
Vivek PandeyManipal Academy of Higher Education | MAHE · Department of Orthopaedics
Vivek Pandey
MBBS, MS Orthopaedics; Professor & Unit Head
About
131
Publications
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Introduction
Vivek Pandey currently works at the Department of Orthopaedics, Manipal Academy of Higher Education, Manipal, India. Vivek does research in Shoulder and knee sports injuries.
Additional affiliations
September 2005 - April 2020
Kasturba Medical College Manipal Academy of Higher Education
Position
- Professor (Associate)
Description
- Teaching experience of more than 17 years to MBBS, physiotherapist and orthopaedic residents.
Education
May 2000 - April 2003
November 1994 - April 2000
Publications
Publications (131)
Introduction
Rotator cuff (RC) tears are the most common and disabling musculoskeletal ailments among patients with shoulder pain. Although most individuals show improvement in function and pain following arthroscopic rotator cuff repair (ARCR), a subgroup of patients continue to suffer from persistent shoulder pain following the surgical procedure...
Mycetoma of the hand is a chronic granulomatous disease seen in the tropics and subtropical regions, mainly affecting the skin and subcutaneous tissue of the foot. Primary actinomycotic osteomyelitis involving the metacarpals is rarely reported in the literature. The conventional treatment for actinomycosis has been high-dose penicillin. We report...
Introduction Rotator cuff (RC) tears are the most common and disabling musculoskeletal ailments among patients with shoulder pain. Although most individuals show improvement in function and pain following arthroscopic rotator cuff repair (ARCR), a subgroup of patients continue to suffer from persistent shoulder pain following the surgical procedure...
Background
Rotator cuff related shoulder pain (RCRSP) significantly impacts the physical, and psychosocial well‐being of an individual. While studies of lived experiences with shoulder pain were conducted in Western (developed countries) contexts, understanding such experiences in low‐to middle‐income countries such as India remains limited.
Objec...
Introduction
The minimal clinically important difference (MCID) is a valuable tool for patient-based outcome analysis, for which limited data is available in the literature, especially after arthroscopic rotator cuff repair (ARCR). Although several studies have reported MCID after ARCR, few have studied the impact of various clinical factors such a...
Introduction: Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is an unusual cause of knee pain and restricted movement, predominantly affecting the middle-aged population. Arthroscopic partial or total debridement of the mucoid ACL is the surgical treatment of choice. However, little is discussed in the literature regarding subsequ...
Background: Rotator cuff tears are a common cause of disability in the shoulder of the aging population. Rotator cuff repair is performed to address disability arising from rotator cuff tears, which fails to improve by conservative treatment. The present retrospective study was undertaken to explore the efficacy, safety, clinical, and radiological...
A man in his 20s presented with instability of the right knee following an incident of fall from a height. He was clinicoradiologically diagnosed to have an anterior cruciate ligament (ACL) tear for which he underwent ACL reconstruction. Postoperatively, he was started on an accelerated ACL rehabilitation protocol. Six weeks postoperatively, he dev...
Background
The association between diabetes and frozen shoulder is well established. However, the data regarding prediabetes and primary frozen shoulder (PFS) are still lacking.
Methods
In a prospective study, 158 patients with PFS were included. The prediabetes status was ascertained by estimating serum hemoglobin A1c (HbA1c) levels in patients w...
• Overview of entire orthopaedic examination in a simple, standardized, and pictorial format supplemented with key clinical videos on a digital platform
• The first chapter deals with the basic format, tips, and know-how of orthopaedic examination
• The rest of the book covers examining acutely injured limbs, chronic bone and joint disorder, all th...
All essential orthopaedic topics have been covered following the CBME curriculum. Additional chapters and requirements have been added to the current curriculum, benefiting students taking postgraduate competitive exams. Each chapter is organized around fundamental principles with numerous illustrations and X-rays, that are simple to read and compr...
"Compendium of Orthopaedic examination for easy retention with videos of almost all the essential clinical tests on the Diginerve platform. The first chapter provides a thorough understanding of the art of history taking. Every major joint has been exhaustively explained with possible maladies and relevant findings using pictorial representations f...
Background
Rotator cuff tears are well known to cause significant pain and disability, having a marked impact on an individual’s quality of life. This prospective study aimed to analyze the various patient factors and their impact on health-related quality of life (HrQoL) post arthroscopic rotator cuff repair (RCR).
Material and Methods
We prospec...
