Anterolateral ankle impingement

Anterolateralni mekotkivni sindrom sraza gležnja je stanje kod kojeg dolazi do uklještenja kronično upalno promijenjenih hipertrofiranih mekih tkiva unutar zgloba između prednjega ruba tibije i vrata talusa pri dorzalnoj fleksiji stopala. Predstavlja jedan od češćih uzroka kroničnog bola u gležnju zaostalih nakon ozljede. Javlja se kao komplikacija uganuća gležnja u 1 do 2 % slučajeva. Ozljeda ligamenata i prednje zglobne kapsule, kao i okolnog masnog tkiva, dovodi do lokalne upalne reakcije tkiva te zbog ponavljajuće mikrotraume do kroničnog sinovitisa uz hiperplaziju i fibrozu mekih tkiva. Dijagnoza se temelji na anamnezi i kliničkom pregledu te rendgenološkoj obradi, upotpunjenima ultrazvučnom pretragom i magnetskom rezonancijom (MR). U većini slučajeva anterolateralni mekotkivni sraz zahtijeva operacijsko liječenje. Artroskopija gležnja predstavlja zlatni standard u operacijskom liječenju.Anterolateral ankle impingement is a condition in which chronically inflammatory hypertrophied soft tissues are trapped inside the joint between the anterior edge of the tibia and the neck of the talus in dorsal flexion of the foot. It represents one of the most common causes of residual chronic ankle pain after injury. It occurs as a complication of ankle sprains in 1 to 2% of cases. Injury to the ligaments and anterior articular capsule, as well as the surrounding adipose tissue, results in local inflammatory tissue reaction and, due to the recurrent microtrauma, leads to chronic synovitis with hyperplasia and soft tissue fibrosis. Diagnosis is based on medical history, clinical examination and x-ray, completed with ultrasound and magnetic resonance imaging. In most cases, anterolateral ankle impingement requires surgical treatment. Ankle arthroscopy is the gold standard in surgical treatment

Chondromyxoid Fibroma of the Second Metacarpal Bone – A Case Report

This report describes a chondromyxoid fibroma of the second metacarpal bone in a 32-year-old female patient. Chondromyxoid fibroma is a rare, benign, slow-growing bone tumor of cartilaginous origin. Tumor has a high recurrance rate. Our aim was to show successful treatment of a metacarpal chondromyxoid fibroma with wide resection and implantation of finger join endoprosthesis

Shoulder pain

Bolno rame je jedno od najčešćih stanja s kojim se susreću liječnici u ortopediji i čini oko 20% patologije koštano-mišićnog sustava. Rameni je zglob zahvaljujući svojim biomehaničkim osobinama najpokretljiviji zglob u ljudskom tijelu, no ujedno i relativno nestabilan zglob, što ga čini posebno osjetljivim na ozljede. Uzroci bolnog ramena mogu biti različiti: upala i lezija tetiva rotatorne manžete, bolesti akromioklavikularnog zgloba, adhesivni kapsulitis, nestabilnosti ramena te artroza glenohumoralnog zgloba. Kliničkom slikom dominira bolnost uz koju je često prisutna smanjena gibljivost ramenog zgloba. S obzirom na važnu ulogu ramena u svakodnevnim aktivnostima iznimno je važno na vrijeme prepoznati uzrok bolnog ramena te započeti s adekvatnim liječenjem.Shoulder pain is one of the most common causes why people come to visit orthopaedic surgeons. It makes approximately 20% of musculoskeletal pathology. The shoulder`s biomechanical characteristics make it the most mobile joint but also one of the most unstable. The resulting ‘freedom of movement’ of the joint predisposes it to a variety of conditions. The causes of shoulder pain are: rotator cuff disorders, acromioclavicular joint disease, “frozen shoulder” and glenohumeral arthrosis. Shoulder problems tend to present mainly as pain, but it is not uncommon to have associated stiffness and restriction of movement. Due to the pivotal role the shoulder has in daily activities, it is essential that a good diagnosis of the principal shoulder pathology is made and a prompt recovery is started

