MyMedR

How Safe Is High-Speed Burring in Spine Surgery? An In Vitro Study on the Effect of Rotational Speed and Heat Generation in the Bovine Spine

Singh TS, Yusoff AH, Chian YK

Spine (Phila Pa 1976), 2015 Aug 1;40(15):E866-72.

PMID: 25996539 DOI: 10.1097/BRS.0000000000000985

In vitro animal cadaveric study.

Matched MeSH terms: Spinal Injuries/etiology; Spinal Injuries/prevention & control; Peripheral Nerve Injuries/etiology; Peripheral Nerve Injuries/prevention & control

Assessment of Gait Symmetry Improvements in National Athletes after Anterior Cruciate Ligament Reconstruction during Rehabilitation

Hadizadeh M, Amri S, Roohi SA, Mohafez H

Int J Sports Med, 2016 Nov;37(12):997-1002.

PMID: 27551935

This study aimed to quantify changes in gait parameters and their symmetries among athletes with anterior cruciate ligament (ACL) reconstructions during a rehabilitation program. Twenty-two national players with ACL reconstructions and 15 healthy athletes were recruited. The gait data were collected between postoperative weeks 4-5, 8-9 and 12-13 using a three-dimensional motion analysis system. The spatio-temporal gait parameters and symmetry indexes (SIs) were evaluated for the patients and the control group. One-way and repeated-measures multivariate analysis of variance were used to analyse the data. The results demonstrated significant differences among spatio-temporal (P<0.001) and SIs (P=0.007) of patients for Test 1 and the control group. Repeated measure analysis revealed significant changes in the linear combinations of spatio-temporal gait variables (P=0.002) and SIs (P=0.043) over time. The injured limb's step length, cadence and weight acceptance time presented significant improvement across time (P<0.001). Moreover, the SI of the stance time was reduced significantly by 46.48% (P=0.004) among SI parameters. After three months, no significant differences were found between patients and healthy controls for the measured gait components (P>0.05). The rehabilitation program allowed national athletes to restore symmetry in spatio-temporal gait parameters toward the control group's range 12-13 weeks post-reconstruction.

Matched MeSH terms: Athletic Injuries/rehabilitation; Athletic Injuries/surgery; Anterior Cruciate Ligament Injuries/rehabilitation*; Anterior Cruciate Ligament Injuries/surgery

Fulltext Pattern of muscle injuries and predictors of return-to-play duration among Malaysian athletes

Mohamad Shariff HA, Ashril Y, Mohamed Razif MA

Singapore Med J, 2013 Oct;54(10):587-91.

PMID: 24154585

INTRODUCTION: The purpose of this study was to investigate the pattern of muscle injuries and the factors that predict the return-to-play duration among Malaysian athletes.

METHODS: This is a retrospective review of the case notes of athletes who attended the National Sports Institute Clinic in Malaysia. The medical records of athletes with muscle injury, diagnosed on clinical assessment and confirmed by diagnostic ultrasonography, were included for final analysis.

RESULTS: From June 2006 to December 2009, 397 cases of muscle injury were diagnosed among 360 athletes. The median age of the athletes with muscle injuries was 20.0 years. Muscle injuries were mostly diagnosed among national-level athletes and frequently involved the lower limb, specifically the hamstring muscle group. Nearly all of the athletes (99.2%) were treated conservatively. The median return-to-play duration was 7.4 weeks. Athletes who waited more than one week before seeking medical attention, those with recurrent muscle injuries and female athletes were significantly more likely (p < 0.05) to take more than six weeks before returning to the sport.

CONCLUSION: Grade 2 lower limb muscle injury was commonly diagnosed among national-level athletes in this study. The frequency of weekly physiotherapy sessions did not affect the return-to-play duration. Factors such as initial consultation at more than one week post injury, recurrent muscle injuries and female gender were significant predictors of return-to-play duration among Malaysian athletes. These predictive factors should be kept in mind during clinical assessment so as to aid in prognosticating recovery after muscle injury.

Matched MeSH terms: Athletic Injuries/diagnosis; Athletic Injuries/epidemiology; Athletic Injuries/rehabilitation*; Muscle, Skeletal/injuries*

Fulltext Reconstruction of severe patellar infera syndrome with free vascularised composite tensor fascia lata flap

Sulaiman AR, Halim AS, Azman WS, Eskandar H

Singapore Med J, 2008 Aug;49(8):e205-7.

