scholarly journals Radiological Assessment of Femoral Bicondylar Angle among Persons Attending a Tertiary Health Care

2019 ◽  
Vol 21 (1) ◽  
pp. 44-47
Author(s):  
Allin Pradhan ◽  
CP Lama ◽  
S Dhungel ◽  
SK Ghosh
Keyword(s):  
Health Care ◽  
Knee Joint ◽  
Left Knee ◽  
Knee Joints ◽  
Teaching Hospitals ◽  
Radiological Assessment ◽  
Left Femur ◽  
The Mean ◽  
The Difference ◽  
The Right

 Femoral bicondylar angle is the angle between an axis through the shaft of the femur and a line perpendicular to the infracondylar plane. This study aims to assess femoral bicondylar angle measured from radiograph of femur and knee joints obtained from teaching hospitals in Kathmandu Nepal. Total of two hundred AP view radiograph of knee joint were collected, out of which, 50 each were of male right and left knee joint and 50 each were of female right and left knee joint. The mean angle for the right male femur was 7.86° with the range of 5°-10° and mean angle for the right female femur was 8.82° with the range of 6°-11°. On the left side, bicondylar angle ranged in male from 6° -10° with the average of 7.46° and in female range was 6°-11° and average was 8.66°. The bicondylar angle was higher in female on both the side, the difference was statistically significant on the left side (P=0.004) and significant on the right side (P=0.001). The finding of the study showed the femoral bicondylar angles were greater in right femur than left femur in both sexes. The difference in the bicondylar angle between the right and left femur was statistically insignificant in both sexes. (male p=0.144, female p=0.541). The result from this study has shown that femoral bicondylar angles were generally greater amongst the females as compared to the males; greater in right femur than left femur in both sexes.

scholarly journals Comparison of Quadriceps Q-Angle Values of Soccer Players and Wrestlers

2019 ◽  
Vol 7 (7) ◽  
pp. 95 ◽  
Author(s):  
Murat Şen ◽  
Semra Çetin ◽  
Cuma Ece ◽  
Alaeddin Aydogan ◽  
H.Nedim Çetin
Keyword(s):  
Supine Position ◽  
Female Athletes ◽  
Standing Position ◽  
Left Knee ◽  
Soccer Players ◽  
Q Angle ◽  
The Mean ◽  
The Difference ◽  
The Right ◽  
Post Hoc

The aim of this study is to compare according to different positions the mean right and left knee Q angle of footballers and wrestlers. In this study, found the female soccer and wrestlers mean age 20.51 ± 3.47 years, height 165.43 ± 4.82 cm, weight 58.23 ± 5.18 kg. Male soccer and wrestlers has with mean age 21.30 ± 3.45 years, height 173.28 ± 5.45 cm, weight 65.66 ± 5.73 kg. One-way ANOVA, Student t, and Duncan post hoc test were used for statistical analysis. In this study, found that the mean right and left knee Q angles of male athletes were 15.08 ± 1.79° and 14.49 ± 1.82° for the standing position, 14.26 ± 1.84° and 13.29 ± 1.82° for the supine position.The mean right and left knee Q angles of Female athletes were 18.11 ± 1.32° and 17.90 ± 1.35° for the standing position, 17.52 ± 1.36°and 16.82 ± 1.29° for the supine position. In this study, were found abnormal results. The difference between the Q angle values of footballers and wrestlers was found to be statistically significant (p <0.001). The Q angle values for male soccer players were found 15.35 for standing right Q angle and 15.12 degrees for standing left Q angle and same values 14.80 and 13.86 degrees in the male wrestlers. Q angle values for women footballers were found 17.32 decrees for standing right Q angle and 17.22 degrees for standing left Q angle, and same values 18.90 and 18.58 degrees in the women wrestlers. Standing and supine Q angle values of Wrestlers in both men and women were found to be wider than the Q angle values of soccer athletes (p<0.001). The right Q- angle values of the athletes in the standing and supine position were found higher than the left Q-angle values (p <0.05).Conclusion: The Q angles were within the normal range for footballers and wrestlers. In standing positions Q angle is higher than from supine positions Q angle. Athlete's sex, pelvic width, tibia and femur length and dominant foot may increase the quadriceps Q angle.

scholarly journals Comparative Study of Angle of Inclination and Neck Length of Dry Femur

