Sri Aurobindo Medical College and Postgraduate Institute

Indore, India

Sri Aurobindo Medical College and Postgraduate Institute

Indore, India

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Lakhwani O.P.,ESI Postgraduate Institute of Medical science and Research | Mittal P.S.,Sri Aurobindo Medical College and Postgraduate Institute | Naik D.C.,S S Medical College
Journal of Clinical and Diagnostic Research | Year: 2014

Introduction: Piriformis fossa is an important anatomical landmark having significant clinical value in orthopedic surgery; but its location and anatomical relationship with surrounding structures are not clearly defined. Hence it is necessary to clearly describe it in respect to anatomical and orthopedic aspect. Materials and Methods: Fifty Cadaveric dry femoral bones and Dissection of the four hip specimens were used to study the Piriformis fossa in respect to location and its relationship with surrounding structures. Clinical importance of piriformis fossa was determined in reference to antegrade femoral nail insertion. Observations: Piriformis muscle and so called piriformis fossa are unrelated entities. Fossa is anatomical site of insertion of obturator externus. In dry cadaveric femora; fossa was not always located in the direction of femoral shaft. It was located in the direction of femoral shaft in 24 percent cases only. In 68% cases femoral canal was aligned lies lateral and in 8% cases. It lie medial to the fossa. Conclusion: Piriformis fossa should be named as Trorchanteric fossa or obturator fossa for better and anatomic description. So called Piriformis fossa does not found to be universally corresponding to femoral shaft hence selection of entry site should be based on variable proximal femur and area on femur which correspond to femoral shaft.


Yadav S.,MOTI | Rawal G.,Max Super Specialty Hospital | Baxi M.,Sri Aurobindo Medical College and Postgraduate Institute
Journal of Clinical and Diagnostic Research | Year: 2016

The world is facing a new pandemic in progress due to a mosquito-borne flavivirus popularly known as Zika virus. The emergence of this new virus is really alarming with the sudden increment in the cases of microcephaly reported from Brazil. The findings attributing the involvement of Zika virus as the reason for congenital deformations in the babies born in afflicted areas have really shocked the world. The present knowledge about this virus is very limited and in the absence of further studies the precautions seems to be the best way of protection from this virus. The present article is a short review about this new virus. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved.


Yogesh A.S.,Sri Aurobindo Medical College and Postgraduate Institute | Chandrakar A.K.,Pt Jnm Medical College
Biomedical Research (India) | Year: 2013

Orbitofacial anthropometrics have become an important tool used for diagnosis of many dysmorphic syndrome by genetic counselor and in reconstructive surgery. The study comprises of 1000 subjects (ages between 7 to 40 years) (515 males and 485 females) resident of Chhattisgarh region. Measurements of inner canthal distance (ICD) and outer canthal distance (OCD) were performed by Vernier caliper. In male, the mean values of ICD and OCD observed among children (age 7-14 years) were 30.53mm and 92.57 mm respectively; in young adults (age >14 to 25 years) were 31.82 mm and 95.69mm respectively; and in adults (age >25 to 40 years) were 32.50mm and 96.10mm respectively. In female, the mean values of ICD and OCD observed among children (age 7-14 years) were 30.44mm and 91.89 mm respectively; in young adults (age >14 to 25 years) were 31.70 mm and 94.16mm respectively; and in adults (age >25 to 40 years) were 32.00mm and 94.40mm respectively. All the measured parameters were found increasing between 7 to 25 years and the maximum growth in ICD and OCD were found in between 8 and 9 year in both sexes. All parameters measured were higher in males than in females, but the difference was not statistically significant.


PubMed | MOTI, Sri Aurobindo Medical College and Postgraduate Institute and Max Super Specialty Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2016

The world is facing a new pandemic in progress due to a mosquito-borne flavivirus popularly known as Zika virus. The emergence of this new virus is really alarming with the sudden increment in the cases of microcephaly reported from Brazil. The findings attributing the involvement of Zika virus as the reason for congenital deformations in the babies born in afflicted areas have really shocked the world. The present knowledge about this virus is very limited and in the absence of further studies the precautions seems to be the best way of protection from this virus. The present article is a short review about this new virus.


Joshi S.D.,Sri Aurobindo Medical College and Postgraduate Institute | Yogesh A.S.,Sri Aurobindo Medical College and Postgraduate Institute | Mittal P.S.,Sri Aurobindo Medical College and Postgraduate Institute | Joshi S.S.,Sri Aurobindo Medical College and Postgraduate Institute
Folia Morphologica (Poland) | Year: 2014

The bicipital aponeurosis (BA) is a fascial expansion which arises from the tendon of biceps brachii and dissipates some of the force away from its enthesis. It helps in dual action of biceps brachii as supinator and flexor of forearm. The aim of the present work was to study the morphology of BA. Thirty cadaveric upper limbs (16 right and 14 left side limbs) were dissected and dimensions of the BA were noted. The average width of aponeurosis at its commencement on the right was 15.74 mm while on the left it was 17.57 mm. The average angle between tendon and aponeurosis on the right was 21.16° and on the left it was 21.78°. The fibres from the short head of the biceps brachii contributed to the formation of proximal part of aponeurosis. Fascial sheath over the tendon of long head of biceps brachii was seen to form the distal part of the aponeurosis. In 5 cases, large fat globules were present between the sheath and the tendon. Histologically: The aponeurosis showed presence of thick collagen bundles. Fascial sheath covering the tendon of long head extended towards the aponeurosis and passed superficial to the tendon of biceps. Blood vessels and adipose tissue were found to be present between fascial sheath and the tendon. This morphological description of BA may be helpful 1) in elucidating the dynamic role that BA plays in normal functioning and 2) to the surgeons in the repair of ruptured biceps brachii tendon. Copyright © 2014 Via Medica.


