{"title":"A lesson on ‘Cardiac tamponade’ from the cadaver","authors":"D. Yohannan, T. Attumalil, K. Chandrakumari","doi":"10.4103/NJCA.NJCA_7_21","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_7_21","url":null,"abstract":"While dissecting the thorax, when the pericardium was opened, massive clots were seen, concealing the heart. The experience was used to teach about pericardial pericardial tamponade, which most probably caused the death of the “patient.” The concept of how the intrapericardial pressure builds up to compromise cardiac hemodynamics, how it can be clinically suspected, rapidly investigated, and managed as a medical emergency, was taught. This incident was an eye-opener that the time-tested cadaveric dissection should never be entirely replaced by alternatives though they may be wisely and effectively used to complement dissection.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":"10 1","pages":"105 - 107"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48665189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correlational anatomy of biceps brachii muscle with its footprint and aponeurosis parameters","authors":"S. Narayanan","doi":"10.4103/NJCA.NJCA_82_20","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_82_20","url":null,"abstract":"Background and Aims: The anatomy of the distal biceps tendon (DBT) and its insertional anatomy to radial tuberosity is important to understand the pathophysiology of tendon rupture and in surgical repair of the ruptured tendon. The present study aimed to evaluate the relationship between biceps brachii parameters with biceps footprint and lacertus fibrosus (LF) parameters. Materials and Methods: This was a cross-sectional observational study done on 23 cadavers. The biceps brachii perimeters, the length of the DBT, distance between the radial head and radial tuberosity, footprint length, footprint breadth, and LF width were noted (with measuring tape and digital vernier caliper. LF angle was measured using Image J software. Results: There was a weak positive correlation between biceps brachii perimeter and footprint length (r = 0.392), biceps brachii perimeter and footprint breadth (r = 0.341), biceps brachii perimeter and LF width (r = 0.300), and moderate positive correlation between footprint length and breadth (r = 0.686). Conclusion: The biceps brachii perimeter has a minimal role in influencing the footprint dimensions and LF morphology. The study has explored the biomechanical aspect of the biceps brachii insertional anatomy. The data on footprint dimension and aponeurosis could help the surgeons in the effective repair of the ruptured tendon and achieving a better postoperative outcome.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":"10 1","pages":"89 - 92"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45837959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Chaithra Rao, S. Annam, Sreepadma Sunkeswari, S. Patil
{"title":"The study of anatomy of tarsal tunnel in human fetuses by dissection method","authors":"B. Chaithra Rao, S. Annam, Sreepadma Sunkeswari, S. Patil","doi":"10.4103/NJCA.NJCA_85_20","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_85_20","url":null,"abstract":"Background: The flexor retinaculum of foot extends from the medial malleolus to the calcaneus to form the roof of tarsal tunnel. The structures passing through the tunnel are tendons of tibialis posterior, flexor digitorum longus & flexor hallucis longus, the tibial nerve & the posterior tibial artery with its venae comitantes. In order to understand the pathogenesis and improve the treatment of tarsal tunnel syndrome, we investigated the tarsal region of human foetuses anatomically. Methodology: The study was done on aborted/ stillborn foetuses in the Department of Anatomy of Sapthagiri Institute of Medical, Sciences, Bangalore. The structures passing under the flexor retinaculum of foot were dissected in 68 normal limbs of 34 foetuses of gestational age ranging from 10 weeks to term. Results: It was noted that the structures were arranged in two planes. Most commonly the superficial plane contained the tendon of tibialis posterior, posterior tibial artery & tibial nerve from medial to lateral side. In the deeper plane were the tendons of flexor digitorum longus medial to that of flexor hallucis longus. The bifurcation of tibial nerve mostly occurred under cover of flexor retinaculum and that of posterior tibial artery was distal to it. Conclusion: The understanding of arrangement of structures under cover of flexor retinaculum is important for diagnosis and treatment of tarsal tunnel syndrome in adults and also for the surgical correction of clubfoot, poliomyelitis & other deformities of foot in children.