iosr-JDMS   Volume-24 ~ Issue-7 ~ July 2025

Abstract: Trans-scaphoid lunate dislocation is a rare and severe form of wrist injury typically resulting from high-energy trauma. Delayed diagnosis and inappropriate treatment can lead to chronic pain, instability, and long-term functional impairment. We report a rare case of a 27-year-old male with a trans-scaphoid lunate dislocation, presenting two months post-injury with persistent wrist pain. The patient had initially received osteopathic care without relief. He was successfully managed with open reduction and internal fixation (ORIF) using Kirschner wires (K-wires). This case highlights the importance of timely diagnosis and surgical management in such injuries.

Key Word: Trans-scaphoid lunate dislocation,Carpal dislocation,Wrist injury,Delayed presentation,Open reduction and internal fixation (ORIF),Kirschner wires (K-wires),High-energy trauma,Carpal instability, Chronic wrist pain,Orthopedic case report.

[1]. Herzberg G, Comtet JJ, Linscheid RL, Amadio PC, Cooney WP 3rd, Stalder J. Perilunate dislocations and fracture-dislocations: a multicenter study. J Hand Surg Am. 1993;18(5):768-79.
[2]. Inoue G, Tamura Y. Management of trans-scaphoid perilunate fracture-dislocations: Herbert screw fixation versus K-wire fixation. J Hand Surg Br. 1997;22(5):544-8.
[3]. Sotereanos DG, Mitsionis GI, Giannakopoulos PN, Malizos KN. Perilunate dislocation and fracture-dislocation: a critical analysis of the volar-dorsal approach. J Hand Surg Am. 1997;22(1):49-56.
[4]. Garcia-Elias M. Carpal instabilities and dislocations. Hand Clin. 2006;22(4):485-500.
[5]. Lunate dislocation and fracture: imaging and treatment update. Bain GI, Watts AC. Curr Rev Musculoskelet Med. 2012;5(3):188-94.

Abstract: Objective: To evaluate the relationship between smoking and lung cancer incidence among individuals aged 16–25 in Nuh, Haryana. Methods: We designed a 5-year prospective cohort following 5,000 adolescents (16–19 years), tracking smoking habits and lung cancer diagnosis by age 25. Smoking prevalence was estimated from Nuh Haryana adolescent surveys. Lung cancer incidence and relative risk (RR) were modelled using existing Indian risk data........

[1]. Saini et al. Prevalence of tobacco use among school & college adolescents in Haryana
[2]. tribuneindia.com
[3]. reddit.com
[4]. pubmed.ncbi.nlm.nih.gov
[5]. ICMR Cancer Risk & Tobacco forms: bidi vs cigarette relative risks

Abstract: Background: The craniovertebral junction (CVJ) is a transitional anatomical zone vulnerable to anomalies like basilar invagination and atlantoaxial dislocation. Preoperative morphometric evaluation plays a critical role in surgical planning. Objective: To analyze morphometric parameters in CVJ anomalies and assess their relevance in surgical management. Methods: A retrospective analysis of 12 patients (7 males, 5 females; mean age 26 years) treated surgically between August 2023 and July 2024 at a tertiary center. Preoperative and postoperative CT/MRI scans were used to measure clivus length, basal angle, atlanto-dental interval, and other morphometric........

Keywords: Craniovertebral junction, Morphometry, Atlantoaxial dislocation, Basilar invagination, Pre-surgical planning

[1]. Menezes AH. Craniovertebral junction anomalies: diagnosis and management. Neurosurgery. 2008;62 Suppl 2: 1–16.
[2]. Goel A. Atlantoaxial instability: Anatomy, pathogenesis, and treatment. Neurol India. 2015;63: 579–589.
[3]. Tubbs RS, et al. Morphometric analysis of the craniovertebral junction: Clinical applications. J Neurosurg Spine. 2011;14(5): 539–543.
[4]. Muthukumar N, et al. Occipitocervical fusion: Morphometric considerations in an Indian population. J Clin Neurosci. 2005;12(7): 765–768.
[5]. Gupta S, et al. Anatomical considerations for posterior instrumentation of the C1-C2 complex: A radiological study in Indian adults. Indian J Neurosurg. 2019;8(1): 1–7.