Joshi S.D.,Sri Aurobindo Medical College and Postgraduate Institute | Joshi S.S.,Sri Aurobindo Medical College and Postgraduate Institute | Sontakke Y.A.,Jawaharlal Institute of Postgraduate Medical Education & Research | Mittal P.S.,Sri Aurobindo Medical College and Postgraduate Institute
Journal of the Anatomical Society of India | Year: 2014

Introduction: Functions of supination and flexion of the forearm and the origin of biceps brachii (BB) muscle by its two heads indicates separate role of each head. A detailed study of morphology of BB can throw light on this interesting observation. Methods: In the present study, fifty cadaveric upper limbs (26 right and 24 left) were dissected. Tendons of the two heads were separated up to their insertion. Results: Long head (LH) and short head (SH) were separated by a septum of loose areolar tissue in greater part of their length. Medial fibres of the SH contributed to the bicipital aponeurosis. Below the middle of the arm a thin tendon projected laterally from the posterolateral edge of SH, where some fibres of LH were seen inserting. The average length of distal biceps tendon (BT) was 7.56cm on right and 7.64cm on left. The width of BT was found to increase gradually towards its insertion. Above the elbow tendons were placed parallel to each other, that of LH being lateral and SH medial. Crossing the bend of the elbow twisting of fibres was observed so that SH was anterior to the LH tendon. At its insertion, SH tendon was distal to LH tendon and prolonged slightly beyond the radial tuberosity. A well defined inverted 'J' shaped bursa was found at the insertion. Discussion: This morphological description helps in proper appreciation of the functions of Biceps brachii and may be helpful to the surgeons in the repair of ruptured BT. © 2014, Anatomical Society of India.


Sharma R.,Sri Aurobindo Medical College and PostGraduate Institute | Ranjan V.,Sri Aurobindo Medical College and PostGraduate Institute | Jain S.,Sri Aurobindo Medical College and PostGraduate Institute | Joshi T.,Index Medical College Hospital and Research Institute | And 2 more authors.
Journal of Natural Science, Biology and Medicine | Year: 2015

Aims: We aimed to validate Mannheim peritonitis index (MPI) for prediction of outcome in patients with perforation peritonitis. Materials and Methods: A prospective study involving 100 subjects operated for perforation peritonitis over the period of 2 years was designed. Postevaluation of predesigned performa, MPI score was calculated and analyzed for each patient with death being the main outcome measure. The MPI scores were divided into three categories; scores <15 (category 1), 16-25 (category 2), and >25 (category 3). Results : Our study consisted of 82 males and 18 females (male:female ratio 4.56:1), with the mean patients age of 37.96 ± 17.49 years. 47, 26, and 27 cases belonged to MPI score categories 1, 2, and 3, respectively. The most common origin of sepsis was ileal with small intestine dominating the source of perforation. When the individual parameters of MPI score were assessed against the mortality only, age >50 years (P = 0.015), organ failure (P = 0.0001), noncolonic origin of sepsis (P = 0.002), and generalized peritonitis (P = 0.0001) significantly associated with mortality. The sensitivity of MPI was 92% with a specificity of 78% in receiver operating characteristic curves. Conclusion : MPI is an effective tool for prediction of mortality in cases of perforation peritonitis.


PubMed | Index Medical College Hospital and Research Institute and Sri Aurobindo Medical College and PostGraduate Institute
Type: Journal Article | Journal: Journal of natural science, biology, and medicine | Year: 2015

We aimed to validate Mannheim peritonitis index (MPI) for prediction of outcome in patients with perforation peritonitis.A prospective study involving 100 subjects operated for perforation peritonitis over the period of 2 years was designed. Postevaluation of predesigned performa, MPI score was calculated and analyzed for each patient with death being the main outcome measure. The MPI scores were divided into three categories; scores <15 (category 1), 16-25 (category 2), and >25 (category 3).Our study consisted of 82 males and 18 females (male:female ratio 4.56:1), with the mean patients age of 37.96 17.49 years. 47, 26, and 27 cases belonged to MPI score categories 1, 2, and 3, respectively. The most common origin of sepsis was ileal with small intestine dominating the source of perforation. When the individual parameters of MPI score were assessed against the mortality only, age >50 years (P = 0.015), organ failure (P = 0.0001), noncolonic origin of sepsis (P = 0.002), and generalized peritonitis (P = 0.0001) significantly associated with mortality. The sensitivity of MPI was 92% with a specificity of 78% in receiver operating characteristic curves.MPI is an effective tool for prediction of mortality in cases of perforation peritonitis.

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