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":"10 1","pages":"66 - 69"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44868192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A cadaveric study of anterior communicating artery","authors":"S. Narayanan, G. Geetha","doi":"10.4103/NJCA.NJCA_71_20","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_71_20","url":null,"abstract":"Background: Anterior communication artery is a collateral channel that connects the right and left anterior cerebral arteries in the circle of Willis. This helps in stabilizing the cerebral blood flow. Different types of variations of this artery were reported in the previous studies. The hemodynamic changes in the blood flow produced by variations induce strain at the sites of bifurcation, which may result in the formation of aneurysms. This commonly occurs at the meeting point of anterior communicating artery (ACoA) with the anterior cerebral artery. The anatomical variations in this portion may complicate the planning and performance of surgery which in turn will lead to postoperative complications. Materials and Methods: The study was conducted in 60 specimens of the brain in the department of anatomy, Government Medical college, Calicut. The artery was carefully dissected and observed. Photographs were taken. The observations were tabulated. Results: Variations were noted in 15 specimens (25%). Duplication of the artery was noted in 6 specimens (10%), hypoplasia in 3 specimens (5%), V-type artery in 1 specimen, and X-type in 6 specimens (10%). There was no triplication or plexiform type noted. An accessory anterior cerebral artery was noted in 3 specimens (5%). Conclusions: As the ACoA acts a collateral channel that stabilizes the cerebral blood flow, when there is any vascular occlusion in any components of the circle, the knowledge of these anatomical variations becomes significant. As the radiological and neurosurgical interventions are increasingly performed, nowadays, the surgeons and radiologists should be aware of these variations in the cerebral arteries.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":"10 1","pages":"75 - 78"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46118874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anatomy teaching in medical education","authors":"D. Sinha","doi":"10.4103/NJCA.NJCA_10_21","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_10_21","url":null,"abstract":"","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":"10 1","pages":"103 - 104"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44090750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Vinay, W. Benjamin, A. Das, K. Raviprasanna, D. Kumar
{"title":"Morphometric study of the distal end of dry adult humerus of the South Indian population with its clinical applications","authors":"G. Vinay, W. Benjamin, A. Das, K. Raviprasanna, D. Kumar","doi":"10.4103/NJCA.NJCA_53_20","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_53_20","url":null,"abstract":"Background: The arm bone is the largest and strongest bone of the superior extremity. Movement of the arm bone helps in essential activities like writing. lifting objects and throwing. Use of implants in communited cracks in the lower end of the humerus of an aged person may be needed to retain the mobility at the elbow joint. The present study was aimed at providing morphometry of the distal end of the arm bone for comparison with different populations. Materials and Methods: Eight morphometric parameters were evaluated from 200 dry adult humeral bones using the osteometric board and digital vernier calipers. Results: The average value of the maximal length of the arm bone in the present study was 306.3 ± 21.19 mm in the right humerus and 301.1 ± 22.4 mm in the left humerus. The transverse distance between the medial and lateral epicondyles was 57.4 ± 4.8 mm and 56.0 ± 4.7 mm in right and left humerus, respectively. The average distance between the capitulum and medial end of trochlea horizontally was 39.6 ± 3.4 and 39.5 ± 4.3 mm in right and left humerus, respectively. The average maximum transverse diameter of the trochlea was 24.4 ± 2.6 and 23.5 ± 2.6 mm in right and left humerus, respectively. The average anteroposterior diameter of the trochlea was 17.0 ± 3.9 and 16.3 ± 3.7 mm in right and left humerus, respectively. Conclusion: Eight morphometric parameters of 200 humeri presented. This information can be useful for surgeons in preparing implants and reconstruction of fractures of the distal end of the arm bone.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":"10 1","pages":"70 - 74"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46975161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing the outcome of implementation of jigsaw technique as a learning tool and its effect on performance of 1st year medical students in anatomy","authors":"M. Lalit, S. Piplani","doi":"10.4103/NJCA.NJCA_57_20","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_57_20","url":null,"abstract":"Introduction: Multiple factors in the contemporaneous trends in curriculum and medical education demand changes in teaching–learning methods with a dramatic change in the paradigm of teacher-centered teaching methods to student-centered learning methods. The jigsaw technique is an active learning methodology that involves active participation by the students in the learning process where they learn by teaching one another. It is an excellent potential tool to grasp an outsized load of information in a brief period or shorter time frame. The objective of the present study was to assess the effectiveness of the implementation of the jigsaw method as a learning tool during a graduate medical education setting. Methodology: The study was conducted among 150 phase I MBBS students during dissection in the department of anatomy. Two topics were decided and taught by didactic lecture. After taking the pretest, the topics were again taught by the jigsaw technique. After completion of the topic