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A literature review of diagnosing transient synovitis hip disease: English Panji - Sananta; Agung Ismanuworo; Eka Noviya Fuzianingsih
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 02 (2024): Qanun Medika Vol 08 No 02 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i02.20329

Transient synovitis (TS), an abrupt, non-specific synovium inflammation, is the most prevalent cause of pediatric hip discomfort. Transient synovitis affects 3–10-year-olds. This disease is benign and self-limiting, but clinicians must distinguish it from an acute infection. After ruling out other causes of hip discomfort and limping, clinicians detect transient synovitis. Based on the patient's history, physical examination, and hip radiography, septic arthritis (SA) and TS care are the most likely causes. Clinicians must consider clinical factors and order appropriate lab and imaging tests to rule out alternative illnesses. This review aims to determine how to propose TS hip disease. The databases used were Scopus and PubMed. We included seven articles in our review. Clinical symptoms, lab testing, and radiographs determine the diagnosis. Ultrasound is a useful TS diagnostic tool since it is widely available, and children are not directly exposed to ionizing radiation. If TS and SA illnesses, which are commonly linked, are unclear, detecting bone marrow abnormalities, soft tissue lesions, synovial enhancement, and joint effusion by MRI can be beneficial. Laboratory tests help distinguish TS from SA because there are more extensive evaluations. Additionally, the healthcare provider performs a hip joint aspiration examination under ultrasound or fluoroscopy.

THE ROLE OF INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING TO ENHANCE SUCCESSFUL ORTHOPEDIC SURGERY Sananta, Panji; Wijaya, Anindita Eka Pramana; Putera, Marvin Anthony
MNJ (Malang Neurology Journal) Vol. 8 No. 1 (2022): January
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.01.8

One of the main advance in orthopaedic surgery domain has a goal to investigates the safest and harmless method in surgical procedures. Less complications means a better outcome of surgery. One of the commonest risks at orthopaedic surgery is central and peripheral nerve injury. The modality of Intraoperative Neurophysiologic Monitoring (IONM) which act to limit the risk of nerve injury during operative procedure through the evaluation of nerve integrity and function enable the surgeon to decrease injury to the nerve associated with orthopaedic surgical procedure in the operating room. This article aims to explain and describe the latest modality of IONM, its basic concept and its function at surgery. The last part of the article discussed about orthopaedic surgical techniques which use IONM. The authors hope that this article will enhance the knowledge of all the readers about IONM. This article was written based on literature study searched at Google Scholar, Medline and PubMed. The references were taken from a relatively up to date study ranging from 2013-2018. The article was selected according to the authors inclusion criteria and six articles was chosen as the references for this review. As a conclusion, IONM has an important role to increase successful rate of surgery through minimizing nerve injury risk during surgical procedure.

Management of Habitual Patellar Dislocation in Pediatrics Panji - Sananta; Ade Churie Tanjaya; Eka Noviya Fuzianingsih
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 01 (2025): Qanun Medika Vol 09 No 01 January 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i01.22714

Habitual patellar dislocation occurs when the knee is bent and returns to its usual position when straightened. Habitual patella dislocation is 13.5 per 100,000 in children under 13 and 147.7 per 100,000 in children 14–18. This review aims to present a comprehensive and complete literature on the management of habitual dislocation of the patella so that appropriate therapy can be obtained. A complete literature review was used in this investigation. Source search databases are PubMed, Science Direct, and Google Scholar. The literature study shows that habitual patellar dislocation in children is infrequent. Stability requires bone and connective tissue that match the patellofemoral joint. Patella alta, torsional, angular, trochlear dysplasia, muscular anomalies, ligamentous laxity, or ligament damage can produce lateral patellar habitual instability. The quadriceps muscle drags laterally to the limb's mechanical axis. Clinical children with recurrent patellar dislocation may experience a sudden dislocation that "disappeared somewhere." If this condition returns, patients frequently develop unusual knee edema and inflammation. MRI, CT, and plain radiography can diagnose this condition. A CT scan can detect trochlear dysplasia. Joint effusion, osteochondral lesions, medial retinaculum tears, and medial patella and lateral femoral condyle cartilaginous discolorations can be seen by MRI. Conservative or surgical treatment of habitual patellar dislocation depends on the deformity and its effects.

