Spinoglenoid Notch Ganglion Cyst: A Case Report.

Suprascapular nerve dysfunction caused by ganglion cysts is a rare condition that can cause significant pain and weakness in the shoulder. The suprascapular nerve is a branch of the brachial plexus that innervates the supraspinatus and infraspinatus muscles. It is most commonly compressed at the suprascapular notch or the spinoglenoid notch. A 40-year-old male presented with a two-year history of left shoulder pain that was aggravated by overhead activities. Physical examination revealed mild tenderness along the infraspinatus with noticeable atrophy, full range of motion, and mild external rotation weakness. MRI was obtained and confirmed the suspected diagnosis of suprascapular nerve dysfunction caused by a ganglion cyst at the spinoglenoid notch. The patient was initially treated conservatively with physical therapy and non-steroidal anti-inflammatory drugs (NSAIDs), but after completing nine months of conservative management, he showed no improvement. The patient elected to undergo open ganglion cyst excision and decompression of the spinoglenoid notch. Postoperatively, the patient's pain resolved gradually and he regained the full power of external rotation. The patient was followed for one year postoperatively and was satisfied with the outcome with a full range of motion, full power, and a complete return to his baseline level of activity. In conclusion, this case report demonstrates the successful treatment of suprascapular nerve dysfunction caused by a ganglion cyst at the spinoglenoid notch with open ganglion cyst excision and decompression. This procedure is a safe and effective treatment option for patients with this condition who have failed to respond to conservative treatment and emphasizes and signifies the role of eliciting a detailed patient history, conducting a thorough radiographic examination including MRI scans, and planning optimum surgical interventions.

Simultaneous Bilateral Neck of Femur Fracture After Spiritual Therapy.

Bilateral simultaneous fracture of the neck of the femur is an extremely rare injury; out of the reported cases, 50% are caused by electrical shock. We reported a rare case of simultaneous bilateral femur neck fracture caused by electrical shock as a part of spiritual therapy. The patient underwent bilateral open reduction and internal fixation with cannulated screws. Unfortunately, the fixation failed, and the patient underwent bilateral total hip arthroplasty. The patient was satisfied with the outcome at the final follow-up.

Correlation of racial effect with severity of disease and in-hospital outcome in individuals diagnosed with COVID-19.

INTRODUCTION: There are many countries that inhibit diverse populations and hence, studies have been conducted to find the relation between ethnic and racial groups within a society and incidence or mortality because of coronavirus disease-19 (COVID-19). OBJECTIVES: The purpose of this study was to evaluate the racial effect on the severity of disease and in-hospital outcomes in individuals diagnosed with COVID-19. PATIENTS AND METHODS: This retrospective study is based on records of 804 tested positive COVID-19 patients presented at Dammam Medical Complex and Braira quarantine from March 2020 to May 2020 was conducted after approval from the ethical board. Patient's records included the routine patient's consent statement about the explanation of all the investigations and procedures before being performed. Data were retrieved and included in the analysis were age, gender, country of origin, racial background (Arab, Caucasian, Asian, Black, Latin and Hispanic), the severity of COVID-19 and outcome. RESULTS: Out of total 804 confirmed patients of COVID-19, there were 647 (80.5%) male patients and 157 (19.5%) female patients (M:F ratio = 4.1:1). Male preponderance was seen in all racial groups and significantly higher amongst the Asians than the Middle Eastern race (91.2% vs. 70.3%, p = .000). The mean age of Asians was significantly higher than the mean age of the Middle Eastern and Black and Caucasian races (42.8 ± 10.0 vs. 39.6 ± 16.3 vs. 37.0 ± 10.3, p = .003). The proportion of deaths was considerably higher amongst Asians (5.4%) compared with Middle Eastern patients (1.2%) (p value = .001). CONCLUSION: Severity and in-hospital outcome were varying considerably amongst the racial groups. East and South Asian COVID-19 patients had more severe symptoms and less recovery rate compared with other groups, late presentation may be a contributory reason. Hence, evaluation of the severity of COVID-19 in relation to the various racial groups along with demographic characteristics and other risk factors can provide baseline guidance to the clinical care providers to initiate earlier and appropriate treatment.

Necrotizing Fasciitis Following Wet Cupping: A Case Report.

Cupping therapy is a widely practiced form of adjunctive medicine and it has been used since ancient times. It involves using cups over the skin to create negative pressure. The exact mechanism by which cupping therapy exerts its effects is unknown, but it is thought to act as an artificial kidney. In this report, we present a case of a 35-year-old male who developed Pseudomonas-positive necrotizing fasciitis following wet cupping therapy. He refused surgical intervention and subsequently died. Necrotizing fasciitis is a severe soft tissue infection that has a high mortality rate. The only proven intervention to improve survival is aggressive surgical debridement. There have been a few reports of infectious complications following wet cupping, including lumbar abscess and septic arthritis; however, to the best of our knowledge, this is the first report of a necrotizing soft tissue infection following cupping therapy.

Uptake of influenza vaccination, awareness and its associated barriers among medical students of a University Hospital in Central Saudi Arabia.

Outbreaks of influenza epidemics are common but influenza vaccination is sub-optimal among the healthcare staff including the medical students. The study aims to assess the rate of vaccine uptake among medical students, its associated barriers and levels of awareness. A cross sectional study was done at a University Hospital in Saudi Arabia on 421 medical students by self administered questionnaire from February to March 2015. The immunization rate of seasonal influenza vaccine was just 20.7% in 2015, while it was 57% for cumulative of previous three-year period. The intended uptake among those offered vaccination was 68%. The significant determinants of vaccine uptake were clinical years of medical study (p<0.05) and previous history of vaccination (p<0.0001). The major sources influencing vaccine uptake decision were health department guidelines, medical training, social and media influence. Barriers of vaccination constituted, assumption of not being at risk of influenza (37.9%), vaccine side effects (28.9%), questioned effectiveness of the vaccine (14.5%), and inability to allocate time (11%). Knowledge levels were unsatisfactory and males scored lower (5.4±1.7) than females (6.5±1.4) out of total score of 9. Both knowledge and uptake of annual influenza vaccination was inadequate. Policy makers can formulate strategies with a focus on larger coverage of medical students.