Displaying publications 21 - 40 of 135 in total

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  1. Sukadarin, E.H., Deros, B.M., Nawi, N.S.M., Rambely, A.S., Bakar, S.A., Tamrin, S.B.M.
    MyJurnal
    Posture is one of the most important factor that need to be considered in any postural analysis. Awkward, extreme,
    and repetitive postures can increase the risk of musculoskeletal disorders (MSDs). As observational methods are more
    widely used than instrumentation-based methods to assess postural problems, this study reviews and assesses the
    scientific literature of observational methods and focused on pen and paper based specifically. In order to identify the
    published methods, a list of English or Malay articles dating as far back as 1990 was compiled from PubMed, Science
    Direct and Google Scholar. The keywords were ergo*, posture*, method*, observational*, postural problems*, pen and
    paper*, posture analysis*, indirect* and macro-ergo*. In addition, a secondary search was also performed using
    bibliography of retrieved articles so that additional papers for conducting review and evaluations can be collected. A
    total of 121 articles that assessed postural problems in working activities were found. However, after intensive
    screening process only 6 articles were selected to be further analyzed. Posture of upper arms/shoulder, lower arms/
    elbow, wrist, neck, back/trunk and leg were highlighted in this study. The limitations and the strengths of the
    published pen and paper based observational method focusing on those postures were also discussed. The finding of
    this review will benefit researchers in the process of understanding unsafe posture in workplace. It could also provide
    to researcher on how to improve the current pen and paper based observational method for assessing postural
    problems.
    Matched MeSH terms: Shoulder
  2. Soh C, Sivapathasundaram N, Parthiban R, Ramanand A
    Malays Orthop J, 2011 Nov;5(3):20-3.
    PMID: 25279031 MyJurnal DOI: 10.5704/MOJ.1111.002
    We present here a technique of fracture stabilization using the Tightrope procedure in a patient with a widely displaced Neer type IIB distal clavicle fracture. The Tightrope system, typically used for stabilization of acromioclavicular joint dislocation, has not been widely described for distal clavicle fractures. The patient achieved satisfactory results after surgery; we feel that this technique is appealing as it is simple, reproducible and avoids the complications associated with extensive metalwork. This technique may also appeal to the arthroscopic surgeon.
    Matched MeSH terms: Shoulder Dislocation
  3. Sinha N, Rao BS, Trivedy PD, Rao AS
    J Orthop Surg (Hong Kong), 2016 04;24(1):139.
    PMID: 27122535
    Matched MeSH terms: Shoulder Fractures/surgery*
  4. Singh, H.
    MyJurnal
    It is very rare indeed in the practice of children's orthopaedics today in Malaysia that the natural history of long bone osteomyelitis is seen. A case is presented where a shoulder abscess in a 3-year-old child developed into septic arthritis of the shoulder and subsequently chronic osteomyelitis of the adjacent humerus. The parents refused active surgical debridement and sequestrectomies. Three years later the child had regenerated a new humerus over the sequestra. Radiographs are presented illustrating the entire natural history of osteomyelitis with the regeneration of a new humerus.
    Matched MeSH terms: Shoulder
  5. Singh S, Yong CK, Mariapan S
    J Shoulder Elbow Surg, 2012 Dec;21(12):1706-11.
    PMID: 22819577 DOI: 10.1016/j.jse.2012.04.004
    To perform closed manual reduction of acute anterior shoulder dislocation using the traction-countertraction technique requires sedation (TCTS) and the participation of 2 people. We studied the modified Milch (MM) technique, a positional reductive maneuver that requires 1 operator, without patient sedation or analgesia.
    Matched MeSH terms: Shoulder Dislocation/therapy*
  6. Sharma A, Jindal S, Narula MS, Garg S, Sethi A
    Malays Orthop J, 2017 Mar;11(1):74-76.
    PMID: 28435581 DOI: 10.5704/MOJ.1703.011
    The incidence of bilateral gleno-humeral joint dislocation is rare, is almost always posterior and is usually caused by sports injuries, epileptic seizures, electrical shock, or electroconvulsive therapy. Bilateral fracture-dislocation is even rarer, with a few cases reported in the literature. We report an unusual case with dislocation of the both glenohumeral joints in opposite direction after a seizure episode, with fracture of greater tuberosity on one side and of the lesser tuberosity on the contralateral side. Although there have been a few reports of bilateral asymmetric fracture dislocations of the shoulder in the past, an injury pattern resembling our case has, to the best of our knowledge, not been described in the literature so far. This report includes a detailed discussion regarding the mechanism of injury in a case of asymmetrical dislocation following a seizure episode. At final follow-up, the patient had healed fractures, painless near normal range of motion with no redislocations.
    Matched MeSH terms: Shoulder; Shoulder Joint
  7. Shariat A, Cleland JA, Danaee M, Kargarfard M, Moradi V, Bahri Mohd Tamrin S
    Iran J Public Health, 2018 Nov;47(11):1756-1762.
    PMID: 30581794
    Background: The Rapid Office Strain Assessment (ROSA) is a tool employed online to screen office workstations, which may require modification to decrease musculoskeletal discomfort of workers. This study aimed to examine if the ROSA is able to evaluate pain severity in the lower back, shoulder and neck of office workers accurately.

