisher: University of Anbar جامعة الانبار

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Abstract

Background: Anterior cruciate ligament (ACL) rupture is one of the most frequent orthopedicsports traumas. The treatment of choice for an ACL tear is ACL reconstruction and usually followedby 4-9 months of outpatient sports or orthopedic physical therapy. There are different exercisesand regime variations in rehabilitation after surgery. Both weight-bearing and non-weight bearingexercises have been used and shown to be effective for rehabilitation in post ACL reconstructionand return to sport.Objectives: To compare the effect of immediate and delayed weight-bearing in a rehabilitationprotocol after ACL reconstruction.Materials and methods: Forty patients with an ACL injury with or without meniscal injurywere included in the study. They divided into two groups, group A with immediate weight-bearingand group B delayed weight-bearing after surgery and we followed them with lysholm score andtook results before surgery, after 3 months, and after 6 months from surgery.Results: Results of the mean value of lysholm score before surgery group A 65.40 and group B66.90 with P-value 0.421, after 3 months group A 81.55 and group B 81.75 with P-value 0.904 andafter 6 months from surgery group A 91.65 and group B 92.25 with P-value 0.675.Conclusion: There is no functional difference between immediate weight-bearing and delayedweight-bearing after ACL reconstruction. Clinically immediate weight-bearing better than delayed weight-bearing by improving muscle performance around the hip and knee and improvethe condition of the cartilage, immediate weight-bearing not harmful on the knee joint or ACL graft


Article
Evaluation of the Clinical Examinations in Diagnosis of Anterior Cruciate Ligament(ACL)Tear in Comparison With A Definite Arthroscopic Diagnosis

Author: Qasim Mohammed Shakir
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2007 Volume: 6 Issue: 3 Pages: 194-197
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACK GROUND:The cruciate ligaments consists of a pair of very strong ligaments, connecting tibia to femur crossing like the limbs of letter X and that is why they are called crucial, mostly injured in noncontact sport actions leading to knee instability.AIM OF THE STUDY:To determine the accuracy of the clinical approach in the diagnosis of ACL tear. We used diagnostic arthroscopy as a reference standard for evaluating our results by applying it to all the patients.METHODS:During the period from Dec-2000 to Oct-2002, we led a prospective study of 72 patients with suspected ACL tear, depending on careful history & physical examination, then confirmed by direct arthroscopy.RESULTS:We found that only 52 patients have got ACL tear, 49 of them (94%) were males & 3 (6%) were females. The age range was from 17-49 years, with a mean of 27.5 years, 42% of the patients had associated meniscal injuries. The commonest symptom was a heard pop, & the main sign detected was knee joint effusion due to haemarthrosis.The accuracies of Lachman test, Anterior Drawer Test & Pivot Shift T. were 94%, 82% & 58%respectively, all were improved under G.A., particularly the PST.CONCLUSION:Most of ACL tears can be diagnosed by thorough history& repeated clinical examination only, considering arthroscopy as a last but a definite choice.


Article
Effect of two programs in the rehabilitation of knee joint injury (ACL) for weightlifting players
تأثير استخدام برنامجين في تأهيل اصابة مفصل الركبة (الرباط المتصالب الامامي ) ( ACL ) للاعبي رفع الاثقال

Author: Fays Dikel Gedah م . فائز دخيل جداح
Journal: Karbala Magazine of Physical Edu. Seiences مجلة كربلاء لعلوم التربية الرياضية ISSN: 23041471 Year: 2019 Volume: 5 Issue: 2 Pages: 78-93
Publisher: Kerbala University جامعة كربلاء

