SM Musculoskeletal Disorders

Archive Articles

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Musicians’ Woes: Playing Related Musculoskeletal Disorders

Music is the most essential ingredient of any entertainment. In order to create successful entertaining event musicians plays an imperative role. Musicians are wizards who spread the fragrance of joy by absorbing woes, in the form of Playing Related Musculoskeletal Disorders (PRMDs), for themselves. Like other occupations, musicians also suffer from work related musculoskeletal disorders which are often disabling

Wricha Mishra 


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Visualization of Dupuytren’s Contracture Borders Spread According to MRI Data

Dupuytren’s Contracture (DC) is a fibro-proliferative tumor according to ICD 10 - fascial fibromatosis of unknown etiology (M 720), accompanied by a stable bending contracture of fingers. In CD in the postoperative period extremely high rate of surgical complications is observed: intraoperative (injury of blood vessels, nerves, tendons), general postoperative (hematoma, necrosis, odema, stiffness, etc.), late postoperative (recurrence, spread, progression). In the last case according to the data of different authors, complications frequency is depend upon the degree (from partial up to the total) and the accuracy of excision of the affected aponeurosis ?almaris. One of the problems in choosing the type of operation and technology is the complexity of the cutoff determination boundaries of the affected CD. Up to now there is no suitable for use in the practical CD surgery algorithm of the affected aponeurosis ?almaris spread non invasive visualization in a particular patient. The most appropriate method for the solution of this problem is a method of MRI. The technology of identifying the boundaries of surgery of the affected aponeurosis palmaris in Dupuytren’s contracture by means of MRI has been elaborated. It has been shown that MRI is a highly informative method in the assessment of topographic anatomy of aponeurosis palmaris in normal and CD states. PD, T1, T2 - weighed images allow objectively to visualize the border areas of the affected aponeurosis in I - III stages of CD. PD fsat (fat tissues signal saturation) MRI mode is not recommended for use.

Baikeev RF¹, Mikusev GI², Osmonaliyev IZh², Zakirov RH² and Afletonov EN²*


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Metallosis Die Hard

Metallosis is an aseptic fibrosis, local necrosis, inflammation, or loosening of an implant device secondary to metallic corrosion and release of wear debris. The condition has been highlighted recent years due to the clinical complications caused by metal-on-metal (MoM) hip replacement. Although some major types of MoM hip prostheses have been recalled from the market, metallosis is far from over as not only there are still a million implanted MoM hip prosthetic cases worldwide, but also it has been found in non-MoM hip prostheses and other metal implants. This mini review aims to provide recent findings of implants related metallosisin skeletal tissue.

Zhidao Xia 


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Osteoarthritis of the Temporomandibular Joint

Osteoarthritis (OA), a degenerative disease of the articular cartilage, is one of the most frequent pathologies of the Temporomandibular Joint (TMJ), characterized by spontaneous pain at rest or in function, decreased range of motion, and articular noise.

Talia Becker 


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Arthroscopic Management of Lateral Epicondyliti

Lateral epicondylitis is a common disorder that affects 1% to 3% of the general population. This dysvascular and degenerative condition presents with lateral elbow pain worse with wrist extension against resistance. The primary pathologic tissue is believed to be the tendinous origin of the extensor carpi radialis brevis. The condition is self-limited in 70% to 80% of patients; therefore conservative management is first line. Surgery may be considered in persistent cases of lateral epicondylitis refractory to conservative therapy and is required in 4% to 11% of patients. The three common surgical modalities for treatment are open, percutaneous, and arthroscopic, all with good results thus far. This article aims to summarize arthroscopic treatment of lateral epicondylitis and discuss its advantages, techniques, rehabilitation, outcomes, and complications.

Gonzalo Sumarriva¹, Champ Baker² and Jeremy Bruce³*