2017 ◽  
Vol 6 (1) ◽  
pp. 44-47
Author(s):  
Rakesh Kumar Adhikari ◽  
Binita Yadav ◽  
Subodh Kumar Yadav ◽  
Arun Chandra Singh
Keyword(s):  
Adult Population ◽  
P Value ◽  
Neck Length ◽  
Left Femur ◽  
Neck Shaft Angle ◽  
Significant Difference ◽  
Shaft Angle ◽  
The Mean ◽  
The Difference ◽  
The Right

Background : The angle of inclination of the femur is the angle formed between long axis of neck of femur and long axis of the shaft of femur. The average angle of inclination (neck–shaft angle) is 126°, ranging from 115° to 140° in the adult population. As with the angle of inclination of the humerus, the angle of inclination of the femur varies among individuals and also from side to side. The aim of this study was to determine the Angle of inclination and neck length of Femur.Material & Methods: A total of 50 dry femora (25right and 25 left) of nobel medical college was cross sectionally studied with random sampling without knowing the sex & age of bone. The angle formed between long axis of neck and long axis of the shaft of femur was measured with the help of goniometer. The neck length was measured with the help of sliding calliper.Results: The mean angle of inclination was 128.98±4.55 degrees, on the right side was129.84±5.22 degrees and on the left side was 128.12±3.66degrees. The difference in the mean angle of inclination of right and the left side was found to be statistically insignificant (p value> 0.05). The mean neck length femur was 2.93 ±0.24cm, right femur was 3.06±0.19cm and left femur was 2.80±0.21cm. The difference in the mean neck neck length of the right and the left side was found to be statistically insignificant (p value> 0.05).Conclusion: The Angle of Inclination of Femur and neck length of femur in present study had no remarkable dissimilarity with the results observed in the studies conducted in Nepal and neighbouring countries. In the study there was no statistical significant difference between the neck-shaft angle and neck length of femur of right and left side of the femur but there was positive correlation between angle of inclination and neck length of femur.Journal of Nobel Medical CollegeVolume 6, Number 1, Issue 10 (January-June, 2017), Page: 44-47

scholarly journals Dose-dependent effect of betamethasone on the articular cartilage (experimental study)

2021 ◽  
Vol 27 (1) ◽  
pp. 80-86
Author(s):  
A.N. Nuriakhmetov ◽  
◽  
I.F. Akhtiamov ◽  
D.E. Tsyplakov ◽  
A.M. Abdullah ◽  
...  
Keyword(s):  
Subchondral Bone ◽  
Inflammatory Cell ◽  
Left Knee ◽  
Knee Joints ◽  
Control Group ◽  
Rabbit Knee ◽  
Frequency Of Use ◽  
The Right ◽  
Dose Dependent ◽  
Dose Dependent Effect

Introduction Glucocorticosteroid injections have been widely used in clinical practice. Betamethasone is one of the agents of this group of drugs. Its efficacy and therapeutic effect with intra-articular administration are undeniable. There are special instructions on the dosage and frequency of use of the drug but unfortunately there are cases of its wrong administration. There is also an evidence of an adverse effect on cartilage both of the drug itself and its combination with local anesthetics. Aim Evaluation of the results of different weekly intra-articular protocols of betamethasone administration on histological preparations of rabbit knee joints. Methods Histological preparations of the right knee joints of three groups of rabbits were studied: after one, three, and six administrations of betamethason per week and the control intact left knee joints. Results Histological preparations of the control group and the group with a single weekly administration of the drug did not have any changes in the structure of diarthrosis. Dystrophic and necrotic changes affecting all morphological components were observed in the joints of animals that received intra-articular injections of betamethason three times a week (compared to a single injection, the area of dystrophy and necrosis of the cartilage was greater by 10.05 ± 0.75 % (p < 0.05), of subchondral bone by 8.11 ± 0.5 % (p < 0.001), and of synovium by 6.25 ± 0.32 % (p < 0.05). The group with six injections of the drug per week had the most pronounced changes. The area of necrotic changes of the cartilage was greater by 6.39 ± 0.75 % than in the group with three injections per week (p < 0.001), of subchondral bone by 11.18 ± 0.5 % (p < 0.001), of synovium by 6.12 ± 0.32 % (p < 0.001). Discussion Inflammatory cell infiltration of joint structures was absent in all cases. It indicates an aseptic nature of tissue necrosis. Evidence has been obtained between the increase in the frequency of intra-articular injections of betamethasone and the severity of dystrophic and necrotic changes in all morphological components of the joint.

