Rohit Pahadiya

Abstract

Introduction: Hyponatremia is the most common electrolyte disorder seen in clinical practice, it is defined as a serum sodium concentration of less than 135 mmol/L, and there is accumulating evidence that even mild hyponatremia is associated with increased morbidity and mortality, furthermore it can be a novel marker for fracture risk. Materials and Methods: The study was conducted in department of orthopaedics, S.R.G. Hospital and Medical College, Jhalawar (Rajasthan). The study comprised of 78 patients (48 males and 30 females) with intertrochanteric fractures. Observations and Results: Out of total 78 patients taken in study 61 were found to be hyponatremic. Out of 48 males in study 39 were hyponatremic, and out of 30 females 22 were hyponatremic. Keywords: Hyponatremia, Osteoporosis.

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Abstract

Introduction: Frozen shoulder a condition very commonly encountered in Orthopaedics OPD with multiple variable treatment options. The study was done to infer out the efficacy of intraatricular steroid in shoulder joint in managing frozen shoulder. Materials and Methods: study encompassed 28 female patients, coming in Orthopaedics OPD of RBM Hospital and medical College, Bharatpur, Rajasthan. Results: 30 min post procedure 22 patients gained significant range of motion of shoulder with minimal pain. 24 patients completed their follow up of 6 weeks with significant overhead abduction and rotation.4 patients had limited rotation Conclusion: Intra atricular steroid injections in managing frozen shoulder is a cost effective, simple and safe method with clinical evaluation to exclude tendinopathy and radiography to exclude glenohumeral arthritis a mainstay before procedure.   Keywords: Frozen shoulder, Steroid, Intra­articular

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Background: Low backache pain affects every population and is one of the most common clinical symptoms encountered in medical practice. Approximately 70 - 80% of people have experienced low back pain at some point of time in life. The annual prevalence of low back pain ranges from 15-45%. The major cause of low back pain leading to severe morbidity throughout the world that affects mainly the young working-class population is lumbar disc prolapsed. Various retrospective and some prospective reviews of fenestration disc surgeries orthopaedicvary greatly, with good results ranging from 46-97% and a reoperation rate of 09%. The present study was conducted to evaluate the results of single-level discectomy by fenestration method in Lumbar disc prolapse. Materials and Methods: Total thirty cases of lumber disc prolapsed treated with fenestration and discectomy satisfying inclusion and exclusion criteria treated in the Facility based tertiary care centre department of Orthopedics of Dr. S. N. Medical College and associated group of hospital, Jodhpur were studied. Results: In our study,Out of 30 patients majority of 25 (83.3%) patients showed good outcomes, followed by 04 (13.33%) patients had fair outcomes, and 01(3.33%) patient had poor outcomes. Total complications are 4 (13.33%), and the most common complication is superficial wound infection 2 (6.67%). Conclusion: By considering all aspects, fenestration, and discectomy is a better technique with the advantage of less tissue injury, good spinal function, smooth patient recovery, improved working status with early rehabilitation and maintained clinical efficacy   Keywords: Fenestration, Discectomy, Lumbar disc prolapse

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