Department of Orthopaedics and Traumatology

Morquio syndrome is a rare multisystem disease that leads to
severe functional impairment. Serious morbidities and potentially
fatal conditions may be present following affectation of various
organs. Musculoskeletal abnormalities, including short stature,
spinal deformities, hip dysplasia, genu valgum, pectus carinatum,
among other abnormalities, constitute the common mode of
presentation. This is a case report of a 28-year old male Nigerian
student with severe musculoskeletal deformities, who presented
with a one- year history of right hip pain and inability to walk of 5
months duration. He was 1.16 metre (116cm) tall and weighed
27kg, with subluxed hips, absent femoral heads, spine deformities
and dysplastic acetabula. All deformities observed in the patient fit
into a clinical suspicion of Morquio syndrome.
Keywords: Morquio, Musculoskeletal deformities, Rare disease, Nigeria

Background: Low back pain is one of the commonest indices for referral to radiological evaluation of lumbo-sacral spine. The underlying pathology may be divulged by the exploit of conventional lumbo-sacral radiography. Purpose: By collating and analysing the lumbo-sacral radiographs of patients with low back pain, we hope to give an account of the accompaniments of low back pain and where possible, to deduce its causes in our local environ. Study design/Setting: A cross-sectional prospective study. Patient Sample: Two hundred and forty patients were enrolled in the study Outcome Measures: Pathologies were evaluated based on features seen on the paired lumbo-sacral radiographs of anterior-posterior and lateral. Methods: Anterior-posterior and lateral plain radiographs were done under standardized conditions after recording of patient’s biodata. Radiographs were analysed using SSPS 13 statistical computer package. Results: A total of 240 patients aged 10-89years with mean age of 48.9 ...

Diabetic foot is a frequent complication of diabetes mellitus with subsequent disturbances in the daily life of the patients. The co-existence of depression and anxiety among diabetic foot patients is a common phenomenon and the role of each of them in perpetuating the other is highlighted in the literature. Our study aimed to determine the prevalence rates of anxiety and depression, and to examine the associated risk factors among diabetic foot patients. This is a cross-sectional study. A total of 260 diabetic foot patients in the Diabetic Foot Clinic at the National Center for Diabetes, Endocrinology and Genetics (NCDEG), Amman, Jordan, participated in the study. Sociodemographic and health data were gathered through review of medical charts and a structured questionnaire. Depression and anxiety status were also assessed. The Generalized Anxiety Disorder Scale (GAD-7) was used to screen for anxiety and the Patient Health Questionnaire (PHQ-9) was used to screen for depression. A c...

The human body conducts electricity very well. Direct contact with electric current can be lethal. The passage of electric current through the body is capable of producing a wide spectrum of injuries, including serious damage to the heart, brain, skin and muscles. Naked high-voltage electric cables negligently abandoned in residential, commercial and industrial areas are a recipe for disaster. This is a case report of a 5-year girl child who had bilateral lower limb gangrene following electrical burns injury. She presented with a fourday history of electrical burns injuries of both lower limbs including both gluteal regions, associated with a three-day history of fever, with full thickness burns and sepsis, ultimately leading to bilateral above knee guillotine amputations. High-voltage electric current, bilateral lower limb gangrene, bilateral above knee amputation.

Aim: Consumption of alcohol plays a key role in traumatic injuries The capacity of alcohol to distort human cognitive ability and reasoning makes it an important factor in the causation of motor vehicle and interpersonal violence-related injuries The aim of this study was to investigate the role of alcohol in severe facial injuries in settings of motor vehicular crashes and interpersonal violence. Study Design: A prospective study of 118 patients who suffered alcohol-related facial injuries. Place and Duration of Study: The study was conducted at the University of Uyo teaching hospital Uyo, Nigeria over a 5-year period, from January 2007 to January 2021. Methodology: The variables analyzed included socio demographics, nature of injury and sites of injuries. Alcohol Use Disturbance Identification Test (AUDIT test) was used to identify risks and damages of alcohol use and dependence. Data analysis was done using SPSS version 21.0. Multivariate analysis was carried out using binary logistic regression analysis, P = 0.05 was considered to be statistically significant. Results: A total of 118 patients suffered alcohol-related facial injuries in the period of the study. There were 97 males and 21 females, giving a male to female ratio of 4:1 The mean age of the patients' population was 43 .The commonest age range involved in alcohol-related facial injuries was 29-38 years. Road traffic injuries were the commonest cause of facial injuries. Medium risk

