Publications by authors named "Anto Gopurathingal"

Biopsy as a procedure is technically simple but conceptually a challenge. The principles of biopsy have remained more or less the same for 3 decades. With the advent of imaging, hospital facilities, and pathology modalities, we feel it is important that these principles are revisited.

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Cement spacer as a reconstruction technique in proximal humerus resections in malignant and benign conditions is well established. Functional outcome of any reconstruction is decided by how well soft tissue reconstruction has been carried out. The cement spacer technique allows soft tissue reattachment at any site required as compared to prosthetic reconstruction, but such reattachment sites have to be decided before setting of the cement.

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Introduction: Many loose bodies are present in the joint due to the uncommon benign neoplastic disorder known as synovial chondromatosis, which causes the production of intra-articular nodular cartilaginous lesions from the synovium. Synovial chondromatosis of the ankle joint is an uncommon condition. Here, we present a case of synovial chondromatosis of the ankle joint treated by surgical excision.

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Introduction: Although not described more than a decade ago, fibro adipose vascular anomaly has grown of increasing importance as conventional management of arterio venous malformation with interventional radiology measures carry little success and cause significant morbidity in pediatric age groups like the case report we present here. Surgical resection, even though requiring significant loss of muscle bulk, is the mainstay of the treatment.

Case Report: An 11-year-old patient presented with equinus deformity and intensely tender calf and foot swellings in the right leg.

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Introduction: Synovial hemangioma is a rare benign condition that is seen predominantly in the adolescent age group. Patients commonly present with pain and swelling of the involved joint. Here, we report a case of recurrent synovial hemangioma in a 10-year-old girl.

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Introduction: Ochronotic arthropathy is a rapidly progressive sequelae of alkaptonuria. This is a rare autosomal recessive condition caused by a mutation in the homogentisate 1,2 dioxygenase (HGD) gene leading to HGD enzyme deficiency. Here, we report a case of neck femur fracture in a patient with ochronotic arthropathy managed by primary hip arthroplasty.

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Introduction: Enchondromas are predominantly seen in short tubular bones and are usually symptomless and the onset of pain may indicate a pathological fracture in most cases or malignant transformation in rare instances. Here, we report a case of proximal phalanx enchondroma with pathological fracture treated with synthetic bone substitute placement.

Case Report: A 19-year-old girl presented to the outpatient department with complaints of swelling over the right little finger.

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Introduction: Distal radius is known to have high percentage of recurrences in giant cell tumor (GCT) despite best efforts. We would like to present a case where the recurrence unusually occurred in the graft and the complications associated with it.

Case Report: A 45-year-old woman, who had previously undergone curettage of GCT distal radius, presented with recurrence of lesion which was managed initially with resection and non-vascularized fibular autograft reconstruction.

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Article Synopsis
  • Cutaneous angiosarcoma is a rare and aggressive tumor that often develops in individuals with chronic lymphedema, particularly after mastectomy, known as Stewart-Treves syndrome; chronic filarial lymphedema is a less common cause.
  • The case report discusses two patients who developed angiosarcoma due to long-standing filarial lymphedema, presenting similarly with rapidly growing nodules.
  • Clinicians in India, which has a high prevalence of filarial infections, should be aware of this risk for early diagnosis and treatment, as angiosarcoma can be fatal if not treated promptly.
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Introduction: Traumatic anterior hip dislocation is less common than posterior dislocation and bilateral anterior hip dislocation is a very rare presentation. Early diagnosis and treatment are of paramount importance to prevent complications. Here, we report a case of traumatic bilateral anterior hip dislocation following a high-velocity motor vehicle accident.

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Bipolar hemiarthroplasty of the hip is a routinely done procedure in the elderly with neck of femur fractures. An uncommon yet widely recognized complication is the dislocation of hemiarthroplasty. Uncoupling of the femoral head from the stem implant can complicate such dislocations.

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Background Preoperative planning is imperative for a successful total knee replacement. Determining the valgus angle for the distal femoral cut from the preoperative 2D radiograph is a very inexpensive method that can be used to achieve the native knee alignment during a total knee arthroplasty (TKA). Objective The aim of this study was to document the intra-observer and inter-observer reliability of the valgus angle determination for distal femur cut from a preoperative digital radiograph in a TKA.

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