Dr. Rajesh Jamoria | Gandhi Medical College (original) (raw)
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Papers by Dr. Rajesh Jamoria
Journal of clinical and diagnostic research, 2024
Introduction: Shoulder instability is defined as a symptomatic translation of the humeral head ab... more Introduction: Shoulder instability is defined as a symptomatic translation of the humeral head about the glenoid fossa during active shoulder motion. Anteroinferior glenoid bone loss or labrum avulsion is most often a consistent finding in recurrent dislocation. The modified open Latarjet procedure is one of the most effective methods of treatment for patients with recurrent shoulder instability with glenoid bone loss. Aim: To determine the functional outcome of the congruent arc modification of the open Latarjet procedure. Materials and Methods: This prospective cohort study was conducted at a tertiary healthcare centre in Bhopal, Madhya Pradesh, India between January 2018 and December 2020. A total of 25 patients with recurrent anterior shoulder dislocation underwent treatment using the modified open Latarjet procedure. Two patients were lost to follow-up, resulting in the evaluation of 23 patients. All patients underwent a 3D Computed Tomography (CT) scan to document glenoid bone loss. The intensity of pain, activity level, strength of abduction, and Range of Motion (ROM) were assessed to calculate the Constant Shoulder Score for pre- and postoperative evaluation of functional outcomes. Follow-ups were conducted at 3 months, 6 months, 1 year, and 2 years after surgery. The data was analysed using the Wilcoxon’s signed-rank test, and Spearman’s correlation coefficient was used to identify associations between various variables. Results: A total of 23 male patients aged between 18 and 63 years were included. The average age of patients was 30.35±11.27 years. Preoperatively, only 3 patients (13.04%) had good to excellent Constant Shoulder Scores. However, no statistically significant variation in Constant Score was observed three months after surgery. Six months post-surgery, 17 patients (73.92%) showed good to excellent scores. Nearly one year after surgery, 21 patients (91.3%) had good to excellent outcomes. At the final follow-up, 22 patients (95.65%) demonstrated good to excellent outcomes. A statistically significant improvement in good to excellent scores was noted six months postoperatively (p-value <0.001). A total of 20 patients (86.96%) achieved full ROM, with only 3 patients (13.04%) reporting mild to moderate limitations in shoulder ROM. None of the patients experienced re-dislocation, and the apprehension test was positive in only one patient. Conclusion: The modified open Latarjet procedure is a reliable method for providing stability and Self confidence to patients with recurrent shoulder instability and glenoid bone loss.
International Journal of Orthopaedics Sciences, Jul 1, 2018
Introduction: Supracondylar fractures of the humerus are very common fractures in pediatric age g... more Introduction: Supracondylar fractures of the humerus are very common fractures in pediatric age groups. If displaced, preferred treatment is close reduction with percutaneous K-wire fixation. This study compares the functional outcome of cross k-wires v/s lateral k-wires in Gartland type III supracondylar humerus fractures in paediatric age groups. Materials and Methods: 30 cases of supracondylar fractures of the humerus gartland type III in children operated with closed reduction and pinning of which 15 were of lateral and 15 were of cross k wires group from January 2015 to June 2017 with minimum 4 months follow-up period were considered Results: Functional outcome of the patients was assessed by Flynn's criteria. Results were excellent 13.33%, good 40% fair 46.6% in cross k wire group and excellent 6.6%, good 46.6% fair 40% and poor 6.6% in lateral k wire group Conclusion: Both lateral entry pin fixation and crossed pin fixation are effective in the treatment of gartland type III extension supracondylar fractures of the humerus in children.
International Journal of Orthopaedics Sciences, 2020
Posterior subtalar joint dislocation is rare type entity of peritalar dislocations or more accura... more Posterior subtalar joint dislocation is rare type entity of peritalar dislocations or more accurately called Talocalcaneal-navicular (TCN) dislocations. As far as the previous literature and our search is concerned, very little data is available. Only few cases of posterior subtalar dislocation have been reported in detail till the date. This article presents a case of posterior subtalar joint dislocation in a 40-year-old male, a laborer by occupation presented to us in emergency department with pain, swelling and deformity in his left ankle due to fall from height. Patient landed on the floor with body upright, left foot inverted, and plantar flexed. Radiographs and CT scan demonstrated talocalcaneal-navicular dislocation associated with fracture posterior process of talus. In MR imaging TCN joint effusion, partial tear of talofibular, deep fibers of deltoid ligament and marrow edema of subtalar joint were found. Immediate post injury closed reduction and immobization in plaster slab or cast is the recommended treatment for such kind of ankle injuries. But when closed reduction is not possible as in our case it was a 15 days old neglected case of posterior subtalar joint dislocation, closed reduction and internal fixation followed by immobilization in plaster slab or cast is the treatment of choice.