with this technique, students' knowledge regarding the topics was judged by taking a posttest. Pre- and postjigsaw technique assessment scores were calculated. The difference in the mean of pre- and posttests was estimated and compared by applying a paired-t-test to know the effectiveness of teaching methods. Results: The difference in the performance of the students in pre- and postjigsaw technique assessment scores test was calculated by applying paired-t-test which was found to be statistically significant (P < 0.001). About 100% of faculty members readily accepted the suggestion of implementing the jigsaw method. About 88% (132) of students showed enthusiasm and interest to take up the activity. Conclusion: There was an eloquent difference in the performance of the students in pretest and posttest knowledge scores. The results indicate a better performance by the students when they are involved actively in learning and found this method very helpful, interesting, and motivating.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":"10 1","pages":"97 - 102"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42938052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mask – A Ubiquitous Symbol of COVID-19 Scuffle","authors":"N. Pushpa, K. Ravi","doi":"10.4103/NJCA.NJCA_9_21","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_9_21","url":null,"abstract":"","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":"10 1","pages":"1 - 4"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45655569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Coronoid Foramina in a Pediatric Mandible: An Incidental Finding of a Morphologic and Developmental Anatomic Variant as a Distinctive Documented Feature","authors":"S. Ghousia, C. Nyer Firdoose","doi":"10.4103/NJCA.NJCA_58_20","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_58_20","url":null,"abstract":"The new advancing technologies have created a storm in the long-existing canons of anatomic sciences with the bandwagon of recent anatomical discoveries such as the existence and identification of a bilateral foramen in the coronoid process of the mandible. The coronoid process being a thin flat triangular process varies in shape and size and gives attachment to the main muscles of mastication the temporalis and the masseter. The excitement of exploratory anatomic victory on mysteries related to the anatomy of the head-and-neck region specific to the coronoid process was further documented and elaborated as an incidental finding. The following manuscript presents an intriguing case of a pediatric patient aged 7 years with a morphologic variation of coronoid process with presence of foramina bilaterally along with few other variants, further attempting to emphasize its occurrence in the developmental years as a possibility of developmental variant trait.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":"10 1","pages":"51 - 54"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43441744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. John, Dhanesh Sharma, J. Poonuraparampil, V. Konuri
{"title":"A Study on the Advantages and Disadvantages of the Online Teaching Program Conducted in the Department of Anatomy, AIIMS, Raipur – Students' Perspective","authors":"M. John, Dhanesh Sharma, J. Poonuraparampil, V. Konuri","doi":"10.4103/NJCA.NJCA_12_20","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_12_20","url":null,"abstract":"Background: Medical education in India always relied on the traditional classroom method of teaching. The current COVID pandemic brought a situation where online classes have taken precedence over the traditional classroom teaching. Here we attempt to see from the students' perspective whether online classes can replace the traditional classroom teaching. Aims and objectives: We aimed to study the advantages and disadvantages of online learning. Materials and methods: Online live streamed classes using Free Conference Call app were held in the Department of Anatomy, AIIMS Raipur. Live streaming, pre-recorded lecture videos were supplemented by cadaveric dissection videos, assignments etc posted in Google Classroom. Feedback regarding the online classes were obtained from first year undergraduate medical students using Google Forms. Results: A total of 72 students responded to the survey. 57 students used mobile phones to access the classes. 10 students preferred the online classes with chalk and board lecture, 23 students preferred lecture with PowerPoint presentation while the rest preferred online classes with chalk and board lecture followed by PowerPoint presentation. Out of the total (n=72) respondents, majority of them experienced technical issues which hampered their online learning experience. Owing to this reason, 43 students showed preference for pre-recorded videos over online live classes. 41.7% of the students opined that online classes should be included as a part of MBBS anatomy curriculum. Conclusion: Online learning in the form of live classes and recorded videos can be included as a part of routine Anatomy curriculum but it can never be a substitute for interactive face to face classroom learning and practical session.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":"10 1","pages":"10 - 16"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44264545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}