Browsing by Author "Singla, Rajan"
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Item Communicating ramus from lateral root of Median nerve to Ulnar nerve and fusion of Musculocutaneous nerve & Median nerve-a conjunction or co-incidence.(2013-07) Chaudhary, Priti; Singla, Rajan; Arora, Kamal; Kalsey, GurdeepBackground: The brachial plexus has a complex anatomical structure since its origin in the neck throughout its course in the axillary region. It also has close relationship to important anatomic structures what makes it an easy target of a sort of variations and provides its clinical and surgical importance. The presence of communicating branches between the terminal branches of the brachial plexus are relatively common & reported by many of the authors but very few studies are there in literature about communicating branch from the lateral root of the median nerve to the ulnar nerve. Materials and Methods: The present study was conducted on 60 upper limbs belonging to 30 cadavers ( Male:Female = 28:02 ), ( Right:Left = 30:30 ) obtained from Department of Anatomy. Observations: Communicating branch from the lateral root of the median nerve to the ulnar nerve was seen in 2 limbs (3.33%). These limbs also depicted fusion of musculocutaneous & median nerves. Discussion & Conclusion: Whether this is a conjunction or just a co-incidence, remains to be verified on a larger database. However the existence of communicating branches may be of importance in the evaluation of unexplained sensory loss after trauma or surgical intervention in a particular area. Further ontogeny & phylogeny of the variant patterns are discussed.Item Formation and Branching Pattern of Cords of Brachial Plexus- A Cadaveric Study In North Indian Population.(2014-01) Chaudhary, Priti; Singla, Rajan; Arora, Kamal; Kalsey, GurdeepBACKGROUND: The anatomical variations in the different parts of brachial plexus in human have been described by many authors. These variations have clinical significance for the surgeons, radiologists and the anatomists. A lot of work has been done on the morphology of branching pattern of the different cords of brachial plexus but almost all the workers are silent about their morphometry. That’s why this study is planned on morphology & morphometry of branching pattern of different cords of brachial plexus. MATERIAL AND METHODS: The present study was conducted on 60 upper limbs belonging to 30 cadavers (Male:Female = 28:02), (Right:Left = 30:30) obtained from Department of Anatomy, Govt. Medical College, Amritsar. These were dissected to expose the different components of brachial plexus. OBSERVATIONS: Out of 60 limbs, the lateral and the medial cords were formed in the usual way in 56 limbs, while the posterior cord was normal in 57 limbs. The average lengths of lateral, medial & posterior cords were 3.37 cm, 4.05 cm & 1.95 cm respectively. The branches of lateral cord depicted more variations in the form of origin as compared with those of medial & posterior cords. The distance of different branches of all the cords from the point of origin to parent cord varied between the two sides of same cadaver as well as on the same side of different cadavers. DISCUSSION & CONCLUSION: The present study on the adult human cadavers is an essential prerequisite for the initial built up of the data base at the grass root level. The anatomy has always provided a bedrock for the sound surgical endeavors. It definitely has an upper edge to widely and indiscriminately used radiological and sophisticated CT and MRI observations which carry a margin of error inherent to any diagnostic procedure because no doubt the machines are a good bet but the eyes see the best.Item Morphometric and Morphological Study of Articular Facets of the Thoracolumbar Vertebral Column in North Indian Population.(2015-07) Gupta, .Rimpi; Singla, Rajan; Agnihotri, Gaurav; Kumari, Reenu; Goyal, DeepakBackground: The articular processes of thoracolumbar vertebral column play an important role in weight transmission and determining the range and direction of movements between any two vertebrae. Size of these facets has been correlated with the magnitude of stress imposed on them. Purpose of study: The present study has been conducted on the articular processes of 510 vertebrae (thoracic: 360; lumbar:150) with the aim to provide high quality data sets for constructing the models of spine to study mechanics of spinal instrumentation. The length , width and the distance between the right & left superior & inferior articular processes have been measured with the vernier callipers. The presence/ absence of mamillary tubercle has been observed in the present study. Results: The length of thoracic SAFs was almost same at all levels whereas that of the lumbar SAFs increased gradually from L1-L5. However the width showed a variable trend. In case of thoracic IAFs both these parameters showed a variable trend. Whereas in lumbar region, these increased gradually from L1-L5. The distance between two inferior articular processes was more than that between two superior articular processes at almost all levels except T1-T3 & L1-L4 where reverse was true. The mamillary tubercle/process was altogether absent from T-1 to T-8. From T-9 to T-11, the number of vertebral column showing mamillary tubercle increased from 4-19. However at T-12, it was seen in 29 Vertebral columns. In lumbar region, it was well developed in all vertebrae and termed as mamillary process. Conclusion: The measurements obtained by present study reveals the importance of articular facets in understanding basic spinal mechanics and its application with respect to weight transmission.Item Morphometric Study of Orientation of Superior Articular Facets of Thoracolumbar Vertebral Column in North Indian Population(Society for Health Care & Research Development, 2018-07) Gupta, Rimpi; Singla, Rajan; Agnihotri, Gaurav; Budhiraja, Virendra; Goyal, Nisha; Bansal, SwatiBackground: The orientation of superior articular processes in the thoracic & lumbar vertebrae differs. These processes play an important role in weight transmission & determining the range & direction of movements between any two vertebrae. Methods: The present study has been conducted on the articular processes of 510 vertebrae (thoracic:360; lumbar: 150) with the aim to investigate the possible mehanism for the change from a posterolaterally facing superior articular surface in the thoracic region to posteromedially facing curved articular surface in the lumbar region. Results: In thoracic region, the angle varied between 112o to 120o but suddenly decreased to 85o (R) and 92.1o (L) at T12. In lumbar region, it showed a marked decrease at L1(R:32o; L:34.2o) which further decreased upto L3 and again increased upto L5. Thus, the above observations indicated that between T1-T11 the facet was directed posterolaterally, at T12 it was almost posterior and at L1 it changed its orientation to posteromedially and remained so in whole of the lumbar region. This change in orientation of superior articular processes at the thoracolumbar junction was abrupt at T12-L1 level or gradual over T11-L1 in almost equal number of columns. Conclusion: Clinical implication: The pattern of orientation not only guides & limits the excursion of motion segments but also is relevant in axial weight bearing.