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Primary Combined Intra-articular and Extra-articular Synovial Osteochondromatosis of Shoulder: a Case Report

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Chinese Medical Sciences Journal 2014年第4期29卷 248-250页

作者： ashish devgan Vinay Gupta Narender K Magu Rajesh Rohilla Department of Orthopaedic Surgery Paraplegia & Rehabilitation Pt. B.D. SharmaPost Graduate Institute of Medical Sciences

PRIMARY synovial chondromatosis is a rarecondition in which foci of cartilage develop in thesynovial membrane of joints, bursae and tendonsheaths. It typically involves a single large jointin a young adult male.1 The ectopic foci of cartilage canresult in painful joint effusion, and the generation of loosebodies can cause mechanical symptoms.2,3 The etiology ofprimary synovial chondromatosis remains unknown, butmetaplastic theory is the most popular hypothesis. Thecommonly involved joints are knee, elbow, and hip.^4 Theshoulder is a rare site of synovial chondromatosis2,3,5 andthe extra-articular involvement even rarer, with only fewcases presented in literature. This report presents a rarecase of primary combined intra-articular andextra-articular synovial chondromatosis of shoulder jointtreated with arthroscopy.

关键词： synovial chondromatosis shoulder intra-articular extra-articular arthroscopy

Pseudoarthrosis of medial tibial plateau fracture——role of alignment procedure

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中华创伤杂志(英文版) 2013年第2期16卷 118-121页

作者： ashish devgan Pradeep Kamboj Vinay Gupta Narender K Magu Rajesh Rohilla Department of Orthopaedics TraumatologyParaplegia and RehabilitationPandit BD Sharma Post Graduate Institute of Medical SciencesRohtak 124001HaryanaIndia

Nonunion in tibial plateau fractures is very *** literature is available on Pubmed search on intraarticular tibial *** of the cases reported have been following failed surgical treatment and none was neglected *** patients of isolated and neglected medial tibial plateau nonunion with almost similar demographic profile are reported in this *** the three patients were managed by minimally invasive compression fixation using lag screws supplemented with limb realignment procedure of high tibial *** discussed the injury mechanism,management and rehabilitation in such cases and reviewed the available literature regarding such a presentation.

关键词： Fracture healing Tibial fractures Fracture fixation Osteotomy

Contralateral reversed distal femoral locking plate for fixation of subtrochanteric femoral fractures

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Chinese Journal of Traumatology 2015年第5期18卷 279-283页

作者： Paritosh Gogna Reetadyuti Mukhopadhyay Amanpreet Singh ashish devgan Sahil Arora Amit Batra Sushil Kumar Yadav Department of Orthopaedics and Rehabilitation Pt BD Sharma Postgraduate Institute of Medical Sciences Rohtak Haryana India

Purpose： Subtrochanteric fractures of the femur are being managed successfully with various intramedullary and extramedulary implants with reasonable success. However, these implants require precise placement under image intensifier guidance, which exposes the surgeon to substantial amount of radiation. It also restricts the management of these fractures at peripheral centers where facility of image intensifiers is not available. Keeping this in mind we designed this study to identify if contralateral reversed distal femoral locking plate can be used successfully without the use of image intensifier. Methods： Twenty-four consecutive patients （18 men and 6 women） with a mean age of 28 years （range 19-47 years） suffering subtrochanteric fractures of the femur underwent open reduction and internal fixation with reversed contralateral distal femoral locking plate. The outcome was assessed at the mean follow-up period of 3.2 years （range 2-4.6 years） using the Harris hip score. Results： Twenty-one fractures united with the primary procedure, with a mean time of consolidation being 11 weeks （range, 9-16 weeks）. One patient developed superficial suture line infection, which resolved with oral antibiotics. Another patient had a fall 3 weeks after surgery and broke the plate. Repeat surgery with reversed distal femoral locking compression plate was performed along with bone grafting and the fracture united. Two cases had nonunion, which went in for union after bone grafting. The mean Harris hip score at the time of final follow-up was 90.63 （range 82-97）. Conclusion： The reversed contralateral distal femoral plate is a biomechanically sound implant, which when used for fixation of the subtrochanteric fractures with minimal soft tissue stripping shows results comparable to those achieved by using other extramedullary implants as well as intramedullary devices. The added advantage of this implant is its usability in the absence of an image intensifier.

关键词： Femoral fractures Bone plates Fracture fixation

Missed ulnar nerve injury and closed forearm fracture in a child

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Chinese Journal of Traumatology 2013年第4期16卷 246-248页

作者： Batra Amit devgan ashish Verma Vinit Singh Raj Batra Shivan Magu Narender Singla Rohit Gogna ParitoshGupta Navdeep Department of Orthopedics PGIMS Rohtak HaryanaIndia

Ulnar nerve injury in closed fracture of lbrearnl in children is uncommon. Commonly, neurapraxia is the reason for this palsy but other severe injuries or nerve entrapment has been reported in some cases. The impor- tance of diagnosis concerning the types of the nerve injury lies in the fact that they have totally different management. We present a case of ulnar nerve deficit in a child following a closed fracture of the forearm bones. It is imperative to diagnose exact cause of palsy as it forms the basis for treatment. MR1 scan can help diagnosis and accordingly guide the management. Simple nelwe contusion should be treated conservatively, and exploration with fixation of the fracture should be done in lacerations and entrapments of the nerve. Surgery is not the treatment of choice in cases that could be managed conserwltively.

关键词： Ulnar nerve Peripheral nerve injuries Forearm injuries Child

Indirect Reduction and Intramedullary Pinning in Severely Displaced Radial Neck Fractures in Children

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International Journal of Clinical Medicine 2011年第2期2卷 75-78页

作者： ashish devgan Raj Singh Suresh Kumar Vinit Verma NK Magu RC Siwach 不详

Fractures of the radial neck account for 5-10% of traumatic lesions of the elbow in the child. Conservative method of reduction may fail to reduce severely displaced fractures. Open reduction of severely displaced radial neck fractures is associated with a high incidence of complications. The present study describes the results achieved after closed and indirect reduction of the severely displaced radial head using a 2-mm K-wire passed intramedullary from near the radial styloid. The bent tip of the K-wire was used to manipulate the displaced head back to the shaft without opening the fracture site. The indirect reduction of the radial head using bent intramedullary K-wire is a simple, minimally invasive method, easy to perform, and obtains encouraging results with few complications. Intramedullary pin also achieves fixation of the radial head after reduction and prevents its secondary displacement.

关键词： Intramedullary Pinning Radial Neck Fracture