Online ISSN: 2515-8260

Keywords : Injury


ACL Injuries In Young Athletes: The Culprit And The Time Lost! A Prospective Correlation Analysis of Anterior Cruciate Ligament Injuries with Meniscal and Chondral Lesions

Dr. SM Adil, Dr. Vyom Sharma, Dr. Shambhu Singh, Dr. Akshay Pushkar, Dr. Kaushik Roy, Dr. Chetan Sood, Dr. KP Jaidev

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 2475-2486

Anterior cruciate ligament (ACL) injuries impair quality of life of an athlete with the possibility of osteoarthritis if left untreated. The aims of the study were to analyse the pattern of chondral and meniscal injuries and the temporal association of severity of these injuries with delay in ACL reconstruction.
Material and Methods: In this prospective study, patients who underwent knee arthroscopy from Jan 2015 to Dec 2018 for clinico-radiologically diagnosed ACL tear were included in the study. Mode of injury, time from injury (TFI) to ACL reconstruction and intraoperative findings of chondral lesions, meniscal tears and other intra-articular injuries was recorded. The association between the index injury and whether there was any significant correlation between TFI, severity of chondral and meniscal lesions and mode of injury were analysed.
Results:429 male and 15 female athletes were included in the study with a mean age of 28.98±7.08 years,53.6% of patients in the 26–35 years age group. Twisting during running events was the most common mode of injury in 139(31.3%) patients. MeanTFI was 55.35±23.84(14-129) weeks. There was a significant correlation between the grade of the chondral lesion and TFI (p < 0.0001) as all grade III and IV chondral lesions were observed with a mean TFI of 69.9±4.23 weeks. The odds of finding a medial meniscus tear associated with a complete ACL tear were statistically significant when TFI was more than 59.3 weeks. There was a significant correlation between the incidence of medial compartment chondral injury and medial meniscus tear at a mean TFI of 55.3 weeks(p=0.007,OR=1.90) without significant correlation between lateral compartment chondral injury and lateral meniscus tear (p=0.91, OR=1.03).There was no significant correlation between a particular mode of injury and ACL tear.
Conclusions: The delay in treatment of ACL injuries greater than 70 weeks leads to higher grade chondral lesions and complex meniscal injuries in young athletes that can be avoided with early management of an ACL deficient knee

ROLE OF 3T MAGNETIC RESONANCE IMAGING IN EVALUATION OF BRACHIAL PLEXUS.

Dr. Aastha Agarwal, Dr. Varsha Rangankar, Dr. Reetika Kapoor

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 3214-3229

The aim of the present study was to assess the role of 3T Magnetic Resonance Imaging in evaluation of brachial plexus.
Methods: The Descriptive, cross-sectional study was conducted at Dr. D. Y. Patil Medical College and Hospital and Research Centre, Pimpri, Pune.  Sixty-eight patients who had undergone brachial plexus MRI from August 2020 to September 2022 duration were included in the study.
Results: Out of 68 patients, the most common age group was 20-40 (55.9%) and majority were male patients (73.5%). Out of 68 patients, brachial plexus was found to be abnormal on MRI in 40 patients (58.8%) with unilateral involvement in 36 patients (90%) and bilateral involvement in 4 patients (10%). The most common pathology was brachial plexus injury, found in 25 cases (36.7%), followed by root compression in 9 cases (13.2%), parsonage turner syndrome in 5 cases (13.2%), primary brachial plexus tumors in 5 cases (7.3%) and secondary involvement of brachial plexus by metastases in 2 cases (2.9%). Fibrosis was seen in 3 cases (4.4%). On level wise analysis of brachial plexus involvement, the trunks were involved in 26 patients (38.2%), divisions were involved in 21 patients (30.9%), cords were involved in 22 patients (32.4%) and terminal branches were involved in 19 patients (27.9%). Pre-ganglionic root injury was found in 3 cases (4.4%), while 8 cases each of post-ganglionic root injury (11.7%) and pre plus post-ganglionic root injury (11.7%) were seen. On MRI and NVC/EMG correlation, MRI was found to be 94.7% sensitive and 90% specific for brachial plexopathies.
Conclusion: 3T MRI of brachial plexus provides valuable information regarding the morphology, location and extent of both traumatic and non-traumatic brachial plexopathies

Evaluation of Role of Imaging Technique in Blunt Injury Abdomen: An Institutional Based Study

Nikita Garg, Amol Sasane

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 3436-3439

Background: The present study was conducted for evaluating the role of imaging techniques in blunt abdominal injury.
Materials &Methods: A total of 100 patients with presence of blunt abdominal trauma were enrolled. Complete demographic and clinical details of all the patients were obtained. All patients underwent both Ultrasound and CT and the time gap between the two were tried to be kept to a minimum. Emergent sonography for trauma was performed simultaneously with physical assessment, resuscitation, and stabilization within minutes of a patient’s arrival. All the results were recorded and analysed using SPSS Software.
Results: Mean age of the patients was 36.5 years. The sensitivity, specificity and accuracy of ultrasound in detection of abdominal visceral organ injuries was 82.3 percent, 100 percent and 88.10 percent respectively. The sensitivity, specificity and accuracy of CT in detection of abdominal visceral organ injuries was 98.3 percent, 100 percent and 97.1 percent respectively.
Conclusion: Though ultrasound is the best initial imaging modality of choice, many injuries were missed, when used alone.While USG abdomen was used in conjunction with CT abdomen, better diagnostic results were obtained.

