Osteology and Rheumatology - Open Journal (ORHOJ)
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Recently Published Articles
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High and Rapid Effectiveness of Manipulation in the Symptomatic Subluxation of the Proximal Tibiofibular Joint in a Child: A Case Report
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406.39 KB Full-Text (HTML)
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A Few Considerations on “A Rare Cause of Shoulder Pain Ganglion Cyst of the Acromioclavicular Joint”: A Letter to the Editor
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266.06 KB Full-Text (HTML)
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An In-Depth Analysis of Our Myositis Cohort Following the Example of the EuroMyositis Registry
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437.57 KB Full-Text (HTML)
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A Rare Cutaneous Manifestation of the Systemic Erythematosus Lupus: The Chilblain Lupus – A Clinical Case
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408.66 KB Full-Text (HTML)
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Non-Invasive Treatment for Adhesive Capsulitis Not Helped by Physical Therapy: A Case Study in Manipulative Medicine
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287.82 KB Full-Text (HTML)
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Glucocorticoid Induced Hypothalamic-Pituitary Axis Alterations Associated with Hypogonadotropic Hypogonadism
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428.78 KB Full-Text (HTML)
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The QuickDASH in the Assessment of Rheumatoid Arthritis Disease Activity
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510.58 KB Full-Text (HTML)
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A Rare Cause of Shoulder Pain: Ganglion Cyst of the Acromioclavicular Joint
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1.40 MB Full-Text (HTML)
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Tumor Necrosis Factor Inhibitors May Improve Glycemic Control in Patients Rheumatoid Arthritis and Concomitant Type 2 Diabetes Mellitus
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319.93 KB Full-Text (HTML)
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Cultural Adaptation for Common Orthopedic Disorders Pathology and Presentations With Focus on Middle Eastern and Asian Patients
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342.66 KB Full-Text (HTML)
About the Journal
Osteology and Rheumatology – Open Journal (ORHOJ) is an online open access journal that serves as a one-stop guide for osteology and rheumatology related topics and discussions.
Osteology is the branch of medicine that deals with the study of bones and its diseases.
Rheumatology is the study of diseases related to the joints, muscles, tissues, and ligaments.
Openventio is dedicated to act as a complete reference point for all osteology and rheumatology professionals and students across the world.
Aims and Scope
Osteology and Rheumatology – Open Journal aims to act as a medium for promoting better research improvements and education in various medical communities worldwide.
ORHOJ covers a wide array of subjects as given below:
- Human osteology
- Bone clones
- Forensic human osteology
- Orthopedics
- Cervical spine deformity
- Arthritis
- Osteoporosis
- Fibrositis
- Rheumatology
Openventio encourages documentation of the ever growing medical community to ensure that the data is passed on to the future practitioners and researchers.
Submissions for this journal are accepted from all practitioners and students of osteology and rheumatology, from experts and novices willing to contribute and expand the field.
The audience of ORHOJ includes doctors, nurses, research assistants, local community practitioners, manufacturers, and students of various universities and general communities from different parts of the world.
The journal welcomes all types of articles such as original research, review, case-report, mini-review, editorial, short-communication, book review, opinion, commentary, letter to the editor, conference proceedings, technical report, errata, illustrations, etc.
We are open to receive comments and corrections from subject experts to improve the quality of our journal.