scholarly journals How does intraarticular dexmedetomidine injection effect articular cartilage and synovium? An animal study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Başak Akça ◽  
Aysun Ankay Yılbaş ◽  
Filiz Üzümcügil ◽  
Berkem Büyükakkuş ◽  
Elham Bahador Zırh ◽  
...  
Keyword(s):  
Pain Relief ◽  
Knee Joint ◽  
Animal Study ◽  
Left Knee ◽  
Control Group ◽  
Sprague Dawley ◽  
Adult Rats ◽  
Arthroscopic Knee ◽  
The Right

Abstract Background Intraarticular injections are widely used to provide pain relief after arthroscopic procedures and minimize the use of opioids. Dexmedetomidine has been proven to potentiate pain relief and postpone the demand for the first analgesic drug when it is used intraarticularly following arthroscopic knee procedures. However, the effects of dexmedetomidine on articular structures have not yet been evaluated. Our aim was to determine the effects of intraarticular dexmedetomidine injection on articular structures such as cartilage and synovium. Design Animal study. Methods Twenty adult rats (Sprague-Dawley) were enrolled in the study. Following appropriate aseptic and anesthetic conditions, dexmedetomidine (100 mcg/ml) (0.25 ml) was injected into the right knee joint (the study group) and normal saline solution (0.25 ml) into the left knee joint (the control group) of the rats. Four rats were sacrificed from each group on days 1, 2, 7, 14, and 21, and knee joint samples were obtained. Histologists evaluated the articular and periarticular regions and the synovium using histological sections, and a five-point scale was used to grade the inflammatory changes in a blinded manner. Results The groups were found to be similar in terms of median congestion scores, edema and inflammation scores, subintimal fibrosis, neutrophil activation and cartilage structure at each of the time intervals. Conclusion In our placebo-controlled, in vivo trial, the intraarticular use of dexmedetomidine seemed to be safe with respect to the studied histopathological parameters. However, complementary studies investigating the histopathological effects, analgesic dosage and adverse effects of dexmedetomidine on damaged articular structure models are needed.

scholarly journals Digital Radiographic Assessment of Knee Joint Space with its Clinical Significances

2020 ◽  
Vol 5 (1) ◽  
pp. 976-980
Author(s):  
Dil Islam `Mansur ◽  
Subindra Karki ◽  
Dilip Kumar Mehta ◽  
Pragya Shrestha ◽  
Sunima Maskey
Keyword(s):  
Knee Joint ◽  
Joint Space Width ◽  
Joint Space ◽  
Left Knee ◽  
Lateral Side ◽  
Cross Sectional ◽  
Mean Values ◽  
Medial Side ◽  
Digital Radiograph ◽  
The Right

Introduction: The knee joint space is seen on anteroposterior radiograph as a radiolucent area between lower end of femur and upper end of tibia which is an indirect way of evaluating the knee cartilage thickness.  Objective: This study was aimed to determine the knee joint space in the medial and lateral compartments of the knee joint using digital radiograph.  Methodology : This was cross-sectional study. It consisted of digital radiographs of knee joint of 320 individuals. The medial and lateral joint space width of each knee joint was measured using the scale in the computerized software.  Results: The mean values for medial and lateral joint space widths were found to be 6.11±1.57 mm and 7.92±1.66 mm of the right knee joint respectively and 5.99±1.47 mm and 8.18±1.69 mm of the left knee joint respectively. In males, mean values for joint space widths were 6.37±1.58 mm on medial side and 8.21±1.67 mm on lateral side of the right knee; and 6.24±1.56 mm on medial side and 8.33±1.64 mm on lateral side of the left knee. In Females, these values were 5.89±1.53 mm on medial side and 7.66±1.62 mm on lateral side of the right knee; and 5.79±1.37 mm on medial side and 8.06±1.72 mm on lateral side of the left knee.  Conclusions: It was concluded that the lateral joint space was greater than the medial joint space in both knees. The joint space widths were found to be reasonably constant with increasing age among studied population.

