Comparison of two skin closure techniques in open carpal tunnel release: a randomized controlled trial on postoperative pillar pain and scar quality.

Background: Pillar pain and scar-related discomfort are common complications following open carpal tunnel release (CTR). While surgical approaches have been widely studied, the influence of skin closure techniques on postoperative pillar pain remains unclear. This study aimed to compare the effect of two different skin closure methods, subcuticular absorbable monocryl sutures versus interrupted non-absorbable nylon sutures, on postoperative pillar pain and scar quality.

Functional and electrophysiological outcomes following surgical treatment of cubitus varus associated with tardy ulnar nerve palsy: A case series.

Introduction: Cubitus varus deformity, a common late complication of pediatric supracondylar fractures, is often viewed as cosmetic but can lead to functional issues such as tardy ulnar nerve palsy (TUNP). While both conditions have been studied individually, the literature addressing their coexistence and the optimal surgical approach is limited.

Method: This study investigates functional and electrophysiological outcomes in patients with concurrent cubitus varus and TUNP who underwent tailored surgical treatment.

Capitate Fracture: Diagnostic Challenges, Treatment Strategies, and Long-Term Complications: A Narrative Review.

Background: This review aims to synthesize current knowledge on capitate fractures, with an emphasis on diagnostic challenges, therapeutic approaches, and long-term complications, including nonunion and avascular necrosis.

Methods: A narrative literature review was conducted using databases including PubMed, Scopus, and Google Scholar for studies published up to April 2025. Keywords included "capitate fracture," "carpal injuries," "avascular necrosis of the capitate," and "capitate nonunion.

Charcot arthropathy of the shoulder joint following Arnold-Chiari malformation: A case report.

Introduction: Charcot arthropathy of the shoulder is a rare, progressive joint disorder associated with neurosensory deficits, most commonly syringomyelia. It is infrequently linked to Arnold-Chiari malformation, making diagnosis and treatment particularly challenging.

Case Presentation: A 51-year-old man presented with chronic, painless swelling and limited range of motion in the right shoulder.

Can preoperative lower limb alignment angles predict necessary soft tissue release during total knee arthroplasty for varus knees? A retrospective cohort study.

Purpose: A proper balance of soft tissues is essential in total knee arthroplasty (TKA) for varus knees, but assessing soft tissue tension preoperatively is challenging. This study aimed to determine whether lower limb alignment angles can predict the necessary degree of soft tissue release.

Methods: A retrospective cohort study was conducted on 953 patients with varus knees (> 10°) who underwent primary TKA from 2018 to 2020.

Delayed diagnosis and surgical management of an isolated capitate fracture: A case report with two-year follow-up.

Introduction: Isolated capitate fractures are among the rarest carpal injuries and often remain undetected due to subtle radiographic findings and the bone's central location within the carpus. When diagnosis is delayed, complications such as nonunion and avascular necrosis (AVN) may develop, requiring advanced surgical management.

Case Presentation: A 20-year-old male manual laborer presented with persistent wrist pain and restricted motion six months after a motorcycle accident.

Practice Trends in Primary Total Knee Arthroplasty among Members of the Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology.

Objectives: The survey conducted at the 2024 biennial meeting of the Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST) aimed to assess practice trends among ISKAST members in primary total knee arthroplasty (TKA), thereby providing a benchmark for future studies.

Methods: The session moderator presented multiple-choice questions via an audience response system to 94 registered ISKAST members. Responses were collected centrally and subsequently displayed to the audience after a brief interval.

Management of open periprosthetic distal femoral fracture using a novel hybrid technique combining Masquelet and DAIR procedure: A case report.

Introduction: Periprosthetic distal femoral fractures (PPDFF) present complex clinical challenges, particularly when accompanied by open injuries and significant bone loss. Conventional treatments, including open reduction and internal fixation (ORIF) or distal femoral replacement (DFR), carry high complication rates such as infection, non-union, and implant failure. This report describes a novel hybrid approach combining the Masquelet technique with Debridement, Antibiotics, and Implant Retention (DAIR) for managing open PPDFF.

Diagnostic challenges of carpal tunnel syndrome in patients with congenital thenar hypoplasia: a comprehensive review.

Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy, frequently presenting with pain, numbness, and muscle weakness due to median nerve compression. However, diagnosing CTS becomes particularly challenging in patients with Congenital Thenar Hypoplasia (CTH), a rare congenital anomaly characterized by underdeveloped thenar muscles. The overlapping symptoms of CTH and CTS, such as thumb weakness, impaired hand function, and thenar muscle atrophy, can obscure the identification of median nerve compression.

Arthroscopic Repair of the Medial Meniscal Root Tear: A Simple Surgical Technique.

Medial meniscal root tears pose significant challenges in orthopaedic practice, disrupting knee biomechanics and predisposing to degenerative changes. This article introduces an arthroscopic repair technique tailored for posterior root tears of the medial meniscus. The procedure involves meticulous preoperative evaluation, arthroscopic identification, and suture anchor fixation to restore normal knee mechanics.

Tenodesis in Flail Foot: A New Surgical Technique.

Flail foot is a condition characterized by a significant weakness in ankle dorsiflexion, resulting in limited or no active mobility in the ankle. To address this issue, we described a novel approach called tenodesis, which has been developed for ankle joint stabilization. This technique utilizes the patient's tendons to minimize potential complications.

A Half-century Experience of Running Journal Clubs and applying Interactive Teaching-learning Methods at Orthopedic Department of Tehran University of Medical Sciences.

Journal club is crucial in medical professions education, especially residency training. Critical evaluation allows learners to read, understand, and apply the evidence to bridge the gap between research and practice. Academic members of the Tehran University of Medical Sciences (TUMS) Orthopedic Department have held about 2,300 weekly sessions for around 50 years, even in times of crises, to review the latest publications in orthopedics and sometimes linked their journal clubs to hospitalized cases.

Prevalence of and Other Intestinal Parasites among Institutionalized Mentally Disabled Individuals in Rasht, Northern Iran.

Background: We aimed to determine the status of strongyloidiasis in mentally disabled population in the institutional places in Rasht City, the capital of Guilan Province, northern Iran.

Methods: This cross-sectional study was conducted in 8 institutions for mentally retarded population in Rasht in 2013. Before collecting the samples, a questionnaire was filled out for each participant by an expert person.