    Methods: Overall, 142 participants (height: 1.80 ± 0.15 m, BMI: 26.08± 6.70, age: 35±15 yr) with at least a year of working experience completed both questionnaires, the online ROSA and the Cornell musculoskeletal discomfort, in 2016 in Malaysia.

    Results: Relationship between the total scores of both questionnaires for lower back, shoulder and neck pain were significant but exhibited a weak to moderate relationship (range of r values from 0.012 (CI 95%, -0.153-0.176) to 0.503 (CI 95%, 0.369-0.616).

    Conclusion: The online ROSA does not appear to be a reasonable tool for evaluating the severity of lower back, shoulder and neck pain among office workers as the correlations were low. We suggest continued use of the musculoskeletal discomfort questionnaire. Additional studies are required to further examine the ROSA for other anatomical regions.

    Matched MeSH terms: Shoulder
  8. Shaharudin S, Rahim MFA, Muhamad AS
    Int J Prev Med, 2018;9:90.
    PMID: 30450173 DOI: 10.4103/ijpvm.IJPVM_42_17
    Background: The study investigated the effects of isokinetic versus isotonic training among adolescent state-level weightlifters in terms of total leukocytes, total lymphocytes, and its subsets following 24 sessions of training program and a month following training program cessation.

    Methods: Nineteen adolescent state-level weightlifters were assigned into isokinetic or isotonic groups. All participants were recruited from a pool of weightlifters with standardized training program provided by their coach. Series of immunological tests were carried out before the commencement, immediately upon the completion, and a month after the cessation of the additional training program to evaluate total leukocytes and lymphocytes count.

    Results: The results revealed a significant time and group interaction and main effects of time on mean total leukocytes (P < 0.05). Mean total leukocytes count at posttest decreased in both groups. In isotonic group, it was further decreased following 1 month of training cessation (P < 0.05) but not in the isokinetic group. However, the decrement was not high and the values were in the normal range. No significant time and group interaction was observed in total lymphocytes and its subsets count.

    Conclusions: Eight weeks of isokinetic and isotonic additional training with emphasis on shoulder joint only affect mean total leukocytes count in state-level adolescent weightlifters.

    Matched MeSH terms: Shoulder Joint
  9. Sam CX, Anwar AZ, Ahmad AR, Solayar GN
    Malays Orthop J, 2021 Mar;15(1):119-123.
    PMID: 33880158 DOI: 10.5704/MOJ.2103.018
    Introduction: Reverse total shoulder arthroplasty provides a surgical alternative to standard total shoulder arthroplasty for the treatment of cuff tear arthropathy, arthritis and fracture sequelae. This study aimed to assess the short-term outcomes following reverse total shoulder arthroplasty for patients in a large public hospital in Malaysia.