Abstract: Background: Dimensional fidelity in complete dentures is vital for successful prosthodontic rehabilitation. Shifts in tooth position during processing can compromise fit and occlusion. Objective: This laboratory-based study aimed to evaluate the influence of three investing agents (plaster, stone, and a 1:1 stone-plaster blend), two flask configurations (two-piece and three-piece), and two polymerization schedules (short and long) on tooth displacement during denture processing.........

Keywords: Complete denture, investing medium, flask configuration, polymerization method, acrylic resin, tooth displacement, dimensional accuracy

[1]. Craig RG, Powers JM. Restorative Dental Materials. 11th ed. Mosby; 2002.
[2]. Consani RLX, et al. Effect of packing types on complete denture base adaptation. Braz Dent J. 2004;15(1):63–67.
[3]. Kawara M, Carter JM, Ogle RE, Johnson RR. Influence of processing variables on dimensional changes of acrylic resin denture bases. J Prosthet Dent. 1991;66(3):422–6.
[4]. Al-Rifaiy MQ. Surface roughness of acrylic resin after polishing. Saudi Dent J. 2010;22(1):13–7.
[5]. Anusavice KJ, Shen C, Rawls HR. Phillips’ Science of Dental Materials. 12th ed. Elsevier; 2012.

Abstract: Background: Implant dentistry has emerged as a pivotal prosthetic solution for the replacement of missing teeth, in response to growing patient expectations for functional efficiency and aesthetic excellence. With increasing patient expectations for long term replacement fixed solution for missing natural teeth, the field has witnessed significant advancements. While implantology addresses a longstanding clinical need, it also presents potential complications if not meticulously planned. These complications often stem from insufficient bone volume or inadequate soft tissue contours around the implant site, directly impacting both the functional stability and the aesthetic integration of the implant........

Key Word: Dental implants, soft tissue management, peri-implant tissues, awareness, treatment planning, implant complications.

[1]. Berglundh T, Lindhe J. Dimension of the periimplant mucosa: biological width revisited. Journal of clinical periodontology. 1996 Oct;23(10):971-3.
[2]. Lindhe J, Meyle J, Group D of the European Workshop on Periodontology. Peri‐implant diseases: consensus report of the sixth European workshop on periodontology. Journal of clinical periodontology. 2008 Sep;35:282-5.
[3]. Lang NP, Löe H. The relationship between the width of keratinized gingiva and gingival health. Journal of periodontology. 1972 Oct;43(10):623-7.
[4]. Do Nascimento C, Pedrazzi V, Miani PK, Moreira LD, de Albuquerque Junior RF. Influence of repeated screw tightening on bacterial leakage along the implant–abutment interface. Clinical Oral Implants Research. 2009 Dec;20(12):1394-7.
[5]. Gunasekaran G. AWARENESS ON SOFT TISSUE MANAGEMENT AND COMPLICATIONS POST IMPLANT PLACEMENT AMONG UNDERGRADUATES.

Abstract: Vaginal laxity is a common condition in women over 40, resulting from factors such as aging, hormonal changes, pregnancy, and childbirth, directly impacting women's quality of life and self-esteem. In recent years, intimate aesthetics has gained prominence by offering safe and effective treatments with a minimally invasive approach and the use of technologies that enhance results with similar effects to surgical procedures. Among these resources, microfocused ultrasound (HIFU – High-Intensity Focused Ultrasound) has established itself as a promising technology for improving vaginal laxity, promoting neocollagenesis, reorganization of collagen fibers, and improving tissue firmness. Consequently, it prevents and treats urinary incontinence, increases lubrication, and enhances sexual pleasure.........

