MyMedR

Fulltext Neglected Anterior Dislocation of the Elbow Joint: Case Report of a Rare Injury

Nema SK, Behera G, Poduval M

Malays Orthop J, 2018 Jul;12(2):65-67.

PMID: 30112134 DOI: 10.5704/MOJ.1807.016

We present an unusual case of five months old neglected anterior dislocation of the right elbow joint in a 19-year old man. The patient had been initially treated by a traditional bone setter, but the elbow remained unreduced. He presented to us with pain, deformity and limited range of motion of his right elbow joint. Radiographs revealed an unreduced anterior dislocation of the right elbow joint. We describe the problems encountered during open reduction and rehabilitation and result one year after the operation with the patient having a stable elbow and a functional range of motion.

Fulltext Pachydermodactyly does not need rheumatologic work-up

Sinha NK, Ling SP, Nema SK, Pai DR

J Postgrad Med, 2013 Oct-Dec;59(4):335-6.

PMID: 24346401 DOI: 10.4103/0022-3859.123182

Fulltext A unique case of non- traumatic asymmetric shoulder dislocation with four-part fractures of proximal humeri following seizures

Nema SK, Pai DR, Sinha NK, Gupta KK

J Emerg Trauma Shock, 2013 Jul;6(3):231-2.

PMID: 23960386 DOI: 10.4103/0974-2700.115358

Fulltext Improving the Accuracy of Corrective Osteotomy for Congenital Radio Ulnar Synostosis using the Axis of Rotation of the Forearm as a Guide

Gandhi S, Dalei TR, Nema SK, Rathod A, Jagadevan M

Malays Orthop J, 2023 Mar;17(1):40-44.

PMID: 37064637 DOI: 10.5704/MOJ.2303.006

INTRODUCTION: Despite several techniques for corrective osteotomy in congenital radioulnar synostosis (CRUS) the published literature lacks a guide for radiographic planning and rationale for the site and level of the osteotomy. The primary objective of this study is to report a technique of radiographically controlled corrective osteotomy using the axis of rotation of the forearm in CRUS.

MATERIALS AND METHODS: Children with CRUS underwent corrective osteotomy based on radiographic planning; the extent of rotational correction and functional outcomes were assessed at a mean of 27 months after the operation.

RESULTS: Seven forearms in six children of an average of 6.25 years were assessed for correction and functional outcomes. The average pre-operative pronation deformity was 71.5°. The average correction achieved was 64°. At follow-up, there were five excellent and two good functional outcomes. All children could perform daily tasks besides eating with hand and personal hygiene.

CONCLUSION: Radiographic determination of the osteotomy sites by the method described is effective, consistent, and reproducible in achieving optimal functional outcomes in congenital radioulnar synostosis.

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