Replantation Of En-Bloc Amputation Of All Five Toes: A Very Rare Case

Loss of all toes not only causes tremendous psychological impact but also causes a significant functional defect. There is no reported case of replantation ofen bloc amputation of all five toes and very few papers on single or double toe replantations hence we had to rely on our experiences and logic to salvage the amputated part. Here, we report the case of replantation of en-bloc amputation of all five toes in a 16-year-old male. The purpose of this report is to share the authors’ experience with en bloc toe replantation. Successful replantation goes a long way in mitigating the psychological and functional trauma of the patient

Supratrochlear Foramen of Humerus and its Clinical Significance - A Morphological Study in South Indian Population

Supratrochlear foramen is formed as a result of perforation of bony septum that separates olecranon fossa and coronoid fossa at the lower end of humerus. It is more common in lower animals and primates. The incidence is increasing in different human races. Aim: To study the prevalence, shape and morphometry of supratrochlear foramen in south Indian population. Methods: 156 Adult dry humeri (84 left and 72 right) irrespective of sex were studied in Department of Anatomy, Government Coimbatore medical college, Coimbatore. Presence of supratrochlear foramen was studied on the basis of its shape, size and dimensions. Also their distance from the epicondyles and lower trochlear margin were noted. Results: Out of total 156 bones studied STF was present in 43 humeri (27.5%) more common in left humeri (30.9%). Most common shape reported was oval shape in 21 humeri (48.8%). The mean transverse diameters on right and left side were 9.5 mm and 9.18 mm; while mean vertical diameters on right and left side were 6.7 mm and 6.9 mm. The mean diameter for round foramen was 4.5 and 6 mm for right and left sides respectively. The distance from the STF to medial epicondyle, lateral epicondyle and lower trochlear margin were measured and the values were tabulated. Conclusion: The knowledge of STF is important for the anatomists, orthopedicians, surgeons, radiologists and anthropologists. It is helpful for the orthopaedicians in preplanning for intramedullary nailing in supracondylar fracture of humerus.

Study Of Brachialis Muscle: Additional Slip And Its Clinical Significance

Background: Brachialis is a muscle of anterior compartment of arm. It has two heads. Superficial head insertinginto ulnar tuberosity innervated by musculocutaneous nerve, the deep head inserts into coronoid process ofulna and supplied by radial nerve. Neuromuscular compression due to presence of additional slip of brachialisforms the basis of this study.Materials and methods: Study was done in 60 adult human cadaveric upper limbs of both the sides irrespectiveof sex in the Department of Anatomy, Kempegowda institute of medical sciences (KIMS), Bangalore and othermedical colleges nearby. Presence of additional slips of brachialis with important and interesting relations wasfound which were comparable with previous studies. As qualitative method was done, Descriptive statisticswere utilized.Results: Additional slips were present in 21.6%. It was found mainly in the left upper limbs in 69.2% and rest30.7% are present in right side limbs. Among 13 specimens, additional slips originated mainly from theanteromedial aspect in 84.6% and in 15.3% it originated from the anterolateral aspect of main brachialis.Additional slips were innervated mostly by the musculocutaneous nerve in 69.2%, median nerve in 15.3% andradial nerve in 7.6%. No innervation was observed in one specimen.Conclusion: Knowledge of additional slips and its origin and course is very important for identifying the causefor neurovascular symptoms due to compression of neurovascular structures

Clinical features and associated radiological abnormalities in 54 patients with cavum septi pellucidi

PURPOSE: To determine the clinical and radiological features of the patients who were found to have cavum septum pellucidum (CSP) on the cranial computerized tomographic (CT) scans. METHODS: Fifty four consecutive cases of cavum septum pellucidum were detected amongst 1,281 patients who underwent cranial CT scans; their clinical and radiological features were studied. RESULTS: Recurrent seizures and developmental delay were the commonest presenting symptoms seen. Significant neurological deficits were present in 75.9% of these cases. Additional cerebral abnormalities were observed in the CT scan in 76% of cases, the commonest being cortical atrophy, cerebral infarction and hydrocephalus. CONCLUSIONS: There seems to be a strong association between CSP and certain neurological abnormalities in the population studied. Further interpretation of this study would be possible if normal population in this geographical area is screened for CSP using cranial CT scans or magnetic resonance imaging.