Displaying all 3 publications

Abstract:
Sort:
  1. Fulltext Case report: a rare case of sinding Larsen-Johansson syndrome in adult
    Mohamad Azwan Aziz, Dayyinah Radzi, Redzal Abu Hanifah
    Movement Health & Exercise, 2020;9(2):17-23.
    MyJurnal
    Sinding Larsen-Johansson syndrome is an osteochondrosis injury of the patella commonly seen in adolescents (between 10 to 14 years old). This case report covers an interesting case of Sinding Larsen-Johansson syndrome reported in a 33-year-old football athlete. He had been actively participating in many football tournaments for the last 18 years. He presented with anterior knee pain 1 month after experiencing a traumatic sports injury in one of his football matches. He was diagnosed with complete anterior cruciate ligament rupture, with medial and lateral meniscus injury. MRI confirmed the diagnosis with and additional finding of chronic Sinding Larsen-Johansson syndrome. He did not compete in further football matches, and underwent intensive physiotherapy focusing on eccentric muscle strengthening exercise. His anterior knee pain improved as well as his knee stability. This article will discuss Sinding Larsen-Johansson Syndrome in detail
  2. Fulltext Risk analysis of musculoskeletal pain intervention using corticosteroid during COVID-19 pandemic: a cohort study
    Mohamad AA, Mohamed NA
    Korean J Pain, 2023 Jan 01;36(1):106-112.
    PMID: 36514932 DOI: 10.3344/kjp.22249
    BACKGROUND: Most international bodies recommended against musculoskeletal steroid injection during the COVID-19 pandemic, fearing that the immunosuppressive effects of the steroid could worsen COVID-19 infection, thus prolonging the suffering of patients with severe musculoskeletal disease. The authors' aim is to analyze the risk of COVID-19 infection after musculoskeletal injections.

    METHODS: This is a retrospective study of patients who visited a sports medicine clinic and received musculoskeletal steroid injections between January 1, 2020 and February 28, 2021. The collected data was compared with the national COVID-19 registry to identify positive COVID-19 patients. The patients were only considered positive for COVID-19 following corticosteroid injection within 3 months after injection.

    RESULTS: Out of 502 steroid injections; 79.7% (n = 400) received a single injection in one day, 19.1% (n = 96) received steroid injections at 2 sites in one day, and 1.2% (n = 6) received steroid injections at 3 sites in one day. Using the Fisher's exact test, there was no statistically significant association of COVID-19 infection between the steroid group and control group (relative risk, 1.44; 95% confidence interval, 0.9-23.1, P = 0.654). Only one patient contracted mild COVID-19 with no post COVID complications.

    CONCLUSIONS: The authors recommend the use of musculoskeletal steroid injections in clinically indicated situation without having increased risk of COVID-19.

  3. Fulltext A Rare Presentation of Probable Training-Related Chronic Myopericarditis in an Endurance Cyclist: A Case Report
    Mohamad AA, Mohamed NA
    Korean J Fam Med, 2024 Mar;45(2):116-120.
    PMID: 38351744 DOI: 10.4082/kjfm.23.0082
    We report a rare case of high-volume training-related myopericarditis. A male, 18 years old, elite road bicycle racing cyclist with high-volume training of 1,000 km per week for >7 years, presented with progressively worsening exertional breathlessness, reduced effort tolerance, and one episode of cardiac syncope. The symptoms were present prior to the coronavirus disease 2019 pandemic but made worse with the sudden increase in the volume of training after lockdown periods in preparation for competition. He exhibited multiple premature ventricular ectopic beats during his resting electrocardiogram, with a normal echocardiogram and non-elevated cardiac enzyme. The exercise stress test revealed similar multiple premature ventricular beats, warranting further investigation using cardiac magnetic resonance imaging (MRI). The findings of the cardiac MRI were suggestive of myopericarditis. He was instructed to refrain from training and initially started with a short course of colchicine. However, his symptoms deteriorated, and cardiac MRI revealed a decrease in the left ventricular ejection fraction from 59% to 50%. His treatment was escalated to a short course of tapered dose steroid, anti-failure medication and gradual, supervised, return to sports program. This case report highlights the discussion of return to play in athletes with myopericarditis.
Related Terms
    Try searching for something
Filters
Contact Us

Please provide feedback to Administrator (afdal@afpm.org.my)

External Links