    Materials and Methods: We identified and performed five primary reverse total shoulder arthroplasties between 1 May 2019 and 1 June 2020. All patients were contactable and available for analysis. Assessment of functional outcomes was performed using the Constant-Murley score, the patient satisfaction score (PSS), and imaging studies. The mean follow-up from operation to the time of reporting was 9.6 months (range, 3 to 14 months).

    Results: The median age for our patients was 58 years (±11.91). The most common indication for surgery was post-traumatic arthritis, followed by rotator cuff arthropathy and osteoarthritis. The mean Constant score improved from 9.0 pre-operatively to 52.3 post-operatively at a mean of 9.6 months. The majority of the patients were satisfied with the surgery as the post-operative range of motion, especially anterior elevation and abduction, improved in four of our patients and there were no short-term complications, for example, of infection or revisions, reported at the last follow-up.

    Conclusion: This study has shown that reverse total shoulder arthroplasty can yield good short-term outcomes for the treatment of complex shoulder problems in addition to cuff tear arthropathy. It should be considered a treatment for rotator cuff tears, severe arthritis and ≥ 3 parts proximal humeral fractures.

    Matched MeSH terms: Shoulder; Shoulder Fractures; Arthroplasty, Replacement, Shoulder
  10. Rusli R, Haque MM, Saifuzzaman M, King M
    Traffic Inj Prev, 2018;19(7):741-748.
    PMID: 29932734 DOI: 10.1080/15389588.2018.1482537
    OBJECTIVE: Traffic crashes along mountainous highways may lead to injuries and fatalities more often than along highways on plain topography; however, research focusing on the injury outcome of such crashes is relatively scant. The objective of this study was to investigate the factors affecting the likelihood that traffic crashes along rural mountainous highways result in injuries.

    METHOD: This study proposes a combination of decision tree and logistic regression techniques to model crash severity (injury vs. noninjury), because the combined approach allows the specification of nonlinearities and interactions in addition to main effects. Both a scobit model and a random parameters logit model, respectively accounting for an imbalance response variable and unobserved heterogeneities, are tested and compared. The study data set contains a total of 5 years of crash data (2008-2012) on selected mountainous highways in Malaysia. To enrich the data quality, an extensive field survey was conducted to collect detailed information on horizontal alignment, longitudinal grades, cross-section elements, and roadside features. In addition, weather condition data from the meteorology department were merged using the time stamp and proximity measures in AutoCAD-Geolocation.

    RESULTS: The random parameters logit model is found to outperform both the standard logit and scobit models, suggesting the importance of accounting for unobserved heterogeneity in crash severity models. Results suggest that proportion of segment lengths with simple curves, presence of horizontal curves along steep gradients, highway segments with unsealed shoulders, and highway segments with cliffs along both sides are positively associated with injury-producing crashes along rural mountainous highways. Interestingly, crashes during rainy conditions are associated with crashes that are less likely to involve injury. It is also found that the likelihood of injury-producing crashes decreases for rear-end collisions but increases for head-on collisions and crashes involving heavy vehicles. A higher order interaction suggests that single-vehicle crashes involving light and medium-sized vehicles are less severe along straight sections compared to road sections with horizontal curves. One the other hand, crash severity is higher when heavy vehicles are involved in crashes as single vehicles traveling along straight segments of rural mountainous highways.

    CONCLUSION: In addition to unobserved heterogeneity, it is important to account for higher order interactions to have a better understanding of factors that influence crash severity. A proper understanding of these factors will help develop targeted countermeasures to improve road safety along rural mountainous highways.

