Publications by authors named "Adnan Anwer"

Introduction: Spinal tuberculosis (TB) is a significant health problem. While chemotherapy is the primary treatment, surgery is necessary in some cases. This study investigates the posterior approach for treating thoracolumbar spinal TB with neurological involvement.

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Introduction: Supraspinatus tendinopathy is a common reason for shoulder pain, with or without an associated cuff tear. Various modalities of treatment have been described in literature such as physiotherapy, analgesics, corticosteroid injection, surgical repair (open or arthroscopic), and platelet-rich plasma (PRP) injection. Recently, there has been an increasing trend of PRP injection for rotator cuff arthropathy.

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Introduction: Graft choice for anterior cruciate ligament reconstruction (ACLR) has been evolving. The peroneus longus tendon (PLT) has been seen as a suitable choice for ACLR, providing comparable results to those of hamstring tendon (HT) autograft, but its clinical relevance in terms of return to sports, to our knowledge, has not been studied.

Materials And Methods: One hundred and twenty patients who sustained an isolated ACL injury were enrolled and underwent ACLR using tripled or quadrupled PLT autograft (if graft thickness exceeded 10 mm then tripled) or quadrupled HT autograft.

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Article Synopsis
  • - The study focuses on comparing the effectiveness of Ultrasound (US)-guided and Fluoroscopy-guided hydrodilatation treatments for adhesive capsulitis, highlighting that the incidence is higher in diabetic patients.
  • - Results showed that the US-guided group had significantly better outcomes in pain reduction, range of motion (ROM), and improvements in shoulder scores within the first few weeks after treatment compared to the fluoroscopy group.
  • - Long-term follow-up indicated that 70.3% of patients in the US-guided group maintained normal or near-normal ROM, suggesting that US-guided hydrodilatation may be the more effective method for treating this condition.
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Neurofibromas, in association with NF-1, can undergo a malignant transformation, giving rise to Malignant peripheral nerve sheath tumours (MPNSTs), a relatively rare entity. Clinically, it presents with non-specific symptoms like pain and numbness, distinguishing it from other nerve lesions difficult. There is a lack of data on the occurrence of MPNST in NF-1 in children and adults, and distant metastasis to the brain and bones is reported only in a few cases.

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Introduction: Non-union fractures of the distal femur pose significant challenges in orthopedic surgery, often requiring revision procedures to achieve successful bone healing. In cases where the initial implant has failed, innovative solutions are necessary to promote bone union and functional recovery.

Case Report: We present a case of a non-union distal femur fracture in a 22-year-old male patient, with a broken implant in situ.

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  • Spontaneous osteonecrosis of bones has been linked to both COVID-19 and steroid treatments, often appearing within two months after infection, with painful joints being a common symptom.
  • A case study described a young female who experienced knee pain following COVID-19, which was confirmed as osteonecrosis likely due to steroid use, and she responded well to conservative treatment.
  • The report emphasizes the need for healthcare providers to consider osteonecrosis in young patients with unexplained knee pain and a history of COVID-19, as conservative management often yields good outcomes.
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Introduction: Intramedullary nail placement is a preferred method for femoral shaft fractures due to biomechanical advantages. Despite its simplicity and efficacy, complications, such as pseudoarthrosis and nail fracture, pose challenges. Removing the distal fragment presents a vexing issue, often requiring specialized instruments.

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The objective of this clinical appraisal was to assess the clinical-radiological results of ankle deformity correction secondary to physeal injury, utilizing the methods based on the age of the child, site & severity of the deformity, remaining growth potential, condition of the soft tissue envelop and integrity of neurovascular status. Fifteen subjects ≤ 16 years of age, with angular deformities of the ankle secondary to physeal injury, were included. Deformities secondary to infection and pathological fractures were excluded.

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Introduction: Central hip dislocations are rare orthopedic injuries, and their concomitant occurrence with ipsilateral knee dislocations is an even rarer phenomenon. We present a unique case of central hip dislocation along with ipsilateral knee dislocation and additional fractures involving the lateral condyle of the left tibia and patella. This complex injury pattern resulted from a severe road traffic accident, necessitating operative management to address the multiple musculoskeletal injuries.

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Introduction: Gunshot injuries, while relatively uncommon in pediatric patients, can have lasting consequences, both physically and psychologically. Physeal injuries to the distal tibia are very common just second distal radius physis. Disruption of physis often leads to growth disturbances and deformities if not managed appropriately.

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Introduction: Nora's lesion or bizarre parosteal osteochondromatous proliferation (BPOP) is a rare, benign lesion of small bones of hands and feet in adults. It composed of differing amounts of cartilage, bone, and spindle cells and an unusual form of calcified cartilage so-called "blue bone".

Case Report: A 23-year-old male presented with swelling at the lateral side of the fifth toe of his right foot, which was separated from the adjacent toe.

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Article Synopsis
  • Acute avulsion of the tibial tubercle is a rare fracture, accounting for a small percentage of epiphyseal injuries and often requires careful treatment based on the Ogden classification.
  • A case involving a 14-year-old male soccer player with an Ogden Type III-B fracture was successfully managed using open reduction and internal fixation techniques.
  • The fracture healed properly, resulting in no deformity and restored range of motion, highlighting the need for quick diagnosis and effective surgical treatment for optimal recovery.
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Introduction: Chondro-epiphyseal separation of the distal humerus is a rare injury, which can occur as a consequence of excessive traction on the upper extremity accompanying a dystocic birth or one complicated by cephalopelvic disproportion. Such fracture patterns can also result from a combination of rotatory and shear forces, also typically seen following child abuse. It can be easily mistaken for a posterior elbow dislocation, creating a delay in diagnosis.

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Background: Arthroscopy of the knee is preferably done under spinal anaesthesia. The optimal analgesia for effective postoperative pain control is important to permit early discharge, comfort and mobility of the patient. Objective of the study is to assess the efficacy of ketorolac and lignocaine administered intra-articularly for postoperative pain following knee arthroscopic surgery.

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