Online ISSN: 2515-8260

Keywords : fracture


PAN FACIAL FRACTURE – A CASE REPORT

Dr. Vijay Ebenezer; Dr. Rakesh mohan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1505-1508

Pan facial fractures are complex to treat and hence have to be systematically managed . Several authors have quoted several principles regarding the repair of pan facial fractures in a stepwise fashion . The most important goal is to restore the occlusal relationship at the beginning of the treatment , so that all the other structures get aligned . The folllowing is a case of a traumatic pan facial fracture and its surgical management

RECONSTRUCTION OF ORBITAL FLOOR FRACTURE– A CASE REPORT

Dr. Vijay Ebenezer; Dr. Wasim Ahamed

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1614-1618

Orbit is a conical cavity in which the base lies anteriorly and the apex directed at Optic Foramen .By Age of 5 years orbital growth is 85% complete, finalized between 7 years of age. Orbit is formed from 7 bones (Maxillary, Zygomatic, Frontal, Ethmoid, Larimal, Palatine, and Sphenoid ). It consists of Four Walls – roof, lateral, medial, floor .Medial wall and floor are thin ,While Lateral wall and Roof are Stronger. Floor of orbit is weakened due to infraorbtal Canal passing through it. In Pure blowout fracture one orbit wall is affected, without involving orbital rims. The inferior and medial walls are affected most frequently. Clinical features are diplopia, infraorbital nerve paresthesia , entrapment of soft tissue within the maxillary sinus, restriction of ocular movements and enophthalmos. CT scan is most helpful method for diagnosis of orbital fracture. For orbit reconstruction, natural and synthetic materials are available. We report a case of 21 years old man, diagnosed with orbital floor fracture after slip and fall from his two wheeler The surgical treatment involved orbital floor reconstruction with titanium mesh under general anesthesia. The outcome was satisfactory and during followup visual disturbances or paresthesia was not present.

Morphological And Morphometric Study Of Adult Human Scaphoids

Karthikeyan G; Zareena Begum; Yuvaraj3, Balaji; Vandana .; Gunapriya Raghunath; Balaji .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3335-3345

Introduction: Scaphoid is the second largest among all the carpal bones of the hand. It is located on the radial side of the proximal row of carpal bones. Among the carpal bones, scaphoid is more predisposed for fracture. The blood supply of scaphoid is unique, the route taken being from distal to proximal. A waist of scaphoid fracture leads to disruption of blood supply, and eventually leading to avascular necrosis, which warrants a bone replacement surgery. This study is aimed at analysing the morphologic and morphometric parameters of adult human scaphoids among the South Indian population which will act as a useful guide in treatment and procedure for pathologies of scaphoid.
Materials and methods: A total of 100 scaphoids were dissected from 25 male and 25 female cadavers, from Department of Anatomy, Saveetha Medical College. 5% potassium hydroxide solution was used to loosen the soft tissues and vernier and thread were used to measure the scaphoids.
Results: All the 100 scaphoids showed the presence of tubercle. 77% showed the presence of one main dorsal sulcus. Double foramina in the main dorsal sulcus was seen in 42 right and 48 left specimens. Differences were also found in length, waist and proximal, middle and distal width of the bones.
Conclusion: The data obtained from the present study was compared with previous studies and significant morphologic and morphometric differences were found between right and left side and among other studies. This study might prove useful in the intervention of fracture scaphoid for radiologists and orthopedicians.

MANAGEMENT OF LE FORT II FRACTURE FRACTURE – A CASE REPORT

Dr. Vijay Ebenezer; Dr. Shanmuga priyan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1559-1564

Lefort classification is the historic classification which is widely used to classify mid facial fractures. The lefort classification was given by Rene Lefort ,who classified mid facial fracture into Lefort I , II and III. Lefort 2 fracture is referred as ‘ PYRAMIDAL or SUBZYGOMATIC FRACTURE .’ Lefort 2 is a floating maxilla which runs from the thin middle area of the nasal bones down either side , crossing the frontal processes of the maxilla into the medial wall of each orbit . Within the orbit , the fracture line runs across the lacrimal bone behind the lacrimal sac to cross the infra orbital margin medial to or through the infra orbital foramen . Extends downwards & backwards across the lateral wall of the antrum below the zygomaticomaxillary suture & divides the ptyergyoid laminae .Le fort fractures are blunt trauma facial fractures which involves specific pattern of facial bones injury. Pterygoid process of sphenoid bones is involved in all Le fort fractures. Lefort fractures are classified further depending upon the involvement of zygomatic, nasal and maxillary bones. Blunt facial traumas due to motor vehicle collision, assault, falls or sports injury are the most common causes. In our case, Le fort 2 fracture resulted from motor vehicle collision.