Jagdish Menon

Jawaharlal Institute of Postgraduate Medical Education & Research | JIPMER · Department of Orthopaedics

Background The purpose of this study is to present a comprehensive overview of the ethical issues and the processes involved in research and publishing in India. The study examines the present ethical norms, guidelines, frameworks and developments in India, providing insights into the nation’s current status of research and recommendations for publ...

Pediatricians and orthopedic surgeons especially in the developing and LMIC countries may rarely encounter musculoskeletal infections caused by uncommon etiological pathogens. The authors have chosen to discuss three uncommon infective causes which may present with symptoms or signs for musculoskeletal infection and their sequelae. Having this know...

With increasing numbers of primary knee replacements and the growing concerns of revision knee replacements, research is now tending to look back and look forward for all that is possible to reduce the complications and improve patient satisfaction in this highly successful surgery. The clinician must make a comprehensive assessment of the patient,...

Purpose: d-Dimer estimation has been proposed as a reliable biomarker in prosthetic joint infections. Its role in non-prosthetic orthopaedic implant infections has, however, not been studied. The objectives of this study were to assess the levels of plasma d-Dimer in non-prosthetic orthopaedic implant infection. The diagnostic efficiency of d-dime...

Background: Observational studies have suggested that accelerated surgery is associated with improved outcomes in patients with a hip fracture. The HIP ATTACK trial assessed whether accelerated surgery could reduce mortality and major complications. Methods: HIP ATTACK was an international, randomised, controlled trial done at 69 hospitals in 17...

Background and Aims Perineural and intravenous dexmedetomidine as a local anaesthetic adjunct has not been compared previously in fascia iliaca compartment block (FICB). The aim of this study was to compare the efficacy and side effect profile of dexmedetomidine as an adjunct to bupivacaine in single dose FICB for femur surgeries in two different r...

A 35-year-old man presented to us with nonunion of both bones of the right forearm. He was planned for open reduction and internal fixation. Intraoperatively while trying to open the medullary canal of the ulna with a 2.5-mm noncannulated drill bit, the distal end of the drill bit broke and was stuck within the medullary cavity. Under image intensi...

Purpose: The objective of this study is to evaluate the efficacy of percutaneous platelet concentrate (PC) injection in increasing the chances of attaining union in delayed union of long bones and to know whether the time taken for union decreases with use of PC. Methods: Forty delayed unions (15-30 weeks old) were randomized into a study group...

Study DesignThis was a prospective, two-group comparative study.PurposeThe present study aimed to determine the importance of the spinopelvic parameters in the causation and progression of spondylolisthesis.Overview of LiteratureSpondylolisthesis is slippage of one vertebra over the vertebra below. Since the discovery of pelvic incidence (PI) in 19...

Purpose We conducted this study to correlate the short term clinical outcomes after anterior cruciate ligament (ACL) reconstruction with patients’ age, time since injury and associated meniscal injury. Methods A total of 43 patients who underwent ACL reconstruction between October 2013 and February 2015 were taken for the study. Preoperative demog...

Background: Accurate tibial and femoral tunnel placement has a significant effect on outcomes after anterior cruciate ligament reconstruction (ACLR). Postoperative radiographs provide a reliable and valid way for the assessment of anatomical tunnel placement after ACLR. The aim of this study was to examine the radiographic location of tibial and fe...

Purpose: Various modes of therapy have been directed at breaking the vicious cycle at early stage of synovitis in haemophilia patients. This study was planned to assess the short-term clinico-radiological outcome of chronic knee synovitis among haemophilia A patients post phosphorus-32 (P-32) radiosynoviorthesis. Methods: P-32 samarium radiocoll...

Objective To study the correlation between tunnel widening and tunnel position with short-term functional outcomes post-ACL reconstruction with patellar tendon and hamstring autografts in young adults. Materials and methods A total of 33 patients who underwent ACL reconstruction between October 2013 and February 2015 were included and followed up f...

Purpose The study was conducted to evaluate clinical and microbiological profile of neonates with septic arthritis and also to assess changing epidemiology in the microbial etiology. Methods Twenty-nine neonates (1–28 days of life) presenting to the Department of Orthopaedics with acute septic arthritis were included in the study. This was a descri...

Avulsion fracture of the brachioradialis origin at its proximal attachment on the lateral supracondylar ridge of the distal humerus is exceedingly rare, and only two cases have been reported in the literature so far. In this article, we present a 38 years old patient who sustained a closed avulsion fracture of the lateral supracondylar ridge of lef...

