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TENDON TRANSFERS FOR RADIAL NERVE PALSY Nur Rachmat Lubis; Wiria Aryanta; Davin Caturputra Setiamanah
Majalah Kedokteran Sriwijaya Vol 52, No 3 (2020): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v52i3.12509

Background: High radial nerve palsy mostly caused by injury of nerve branching from proximal to the elbow resulting in function loss of wrist, finger and thumb extension, as well as thumb abduction. Tendon transfers are the most common technique for motor reconstruction indicated in high radial nerve palsy if the patients fail to achieve nerve regeneration and recovery. This procedure will restore finger, thumb, and wrist function, without foisting other motoric deficits on the hand, with satisfying results. Case: 19 years old male was referred to RSUP dr. Mohammad Hoesin Palembang with right wrist joint instability and limited range of motion (ROM). Past history of fracture at the middle third of the right humerus 6 months ago. Physical examination showed total loss of active wrist extension, thumb extension and abduction, and finger extension at metacarpophalangeal (MCP) joints. The patient is diagnosed as a high lesion of radial nerve palsy. Tendon transfers procedure were prepared to restore better wrist function and ROM. Tendon transfers performed with Riordan method, using pronator teres as extensor carpi radialis brevis for wrist extension, flexor carpi ulnaris to extensor digitorum communis for finger extension, palmaris longus to extensor pollicis longus for thumb extension. Conclusion: Tendon transfers for high radial nerve palsy is an effective technique to restore the function of wrist extension, finger extension, and power of handgrip.

Pirani Score Difference in CTEV Patients Treated with Ponseti’s Serial Cast in RSUP dr. Mohammad Hoesin Palembang Davin Caturputra Setiamanah; Nur Rachmat Lubis; Indri Seta Septadina
Majalah Kedokteran Sriwijaya Vol 52, No 1 (2020): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v52i1.11427

Congenital talipes equinovarus (CTEV) is a congenital deformity involving calcaneo-navicular complex. It is best understood with mnemonic CAVE which includes cavus, adduction, varus, and equinus of the foot. Ponseti’s method, the gold standard of treating CTEV, includes strapping and tapping technique, manipulation, serial casting, and functional therapy. The purpose of this study is proving that there is a significant Pirani score difference in CTEV patients treated with Ponseti’s serial casts. It is an observational study with time series design. Observation and evaluation to the CTEV patients were conducted during the period of August-December 2017 at The Orthopedics Clinic in RSUP dr. Mohammad Hoesin Palembang. All the data were analyzed with Wilcoxon test using IBM SPSS version 24. Total 14 CTEV feet were treated with Ponseti method. From all of the 7 patients, four were females (57.1%) and three were males (42.9%). Every patient had bilateral deformity and less than a year in age. Mean Pirani score of the study group after the second plaster cast were 3.78 ± 2.05 for the left feet and 4.07 ± 1.66 for the right feet. Mean post-treatment Pirani score of the study group, respectively left and right feet, were 0.57 ± 0.60 and 0.28 ± 0.39. Total 92% of the feet were treated successfully by Ponseti’s serial casts. There is a significant difference in Pirani score before and after the treatment of CTEV using Ponseti’s serial casts (p < 0.05).

Evaluation of CTEV Management in Children's Walking Ability Assessed by "BANGLA" Club Foot Tool Score System Irfannuddin Irfannuddin; Nur Rachmat Lubis; Febian Aji Wicaksono
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 4 No. 1 (2020): Bioscientia Medicina: Journal of Biomedicine and Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v4i1.113

Abstract Congenital talipes equinovarus (CTEV) or clubfoot is a congenital deformity that involves an abnormal position of the calcaneonaviculare complex. "Bangla clubfoot tool score system" is an assessment that indicates the effectiveness of CTEV management. The purpose of this study was to evaluate the management of CTEV on children's ability to walk as assessed by the Bangla clubfoot tool score system. A cross sectional study was conducted at the Hospital Dr. Mohammad Hoesin Palembang. There were 24 CTEV patients who received CTEV management before the age of 3 years and were not associated with a neurological disorder. A comparison of the average total Bangla clubfoot score tool system was analyzed by assessing parental satisfaction, walking ability and clinical examination. The majority of CTEV patients were women (58.3%) with and mostly being treated before 1 year old (79.2%). The most types of CTEV were bilateral (70.8%), and most of them performed surgery (66.7%). Assessment with the Bangla clubfoot tool system shows that the level of parental satisfaction is sufficient, gait is good, but physical foot examination is poor (20%). The score is influenced by age at first therapy and compliance using the brace. Parents must continue to support their children to undergo integrated management after therapy to maintain their walking ability.

The Quality Characteristics of Distal Radius Fractures in Patients Admitted to Emergency Department Dr. Moh. Hoesin Hospital Palembang during January-December 2020 Obed Yosia; Nur Rachmat Lubis
Jurnal RSMH Palembang Vol. 2 No. 1 (2021): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Fracture cases increases in globalization era. The 8-15% reported cases were distal radius fracture (DRF). The epidemiology data is the foundation of diagnostic and management for DRF patients. However, this has not been studied in Indonesian patients. As a result, the authors decided to study the picture of DRF patients in the Indonesian subpopulation, especially in the Central General Hospital Dr. Mohammad Hoesin (RSMH) Palembang. This research is a descriptive observational study at RSMH Palembang in January-December 2020 with variables of age, sex, mechanism of injury, types of fractures, radial inclination and volar tilt as the parameter of DRF severity. All of these variables are components of the assessment on the medical record. The data in this study were 29 cases and described with the age, sex, mechanism of injury, types of fractures, radial inclination and volar tilt. The most common DRF occurred at the youth age between less 13-25 years (41.4%). DRF happened more in male (75,9%) patients than the female (24.1%) ones. The most common type of fracture is Colles (44.8%). Motorcycle crash (58.6%) is the most common mechanism of injury in DRF. The abnormal radial inclination occurred in 82% cases. Severe volar tilt counted 85% of DRF in this study. DRF happened mostly in youth, male, and motorcycle crash. Colles fracture is the most commonly type of DRF case.

