Shafic Sraj - Academia.edu (original) (raw)

Papers by Shafic Sraj

Journal of Hand Surgery-american Volume, 2009

Journal of Foot & Ankle Surgery, 2008

Nuchal-type fibroma is rare benign fibrous tumor that has the potential to recur. It is typically... more Nuchal-type fibroma is rare benign fibrous tumor that has the potential to recur. It is typically located in the subcutaneous tissues of the posterior aspect of the neck, although it can affect other anatomical sites. Extranuchal involvement occurs most commonly in the back, shoulder, and face, as well as other sites specified in single case reports. In this report, we describe the case of a patient presenting with a nuchal-type fibroma arising in the ankle. The lesion infiltrated the superior extensor retinaculum. Marginal resection was performed, and there was no evidence of recurrence after 12 months of follow-up. To our knowledge, this is the first report of a nuchal-type fibroma localized to the ankle.

Clinical Orthopaedics and Related Research, 2008

A 48-year-old man presented to his primary physician with pain localized to the medial region of ... more A 48-year-old man presented to his primary physician with pain localized to the medial region of the left knee of 6 months' duration. The physical examination was normal. His medical history was unremarkable. He was treated empirically with nonsteroidal antiinflammatory medications and physiotherapy without relief. After 3 months of continuing pain, he was referred to an orthopaedic surgeon who ordered an MRI scan which was interpreted as normal. The patient was maintained on symptomatic treatment for several more months with no substantial improvement. The patient continued to endure the pain and utilise symptomatic treatment for the following couple of years. Three years after initial presentation, he obtained a second orthopaedic opinion and had another MRI scan. The examination was again normal and the MRI interpreted as normal. The patient was maintained on symptomatic treatment with no improvement. Throughout he had no constitutional symptoms.

Clinical Orthopaedics and Related Research, 2008

A 48-year-old man presented to his primary physician with pain localized to the medial region of ... more A 48-year-old man presented to his primary physician with pain localized to the medial region of the left knee of 6 months' duration. The physical examination was normal. His medical history was unremarkable. He was treated empirically with nonsteroidal antiinflammatory medications and physiotherapy without relief. After 3 months of continuing pain, he was referred to an orthopaedic surgeon who ordered an MRI scan which was interpreted as normal. The patient was maintained on symptomatic treatment for several more months with no substantial improvement. The patient continued to endure the pain and utilise symptomatic treatment for the following couple of years. Three years after initial presentation, he obtained a second orthopaedic opinion and had another MRI scan. The examination was again normal and the MRI interpreted as normal. The patient was maintained on symptomatic treatment with no improvement. Throughout he had no constitutional symptoms.

Journal of Foot & Ankle Surgery, 2008

Pes cavus is a multiplanar deformity that involves the 3 foot-joint complexes. Description of the... more Pes cavus is a multiplanar deformity that involves the 3 foot-joint complexes. Description of the deformity is not well standardized and the surgical management does not have a comprehensive algorithm to follow. Treatment should be tailored to the patient's requirements, foot condition, and the potential for future progression of the deformity. This study describes a heterogeneous group of patients treated surgically and followed for 5 to 28 years. The benefits and risks are discussed, together with pitfalls encountered.

Journal of Foot & Ankle Surgery, 2008

Pes cavus is a multiplanar deformity that involves the 3 foot-joint complexes. Description of the... more Pes cavus is a multiplanar deformity that involves the 3 foot-joint complexes. Description of the deformity is not well standardized and the surgical management does not have a comprehensive algorithm to follow. Treatment should be tailored to the patient's requirements, foot condition, and the potential for future progression of the deformity. This study describes a heterogeneous group of patients treated surgically and followed for 5 to 28 years. The benefits and risks are discussed, together with pitfalls encountered.

Knee Surgery Sports Traumatology Arthroscopy, 2011

Frontal plane malalignment of the lower extremity results in abnormal load distribution across th... more Frontal plane malalignment of the lower extremity results in abnormal load distribution across the knee joint. Consequences of this increased stress may lead to compartmental osteoarthritis. High tibial osteotomy is well established for early osteoarthritis of the knee joint in middle-aged patients. We hypothesize that earlier realignment of the varus knee can be performed without undue risks and debilitation toward the young active patient and with good results in short-term follow-up. Open-wedge high tibia osteotomy using the Puddu plate was performed on eleven patients (19 knees) under 25 years of age for constitutional high tibia vara. The mechanical femorotibial angle (FTA) and Knee Society Knee Score (KSKS) were compared pre-operatively and 24 months post-operatively. The average FTA improved from +8.8 degrees (+5 – +16) to −0.1 (−2 – +5). The average KSKS improved from 74 (50–100) to 93 (60–100) and the function score improved from 84 (50–100) to 95 (60–100). Special concerns in this age group include unsightly cosmesis, and kneeling pain and discomfort. Open-wedge high tibia osteotomy provides a satisfactory solution for constitutional high tibia vara with minor morbidity on behalf of the patient in the short-term follow-up period.

