Background: Anterior knee pain (AKP), commonly termed patellofemoral pain syndrome, represents the most prevalent lower extremity complaint in college-aged populations, affecting approximately 25% of physically active students. While quadriceps muscle weakness has been extensively characterized in patellofemoral pain pathophysiology, the role of muscle stiffness—a distinct biomechanical property reflecting tissue resistance to deformation—remains inadequately explored.…

Introduction: Hungry Bone Syndrome (HBS) is a rare but potentially severe metabolic complication following parathyroidectomy, occurring mainly in patients with severe primary hyperparathyroidism (PHPT) and high bone turnover [1–3].

Case Reports: We report two cases of HBS occurring after parathyroidectomy for advanced primary hyperparathyroidism. Both patients presented with marked preoperative hypercalcemia, very high parathyroid hormone (PTH)…

Introduction Maturity Onset Diabetes of the Young (MODY) is a heterogeneous group of monogenic diabetes characterized by a primary defect in insulin secretion. It is a rare form of diabetes caused by autosomal dominant mutations, usually non-autoimmune and non-ketotic [1, 2]. The diagnosis of MODY is often overlooked in resource-limited countries, notably due to the frequent unavailability of genetic testing [3].

This study reports a series of 12 suspected MODY diabetes cases…

Median nerve injuries in pediatric patients represent a significant challenge due to their impact on hand function and fine motor development. This case report presents the rehabilitation outcomes of a seven-year-old child who sustained a traumatic injury involving the flexor pollicislongus and flexor carpi radialis muscles with associated radial artery injury and median nerve lesion. The patient underwent a structured physiotherapy program including neuromuscular electrical stimulation and…

Latent autoimmune diabetes in adults (LADA) is an autoimmune form of diabetes situated between classical type 1 diabetes (T1D) and type 2 diabetes (T2D). It typically affects older adults and progresses more slowly toward insulin dependence. We report three cases of elderly female patients presenting with inaugural diabetic ketosis revealing slowly progressive type 1 diabetes. These observations highlight the diagnostic challenges and clinical features of this still poorly understood entity…

Introduction Familial hypercholesterolemia (FH) is an autosomal dominant genetic disorder caused by mutations in several genes involved in low-density lipoprotein (LDL) metabolism [1, 2]. It is characterized by an isolated increase in LDL cholesterol and is associated with a high risk of premature cardiovascular disease [3].

This condition is often underdiagnosed and undertreated, especially in resource-limited countries where genetic testing is less accessible…

Objective: To compare the effectiveness and safety of conservative/medical therapy, Lord’s anal dilatation, lateral internal sphincterotomy, posterior sphincterotomy (including modifications), anorectal myomectomy, and early transanal endosurgical procedures in the management of chronic anal fissure.

Design: Retrospective cohort study.

Setting: Shri M. P. Shah Medical College and the Irwin Group of Tertiary University…

Background: Children with histories of extreme prematurity and congenital hypotonia often present with delayed motor development and gait instability. Positional vestibular dysfunction may be underrecognized in this population, and standard canalith repositioning maneuvers are frequently not feasible for toddlers.

Case Presentation: This case report describes a 3-year-old child born at 23 weeks gestation with congenital hypotonia and delayed…

Lateral epicondylitis or tennis elbow is a painful and functionally limiting entity affecting the upperextremity and is frequently treated by hand surgeons. Corticosteroid injection is one of the most common interventions for lateral epicondylitis or tennis elbow. Here, a review of the medical literature on this treatment is presented.

Keywords: Tennis Elbow; Steroid

Objective: To describe two-rickettsiosis laboratory-positive cases, and their eco-epidemiology, in non-autochthonous area of Brazil, 2022.

Methods: Case report study with environmental investigation, from May 1st to November 14th, 2022. Data collection occurred through interviews and health records; ectoparasites and dogs’ blood samples were collected, and spatial monitoring of a Rickettsia serologic reagent dog was performed. Software used: Epi…