THE POTENCIES OF AUTOLOGOUS-CONDITIONED PLASMA FOR THE TREATMENT OF OSGOOD–SCHLATTER DISEASE: A LITERATURE REVIEW SANANTA, PANJI; PUTRA, YUDHA ANANTHA KHAERUL; FUZIANINGSIH, EKA NOVIYA
Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran Vol 8, No 1 (2025): Al-Iqra Medical Journal: Jurnal Berkala Ilmiah Kedokteran
Publisher : Journal Medical Universitas muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26618/aimj.v8i1.15814

Osgood-Schlatter disease (OSD) is characterized by inflammation of the patellar ligament at the tibial tuberosity resulting from growth-related overuse. Traction apophysitis of the anterior component of the tibial tuberosity (ATT) happens when the quadriceps muscle contracts at the point where the proximal tibial apophysis attaches to the tibia. The recommended interventions include the administration of analgesics, the provision of instruction on physical activity, and the implementation of physiotherapy. However, the duration of signs and symptoms can be extended. Autologous-conditioned plasma (ACP) injections are increasingly being employed in treating various musculoskeletal diseases due to their elevated concentration levels of growth factors compared to whole blood. The Autologous Concentrated Platelets (ACP) solution consists solely of platelet-rich plasma (PRP) devoid of leukocytes. This concentrated PRP will be administered via injection into the affected trauma region. The present literature evaluation used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. The current literature review demonstrates that autologous conditioned plasma (ACP) is a suitable alternative therapy for osteochondritis dissecans (OSD). The efficacy of OSD treatment can be enhanced by administering autologous conditioned plasma (ACP) into the affected region. Using autologous conditioned plasma (ACP) to treat orthopaedic and traumatological conditions, such as OSD and other musculoskeletal injuries, has much potential as a therapeutic intervention in orthopaedics and traumatology.

THE POTENCIES OF AUTOLOGOUS-CONDITIONED PLASMA FOR THE TREATMENT OF OSGOOD–SCHLATTER DISEASE: A LITERATURE REVIEW SANANTA, PANJI; PUTRA, YUDHA ANANTHA KHAERUL; FUZIANINGSIH, EKA NOVIYA
Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran Vol. 8 No. 1 (2025): Al-Iqra Medical Journal: Jurnal Berkala Ilmiah Kedokteran
Publisher : Journal Medical Universitas muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26618/aimj.v8i1.15814

Osgood-Schlatter disease (OSD) is characterized by inflammation of the patellar ligament at the tibial tuberosity resulting from growth-related overuse. Traction apophysitis of the anterior component of the tibial tuberosity (ATT) happens when the quadriceps muscle contracts at the point where the proximal tibial apophysis attaches to the tibia. The recommended interventions include the administration of analgesics, the provision of instruction on physical activity, and the implementation of physiotherapy. However, the duration of signs and symptoms can be extended. Autologous-conditioned plasma (ACP) injections are increasingly being employed in treating various musculoskeletal diseases due to their elevated concentration levels of growth factors compared to whole blood. The Autologous Concentrated Platelets (ACP) solution consists solely of platelet-rich plasma (PRP) devoid of leukocytes. This concentrated PRP will be administered via injection into the affected trauma region. The present literature evaluation used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. The current literature review demonstrates that autologous conditioned plasma (ACP) is a suitable alternative therapy for osteochondritis dissecans (OSD). The efficacy of OSD treatment can be enhanced by administering autologous conditioned plasma (ACP) into the affected region. Using autologous conditioned plasma (ACP) to treat orthopaedic and traumatological conditions, such as OSD and other musculoskeletal injuries, has much potential as a therapeutic intervention in orthopaedics and traumatology.

