Background: Painful knee is considered as one of the most common causes of morbidity and disability affecting all age group. It happens due to varied reasons ranged from injury to various disease processes. The present study documented the magnetic resonance imaging (MRI) findings in painful knee.Methods: A hospital based cross-sectional study was conducted among 100 painful knee patients referred to the Radiodiagnosis department of the Midnapore Medical College of West Bengal for evaluation. MRI scans performed using GE 1.5 Tesla MRI scanner. Results were expressed in terms of numbers and proportions.Results: The commonest soft tissue lesion found was meniscal tears which mainly involved posterior horn of the medial meniscus and of grade 2 nature. In case of any injury, vertical meniscal tear was found the commonest type. Tear was found the commonest lesion involved the anterior-cruciate ligament (ACL), mostly acute in nature while partial tear commonly found in posterior-cruciate ligament (PCL). Nearly one-third (30%) had features of bone contusions; mostly tibia followed by lateral femoral condyle. Popliteal cyst was the commonest cystic lesion and was associated with effusions and meniscal tears while patello-femoral compartment mostly involved by the osteo-arthritic process.Conclusions: MRI is an ideal, non-invasive and more precised imaging technique for the radiological evaluate of the painful knee condition for better clinical management.
Diabetic nephropathy is one of the major microvascular complications in both type1 and type2 diabetes. It is also a risk factor for development of macrovascular complications including atherosclerosis, myocardial infarction, cerebrovascular accident (CVA) and peripheral vascular diseases. A randomized study conducted on diabetic (n=40) with an age group between 40 to 70 years, where non-diabetic (n=35) was control. Fischer's unpaired "ttest" was the analytical tool for the study and which shows 24 hours urine microalbumin and creatinine as well as microalbumin/creatinine ratio in diabetic was significantly altered as compared with non-diabetic control, where the p-value is < 0.001.Altered lipid metabolism in diabetic was evaluated by measuring total cholesterol, triglyceride, LDL-C. Statistical analysis showed remarkable elevation of all above and the p-value was <0.001,and was significant. The study revealed some deleterious microvascular changes in diabetes and imposes cardiovascular risk.
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