Rajendraprasad Butala
@dypatiledu.com
Head od Unit and Professor of Orthopaedics
Dr DY Patil Padmashree School of medicine and Hospital
RESEARCH INTERESTS
Complex trauma , spine , illizarov, arthroscopic, arthroplasty , Hand injuries, Foot and ankle , Tendon injuries,
Scopus Publications
Scopus Publications
Butala RR, Samant PD, and Mehra S
Malaysian Orthopaedic Association
Rohit M Sane, Prakash D Samant, and Rajendraprasad R Butala
SAGE Publications
Background/purpose Vitamin C has been proposed to prevent the incidence of complex regional pain syndrome, but the results are conflicting. We evaluated the effectiveness of vitamin C in the prevention of complex regional pain syndrome-1 after distal end radius fractures in the aging population. Methods This was a prospective, randomized study. Patients treated with either conservative or surgical management for distal end radius fracture received Vitamin C (500 mg/day) plus standard therapy or standard therapy alone for a period of 3 months. The presence of complex regional pain syndrome-1 was assessed with Budapest criteria. Results The complex regional pain syndrome-I occurred in 11.3% in Vitamin C plus Standard in compared to 26% in Standard therapy alone. Vitamin C was significantly associated with a reduction in the likelihood of exhibiting complex regional pain syndrome-1. Conclusion Vitamin C (500 mg/day) supplementation was effective and associated with a lower occurrence of acute complex regional pain syndrome-1. It can be a promising prophylactic option for the prevention of complex regional pain syndrome-1 after distal end radius fracture.
Sameer Ajit Mansukhani
JCDR Research and Publications
Schwannomatosis is a disease characterized by the development of multiple benign tumours originating from Schwann cells. Schwannomatosis is a member of the family of diseases known as Neurofibromatosis (NF). Patients with Schwannomatosis develop multiple Schwannomas on cranial, spinal and peripheral nerves. We report a rare case of a 60-year-old female who presented with a painful swelling on the ulnar aspect of her distal forearm. She underwent an excisional biopsy for it; which was suggestive of a Schwannoma. Following ulnar swelling surgery, she developed acute low back pain, which was burning in nature with radiation along both lower limbs without any neurovascular deficit. She was treated conservatively, failing which an MRI was performed which suggested abnormal lesions in the intradural extra medullary compartment of the spinal canal. She had multiple swellings over the entire body with a positive family history of similar swellings in her sister and nephew. The painful lumbar swellings were excised which on histopathological examination revealed to be Schwannomas. No neurological deficit was observed postoperatively. There were no neurocutaneous markers, axillary freckling, visual or auditory disturbances seen in the patient or her relatives. Any patient with multiple painful progressive swellings in the body without the characteristic features of NF-1 and NF-2 should raise the suspicion of Schwannomatosis.
Manavdeep Singh, R.R. Butala, R.G. Khedekar, and Manish Tripati
Elsevier BV
Sameer Ajit Mansukhani, Rajendraprasad R Butala, Sunil H Shetty, and Ravindra G Khedekar
SAGE Publications
We report on a 46-year-old woman with a sciatic nerve schwannoma. Magnetic resonance imaging revealed a well-defined, lobulated, intensely enhancing mass posterior to the left hip joint along the left sciatic nerve suggestive of neurogenic tumour. The Tinnel sign was positive on the posterior aspect of the left thigh. The tumour was excised without neural damage. Postoperatively, the patient showed no signs of any neurological deficit, and recovery was uneventful.
R. R. Butala, M. Arora, A. A. Rao, P. D. Samant, and S. Mukherjee
Oxford University Press (OUP)
Neuropathic arthropathy (Charcot joints) most frequently affect the weight-bearing joints of the body, are commonly associated with a variety of medical and neurological conditions and are notoriously difficult to treat due to the nature of the underlying pathology. We present a case of ipsilateral shoulder and thumb carpometacarpal (CMC) joint neuropathic arthropathy secondary to cervical syringomyelia. To our knowledge, this is the first reported case in the literature of this rare association.