Results of Arthroscopic Synovectomy for Treatment of Synovial Lipomatosis (Lipoma Arborescens) of the Knee

2017 ◽  
Vol 31 (06) ◽  
pp. 536-540 ◽  
Author(s):  
Melih Malkoc ◽  
Özgur Korkmaz
Keyword(s):  
Knee Joint ◽  
Inflammatory Cells ◽  
Knee Joints ◽  
Lipoma Arborescens ◽  
Arthroscopic Synovectomy ◽  
Tumor Pathology ◽  
Significant Difference ◽  
The Mean ◽  
Synovial Lipomatosis

AbstractSynovial lipomatosis (SL; lipoma arborescens) is a tumor-like condition with villous proliferation of the synovium. The exact etiology of SL is still unknown. The knee is the most commonly involved part. The goal of this retrospective study was to report the results of arthroscopic synovectomy in patients with SL in their knee joints as well as to emphasize the importance of considering this pathology when treating patients with recurrent knee joint effusions. In total, 21 patients (8 females and 13 males) were evaluated retrospectively from May 2009 to July 2014. The mean follow-up period was 29.13 (range, 12–61) months. The mean duration of compliance was 22.76 (range, 7–61) months. All patients were evaluated by Knee Society score pre- and postoperatively. The mean preoperative and last follow-up Knee Society scores were 67.82 and 88.23 points, respectively. There was a significant difference between the preoperative and postoperative Knee Society scores (p = 0.0001). Histopathological examinations showed that the subsynovial layer exhibited diffuse replacement by mature fat cells that had formed villous projections. In addition, infiltration of mononuclear inflammatory cells was observed at different stages. SL is a nondestructive and benign tumor pathology of the knee joint without a clearly identified etiology. The main difficulty in diagnosis is lack of clinical practice.

scholarly journals Effect of Cable Cerclage on Regional Blood Circulation in Rabbits: A Scintigraphic Study

2016 ◽  
Vol 24 (3) ◽  
pp. 367-369 ◽  
Author(s):  
Ozgur Karakoyun ◽  
Ertan Sahin ◽  
Mehmet Fatih Erol ◽  
Mesut Kariksiz ◽  
Metin Kucukkaya
Keyword(s):  
Blood Circulation ◽  
Kirschner Wire ◽  
Blood Perfusion ◽  
Medullary Canal ◽  
Post Intervention ◽  
Left Femur ◽  
Femoral Cortex ◽  
Before And After ◽  
The Mean ◽  
The Right

Purpose To evaluate changes in blood circulation of the femoral cortex in rabbits using scintigraphy before and after cable cerclage alone or combined with an intramedullary Kirschner wire. Method Ten New Zealand rabbits were used. For the right femur, a 2-mm-thick cable was placed around the mid-diaphyseal region and squeezed with a 400-N force and locked with a clip. For the left femur, a 1.8-mm Kirschner wire was inserted retrogradely into the medullary canal, and a 2-mm-thick cable was applied using the same technique. The blood perfusion ratio of the region of interest (ROI) before and after surgery was evaluated using scintigraphy. Results For the right femurs, the mean ROI perfusion ratio decreased by 45% from 2.51 to 1.37 after intervention (p=0.001). For the left femurs, the mean ROI perfusion ratio decreased by 56% from 2.12 to 0.92 after intervention (p<0.001). The mean ROI perfusion ratio post-intervention was higher in the right than left femurs (p=0.017). Conclusion Cable cerclage around the femoral cortex significantly decreased blood circulation in the area.

scholarly journals PENGARUH PEMBERIAN RANGE OF MOTION (ROM) PASIF TERHADAP FLEKSIBILITAS SENDI PADA LANSIA DI PANTI SOSIAL TRESNA WERDA MINAULA KENDARI

2018 ◽  
Vol 2 (2) ◽  
pp. 89
Author(s):  
Sahmad Sahmad ◽  
Reni Yunus ◽  
Andi Sarmawan
Keyword(s):  
Knee Joint ◽  
Range Of Motion ◽  
Plantar Flexion ◽  
The Elderly ◽  
Left Knee ◽  
Joint Flexibility ◽  
Passive Joint ◽  
The Right ◽  
Paired T Test ◽  
Limited Motion

