Prevalence and Correlation with Other Diagnoses in Physiotherapy Practice—A 5-Year Retrospective Review.

Abstract (1) Background: The objective of this study was to assess the prevalence of Developmental Dysplasia of the Hip (DDH) as a primary or secondary diagnosis during physiotherapy practice. No other studies have investigated the prevalence and associations of DDH within the practice of pediatric rehabilitation. (2) Methods: This retrospective review was performed on 12,225 physiotherapy referrals to the King Abdullah Specialized Children’s Hospital (KASCH), Riyadh, Kingdom of Saudi Arabia, from May 2016 to October 2021. Only DDH referrals for conservative treatment were included in the study. The plan for brace treatment was carried out by the pediatric orthopedics clinic in KASCH. The diagnostic methods were either a pelvic radiograph or ultrasound, depending on the participant’s age. DDH is considered one of the most common secondary complications for children with other medical diagnoses. (3) Results: The most common indication for referral was neurological diagnosis (44%), followed by orthopedic (28%), genetic (19%), cardiac (5%), ophthalmologic (3%), dermatologic (1%) and rheumatologic (0.5%) diagnoses. (4) Conclusion: The prevalence of DDH among all referrals in this study was 6%. In physiotherapy practice, neurologic, genetic, and orthopedic primary or secondary diagnoses were the most prevalent when DDH referrals were investigated. A relatively high prevalence of DDH in the pediatric rehabilitation clinic at KASCH in Riyadh was reported in this study.(1) Východiská: Cieľom tejto štúdie bolo posúdiť prevalenciu vývojovej dysplázie bedra (DDH) ako primárnej alebo sekundárnej diagnózy počas fyzioterapeutickej praxe. Žiadne iné štúdie neskúmali prevalenciu a asociácie DDH v praxi pediatrickej rehabilitácie. (2) Metódy: Tento retrospektívny prehľad bol vykonaný na 12 225 fyzioterapeutických odporúčaniach do Špecializovanej detskej nemocnice kráľa Abdulláha (KASCH), Rijád, Kráľovstvo Saudskej Arábie, od mája 2016 do októbra 2021. Do štúdie boli zahrnuté iba odporúčania DDH na konzervatívnu liečbu. Plán liečby realizovala klinika detskej ortopédie v KASCH. Diagnostické metódy boli buď rádiografia panvy alebo ultrazvuk, v závislosti od veku účastníka. DDH sa považuje za jednu z najčastejších sekundárnych komplikácií u detí s inými medicínskymi diagnózami. (3) Výsledky: Najčastejšou indikáciou na odoslanie bola neurologická diagnóza (44 %), nasledovala ortopedická (28 %), genetická (19 %), kardiálna (5 %), oftalmologická (3 %), dermatologická (1 %) a reumatologické (0,5 %) diagnózy. (4) Záver: Prevalencia DDH medzi všetkými odporúčaniami v tejto štúdii bola 6 %. Vo fyzioterapeutickej praxi boli neurologické, genetické a ortopedické primárne alebo sekundárne diagnózy najrozšírenejšie, keď sa skúmali odporúčania DDH. V tejto štúdii bola hlásená relatívne vysoká prevalencia DDH na pediatrickej rehabilitačnej klinike v KASCH v Rijáde.(1) Background: The objective of this study was to assess the prevalence of Developmental Dysplasia of the Hip (DDH) as a primary or secondary diagnosis during physiotherapy practice. No other studies have investigated the prevalence and associations of DDH within the practice of pediatric rehabilitation. (2) Methods: This retrospective review was performed on 12,225 physiotherapy referrals to the King Abdullah Specialized Children’s Hospital (KASCH), Riyadh, Kingdom of Saudi Arabia, from May 2016 to October 2021. Only DDH referrals for conservative treatment were included in the study. The plan for brace treatment was carried out by the pediatric orthopedics clinic in KASCH. The diagnostic methods were either a pelvic radiograph or ultrasound, depending on the participant’s age. DDH is considered one of the most common secondary complications for children with other medical diagnoses. (3) Results: The most common indication for referral was neurological diagnosis (44%), followed by orthopedic (28%), genetic (19%), cardiac (5%), ophthalmologic (3%), dermatologic (1%) and rheumatologic (0.5%) diagnoses. (4) Conclusion: The prevalence of DDH among all referrals in this study was 6%. In physiotherapy practice, neurologic, genetic, and orthopedic primary or secondary diagnoses were the most prevalent when DDH referrals were investigated. A relatively high prevalence of DDH in the pediatric rehabilitation clinic at KASCH in Riyadh was reported in this study