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Abstract

The research problem is determined by answering the following questions:1. Is there a positive effect of two programs in the rehabilitation of those who have ACL in the knee joint.2. Is there a preference for the rehabilitation program using (rubber bands) for rehabilitate the injury of rupture ACL of knee joint.The research aims to identify:Preparation of a rehabilitation program using rubber cords in rehabilitation of ACLknee joint Preparation of a rehabilitation program using free weights in rehabilitation of knee joint.Identify the effect of two programs on knee joint rehabilitation ACL Identify advantage between two programs in rehabilitation of people with knee joint (ACL). The study was conducted on sample of 8 weightlifting athletes (Middle Euphrate).The following results were reached: 1. There was a clear evolution of two groups of research in the variables studied when using rehabilitation programs, whether using rubber bands (ropes of resistance) or using different free weights.2. The use of rubber cords in rehabilitation program has helped better in the rehabilitation process of knee joint by improving motor range and muscle strength of joint.3. Development in variables of range of motor and strength until the pain of the group that used rubber bands (ropes resistance) compared with the second experimental group, which used different free weights.

تتحدد مشكلة البحث في الاجابة عن التساؤلات الاتية :1 ـ هل هناك تأثير ايجابي للبرنامجين في تأهيل المصابين بتمزق الرباط الصليبي الامامي في مفصل الركبة .2 ـ هل هناك افضلية للبرنامج التأهيلي باستخدام ( الاشرطة المطاطية ) في تأهيل اصابة تمزق الرباط الصليبي الامامي لمفصل الركبة .ويهدف البحث الى التعرف على : 1 ـ اعداد برنامج تأهيلي باستخدام الحبال المطاطية في تأهيل اصابة تمزق الرباط الصليبي لمفصل الركبة 2 ـ اعداد برنامج تأهيلي باستخدام الاوزان الحرة في تأهيل اصابة تمزق الرباط الصليبي لمفصل الركبة . 3 ـ التعرف على تأثير البرنامجين في تأهيل مفصل الركبة ( الرباط المتصالب الامامي ACL ) 4 ـ التعرف على الافضلية بين البرنامجين في تأهيل المصابين بمفصل الركبة ( الرباط المتصالب الامامي A CL ) . اجري البحث على عينة من لاعبي رفع الاثقال ( الفرات الاوسط ) والبالغ عددهم ( 8 ) مصابين . تم التوصل الى النتائج الاتية : 1 ـ حدث تطور واضح لمجموعتي البحث في المتغيرات المبحوثه عند استخدام البرنامجين التأهيليين سواءً كان باستخدام الاشرطة المطاطية ( حبال المقاومة ) او باستخدام الاوزان الحرة المختلفة . 2 ـ ان استخدام الحبال المطاطية في البرنامج التأهيلي ساعد بشكل افضل في عملية التأهيل اصابة تمزق الرباط الصليبي الامامي لمفصل الركبة عبر تحسن المدى الحركي والقوة العضلية للمفصل . 3 ـ كانت افضلية التطور في متغيرات المدى الحركي والقوة لحين الشعور بالألم للمجموعة التي استخدمت الاشرطة المطاطية ( حبال المقاومة ) مقارنة مع المجموعة التجريبية الثانية التي استخدمت الاوزان الحرة المختلفة . واوصى الباحث بما يلي : 1 ـ الاعتماد على الاشرطة المطاطية ( حبال المقاومة ) في عملية تأهيل اصابة تمزق الرباط الصليبي الامامي لمفصل الركبة وباقي مفاصل الجسم .2 ـ تعميم البرنامج التأهيلي باستخدام الاشرطة المطاطية على مراكز التأهيل والعلاج الطبيعي في المستشفيات لغرض تطبيقه على المصابين . 3 ـ رفد مراكز الطب الرياضي في الجامعات العراقية بأحدث البرامج التأهيلية المستخدمة في العالم . 4 ـ اجراء بحوث اضافية باستخدام وسائل تأهيلية حديثة للحصول على بيانات بشأن معدلات النجاح في علاج اصابات اخرى .


