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   1980| October-December  | Volume 14 | Issue 2  
    Online since March 27, 2010

 
 
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Periarthritis Shoulder-Treatment By Manipulation And Physiotherapy
O. P Singh, M. K Goel, S. C Goel, G. K Singh
October-December 1980, 14(2):201-203
Periarthritis shoulder also known as frozen shoulder or adhesive capsulitis of shoulder is a disabling condition, interfering activities of daily living of the patient. It is characterized by painful restriction of abduction and external rotation. Treatment of this condition by physiotherapy alone is time consuming and the rate of recovery is slow. In the present series 35 cases were treated by intra and periarticular infiltration of hydrocortisone acetate and lignocaine hydrochloride and manipulation under sedation. Physiotherapy and symptomatic treatment, i.e. analgesics and anti-inflammatory drugs, were given to accelerate recovery and to restore the full function of the shoulder at the earliest.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  1,721 173 1
Weight Distribution On Human Foot-Studies On Normal And Flat Feet
D. L Venkateswara Rao, B Venkatappaiah, N Ramanathan, P. V. A Mohandas
October-December 1980, 14(2):179-183
The aim of this paper is to study the distribution of body weight through the normal foot and the flat foot. A study of the distribution of body weight on the sole of the foot has been reported by several authors (Elftman 1934, Holden and Muncey 1953, Morton 1964, Bauman and Brand 1963, Bauman et al. 1963, Drabble and Hutton 1972, Lereium and Hanssen 1973, Venkatappaiah and Ramanathan 1974, Arcan and Brull 1976, Scranton and McMaster 1976, Beirlein 1977, Ghosh et al. 1979, Cavanagh and Michiyoshi 1980). Quite a few of them attempted to compare the weight distribution under normal foot with that of the feet of persons afflicted with leprosy, polio, foot drop and those with amputated feet. In the present study an attempt has been made to compare the static weight distribution in normal foot with that in flat foot.
[ABSTRACT]   Full text not available  [PDF]
  1,010 46 -
Non-Articular Strip In Trochlear Notch Of Human Ulna
D. N Sinha, V Kumar, A. K Asthana, B Mukerjee, O. P Khanduri
October-December 1980, 14(2):175-178
A non-articular strip is placed transversely in the trochlear notch of human ulna which divides the articular surface of trochlea into proximal and distal parts. Strips are covered in the fresh specimen and in life by a pannus of synovial membrane containing a little fat. Brash (1951) described that at the junction of union between the olecranon and coronoid process rough patches might be seen on the side which might strip around the floor of the trochlear notch. Hollinshead (1958) stated that the articular notch is sometimes completely interrupted at this level by a nonarticula strip. Warwick and Williams (1973) cited that olecranon and coronoid processes might be completely separated by a roughened narrow strip. Breathnach (1960) observed that a groove (strip) crosses the floor of the description of the groove or strip in the trochlear notch of ulna is available in the Grant’s Text Book of Anatomy. The present study has been undertaken to observe the non-articular strips and their variation in the trochlear notch of human ulna, in both the dissected cadavers and ulnae of skeletal remains.