SPASTIC QUADRIPLEGIC CEREBRAL PALSY WITH EXPOSED MALUNION BONE AT BILATERAL PROXIMAL HUMERUS AND DISTAL FEMUR Azmy, Abdullah; Sananta, Panji; Nasrizarni, Nasrizarni
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 10 No. 1 (2026): APRIL 2026
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v10i1.53513

Anak dengan cerebral palsy berisiko mengalami fraktur kerapuhan akibat rendahnya densitas tulang yang disebabkan oleh berbagai etiologi. Status ambulasi pada pasien cerebral palsy merupakan salah satu faktor yang dapat memengaruhi densitas tulang. Penatalaksanaan fraktur pada kondisi ini sering kali berakhir dengan malunion, baik dengan terapi non-operatif maupun operatif. Spastic quadriplegic cerebral palsy (SQCP) merupakan tipe yang berat, menyebabkan kelumpuhan dan kekakuan otot pada kedua lengan dan tungkai, serta dapat memperberat proses penyembuhan fraktur tulang. Seorang gadis berusia 9 tahun telah mengeluhkan luka terbuka di bahu kanan dan kiri serta lutut kiri sejak 4 bulan yang lalu. Pemeriksaan radiografis pada kedua bahu dan lutut menunjukkan malunion pada humerus proksimal bilateral dan femur distal kiri. Pasien didiagnosis menderita cerebral palsy spastik quadriplegia GMFCS V dengan tulang malunion yang terekspos pada humerus proksimal bilateral dan femur distal. Kemudian ia diobati dengan antibiotik ampicillin sulbactam, luka dibersihkan (debridement), dilakukan osteotomi, dan penutupan luka primer. Penderita cerebral palsy GMFCS IV dan V memiliki insidensi fraktur tulang yang lebih tinggi, dan hal ini terkait langsung dengan densitas mineral tulang (BMD). Beban mekanis, baik akibat kontraksi otot maupun beban gravitasi, menyebabkan deformasi tulang dan meningkatkan kekuatan tulang. Spastisitas ditandai dengan peningkatan tonus otot, refleks yang hiperaktif, dan kehilangan gerakan sendi yang menyebabkan kontraktur.

The Effect of Antioxidant Administration on Interleukin 1 Beta Levels in Osteoarthritis: A Systematic Review Sananta, Panji; Dradjat, Respati Suryanto; Savitri, Galuh Ayu Ratna; Siahaan, Lasa Dhakka
Jurnal Biomedika dan Kesehatan Vol 9 No 1 (2026)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar

Introduction: Osteoarthritis (OA) is a degenerative joint disease that causes pain, inflammation, and impairment in physical functions. Antioxidants, which neutralize free radicals, have shown potential in modulating inflammatory responses associated with OA. Vitamin E can suppress IL-1β-induced toxicity of chondrocytes, preserving cartilage integrity. However, further investigation is needed to determine their efficacy in diverse populations and conditions, such as osteoarthritis (OA). Methods: The search was conducted across five databases: PubMed, Cochrane, Epistemonikos, Scopus, and ProQuest, as well as EBSCO, up to January 2025. Eligibility criteria included data availability in a compatible language, inclusion of intervention studies, involvement of animal or human samples with knee osteoarthritis, utilization of antioxidants for efficacy outcomes, and consideration of at least the interleukin-1 beta parameter. Results: The study thoroughly evaluated 13 studies, removing duplicates and conducting an initial screening of abstracts, and assessed their demographics and clinical characteristics. Six studies were evaluated using the RoB 2.0 tool for randomized clinical trials, and seven studies were assessed using the SYRCLE tool for animal trials. All studies have a low risk of bias. Conclusion: Antioxidants are effective in treating knee osteoarthritis (OA) compared to a placebo, but dosage is crucial for optimal results. Further safety studies are needed.

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