Key words: microfocused ultrasound, intimate aesthetics, collagen, Femme Lift, HIFU, intimate harmonization, gynecology, vaginal laxity, intimate rejuvenation, Femme Lifting protocol

[1] Campbell P, Krychman M, Gray T, Vickers H, Money-Taylor J, Li W, Radley S. Self-Reported Vaginal Laxity-Prevalence, Impact, and Associated Symptoms in Women Attending a Urogynecology Clinic. J Sex Med. 2018 Nov;15(11):1515-1517. doi: 10.1016/j.jsxm.2018.08.015. Epub 2018 Oct 13. PMID: 30327263.
[2] Rowen TS. Editorial Comment on "Self-Reported Vaginal Laxity-Prevalence, Impact, and Associated Symptoms in Women Attending a Urogynecology Cinic". J Sex Med. 2018 Nov;15(11):1659-1660. doi: 10.1016/j.jsxm.2018.09.007. PMID: 30415818.
[3] Li-Yun-Fong RJ, Larouche M, Hyakutake M, Koenig N, Lovatt C, Geoffrion R, Brotto LA, Lee T, Cundiff GW. Is Pelvic Floor Dysfunction an Independent Threat to Sexual Function? A Cross-Sectional Study in Women With Pelvic Floor Dysfunction. J Sex Med. 2017 Feb;14(2):226-237. doi: 10.1016/j.jsxm.2016.11.323. Epub 2016 Dec 29. PMID: 28041844.
[4] Lian W, Zheng Y, Huang H, Chen L, Cao B. Effects of bariatric surgery on pelvic floor disorders in obese women: a meta-analysis. Arch Gynecol Obstet. 2017 Aug;296(2):181-189. doi: 10.1007/s00404-017-4415-8. Epub 2017 Jun 22. PMID: 28643025.
[5] Mestre M, Lleberia J, Pubill J, Espuña-Pons M. Questionnaires in the assessment of sexual function in women with urinary incontinence and pelvic organ prolapse. Actas Urol Esp. 2015 Apr;39(3):175-82. English, Spanish. doi: 10.1016/j.acuro.2014.05.008. Epub 2014 Aug 28. PMID: 25174768.

Abstract: Lipedema is a chronic and progressive disorder, a primary lipotrophy characterized by abnormal fat deposition, primarily in the buttocks and legs bilaterally. It is symmetrical and disproportionate. It is estimated to affect 10 to 18% of women in Europe and approximately 12.3% of the Brazilian female population.
Cytobiological studies suggest that the disorder arises primarily through alterations in the initial stages of cellular differentiation in adipogenesis. Gene expression of leptin and PPAR-gamma increases due to dysregulation of key signaling networks, including Bub1, leading to increased adipocyte proliferation and an alteration in mRNA.........

Key words: cryolipolysis, cryotherapy, lipedema, cryotonus, ultrasound, cryocavitation, cryo ultrasound, aesthetics.

[1]. Campbell P, Krychman M, Gray T, Vickers H, Money-Taylor J, Li W, Radley S. Self-Reported Vaginal Laxity-Prevalence, Impact, and Associated Symptoms in Women Attending a Urogynecology Clinic. J Sex Med. 2018 Nov;15(11):1515-1517. doi: 10.1016/j.jsxm.2018.08.015. Epub 2018 Oct 13. PMID: 30327263.
[2]. AMATO, A. C. M. et al. Prevalência e fatores de risco para lipedema no Brasil. Jornal Vascular Brasileiro, v. 21, p. e20210198, 2022. Disponível em: https://doi.org/10.1590/1677-5449.202101981. Acesso em: 2 jun. 2025.
[3]. Ruiz-Silva C, Moleiro D, Santarelli, AC, Rodrigues FM. Eficácia do uso da tecnologia de criolipólise de placas no tratamento do lipedema – relato de casos. Simmetria Or
[4]. SHFAQ, M. et al. Key signaling networks are dysregulated in patients with the adipose tissue disorder, lipedema. International Journal of Obesity, v. 46, p. 502–514, 2022. Disponível em: https://doi.org/10.1038/s41366-021-01002-1. Acesso em: 2 jun. 2025.
[5]. KRUZPA, P. et al. Lipedema—Pathogenesis, Diagnosis, and Treatment Options. Deutsches Ärzteblatt International, v. 117, p. 396–403, 2020. Disponível em: https://doi.org/10.3238/arztebl.2020.0396. Acesso em: 2 jun. 2025.