Osteochondroma arising from the tibial tuberosity is very rare. We report such a case which mimicked OsgoodSchlatter’s disease in an adolescent. A 12 years-old boy presented with swelling over his right proximal tibia of one year duration associated with pain in the last three months. Examination revealed a 4 x 2cm bony mass arising from the proxim...

Since the discovery of pelvic incidence by Legaye et al. in 1998, many other sagittal spinopelvic radiographic parameters have been described as determinants of good sagittal balance. Alteration in these parameters has been linked to various spinal ailments producing degeneration to deformity. This have been proved by Roussouly et al. in his landma...

Ever since Legaye et al. in 1998 first described the importance of pelvic incidence as an important determinant of sagittal spinal balance, several other radiographic spinopelvic parameters have been defined. There are an increasing number of reports and studies from around the world signifying the role of these parameters in the maintenance of glo...

Spondylolisthesis is defined as slippage of one vertebra over the below one. Ever since the discovery of pelvic incidence by legaye et al. in 1998 and as well as documentation of the other parameters for spinopelvic balance, the slippage in listhesis has been attributed to these parameters. Many studies were done in the Caucasian population, which...

Cysticercosis is caused by larval stage of pork tapeworm(Taenia solium). There is difficulty in diagnosing cysticercosis by ultrasound alone in its early stage especially if the lesion is small.we need to adopt MRI for early diagnosis and for starting optimum treatment for the patient. We discuss about a case of cysticercosis of vastus medialis mus...

Introduction: Surgical site infection following orthopaedic surgeries is a particularly catastrophic complication. So identification and stratification of risk factors of surgical site infection is utmost important in implementation of measures to prevent surgical site infection. Materials and Methods: This study was done in JIPMER Puducherry betwe...

Snapping hip is produced by intraarticular and extraarticular pathology. We describe a rare case of extraarticular snapping hip caused by bursal synovial chondromatosis overlying an osteochondroma. A 32-year-old male presented with swelling in his right gluteal region for 6 years associated with pain and snapping on movements since three months. On...

Sternocostoclavicular joint (SCCJ) swelling is an underdiagnosed, albeit important entity in clinical practice. The present study was conducted in order to identify the incidence and common causes of this entity. Patients presenting to the Orthopaedic Clinic with a swelling of the sternocostoclavicular joint, during the study period of two years we...

Non - traumatic open dislocation of the first metacarpophalangeal joint is a rare phenomenon. We present a rare such occurrence secondary to snake bite induced cellulitis. A 22 -year- old girl presented with pain and instability of her right thumb two months. She had snake bite two months back following which she developed cellulitis which graduall...

Objective: To study the results of internal fixation of intra-articular fractures of calcaneum, specifically Type II and TypeIII fractures, as classified by Sanders et al. Methods: Thirty patients with displaced intra-articular fractures of calcaneum were treated with open reduction and internal fixation from September 2004 to July 2008. We used CT...

Extraskeletal osteochondroma is a rare benign tumor that occurs predominantly in the soft tissues of the hands and feet. The congenital occurrence of this lesion in children is very rare. We report the case of a 9-year-old male who presented with slowly progressive swelling in his left third web space since birth that was painful with prolonged wal...

Aneurysmal bone cyst is a locally aggressive benign tumor accounting for 3 % of all benign bone tumors. It most commonly arises from ends of long bones and relatively rare in flat bones. Clavicle is a very rare site for bone tumors with secondaries more common than primaries. Very few cases of aneurysmal bone cyst have been reported in literature....

Brodie's abscess of the pelvis is very rare in healthy children. It can be missed because of its varied presentation. We present an 11-year-old boy who presented with low back pain. Investigations revealed a well-defined lesion in the posterior ilium. He underwent open biopsy and debridement. At the end of the final follow-up, he was asymptomatic a...

Background: Calcium sulfate belongs to synthetic ceramic group of bone graft substitutes having an osteoconductive property. Calcium sulfate is an easily available, economic bone graft substitute. It is a bio-inert material which over a period of weeks get resorbed and fibrovascular tissue takes its place which eventually allows neovascularisation...

Early diagnosis of Acute Osteomyelitis (OM) and Septic Arthritis (SA) is of vital importance to avoid devastating complications. There is no single laboratory marker which is sensitive and specific in diagnosing these infections accurately. Total Count, ESR and CRP are not specific as they can also be elevated in non pyogenic causes of inflammation...

We report on 2 patients with congenital insensitivity to pain and anhydrosis. The first one was a 7-monthold boy who presented with non-traumatic, haematogenous septic dislocation of the right elbow with physeal separation of the distal humerus. The second one was a 3-year-old girl suspected to have Job syndrome with an altered immunological profil...