International Journal of Orthopaedics , 2018
Introduction: Supracondylar fractures of the humerus are very common fractures in pediatric age g... more Introduction: Supracondylar fractures of the humerus are very common fractures in pediatric age groups. If displaced, preferred treatment is close reduction with percutaneous K-wire fixation. This study compares the functional outcome of cross k-wires v/s lateral k-wires in Gartland type III supracondylar humerus fractures in paediatric age groups. Materials and Methods: 30 cases of supracondylar fractures of the humerus gartland type III in children operated with closed reduction and pinning of which 15 were of lateral and 15 were of cross k wires group from January 2015 to June 2017 with minimum 4 months follow-up period were considered Results: Functional outcome of the patients was assessed by Flynn's criteria. Results were excellent 13.33%, good 40% fair 46.6% in cross k wire group and excellent 6.6%, good 46.6% fair 40% and poor 6.6% in lateral k wire group Conclusion: Both lateral entry pin fixation and crossed pin fixation are effective in the treatment of gartland type III extension supracondylar fractures of the humerus in children.
International Journal of Orthopaedics, www.orthopaper.com, 2020
Posterior subtalar joint dislocation is rare type entity of peritalar dislocations or more accura... more Posterior subtalar joint dislocation is rare type entity of peritalar dislocations or more accurately called Talocalcaneal-navicular (TCN) dislocations. As far as the previous literature and our search is concerned, very little data is available. Only few cases of posterior subtalar dislocation have been reported in detail till the date. This article presents a case of posterior subtalar joint dislocation in a 40-year-old male, a laborer by occupation presented to us in emergency department with pain, swelling and deformity in his left ankle due to fall from height. Patient landed on the floor with body upright, left foot inverted, and planta r flexed. Radiographs and CT scan demonstrated talocalcaneal-navicular dislocation associated with fracture posterior process of talus. In MR imaging TCN joint effusion, partial tear of talofibular, deep fibers of deltoid ligament and marrow edema of subtalar joint were found. Immediate post injury closed reduction and immobization in plaster slab or cast is the recommended treatment for such kind of ankle injuries. But when closed reduction is not possible as in our case it was a 15 days old neglected case of posterior subtalar joint dislocation, closed reduction and internal fixation followed by immobilization in plaster slab or cast is the treatment of choice.
Recent Publication by Dr. Rajesh Jamoria
Journal of Clinical and Diagnostic Research. 2024 May, Vol-18(5): RC13-RC17, 2024
Introduction: Shoulder instability is defined as a symptomatic translation of the humeral head ab... more Introduction: Shoulder instability is defined as a symptomatic translation of the humeral head about the glenoid fossa during active shoulder motion. Anteroinferior glenoid bone loss or labrum avulsion is most often a consistent finding in recurrent dislocation. The modified open Latarjet procedure is one of the most effective methods of treatment for patients with recurrent shoulder instability with glenoid bone loss.
Aim: To determine the functional outcome of the congruent arc modification of the open Latarjet procedure. Materials and
Methods: This prospective cohort study was conducted at a tertiary healthcare centre in Bhopal, Madhya Pradesh, India between January 2018 and December 2020. A total of 25 patients with recurrent anterior shoulder dislocation underwent treatment using the modified open Latarjet procedure. Two patients were lost to follow-up, resulting in the evaluation of 23 patients. All patients underwent a 3D Computed Tomography (CT) scan to document glenoid bone loss. The intensity of pain, activity level, strength of abduction, and Range of Motion (ROM) were assessed to calculate the Constant Shoulder Score for pre- and postoperative evaluation of functional outcomes. Follow-ups were conducted at 3 months, 6 months, 1 year, and 2 years after surgery. The data was analysed using the Wilcoxon’s signed-rank test, and Spearman’s correlation coefficient was used to identify associations between various variables.
Results: A total of 23 male patients aged between 18 and 63 years were included. The average age of patients was 30.35±11.27 years. Preoperatively, only 3 patients (13.04%) had good to excellent Constant Shoulder Scores. However, no statistically significant variation in Constant Score was observed three months after surgery. Six months post-surgery, 17 patients (73.92%) showed good to excellent scores. Nearly one year after surgery, 21 patients (91.3%) had good to excellent outcomes. At the final follow-up, 22 patients (95.65%) demonstrated good to excellent outcomes. A statistically significant improvement in good to excellent scores was noted six months postoperatively (p-value <0.001). A total of 20 patients (86.96%) achieved full ROM, with only 3 patients (13.04%) reporting mild to moderate limitations in shoulder ROM. None of the patients experienced re-dislocation, and the apprehension test was positive in only one patient.
