Anthropometric Analysis Of Subjects Of Hypertension In Sub-Himalayan Region

Introduction: In India, Hypertension (HT) has emerged as a leading risk factor for mortality. The burden of hypertension in India is expected to almost double from 118 million in 2000 to 213.5 million by 2025. Objective: Anthropometric analysis of the Sub-Himalayan population suffering from HT with calculation of the cut-off point to predict HT. Methodology: Cross sectional study was carried out on 63 healthy and 51 hypertensives. Results: The waist circumference (WC), waist to height ratio (WHtR) and body mass index (BMI) cut-off point to predict hypertension was found to be 93.5cm, 0.54 and 24.58kg/m2 in men and 88.5cm, 0.59 and 25.3kg/m2 in females respectively. Conclusion: BMI is considered as the best indicator to predict HT in males with a cut-off point of 24.58kg/m2 and in females, WHtR was found to be the best indicator to predict HT with a cut-off point of 0.59.

Anatomical Variation of Palmaris Longus: Tendinous Origin and Fleshy Insertion.

A tendinous origin and fleshy insertion of palmaris longus muscle was observed in the left forearm during routine dissection which was performed on adult male cadaver in the department of Anatomy, Dr. Rajendra Prasad Government Medical College. It was having long tendinous origin from the medial epicondyle of the humerus and the surrounding deep fascia. It was fusiform at the lower middle of the forearm. The fleshy muscular insertion was noted to the flexor retinaculum and few muscular fibers interdigitate with flexor carpi ulnaris muscle and palmar aponeurosis. The length of tendon was 19 inches and fleshy muscular length was 11inches. Themedian nerve and ulnar nervewas covered by this fleshy insertion. This palmaris longus variation is helpful for the surgeon and the radiologist, orthopaedic, plastic surgeon during any diagnosis of the forearm because this fleshy part of muscle can compress the median nerve and ulnar nerve or it can be mistaken as a tumor or ganglion during radiological or clinical examination.

Proximal Focal Femoral Deficiency.

Proximal focal femoral deficiency (PFFD) is a developmental disorder of the proximal segment of the femur and of acetabulum resulting in shortening of the affected limb and impairment of the function. It is a spectrum of congenital osseous anomalies characterized by a deficiency in the structure of the proximal femur. The diagnosis is often made by radiological evaluation which includes identification and description of PFFD and evaluation of associated limb anomalies by plain radiographs. Contrast arthrography or Magnetic Resonance Imaging is indicated when radiological features are questionable and to disclose the presence and location of the femoral head and any cartilagenous anlage. The disorder is more commonly unilateral and is apparent at birth. However, bilateral involvement is rarely seen. Therapy of the disorder is directed towards satisfactory ambulation and specific treatment depending on the severity of dysplasia.

Holocord intramedullary abscess.

Intramedullary spinal cord abscess secondary to dorsal dermal sinus is a rare entity and involvement of the entire length of spinal cord is even rarer. A thorough history with precise clinical localization, a high index of suspicion, Magnetic Resonance Imaging (MRI) of spine and prompt surgical drainage with appropriate antibiotic therapy are key to the eventual outcome and prognosis.