Ananda Regmi - Academia.edu (original) (raw)
Papers by Ananda Regmi
Journal of Chitwan Medical College, May 24, 2017
Background: Vitamin D is an essential prohormone for the normal skeletal and extraskeletal health... more Background: Vitamin D is an essential prohormone for the normal skeletal and extraskeletal health. Vitamin D deficiency/ insufficiency is an unrecognized epidemic among children and adults worldwide. There are growing data from studies of young children and adolescents in other countries, but a limited information are available regarding the prevalence of this nutritional deficiency/insufficiency among the Nepalese children and adolescents. Thus this study was aimed to find out the prevalence of vitamin D deficiency/insufficiency among children and adolescents, who has attended in Chitwan Medical College (CMC). Methods: This was a retrospective hospital based study in children between 2 months and 19 years of age, conducted in CMC from April 2015 to December 2016. Results: Among 108 total studied, overall 74.1% (80) patients had 25(OH) D levels lower than 30 ng/ml with 27.8% having severe deficiency (< 10 ng/ml), 28.7% deficiency (10-19 ng/ml) and 17.6% insufficiency (20-29 ng/ml) category. The prevalence was found higher in females (95.2%), though the difference in prevalence between sexes was not statistically significant (P-value 0.243). Conclusion: Our study concluded that a high prevalence of low Vitamin D status (deficiency/insufficiency) found among the paediatric population (all paediatric age groups) indicates a need for further national level study to find out the actual prevalence of this nutritional deficiency, as well as the need for vitamin D supplementation to all children and adolescents.
Journal of Chitwan Medical College, Feb 20, 2017
Osteochondromas are the most common benign tumours of bone. They are most commonly seen in the me... more Osteochondromas are the most common benign tumours of bone. They are most commonly seen in the metaphyseal regions of long bones (femur, tibia, humerus). The scapula is rarely involved, and very few cases of solitary osteochondroma of scapula have been reported in literature. We present the case of a 17 year old male who presented with pain and limited range of motion of his right shoulder. CT scan revealed an osteochondroma on the dorsomedial surface of the right scapula extending into the ventral surface. Surgical excision was done and histopathological study showed osteochondroma of the scapula.
Journal of Nepal Paediatric Society
Caffey disease is a rare, self limiting condition which usually presents in early infancy. The cl... more Caffey disease is a rare, self limiting condition which usually presents in early infancy. The clinical features include fever, irritability, inflammatory swelling of soft tissue due to acute inflammation of the periosteum and subperiosteal new bone formation. Possible differential diagnoses are osteomyelitis, hypervitaminosis A, scurvy, bone tumours, prolonged use of Prostaglandin E1 (PGE1) and child abuse. Although self-limiting, it can cause diagnostic dilemma leading to delayed diagnosis and unnecessary investigations. Here, we report a case of two month old male infant presenting with painful left scapular mass.
Journal of Chitwan Medical College
Introduction: Clavicle fractures are the common fractures around the shoulder. Conservative treat... more Introduction: Clavicle fractures are the common fractures around the shoulder. Conservative treatment is associated with higher incidence of nonunion. We conducted this study to assess the functional outcome of plating for displaced middle third clavicle fractures. Methods: This prospective study included 60 patients with displaced middle third clavicle fractures from April 2016 to March 2017. Fixation was done with a 3.5 mm reconstruction plate placed at the superior surface of the clavicle. Patients were followed-up for a minimum of one year. Functional outcome was assessed using Constant shoulder score. Results: There were 48 male and 12 female patients with a mean age of 33.17 years (range 18-74 years). The average follow-up period was 17.82 months. All fractures united at an average of 5.35 months. The mean Constant score at final follow-up was 89.12. There were two superficial infections and three implant failures. Conclusion: We conclude that treatment of displaced middle ...
Journal of Chitwan Medical College
Introduction: Distal radius fractures are the most common fractures in elderly. Unstable fracture... more Introduction: Distal radius fractures are the most common fractures in elderly. Unstable fractures are best managed surgically and the results of volar locking plates have been promising. The purpose of this study is to determine the functional outcome of volar locking plates in the treatment of unstable distal radius fractures. Methods: Forty-five patients with 46 unstable distal radius fractures were enrolled for this study, conducted at Chitwan Medical College from September 2016 to April 2017. All patients were treated with a 3.5mm titanium volar locking plate and followed-up for a minimum of one year. The assessment was done using radiological evaluation and Cooney modification of the Green and O’Brien scoring system. Results: Twenty-three men and 22 women with age ranging from 15-75 years (mean 43.22 years) were followed-up for an average of 16.53 months. There were 17 type A fractures (5 A2, 12 A3), 11 type B fractures (3 B1, 1 B2, 7 B3), and 18 type C fractures (4 C1, 12 C2,...
