Case 1 description Buddy is an active 33-year-old man who presents to the emergency department (ED) complaining of pain in his left ankle and foot after falling while back-country skiing 3 days ago. The fall involved a moderatespeed slide down a steep chute and rotational release of the left leg from the ski binding. Buddy experienced immediate pain to the lateral malleolar region. Immediately ...

Introduction: Submucoperichondrial injection of botulinum neurotoxin A (BTA) in the nasal septum is a promising therapeutic option in the treatment of persistent allergic rhinitis (AR) and non-allergic rhinitis, and is safer and more effective than intraturbinate injection in reducing clinical symptoms.   Materials and Methods: Forty patients diagnosed with persistent AR or non-allergic rhiniti...

Excision of the distal clavicle (DCE) is a commonly carried out surgical procedure used in the management of acromioclavicular joint pathology. Although successful outcomes after both open and arthroscopic distal clavicle excision occur in a high percentage of patients, treatment failures have been reported, creating a difficult clinical scenario for the treating orthopedic surgeon. The most co...

Results 206 patients, 143 girls (69%) and 63 boys (31%) with JIA were followed at University Children’s Hospital Ljubljana from September 2010 to January 2013. Twenty-two out of 206 (11%) patients had pain in the neck and/or limited range of motion of cervical spine. Twelve out of 206 (6%) patients had persistent cervical spine symptoms, MRI of the cervical spine with application of paramagneti...

Multi-joint disease pathologies in the lumbar spine, including ligamentum flavum (LF) hypertrophy and intervertebral disc (IVD) bulging or herniation contribute to spinal stenosis (LSS), a highly prevalent condition characterized by symptomatic narrowing of canal. Clinical hypertrophic LF is loss elastic fibers increase collagen fibers, resulting fibrotic thickening scar formation. In this stud...

Background:Locking plate fixation is increasingly used for first metatarsophalangeal joint (MTP-I) arthrodesis. Still there is few comparable clinical data regarding this procedure. Methods:We retrospectively evaluated 60 patients who received an arthrodesis of the MTP-I between January 2008 and June 2010. With 20 patients each we performed a locking plate fixation with lag screw, arthrodesis w...

BACKGROUND Biomechanical factors may play a role in osteoarthritis (OA) development and progression. Previous biomechanical studies have indicated that types of footwear may modulate forces across the knee joint, and high heeled womens' shoes in particular are hypothesised to be detrimental to lower limb joint health. This analysis of data from a case control study investigated persistent users...

Background Chikungunya virus (CHIKV) is a re-emerging arboviral pathogen. In 2014, an explosive CHIKV outbreak occurred in Grenada, West Indies, infecting approximately 60% of the population. In approximately 50% of cases, CHIKV infection transitions to painful arthralgia that can persist for years. Elucidation of the risk factors for chronic disease is imperative to the development of effectiv...

Background Management of difficult to treat (D2T) inflammatory arthritis requires meticulous evaluation for the presence or absence inflammation support pharmacological and non-pharmacological management strategies. The challenge arises from finding that D2T has been linked a variety characteristics. EULAR Task Force recently defined rheumatoid as patients having persistency symptoms and/or sig...