Sandesh Madi

Sandesh Madi
Manipal Academy of Higher Education | MAHE · Department of Orthopaedics

M.S.(Ortho)

About

53
Publications
6,670
Reads
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161
Citations
Introduction
Additional affiliations
March 2014 - present
Manipal Academy of Higher Education
Position
  • Medical Doctor
August 2013 - January 2017
Manipal Academy of Higher Education
Position
  • Professor (Assistant)

Publications

Publications (53)
Article
Background Non-operative management of Osteoarthritis (OA) can be challenging. The intra-articular injection with hyaluronic acid (IAHA), corticosteroids and Platelet rich plasma are some of the popular modalities which are increasingly being employed as a stop-gap strategy before considering any surgical intervention for OA management. Among these...
Article
Mesenchymal stromal cells (MSCs) express a wide range of properties anticipated to be beneficial for treating genetic, mechanical, and age-related degeneration in diseases such as osteoarthritis (OA). Although contemporary conservative management of OA is successful in many patients with mild-moderate OA, it often fails to improve symptoms in many...
Article
Traditionally, while managing ligament injuries around the knee, medial side injuries are frequently overlooked or considered ‘benign’ with very little influence on overall knee stability outcomes. However, much has changed in the recent past, and like the lateral side of the knee, it is gaining considerable attention. It is now well known that the...
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Purpose: High rates of re-tear after repair of large size posterosuperior rotator cuff tear remains a significant concern which may affect the clinical outcome. The most optimal type of repair (single versus double-row suture bridge) suited for large size tear remains debatable. Methods: In a retrospective cohort study with a minimum of five years...
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Among all the prevalent painful conditions of the shoulder, frozen shoulder remains one of the most debated and ill-understood conditions. It is a condition often associated with diabetes and thyroid dysfunction, and which should always be investigated in patients with a primary stiff shoulder. Though the duration of ‘traditional clinicopathologica...
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Purpose: Many fixation options (Open and arthroscopic) are described for Posterior Cruciate Ligament avulsion (PCL) fractures. In this retrospective series, we evaluated functional and radiographic outcomes following arthroscopic dual tunnel double sutures knot bump technique for acute PCL tibial end avulsion fractures. Methods: 23 patients with ac...
Article
Volar plate injuries are typically caused by hyperextension of the proximal interphalangeal joint. These injuries are usually seen in sports where the ball comes in direct contact with the hands. Forceful dorsiflexion of the finger caused by the speeding ball leads to volar plate avulsion. In cricket, such finger injuries predominantly occur in fie...
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Background As per some cadaveric studies, blood flow in posterosuperior rotator cuff tendons improves in the abducted shoulder position compared with the neutral position. In a clinical post–rotator cuff repair scenario, the impact of abduction on altered blood flow in and around the posterosuperior rotator cuff tendons is unknown in terms of clini...
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Venous Thromboembolism (VTE) is an unusual complication after arthroscopic meniscus surgery. There is no consensus for anticoagulant therapy following routine arthroscopic meniscus surgery. Here we present a case of near-fatal pulmonary thromboembolism after an elective arthroscopic meniscus repair.
Article
Objective A hospital-based study was conducted to analyze the clinical, laboratory and arthroscopic data of bacterial septic arthritis of the native knee in adults treated over ten years. Method Between 2010 and 2019, the clinical, laboratory and arthroscopic data of all adult patients who underwent Arthroscopic debridement for diagnosed or suspec...
Article
Background: Lone Bankart repair is associated with high rates of recurrence, especially in off-track Hill-Sachs (HS) lesion. The objective of the study was to assess the impact of remplissage in off-track HS lesion influencing the rate of redislocation and range of motion (ROM) of the shoulder. Material and method: We retrospectively reviewed 13...
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The peculiar anatomical location of the long head of the biceps tendon (LHBT) and pathological changes with or without rotator cuff pathology has generated much interest for a long time which has subsequently resulted in contradictory results and controversies. This review highlights the evolution of changing concepts in understanding the role of L...
Article
Anterior instability of the shoulder is characterised by bipolar lesions – the Bankart lesion with glenoid bone loss on ‘glenoid side’ and the Hill- Sach's defect (HSD) on the ‘humeral head’. It is well known that the recurrence of the dislocation is likely to be more frequent even after surgical repair in the presence of these lesions. Currently,...
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Chronic neglected rupture of patellar tendon is a rare but a disabling injury which requires patellar tendon reconstruction to restore the optimal function of the knee. Though many techniques are described in literature to reconstruct the patellar tendon, use of ipsilateral semitendinosus tendon through transverse patellar tunnel is one of the meth...