    Matched MeSH terms: Shoulder
  11. Ruhaizin Sulaiman, Zahari Taha, Siti Zawiah Md. Dawal
    MyJurnal
    Elderly are exposed to physical impairment. This has a strong impact on their daily activities including
    frying, which is one of the most popular cuisine preparations. The stove height and work envelope
    are two major ergonomic issues in performing cooking task. There has been little research focusing
    on Malaysian elderly task performing in addressing these issues. The objectives of this study were to
    identify the acceptable stove height and depth and to determine the working envelope among Malaysian
    elderly using anthropometric data. A total of 55 Malaysian elderly (25 male and 30 female) aged between
    60 to 85 years participated in this study. Five body measurements were taken from each subject using
    an anthropometer. The measurements are stature height, shoulder height, arm span, arm reach forward
    and waist height. Apart from these anthropometric measurements, their present stove height was also
    measured. The acquisition of stove height dimensions was performed through a series of door to door
    visit of the elderly homes in Kg. Sg. Merab. These variables were used to estimate the elderly working
    envelope and determine the stove height, width and depth. Data were analysed using SPSS software. The
    waist height dimension was to estimate the stove height, the arm reach forward for the depth and the arm
    span for the length of the table-top where the stove was placed. Meanwhile the stature and shoulder height
    were used for estimating the position of the overhead compartment or placement of cooking utensils.
    The 5
    th
    percentile was chosen since it is appropriate to accommodate 90% of the studied population. The 5
    th
    percentile was also applied for the setting
    of the working envelope so as to provide better
    reaching tolerances. Meanwhile, standard was used
    to compare the present state of the studied kitchen
    setting. The results show that 56.4% of the elderly
    waist height is lower than the standard table-top
    height which is 36 inches (91.4cm) and 36.4% of the stove height was found higher than that of the standard. This could apparently cause fatigue and
    discomfort to shoulders, the neck, the arm and the back of the user. Anthropometrics measurements can
    be used for estimating the stove height, length and depth. These could also calculate a space taken for
    certain physical activities, such as frying task envelope. Providing a good combination of stove height,
    length, depth and ergonomic working envelope could hopefully improve the elderly cooking task and
    increase their quality of life.
    Matched MeSH terms: Shoulder
  12. Roseni Abdul Aziz, Mat Rebi Abdul Rani, Jafri Mohd Rohani, Ademola James Adeyemi
    MyJurnal
    Studies have identified working postures as a major risk factors associated with Work-related musculoskeletal disorders (WMSD) in industries. This study investigated the prevalence of WMSD among assembly workers in Malaysia and how psychosocial factors such as personal values and workers relationship with family and superior are associated with discomfort and pain. A survey was conducted among 127 workers at assembly process in the manufacturing industry. The workers were aged 28.74±6.74 years and 64.6% of them were males. Analysis of Variance (ANOVA) was used to determine the effect of workplace factors on WMSD at different body regions. Spearman’s rank correlation was used to investigate association between psychosocial factors and occurrence of discomfort and pain. Only occupation and job activities revealed any significant different with WMSD in the major body regions while there was no significant difference in gender, age and work duration classifications. Shoulder painis the most prevalent in terms of frequency and intensity of occurrence. Psychosocial issues that have to do with person values, effect of job on family relationship and workers rapport with superiors are all found to be associated with the discomfort and pain among the occupational group. Employers and concerned government agencies need to take more proactive steps in tackling the problem as the occurrence of WMSD will have a significant effect on the overall wellbeing of the working population.
    Matched MeSH terms: Shoulder
  13. Rebwar AH, Omer AR, Jalal AH
    Med J Malaysia, 2024 Mar;79(Suppl 1):47-52.
    PMID: 38555885
    INTRODUCTION: The Disabilities of Arm, Shoulder and Hand (DASH) questionnaire predicts the amount of the patient's inabilities and symptoms to evaluate the impacts of upper limb conditions in the patient's daily-life activities. This study aims to test the psychometric properties of DASH in Kurdish patients with carpal tunnel syndrome.

