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   1976| October-December  | Volume 10 | Issue 2  
    Online since March 27, 2010

 
 
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Calcified Posterior Longitudinal Ligament And Myelopathy
R. P Deshpande, I Dinkar, M Sankar Reddy
October-December 1976, 10(2):78-82
Calcification of anterior longitudinal ligament of spine is commonly seen in ankylosing spondylitis and is also noted secondary to spondylosis, trauma and infection. Calcification of posterior longitudinal ligament is rare. Though calcification and ossification of posterior longitudinal ligament have been described in the past (Ongi and Akiyama 1967), no clinical manifestations were recognized until in 1960, when Tsukimoto (writing in Japanese), described how ossified posterior longitudinal ligament could compress the cord and produce severe cervical myelopathy. Since then several similar Cases have been described in Japan. It is claimed to be more frequent in the Japanese for some unknown reason. It forms about 0.7 percent of spinal disorders in the Japanese. In 1969 Minagi and Groner reported 2 cases in Caucasians. So far hardly a dozen cases have been reported in non-Japanese races. On account of the paucity of cases in English literature and to the best of our knowledge there being no reports from our country, this report of 26 cases is presented and its incidence, pathogenesis and treatment discussed.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  370 13 2
Incidence Of Lumbar Spinal Canal Stenosis In Cases Of Low Back-Ache Beyond The Age Of 35 Years-Radiographic Study
H. S Sandhu, V. P Lakhanpal, S. C Gupta
October-December 1976, 10(2):71-77
Lumbar spinal canal stenosis was described by Schatzker and Pennal (1968) as a localized narrowing of the spinal canal due to structural abnormality which may give rise to cauda equina compression producing a specific symptom complex of low backache with sciatica or neurogenic claudication in the lower limbs. Dognath and Vogl (1925) described first evidences of narrowing of lumbar spinal canal in achondroplasiac spine. Schlesinger and Taverae (1953) described that narrow spinal canal with herniated intervertebral disc may present atypical picture of multiple root or cauda equina compression. Verbiest (1954,1955) drew attention to the presence of narrowing of lumber spinal canal in otherwise normal individuals. Several studies have subsequently confirmed this entity. Nevertheless there is some confusion as to the exact nature of this narrowing; it was considered worthwhile to report the observation in Indian patients.
[ABSTRACT]   Full text not available  [PDF]
  261 35 -
Chondromyxoid Fibroma Of Frontal Bone-Report Of A Case
K. V Chalapati Rao, B Subba Rao, C. R. R. M Reddy
October-December 1976, 10(2):137-139
Chondromyxiod fibroma, an uncommon, well circumscribed and lobulated benign tumour derived from cartilage-forming connective tissue, was first named by jaffe and Liechtenstein in 1948 during a review of their material of chondrosarcomas. Although cranial occurrences were known they are considered to be extremely rare. Recently we had an opportunity to study such a case in detail.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  261 16 9
Some Observations In The Treatment Of Congenital Club Foot
V Chacko, T Mathew
October-December 1976, 10(2):127-131
It is generally agreed that complete correction of congenital clubfoot by nonoperative treatment is the ideal. However, there are severe cases that rarely respond to non-operative treatment. The small inverted and elevated heel is considered to be the most important deforming influence in preventing complete correction, and in promoting relapse. Generally the treatment must begin at birth, and proper treatment is repeated manipulations with some from immobilization of the foot. The force and frequency with which the manipulations are carried out, and the method of primary fixation varies from surgeon. An attempt is made in this report to analyse the results of manipulative correction, and of the operative correction (using Brockman’s operative technique) by the same clinical team. The innumerable variations in the initial status of the foot, variations in the force required in manipulations, duration of immobilization, post-reduction management, and many other social and economic factors, which defy absolute standardization is recognised. Nevertheless, a few important points observed in this clinical analysis are considered worth reporting.