Knee Surgery Sports Traumatology Arthroscopy, 2011

Frontal plane malalignment of the lower extremity results in abnormal load distribution across th... more Frontal plane malalignment of the lower extremity results in abnormal load distribution across the knee joint. Consequences of this increased stress may lead to compartmental osteoarthritis. High tibial osteotomy is well established for early osteoarthritis of the knee joint in middle-aged patients. We hypothesize that earlier realignment of the varus knee can be performed without undue risks and debilitation toward the young active patient and with good results in short-term follow-up. Open-wedge high tibia osteotomy using the Puddu plate was performed on eleven patients (19 knees) under 25 years of age for constitutional high tibia vara. The mechanical femorotibial angle (FTA) and Knee Society Knee Score (KSKS) were compared pre-operatively and 24 months post-operatively. The average FTA improved from +8.8 degrees (+5 – +16) to −0.1 (−2 – +5). The average KSKS improved from 74 (50–100) to 93 (60–100) and the function score improved from 84 (50–100) to 95 (60–100). Special concerns in this age group include unsightly cosmesis, and kneeling pain and discomfort. Open-wedge high tibia osteotomy provides a satisfactory solution for constitutional high tibia vara with minor morbidity on behalf of the patient in the short-term follow-up period.

Journal of Hand Surgery-european Volume, 2008

... The authors gratefully thank Dr Elie Ghanem, Dr Nabil Khoury, Dr Nagi El-Saghir, Dr Layla Lah... more ... The authors gratefully thank Dr Elie Ghanem, Dr Nabil Khoury, Dr Nagi El-Saghir, Dr Layla Lahoud, Dr Bechara Atieh and Miss Patricia Sakr from the American University of Beirut-Medical Center for their help in the preparation of the manuscript and the figures. ...

Journal of Hand Surgery-european Volume, 2008

... The authors gratefully thank Dr Elie Ghanem, Dr Nabil Khoury, Dr Nagi El-Saghir, Dr Layla Lah... more ... The authors gratefully thank Dr Elie Ghanem, Dr Nabil Khoury, Dr Nagi El-Saghir, Dr Layla Lahoud, Dr Bechara Atieh and Miss Patricia Sakr from the American University of Beirut-Medical Center for their help in the preparation of the manuscript and the figures. ...

Journal of Hand Surgery-american Volume, 2009

Journal of Foot & Ankle Surgery, 2008

Nuchal-type fibroma is rare benign fibrous tumor that has the potential to recur. It is typically... more Nuchal-type fibroma is rare benign fibrous tumor that has the potential to recur. It is typically located in the subcutaneous tissues of the posterior aspect of the neck, although it can affect other anatomical sites. Extranuchal involvement occurs most commonly in the back, shoulder, and face, as well as other sites specified in single case reports. In this report, we describe the case of a patient presenting with a nuchal-type fibroma arising in the ankle. The lesion infiltrated the superior extensor retinaculum. Marginal resection was performed, and there was no evidence of recurrence after 12 months of follow-up. To our knowledge, this is the first report of a nuchal-type fibroma localized to the ankle.

Clinical Orthopaedics and Related Research, 2008

A 48-year-old man presented to his primary physician with pain localized to the medial region of ... more A 48-year-old man presented to his primary physician with pain localized to the medial region of the left knee of 6 months' duration. The physical examination was normal. His medical history was unremarkable. He was treated empirically with nonsteroidal antiinflammatory medications and physiotherapy without relief. After 3 months of continuing pain, he was referred to an orthopaedic surgeon who ordered an MRI scan which was interpreted as normal. The patient was maintained on symptomatic treatment for several more months with no substantial improvement. The patient continued to endure the pain and utilise symptomatic treatment for the following couple of years. Three years after initial presentation, he obtained a second orthopaedic opinion and had another MRI scan. The examination was again normal and the MRI interpreted as normal. The patient was maintained on symptomatic treatment with no improvement. Throughout he had no constitutional symptoms.

Clinical Orthopaedics and Related Research, 2008

A 48-year-old man presented to his primary physician with pain localized to the medial region of ... more A 48-year-old man presented to his primary physician with pain localized to the medial region of the left knee of 6 months' duration. The physical examination was normal. His medical history was unremarkable. He was treated empirically with nonsteroidal antiinflammatory medications and physiotherapy without relief. After 3 months of continuing pain, he was referred to an orthopaedic surgeon who ordered an MRI scan which was interpreted as normal. The patient was maintained on symptomatic treatment for several more months with no substantial improvement. The patient continued to endure the pain and utilise symptomatic treatment for the following couple of years. Three years after initial presentation, he obtained a second orthopaedic opinion and had another MRI scan. The examination was again normal and the MRI interpreted as normal. The patient was maintained on symptomatic treatment with no improvement. Throughout he had no constitutional symptoms.