    MATERIALS AND METHODS: 93 patients with diagnosed carpal tunnel syndrome subjected to complete the self-report DASH-KU and patient rated wrist\hand evaluation PRWHEKU questionnaire during two consecutive assessments with a 24-hour interval before any intervention.

    RESULTS: DASH-KU questionnaire had excellent internal consistency (Cronbach's alpha = 0.99) and test-retest reliability (intra-class correlation coefficient =0.99). A strong correlation between the DASH-KU score and the PRWHE tool (r=0.792) demonstrated acceptable construct validity of DASH-KU. Bland-Altman plot showed good agreement between the two assessments of DASH-KU, and no floor (3%) nor ceiling effects (0%) were observed. Factor analysis showed that the DASH-KU scale had a high acceptable adequacy (adequacy index = 0.700) and a significant sphericity (p<0.001). The analysis showed a major factor that accounted for 40% of the observed variance with an eigenvalue of 13.14. In addition, five items model also explained 81.23% of the DASH-KU scale variance. However, the responsiveness of DASH-KU was suboptimum, which can be linked to the short 24-hour interval between measurements.

    CONCLUSION: The DASH-KU scale is a reliable, valid, and responsive instrument for assessing disabilities in patients with carpal tunnel syndrome.

    Matched MeSH terms: Shoulder*
  14. Razif MAM, Rajasingam V
    Med J Malaysia, 2002 Dec;57(4):496-8.
    PMID: 12733178
    We report a rare case of left axillary artery injury associated with anterior dislocation of the left shoulder in a 25 yrs old male as a result of a road traffic accident. The shoulder dislocation was reduced. A left upper limb angiogram showed an obstructed left axillary artery. The obstructed segment was surgically reconstructed with a Dacron graft. Six months post operation in follow up, he was found to have good left shoulder function and no neurovascular deficit. This is an injury that could have been easily missed without a simple clinical examination.
    Matched MeSH terms: Shoulder Dislocation/complications*; Shoulder Dislocation/diagnosis*; Shoulder Dislocation/surgery
  15. Raymond DK Yeak, Nasir M Nizlan
    MyJurnal
    A 29-year-old man, who was a medical intern presented with history of recurrent shoulder dislocation. Radiographs
    and computed tomography imaging revealed a bony bankart lesion with glenoid bone loss of 25% with moderate
    Hill- Sachs lesion. Latarjet surgery was performed. At post-operative 8 months, the patient experienced pain and
    clicking in the left shoulder while performing cardiopulmonary resuscitation. At post-operative 1 year, magnetic resonance arthrography showed a united coracoid graft and intact posterior labrum. Left shoulder diagnostic arthroscopy and removal of Latarjet screws through a limited anterior deltopectoral approach were performed. The symptoms
    pain, clicking and instability sense was caused by either the prominent distal screw or the remnant suture material
    from the anchor which resulted in impingement of the infraspinatus muscle. We recommend the use of image intensifier to check on the position and length of the screw at the end of the surgery to avoid this complication
    Matched MeSH terms: Shoulder; Shoulder Dislocation; Shoulder Joint
  16. Raymond DK Yeak, Peter T Campbell
    MyJurnal
    Combined latissimus dorsi transfer, subscapularis repair and Latarjet surgery is rare and has never been reported. A 35-year-old man with chronic shoulder pain had a long history of instability of his right shoulder. The first episode occurred during a game of touch rugby followed by multiple episodes of subluxation. MRI was done which showed complete tear of the subscapularis anteriorly which was retracted and atrophied indicating a longstanding tear. There was also significant mid substance supraspinatus tendon tear. Patient then underwent two surgeries. The initial sur- gery found the rotator cuff to be irreparable with glenoid bone loss and only acromioplasty with acromioclavicular joint resection were performed. He then had a single stage surgery consisting of latissimus dorsi transfer, Latarjet procedure and subscapularis repair. A two-stage surgery can be avoided, and good results can be obtained provided that the patient undergo correct rehabilitation regime after undergoing a single stage surgery.

