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INDONESIA
Indonesian Journal of Medicine
ISSN : -     EISSN : 25490265     DOI : -
Core Subject : Health,
Indonesian Journal of Medicine (IJM) is an international, open-access, and double-blind peer-reviewed journal, focusing on the intersection of biomedical science, clinical medicine, and community medicine. The journal began its publication on August 20, 2015, and is published online three times yearly. It is academically designed for all physicians, health researchers, and health care professionals, regardless of their medical specialties, or type of employment.
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Articles 12 Documents
Search results for , issue "Vol 5, No 1 (2020)" : 12 Documents clear
To Pin a SCFE One Screw is Preferred than Two Screws in Children Nefihancoro, Udi Heru
Indonesian Journal of Medicine Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Slipped capital femoral epi­phy­sis (SCFE) is one of the most frequent hip dis­or­ders in children. SCFE is due to the dis­plac­ement of the epiphysis (femoral head that keeps its location in the acetabulum) relative to the me­taphysis (femoral neck) and shaft at the phy­sic level. Treatment seeks to prevent wor­sen­­ing of epiphyseal slippage on the meta­phy­sis, and percutaneous in situ fixation (ISF) using a single cannulated screw has long shown effi­cacy.Case Presentation: An 11 years old boy pre­sented with diagnosed with slipped capital fe­mo­ral epiphysiolysis of right hip and treated ope­­­ratively with one screw pinning guiding flu­o­­roscopy. Post operatively, from X-Ray eva­lu­a­tion confirmed the proper position without jo­int penetration. Patient is then advised to walk with crutches for gradual weight bearing to full weight bearing after 4 weeks. Then after 6 weeks, patient had already walked normally again.Conclusion: In unstable moderate-to-severe SCFE, the best reduction indications and tech­ni­­que remain controversial. There are many the­­ories supporting one or two screws pinning tech­­nique. In this case we used one screw pin­ning fixation with excellent result.Keywords: slipped capital femoral epiphysis, treatment, one screw in situ fixationCorrespondence: Udi Heru Nefihancoro. Department of Orth­o­pae­dic and Traumatology, Dr. Moewardi Hos­pi­tal/ Faculty of Medicine, Universitas Sebelas Ma­ret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email:udyhe­runefy@ymail.­com. Mo­bile: +62 816-672-767.Indonesian Journal of Medicine (2020), 5(1): 24-30https://doi.org/10.26911/theijmed.2020.05.01.04
Current Concept Management of Carpal Tunnel Syndrome: A Case Report Utomo, Pamudji; Surya, Wan Adi; Sumarwoto, Tito
Indonesian Journal of Medicine Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (765.936 KB)

Abstract

Background: Carpal Tunnel Syndrome (CTS) is the most common median nerve compression neuropathy. CTS presents in 3.8% of the general population, affecting female more than male. CTS can be clinically or surgically treated, based on the severity of the disease. This study aimed to reported current concept management of carpal tunnel syndrome.Case Presentation: A 48 years old female presents with history of numbness on her left hand since 1 year ago, which were preceded by pain on her wrist. Her symptoms are worse at night, she often awakes because of the pain, and she shakes her hands for relief. The numbness was getting worse when she was working with her left hand. She also felt progressive decrease of sensation on her left hand. No systemic symp­toms are noted. On examination, there is obvious thenar muscles atrophy on her left hand. There is no weakness on motoric examination. Wrist and finger range of motion are within normal limit. She felt tingling sensation on her 3 radial digits with Tinel and Phalen maneuvers.Results: Non-operative treatments, like splint­ing, corticosteroid injection, exercise, and oral medication are still widely used and effective to reduce symptoms of CTS. For operative treat­ment, OCTR still become a standard treatment of severe CTS.Conclusion: Carpal tunnel syndrome manage­ment can be done by operative or non-operative treatments.Keywords: Carpal Tunnel SyndromeCorrespondence: Pamudji Utomo. Department of Orthopaedics and Traumatology Prof. Dr. R.Soeharso Ortho­paedics Hospital, Surakarta. Email: utomodr­@yahoo.com.Indonesian Journal of Medicine (2020), 05(01): 70-86https://doi.org/10.26911/theijmed.2020.05.01.11

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