Abstract: Background: Osteochondroma is the most common benign bone tumor, predominantly affecting the metaphyseal region of long bones. Clavicular involvement is rare, especially at the distal (lateral) end, and even more unusual in adult females. Case Presentation: We report a case of a 27-year-old female who presented with a painless, gradually enlarging swelling over her right shoulder. Clinical examination and imaging revealed a solitary bony outgrowth from the distal end of the left clavicle.........

Keywords: Osteochondroma, Clavicle tumor, Distal clavicle, Benign bone tumor, Shoulder mass, Case report

[1]. Simonetti I, Chianca V, et al. Clavicular osteochondroma: extremely rare cause of impingement syndrome. J Orthop Case Rep. 2018;8:50-53.
[2]. Fallon PJ, Hollinshead RM. Solitary osteochondroma of the distal clavicle causing a full-thickness rotator cuff tear. J Shoulder Elbow Surg. 1994;3:266-269.
[3]. Kim DW, Bae KC, Son ES, Baek CS, Cho CH. Osteochondroma of the distal clavicle: a rare cause of impingement and biceps tear of the shoulder. Clin Shoulder Elb. 2018;21:158-161.
[4]. Messinese P, Vismara V, et al. Arthroscopic treatment of an unusual distal clavicle osteochondroma causing rotator cuff impingement: case report and literature review. Orthop Rev. 2020;12:8683.
[5]. Ogawa K, Yoshida A, Ui M. Symptomatic osteochondroma of the clavicle. J Bone Joint Surg Am. 1999;81:404-408. PMC

Abstract: Background: Spinal anaesthesia is a preferred technique for lower limb surgeries due to its rapid onset, dense neural blockade, and avoidance of airway instrumentation. However, in patients with significant systemic disease (ASA III/IV), the sympathetic blockade associated with spinal anaesthesia may precipitate profound hypotension and cardiovascular instability. Hyperbaric Bupivacaine, commonly used for Spinal anaesthesia, tends to spread more extensively under gravity, increasing the risk of higher block levels and haemodynamic compromise in high-risk patients. Hypobaric Bupivacaine, being less dense than cerebrospinal fluid, allows for more controlled and restricted spread of the block, potentially reducing sympathetic blockade and providing greater haemodynamic stability.........

Keywords: ASA- American Society of Anaesthesiologists.

[1]. Butterworth JF, Mackey DC, Wasnick JD. Spinal, Epidural and Caudal blocks. In: Morgan & Mikhail’s Clinical Anesthesiology, 7th ed. McGraw Hill; 2022.p.1576-1603.
[2]. Hocking G, Wildsmith JA. Intrathecal drug spread. Br J Anaesths.2004; 93(4):568–78.
[3]. Chambers WA, Edstrom HH, Scott DB. Effect of baricity on spinal anaesthesia with Bupivacaine. Br J Anaesth.1981;53(3):279-82.
[4]. Adrian Chin and André van Zundert. Spinal Anesthesia. In: AdmirHadzic, editor. Hadzic’s textbook of regional anesthesia and acute pain management. 2nd ed. New York: McGraw-Hill Education; 2017.p. 341-46
[5]. Maroof M, Khan RM, Siddique M, Tariq M. Hypobaric spinal anaesthesia with bupivacaine (0.1%) gives selective sensory block for ano‑rectal surgery. Can J Anaesth 1995;42:691‑4.