Factors Associated With Supraspinatus Atrophy in Patients 50 Years and Older With Atraumatic Shoulder Pain.

Background: Atrophy and fatty infiltration of the supraspinatus (SS) muscle are prognostic indicators of poor functional outcomes and higher retear rates after rotator cuff repair. While older patients, female patients, and those with massive and retracted rotator cuff tears are at a higher risk for these indicators, it is unclear whether tear characteristics, acromion morphology, and acromioclavicular (AC) joint arthritis affect SS atrophy in older patients with chronic shoulder pain.

Purpose: To investigate the multifactorial influences associated with SS atrophy in rotator cuff tears.

CT Morphometric Analysis of the Medial Femoral Condyle in an Indian Population: A Comparative Study of Unicompartmental Knee Arthroplasty Implants.

Purpose The objective of this study was to evaluate the compatibility of the medial femoral condyle (MFC) dimensions in the Indian population with the standard femoral components of three commercially available unicompartmental knee arthroplasty (UKA) implants. Methods This analytical study utilized CT morphometric data from 100 consecutive non-arthritic adult knees. MFC dimensions were measured to assess their compatibility with UKA prostheses.

A Rare Case of Posterior Dislocation of Hinge Knee Prosthesis due to Wear of Anti-Luxation Device: A Case Report.

Introduction: Hinge knee joint prosthesis are utilized in a variety of surgical scenarios, including complex primary, revision, salvage surgeries, and radical resection of tumor's. Link's Endo-model Hinged Knee Prosthesis is a newer design that includes ramped tibial components for controlled pivot point motion during flexion and an anti-dislocation feature to prevent prosthesis dislocation..

A rare case of extensive neurogenic heterotopic ossification: a case report.

Introduction: Neurogenic Heterotopic ossification (NHO) is a potential sequalae and a detrimental complication following neurological insult. It is characterized by formation of localized gradually progressive, peri-articular lamellar bone formation in extra-skeletal tissues. We would like to report a rare case of heterotopic ossification involving all 4 limbs, in which we tried to restore joint mobility to improve his functional status so that he could perform his daily tasks.

Unusual Mechanism of Injury during a Wedding Tradition Leading to a Metacarpal Shaft Fracture - A Case Report.

Introduction: "Joota Chori" is a traditional Indian wedding ritual which involves playful competition between the bride's and the groom's friends, with the aim of hiding and retrieving the groom's shoes.

Case Report: We describe a rare case scenario wherein an orthopedic surgeon sustained a metacarpal shaft fracture while gripping the shoe and engaging in a tussle with the groom's friends. Despite feeling a sudden snap and experiencing pain, the surgeon held onto the shoe.

CT Morphometric Analysis of Medial Tibial Condyles: Are the Currently Available Designs of Unicompartmental Knee Arthroplasty Suitable for Indian Knees?

Background: The main purpose of this study is to assess the compatibility of medial tibial condyle (MTC) morphometry of Indian population with that of six contemporary UKA prostheses tibial components. We hypothesized that from the currently available UKA designs at least one would fit the MTC morphometry optimally as per the manufacturer's recommendation.

Methods: We used CT morphometric data of 100 (66 males and 34 females) consecutive nonarthritic adult knees with reference to the MTC to assess the compatibility of currently available (in India) UKA prostheses.

Bilateral Spontaneous Osteonecrosis of Knee with Concomitant Medial Femoral and Tibial Condyle Involvement - A Rare Presentation and Short Review.

Introduction: Osteonecrosis of knee is classified as primary spontaneous osteonecrosis of knee (SPONK) and secondary osteonecrosis of knee. Primary SPONK usually involves medial femoral condyle (MFC). Incidence of medial tibial plateau (MTP) is only 2% among the patients with SPONK and simultaneous involvement of MFC and MTP is very rare.

Prevalence of metal hypersensitivity in total knee replacement.

Background: Cutaneous and local reactions to metals used in orthopaedic implants have been well documented. The prevalence of metal sensitivity in general population is 10%-15%. Nickel, Cobalt and Chromium are the most common allergen.

SubcapitalNeck of Femur Fracture in a Case of Osteonecrosis of Femoral Head - Rare Presentation.

Introduction: Osteonecrosis of femoral head is a common debilitating condition affecting young males most commonly. It is endpoint of a series of events leading to disturbance in the blood supply of femoral head. Rarely, these cases present with acute pain following trivial trauma due to pathological fracture in the neck of femur.

Complete Extra-articular Ankylosis of Hip and Stiff Elbow in a Case of Extensive Myositis Ossificans: A Rare Presentation.

Introduction: Myositis ossificans (MO) is a benign ossifying lesion. It is also known as heterotopic ossification of muscle, in which lamellar bone is formed in the muscle most commonly due to trauma or neurological injury. Complete extra-articular ankylosis due to extensive MO is rare.

Digging Deeper into the Patello - Femoral Joint: Patello - Femoral Composite - A New Dimension for Overstuffing of Patello - Femoral Joint.

Introduction: Patello-femoral complications are the most common complications in postoperative Total Knee Arthroplasty (TKA) patients especially overstuffing of Patello - Femoral Joint (PFJ). So, to study the effects of overstuffing of PFJ in postoperative TKA patients we put forth a new dimension - "PATELLO - FEMORAL COMPOSITE (PFC)". This is the maximum distance between anterior cortical line of femur shaft and the anterior cortex of patella with knee in full extension.

Expect the Unexpected: Mycobacterial Infection in Post Total Knee Arthroplasty Patients.

Orthopaedic Surgeons rarely encounter mycobacterial infections in Post Total Knee Arthroplasty (TKA) patients. We present series of two cases to create awareness among clinicians to expect the unexpected. Tuberculosis typical/ atypical is a hidden culprit in catch clinical situations when chronic infection is Suspected, but the lab investigations are negative in persistently symptomatic patients.

Auto Bone Banking: Innovative Method for Bone Preservation.

Introduction: Bone grafting is an integral part of orthopaedic surgery; the use of bone graft is increasing consistently in traumatology and also in complex revision surgeries of hip and knee arthroplasties. Considering this fact there is a need for some way to find solution for a bone graft which has more osteoinduction, osteoconduction as well as osteogenecity and also reduced rates of graft rejection and transmission of infections. All these qualities are found in autogenous bone graft.