41 research outputs found

    Clinical outcomes in management of dislocation of carpometacarpal joints of hand: a rare orthopaedic presentation

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    Background: Dislocation of carpo-metacarpal (CMC) joints especially involving the 2nd and 3rd or paired dislocations, presents a rare pattern of orthopaedics hand injuries. They are associated with high energy trauma usually involving motorbike accidents. Severe soft tissue inflammation over the affected hand and associated injuries often makes detection of these fractures difficult. They require prompt management at presentation. Failure to be diagnosed and treated at early stage leads to joint stiffness, restrictions of wrist movement, deformity and sometimes ruptures of tendons crossing the wrist. Most of them require open reduction and internal fixation for stabilization. The objective of the study was to clinically evaluate outcomes in management of carpometacarpal joint dislocations.Methods: We prospectively studied 6 cases of CMC dislocation presenting at average of 1week from the original injury. All were clinically and radiologically evaluated. 3 cases were managed with open reduction and internal fixation with K wire and 1with closed manipulation and percutaneous k wire fixation and 1 case by arthrodesis of CMC joint. Functional assessment was done with Quick DASH score at 6 weeks, 3 months, 6 months and 1 year.Results: All the patients went on to have good functional recovery. The average quick DASH score showed improvement from 77.39 to 4.07 over 1 year follow-up. Conclusions: Careful and meticulous examinations of hands are necessary in high velocity trauma cases to avoid missing diagnosis of CMC dislocation. ORIF remains the gold standard treatment which can also be used for cases presenting late, followed by aggressive post-op physiotherapy can lead to excellent recovery of hand function

    Ion-Lithium Collision Dynamics Studied with a Laser-Cooled In-Ring Target

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    We present a novel experimental tool allowing for kinematically complete studies of break-up processes of laser-cooled atoms. This apparatus, the \u27MOTReMi,\u27 is a combination of a magneto-optical trap (MOT) and a reaction microscope (ReMi). Operated in an ion-storage ring, the new setup enables us to study the dynamics in swift ion-atom collisions on an unprecedented level of precision and detail. In the inaugural experiment on collisions with 1.5MeV/amu O8 +-Li the pure ionization of the valence electron as well as the ionization-excitation of the lithium target was investigated

    Complementary Medicine − A Novel Therapeutic Approach for Oral Diseases

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    With the increasing concern among patients about the adverse effects of conventional medicines’ increased resistance by bacteria to antibiotics and challenges faced by the medical personnel in managing chronic disease and their symptoms, it is becoming essential for the health professionals to have a sound knowledge of complementary and alternative modalities for the treatment of these chronic ailments. Oral physicians and dental health care professionals also face challenges in the management of few dental conditions as a result of resistance of oral microflora due to drug tolerance leading to persistence of symptoms and emergence of other side effects of conventional therapies. Therefore, it is often necessary for the dentists to be aware of complementary and alternative modalities which are popular, safe, effective, and economical alternative treatment regimen. Complementary medicine comprises treatment modalities such as herbal medicines, traditional Chinese medicine, naturopathy, Ayurveda, aromatherapy, homeopathy, acupuncture, magnetic field therapy, ozone therapy, Mora therapy, and many more

    Unfolding the Mysterious Path of Forensic Facial Reconstruction: Review of Different Imaging Modalities

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    Forensic facial reconstruction (FFR) is the technique that combines art and science to recreate the antemortem appearance of an individual in order to recognize and identify the decedent. Over the years, many techniques of FFR and imaging modalities that provide the basic data for FFR have evolved. There is always a considerable debate and confusion regarding the advantages and limitations of these techniques. The aim of this review is to summarize the different techniques of FFR and emphasize the role of radiological techniques including cone beam computed tomography in it

    Cone-beam computed tomographic illustration of an unusual position of keratocystic odontogenic tumor mimicking a dentigerous cyst: A case report

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    Cone-beam computed tomography (CBCT) is an advanced imaging modality, with its application in all branches of dentistry. Of all the imaging modalities available, CBCT, with minimum required exposure, provides the best image quality and helps in arriving at a correct diagnosis and in treatment planning. An odontogenic keratocyst, reclassified as a keratocystic odontogenic tumor (KCOT), has an aggressive behavior, is prone to recur, and thus, has been classified as a tumor. Here, we discuss a rare case of a keratocystic odontogenic tumor occurring in the maxilla, with an ectopic tooth position mimicking a dentigerous cyst
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