Metacarpal fractures are common and have various treatment options, but understanding their morphometry is crucial for optimizing fixation techniques and reducing complications. Accurate assessment of metacarpal anatomy is challenging in conventional radiographs but feasible with computed tomography (CT) scans, which offer precise views. This study aimed to provide accurate anatomical data on metacarpals within an Indian population using CT scans and to compare the results with existing literature.
View Article and Find Full Text PDFJ Hand Microsurg
October 2024
Injury
February 2024
Introduction: Compound fractures of the distal femur with large defects pose a significant challenge in management, with several options available, including external fixators, bone grafting, the Masquelet-induced membrane technique, and free vascularized fibular grafts. The Masquelet-induced membrane technique involves placing a cement spacer in the defect to create a biologically active membrane. In the second stage, the gold standard for filling the defect is an autologous cancellous bone graft of 1-2 mm in size.
View Article and Find Full Text PDFBackground: Intraoperative periprosthetic fracture (IF) is an under-reported complication in primary total knee arthroplasty (TKA). This study aimed to audit the outcomes and complication rates in patients encountering IF during primary TKA and propose a new classification for its management.
Methods: A nested case-control study was performed at a tertiary referral hospital where 50 patients encountering IF during primary TKA operated by a single surgeon team between January 2016 to May 2021, were compared with 150 (3:1) age-, gender- and implant-matched patients not encountering IF.
Background: Complex primary and revision THR requires comprehensive understanding of abnormal bony anatomy. Evaluation and classification of acetabular bone defects is essential to manage them appropriately. It is difficult to appreciate complex defects using conventional 2-Dimensional radiological modalities.
View Article and Find Full Text PDFBackground: Shoulder unlike any other joint has a wide range of mobility and is important in day to day activities. Different ethnic groups vary in skeletal anatomy and anthropometry. Most of our knowledge on the shoulder-anatomy, surgical technique and prosthesis designs is based on western literature.
View Article and Find Full Text PDFIntroduction: Bizarre parosteal osteochondromatous proliferation (BPOP) is a rare bone pathology affecting small bones of hand and feet. This benign lesion needs to be distinguished from many malignant bone tumors as it poses a diagnostic dilemma due to its clinical, radiological, and histological picture. We report three cases of BPOP affecting the hand and foot.
View Article and Find Full Text PDFBackground: The COVID-19 outbreak reached pandemic proportions in March 2020, and the government of India declared a nationwide lockdown on 24th March, 2020. All vehicular movement, construction work, industries, national highways, etc. remained closed during lockdown.
View Article and Find Full Text PDFWe present a rare case of a previously healthy 16-year-old boy who sustained simultaneous bilateral femoral neck fractures after a single first-time seizure episode. He was diagnosed to have severe vitamin D deficiency and secondary hyperparathyroidism. Symptomatic hypocalcemia was the cause of seizures.
View Article and Find Full Text PDFIntroduction: Avascular necrosis of metacarpal head is a rare entity. There are very few reported cases in the literature and most of them are isolated case reports. Multiple treatment options including successful conservative management are described in literature.
View Article and Find Full Text PDFGlomus tumours are benign neoplastic lesions of glomus body, a thermoregulatory apparatus of cutaneous microvasculature. These tumours can arise at any location of the body but most commonly seen in subungual region of fingers. Bilateral solitary glomus tumour of hand is a rare entity.
View Article and Find Full Text PDFBackground: Glomus tumors are benign hamartomas arising from the glomus body, mostly occurring in the subungual region of the digits. A triad of excruciating pain, localized tenderness and cold sensitivity is the key to diagnosing these tumors. Two surgical approaches are described in the literature for excision of subungual glomus tumors-transungual and periungual.
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