[ABSTRACT]   Full text not available  [PDF]
  215 22 -
The Role Of Early Partial Release Of Tendoachillis And The Posterior Capsule Of The Ankle Joint In The Management Of Untreated 'Good' Club Feet
S. P Mehta
October-December 1976, 10(2):124-126
Generally speaking by a ‘Good’ club foot, we mean a foot which appears to be well developed, the heal is soft and supple, the foot is not rigid and creases in the foot (at least in the immediate postnatal period) tend to open easily. Most of the parents of these children were poor and illiterate, and were hailing from the nearby as well as far off placed districts of the state (Gujarat) and on socio-economic grounds presented problems of repeated follow up in the management. Many children with ‘Good’ feet reported late for treatment and were from the age group if 3 to 6 months. The conventional conservative treatment in these patients necessitated numerous sittings of corrective plaster casts and at the end, it often to some extent a tight and an inturned tundo-achillis. Because of socio-economic reasons many children failed to turn up at the clinic after one or two corrective plaster sittings, and subsequently returned to the clinic with severe deformities. Settle (1963) has reported that the fibres of the achillis tendon were inserted vertically into the calcaneum, which was rotated into marked varus. As a result, when the calcaneum was placed in neutral position beneath the talus, the medical fibres were tighter than the lateral ones. Wiley (1959) considered that the deformed position (plantar flexion) constituted a bar to the correction of the deformities subsequently, and the effect of sample tenotomy of the tendo-achillis greatly facilitated correction of the two of the deformities (equines and inversion). Attenborough (1966) emphassised the role of earlier correction of hind foot, and also mentioned that the subtalar joint is always inverted, when the talus is plantar flexed. He also stressed that manipulative correction of the equines deformity all too frequently fails to do more than to produce a false correction by overstretching the midtarsal joints. From the foregoing discussion, it appears rationale to correct the equines deformity at the earliest in the children, who came late of the treatment. With a view a to correct the deformity in one sitting, a release of the medical fibres of the tendo-achillis and the posterior capsule of the ankle joint by a subcutaneous tenotomy was performed. We believe that a more radical surgery is called for in an untreated club foot in children over the age of 6 months, while correction by plaster casts is the treatment of choice for the children under the age of 3 months.
[ABSTRACT]   Full text not available  [PDF]
  215 17 -
Water Soluble Contrast Myelography With Conray (Meglumine Iothalamate)
S. G Gurjar, V. M Mulajkar
October-December 1976, 10(2):83-86
Sir Walter Dandy in 1918 recognised the importance of water soluble media for contrast neuroradiography, he used air contrast in his pioneering work (Ferguson 1974). During the years that followed, poppy seed oil (Lipoidol), water soluble colloidal thorium dioxide (Thorotrast) and sodium iodomethane sulfonate (an organoiodine compound) were employed by various workers for myelographies. Most of these studies however were accompanied by moderate to severe degrees of reactions (Shaprio 1968, Ferguson 1974). The search for a better contrast medium for myelography is still on. The perfect myelographic contrast medium should be a liquid of low viscosity, miscible with cebrospinal fluid and capable of filling all the subarachnoid space and the ventricles. It should be sufficiently radio-opaque, yet not so opaque as to obscure details of nerve roots (Harvey and Freiberger 1965). Reports have appeared in the literature on the use of Conray a water soluble contrast medium (meglumine iothalamate) for myelography since 1964 with varying degree of success (Davis et al. 1968, Praestholm and Lester 1970). The present study was undertaken to evaluate the use of Country in compression of the cord.
[ABSTRACT]   Full text not available  [PDF]
  216 9 -
The Effect Of Anabolic Hormone In Healing Of Fracture
P. D Singh, R. P Singh, N. L Mitra
October-December 1976, 10(2):95-98
The beneficial effects of androgens on bone have been reported by several workers particularly in senile osteoporosis (Arnold 1960). In view of these findings, it was felt that the androgens may have some beneficial effects on fracture healing if administered in proper dosage.