Open globe injury: Presentation and predicting factors

Dr. Prabha, Dr. Rajesh Kumar Saini, Dr. Shashidhar Harvyasi, Dr. Charita Meena

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1222-1227

Aim: To identify the prognostic factors in open globe injuries and its presentation.
Materials and Methods: Retrospective study at Government medical College, Bharatpur,
JLN Medical College Ajmer, GMC Churu, GMC Dungarpur, Rajasthan, India in year 2021,
patients presented to casualty department of eye and undergone intervention with follow-up
of 1 to 3 months or till better recovery.
Results: Total 62 patients, 44 (71%) were males and 18 (21%) were females. Mean age was
24 years (with range: 2.5-62 years). Factors affecting final outcomes in ocular trauma are
nature and mechanism of injury, presenting conditions initial visual acuity, timing of
presentation and timing of intervention, segmental involvement as anterior or posterior
segment and zone of injury.
Conclusion: These predicting factors helps in counseling and explaining the prognosis and
also the deciding the line of treatment

A study of acute kidney injury in cirrhosis of liver

Dr. Meghna Vaidya, Dr. Nitin Sarate, Dr. Juhi Kawale, Dr. Vinayak Pai

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 26-34

Background: The prevalence of renal dysfunction has been reported to vary from 14-50% in
patients with cirrhosis. The prevalence is estimated to be approximately 50% among patients
with cirrhosis and ascites and 20% of patients with advanced cirrhosis admitted to the hospital
3,4. The wide range in prevalence is likely due to different study populations and varying
definitions of renal dysfunction. Patients with HRS who fail to respond to medical therapy or
those with severe renal failure of other etiology may require renal replacement therapy.
Simultaneous liver kidney transplant (SLK) is needed in many of these patients to improve
their post-transplant outcomes. However, the criteria to select patients who would benefit from
SLK transplantation are based on consensus and lack strong evidence to support them. Heath
care system has evolved over the last decade and newer drugs are available for the management
of complication of cirrhosis. We attempt to study its impact on course and outcome of acute
kidney injury. Also few of the patients could possibly be on the antiviral drugs for hepatitis B
and hepatitis C. If these patients are admitted they will be included in study and we would study
the effect of the effect of this drug on acute kidney injury and vice versa. Hence, the present
study was conducted to study clinical profile of patients with acute kidney injury in liver
cirrhosis.

THE CURRENT STATE OF THE PROBLEM OF PROVIDING ASSISTANCE TO VICTIMS WITH ACETABULAR INJURIES IN THE BUKHARA REGION

E. Yu. Valiev; A. S Yakhyoev; J.Yu. Jabbarov; Khasanov Z. R

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 1, Pages 1440-1445

In recent years, there has been an increase in patients with acetabular fractures, while the rates of unsatisfactory treatment results and disability remain high. There is a widespread trend, as well as in the Bukhara region, to increase the number of patients with injuries of the acetabulum. The difficulties of diagnosis and the choice of treatment tactics remain relevant. Low rates of active surgical tactics for treating injuries, which affects the results of treatment. There is a need for a more in-depth study of this problem with the introduction of modern methods of damage visualization and the development of minimally invasive treatment methods

To study modalities for evaluating the abdomen after blunt abdominal trauma & severity of injury

Dr. Sandeep Shrivastava

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 7043-7047

Background & Method: This study carried out in Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh. The present study includes 250 cases of blunt abdominal trauma admitted Hospital. On admission to hospital patient s name, age, sex, address, registration number, and, date and time of admission, length of delay in treatment taken noted and Nature of weapon also noted.
Result: Maximum patients come after 1 day of injury 83, i.e. 33.2 % and the minimum of the patients 32, i.e. 12.8% came to hospital in between 8-16 hrs of injury. This duration of injury had recorded from the OPD slip of the patients or the direct enquiry made from patients. There were 51 out of 250 patients (20.4 %) of head injury in BAT patient, 53 out of 250 patients (21.2 %) of chest injury, and 17 out of 250 patients (6.8 %) of Extremity injury, 16 out of 250 patients (6.4 %) of facial injury, and 15 out of 250 patients (6.0 %) of pelvis injury. So it is clear that maximum associated extra abdominal injury in BAT patients is chest> head injury and minimal associated extra-abdomanal injury in BAT patients are pelvis injuries.
Conclusion: In all blunt abdominal trauma 61.6 % case account for accidental in nature. RTA is the most common mode of injury in the blunt abdominal trauma. Majority of patients83, (33.2%) attend emergency department are after 1 day of injury. Most extra-abdominal body region injuries are managed conservatively. Trauma centres should be modernized and fully equipped with emergency drugs and surgical instruments along with adequate manpower.