PMID: 18756334

Post-traumatic severe patella infera and intra-articular adhesion may lead to a severe knee stiffness. We report a 29-year-old man, a muslim prayer leader, who had a previous knee injury. He presented with knee movement from ten degrees to 30 degrees, patellar infera with a length of patella to length of patellar tendon ratio of 2:5, and severe knee arthrofibrosis. He underwent incision of the patella ligament and open arthrofibrosis release, leaving a tendon gap and skin defect of 5 cm. Reconstruction was successfully done using a free vascularised composite tensor fascia lata flap. He regained full range of knee motion with normal strength quadriceps mechanism at five months after surgery, and remained in full function at 18 months follow-up.

Matched MeSH terms: Knee Injuries/diagnosis*; Knee Injuries/surgery*; Patella/injuries*; Patellar Ligament/injuries

Determinant Factors of Poor Visual Outcome After Ocular Trauma: A Retrospective Study in Central Sarawak, Malaysia

Yong GY, Pan SW, Humayun Akhter F, Law TN, Toh TH

Asia Pac J Ophthalmol (Phila), 2016;5(2):137-42.

PMID: 26693590 DOI: 10.1097/APO.0000000000000150

PURPOSE: To study the demographic characteristics of ocular trauma in Central Sarawak and identify the determinant factors of poor visual outcome.

DESIGN: A retrospective study of ocular trauma cases presenting at the referral hospital in 2013.

METHODS: Patients were identified and recruited from hospital records. Those presenting for follow-up review were excluded. Case records were retrieved and reviewed after recruitment.

RESULTS: We studied 168 patients with 179 ocular injuries, of which 44% were work related. Compared with non-work-related cases, work-related cases were more likely to be male [odds ratio (OR), 19.7; 95% confidence interval (CI), 2.6-150.9] and foreign (OR, 18.0; 95% CI, 2.3-142.0). Open globe injuries constituted a higher percentage of impaired visual acuity (VA) during the first visit: 84.6% compared with 18.1% for closed globe injuries (OR, 25.0; 95% CI, 5.3-118.4; P < 0.001). Of the open globe injuries, 61.5% worsened or showed no improvement in VA after 3 months compared with closed globe injuries (28.9%) (OR, 3.9; 95% CI, 1.2-12.7; P = 0.015). Of cases presenting 7 or more days after trauma, 76.9% worsened or showed no improvement in VA after 3 months compared with those presenting in less than 7 days (27.7%) (OR, 8.7; 95% CI, 2.3-33.0; P < 0.001). Among those with work-related injuries, 23.1% had used eye protective devices (EPDs).

CONCLUSIONS: Ocular injuries in Central Sarawak were predominantly work related, occurring at industrial premises, and involving males and foreigners. Both open globe injuries and a delay in seeking treatment resulted in significantly poorer visual outcomes.

Matched MeSH terms: Eye Injuries/etiology; Eye Injuries/epidemiology*; Eye Injuries/physiopathology; Occupational Injuries/epidemiology

Spinal cord injury rehabilitation: which way forward?

Karimi M, Omar AH, Fatoye F

NeuroRehabilitation, 2014 Jan 1;35(2):325-40.

PMID: 24990035 DOI: 10.3233/NRE-141124

Spinal cord injury (SCI), damage to spinal cord, influences the ability of the subjects to stand and walk. Moreover, they have some problems such as osteoporosis, muscle spasm, joint contracture and bowel and bladder function. These subjects use various orthoses and undergo different rehabilitation programmes to restore their ability. It is controversial whether use of aforementioned methods improves the physiological health of SCI individuals and improves their ability to ambulate or not. Therefore, the aim of this review was to investigate the effectiveness of assistive devices to restore their physiological health and their functional ability in patients with SCI.

Matched MeSH terms: Spinal Cord Injuries/rehabilitation*

Fulltext A case report on the use of an acetylcholinesterase inhibitor (donepezil) in traumatic brain injury

Samuel G, Ng YS

Med J Malaysia, 2013 Aug;68(4):376-8.

PMID: 24145276

Traumatic Brain injury (TBI) is one of the most common causes of death and disability worldwide, with recent interest in the use of cholinomimetics in the treatment of TBI patients for cognitive impairments. Our patient who suffered TBI was started on a trial of an acetylcholinesterase inhibitor (Donepezil) for five weeks. Cognitive and memory testing with the Mini-Mental State Examination (MMSE) and Functional Independence Measurement (FIM) showed some degree of improvement: The three item recall component of MMSE improved and the FIM Memory score increased from 1 (Complete dependence) to 6 (Functional independence). Subjective assessment of his behaviour in the ward also showed improvement. This suggests that donepezil may help improve memory and behaviour of moderately severe traumatic brain injury patients, although more research in this direction should be undertaken.

Matched MeSH terms: Brain Injuries*

Feasibility of successful pregnancies in women with spinal injury

Nor Azlin MI, Abd Rahman R, Abdul Karim AK, Sulaiman AS, Mahdy ZA

J Obstet Gynaecol, 2013 Aug;33(6):631-2.