Aging is a physiological process that will reduce all the functions of organs, one of which is on the musculoskeletal system which can lead to limited motion. This study aimed to determine the effect of Range Of Motion (ROM) of the passive joint flexibility in the elderly in PSTW Minaula Kendari. This research was conducted in PSTW Minaula Kendari. Number of samples 12 people. This study uses the design of one group pretest-posttest. Leverage data is done through observation and documentation. Data were analyzed using paired t-test at 95% confidence level with a = 0.05 using computerized tools (SPSS-20). The results showed that there is the effect of passive ROM tehadap right knee joint flexibility by providing flexion (p = 0.00), extension (p = 0.00), the left knee with the provision of flexion (p = 0.01), extension (p = 0.00), with the provision of the right ankle dorsi flexion (p = 0.00), plantar flexion (p = 0.00), the left ankle with the provision of dorsi flexion (p = 0.00), plantar flexion (p = 0.00), the right foot by giving inverse (p = 0.00), eversion (p = 0.00), the left foot by giving inverse (p = 0.00), eversion (p = 0.00). The conclusion of this study is to show that there is the effect of passive ROM to the flexibility of the joints in the elderly.  

scholarly journals Histological study of proportion of cortex and medulla of the ovary in Bangladeshi women

2016 ◽  
Vol 44 (1) ◽  
pp. 8-10
Author(s):  
Hosna Ara Perven ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Dilruba Siddiqua ◽  
Fatema Johora ◽  
Halima Afroz ◽  
...  
Keyword(s):  
Histological Study ◽  
Age Groups ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Group B ◽  
The Right

This cross sectional, descriptive study was done in the Department of Anatomy, Dhaka Medical College, Dhaka from January to December 2009, to determine the proportion of cortex and medulla of the ovary in di_erent age group of Bangladeshi women. This study was based on collection of 140 ovaries of 70 unclaimed female dead bodies from the morgue of Dhaka Medical College, Dhaka. The samples were divided into three age-groups including A (10-13 years), B (14-45 years) & C (46-52 years). Histological slides were prepared by using routine haematoxylin and eosin stain. Ten best prepared histological slides from each age group were examined to determine the thickness of the cortex and medulla & proportion of the thickness of the cortex and the medulla of the ovary were expressed in percentages. The mean proportion of the cortex and the medulla of the right ovary were found 80.83±0.58% and 19.17±0.58% in group A, 86.95±1.14% and 13.05±1.14% in group B, 70.53±1.53% and 29.47±1.53% in group C respectively. The mean proportion of the cortex and the medulla of the left ovary were found 80.63±0.58% and 19.37±0.58% in group A, 86.78±1.14% and 13.22±1.14% in group B, 70.41±1.50% and 29.59±1.50% in group C respectively. The difference in mean proportion of the cortex and the medulla was not signi_cant in between the ovaries. However, the difference in mean proportion of the cortex and the medulla of the ovary between group A & group B, group A & group C and group B & group C were statistically significant.Bangladesh Med J. 2015 Jan; 44 (1): 8-10

scholarly journals Anthropometric Analysis of Human Knee Joint in Indian Population

2021 ◽  
pp. 478-484
Author(s):  
Ratnakar Ambade ◽  
Ankit Jaiswal
Keyword(s):  
Knee Joint ◽  
Indian Population ◽  
Soft Tissues ◽  
Distal Femur ◽  
Knee Joints ◽  
Human Knee ◽  
Human Knee Joint ◽  
Part Dimension ◽  
The Right ◽  
Complex Surgical Procedures

Background: It is well understood that distal femoral and proximal tibia scale is lower in case of the Asian than that of their western counterparts. Because of the Asian population's comparatively smaller structure and stature, many surgeons claim that imported implants may not be well fitted for Asian origin patients, mainly based on Western morphometry. It is very likely that an overweight section will be used in many Asian centres in most operations, resulting in low results of the procedure of the implant. For joint substitution of distal femur, careful positioning of fitted implants as well as balancing of underlying soft tissues is important. It is also important to use incredibly complex surgical procedures. To retain its usual functional motion spectrum, use of a suitable femoral part dimension is necessary. Furthermore, owing to a discrepancy between the size of the prosthesis and the bone, there could be a host of serious issues. Objectives: To calculate the anthropometric distal femur parameter and determine the distal femur variations on the right and left side of the morph metric measurement and to evaluate dimension of current TKA as related to Indian population. Methodology: This study included visiting the out patients Department of Orthopedics, at AVBRH in the age group 30-50 year during the period of June-2020 to April-2023 with sample size of 50 patients. Detailed history and clinical review will be taken, including age, sex, socio-economic background, type of employment. In all patients involved in the study in Orthopedic OPD, thorough radiological assessment of all the knee joints will be performed. The radiological test and various anthropometrics will include knee joint Simple X-ray and CT-Scan. Expected Results: We expect that from our results, anthropometric measurements of Indian population may differ from other literatures.

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