[ABSTRACT]   Full text not available  [PDF]
  202 12 -
Suppressive Effect Of Cyclophosphamide On Ossification Of Lower Limb Bones In Rat Fetuses
A. K Sanyal, Shamer Singh
October-December 1976, 10(2):118-123
Cyclophosphamide has been shown to be teratogenic in several laboratory animals (Singh 1971, Singh and Gupta 1972). Its major action seems to be related to the inhibition of DNA synthesis especially affecting the mesenchymal tissue (Chaube et al. 1967 and Singh et al. 1971). Limb anomalies in rat fetuses are found to be most frequent when this drug is given during the 12th to 14th day of gestation (Singh and Sanyal 1972). The present report communicates the suppressive effect of cyclophosphamide on the ossification of lower limb bones in rat fetuses after single intraperitoneal injection in the pregnant rats on the 12th to 14th day of gestation.
[ABSTRACT]   Full text not available  [PDF]
  204 9 -
Study Of Genu Recurvatum In Poliomyelitis
J Joshi, S Colaso, S. K Varma, A Mukherjee
October-December 1976, 10(2):132-136
Genu recurvatum is a well known deformity associated with poliomyelitis of the lower extremity. The present work was undertaken to study the incidence and severity of deformity in relation to the status of muscle power and the involvement of various groups of relevant muscles.
[ABSTRACT]   Full text not available  [PDF]
  207 5 -
Myositis Ossificans Progressiva-A Case Report
Deedar Singh, V. K Pachnanda
October-December 1976, 10(2):140-142
Guy Patin (1692) was the first to describe a rare congenital disorder which was subsequently named as Myositis Ossificans Progressiva by Vondusch (1863). The condition is frequently associated with anomalies such as microdactyly (Helferich 1879) and hallux-valgus (Ryan 1945). Mather (1931) and Ryan (1945) suggested that this disease occurs exclusively in white races, but this was disproved when Grewal and Dass (1953) reported a case of an Indian child suffering from it. Since then 6 cases have been reported from this country. Because of its rare occurrence, the authors are availing the opportunity to present a similar case.
[ABSTRACT]   Full text not available  [PDF]
  189 21 -
Actinomycosis Of The Spine Causing Paraplegia
S. S Yadav, V. R. K Shastri, V. P Lakhanpal, A. J Valiath
October-December 1976, 10(2):87-90
Spondylitis due to actinomycosis is rare (Young 1960, and Ernst and Ratjen 1971). Ernst and Ratjen (1971) reviewed 68 cases of actionomycotic spondylitis and added 2 of his own. The exact incidence of vertebral involvement, however, cannot be assessed as the disease usually remains undiagnosed during life. It is mainly on postmortem that its presence is revealed. Mayer and Gall (1935) reviewed 47 cases of vertebral actionomycosis, out of which only 9 were correctly diagnosed during life. Involvement of the spinal cord with neurological manifestations are extremely rare. Krumdieck and Stevenson (1940) reported a case of actinomycotic spinal epidural abscess with paraplegia. A rare case of actinomycosis of dorsal vertebrae with paraplegia is described. We believe that the case reported here is atypical both in regard to its distribution of the lesion and in regard to its complication.
[ABSTRACT]   Full text not available  [PDF]
  200 10 -
Medial Condylar Fracture Of Humerus In Children
K. P Srivastava, H Chandra
October-December 1976, 10(2):109-111
Medical condylar fracture of humerus including a part or whole of the trochlea is a rare fracture in children. It is likely to be misdiagnosed as avulsion of medical epicondyle which is relatively more frequent. In patients where there is visible ossification of trochlea or this fracture includes a significant chunk of metaphysis, the diagnosis is no problem. There have been isolated case reports of this uncommon injury (Cothay 1967, Chacha 1970). Varma and Srivastava reported 4 cases from this country in 1972. Three cases of medial condylar fracture of humerus before the development of ossific centre in trochlea are being reported in this paper.