Shoulder pain

Bolno rame je jedno od najčešćih stanja s kojim se susreću liječnici u ortopediji i čini oko 20% patologije koštano-mišićnog sustava. Rameni je zglob zahvaljujući svojim biomehaničkim osobinama najpokretljiviji zglob u ljudskom tijelu, no ujedno i relativno nestabilan zglob, što ga čini posebno osjetljivim na ozljede. Uzroci bolnog ramena mogu biti različiti: upala i lezija tetiva rotatorne manžete, bolesti akromioklavikularnog zgloba, adhesivni kapsulitis, nestabilnosti ramena te artroza glenohumoralnog zgloba. Kliničkom slikom dominira bolnost uz koju je često prisutna smanjena gibljivost ramenog zgloba. S obzirom na važnu ulogu ramena u svakodnevnim aktivnostima iznimno je važno na vrijeme prepoznati uzrok bolnog ramena te započeti s adekvatnim liječenjem.Shoulder pain is one of the most common causes why people come to visit orthopaedic surgeons. It makes approximately 20% of musculoskeletal pathology. The shoulder`s biomechanical characteristics make it the most mobile joint but also one of the most unstable. The resulting ‘freedom of movement’ of the joint predisposes it to a variety of conditions. The causes of shoulder pain are: rotator cuff disorders, acromioclavicular joint disease, “frozen shoulder” and glenohumeral arthrosis. Shoulder problems tend to present mainly as pain, but it is not uncommon to have associated stiffness and restriction of movement. Due to the pivotal role the shoulder has in daily activities, it is essential that a good diagnosis of the principal shoulder pathology is made and a prompt recovery is started

Correction of adult posttraumatic rigid severe pes equinovarus with tibiotalocalcaneal retrograde nailing

Uvod: Liječenje zapuštenih slučajeva posttraumatskog pes equinovarusa u odrasloj dobi veoma je zahtjevno. Radi se o rigidnim deformacijama stražnjeg dijela stopala koje su popraćene uznapredovalim osteoartrotskim promjenama. U korekciji deformiteta potrebna je primjena kombinacije koštanih i mekotkivnih zahvata. Prikaz slučaja: U ovom radu prikazano je liječenje posttraumatskog deformiteta stopala s varusom gležnja od 40Introduction: Neglected pes equinovarus deformity at the adulthood is difficult to correct. It is usually a rigid deformity associated with arthritic changes of the hindfoot joint. Combined bone and soft tissue procedure is necessary to correct the deformity. Case report: We present a case of acquired severe rigid pes equinovarus in adulthood with varus ankle of 4

LUMBAL PAIN ASSOCIATED WITH SPRAIN AND STRAIN INJURIES IN ATHLETES

SAŽETAK Bavljenje sportom izlaže kralježnicu, posebno njezin lumbalni dio, povećanom opterećenju, zbog čega su u sportaša česte ozljede ligamentarno-mišićnog aparata i zglobova kralježnice. Do njihova oštećenja najčešće dolazi zbog naglih i snažnih kretnji – istezanja i rotacije, kojima su izloženi u sportu. Glavni je simptom križobolja praćena spazmom paravertebralne muskulature. Liječenje je konzervativno te ako se pravodobno ne započne s odgovarajućom terapijom može priječi u kronično stanje i trajno udaljiti pacijente od aktivnog bavljenja sportom.ABSTRACT Sports activities represent high risk for lumbal spine injuries. The most common injuries of the spine in athletes are musculoligamentous sprains and strains, which occur mainly at the lumbosacral region. Sprains are ligamentous injuries caused by sudden violent contraction, sudden torsion, severe direct blows, or a forceful straightening from a crouched position. Strains are defined as tears, either partial or complete, of the muscle-tendon unit. Muscle strains and tears most frequently result from violent muscular contraction during an excessively forceful muscular stretch. The main simptoms are low back pain and muscle spasms. Treatment is conservative