Browsing by Author "Panta, Sunil"
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Publication Accuracy of Magnetic Resonance Imaging in Diagnosis of Anterior Cruciate Ligament and Meniscus Tear: An Observational Study(Nepal Medical Association, 2025) Thapa, Sushil; Panta, Sunil; Adhikari, Aarati; Upadhyay, Hari Prasad; Shrestha, Sarik KumarAbstract Introduction: Magnetic resonance imaging is used for the diagnosis of anterior cruciate ligament and meniscus tears but its value in the diagnosis of these pathologies is limited. This study aims to evaluate the diagnostic value of magnetic resonance imaging in diagnosing anterior cruciate ligament and meniscus tears. Methods: This was an observational cross-section study conducted at a tertiary-level hospital in Nepal. The patients operated on for anterior cruciate ligament and/or meniscus tear were considered for the study. The accuracy of magnetic resonance imaging was calculated by comparing its findings with those in arthroscopy. Results: The total number of cases were 134. The sensitivity and specificity were as follows: medial meniscus 88.81%, 95.10%; lateral meniscus 57.12%, 95.14%; anterior cruciate ligament 96.12%, 75%. The sensitivity and specificity of the injuries for 3 Tesla vs 1.5 Tesla Magnetic Resonance Imaging were as follows: medial meniscus 89.20%, 97.84% vs 87.52%, 87.52%; lateral meniscus 65.25%, 100% vs 30%, 90.91%; anterior cruciate ligament 96.12%, 75% vs 96.12, 75%. Conclusions: The sensitivity of magnetic resonance imaging in diagnosing anterior cruciate ligament injury was higher while specificity was higher for lateral meniscus injury. The study also showed that 3 Tesla was better than 1.5 Tesla magnetic resonance imaging in diagnosing meniscus injury.Publication Comparison of Carrying Angle of Elbow between Patients with and without Lateral Epicondylitis: An Observational Study(Nepal Medical Association, 2025) Shrestha, Sarik Kumar; Kandel, Manoj; Chalise, Bhanubhakta; Gautam, Keshav Mani; Panta, Sunil; Chaudhary, Pritam; Subedi, Suman; Darjee, PrakashAbstract Introduction: Lateral epicondylitis is a common cause of elbow pain, characterized by pain on the lateral side of the elbow joint. Its multifactorial etiology may result from repetitive micro-trauma, overuse of the forearm extensor muscles, use of vibrating tools, and anatomical variables causing lateral wear. In case of increased carrying angle of elbow, the course of extensor carpi radialis brevis during movement can be altered, thus increasing the tension on the extensor carpi radialis brevis tendon and increasing the risk for lateral epicondylitis. This study aims to find out the difference in carrying angle of elbow in patients with and without lateral epicondylitis. Methods: An observational cross-section study comparing carrying angle of elbow in patient with and without lateral epicondylitis was performed after ethical approval from the Institutional Review Committee (Reference number: 080/081-019) Patients presenting who had undergone radiographic examination of the elbow were recruited in the study and divided into the lateral epicondylitis group and the normal group. The mean carrying angle of elbow in both groups was compared using the parametric test. Results: This study included 82 participants, with 41 participants in the lateral epicondylitis group and 41 participants in the normal group. The mean carrying angle of elbow among patients with lateral epicondylitis group was 14.35±1.4 degrees; and the normal group, it was 12.40±1.26 degrees (p<0.001). Conclusions: The carrying angle of elbow in patients with lateral epicondylitis was significantly more than those without lateral epicondylitis.Publication Prevalence of Osteoporosis in Patients with Distal Radius Fracture from Low-energy Trauma: An Observational Study(Nepal Medical Association, 2025) Kandel, Manoj; Shrestha, Sarik Kumar; Paudel, Krishna Prasad; Panta, Sunil; Banjade, Deepak; Syangtan, Ramesh; Thapa, SushilAbstract Introduction: Osteoporosis is characterized by low bone mass, leading to enhanced bone fragility. Low-energy fractures of distal radius are related to osteoporosis and is therefore related to increased risk of subsequent hip fractures. The objective of this study was to study the prevalence of osteoporosis in patients with distal radius fracture from low-energy trauma. This will emphasise the need to investigate these patients for osteoporosis and make practitioners should be aware of the possibility of osteoporosis in such patients. Methods: This observational cross-section study evaluated the prevalence of osteoporosis in patients with distal radius fracture from low-energy trauma among patients presenting to tertiary level hospital of Nepal from October 2022 to September 2023.The participants’ demographic data, mechanism of injury, BMD values and T-score values were recorded and diagnosis of osteoporosis and osteopenia was made according to WHO diagnostic criteria. Ethical approval was taken from Institutional Review Committee (Reference Number: 079/80-015). Results: The study involved 96 patients with mean age of 68.27±4.09 years. The mean BMD among the participants was 0.69±0.02 and the mean T-score was -2.75±0.23. Diagnosis of osteoporosis was made in 88 (91.67%) patients and diagnosis of osteopenia was made in 8 (8.33%) patients based on the T-score using the WHO criteria. Of the 88n(%) patients who met the diagnosis of osteoporosis, only 45 (46.88%) patients had started treatment with bisphosphonates for osteoporosis. Conclusions: We have found a high prevalence of osteoporosis among patients with low-energy distal radius fracture.