Calcific myonecrosis is a rare late complication of limb trauma characterized by liquefaction and dystrophic calcification of muscles in the single compartment, usually in the leg. This occurs many years after the trauma and is probably due to chronic compartment syndrome. We report 2 cases of calcific myonecrosis involving the anterior compartment...

Purpose: To measure C-reactive protein (CRP) and interleukin-6 (IL-6) levels in 30 patients with open fractures and correlate the levels with infection. Methods: 29 men and one woman aged 9 to 70 (mean, 37) years presented with open fractures of the upper or lower extremity within 12 hours of injury and underwent debridement and external fixatio...

Osteochondromas are the most common benign tumors of the bone. However osteochondromas are very rare in the hand but seen frequently in patients with multiple hereditary exostoses [1]. Osteochondroma of the digit in paediatric patient is associated with angular deformity, splaying of fingers and/or restricted finger movements [2]. Phalangeal osteoc...

Purpose of study: To evaluate the factors associated with acute hematogenous septic arthritis of the knee in adults and to assess the outcome after open knee arthrotomy. Methods: We performed a prospective evaluation of 26 adult patients with acute nongonococcal septic arthritis of the knee presenting within 7 days. All patients underwent open k...

Alkaptonuria is an autosomal recessive disorder of tyrosine metabolism with a Mendelian pattern of inheritance. We present a unique, clinically asymptomatic case of ochronosis, first diagnosed on histopathological examination. This case is presented for its rarity. The knowledge of the histopathological changes would help to clinch the diagnosis ev...

The fibular head is often used as donor graft material for reconstruction of defects of the distal radius. However little is known on the safety of such a procedure. This report describes the long-term donor-site morbidity following the procedure. Fourteen patients who underwent simple or marginal resections of the proximal fibula between 1990 and...

Heterotopic ossification around the elbow can lead to considerable functional disability. We describe a case of a 42-year-old man who developed heterotopic ossification of his elbow after closed reduction of the elbow dislocation and radial neck fracture and retrograde intramedullary nailing for radial neck fracture. During the follow-up after init...

A 9-year-old boy presented with high-grade fever associated with pain and swelling in right hip and left leg of 1-week duration. Pus was found on diagnostic aspiration of the right hip joint. Emergency arthrotomy was performed through anterior approach with drill holes in proximal femur and culture showed MRSA. Intravenous antibiotics were given fo...

We report a case of synchronous symmetrical osteoid osteoma of tibia which was atypical in its appearance on imaging. Our patient was a 30-year-old woman presented with 2 years history of bilateral leg pain more on the right side. The pain was more during night and relieved on taking salicylates. Laboratory investigations were within normal limits....

Sickle cell osteomyelitis is usually due to Salmonella or Staphylococcal etiology. Pseudomonas as a cause of sickle cell osteomyelitis is rare. Similarly, pyomyositis is a rare complication in children with sickle cell disease and few cases have been reported, predominantly due to Staphylococcus. We describe an 8-year-old boy who presented with hig...

Haematogenous multifocal osteomyelitis in children represents a dangerous form of osteomyelitis in which sepsis can develop quickly if it is not treated early. A retrospective analysis of 26 children with acute multifocal haematogenous osteomyelitis over a period of 5 years was undertaken in order to assess the clinical presentation, infective orga...

Objective Flexible intramedullary nailing has become a popular method of fixation of femur fractures in children. The purpose of this study was to analyze complications following titanium elastic nailing in pediatric femur fractures. Methods Sixteen consecutive femoral shaft fractures treated with titanium elastic nails in children 5–15 years of ag...

The purpose of the study was to assess the validity of surgical interference with elastic nailing in treating pediatric femur fractures in comparison with the traditional treatment method-hip spica casting. Sixteen consecutive femur fractures in children 5-15 years of age were recruited prospectively over 13 months. An equal number of age-matched c...

Dislocation of the shoulder is the commonest of all large joint dislocations. Inferior dislocation constitutes 0.5% of all shoulder dislocations. It characteristically presents with overhead abduction of the arm, the humerus being parallel to the spine of scapula. We present an unusual case of recurrent luxatio erecta in which the arm transformed l...

An injury involving fracture of the proximal humeral physis along with glenohumeral dislocation in preschool children is a very rare event. We report a 3-year-old girl child with fracture dislocation of the shoulder who was treated successfully with open reduction. KeywordsShoulder dislocation-Proximal shoulder fracture-Paediatric injury

Basic musculoskeletal knowledge is essential to the practice of medicine. The purpose of this study was to assess the adequacy of musculoskeletal knowledge of medical students. The validated basic competency examination in musculoskeletal medicine devised by Freidman and Bernstein was administered to final year medical students just prior to their...