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Arora S.,Maulana Azad Medical College and associated | Sabat D.,Maulana Azad Medical College and associated | Arora S.K.,University of Delhi | Kumar V.,G B Pant Hospital
Annals of Tropical Paediatrics | Year: 2010

Calcifying aponeurotic fibroma (CAF) is a rare soft tissue tumour which occurs mainly in children and adolescents. It usually involves the distal portion of the extremities, i.e. the hands and feet. A 2-year-old child with a large CAF is presented. The case was unusual in view of its large size (10 × 7 × 5 cm), dense calcification in such a young child, and because it was situated in the substance of gluteus maximus muscle. There has been no recurrence at 3-year follow-up. © 2010 Maney. Source


Sabat D.,Maulana Azad Medical College and associated | Wangchuk T.,Maulana Azad Medical College and associated | Dhal A.,Maulana Azad Medical College and associated
Chinese Journal of Traumatology - English Edition | Year: 2014

Fracture of femoral shaft in adults is common and mostly managed with intramedullary interlocking nails. Complications during closed intramedullary femoral nailing are uncommon, and mostly of them are caused by technical reasons. We describe a case of closed nailing for a femoral shaft fracture in which a jammed intramedullary guide wire, due to an incarcerated bone fragment at the nail tip, was inadvertently advanced across the knee. Forceful attempt of nail insertion caused this complication, which was probably attributed to nail design. © 2014 Daping hospital and the Research Institute of Surgery of the Third Military Medical University. Source


Premkumar M.,Maulana Azad Medical College and associated | Dhanwal D.K.,Maulana Azad Medical College and associated | Mathews S.,Maulana Azad Medical College and associated | Garg A.,Maulana Azad Medical College and associated | And 3 more authors.
Journal of Association of Physicians of India | Year: 2013

We describe a rare association of Cushing's disease causing avascular osteonecrosis of the femoral head in a patient with operated pituitary macroadenoma. Avascular necrosis of the femoral head (AVN) is not a common cause of musculoskeletal disability. Though AVN of the hip is a well-recognized complication of steroid treatment, it is rare in cases of endogenous hypercortisolism. To our knowledge, only 16 patients with AVN, associated with endogenous Cushing's syndrome (CS), have been documented in the medical literature. AVN associated with glucocorticoid use is more likely to manifest as bilateral disease than either idiopathic AVN or ethanol-associated AVN. We describe a 26-year-old woman who was diagnosed with Cushing's disease in 2007 and operated in the same year for an ACTH secreting pituitary adenoma, who was consequently given replacement dose steroid therapy for post operative panhypopituitarism. During follow up, she complained of bilateral hip pain and difficulty in ambulation. Magnetic resonance imaging showed multiple bony infarcts in the proximal femur and distal femur with femoral head collapse fractures bilaterally, consistent with AVN. She further underwent decompression surgery on bilateral hip joints. This case illustrates that AVN, an orthopaedic emergency, can be an alarming manifestation of Cushing's disease. © JAPI. Source


Mittal R.,Maulana Azad Medical College and associated | Basra B.K.,Maulana Azad Medical College and associated | Talwar N.,Maulana Azad Medical College and associated | Sarda A.K.,Maulana Azad Medical College and associated
Eastern Journal of Medicine | Year: 2011

Ingestion of foreign body is not uncommon. However, long metallic needles with sharp pointing ends in the second part of the duodenum are rare. Most ingested sharp metallic bodies pass through the digestive tract spontaneously and patients can be managed conservatively. Sometimes, however, complications like perforation occur and surgical treatment becomes necessary. We came across such an interesting case where a patient had ingested two sharp long metallic needles and was asymptomatic. There were no associated complications. The needles could not be retrieved by upper gastrointestinal endoscopy and had to be removed by laparotomy. Source


Rana K.,Maulana Azad Medical College and associated | Wadhwa V.,Maulana Azad Medical College and associated | Bhargava E.K.,Maulana Azad Medical College and associated | Batra V.,Maulana Azad Medical College and associated | Mandal S.,Maulana Azad Medical College and associated
Journal of Clinical and Diagnostic Research | Year: 2015

Ewing’s sarcoma (ES) is a common malignant bone tumour seen to involve long bones, flat pelvic bones and ribs and vertebrae in majority of cases. Here, we present a rare case of aggressive primary ES of pelvic bones with multifocal metastases to temporal bone and occipital bone. The patient presented with facial palsy and an occipital swelling, and was referred for chemotherapy © 2015, Journal of Clinical and Diagnostic Research. All right reserved. Source

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