Journal of Chitwan Medical College, May 24, 2017
Background: Vitamin D is an essential prohormone for the normal skeletal and extraskeletal health... more Background: Vitamin D is an essential prohormone for the normal skeletal and extraskeletal health. Vitamin D deficiency/ insufficiency is an unrecognized epidemic among children and adults worldwide. There are growing data from studies of young children and adolescents in other countries, but a limited information are available regarding the prevalence of this nutritional deficiency/insufficiency among the Nepalese children and adolescents. Thus this study was aimed to find out the prevalence of vitamin D deficiency/insufficiency among children and adolescents, who has attended in Chitwan Medical College (CMC). Methods: This was a retrospective hospital based study in children between 2 months and 19 years of age, conducted in CMC from April 2015 to December 2016. Results: Among 108 total studied, overall 74.1% (80) patients had 25(OH) D levels lower than 30 ng/ml with 27.8% having severe deficiency (< 10 ng/ml), 28.7% deficiency (10-19 ng/ml) and 17.6% insufficiency (20-29 ng/ml) category. The prevalence was found higher in females (95.2%), though the difference in prevalence between sexes was not statistically significant (P-value 0.243). Conclusion: Our study concluded that a high prevalence of low Vitamin D status (deficiency/insufficiency) found among the paediatric population (all paediatric age groups) indicates a need for further national level study to find out the actual prevalence of this nutritional deficiency, as well as the need for vitamin D supplementation to all children and adolescents.
Journal of Chitwan Medical College, Feb 20, 2017
Osteochondromas are the most common benign tumours of bone. They are most commonly seen in the me... more Osteochondromas are the most common benign tumours of bone. They are most commonly seen in the metaphyseal regions of long bones (femur, tibia, humerus). The scapula is rarely involved, and very few cases of solitary osteochondroma of scapula have been reported in literature. We present the case of a 17 year old male who presented with pain and limited range of motion of his right shoulder. CT scan revealed an osteochondroma on the dorsomedial surface of the right scapula extending into the ventral surface. Surgical excision was done and histopathological study showed osteochondroma of the scapula.
Journal of Nepal Paediatric Society
Caffey disease is a rare, self limiting condition which usually presents in early infancy. The cl... more Caffey disease is a rare, self limiting condition which usually presents in early infancy. The clinical features include fever, irritability, inflammatory swelling of soft tissue due to acute inflammation of the periosteum and subperiosteal new bone formation. Possible differential diagnoses are osteomyelitis, hypervitaminosis A, scurvy, bone tumours, prolonged use of Prostaglandin E1 (PGE1) and child abuse. Although self-limiting, it can cause diagnostic dilemma leading to delayed diagnosis and unnecessary investigations. Here, we report a case of two month old male infant presenting with painful left scapular mass.
Journal of Chitwan Medical College
Introduction: Clavicle fractures are the common fractures around the shoulder. Conservative treat... more Introduction: Clavicle fractures are the common fractures around the shoulder. Conservative treatment is associated with higher incidence of nonunion. We conducted this study to assess the functional outcome of plating for displaced middle third clavicle fractures. Methods: This prospective study included 60 patients with displaced middle third clavicle fractures from April 2016 to March 2017. Fixation was done with a 3.5 mm reconstruction plate placed at the superior surface of the clavicle. Patients were followed-up for a minimum of one year. Functional outcome was assessed using Constant shoulder score. Results: There were 48 male and 12 female patients with a mean age of 33.17 years (range 18-74 years). The average follow-up period was 17.82 months. All fractures united at an average of 5.35 months. The mean Constant score at final follow-up was 89.12. There were two superficial infections and three implant failures. Conclusion: We conclude that treatment of displaced middle ...
Journal of Chitwan Medical College
Introduction: Distal radius fractures are the most common fractures in elderly. Unstable fracture... more Introduction: Distal radius fractures are the most common fractures in elderly. Unstable fractures are best managed surgically and the results of volar locking plates have been promising. The purpose of this study is to determine the functional outcome of volar locking plates in the treatment of unstable distal radius fractures. Methods: Forty-five patients with 46 unstable distal radius fractures were enrolled for this study, conducted at Chitwan Medical College from September 2016 to April 2017. All patients were treated with a 3.5mm titanium volar locking plate and followed-up for a minimum of one year. The assessment was done using radiological evaluation and Cooney modification of the Green and O’Brien scoring system. Results: Twenty-three men and 22 women with age ranging from 15-75 years (mean 43.22 years) were followed-up for an average of 16.53 months. There were 17 type A fractures (5 A2, 12 A3), 11 type B fractures (3 B1, 1 B2, 7 B3), and 18 type C fractures (4 C1, 12 C2,...