RESUMEN
Midfoot injuries, encompassing navicular dislocations and fractures of the navicular bone, present unique challenges in trauma care. We report the case of a 27-year-old male who suffered a fall down a flight of stairs, resulting in navicular dislocation and multifocal fractures of the midfoot. The patient underwent a comprehensive management plan, including admission, closed reduction, and internal fixation with parallel K-wires. Radiological evaluations confirmed the extent of the injuries. Postoperatively, the patient received tailored care, incorporating pain management, antibiotics, and thromboprophylaxis. The successful outcome underscores the importance of a structured approach in addressing midfoot injuries, contributing to the existing literature on optimal management strategies. This case report serves as a valuable addition to the growing body of knowledge guiding clinicians in the effective treatment of navicular dislocations and navicular fractures.
RESUMEN
Meniscal tears are a common orthopedic injury. The management approaches for meniscal tears include both surgical and non-surgical procedures; however, the majority of the surgeons opt for various surgical interventions. This systematic review aimed to compare the outcomes of different surgical techniques for meniscal tears. The systemic search was carried out in various databases including PubMed, Web of Science, CINAHL, and Scopus. Studies that investigated surgical techniques for meniscal repair and published between 2010 to 2023 were included. Out of the 7,421 potential studies identified from databases and Google Scholar search, only 17 studies were included in our systemic review. The follow-up periods ranged from 6 weeks to 123 months. Adverse effects were reported in some studies, including joint line tenderness, swelling, and loss of flexion, while others reported no significant adverse events. Pull-out repair and refixation techniques demonstrated better clinical outcomes and slower arthritic progression than partial meniscectomy. Mason-Allen stitches and simple stitches yielded comparable results, and both inside-out and all-inside techniques had similar clinical and functional outcomes. This systematic review provides valuable insights into the outcomes of different surgical techniques for meniscal tears. Further studies with longer follow-up periods may help assess the long-term effectiveness of these surgical techniques.
RESUMEN
OBJECTIVE: To study parents` knowledge and attitude towards children with epilepsy, and to identify contributing factors to negative attitudes. METHODS: A prospective cross-sectional study including consecutive parents attending the pediatric neurology clinics of King Abdulaziz University Hospital, Jeddah, Saudi Arabia from February to August 2012. A structured 40-item questionnaire was designed to examine their demographics, knowledge, and attitudes. RESULTS: A total of 117 parents were interviewed, 57% were mothers. The ages of their epileptic children ranged from 1-16 years (median 6.6), mostly boys (65%). Although most parents (70%) felt informed and recognized various treatment modalities, many believed that epilepsy is a mental disorder (48%), correlates with evil (44%), or affects the child`s intelligence (38%). Up to 53% admitted to treating their child differently and avoiding upsetting or punishing him/her. This behavior was less likely if they achieved college education (p=0.01). Some parents (29%) admitted to using non-medical treatments, usually traditional or religious practices. Those parents were more likely to believe that epilepsy is a mental disease (p=0.002), or correlates with evil (p=0.015). CONCLUSION: The level of knowledge among parents of epileptic children needs improvement. Many have significant misconceptions, negative attitudes, and poor parenting practices. Increased awareness and educational programs are needed to improve the quality of life of these families.