11 research outputs found
EVALUATION OF FETAL WEIGHT SONOGRAPHICALLY USING AREA OF WHARTON’S JELLY AND MORPHOLOGY OF UMBILICAL CORD
No full textObjective: To establish a sonographic relationship between Area of Wharton’s Jelly (AWJ) and umbilical cord morphometry with the birth weight of the fetus in low-risk pregnancies from 13 to 40 weeks.Methods: A total of 800 singleton pregnant females were subjected for routine sonographic evaluation. The umbilical cord length, diameter, and AWJ were determined. The gestational age and fetal weight were determined using usual fetal parameters. Umbilical cord morphometry along with Area of Wharton Jelly can be utilized as other parameters to increase the accuracy of fetal weight.Results: In our study, the umbilical cord diameter at birth showed statistically significant positive correlation with birth weight (R=0.167; p<0.001). Umbilical cord length, diameter, and Area of Wharton Jelly showed statistically significant positive correlation with birth weight (p<0.001).Conclusion: Using statistical analysis, a positive correlation was established between estimated fetal weight and fetal age with umbilical cord morphometry and AWJ.</jats:p
MORPHOMETRIC STUDY OF PROXIMAL FEMUR AND ITS CORRELATION WITH BONE MINERAL DENSITY. A CROSS-SECTIONAL STUDY
No full textObjective: Proximal femoral morphometries such as hip axis length (HAL), femoral neck (FN) axis length (FNAL), and FN shaft angle (FNSA) are important parameters for prediction of fracture risk. These parameters are affected by factors such as body habitus, age, sex, race, bone mineral density (BMD), and body mass index. Hence, the present study was designed to evaluate the relationship between proximal femoral morphometry and BMD.Methods: We conducted an observational cross-sectional study in 168 patients. The measurements of radiological parameters such as HAL, FNAL, and FNSA were taken using dual-energy X-ray absorptiometry scan. FN-BMD was measured using LUNAR XR scanner and expressed as gm/cm². The correlation between proximal femoral morphometry and FN-BMD has been studied using Karl Pearson correlation coefficient (r).Results: The mean age, height, weight, HAL, FNAL, FNSA, and FN-BMD of the study population were found to be 58.72 years, 160.15 cm, 64.38 kg, 104.14 mm, 103.51 mm, 128.51°, and 0.761 g/cm², respectively. FN-BMD had a negative correlation with HAL (r=−0.791), FNAL (r=−0.734), and FNSA (r=−0.713) where p=0.000.Conclusion: There is a significant correlation between FN-BMD and proximal femoral morphometry. This observation will be helpful in exploration of its clinical significance in proximal femoral fracture
Morphometric study of proximal femur in fractured and non-fractured post menopausal women
No full textObjective: This study was conducted to investigate the risk of hip fracture using proximal femoral morphometry in fractured and nonfractured postmenopausal women.Methods: We conducted an observational cross-sectional study with 138 postmenopausal women (49 fractured and 89 nonfractured). The hip axis length (HAL), femoral neck axis length (FNAL), acetabular width (AW), femoral head width (FHW), femoral shaft width (FSW), and femoral neck shaft angle (FNSA) were measured in all cases by dual energy X-ray absorptiometry. We also studied the correlation between body mass index (BMI) with all the parameters in fractured and control groups.Results:The mean age, height, weight, and BMI were 61.24±3.23, 163.94±7.84 cm, 71.88±9.14 kg, and 26.72±2.78 kg/m², respectively, in fractured patients. In nonfractured patients the values were 59.73±5.32, 161.73±4.25 cm, 69.54±6.25 kg, and 26.74±2.23 kg/m² respectively. The mean HAL, FNAL, AW, FHW, FSW, and FNSA were 130.5±3.18 mm, 111.26±3.64 mm, 18.2±1.91 mm, 53.46±1.51 mm, 37.45±1.82 mm, and 132.76±3.15 degree in case group and 130.84±4.74 mm, 112.48±4.08 mm, 17.57±2.32 mm, 53.4±1.86 mm, 35.29±1.82 mm, and 128.76±3.6° in control group, respectively.Conclusion: The femoral parameters such as HAL, FNAL, AW, and FHW do not indicate any correlation between fractured and control groups, whereas FSW and FNSA were significantly higher in case group. The FNSA was having significant negative correlation with BMI in fractured group while that was having a significant positive correlation in the nonfractured group. This observation will be helpful in exploration of its clinical significance in proximal femoral fracture.Keywords: Proximal femur, Morphometry, Postmenopausal, Fracture
Morphometric study of proximal femur in fractured and non-fractured post menopausal women
No full textObjective: This study was conducted to investigate the risk of hip fracture using proximal femoral morphometry in fractured and nonfractured postmenopausal women.Methods: We conducted an observational cross-sectional study with 138 postmenopausal women (49 fractured and 89 nonfractured). The hip axis length (HAL), femoral neck axis length (FNAL), acetabular width (AW), femoral head width (FHW), femoral shaft width (FSW), and femoral neck shaft angle (FNSA) were measured in all cases by dual energy X-ray absorptiometry. We also studied the correlation between body mass index (BMI) with all the parameters in fractured and control groups.Results: The mean age, height, weight, and BMI were 61.24±3.23, 163.94±7.84 cm, 71.88±9.14 kg, and 26.72±2.78 kg/m², respectively, in fractured patients. In nonfractured patients the values were 59.73±5.32, 161.73±4.25 cm, 69.54±6.25 kg, and 26.74±2.23 kg/m² respectively. The mean HAL, FNAL, AW, FHW, FSW, and FNSA were 130.5±3.18 mm, 111.26±3.64 mm, 18.2±1.91 mm, 53.46±1.51 mm, 37.45±1.82 mm, and 132.76±3.15 degree incase group and 130.84±4.74 mm, 112.48±4.08 mm, 17.57±2.32 mm, 53.4±1.86 mm, 35.29±1.82 mm, and 128.76±3.6° in control group, respectively.Conclusion: The femoral parameters such as HAL, FNAL, AW, and FHW do not indicate any correlation between fractured and control groups, whereas FSW and FNSA were significantly higher in case group. The FNSA was having significant negative correlation with BMI in fractured group while that was having a significant positive correlation in the nonfractured group. This observation will be helpful in exploration of its clinical significance in proximal femoral fracture.Keywords: Proximal femur, Morphometry, Postmenopausal, Fracture.</jats:p