Conclusion: The modified open Latarjet procedure is a reliable method for providing stability and Self confidence to patients with recurrent shoulder instability and glenoid bone loss.
Journal of clinical and diagnostic research, 2024
Introduction: Shoulder instability is defined as a symptomatic translation of the humeral head ab... more Introduction: Shoulder instability is defined as a symptomatic translation of the humeral head about the glenoid fossa during active shoulder motion. Anteroinferior glenoid bone loss or labrum avulsion is most often a consistent finding in recurrent dislocation. The modified open Latarjet procedure is one of the most effective methods of treatment for patients with recurrent shoulder instability with glenoid bone loss. Aim: To determine the functional outcome of the congruent arc modification of the open Latarjet procedure. Materials and Methods: This prospective cohort study was conducted at a tertiary healthcare centre in Bhopal, Madhya Pradesh, India between January 2018 and December 2020. A total of 25 patients with recurrent anterior shoulder dislocation underwent treatment using the modified open Latarjet procedure. Two patients were lost to follow-up, resulting in the evaluation of 23 patients. All patients underwent a 3D Computed Tomography (CT) scan to document glenoid bone loss. The intensity of pain, activity level, strength of abduction, and Range of Motion (ROM) were assessed to calculate the Constant Shoulder Score for pre- and postoperative evaluation of functional outcomes. Follow-ups were conducted at 3 months, 6 months, 1 year, and 2 years after surgery. The data was analysed using the Wilcoxon’s signed-rank test, and Spearman’s correlation coefficient was used to identify associations between various variables. Results: A total of 23 male patients aged between 18 and 63 years were included. The average age of patients was 30.35±11.27 years. Preoperatively, only 3 patients (13.04%) had good to excellent Constant Shoulder Scores. However, no statistically significant variation in Constant Score was observed three months after surgery. Six months post-surgery, 17 patients (73.92%) showed good to excellent scores. Nearly one year after surgery, 21 patients (91.3%) had good to excellent outcomes. At the final follow-up, 22 patients (95.65%) demonstrated good to excellent outcomes. A statistically significant improvement in good to excellent scores was noted six months postoperatively (p-value <0.001). A total of 20 patients (86.96%) achieved full ROM, with only 3 patients (13.04%) reporting mild to moderate limitations in shoulder ROM. None of the patients experienced re-dislocation, and the apprehension test was positive in only one patient. Conclusion: The modified open Latarjet procedure is a reliable method for providing stability and Self confidence to patients with recurrent shoulder instability and glenoid bone loss.
International Journal of Orthopaedics Sciences, Jul 1, 2018
Introduction: Supracondylar fractures of the humerus are very common fractures in pediatric age g... more Introduction: Supracondylar fractures of the humerus are very common fractures in pediatric age groups. If displaced, preferred treatment is close reduction with percutaneous K-wire fixation. This study compares the functional outcome of cross k-wires v/s lateral k-wires in Gartland type III supracondylar humerus fractures in paediatric age groups. Materials and Methods: 30 cases of supracondylar fractures of the humerus gartland type III in children operated with closed reduction and pinning of which 15 were of lateral and 15 were of cross k wires group from January 2015 to June 2017 with minimum 4 months follow-up period were considered Results: Functional outcome of the patients was assessed by Flynn's criteria. Results were excellent 13.33%, good 40% fair 46.6% in cross k wire group and excellent 6.6%, good 46.6% fair 40% and poor 6.6% in lateral k wire group Conclusion: Both lateral entry pin fixation and crossed pin fixation are effective in the treatment of gartland type III extension supracondylar fractures of the humerus in children.
International Journal of Orthopaedics Sciences, 2020
Posterior subtalar joint dislocation is rare type entity of peritalar dislocations or more accura... more Posterior subtalar joint dislocation is rare type entity of peritalar dislocations or more accurately called Talocalcaneal-navicular (TCN) dislocations. As far as the previous literature and our search is concerned, very little data is available. Only few cases of posterior subtalar dislocation have been reported in detail till the date. This article presents a case of posterior subtalar joint dislocation in a 40-year-old male, a laborer by occupation presented to us in emergency department with pain, swelling and deformity in his left ankle due to fall from height. Patient landed on the floor with body upright, left foot inverted, and plantar flexed. Radiographs and CT scan demonstrated talocalcaneal-navicular dislocation associated with fracture posterior process of talus. In MR imaging TCN joint effusion, partial tear of talofibular, deep fibers of deltoid ligament and marrow edema of subtalar joint were found. Immediate post injury closed reduction and immobization in plaster slab or cast is the recommended treatment for such kind of ankle injuries. But when closed reduction is not possible as in our case it was a 15 days old neglected case of posterior subtalar joint dislocation, closed reduction and internal fixation followed by immobilization in plaster slab or cast is the treatment of choice.