[ABSTRACT]   Full text not available  [PDF]
  185 21 -
Results Of Treatment Of Fractures Of The Neck Of Femur By Primary McMurray's Osteotomy
R. C Rallan, N Shrivastava
October-December 1976, 10(2):104-108
Management of fracture through the narrow part of the neck of the femur is still a challenge to orthopedic surgeons. Inspite of revolutionary changes from the time of Sir Astley Cooper (1824), there is not a single procedure which can claim 100 percent successful results. Careful scrutiny of the results of internal fixation, reveals a success rate of 60 to 70 percent. Many a times a second operation is needed either in the form of replacement arthroplasty of McMurray’s osteotomy. T.P McMurray in 1936 employed displacement osteotomy in the treatment of non-union of fracture of the neck of the femur and suggested its use for fresh cases also. In this country several surgeons (Gupta and Atri 1963) have advocated primary osteotomy as advised by Allende and Lezama (1951) in such cases.
[ABSTRACT]   Full text not available  [PDF]
  182 22 -
Spalteholtz Technique In The Study Of Vascularity Of Healing Open Fractures-An Experimental Study
R. C Mohanti
October-December 1976, 10(2):91-94
It has been well established that vascular response plays an important part in fracture healing. Enneking (1948), and Wray and Lynch (1959) demonstrated by their experiments that fracture hyperaemia and osteogenic cell proliferation go hand in hand. The vascular response may vary depending upon the type of fracture, site of fracture, type of fixation and even the particular bone and the level at which it is fractured. Cavadias and Trueta (1965), and Rhinelander (1968) studied the vascular response extensively in closed fractures of radius and femur respectively. Dax (1916) studied the vascular response in ostcotomy of tibia. The present work was taken up to demonstrate the vascular response that occurred after open fractures of tibia at the level of the junction of upper third with middle third.
[ABSTRACT]   Full text not available  [PDF]
  185 17 -
Management Of Galeazzi's Fracture Dislocation
N. D Aggarwal, R. L Mittal, J. R Aggarwal
October-December 1976, 10(2):99-103
Fracture at the junction of lower and middle third of radius with dislocation of inferior radioulnar joint or Galeazzi’s fracture dislocation is a rare injury. Although Astley Cooper was the first to recognize this lesion in 1822, yet it is named after Riccardo Galeazzi who in 1934 described the importance of this injury while report in his experiences of 18 such cases. The incidence of complications e.g. malunion, delayed union, non-union, limitation of pronation and supination of hand and impairment of its function is high, because quite often the full nature of injury is not fully appreciated initially. The main aim of this report is to evaluate the results of various methods of treatment in this rare unstable fracture and to have some guide line for proper management of these cases.
[ABSTRACT]   Full text not available  [PDF]
  184 18 -
The Effect Of Treatment On Urinary Hydroxyproline Excretion In Osteomalacia
T. P Srivastava, S Tandon
October-December 1976, 10(2):115-117
The hydroxyproline excreted in urine by healthy individuals when placed on meat and collagen free diet is derived mainly from the skeleton. The measurement of urinary hydroxyproline excretion provides a good index of the metabolic activity of the skeleton (Dull and Henneman 1963, Klein and Curtiss 1964). It has been shown to be raised in different conditions in which the skeleton is metabolically more active (Laitinen, Nikkila and Kivirikko 1966). Significantly higher excretion of hydroxyproline in urine in patients suffering from osteomalacia has been reported from our laboratory (Srivastava and Tandon 1973). The purpose of this study was to study the effect of treatment on the urinary hydroxyproline excretion in osteomalacic patients.
[ABSTRACT]   Full text not available  [PDF]
  182 9 -
Unclassical Fracture-Dislocation Of Hip-A Case Report
P Sundaraiah
October-December 1976, 10(2):112-114
The purpose of this communication is to describe a case of an unclassical fracture-dislocation of the hip.
[ABSTRACT]   Full text not available  [PDF]
  155 14 -
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