EVALUATION OF FETAL WEIGHT SONOGRAPHICALLY USING AREA OF WHARTON\u27S JELLY AND MORPHOLOGY OF UMBILICAL CORD
No full textObjective: To establish a sonographic relationship between Area of Wharton\u27s Jelly (AWJ) and umbilical cord morphometry with the birth weight of the fetus in low-risk pregnancies from 13 to 40 weeks.Methods: A total of 800 singleton pregnant females were subjected for routine sonographic evaluation. The umbilical cord length, diameter, and AWJ were determined. The gestational age and fetal weight were determined using usual fetal parameters. Umbilical cord morphometry along with Area of Wharton Jelly can be utilized as other parameters to increase the accuracy of fetal weight.Results: In our study, the umbilical cord diameter at birth showed statistically significant positive correlation with birth weight (R=0.167; p<0.001). Umbilical cord length, diameter, and Area of Wharton Jelly showed statistically significant positive correlation with birth weight (p<0.001).Conclusion: Using statistical analysis, a positive correlation was established between estimated fetal weight and fetal age with umbilical cord morphometry and AWJ
Age Related Changes in Proximal Femoral Morphometry: A Cross Sectional Study on estern Odisha Population
No full textSupratrochlear Foramen of Humerus - A Morphometric Study with Surgical and Radiological Relevance
No full textBackground: The supratrochlear foramen is a common anatomical variation in the lower end of human humerus with significant surgical implication. The present study was carried out to assess the supratrochlear foramen morphologically and morphometrically and highlight the clinical utility of the findings. Material and Methods: The study included sixty dried, unpaired, adult human humeri (28 right and 32 left). They were studied macroscopically for the incidence, dimensions,location and shape of the supratrochlear foramina. Results: Twelve bones (20%) showed supratrochlear foramen (7 on left side and 5 on right side). The
transverse diameter of the foramen was measured to be 6.57 ± 2.50 mm on left side and 5.0 ± 1.58 mm on right side. The vertical diameter of the foramen was found to be 5.28 ± 1.60 mm on left side and 3.20 ± 0.83 mm on right side. The distance of the foramen from lateral epicondyle and medial epicondyle of humerus was determined to be 25.16 ± 2.28 mm and 23.58 ± 2.23
mm respectively. The foramina exhibited various shapes- irregular, rectangular, hour glass like, triangular and oval. Conclusion: The supratrochlear foramen is important for orthopaedicians as it can
predispose to fracture of distal humerus. Requisite planning is necessary for the intramedullary nailing of the fractures of distal humerus due to associated narrow medullary canal in humerus having supratrochlear foramen. Radiologists may misinterpret it as a cystic or lytic lesion of humerus
STUDY OF HISTOPATHOLOGICAL CHANGES OF GALLBLADDER IN CHOLELITHIASIS AND ITS CLINICAL RELEVANCE
No full textSURVEILLANCE OF APPENDICECTOMY SPECIMEN WITH HISTOMORPHOLOGICAL EVALUATION
No full textObjective: Appendicectomy is the gold standard treatment in acute appendicitis, and in each case, a specimen should be evaluated thoroughly by a histopathologist to confirm the diagnosis and any unknown pathology. The present study aims to find out age and gender prevalence of appendicitis in a tertiary care hospital in Eastern India and various histological changes in the appendix in routine appendicectomy specimen undergoing surgery for appendicitis.Methods: A total of 780 appendicectomy specimens were studied for acute appendicitis for 2 years. Gender prevalence and age-wise incidence of appendicitis were analyzed statistically. Sections were taken from different parts of formalin-fixed appendix specimen. A thorough histological examination was done to confirm acute appendicitis and to detect any incidental unusual histological changes.Results: Of 780 cases, 343 (44%) were male and 437 (56%) were female. Females are more in number than males (p<0.001). The incidence was more common in the age group of 21–30 years (50.7%). Histological findings revealed normal vermiform appendix in 60 (7.7%), lymphoid hyperplasia in 75 (9.6%) cases, acute appendicitis and periappendicitis in 471 (60%) and 110 (14%) cases, respectively. Gangrenous appendicitis was found in 56 (7%) cases. Unexpected findings were reported in 8 (1.02%) cases, of which Enterobius vermicularis 2 (0.25%) cases, endometriosis 2 (0.25%) cases, mucocele 1 (0.12%) case, and carcinoid in 3 (0.4%) cases.Conclusions: Apart from intraoperative examination, a routine histological study of biopsy specimen reveals at times rare pathological changes which has some impact on clinical co-relation and patient management and might help to avoid any lethal complications