Background: There is a dearth of data on ballistic related injury from developing countries. The pattern of gunshot injuries from Uyo, Akwa-Ibom State is yet to be evaluated. The aim of this study was to evaluate the pattern of gunshot injuries presenting to the tertiary hospital in Uyo, Akwa-Ibom State over a 22 month period from 2013 to 2014, using data from the trauma registry at the University of Uyo Teaching Hospital. Methods: A retrospective study. Data on gunshot injuries in 2013 and 2014 was abstracted from the trauma registry. Results: Twenty-seven patients sustained gunshot injury over the period of the study. The male to female ratio was 5.8:1. Mean age was 34 years. Median time to presentation was 5.1 hours (IQR) (2.9-10.4). Seventy percent of injuries occurred at home or on the road. Twenty six percent of injuries occurred in the trunk. The low to medium socioeconomic group had 88.9% of the patients. Conclusion: The pattern of gunshot injuries in Uyo, Akwa-Ibom State are similar to that found in other non-combatant zones of Nigeria. However, it was noted that the numbers per year were relatively fewer than those from the SouthWest of Nigeria; most patients were from the low to medium socioeconomic group.

An Abnormal anatomical variation of any part of the body is a predictor of functional aberration of that part. Congenital talipes equinovarus imposes some functional compromise on the foot, resulting in structural adaptation or modification of the local anatomy in conformity with the direction of the structural stress that subserves the abnormal function. The foot deformities of congenital talipes equinovarus interfere with the locomotive ability of the individual by alteration of gait biomechanical parameters, leading to an imbalance in the gait. Evidence suggests that 80% of infants with congenital talipes equinovarus deformity live in developing countries. The aim of this review article is to promote the awareness of congenital talipes equinovarus deformity among the health care providers' population within the study locality. A review of the literature on the subject of congenital talipes equinovarus deformity was done. Anatomical perspectives, epidemiological information, aetiological factors, patho-anatomy and treatment of congenital talipes equinovarus were extracted and presented.

Complex limb injuries are common in our environment. The functional outcome in an above knee amputee with a destroyed, unstable and chronically subluxed contralateral knee is a challenge to the patient and the Surgeon. This is a case report of a contralateral Total Knee Replacement in a twenty-four year old male Nigerian above the left knee amputee, following bilateral lower limb trauma from road traffic injuries. There was a chronically painful, subluxed, unstable and osteoarthritic right knee in this above the left knee amputee. He had a cruciate substituting right total knee replacement two years after his initial injuries. At six month of follow-up he had no knee pain. He ambulated in the immediate community without a walker and the right knee was stable with good range of movement (5-110 degrees).

Background: Congenital talipes equinovarus imposes some functional compromise on the foot, resulting in structural adaptation or modification of the local anatomy in conformity with the direction of the structural stress that subserves the abnormal function. The success or otherwise of treatment is a measure of the degree of reversal of these structural adaptations and functional deficits. The aim of this study was to evaluate the early treatment outcome in the background of late presentation among subjects in a new clubfoot program of a Nigerian university teaching hospital. Methodology: A 6-month prospective, descriptive and health facility-based cross-sectional study of early treatment outcome of congenital talipes equinovarus among children in a Nigerian university teaching hospital is presented. Results: Sixty-seven children met the inclusion criteria and were recruited for this study. There was a slight preponderance of males over the females, with a male to female ratio of 1.6: 1. The mean age of the study population was 31.6 ± 23.64 months. In 45 (67.2%) children, the clubfoot was bilateral and unilateral in 22 (32.8%). Idiopathic clubfoot was the commonest variant at the rate of 70.1%. Thirty-nine (58.2%) had percutaneous tenotomy (Achilles tendon tenotomy), while 28 (41.8%) did not. The mean of the total initial Pirani score (4.61±1.18) was higher than that of the total final Pirani score (0.81 ± 0.49), with p < 0.001. The mean Pirani score of the left foot (4.78 ± 1.08) in the subjects who had percutaneous tenotomy was higher than that of subjects (3.83 ± 1.88) who did not have percutaneous tenotomy (p = 0.03). The odd of subjects with callosity to achieve correction at 10 or more cast was 11.8 times that of the subjects without callosity. On a logistic regression model, total initial Pirani score and callosity were independently significant (p < 0.05) in being associated with ≥10 castings for correction. For a unit increase in total initial Pirani score, the relative risk ratio of requiring ≥10 cast was 3.49 when the other variables are held constant in the logistic regression model. The relative risk ratio of requiring ≥10 cast for correction increased by 1.03 for a unit monthly increase in the age of the subject. Conclusion: Late presentation of clubfoot for treatment was common in this study. The Pirani score remained a reliable tool for assessing severity and monitoring treatment of clubfoot, and was valid across all age groups of clubfoot subjects seen in this study. In this study, it predicted the need or otherwise for percutaneous tenotomy, and correlated positively with the number of casting sessions required for correction.