Background:
Osteoarthritis is a chronic, progressive, and degenerative condition with limited therapy options. Recently, biologic therapies have been an evolving option for the management of osteoarthritis.
Purpose:
To assess whether allogenic mesenchymal stromal cells (MSCs) have the potential to improve functional parameters and induce cartila...
The bottom-up approach of 3D bioprinting uses biopolymeric bioink along with the defined cells and allows to engineer 3D tissues/organs. The process is multistep, comprising upstream designing of matrix blueprints, bioinks, crosslinking strategies, and downstream maturation of construct using a bioreactor. The present review aims to provide a holis...
Background: The management of frozen shoulder (FS) differs depending on experience level and variation between scientific
guidelines and actual practice.
Purpose: To determine the current trends and practices in the management of FS among shoulder specialists and compare them
with senior shoulder specialists.
Study Design: Consensus statement.
Meth...
Background
Although guidelines from multiple scientific studies decide the general trend in ACLR practice, there is often a variation between scientific guidelines and actual practice.
Methods
A 17-member committee comprised of sports surgeons with experience of a minimum of 10 years of arthroscopy surgery finalized a survey questionnaire consisti...
Objectives
Osteoarthritis (OA) is the most prevalent joint disease and a common cause of joint pain, functional loss, and disability. We had conducted a randomized, double blind, multi-centric, Phase 3 study (Registered prospectively in Clinical Trial Registry of India: CTRI/2018/09/015785. Study has been approved by Drug Controller General - India...
Purpose:
Hook plate (HP) is a popular implant of choice in the management of highgrade acute acromioclavicular joint (ACJ) dislocations. Recently, suspensory loop systems have drawn significant interest with comparable results and additionally does not warrant implant removal. However, no studies have compared the outcomes of HP vis-a-vis Dog Bone...
Introduction:
Management of intraoperative hemodynamics and postoperative analgesia during arthroscopic shoulder surgeries remains a challenge. Although interscalene brachial plexus block (ISB) is considered ideal for shoulder anesthesia it requires skill and proficiency unlike intravenous (IV) dexmedetomidine.
Objective:
This randomized trial was...
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...
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...
Introduction:
Heterotopic ossifications (HO) are a well-recognized but infrequently encountered condition. In the lower limb, the literature commonly reports the formation of HO around the hip after surgeries. However, HO is uncommon around the knee and a rare complication after open fixation of posterior cruciate ligament (PCL) avulsion fracture....
Allogenic chondrocyte implantation refers to harvesting of donor chondrocytes, growing them in culture plates with growth factors and implanting them with/without biocompatible scaffolds into cartilage defects. Despite its huge potential, it suffers several drawbacks with respect to source, biomaterial, preservation, cell-culture conditions as well...
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...
Rotator cuff tear is a leading cause of shoulder pain resulting in varying degree of disability to perform activities of daily living. A methodical history taking and focussed clinical examination helps in establishing the clinical diagnosis. A number of tests are mentioned in the literature to test the integrity of rotator cuff. This narrative rev...
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...
Aim:
Infection after anterior cruciate ligament (ACL) reconstruction, though rare, is a potentially devastating complication and the evidence-based recommendation on the various topics in its management is limited. The purpose of this study was to develop recommendations for the prevention and management of infections in ACL reconstruction surgery...
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...
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...
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.
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...
Discusses various clinical case scenarios in orthopaedics primarily aimed at MBBS graduate teaching and first two years of orthopaedic residency to understand and refresh the basics. It also gives a brief understanding of common radiographs, prosthesis-orthosis, splints-tractions-braces and POPs.
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...
Objectives
To assess the benefit offered by capsular hydrodilatation in addition to intra-articular steroid injections in cases of adhesive capsulitis, assess outcomes in diabetic patients with capsular hydrodilatation as compared to non-diabetics and correlate duration of symptoms with outcome based on the type of intervention given.
Materials an...
Various radiographic indices represent lateral acromial extension over the greater tuberosity and are said to be one of the etiologic factors in rotator cuff tears. There has been much debate regarding the accuracy of these parameters based on radiographic rotation and tilt. This commentary discusses the utility of the existing parameters and the "...
Various radiographic indices represent lateral acromial extension over the greater tuberosity and are said to be one of the etiologic factors in rotator cuff tears. There has been much debate regarding the accuracy of these parameters based on radiographic rotation and tilt. This commentary discusses the utility of the existing parameters and the "...