Article in press
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Is Normal Knee Biomechanics Reproduced by Modern Total Knee Arthroplasty Designs? The Role of Fluoroscopy
Provisional PDF
530.35 KB Full-Text (HTML)
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Cultural Adaptation for Common Orthopedic Disorders Pathology and Presentations With Focus on Middle Eastern and Asian Patients
Provisional PDF
342.66 KB Full-Text (HTML)
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Tumor Necrosis Factor Inhibitors May Improve Glycemic Control in Patients Rheumatoid Arthritis and Concomitant Type 2 Diabetes Mellitus
Provisional PDF
319.93 KB Full-Text (HTML)
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A Rare Cause of Shoulder Pain: Ganglion Cyst of the Acromioclavicular Joint
Provisional PDF
1.40 MB Full-Text (HTML)
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The QuickDASH in the Assessment of Rheumatoid Arthritis Disease Activity
Provisional PDF
510.58 KB Full-Text (HTML)
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Glucocorticoid Induced Hypothalamic-Pituitary Axis Alterations Associated with Hypogonadotropic Hypogonadism
Provisional PDF
428.78 KB Full-Text (HTML)
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Alternative Effective Management of the Musculoskeletal Pain
Provisional PDF
319.79 KB Full-Text (HTML)
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Diagnosis and Cure: Intellectual Honesty is the Basis of All Science
Provisional PDF
271.12 KB Full-Text (HTML)
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Non-Invasive Treatment for Adhesive Capsulitis Not Helped by Physical Therapy: A Case Study in Manipulative Medicine
Provisional PDF
287.82 KB Full-Text (HTML)
Abstract [+]
This case documents the treatment of a middle-aged woman with chronic, unresponsive adhesive capsulitis (frozen shoulder) using manipulation, active release therapy, and electronic acupuncture. She had not responded to typical physical therapy but did respond to active release therapy along with adjunctive manipulation and acupuncture. In our course of treatment we wanted to see if we could significantly improve pain-free range of motion and normal; function without using invasive treatments like surgery and manipulation under anesthesia. Over a course of five weeks, using a soft tissue manipulation technique known as active release technique along with electrified acupuncture and home exercises, we were able to increase her range of motion to near normal and her function to normal. She was not forced to miss any work because of the treatment and can now do all the things she needs to do for work.
Keywords
Frozen shoulder; Adhesive capsulitis; Manipulation; Active release therapy; Non-invasive treatment.
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A Rare Cutaneous Manifestation of the Systemic Erythematosus Lupus: The Chilblain Lupus – A Clinical Case
Provisional PDF
408.66 KB Full-Text (HTML)
Abstract [+]
Perniosis or chilblain pernio is an inflammatory skin disease, typically located on acral skin surfaces secondary to prolonged exposure to cold temperatures and damp conditions. This disorder can appear as an idiopathic dermatosis, usually in young women, but occasionally it is associated with diseases such as anorexia, intestinal lymphoma, chronic myelomonocytic leukemia, monoclonal gammopathies, cryoproteinaemia, viral infections, as well as connective tissue diseases, especially lupus, picture that is known as chilblain lupus. We present a case of perniosis associated with Systemic Lupus Erythematosus and review the literature.
Keywords
Chilblain lupus; Perniosis; Chilblain pernio; Rare cutaneous; Myelomonocytic leukemia; Systemic Lupus Erythematosus.
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Bone Grafting, Its Principle and Application: A Review
Provisional PDF
413.45 KB Full-Text (HTML)
Abstract [+]
Bone grafting is a surgical procedure that replaces missing bone through transferring bone cells from a donor to the recipient site and the graft could be from a patient’s own body, an artificial, synthetic, or natural substitute. Bone grafts and bone graft substitutes are indicated for a variety of orthopedic abnormalities such as comminuted fractures (due to car accidents, falling from a height or gunshot injury), delayed unions, non-unions, arthrodesis, osteomyelitis and congenital diseases (rickets, abnormal bone development) and are used to provide structural support and enhance bone healing. Autogenous, allogeneic, and artificial bone grafts are common types and sources of grafts and the advancement of allografts, synthetic bone grafts, and new operative techniques may have influenced the use of bone grafts in recent years. Osteogenesis, osteoinduction, osteoconduction, mechanical supports are the four basic mechanisms of bone grafting and help bone tissue to regenerate completely. A bone graft can be harvested from the iliac crest, proximal tibia, proximal humerus, proximal femur, ribs, and sternum. An ideal bone graft substitutes should be biologically inert, readily available, must possess osteogenic, osteoinductive and osteoconductive properties, provide mechanical support, easily adaptable in terms of size, shape, length and substituted by the host bone. Bone banks are the source of bone grafts and implants and necessary for providing biological material for a series of orthopedic procedures. Bone grafts and implants can be selected as per clinical problems, the equipment available and the preference of the surgeon. A search for an ideal bone graft is on and may continue time to time.
Keywords
Application; Bone; Bone graft; Bone replacement; Bone bank; Principle.
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An In-Depth Analysis of Our Myositis Cohort Following the Example of the EuroMyositis Registry
Provisional PDF
437.57 KB Full-Text (HTML)
Abstract [+]
Background
To describe our myositis cohort in-depth.