Traumatic pediatric shoulder fracture dislocation treated with closed reduction and intramedullary nailing: A case report

Background: Although rare, pediatric proximal humerus fractures may coexist with glenohumeral dislocations. Most of these injuries are Salter -Harris type of injuries. The treatment usually consists of closed or open reduction and k- wires fixation. The case: In this case report; a 10-year-old girl presented with a rare traumatic humeral surgical neck fracture with a posterior shoulder dislocation that was treated by closed reduction and flexible intramedullary nailing. Conclusion: Pediatric humerus fracture dislocations are rare. Treatment should keep in mind preservation of the growth plate. Keywords: Pediatric, Trauma, Shoulder fracture dislocation, Proximal humerus fracture, Humeral neck fracture, Intramedullary nailing, Te

Developmental Dysplasia of the Hip: Prevalence and Correlation with Other Diagnoses in Physiotherapy Practice—A 5-Year Retrospective Review

(1) Background: The objective of this study was to assess the prevalence of Developmental Dysplasia of the Hip (DDH) as a primary or secondary diagnosis during physiotherapy practice. No other studies have investigated the prevalence and associations of DDH within the practice of pediatric rehabilitation. (2) Methods: This retrospective review was performed on 12,225 physiotherapy referrals to the King Abdullah Specialized Children’s Hospital (KASCH), Riyadh, Kingdom of Saudi Arabia, from May 2016 to October 2021. Only DDH referrals for conservative treatment were included in the study. The plan for brace treatment was carried out by the pediatric orthopedics clinic in KASCH. The diagnostic methods were either a pelvic radiograph or ultrasound, depending on the participant’s age. DDH is considered one of the most common secondary complications for children with other medical diagnoses. (3) Results: The most common indication for referral was neurological diagnosis (44%), followed by orthopedic (28%), genetic (19%), cardiac (5%), ophthalmologic (3%), dermatologic (1%) and rheumatologic (0.5%) diagnoses. (4) Conclusion: The prevalence of DDH among all referrals in this study was 6%. In physiotherapy practice, neurologic, genetic, and orthopedic primary or secondary diagnoses were the most prevalent when DDH referrals were investigated. A relatively high prevalence of DDH in the pediatric rehabilitation clinic at KASCH in Riyadh was reported in this study