Article
The Effect of Medical Instruments and Therapeutic Exercises on the Rehabilitation of an ACL Injury
أثر الاجهزة الطبية والتمرينات العلاجية في اعادة تأهيل اصابة الرباط الصليبي الامامي بمفصل الركبة

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Abstract

The purpose of this research is identifying the effect of medical instruments and therapeutic exercises on the rehabilitation of an anterior cruciate ligament (ACL) injury. According to the type of research, the researchers used the experimental methodology by taking pretests and posttests. The research population consists of ten patients of Al Rabbat teaching hospital ( state of Khartoum) with an ACL injury. The research sample is divided into two groups: an experimental group and a control group, each consisting of five participants aged between (22-44).The results of this research are:1- There were statistic differences between the circumference of the thigh, knee and calf of the participants of the control group and experimental group, and the latter seemed to show better results.2- There were statistic differences in the active and passiverange-of-motion (ROM) of the knee of the participants of the control group and the experimental group, and the latter seemed to show better results.

هدفت هذه الدراسة الى التعرف على مدى تأثير الاجهزة الطبية والتمرينات العلاجية في اعادة تأهيل التمزق الرباط الصليبي الامامي في مفصل الركبة ، وقد تم استخدام التصميم التجريبي بأسلوب القياس القبلي والبعدي لملاءمته لطبيعة البحث ، وتكون مجتمع الدراسة من المرضى المصابين بالتمزق الرباط الصليبي الامامية بمفصل الركبة خلال العام (2014ــــ2015) في جمهورية السودان ولاية الخرطومو تم اختيار عينة البحث بطريقة العمدية من المصابين بتمزق الرباط الصليبي الامامي لمفصل الركبة ، المترددين على مستشفى الرباط التعليمى في ولاية الخرطوم وكان عددهم (10) وقد قسمت العينة الى مجموعتين ضابطة وتجريبية عدد كل منها خمسة مصاباً تتراوح اعمارهم ما بين (22, 44) سنة .وجاءت نتائج البحث : 1- وجود فروق ذات داله احصائية بين المجموعة الضابطة والمجموعة التجريبية في محيطات الفخذ والركبة والساق والصالح المجموعة التجريبية .2- وجود فروق ذات دالة احصائية بين المجموعة الضابطة والمجموعة التجريبية في المدى الحركي الايجابي للركبة والمدى السلبي للركبة والصالح المجموعة التجريبية .


Article
The Effects of the Exercises of the Suggested Therapy on the Rehabilitation of an ACL injury
أثر برنامج مقترح للتمرينات العلاجية في اعادة تأهيل اصابة الرباط الصليبي الامامي بمفصل الركبة

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Abstract

The purpose of this research is designing and implementing a therapy consisting of rehabilitation exercises. The researchers used the experimental methodology by setting one group for both pretests and posttests. The research population consists of two sporters with an ACL injury (aged between 24-30), and the research sample is selected purposively. This therapeutic program has been supervised by specialists and experts. The internet as well as Arabic and foreign references are used in this research.One of the research's results is:1- The exercises of this therapeutic program affected the ACL-injured knee joint positively.

هدفت هذه الدراسة الى تصميم وتطبيق برنامج للتمرينات العلاجي وقد استخدم الباحثان المنهج التجريبي بتصميم مجموعة واحده ذات القياسى القبلي والبعدي ، وتكون مجتمع الدراسة من الرياضين المصابين يتمزق الرباط الصليبي الامامي وكان عددهم اثنين مصاباً تتراوح اعمارهم من (24-30 سنة) وقد تم اختيار عينة الدراسة بطريقة العمدية ، وتم عرض البرنامج على الخبراء والمختصين، استمر تطبيق البرنامج لمدة شهرين ،اعتمد الباحثان على المصادر العربية والاجنبية والانترنت .وجاءت نتائج البحث : 1- البرنامج المقترح بالتمرينات العلاجية يؤثر تأثير ايجابيا على مفصل الركبة المصابة بالرباط الصليبي الامامي .

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