[ABSTRACT]   Full text not available  [PDF]
  635 20 -
Carrying Angle In Indian Boys And Girls
J Rai, Surya Parkash, V Singhal
October-December 1980, 14(2):170-174
The carrying angle is defined as the acute angle made by the median axis of the upper arm with that of the fully extended and supinated forearm, and thus it measures the lateral obliquity of the forearm. This angle is generally said to be greater in females than in males and the difference has been considered to be a secondary sex characteristic (Potter 1895, Atkinson and Elftman 1945, Aebi 1947, Keats et al. 1966, Baughmann et al. 1974). However, some workers found no significant difference in carrying angles of males and females of any age group (Steel and Tomlinson 1958, Smith 1960, Beals 1976). It is possible that variations in the methods of measurement and the populations studied have produced conflicting data. Most studies have focused to the effect of age. The present study is aimed at reporting age and sex specific normative data on developmental variability of the carrying angle.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  542 55 1
Alkaptonuria And Ochronotic Arthritis-A Case Report
Shyam B Sunder Shetty, M. R Jayaprakash
October-December 1980, 14(2):231-232
Alkaptonuria is a rare autosomal recessive disorder of tyrosine metabolism, due to the absence of the enzyme homogenetisic acid oxidase. In the absence of this enzyme homogenetisic acid, a product in the metabolism of tyrosine, passes in the urine. A case with certain unusual features is reported here.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  463 27 2
Evaluation Of a Modified Tropometer For Measuring Tibial Torsion And Its Significance In Congenital Club Foot
R. L Mittal, P. S Dhaliwal
October-December 1980, 14(2):184-191
The term “tibial torsion” is defined as the twist of the lower part of the tibia in relation to its upper part around a longitudinal axis. The twist may be in the lateral direction (lateral tibial torsion) or in the medial direction (medial tibial torsion). The importance of tibial torsion lies in the fact that moderate degrees of tibial torsion (either side) affect the gait and weight bearing mechanism and ultimately lead to early degenerative arthritis of the knee and hip joints. So accurate measurement of tibial torsion is essential. Different methods of measuring tibial torsion have been described in the literature over the past many years ranging from the rough clinical method, to the modern sophisticated tropometric methods. Conflicting views have been expressed regarding angle of tibial present at birth and its increase with age. There is also dispute regarding increase or decrease in tibial torsion in congenital club feet. We have tried to make a modified tropometer and measure the tibial torsion in normal legs and in congenital club feet.
[ABSTRACT]   Full text not available  [PDF]
  442 22 -
A Clinical Profile Of Prolapse Lumbar Intervertebral Disc And Its Management
S Sharma, B Sankaran
October-December 1980, 14(2):204-212
Prolapse intervertebral disc, an established clinical entity well known to the clinician, is seen quite frequently in our countrymen. This study is being presented keeping in view the disabling nature of this disease which compels most of the victims to stay away from their work and if left untreated cripples them forever. Dandy (1941) makes a mention about paraplegia due to prolapse intervertebral disc. Vorris (1945), Ver Brugghen (1945), Peyton and Simmons (1947), Fairburn and Stewart (1955), Shephard (1959), Wilson (1962), Brown and point (1963), Armstrong (1965), Scott (1965), Tandon and Sankaran (1967), all have referred to this complication. Levy (1967) reviewed the incidence of herniated disc among Africans. Grant (1944), Brown and pont (1963), Naylor (1974), Natarajan, et al. (1979) have published their results of operations in herniated disc.
[ABSTRACT]   Full text not available  [PDF]
  362 48 -
Total Replacement Of The Elbow Joint
D. P Baksi
October-December 1980, 14(2):129-142
Ankylosis of the elbow joint, whether unilateral or bilateral, gives rise to considerable loss of function of the upper limb particularly so if accompanied by pain. The condition appears to be a fairly common problem in the Indian subcontinent. Its causes include closed or open fractures around elbow, pyogenic arthritis, tuberculous arthritis, rheumatoid arthritis and heterotropic ossification around the elbow. The conventional surgical treatments by arthrolysis or non-prosthetic arthroplasty of the elbow joint are well known. The results of these procedures seem to be unpredictable and though fair or good range of movements are attained in some cases the joint is often unstable. Encouraged by the report of successful results achieved with endoprosthesis of other joints, sporadic reports of hemi-or total elbow prosthesis with their clinical trial either on a single or on only a few cases have been reported in the world literature. In this paper report of 30 total elbow arthroplasties in 29 patients is being presented. The total elbow prosthesis used in this study was designed by the author.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  352 43 2
Radical Resection Of Bone Tumours And Reconstruction By Autologous Bone Grafting
S. S Yadav
October-December 1980, 14(2):150-154
The recent trends in tumour management emphasise on en bloc radical resection of the lesion alongwith adjacent healthy tissues, and bridging the resultant bone defect with autologous or homologous bone (Enneking 1966, Wilson and Lance 1965, Tuli 1972, Sijbrandij 1978, Koskinen 1978). Extensive resection of bone followed by suitable reconstruction is advisable in cases where amputation appears to be too drastic and local excision insufficient. This type of approach is usually indicated in locally aggressive malignant tumours such as giant-cell tumour, chondrosarcoma, and aneurismal bone cyst, (b) large benign lesions like monostotic fibrous dysplasia, chondromyxoid fibroma, adamantinoma, enchondroma, and (c) certain cases of osteosarcoma particularly periosteal and juxtacortical types (Pintilie et al. 1966, Sijbrandij 1978, Koskinen 1978). Radical resection is, however, limited to lesions which are well contained in the bone and have not metastasized (Parrish 1966, and Koskinen 1978). This paper consists of observations on resections and reconstructions performed in various bone tumours. The methods employed in our cases have been modified to suit our preferences but are essentially no different in principle from those used by other workers.