PMID: 23919870 DOI: 10.3109/01443615.2013.807781

Matched MeSH terms: Spinal Cord Injuries*

Fulltext A report on an unusual presentation of autonomic dysreflexia

Suhaida SS, Engkasan JP

Med J Malaysia, 2012 Dec;67(6):616-7.

PMID: 23770957 MyJurnal

A 48-year-old male with complete tetraplegia C6 presented with sweating and flushing of the right half of the face and neck that recurred when lying in supine and left lateral positions. The symptoms subsided immediately upon sitting upright or lying in a right lateral position. The symptoms were associated with occasional mild head discomfort rather than headache and were accompanied by marked elevation of blood pressure, which was 190-200/120-130 mmHg compared to his previous baseline blood pressure of 80-90/50-70 mmHg, and he had a heart rate of 60-70 beats per minute. We believe that post-traumatic syringomyelia, found upon further investigation, was the cause of the Autonomic dysreflexia (AD) in this patient. He was advised to avoid the positions causing the symptoms and the progression of symptoms was monitored regularly. AD might not have been diagnosed in this patient because of the atypical and unusual presentations. Therefore, knowledge and a heightened level of awareness of this possible complication are important when treating individuals with spinal cord injury (SCI).

Matched MeSH terms: Spinal Cord Injuries*

Fulltext Penetrating injury to the head: case reviews

Regunath K, Awang S, Siti SB, Premananda MR, Tan WM, Haron RH

Med J Malaysia, 2012 Dec;67(6):622-4.

PMID: 23770960 MyJurnal

Penetrating injury to the head is considered a form of severe traumatic brain injury. Although uncommon, most neurosurgical centres would have experienced treating patients with such an injury. Despite the presence of well written guidelines for managing these cases, surgical treatment requires an individualized approach tailored to the situation at hand. We describe a collection of three cases of non-missile penetrating head injury which were managed in two main Neurosurgical centres within Malaysia and the unique management approaches for each of these cases.

Matched MeSH terms: Head Injuries, Penetrating*

Fulltext Pattern of distal radius fracture in Malaysian children

Asim AM, Noor Fadzilah R, Rukmanikanthan S, Saw A

Med J Malaysia, 2012 Oct;67(5):483-6.

PMID: 23770863 MyJurnal

INTRODUCTION: The distal radius is the most common fracture site in children, but local information on the fracture pattern, mechanism of injury and socio-demographic characteristics of the fracture is lacking.

MATERIAL METHODS: We interviewed 126 children and their family members who were under follow up for this fracture in a single institution over a period of 2 years. Radiological images were reviewed to ensure that only those with fracture in the distal one third of the forearm were included.

RESULTS: The overall incidence of this fracture increased with age, and male dominance was noted starting from schooling age. Most fractures occurred at home (38.8%), and 52.3% of all fractures were due to low energy falls. Sports injuries were mainly due to playing football, and road accidents due to riding bicycles. There were 49 (38.8%) children with incomplete fractures, and 19 (15.0%) with physeal plate fractures.

CONCLUSION: Male dominance for distal radius fracture occurred at a comparatively younger age in our population. Preventive measures should focus on home environment since this is the most common place for fracture to occur. Special attention should be paid to boys after the school going age.

Matched MeSH terms: Athletic Injuries*

Fulltext Computed tomography (CT) in blunt liver injury: a pictorial essay

Radhiana H, Azian AA, Razali MR, Kamariah CM

Med J Malaysia, 2010 Dec;65(4):319-25.

PMID: 21901958

Computed tomography (CT) is widely used in assessing clinically stable patients with blunt abdominal trauma. In these patients, liver is one of the commonest organs being injured and CT can accurately identify and assess the extent of the injury. The CT features of blunt liver trauma include laceration, subcapsular or parenchymal haematomas, active haemorrhage and vascular injuries. Widespread use of CT has notably influenced the management of blunt liver injury from routine surgical to nonsurgical management. We present pictorial illustrations of various liver injuries depicted on CT in patients with blunt trauma.

Matched MeSH terms: Liver/injuries*

Fulltext A complete transection of larynx

Noorizan Y, Chew YK, Khir A, Brito-Mutunayagam S

Med J Malaysia, 2009 Jun;64(2):179-80.

