Volleyball Technopaths in Senegal

Introduction Sport anticipation, address and opposition in two separate spaces. Volleyball knows a frantic expansion with more and more spectacular gestures sources of various traumas. Our study is to analyse the trauma related to the volleyball game; relative to our context. Patients and Methods We collected 69 injuries from 63 licensed players of the Senegalese Volleyball Federation and who had regularly played the Championship and the National Cup for the 2016-2017 season. Data collection was carried out through a completed closed questionnaire. Results Forty (40) boys and twenty-three (23) girls, volleyball players, participated in this study. The average age was 23.6 years old. The average weight was 68.63 kg. The average height was 184.36 cm. The average age of the onset of the practice was 14.79 years. The average duration of practice was 8.67 years. The incidence of lesions was 1.84 per 1000 hours of play with 90.5% of players reporting injury. The 50.7% lesions were on the lower limb. Sprain accounted for 62.3% of the lesions; musculotendinous lesions 14.5% and bruises 11.6%. The majority of lesions, 53.6%, occurred during training. The net area was the site of 50.7% of the lesions. Physical contact accounted for 59.4% of the lesions. The balloon was involved in 33.3% of the lesions. The fall on the playground was responsible for 33.3% of the injuries. Receiving an opponent's weight on the ankle accounted for 76.06% of ankle sprains. The management was functional in 81.2%. It was satisfactory in 89.5%. The average rest period was 4.4 weeks. Conclusion Although considered a non-contact sport and therefore less virulent, relative to other team sports; volleyball is also a source of trauma. Beyond its originality to be realized in a sub-Saharan country; this study confirms the universality of the trauma related the volleyball, a sport that continues to take off.

Erythema Dyschromicum Perstans

Erythema dyschromicum perstans is an asymptomatic eruption of oval, polycyclic, or irregularly shaped, gray-blue hyperpigmented macules on the trunk, the arms, the face, and the neck. It begins as ash-colored macules, sometimes with an erythematous or elevated border. The patient is not usually suffer from any systemic symptoms. Erythema dyschromicum perstans may resolve in 2-3 years in prepubertal children, but it is more likely to persist in adults. [1] Erythema dyschromicum perstans (EDP) most often affects darker skinned patients, most frequently Latin Americans and Indians. It has also been reported in people of lighter skin colour and various ethnicities. It may occur in women more often than men. It is repoted in young adults than adults. The exact etiology of EDP is unknown. Damage to melanocytes and basal cell keratinocytes that is observed with EDP is due to an abnormal immune response to antigens with a predominance of CD8 + T lymphocytes in the dermis and HLA-DR +, intercellular adhesion molecule 1 + keratinocytes in the epidermis. EDP is characterized in histological examination by a vacuolar liquefactive degeneration of the basal cell layer with dermal melanosis and a perivascular infiltrate.

Cancer and Physical Activity

Colon cancer is one of the most extensively studied cancers in relation to physical activity. A 2009 meta-analysis of 52 epidemiologic studies that examined the association between physical activity and colon cancer risk found that the most physically active individuals had a 24% lower risk of colon cancer than those who were the least physically active. A pooled analysis of data on leisure-time physical activity (activities done at an individual’s discretion generally to improve or maintain fitness or health) from 12 prospective U.S. and European cohort studies reported a risk reduction of 16%, when comparing individuals who were most active to those where least active. Incidence of both distal colon and proximal colon cancers is lower in people who are more physically active than in those who are less physically active. Physical activity is also associated with a decreased risk of colon adenomas (polyps), a type of colon polyp that may develop into colon cancer. However, it is less clear whether physical activity is associated with lower risks that polyps that have been removed will come back.

Extensor Carpi Radialis brevis: Review of Anatomy and Clinical Significance to Orthopedics

The extensor carpi radialis brevis (ECRB) muscle is an integral extensor and abductor of the wrist. It originates from the lateral epicondyle of the humerus, laying deep to the extensor carpi radialis longus and extensor digitorum communis, and superficial to the supinator. Insertion occurs at the base of the third metacarpal. The radial nerve or a derivative supplies innervation. Its significance in orthopedics is highlighted by its involvement in multiple surgical approaches, such as the Thompson and Kaplan approaches for exposure of the radius, as well as its association with several routinely observed pathologies. Many of the associated syndromes, such as lateral epicondylitis, arise from repetitive gripping motions or overuse and are frequently seen in the orthopedic clinic. This review seeks to provide a comprehensive summary of the relevance of the ECRB to the orthopedic setting to broaden knowledge of its anatomy and increase recognition and proper management of associated pathologies.

Wartenberg’s Syndrome: Diagnosis and Treatment

Wartenberg’s syndrome is a peripheral neuropathy caused by entrapment of the superficial radial nerve (SRN), presenting with paresthesia in the nerve distribution [1]. Currently, there are no established guidelines or recommendations for the proper treatment of this condition. As such, the objective of this paper is to complete a literature review outlining the diagnosis and treatment of Wartenberg’s syndrome.