[ABSTRACT]   Full text not available  [PDF]
  373 21 -
Tetracycline As Vital Stain In the Study Of Bone Bio-Dynamics
Devinder Gupta, S. M Tuli
October-December 1980, 14(2):161-169
Tetracycline was first discovered by Duggar in 1948 and since then this group of drugs has widely been used as an antibiotic. In orthopaedic research, Andre (1956) reported that Tetracyclines concentrated in bones. Tetracycline administered in vivo becomes fixed in newly mineralizing bone and exhibits a characteristic fluorescence when viewed under ultraviolet light (Milch et al. 1957). The tetracycline labeled bone fluoresces a strong yellow to orange colour under fluorescent microscopy, narrow bands of fluorescence are observed where bone was actively being formed while exposed to the recently administered tetracycline. When two doses of tetracycline are given a known number of days apart, two bands of fluorescence will be separated by an interval of unlabelled new bone that has formed during the period between the two doses. Thus by two-dose or multidose system new bone formation can be accurately measured qualitatively as well as quantitatively. On an average normally bone formation takes place at a rate of 1 per day.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  371 13 1
Hydatid Disease Of Spine With Spondylolisthesis-A Case Report
K. P Bhagat, M. D Bhansali, H. M Wange, N. K Patoria
October-December 1980, 14(2):228-230
Hydatid disease as such is not common in India and only a few cases of spinal hydatidosis have been reported in Indian literature (Nigam and Gharpure 1954, Pritam Das 1957, Chitkara 1957, Aggarwal and Singh 1962, Shrivastava and Ansari 1964, Editorial 1973), Hydatid disease of femur was reported by Jonathan and Mclean (1977). The present case of hydatid disease of lumbosacral spine is reported not so much because of the rarity of the lesion but because of the fact that spondylolisthesis is extremely rare complication of the disease. Brailsford (1953) reported a case in which hydatid disease of sacroiliac region produced a deformity resembling spondylolisthesis. In India Shrivastava and Ansari (1964) reported hydatid disease of spine producing psuedospondylolisthesis. Apart from this interesting report we have not been able to find a similar case recorded in the literature.
[ABSTRACT]   Full text not available  [PDF]
  324 13 -
Role Of Epidural Venogram And Myelogram In Lumbar Disc Lesions
S Ravindran, Sivaramakrishnan, T. K Shanmugasundaram, A Gajaraj, S Soundarapandian
October-December 1980, 14(2):213-217
The contrast study of subarachnoid space in the diagnosis of lumber disc lesion gives false negative results in cases where the thecal sac is narrow leaving a large unexamined space between the sac and the disc and in cases where the thecal sac stops short above L5-S1 level. To improve the accuracy in diagnosis investigations like discography, epidurography are undertaken. One such procedure is epidural venography.
[ABSTRACT]   Full text not available  [PDF]
  326 9 -
A Study Of Ewing's Sarcoma
R. C Chandawarkar, J. P Goravalingappa
October-December 1980, 14(2):155-160
Ewing’s sarcoma is one of the rarer primary malignant neoplasms of the bone and accounts for about 8.5 percent of all primary bone tumours (Dahlin 1957). There is a dearth of information regarding the incidence, clinical features and histopathological appearances of Ewing’s sarcoma in the Indian literature, with only a handful of such studies existing (Gharpure 1941, Bhansali and Desai 1963, Borges et al. 1967, Verma et al. 1967, Vohra 1967, Pandey 1970, Potdar 1971 A, 1971 B, Sirsat et al. 1971). In view of this, we present here an analysis of 20 cases of Ewing’s sarcoma, encountered at the Karnataka Medical College Hospital, Hubli, wit special reference to the incidence, clinical features and histological appearances.