    Matched MeSH terms: Shoulder; Shoulder Pain
  17. Rajeev A, Timmons G
    Malays Orthop J, 2019 Nov;13(3):66-68.
    PMID: 31890113 DOI: 10.5704/MOJ.1911.011
    The occurrence of axillary artery injury following proximal humerus fracture dislocation in elderly patient with low velocity fall is uncommon. The patient could have diverse clinical presentations in spite of intact peripheral pulses. We report the case of an 85-year-old lady who presented to our emergency department with greater tuberosity fracture of the humerus with dislocation of the right shoulder. After closed manipulative reduction of the dislocation, it was observed that the patient had brachial plexus palsy with intact radial pulse. An expanding swelling and bruise around the shoulder was noted and a steady drop in haemoglobin level. CT angiogram revealed avulsion of the posterior circumflex artery which was then treated successfully with stenting.
    Matched MeSH terms: Shoulder; Shoulder Fractures
  18. Rahman MN, Rani MR, Rohani JM
    Work, 2012;43(4):507-14.
    PMID: 22927603 DOI: 10.3233/WOR-2012-1404
    The aim of this study was to investigate the work-related musculoskeletal disorders (WMSDs) among workers in wall plastering jobs within the construction industry.
    Matched MeSH terms: Shoulder Pain/complications
  19. Raemy Md. Zein, Noorul Azreen Azis, Isa Halim, Adi Saptari, Seri Rahayu Kamat
    MyJurnal
    Working in a safe working posture is a necessity to enhance occupational health of industrial workers. Poor
    working posture may lead to injuries, discomfort and fatigue to the workers. The objective of this study is to survey the
    postures practised by the Malaysian industrial workers. A questionnaire survey was performed among 282 Malaysian
    industrial workers in 10 different industries. From the answered questionnaire, it was observed that shoulder at chest
    level (30.1%), back in a bent forward (33.3%) and lifting heavy load (44.7%) are the major work postures practised by
    most of industrial workers. This survey identifies that working with shoulder and hand at chest level and back region
    moderately bent forward is the main working posture practice by worker. Workers also reported lifting load below 5 kg
    at the workstation. This survey recommended for industrial workers to be aware of the comfortable working posture
    to avoid injury.
    Matched MeSH terms: Shoulder
  20. Padmanathan V, Joseph L, Omar B, Nawawi R
    Int J Occup Med Environ Health, 2016;29(5):725-34.
    PMID: 27518883 DOI: 10.13075/ijomeh.1896.00659
    Occupational tasks of linemen are highly associated with the development of work related musculoskeletal disorders (WRMDs). Although linemen are prone to develop WRMDs, there is paucity of information on the prevalence of WRMDs and related occupational causative factors. Therefore, the present review was conducted to report on the prevalence of WRMDs and to outline causative risk factors within occupational tasks in the lineman profession. Literature search was conducted in various databases such as Scopus, PubMed and ScienceDirect for articles published between 1996-2013. The articles were analyzed, selected and retrieved based on predetermined objectives, inclusion criteria and Medical Subject Headings (MeSH). In the review process only articles published in English were considered. The review identified moderate to high prevalence of WRMDs among the linemen population. Back and shoulder regions were highly affected compared to the other body regions. The review also reported occupational tasks such as bar installation, insulator fixation and manual handling of tools as high risk tasks that lead to the development of WRMDs. In addition, occupational tools such as ladders, manual cutters and manual presses were also identified as a potential ergonomic hazard. In conclusion, the current review identified that WRMDs are common in the back and shoulder regions among linemen. Also, a number of occupational risk factors were identified to be associated with WRMDs among the linemen. Hence, future research on prevention and intervention studies concerning lineman profession population in order to develop a good job practice are recommended. Int J Occup Med Environ Health 2016;29(5):725-734.
    Matched MeSH terms: Shoulder
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