Enthesophytes often materialize as jagged projections emanating from the bone cortex into the ligament/tendon at the entheses 4, 7. Thus, enthesophyte development may be an adaptive mechanism to further increase the surface area at the tendon/bone interface at sites enduring frequent tensile stress, with bone growth progression taking place in the direction of tensile stress acting on the bone at the point of insertion 2, 4. Entheses sites are inherently vulnerable to injury as the entheses encompass transitional zones, transferring force between soft and hard tissues 6. A key function of the enthesis is to distribute force over a large area of the bone surface 1, 4, 5. Accordingly, the higher numbers of individuals with EEOP in the 18-30 age group out of all cases examined raises concern about the future musculoskeletal health of this population and suggests a potential avenue for prevention intervention through posture improvement education.Įntheses are the sites of ligament, tendon or joint capsule attachment to a bone 1, 2, 3. Our findings and the literature provide evidence that mechanical load plays a vital role in the development and maintenance of the enthesis (insertion) and we suggest possible associations between aberrant loading of the EOP enthesis, sustained poor posture and EEOP formation. Our latter findings provide a conundrum, as the frequency and severity of degenerative skeletal features in humans are associated typically with aging. While being a male and increased FHP had a positive effect on prominent exostosis, paradoxically, increase in age was linked to a decrease in enthesophyte size. Here we show that a combination sex, the degree of forward head protraction (FHP) and age predicted the presence of enlarged EOP (EEOP) (n = 1200, age 18–86). These findings contrast existing reports that large enthesophytes are not seen in young adults. “We cannot have our people referred to Mbale to a private hospital for a CT scan, how can a private hospital have a CT scan and the whole regional referral hospital doesn’t?” the MP wondered.Recently we reported the development of prominent exostosis young adults’ skulls (41% 10–31 mm) emanating from the external occipital protuberance (EOP). I know we can get machines in Kampala for less than that money but we are going to monitor, should we find that the hospital has procured what is under this money, we shall arrest the director,” he noted.Įbwalu also reiterated the need for a CT scan at the facility which according to him is the Ministry of Health’s responsibility to procure. “I want to appeal to the people who are going to buy this equipment that lets procure something worth his money. Jonathan Ebwalu, tasked the hospital management to make sure they procure equipment worth 600million. The Member of parliament for Soroti City West Hon. It becomes very challenging and if this is put in place, it will save us,” he said. It’s hard, maybe you don’t have means to even go to Mbale or money to a private facility. “It’s been a big challenge for us caretakers of patients, when they tell you that you need x-ray services. John Michael Opolot, caretaker of a patient at the facility said that the development is a big sigh of relief for the patients. She said her grandson fell from a Mango tree and they brought him to Soroti regional referral hospital but were referred to Mbale for x- ray services where they paid Shs 500,000. Meldah Apio,66, resident of Ochuloi Sub County, with a grandson in the pediatric ward, said that the development shall save time and money they spend on transport and X-ray service in Mbale. Wakmon noted that the procurement department will start its work and the installation will take three month from now. “Our emergency unit sees on average 40 people and many of them are trauma cases with need for x-ray,” Dr.

Chimpanzee hand xray