A case of an unusual Monteggia equivalent type II with lateral condyle fracture.

Monteggia fracture dislocations are uncommon in childhood. Since the term 'Monteggia equivaents' was termed, various equivalents of this entity have been described. However, these fractures with concomitant elbow injuries are exceedingly rare in young children.

Functional outcome following a large head total hip arthroplasty: A retrospective analysis of mid term results.

Background: One of the reasons that hip resurfacing and large head metal on metal (MOM) total hip arthroplasty (THA) became popular in Asia was the possible increased range of movement and thereby improved function of the hip joint. Due to concerns of MOM articulation an alternative bearing was sought. Hence, a shift from large head MOM to large head ceramic on ceramic (COC) was made.

Predictors of kyphotic deformity in osteoporotic vertebral compression fractures: a radiological study.

Purpose: To report the radiological predictors of kyphotic deformity in osteoporotic vertebral compression fractures (OVCF).

Methods: This is a retrospective study of 64 consecutive patients with OVCF. We studied the radiographic features in the immediate post-injury image of patients, who developed significant (more than 30°) segmental kyphotic deformity at final follow-up and compared them with those patients who did not.

Posttraumatic pseudoaneurysm of popliteal artery following total knee arthroplasty.

We report a case of posttraumatic false aneurysm of popliteal artery after a total knee arthroplasty in an 82-year-old woman. This case is characterized by the distinct history of trauma to the popliteal fossa in the immediate postoperative period and the location of false aneurysm. In addition, the clinical symptoms were similar to those of deep vein thrombosis.

Monoclonal gammopathies presenting as inflammatory arthritis: uncommon but important--a case series.

Objective: To review the clinical profile of patients with plasma cell dyscrasias presenting with inflammatory arthritis.

Material And Methods: Retrospective analysis was performed on clinical, laboratory and imaging data of patients who presented with inflammatory arthritis between May 2009 and April 2010 and were subsequently diagnosed as having plasma cell dyscrasias. Six out of 630 patients presenting with inflammatory arthritis were identified.

Disseminated tuberculosis with immune thrombocytopenic purpura.

Tuberculosis has a variety of hematological manifestations. Immune thrombocytopenic purpura is an uncommon manifestation of tuberculosis. We present a case of disseminated tuberculosis with isolated thrombocytopenia.

Primary immune deficiency in the intensive care unit: It is never too late to diagnose and treat.

Common variable immunodeficiency disorders (CVIDs), a heterogeneous group of primary immune deficiencies, can present at all age. Our patient with a hitherto undiagnosed CVID, symptomatic since middle ages, presented with severe pneumonia. Specific management of his CVID in addition to standard therapy was life-saving.

Point-of-care urine trypsinogen-2 test for diagnosis of acute pancreatitis.

Objectives: To assess a point-of-care urine trypsinogen-2 (UT) test for the diagnosis of acute pancreatitis.

Methods: This was a prospective study of patients presenting to the emergency department with abdominal pain suggestive of acute pancreatitis. A 3-minute point-of-care UT test (Actim Pancreatitis; Medix Biochemica, Kauniainen, Finland) was compared with final diagnosis of acute pancreatitis, which was based on suggestive clinical features, serum lipase and/or amylase levels and imaging.

To study tumor motion and planning target volume margins using four dimensional computed tomography for cancer of the thorax and abdomen regions.

In this study, four dimensional computed tomography (4DCT) scanning was performed during free breathing on a 16-slice Positron emission tomography PET /computed tomography (CT) for abdomen and thoracic patients. Images were sorted into 10 phases based on the temporal correlation between surface motion and data acquisition with an Advantage Workstation. Gross tumor volume gross tumor volume (GTV) s were manually contoured on all 10 phases of the 4DCT scan.

Comparison of corneal endothelial cell loss during phacoemulsification using continuous anterior chamber infusion versus those using ophthalmic viscosurgical device: randomized controlled trial.

Aim: We conducted this study to evaluate and compare corneal endothelial cell loss between phacoemulsification with continuous anterior chamber infusion using anterior chamber maintainer (ACM) and phacoemulsification using ophthalmic viscosurgical device (OVD).

Materials And Methods: This was a prospective, randomized controlled trial. Fifty eyes of 47 patients of senile cataract undergoing phacoemulsification were included.

Dosimetry and treatment planning of Occu-Prosta I-125 seeds for intraocular lesions.

Intraocular malignant lesions are frequently encountered in clinical practice. Plaque brachytherapy represents an effective means of treatment for intraocular lesions. Recently Radiopharmaceutical Division, BARC, Mumbai, has indigenously fabricated reasonable-cost I-125 sources.

Anaesthetic management of a patient undergoing whole lung lavage for pulmonary alveolar proteinosis.

Pulmonary alveolar proteinosis is a rare disorder characterized by accumulation of amorphous, acellular and lipoproteinaceous material in the lungs. We discuss the anaesthetic management of a patient suffering from this condition who was treated whole lung lavage.

Macrophage activation syndrome: experience from a tertiary referral centre.

Over a period of 3 years, 13 patients with Macrophage Activation Syndrome were seen. Most had underlying connective tissue disease or malignancy. High-grade fever, cytopenia and elevated transaminases were the common presenting manifestations.

Role of radionuclide scintigraphy in the detection of parathyroid adenoma.

Background: Preoperative detection of parathyroid adenoma is a diagnostic challenge. The sonography and computerized tomography (CT) scan demonstrate high sensitivity but low specificity. The advent of radionuclide scanning technique has enhanced the specificity in this context.

An improved method of elimination of DNA from PCR reagents.

Objective: The presence of exogenous DNA in commercially available polymerase chain reaction (PCR) reagent preparations is a serious problem when amplifying conserved regions of bacteria. The preferred and currently in-use method of decontamination using 8-methoxypsoralen (8-MOP) and UVA requires re-standardization of decontamination with increasing concentrations of 8-MOP and UVA irradiation timings, if the DNA load of reagents is high due to lot-to-lot differences. The objective of this study was to develop a decontamination method, which would (i) work at the minimum reported concentration of 8-MOP and UVA irridation timings; and (ii) take care of inter-batch DNA-load variability of reagents.

Myelodysplasia and acute myeloid leukaemia in a case of rheumatoid arthritis with secondary amyloidosis treated with chlorambucil.

Immunosuppressive therapy related secondary haematologic malignancy is well reported. A 52 years lady with established rheumatoid arthritis developed reactive amyloidosis. This was initially treated with colchicine and cyclophosphamide and later with chlorambucil.

AIDS-associated Kaposi's sarcoma in a heterosexual male--a case report.

A 39 year old married heterosexual male presented with extensive purpuric macules, papules, and lichenoid plaques scattered over his skin and mucocutaneous surfaces for one year. The lesions were larger in both his groins, and were associated with lymphedema of his penis and scrotum. His serology for the HIV-1 virus was positive.

Unilateral inter-nuclear ophthalmoplegia in systemic lupus erythematosus.

We report a case of a 14 year old girl with SLE who developed neurological involvement in the form of posterior internuclear ophthalmoplegia (pINO). An MRI showed lesion involving pons which corroborated with the pINO.

Papulonecrotic tuberculid - relapse after treatment.

A 44-year old female suffered from boils on her elbows for the last 2 years. A diagnosis of papulonecrotic tuberculid was made based on clinical, laboratory parameters, histopathology and a prompt response to antituberculosis treatment. Ten months following the completion of multi-drug treatment her lesions relapsed.