Journal of Foot & Ankle Surgery, 2008

Pes cavus is a multiplanar deformity that involves the 3 foot-joint complexes. Description of the... more Pes cavus is a multiplanar deformity that involves the 3 foot-joint complexes. Description of the deformity is not well standardized and the surgical management does not have a comprehensive algorithm to follow. Treatment should be tailored to the patient's requirements, foot condition, and the potential for future progression of the deformity. This study describes a heterogeneous group of patients treated surgically and followed for 5 to 28 years. The benefits and risks are discussed, together with pitfalls encountered.

Journal of Foot & Ankle Surgery, 2008

Pes cavus is a multiplanar deformity that involves the 3 foot-joint complexes. Description of the... more Pes cavus is a multiplanar deformity that involves the 3 foot-joint complexes. Description of the deformity is not well standardized and the surgical management does not have a comprehensive algorithm to follow. Treatment should be tailored to the patient's requirements, foot condition, and the potential for future progression of the deformity. This study describes a heterogeneous group of patients treated surgically and followed for 5 to 28 years. The benefits and risks are discussed, together with pitfalls encountered.

Knee Surgery Sports Traumatology Arthroscopy, 2011

Frontal plane malalignment of the lower extremity results in abnormal load distribution across th... more Frontal plane malalignment of the lower extremity results in abnormal load distribution across the knee joint. Consequences of this increased stress may lead to compartmental osteoarthritis. High tibial osteotomy is well established for early osteoarthritis of the knee joint in middle-aged patients. We hypothesize that earlier realignment of the varus knee can be performed without undue risks and debilitation toward the young active patient and with good results in short-term follow-up. Open-wedge high tibia osteotomy using the Puddu plate was performed on eleven patients (19 knees) under 25 years of age for constitutional high tibia vara. The mechanical femorotibial angle (FTA) and Knee Society Knee Score (KSKS) were compared pre-operatively and 24 months post-operatively. The average FTA improved from +8.8 degrees (+5 – +16) to −0.1 (−2 – +5). The average KSKS improved from 74 (50–100) to 93 (60–100) and the function score improved from 84 (50–100) to 95 (60–100). Special concerns in this age group include unsightly cosmesis, and kneeling pain and discomfort. Open-wedge high tibia osteotomy provides a satisfactory solution for constitutional high tibia vara with minor morbidity on behalf of the patient in the short-term follow-up period.

Knee Surgery Sports Traumatology Arthroscopy, 2011

Frontal plane malalignment of the lower extremity results in abnormal load distribution across th... more Frontal plane malalignment of the lower extremity results in abnormal load distribution across the knee joint. Consequences of this increased stress may lead to compartmental osteoarthritis. High tibial osteotomy is well established for early osteoarthritis of the knee joint in middle-aged patients. We hypothesize that earlier realignment of the varus knee can be performed without undue risks and debilitation toward the young active patient and with good results in short-term follow-up. Open-wedge high tibia osteotomy using the Puddu plate was performed on eleven patients (19 knees) under 25 years of age for constitutional high tibia vara. The mechanical femorotibial angle (FTA) and Knee Society Knee Score (KSKS) were compared pre-operatively and 24 months post-operatively. The average FTA improved from +8.8 degrees (+5 – +16) to −0.1 (−2 – +5). The average KSKS improved from 74 (50–100) to 93 (60–100) and the function score improved from 84 (50–100) to 95 (60–100). Special concerns in this age group include unsightly cosmesis, and kneeling pain and discomfort. Open-wedge high tibia osteotomy provides a satisfactory solution for constitutional high tibia vara with minor morbidity on behalf of the patient in the short-term follow-up period.

Journal of Hand Surgery-european Volume, 2008

... The authors gratefully thank Dr Elie Ghanem, Dr Nabil Khoury, Dr Nagi El-Saghir, Dr Layla Lah... more ... The authors gratefully thank Dr Elie Ghanem, Dr Nabil Khoury, Dr Nagi El-Saghir, Dr Layla Lahoud, Dr Bechara Atieh and Miss Patricia Sakr from the American University of Beirut-Medical Center for their help in the preparation of the manuscript and the figures. ...

Journal of Hand Surgery-european Volume, 2008

... The authors gratefully thank Dr Elie Ghanem, Dr Nabil Khoury, Dr Nagi El-Saghir, Dr Layla Lah... more ... The authors gratefully thank Dr Elie Ghanem, Dr Nabil Khoury, Dr Nagi El-Saghir, Dr Layla Lahoud, Dr Bechara Atieh and Miss Patricia Sakr from the American University of Beirut-Medical Center for their help in the preparation of the manuscript and the figures. ...