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Your search keyword '"Sagar R Raghuwanshi"' showing total 3 results
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3 results on '"Sagar R Raghuwanshi"'

1. Bilateral, multiple, trigger digits in a 3-year-old child

Author

Sumedh D Chaudhary and Sagar R Raghuwanshi

Subjects
a1 pulley release, paediatric, trigger digits, trigger finger, trigger thumb, Orthopedic surgery, RD701-811
Abstract

A trigger finger is characterized by clicking, catching, or loss of motion of the involved finger and is associated with dysfunction and pain. Trigger digits in the pediatric population are relatively uncommon and multiple, bilateral trigger digits in children are extremely rare. Patients may present with the classical triggering as seen in adults or with digits locked in flexion. In this paper, we are reporting a 3-year-old girl who presented with flexion deformity of multiple digits with involvement of left thumb, middle, ring finger, and right thumb. After a failed trial of conservative management, the patient underwent surgery. Complete correction could be achieved with open division of the A1 pulleys of the involved digits. There has been no recurrence even after 3 years postsurgery. We believe that open release gives satisfactory results even in multiple trigger digits and should be the preferred treatment, especially for children presenting with digits locked in flexion.

Published
2021
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2. Diagnosis and Management of Osteoarticular Tuberculosis: A Drastic Change in Mind Set Needed—It is Not Enough to Simply Diagnose TB

Author

Camilla Rodrigues, Mithun Shriniwas Jakkan, Vikas M Agashe, Raju Gite, Rajiv Soman, Anjali Shetty, Hitendra G. Patil, Kanchan Ajbani, Jitendra Pingle, Mandar V Agashe, Sagar R Raghuwanshi, Manit K. Gundavda, Ramesh Deshpande, Amit Nandan Mishra, and Aditya Menon

Subjects
030222 orthopedics, Pediatrics, medicine.medical_specialty, business.industry, Incidence (epidemiology), Osteoarticular tuberculosis, 030229 sport sciences, Drug resistance, 03 medical and health sciences, Non responders, 0302 clinical medicine, Second line, Deep tissue, Pulmonary tuberculosis, Medicine, Original Article, Orthopedics and Sports Medicine, Culture negative, business
Abstract

BACKGROUND: In the era of increasing drug resistance in pulmonary tuberculosis (TB), it is prudent to assess causes of poor response to anti tubercular therapy (ATT) and drug sensitivity pattern (DSP) in osteoarticular TB. MATERIALS AND METHODS: As a part of Bombay Orthopaedic society’s research project, members were asked to refer non responders to ATT to our institute. Cases were enrolled from October 2010 to March 2014. Deep tissue samples were obtained in all but five cases and subjected to a battery of tests including histopathology (HPE) and TB culture and sensitivity. The DSP was compared with the study performed by the principle author from 2004 to 2007 and published in 2009. RESULTS: 39 male and 50 female patients with a mean age of 24.85 years (2–66) were included and classified in four groups after results. (1) Culture and HPE positive-36. 24 had MDR and three XDR TB. Primary resistance to even second line drugs and deterioration of DSP since last study was noted, (2) culture negative and HPE positive-21. The cause of poor response was surgical in more than half cases, (3) non representative samples or lost to follow-up-15, (4) TB mimics-16. CONCLUSION: There is increasing incidence of primary resistance to second line drugs, primary resistance in children and worsening of resistance patterns as compared to older studies. ATT initiation is a fateful decision and every attempt should be made to rule out TB mimics and establish DSP before initiation.

Published
2020
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3. Complex Variant of Paediatric Conjoint Bicondylar Hoffa Fracture: A Rare Entity

Author

Sumedh D Chaudhary and Sagar R Raghuwanshi

Subjects
Orthodontics, 030222 orthopedics, medicine.medical_specialty, business.industry, Radiography, Case Report, 030229 sport sciences, Sagittal plane, 03 medical and health sciences, Fixation (surgical), 0302 clinical medicine, medicine.anatomical_structure, Coronal plane, Orthopedic surgery, medicine, Deformity, Orthopedics and Sports Medicine, medicine.symptom, Range of motion, business, Complex variant
Abstract

Isolated, closed, conjoint bicondylar Hoffa fracture in a child is extremely rare with only three cases reported in literature till date. We report a complex variant of this very rare injury. An 11-year-old male child reported 2-week post-trauma with history of fall from a tree and injury to his right knee. Radiographs revealed a coronal plane fracture of the distal femur. The patient was operated using the swashbuckler approach, which revealed a sagittal split of the lateral femoral condyle along with a conjoint bicondylar Hoffa fracture. Fixation was done using multiple lag screws and fracture went on to uneventful union. Patient was followed up for 3 years and except for limb shortening of around 1.5 cm secondary to premature physeal closure as a consequence of the injury, he had excellent outcome with full range of motion at the knee, without any deformity.

Published
2020

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