International Journal of Orthopaedics , 2018
Introduction: Supracondylar fractures of the humerus are very common fractures in pediatric age g... more Introduction: Supracondylar fractures of the humerus are very common fractures in pediatric age groups. If displaced, preferred treatment is close reduction with percutaneous K-wire fixation. This study compares the functional outcome of cross k-wires v/s lateral k-wires in Gartland type III supracondylar humerus fractures in paediatric age groups. Materials and Methods: 30 cases of supracondylar fractures of the humerus gartland type III in children operated with closed reduction and pinning of which 15 were of lateral and 15 were of cross k wires group from January 2015 to June 2017 with minimum 4 months follow-up period were considered Results: Functional outcome of the patients was assessed by Flynn's criteria. Results were excellent 13.33%, good 40% fair 46.6% in cross k wire group and excellent 6.6%, good 46.6% fair 40% and poor 6.6% in lateral k wire group Conclusion: Both lateral entry pin fixation and crossed pin fixation are effective in the treatment of gartland type III extension supracondylar fractures of the humerus in children.
International Journal of Orthopaedics, www.orthopaper.com, 2020
Posterior subtalar joint dislocation is rare type entity of peritalar dislocations or more accura... more Posterior subtalar joint dislocation is rare type entity of peritalar dislocations or more accurately called Talocalcaneal-navicular (TCN) dislocations. As far as the previous literature and our search is concerned, very little data is available. Only few cases of posterior subtalar dislocation have been reported in detail till the date. This article presents a case of posterior subtalar joint dislocation in a 40-year-old male, a laborer by occupation presented to us in emergency department with pain, swelling and deformity in his left ankle due to fall from height. Patient landed on the floor with body upright, left foot inverted, and planta r flexed. Radiographs and CT scan demonstrated talocalcaneal-navicular dislocation associated with fracture posterior process of talus. In MR imaging TCN joint effusion, partial tear of talofibular, deep fibers of deltoid ligament and marrow edema of subtalar joint were found. Immediate post injury closed reduction and immobization in plaster slab or cast is the recommended treatment for such kind of ankle injuries. But when closed reduction is not possible as in our case it was a 15 days old neglected case of posterior subtalar joint dislocation, closed reduction and internal fixation followed by immobilization in plaster slab or cast is the treatment of choice.
Journal of Clinical and Diagnostic Research. 2024 May, Vol-18(5): RC13-RC17, 2024
Introduction: Shoulder instability is defined as a symptomatic translation of the humeral head ab... more Introduction: Shoulder instability is defined as a symptomatic translation of the humeral head about the glenoid fossa during active shoulder motion. Anteroinferior glenoid bone loss or labrum avulsion is most often a consistent finding in recurrent dislocation. The modified open Latarjet procedure is one of the most effective methods of treatment for patients with recurrent shoulder instability with glenoid bone loss.
Aim: To determine the functional outcome of the congruent arc modification of the open Latarjet procedure. Materials and
Methods: This prospective cohort study was conducted at a tertiary healthcare centre in Bhopal, Madhya Pradesh, India between January 2018 and December 2020. A total of 25 patients with recurrent anterior shoulder dislocation underwent treatment using the modified open Latarjet procedure. Two patients were lost to follow-up, resulting in the evaluation of 23 patients. All patients underwent a 3D Computed Tomography (CT) scan to document glenoid bone loss. The intensity of pain, activity level, strength of abduction, and Range of Motion (ROM) were assessed to calculate the Constant Shoulder Score for pre- and postoperative evaluation of functional outcomes. Follow-ups were conducted at 3 months, 6 months, 1 year, and 2 years after surgery. The data was analysed using the Wilcoxon’s signed-rank test, and Spearman’s correlation coefficient was used to identify associations between various variables.
Results: A total of 23 male patients aged between 18 and 63 years were included. The average age of patients was 30.35±11.27 years. Preoperatively, only 3 patients (13.04%) had good to excellent Constant Shoulder Scores. However, no statistically significant variation in Constant Score was observed three months after surgery. Six months post-surgery, 17 patients (73.92%) showed good to excellent scores. Nearly one year after surgery, 21 patients (91.3%) had good to excellent outcomes. At the final follow-up, 22 patients (95.65%) demonstrated good to excellent outcomes. A statistically significant improvement in good to excellent scores was noted six months postoperatively (p-value <0.001). A total of 20 patients (86.96%) achieved full ROM, with only 3 patients (13.04%) reporting mild to moderate limitations in shoulder ROM. None of the patients experienced re-dislocation, and the apprehension test was positive in only one patient.
Conclusion: The modified open Latarjet procedure is a reliable method for providing stability and Self confidence to patients with recurrent shoulder instability and glenoid bone loss.