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author:("botch, Rajesh")
1.  Pictorial essay: Role of ultrasound in failed carpal tunnel decompression 
USG has been used for the diagnosis of carpal tunnel syndrome. Scarring and incomplete decompression are the main causes for persistence or recurrence of symptoms. We performed a retrospective study to assess the role of ultrasound in failed carpal tunnel decompression. Of 422 USG studies of the wrist performed at our center over the last 5 years, 14 were for failed carpal tunnel decompression. Scarring was noted in three patients, incomplete decompression in two patients, synovitis in one patient, and an anomalous muscle belly in one patient. No abnormality was detected in seven patients. We present a pictorial review of USG findings in failed carpal tunnel decompression.
doi:10.4103/0971-3026.95401
PMCID: PMC3354354  PMID: 22623813
Carpal tunnel decompression; failed; ultrasound
2.  Pseudocoarctation with saccular aneurysms, left sided SVC and aberrant right subclavian artery - A case report 
Pseudocoarctaion is a rare congenital anomaly due to elongation of aortic arch. The exact etiology is still uncertain. It may be associated with other congenital cardiac and vascular anomalies. We report an unusual case of pseudocarctation associated with aberrant right subclavian artery, left SVC and multiple saccular aneurysms in the kinked arch and we feel that this is the first documented case in literature.
doi:10.3941/jrcr.v4i7.379
PMCID: PMC3303361  PMID: 22470744
Pseudocoarctation; left SVC; aberrant; subclavian
3.  Pictorial essay: USG of lumps and bumps of the foot and ankle 
USG is a cost-effective and dynamic way to interrogate superficial lumps and bumps. We present a pictorial review of the USG findings in various “lumps and bumps” of the foot and ankle.
doi:10.4103/0971-3026.63048
PMCID: PMC2890914  PMID: 20607019
Foot; lumps; sonography
5.  Radiation exposure from fluoroscopy during fixation of hip fracture and fracture of ankle: Effect of surgical experience 
Indian Journal of Orthopaedics  2008;42(4):471-473.
Background:
Over the years, there has been a tremendous increase in the use of fluoroscopy in orthopaedics. The risk of contracting cancer is significantly higher for an orthopedic surgeon. Hip and spine surgeries account for 99% of the total radiation dose. The amount of radiation to patients and operating surgeon depends on the position of the patient and the type of protection used during the surgery. A retrospective study to assess the influence of the radiation exposure of the operating surgeon during fluoroscopically assisted fixation of fractures of neck of femur (dynamic hip screw) and ankle (Weber B) was performed at a district general hospital in the United Kingdom.
Materials and Methods:
Sixty patients with undisplaced intertrochanteric fracture were included in the hip group, and 60 patients with isolated fracture of lateral malleolus without communition were included in the ankle group. The hip and ankle groups were further divided into subgroups of 20 patients each depending on the operative experience of the operating surgeon. All patients had fluoroscopically assisted fixation of fracture by the same approach and technique. The radiation dose and screening time of each group were recorded and analyzed.
Results:
The radiation dose and screening time during fluoroscopically assisted fixation of fracture neck of femur were significantly high with surgeons and trainees with less than 3 years of surgical experience in comparison with surgeons with more than 10 years of experience. The radiation dose and screening time during fluoroscopically assisted fixation of Weber B fracture of ankle were relatively independent of operating surgeon's surgical experience.
Conclusion:
The experience of operating surgeon is one of the important factors affecting screening time and radiation dose during fluoroscopically assisted fixation of fracture neck of femur. The use of snapshot pulsed fluoroscopy and involvement of senior surgeons could significantly reduce the radiation dose and screening time.
doi:10.4103/0019-5413.43398
PMCID: PMC2740341  PMID: 19753238
Experience; fixation; fracture; radiation; surgeon

Results 1-5 (5)