Introduction: Current evidence is controversial about the outcomes after the repair of the delaminated
versus nondelaminated rotator cuff tears. The objective of this study was to evaluate the factors
affecting delamination of the cuff and clinical and structural outcomes after en masse arthroscopic
repair of delaminated versus nondelaminated cuff...
Introduction: Medial patellofemoral ligament (MPFL) reconstruction is performed for the recurrent patellar dislocation (RPD). The crux of sound clinical results depends upon accurate placement of the graft at or within the 7-mm circle of Schottle point (acceptable position) over the femur. Most studies recommend the location of Schottle's point usi...
Idiopathic brachial neuritis, also known as Parsonage-Turner syndrome, is a disorder of unknown etiology, with asymmetric
involvement of the brachial plexus [1, 2]. It occurs in all age groups but is more common between the third and seventh decade.
Men are affected more often than women. Inciting events occurring days before the onset has been rep...
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...
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,...
Overview of entire orthopedic examination in a very simple and structured method • The first chapter deals with basic format, tips and know-how of orthopedic examination • The chapters describing the joint or system consist of basics of anatomy and function followed by common diseases of the area or system in question • Each chapter follows a stand...
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...
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...
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...
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.
Background:
Comminuted tibial end bony avulsion of posterior cruciate ligament (PCL) is a challenging problem in terms of accurate reduction, fixation and union to provide a stable knee. Arthroscopic reduction or a screw fixation is good option for a large fragment but comminuted fragment reduction remains a challenge. Suture bridge technique usin...
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...
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...
Background
Osteoarthritis (OA) is a common and debilitating chronic degenerative disease of the joints. Currently, cell-based therapy is being explored to address the repair of damaged articular cartilage in the knee joint. Methods
The in vitro differentiation potential of adult human bone marrow-derived, cultured, pooled, allogeneic mesenchymal st...
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...
Congenital absence of the long head of biceps tendon (LHBT) is a very rare entity. With its debatable role in shoulder stability, the literature provides few reports of absent LHBT and its association with shoulder instability or pain. Reports of instability are associated with labral tear or attenuation of glenohumeral ligaments. We are first time...
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,...
Purpose The aim of this study is to assess the clinical and radiological outcomes of arthroscopic reduction and fixation of tibial spine avulsion in patients with either open physis or closed physis, using high strength nonabsorbable sutures utilizing intravenous cannula needle as suture passer and retriever. Methods Twenty-six patients of mean age...
Background:
Current evidence suggests that distinct scapular morphologies may predispose patients to a rotator cuff tear. The objective of this longitudinal study was to evaluate the relationship between symptomatic degenerative cuff tears and different radiographic acromial characteristics, including acromion shape, indices (acromial index [AI],...
Background
Intra-articular lipoma arborescence (LA) is a rare entity that presents with swelling and with recurrent effusion of the joints lined by synovium, especially the large joints like knee and others. Pathologically, it is characterised by replacement of subsynovial tissue by fat cells. Magnetic resonance imaging can clinch the diagnosis.
M...
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...
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...
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...
Purpose:
Cross-sectional diameter of 7 mm or more of graft in anterior cruciate ligament reconstruction is arguably the single most important factor determining the success of the operation. Pre-operative anthropometric parameters have been reported to correlate with diameter of quadrupled hamstring graft, which is the most popular graft choice to...
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...
Rotator cuff tear has been a known entity for orthopaedic surgeons for more than two hundred years. Although the exact pathogenesis is controversial, a combination of intrinsic factors proposed by Codman and extrinsic factors theorized by Neer is likely responsible for most rotator cuff tears. Magnetic resonance imaging remains the gold standard fo...
This is a pocket book, a perfect companion to understand common orthopaedic conditions (both cold and trauma) and their radiographic appearance useful for a UG. It also contains useful info for implants, instruments, orthosis and prosthesis asked in viva-voce of orthoapedics
This is a pocket companion to UG and PG students persuing orthopaedics. It contains case scenarios and further discussion over the scenario in form of Q&A. It is extremely popular book among students. It comes quite handy to understand the basics of a common cases discussed in ward and OPD. It also helps in writing short notes in theory paper.
Though rare, many anomalous origins of long head of the biceps tendon (LHBT) have been reported in the literature. Anatomic variations commonly explained are a third humeral head, anomalous insertion, congenital absence and adherence to the rotator cuff. We report a rare case who underwent shoulder arthroscopy with impingement symptoms where in LHB...