[ABSTRACT]   Full text not available  [PDF]
  298 23 -
Cup Arthroplasty As A Reconstructive Surgery In Neglected Fracture Dislocations Of The Hip-A Preliminary Report
R Bhargava, A. K Singh, G. K Vishwakarma
October-December 1980, 14(2):143-149
Owing to ignorance of public and their faith in masseurs, Orthopaedic Surgeons in India encounter old neglected or maltreated cases of trauma more often than in most other countries. Old untreated cases of central fracture dislocation and posterior dislocation of the hip present with traumatic arthritis with marked pain and disability, loss of motion at the hip joint and in some cases, shortening. The problem in these cases is to provide them with a pain-free reasonably stable and mobile hip. Arthrodesis can provide the former two but at the cost of the latter. This is a preliminary report of 6 patients treated by Smith Petersen’s cup arthroplasty.
[ABSTRACT]   Full text not available  [PDF]
  301 20 -
Spinal Cord Compression In Hereditary Multiple Exostoses-A Case Report
S. K Moda, R. B Sharma, K Jain
October-December 1980, 14(2):218-220
Hereditary multiple exostoses or diaphyseal aclasia (first described by Stanley in 1849) is not a rare disorder. In 1925, the hereditary nature of the disorder was shown conclusively by Stocks and Barrington. Jaffe (1943) simplified the nomenclature of the disease and theorized about its pathogenesis. Spinal cord compression by an exostosis is a rare complication of this disease. We have been able to trace only 19 cases reported so far in the literature (excluding the present one).
[ABSTRACT]   Full text not available  [PDF]
  303 17 -
Chordoma Of The Thoracic Spine-A Case Report
P. S Nagpaul, S. V Jalihal, Kamal J Pathak
October-December 1980, 14(2):224-227
Chordoma is a rare tumour. Gentil and Coley (1948) could only find nine cases of chordoma in 31, 099 cases of cancer, seen over a period of 13 years at the Memorial Hospital, New York. Over 50 percent of the chordomas originate in the sacrococcygeal region; about a third develop at the base of the skull and only about 10 percent arise from the vertebrae (Ashley 1978). Vertebral chordomas commonly occur in the cervical and lumbar spine. Chordoma of the thoracic spine is extremely uncommon (Husain 1960).
[ABSTRACT]   Full text not available  [PDF]
  300 19 -
Fracture-Dislocation Of Ankle In Children
K. M Pathi
October-December 1980, 14(2):192-200
Fracture dislocation of the ankle joint is an uncommon injury in children. Since Pott’s original description of ankle injury, the importance of anatomical restoration of the mortice to prevent arthrosis of the injured joint has been emphasized repeatedly in adults. Despite the wealth of literature the main division is still between internal and external fixation. Colton (1971) stated that non-operative treatment could produce highest standard of functional results. which was more true for children as nature helped in restoring the alignment by remodeling process. Operative manoeuvres may affect growth epiphysis resulting in deformity of ankle. Lane (1914) was first to emphasise the importance of accurate reduction. Many authors have advocated the importance of open reduction, internal fixation and early mobilization (Jergesen 1959, Denham 1964, Burwell and Charnley 1965). Despite so much reported work in adults, there is very little reference in literature about fracture dislocation of ankle in children. It was, therefore thought worth while to present our experience about the treatment of this uncommon injury and to demonstrate that lack of anatomical reduction initially could lead to osteoarthritic changes even at the young age of twenties.
[ABSTRACT]   Full text not available  [PDF]
  302 11 -
Diastematomyelia-A Case Report
G Kolandaivelu, S Padmanabhan
October-December 1980, 14(2):221-223
Diastematomyelia is an uncommon developmental abnormality characterized by a split in the spinal cord over several segments with a dividing spur of bony, fibrous or cartilaginous material running dorso-ventrally between the 2 halves of the cord.
[ABSTRACT]   Full text not available  [PDF]
  281 15 -
Presidential Address
N. D Aggarwal
October-December 1980, 14(2):233-237
Full text not available  [PDF]
  159 11 -
Indian Orthopaedic Association-Personal Reminiscences
B Mukopadhaya
October-December 1980, 14(2):238-252
Full text not available  [PDF]
  145 12 -
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