PMID: 20058586 MyJurnal

Acute laryngeal injury is a rare, potentially lethal injury. It often poses difficulty in airway management. Commonly described are external laryngeal or blunt injuries. We report a case of penetrating neck injury resulting in complete transection of cricoid cartilage. A lady presented with a large, deep slash wound in her neck from a knife injury. There was complete laryngotracheal separation. The airway was secured before she was taken to the operating theatre. A tracheostomy was performed. Exploration revealed the cricoid ring was cut horizontally into two. Anastomosis of the cartilaginous framework was undertaken. Fibreoptic laryngoscopy showed bilateral vocal cords paralysis. After two months the patient recovered without airway compromise, she regains her voice. Repeat laryngoscopy showed good mobility of the vocal cords. In conclusion surgical reconstruction should be meticulously done to ensure good respiratory and phonatory abilities.

Matched MeSH terms: Larynx/injuries*

Fulltext Renal autotransplantation after an iatrogenic left ureteric injury

Neo EN, Zulkifli Z, Sritharan S, Lee BC, Nazri J

Med J Malaysia, 2007 Jun;62(2):164-5.

PMID: 18705455

We report a case of renal autotransplantation performed successfully for an iatrogenic ureteric injury with loss of 9 cm of ureteric length. The surgical options available for management of ureteric injuries are discussed, varying from a simple re-anastomosis to the more complex renal autotransplantation.

Matched MeSH terms: Ureter/injuries*

Fulltext Diving accidents treated at a military hospital-based recompression chamber facility in Peninsular Malaysia

Rozali A, Khairuddin H, Mohd Sidik S, Halim MA, Mohd Zin B, Sulaiman A

Med J Malaysia, 2008 Jun;63(2):91-5.

PMID: 18942290

This paper describes the pattern of diving accidents treated in a military hospital-based recompression chamber facility in Peninsular Malaysia. A retrospective study was carried out to utilize secondary data from the respective hospital medical records from 1st January 1996 to 31st December 2004. A total of 179 cases categorized as diving accidents received treatment with an average of 20 cases per year. Out of 179 cases, 96.3% (n = 173) received recompression treatment. Majority were males (93.3%), civilians (87.2%) and non-Malaysian citizens (59.2%). Commercial diving activities contributed the highest percentage of diving accidents (48.0%), followed by recreational (39.2%) and military (12.8%). Diving accidents due to commercial diving (n = 86) were mainly contributed by underwater logging activities (87.2%). The most common cases sustained were decompression illness (DCI) (96.1%). Underwater logging and recreational diving activities which contribute to a significant number of diving accidents must be closely monitored. Notification, centralised data registration, medical surveillance as well as legislations related to diving activities in Malaysia are essential to ensure adequate monitoring of diving accidents in the future.

Matched MeSH terms: Diving/injuries*

Swordfish attack--death by penetrating head injury

Gooi BH, Khamizar W, Suhani MN

Asian J Surg, 2007 Apr;30(2):158-9.

PMID: 17475591

There have been very few reports of swordfish attacks on humans and none have resulted in death. Although there are no reports of unprovoked attacks on humans, swordfish can be very dangerous when provoked and they can jump and use their swords to pierce their target. We describe here an unusual case of death that resulted from intracranial penetrating injury caused by a swordfish.

Matched MeSH terms: Brain Injuries/etiology*

Fulltext Pitfall in diagnostic trauma laparoscopy

Yeap BH, Premnath N, Manjit S

Med J Malaysia, 2005 Mar;60(1):89-90.

PMID: 16250287

The resurging interest in diagnostic laparoscopy has witnessed its increasing application in trauma surgery. Such unbridled enthusiasm has at times overlooked its shortcoming in the diagnosis and management of certain in abdominal injuries. We report and discuss one such conspicuous limitation and advocate that the use laparoscopy in abdominal trauma should be tempered with caution.

Matched MeSH terms: Abdominal Injuries/diagnosis*

WITHDRAWN: Functional capacity evaluations for the prevention of occupational re-injuries in injured workers

Mahmud N, Schaafsma FG, Fassier JB, Verbeek JH, Reneman MF

Cochrane Database Syst Rev, 2016 Feb 24;2:CD007290.

PMID: 26905766 DOI: 10.1002/14651858.CD007290.pub3

Matched MeSH terms: Wounds and Injuries/prevention & control*

The use of an aberrant flexor carpi ulnaris tendon with an ulnar artery island forearm flap for reconstruction of a dorsal defect of the hand

Jeyaratnam TS, Ahmad TS, Kassim NM

Hand Surg, 2001 Jul;6(1):99-102.

PMID: 11677671

Matched MeSH terms: Finger Injuries/diagnosis; Finger Injuries/surgery*; Hand Injuries/diagnosis; Hand Injuries/surgery; Metacarpophalangeal Joint/injuries

Bird-related eye injuries

Shriwas SR

Trop Doct, 1993 Jul;23(3):140.

PMID: 8356755

Matched MeSH terms: Eye Injuries/etiology*

Displaying publications 141 - 160 of 1133 in total