Patterns of paediatric forearm fractures at a level I trauma centre in KSA

الملخص: أهداف البحث: الأدبيات البحثية لا تُفصّّل بوضوح أنماط كسور عظام الساعد لدى الأطفال. تهدف هذه الدراسة إلى تحديد أنماط كسور الساعد لدى الأطفال في المملكة العربية السعودية. طرق البحث: أجريت هذه الدراسة المرجعية في مركز لعلاج الإصابات من المستوى الأول. تضمنت الدراسة المرضى حتى عمر ١٨ عاما الذين عانوا من كسور عظام الساعد خلال الفترة من ٢٠٠٧ إلى ٢٠١٥. تم الحصول على البيانات الديموغرافية للمرضى من الملفات الطبية، كما تم تحديد الكسور باستخدام الأشعة الاعتيادية. واستخدام متوسط الانحراف المعياري للمتغيرات المستمرة، بينما استخدمت الترددات والنسب المئوية للمتغيرات النوعية. النتائج: تضمنت هذه الدراسة ٣١٨ مريضا؛ تراوحت أعمارهم بين ١.٢ عاما إلى ١٨ عاما (المتوسط ١٠.٤٢ الانحراف المعياري ± ٤.٥٦عاما). كان معظمهم من الذكور (٨٠.٨٪)، وكان ٥٣.١٪ ˃ ١٢ عاما. كانت الإناث أعلى بشكل كبير في المجموعة ˃ ١٢ عاما بالمقارنة بالمجموعة ≥ ١٢عاما. وكان السقوط هو آلية الإصابة عند معظم المرضى (٨١.١٪) الذين اعمارهم ˃ ١٢ عاما بالمقارنة بالمجموعة ≥ ١٢عاما. لم يكن هناك فروقا ذات دلالة إحصائية عند مقارنة الفئتين العمريتين في مكان الكسر. سجل أقصى الساعد أكثر الأماكن شيوعا للكسور (٤٧.٨٪)، متبوعا بالثلث الأقصى من جدل الساعد (٣٤.٢٪). الاستنتاجات: تحدث كسور الساعد عادة في الذكور ويتم العثور عليها في كثير من الأحيان في الفئة العمرية للأطفال في سن الدراسة. تعد الكسور القاصية لعظمة الزند المكان الأكثر شيوعا في هذه الدراسة. السقوط هو الآلية الأكثر شيوعا للإصابة ويجب إتخاذ إجراءات السلامة في الأماكن التي يقضي فيها الأطفال في كثير من الأحيان أنشطتهم. Abstract: Objectives: The current literature does not clearly elaborate the pattern of paediatric forearm fractures. This study aims to identify patterns of paediatric forearm fractures in KSA. Methods: This retrospective study was conducted in a level I trauma centre. The study population comprised patients up to 18 years of age who presented with forearm fractures between 2007 and 2015. The demographic data of the recruited patients were obtained from medical files, and fractures were identified using plain films. Mean and standard deviations were used for continuous variables, whereas frequencies and percentages were used for categorical variables. Results: This study included 318 patients, ranging in age from 1.2 to 18 years (average: 10.42 ± 4.56 years). The majority were boys (80.8%) and 53.1% were <12 years of age. Girls were significantly more prevalent in the <12-year-old group than in the ≥12-year-old group (p < 0.001). A fall was the mechanism of injury in the majority of patients (82.1%) in the <12-year-old group compared with the ≥12-year-old group (p < 0.001). There was no statistically significant difference in fracture site between the two age groups. The distal forearm was the most common site fractured (47.8%), followed by the distal third of the forearm diaphysis (34.2%). Conclusion: Forearm fractures are commonly seen in school-age boys. The distal radius is the most commonly fractured site reported in this study. A fall was the most common mechanism of injury, and safety measures should be implemented in places where children frequently gather. الكلمات المفتاحية: علم الأوبئة, كسور الأطفال, إصابات الطفولة, كسور الساعد, الزند القاصي, الكسر, Keywords: Childhood fractures, Childhood injuries, Distal radius, Epidemiology, Forearm fractures, Fractur

Prevalence of Dietary Supplements Use among Gymnasium Users

Background. Several studies showed that regular gymnasium users use various dietary supplements without comprehension of their potential risks. Objective. To determine the prevalence and dietary supplement intake and assess the awareness of supplement use among regular gymnasium users in Riyadh, Saudi Arabia. Methods. A descriptive cross-sectional study was conducted among regular gymnasium users in Riyadh, Saudi Arabia, between April 2015 and June 2015. A validated structured questionnaire was used. Results. The study included 299 participants. Of these 113 (37.8%) were dietary supplements users and this was more common among males than females (44.7% versus 16.4%). Gender based analysis showed that males were exercising more frequently than females and the type of cardiovascular exercise was more among them. The most commonly used supplements were whey protein (22.1%), amino acids (16.8%), multivitamins (16.8%), creatine (11.5%), and omega 3 (11.5%). The reasons for taking dietary supplements were to improve body shape (47.7%), increase health (44.2%), and improve performance (41.5%). Conclusion. Most of the information about supplements was obtained from unreliable sources. More studies are needed to better understand supplements use and their impact on health in Saudi Arabia

Prevalence of Dietary Supplements Use among Gymnasium Users

Background. Several studies showed that regular gymnasium users use various dietary supplements without comprehension of their potential risks. Objective. To determine the prevalence and dietary supplement intake and assess the awareness of supplement use among regular gymnasium users in Riyadh, Saudi Arabia. Methods. A descriptive cross-sectional study was conducted among regular gymnasium users in Riyadh, Saudi Arabia, between April 2015 and June 2015. A validated structured questionnaire was used. Results. The study included 299 participants. Of these 113 (37.8%) were dietary supplements users and this was more common among males than females (44.7% versus 16.4%). Gender based analysis showed that males were exercising more frequently than females and the type of cardiovascular exercise was more among them. The most commonly used supplements were whey protein (22.1%), amino acids (16.8%), multivitamins (16.8%), creatine (11.5%), and omega 3 (11.5%). The reasons for taking dietary supplements were to improve body shape (47.7%), increase health (44.2%), and improve performance (41.5%). Conclusion. Most of the information about supplements was obtained from unreliable sources. More studies are needed to better understand supplements use and their impact on health in Saudi Arabia