Evaluation of CTEV Management in Children's Walking Ability Assessed by "BANGLA" Club Foot Tool Score System Irfannuddin Irfannuddin; Nur Rachmat Lubis; Febian Aji Wicaksono
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 4 No. 1 (2020): Bioscientia Medicina: Journal of Biomedicine and Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v4i1.113

Abstract Congenital talipes equinovarus (CTEV) or clubfoot is a congenital deformity that involves an abnormal position of the calcaneonaviculare complex. "Bangla clubfoot tool score system" is an assessment that indicates the effectiveness of CTEV management. The purpose of this study was to evaluate the management of CTEV on children's ability to walk as assessed by the Bangla clubfoot tool score system. A cross sectional study was conducted at the Hospital Dr. Mohammad Hoesin Palembang. There were 24 CTEV patients who received CTEV management before the age of 3 years and were not associated with a neurological disorder. A comparison of the average total Bangla clubfoot score tool system was analyzed by assessing parental satisfaction, walking ability and clinical examination. The majority of CTEV patients were women (58.3%) with and mostly being treated before 1 year old (79.2%). The most types of CTEV were bilateral (70.8%), and most of them performed surgery (66.7%). Assessment with the Bangla clubfoot tool system shows that the level of parental satisfaction is sufficient, gait is good, but physical foot examination is poor (20%). The score is influenced by age at first therapy and compliance using the brace. Parents must continue to support their children to undergo integrated management after therapy to maintain their walking ability.

CLINICAL OUTCOME OF STEINDLER FLEXORPLASTY AND SAHA PROCEDURE IN TREATING SUPERIOR TRUNK BRACHIAL PLEXUS INJURY Muhammad Hadyan Syahputra; Nur Rachmat Lubis; Davin Setiamanah Caturputra
Majalah Kedokteran Sriwijaya Vol 54, No 4 (2022): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/mks.v54i4.19665

Abduction is the most important functional movement of the glenohumeral joint, and at the same time one of the most complex movements of the entire body. Brachial plexus injury can make shoulder fail to abduction. Saha’s procedure (trapezius transfer) one procedure that safe and significantly improve the shoulder movement especially abduction. We report a teenager male presented with inability to move his right shoulder and elbow after a motor vehicle accident 5 weeks before. He was unable to move the elbow and shoulder, but the hand and wrist still had a good function. From the right shoulder X-Ray there is proximal humerus fracture. Steindler flexorplasty was performed after 3 months strengthening program. 6 months after Steindler flexorplasty, Saha’s procedure was performed to improve the shoulder movement. The shoulder can abduction 200-550 and the elbow can flex 200-800 after the surgery. In this case, the superior trunk of the brachial plexus was injured due to the shoulder and the neck forcibly widens after direct shoulder trauma. Saha’s procedure after Steindler flexorplasty is best for superior trunk brachial plexus injury, a simple procedure with minimal blood loss, which provided functional improvement. Steindler flexorplasty and Saha’s Procedure are two procedures very beneficial to the patients who experienced superior trunk brachial plexus injury.

Prevalence and Risk Factors of Knee Osteoarthritis: A Cross-Sectional Study in Palembang, Indonesia Vanessa Stepania; Nur Rachmat Lubis; Ramadhan Ananditia Putra
Archives of The Medicine and Case Reports Vol. 6 No. 2 (2025): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v6i2.690

Osteoarthritis (OA) is a prevalent degenerative joint disease causing pain, disability, and decreased quality of life. This study aimed to investigate the prevalence and risk factors associated with knee OA in Palembang, Indonesia. A cross-sectional study was conducted using secondary data from medical records of patients diagnosed with knee OA at Dr. Mohammad Hoesin General Hospital in Palembang during 2023. Patients aged ≥ 55 years with primary knee OA were included, while those with secondary knee OA or cerebrovascular disease were excluded. Data on sociodemographics, clinical characteristics, and comorbidities were collected. Univariate analysis and correlation tests were performed to assess the association between risk factors and knee OA. A total of 133 patients with knee OA were included. The majority were female (82%), aged 55-65 years (51.1%), and housewives (48.1%). Bilateral knee involvement was observed in 73.7% of patients. Overweight (35.3%) was the most common BMI category. Hypertension was the most prevalent comorbidity (61.7%), followed by diabetes mellitus (19.5%) and dyslipidemia (19.5%). Correlation analysis showed a significant positive correlation between knee OA and age, female gender, and BMI. In conclusion, knee OA in Palembang is more prevalent in middle-aged women, particularly housewives. Overweight and hypertension are significant risk factors associated with knee OA. These findings underscore the need for targeted preventive strategies and public health interventions to address these modifiable risk factors.

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