Methods
From January 2006 to December 2018, all newly diagnosed myositis patients were retrospectively enrolled in the study. We performed a subtype reclassification using the 2017 EULAR/ACR criteria, following the example of the EuroMyositis registry. Disease activity and damage were measured by the newest standardized assessment-tools for clinical studies. Comparisons between myositis subgroups were conducted using Fisher’s exact test.
Results
We enrolled 32 patients (25 were female): six patients with dermatomyositis, six with polymyositis, eleven with overlap myositis, six with antisynthetase syndrome, one with autoimmune necrotizing myopathy, one with juvenile antisynthetase syndrome and one with juvenile dermatomyositis. The overall median follow-up period was 23-months (9-44.75). Interstitial lung disease (ILD) was most frequently seen in patients with antisynthetase syndrome. Patients with overlap myositis were more likely to have polyarthritis mimicking rheumatoid arthritis, reduced capillary density in the nail fold capillaroscopy and Raynaud syndrome. Ovarian cancer during the follow-up period occurred in two patients (one with polymyositis and one with dermatomyositis). Myositis-related death was reported in two patients: acute respiratory failure in autoimmune necrotizing myopathy and dysphagia-related complications in polymyositis. Cyclophosphamide, methotrexate and rituximab demonstrated a significant steroid-sparing effect. In 22 of 32 patients, the myositis subgroup classifications made on the basis of our opinion and the new EULAR/ACR classification criteria were different, showing strong disagreement, especially in the subtype polymyositis.
Conclusion
Our analysis highlights the heterogeneity in myositis subgroups and shows the steroid-sparing effect of cyclophosphamide, methotrexate and rituximab.
Keywords
Myositis; Idiopathic inflammatory myopathy; Dermatomyositis; Antisynthetase syndrome; Overlap myositis; Rituximab.
Abbreviations
CCP: Cyclic Citrullinated Peptide; CK: Creatine kinase; CYC: Cyclophosphamide; IIM: Idiopathic Inflammatory Myopathy; ILD: Interstitial lung disease; IMACS: International Myositis Assessment and Clinical Studies Group; MDI: Myositis Damage Index; MMT8: Manual muscle test 8; MTX: Methotrexate; MYOACT: MYOsitis disease ACTivity; RTX: Rituximab; TIF-1γ: Transcriptional factor-1γ.
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Cutaneous Polyarteritis Nodosa in Adult Patient
Provisional PDF
363.61 KB Full-Text (HTML)
Abstract [+]
Cutaneous polyarteritis nodosa is a rarer variant of classic polyarteritis nodosa with unknown etiopathogenesis. It presents with skin, articular and nervous involvement, after systemic involvement is ruled out. This work reports the case of a 41-year-old male patient diagnosed with cutaneous polyarteritis nodosa with skin lesions, polyarthralgia and sensory axonal polyneuropathy.
Keywords
Skin; Polyarteritis; Vasculitis; Biopsy; Immunofluorescence; Histology.
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A Few Considerations on “A Rare Cause of Shoulder Pain Ganglion Cyst of the Acromioclavicular Joint”: A Letter to the Editor
Provisional PDF
266.06 KB Full-Text (HTML)
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High and Rapid Effectiveness of Manipulation in the Symptomatic Subluxation of the Proximal Tibiofibular Joint in a Child: A Case Report
Provisional PDF
406.39 KB Full-Text (HTML)
Abstract [+]
In this article, a case of the lower leg and feet pain and cramps in a 5-year-old girl disturbing the child for two-years was described. These symptoms had been occurring just during the nights and lasted sometimes for 2-3-hours. There were no visible causes of this disorder. Previous examinations in a pediatric office and by a podiatrist did not reveal any pathology. In our office, both fibular heads were found to be subluxated postero-medially. We hypothesized that a causative factor of the pain and cramps was the involvement of the common peroneal nerve due to this subluxation. Manipulation of the fibular heads (a high-velocity, low-amplitude thrust) eliminated these symptoms after just two visits. In the future, these symptoms in the child occurred just a couple of times during the next eight-years of follow-up observations. Various types of treatment of the proximal tibiofibular joint pathology, the common peroneal nerve involvement, and the significance of manipulative therapy in this type of involvement that resulted in rapid and high effectiveness, are discussed in the article.
Keywords
Proximal tibiofibular joint (PTFJ); Symptomatic subluxation; Manipulative therapy; Joint dislocation; Postero-medial subluxation.
