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All Journal Jurnal Kedokteran Diponegoro Indonesian Journal of Biomedicine and Clinical Sciences
Meirizal, Meirizal
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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Scurvy with Musculoskeletal Pain in Indonesian Pediatric Patient: A Case Report Muhammad, Hilmi; Meirizal, Meirizal; Sakti, Yudha Mathan; Triangga, Aditya Fuad Robby; Lanodiyu, Zikrina Abiyanti; Putra, Ginanjar Reza; Yasser, Yasser; Putro, Yuni Artha Prabowo
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i5.44840

Abstract

Background: Scurvy is a potentially fatal disease caused by a severe deficiency of vitamin C, which can manifest as a musculoskeletal problem. Early diagnosis and treatment of vitamin C deficiency are crucial to prevent severe symptoms. Unfortunately, vitamin C level evaluations in Indonesia are very limited due to the lack of laboratory facilities. As a result, patients with scurvy are often underdiagnosed and do not receive adequate management. Case Presentation: 5-year-old boy with musculoskeletal pain and inability to walk. Radiographic findings showed a pathognomonic line of Fränkel, Trümmerfeld zone, and Wimberger ring sign, with laboratory evaluation showing an anemia and vitamin D deficiency. We did not perform a laboratory examination for vitamin C due to a lack of test facilities but the patient was given oral 250 mg of vitamin C daily instead. The patient showed significant improvement in symptoms and laboratory results after three months of vitamin C supplementation. To summarize, that vitamin C deficiency should be considered among patients with related musculoskeletal manifestations supported by imaging results. 
Restoring elbow flexion with latissimus dorsi to biceps transfer in an incomplete brachial plexus injury: a case report Meirizal, Meirizal; Irfantian, Ardicho; Mustofa, Fuad Dheni; Huwaidi, A Faiz; Lo, Agung Susilo
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 3 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i3.15740

Abstract

A brachial plexus injury is a common injury to the peripheral nerves, which can impair upper arm motion and diminish the quality of life. A 19 y.o. male experienced weakness in his right upper extremity after undergoing an open reduction and internal fixation (ORIF) procedure for a distal third radius and ulnar fracture four mo before the visit. Electroneuromyography revealed a dysfunction of the C4-T1 nerves, particularly affecting motor functions such as elbow flexion. The patient underwent latissimus dorsi advancement to biceps transfer with satisfactory results. The latissimus dorsi transfer procedure involves detaching a portion of the latissimus dorsi muscle and rerouting it to attach to the area where the biceps tendon inserts into the forearm. This transferred muscle can then be used to regain elbow flexion function. The latissimus dorsi is a powerful muscle, and transferring it offers the potential for greater restored elbow flexion strength and range of motion.
Co-Authors Hilmi Muhammad, Hilmi Huwaidi, A Faiz Irfantian, Ardicho Lanodiyu, Zikrina Abiyanti Lo, Agung Susilo Mustofa, Fuad Dheni Putra, Ginanjar Reza Sakti, Yudha Mathan Triangga, Aditya Fuad Robby Yasser, Yasser Yuni Artha Prabowo Putro