A 37-year-old man presented to our clinic after sustaining a low-speed motorcycle accident. He suffered minor facial abrasions and pain at his right thumb metacarpophalangeal (MCP) joint consistent with a gamekeeper injury. He was placed in a splint for several weeks; however, he had persistent pain and was thus evaluated with an MRI (magnetic resonance imaging) revealing a torn ulnar collatera...

We report a case of persistent Candida orthopsilosis associated septic arthritis. Repeated isolation of C. orthopsilosis from tissue and joint fluid was confirmed by identification of the ITS region of the rRNA gene using a Candida-Specific Luminex based assay and gene sequencing of the D1/D2 regions. This was the first case of C. orthopsilosis associated septic arthritis reported in Jamaica an...

We describe the use of a C1 laminar screw in combination with a C2 laminar screw as a salvage technique to treat two patients, one with persistent first intersegmental artery and the other with vertebral artery occlusion after cervical spine fracture. The combined use of C1 and C2 laminar screws allows for good fixation of the atlantoaxial joint with a lower risk of vertebral artery injury; the...

Persistent acetabular dysplasia and residual hip subluxation are well known causes of premature secondary arthrosis of the hip joint. The rationale for treatment of these conditions is to restore the anatomical and biomechanical relationship. The treatment is based on the patient’s age and the hip congruity. In older children and adolescents with congruent hips, a triple innominate osteotomy ap...

The case is presented of a 5 year old boy who attended after an inversion injury. He had persistent pain despite treatment and was subsequently diagnosed with acute myelogenous leukaemia. It is well recognised that acute leukaemia commonly presents as non-traumatic limb pain. This case highlights the need to consider acute leukaemia in the differential diagnosis of any persisting bone or joint ...

TO THE EDITOR—Chow et al [1] recently implicated interleukin 6 (IL-6) in the persistent arthralgia that occurs in some patients following infection with chikungunya virus (CHIKV). They observed that plasma IL-6 concentrations in patients with persistent arthralgia were higher than those in fully recovered patients; the significance of this observation is supported by the known role of IL-6 in c...

Sentinel lymph node biopsy (SNB) was first popularized in the 1990s because it might save lives. The multicenter selective lymphadenectomy trial (MSLT) demonstrated that SNB and subsequent completion lymphadenectomy (CL) do not improve either five year or ten year melanoma specific survival. SNB is expensive and can affect ongoing quality of life. Complication rates of 10% can include anaphylax...

background and aims: bovine leukaemia virus (blv) is an oncogenic member of the genus deltaretrovirus of the family retroviridae. blv is the causative agent of enzootic bovine leukaemia and infects cattle worldwide, imposing economic impact on the dairy cattle industry. the purpose of this study was to estimate the seroprevalence of blv in cattle in some provinces of iran. materials and methods...

to determine the effective factors on persistent diarrhea in under five year old children (un5), a total of 1341 subjects were selected between cases referred to sanandaj children hospital for diarrhea in the period between 1st june and 22nd october 1994. the children were questioned for prolongation of diarrheal episode after 14 days of its onset. the investigation showed that the duration of ...

Inversion ankle sprains are the most common injuries in sports. Although these injuries are often considered minor, they can lead to persistent disability in athletes. Inadequate treatment can lead to chronic problems such as decreased range of motion, pain, and joint instability. The following paper will discuss the injury, evaluation, diagnosis, and treatment of these injuries, focusing on ev...