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Most of the nerve injuries reported during shoulder arthroscopy in a beach chair, or lateral position is related to inappropriate patient positioning or excess traction. The lateral decubitus position is more vulnerable for traction‑related neuropraxia. The present case serves as an important lesson from an avoidable situation of “having a one trac...
Article
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Purpose This study was done to determine the role of endoscopic carpal tunnel release in the treatment of carpal tunnel syndrome and also to note the conversion rates of endoscopic to open release, causes for conversion and to analyse the learning curve of the operating surgeon for endoscopic procedure. Methods A total of 100 consecutive idiopathi...
Article
Spontaneous non-traumatic rupture of Tendo-Achilles (TA) as a presenting feature of alkaptonuria is unusual. In this disorder, there is deposition of homogentisic acid in the cartilage of major joints and intervertebral disc is responsible for the degenerative changes. Infrequently, it also gets deposited in major tendons that renders them structur...
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Isolated tear of collateral ligaments of thumb are common but combined injuries of both radial and ulnar collateral ligaments are rare. These cases are reported in athletes involved in high-impact sports. Here, we report a case of a 15-year-old boy with pain at base of the thumb and instability following low-impact sporting activity. On subsequent...
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Since its first description, the diagnosis and terminology of hemangiopericytoma have been in controversy. We report perhaps the first case of multiple lipomatous hemangiopericytoma occurring in the foot and ankle region.
Article
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Tarsal tunnel syndrome (TTS) is one of the frequently encountered entrapment neuropathies of the lower limb. Most often the aetiology is considered to be idiopathic. However, it has to be thoroughly investigated to rule out diverse extrinsic and intrinsic causes. The sustentaculum tali (ST) forms the superior part of the distal tarsal tunnel, and a...
Article
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Article
Introduction: Medial collateral ligament (MCL) is a prime valgus stabilizer of the knee, and MCL tears are currently managed conservatively. However, posteromedial corner (PMC) injury along with MCL tear is not same as isolated MCL tear and the former is more serious injury and requires operative attention. However, literature is scarce about the...
Article
The treatment options for recurrent chondromyxoid fibroma of the toe range from total amputation to salvaging a functional toe. There is no globally accepted treatment protocol available for this tumour because of its rarer incidence and lack of population based data. Here we suggest performing a staged approach, which involves en block resection i...
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Aberrant insertions of the pectoralis minor tendon are quite rare. Most cases are incidental findings during cadaver dissections, on an MRI or during surgical procedures of the shoulder joint. Rarely the aberrant insertion points can be a source of pain or restriction of the shoulder joint. From the literature review, we found that there has been n...
Article
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Background: Platelet-rich plasma (PRP) has the potential to improve tendon-bone healing. The evidence is still controversial as to whether PRP application after repair of medium-sized to large cuff tears leads to superior structural and clinical outcome, especially after single-row repair. Methods: In a randomized study, 102 patients (PRP group,...
Article
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Introduction: Isolated traumatic fractures of both Patellae, occurring at the same time, in an otherwise healthy person, are very rare. The Patella, as a subcutaneous and a cancellous bone, is vulnerable to injury. However, simultaneous injury to both Patellae without the involvement of any other bony injuries occurs infrequently, and only a few c...
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The association of elbow dislocation with fracture of the lateral condyle in paediatrics is considered very rare and only a few isolated cases have been reported in the literature. Due to its rarity, some of the authors have classified this injury as a complex elbow injury and have deemed them technically demanding. A ten-year-old boy presented to...
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Synovial chondromatosis or osteochondromatosis is a benign neoplastic condition arising from synovial tissue of joints, tendon sheath and bursa. Commonly involved joints are the knee, hip, shoulder, elbow and ankle. According to authors' knowledge, only four cases have been reported in the English literature, describing the extra articular synovial...
Article
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A direct blow to the shoulder, as may be sustained in a road traffic accident (RTA), can result in various combinations of fracture dislocations in the shoulder joint complex. Among these, a rare variety is an acromioclavicular joint (ACJ) dislocation coupled with ipsilateral mid-shaft clavicle fracture. Diverse treatment options have been describe...