Surgical repair of an osseous avulsion of the adductor sleeve complex of the groin: a case report

Sports-related groin injuries are common among athletes. Avulsion of the tendons attached to the symphysis pubis has previously been described. These can be managed both operatively and non-operatively. To our knowledge a complete osseous avulsion of the adductor sleeve has not been described previously. We report a case of a 56-year-old healthy man who sustained an acute osseous avulsion of the adductor sleeve complex on the left side, which was surgically repaired with bone anchors and a mesh. Return to normal activity was reached 8 weeks after immobilization and full return to play for all sports activities in 12 weeks.

The Application of Biomechanics on Orthopaedic Rehabilitation

Development in medicine in large scale merits the development of biomechanical and biomedical engineering. This highly concerns with the medical rehabilitation, which according to the modern understanding is the interdisciplinary management aiming at recovering or improving efficiency of the organism which is beyond the ability of pure medical [1]. Model of Polish rehabilitation is based on four basic principles: early application of rehabilitation, it’s universality, complexity and continuity procedures. Early application of rehabilitation prevents from development of unwanted changes such as: contractures, muscular atrophies, trophic abnormalities and decreases the frequent negative outcomes due to long term immobilization [2].Complexion principles defines then interdisciplinary character, paying attention at the importance increasing maximum care to improve the activities disabled, supplying him with necessary prosthetic – orthotic equipment in order to easy the performance of activities at home conditions, environment and if possible – come back to professional job.

Massive Thrombophlebitis as a Complication after Carpal Tunnel Release: Comorbid Factors?

Seven days before the patient had an endoscopic carpal tunnel release under locoregional anesthesia. We performed a single-portal technique as described by Agee. The patient was positioned in dorsal decubitus with this right arm on a side table. The arm tourniquet was inflated to a pressure 100mmHg above systolic blood pressure. The tourniquet was inflated after draping and was released after suture. The vertical incision was located radiocarpal along the ulnar border of the musculus palmaris longus. A proximal based flap of the superficial fascia is created and elevated. A blunt probe was used to gently probe the undersurface of the ligament. Sequentially larger dilators are passed into the carpal tunnel. The arthroscope with the blade is passed in and the dissection of the ligamentum transversum carpi is made. The incision is closed with resorbable sutures after which a compressive bandage is applied.

Massive Thrombophlebitis as a Complication after Carpal Tunnel Release: Comorbid Factors?

Seven days before the patient had an endoscopic carpal tunnel release under locoregional anesthesia. We performed a single-portal technique as described by Agee. The patient was positioned in dorsal decubitus with this right arm on a side table. The arm tourniquet was inflated to a pressure 100mmHg above systolic blood pressure. The tourniquet was inflated after draping and was released after suture. The vertical incision was located radiocarpal along the ulnar border of the musculus palmaris longus. A proximal based flap of the superficial fascia is created and elevated. A blunt probe was used to gently probe the undersurface of the ligament. Sequentially larger dilators are passed into the carpal tunnel. The arthroscope with the blade is passed in and the dissection of the ligamentum transversum carpi is made. The incision is closed with resorbable sutures after which a compressive bandage is applied.

Zoledronate and ibandronate treatments provide a significant improvement in BMD values in osteoporosis patients

Objective: In this study, we aimed to make a comparative analysis of short term clinical effectivity and side effects of intravenous zoledronate administration as single dose yearly and intravenous ibandronate administration as four doses per year. Methods: The patients whom were included in our study had osteoporosis according to WHO criteria and were treated with either parenteral zoledronate or ibandronate. 43 patients were treated with single dose of 5mg intravenous zolendronat which was applied once in a year; whereas in 39 patients were treated with 3 mg intravenous ibandronate which was applied four times in a year in three months intervals. Biochemical tests were performed in all patients before intravenous drug infusion. Side effects during drug administration and also in the first three months of the treatment were noted for all patients. Clinical effectivity was analyzed according to changes in bone mineral density (BMD) at the end of two year after treatment. Results: Eighty-two patients who were followed-up and evaluated for the effectivity and side effects of the treatment were included in our study. The compliance of patients were 100% in both groups. Mean age was 75.23±6.9 years and mean body mass index (BMI) was 26.94±7.2. In zoledronate group in which there were 23 females and 20 males. Mean age was 73.64±8.7 years and mean BMI was 27.34±4.4. In ibandronate group in which there were 39 females. There were no statistically significant differences between the groups in terms of gender (p=0.000) Mean age, BMI and rate of diagnosed side effects were not statistically significant in between the groups. According to a one-year follow-up in both groups comparison with before application had a statistically significant increase in BMD (p<0.01). However, a one-year follow-up between the two groups in terms of mean values of bone mineral density did not differ significantly (p>0.05). Conclusion: Choice of medical treatment is decided according to bone mineral density and personal risk factors in osteoporosis. Parenteral agents in the treatment of osteoporosis may be the preferred choice for the patients with comorbid diseases, using multiple drug therapies, or having trouble in using oral drug therapy. However, it should always be kept in mind that drug related side effects may be seen more commonly with parenteral agents. Clinicians should be aware of the probable side effects during and after application.