Article
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Luxatio erecta accounts for only 0.5% of all shoulder dislocations. More than 150 cases have been described in the literature, focusing mainly on the method of reduction and/or associated complications. Some of the well-described complications include injuries to the humeral head, glenoid, clavicle, rotator cuff, capsules and ligaments, brachial pl...
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Central quadriceps tendon (CQT) graft has been successfully used as a viable autograft option in cruciate ligament reconstruction of the knee. The prime emphasis in the majority of the literature is given to surgical details of quadriceps graft harvesting and outcome of cruciate ligament reconstruction. There is less discussion about donor site mor...
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Floating metatarsals are rare and complex injury patterns in the world of foot trauma. The injury is typically characterised by concomitant dislocations of the metatarsals from both articular ends ('bipolar dislocations'). Fascination arises from the fact that there have been only 15 cases reported in the English literature from 1964 to date. The f...
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Injury prevention measures in automobiles are mainly focused on the front seat passengers and driver. In the event of a head-on collision, rear seat passengers usually escape with minimal injuries. Most commonly observed injuries to rear passengers are to the head, chest wall or lower extremities. We report a case of bilateral anterior dislocation...
Technical Report
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An apparently healthy adolescent presented to us with multiple discharging sinuses from his right foot for the past 1 year. All serological parameters were within normal limits. X-ray picture revealed an expansile osteolytic lesion of first metatarsal. Tissue biopsy and PCR confirmed it be of tubercular etiology. The incidence of isolated occurrenc...
Article
Full-text available
An apparently healthy adolescent presented to us with multiple discharging sinuses from his right foot for the past 1 year. All serological parameters were within normal limits. X-ray picture revealed an expansile osteolytic lesion of first metatarsal. Tissue biopsy and PCR confirmed it be of tubercular etiology. The incidence of isolated occurrenc...
Article
Full-text available
Background: Giant Cell Tumour [GCT] is a familiar benign but locally aggressive bone tumour especially around the knee joint. Less than 4% of these tumours are known to affect the ankle joints. But, its biological behavior at this rare location is quite unpredictable. Moreover, restoring the ankle joint functionality following tumour resection is a...
Article
Full-text available
Background: Giant Cell Tumour [GCT] is a familiar benign but locally aggressive bone tumour especially around the knee joint. Less than 4% of these tumours are known to affect the ankle joints. But, its biological behavior at this rare location is quite unpredictable. Moreover, restoring the ankle joint functionality following tumour resection is a...
Article
Full-text available
An apparently healthy adolescent presented to us with multiple discharging sinuses from his right foot for the past 1 year. All serological parameters were within normal limits. X-ray picture revealed an expansile osteolytic lesion of first metatarsal. Tissue biopsy and PCR confirmed it be of tubercular etiology. The incidence of isolated occurrenc...
Article
Full-text available
Locking symptoms in the knee joint generally occur due to meniscal tears and loose bodies. The purpose of this report is to describe a case of nodular synovitis, an intra‑articular tenosynovial giant‑cell tumor, as a rare differential diagnosis for locking of the knees. Arthroscopic removal ensured prompt symptomatic relief without any recurrence a...
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Sternal bone affection by Mycobacterium tuberculosis is a rare entity. Clinical manifestations can vary widely. There are only a few isolated case reports of tubercular sternal osteomyelitis in both endemic belts and otherwise. We report tubercular abscess of sternum in apparently two healthy young individuals with no predisposing factors, who pres...
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Background: Tumour Calcinosis is a condition wherein amorphous calcium phosphate crystals get deposited in the soft tissues around the joints. Hyperphosphatemic type of Tumour Calcinosis is predominantly seen in Afro-American / Afro-Caribbean descent. It creates a diagnostic dilemma because of its rare and sporadic incidences. Case report: We repor...
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Talus bone is an unusual location for Aneurysmal Bone Cysts. Although considered benign, it has a locally aggressive behavior making it difficult both from diagnostic and therapeutic point of view. It becomes even more challenging when unusual sites are encountered. We report a rare and challenging case of Aneurysmal Bone Cyst in Talus in a young m...
Article
Full-text available
Talus bone is an unusual location for Aneurysmal Bone Cysts. Although considered benign, it has a locally aggressive behavior making it difficult both from diagnostic and therapeutic point of view. It becomes even more challenging when unusual sites are encountered. We report a rare and challenging case of Aneurysmal Bone Cyst in Talus in a young...