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A case of Erb’s palsy
Patient: Master V
Age: 8 years
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Master V. 8 years old was born a ‘big baby’. His weight at birth was about 4 kilos. Such children have a high risk of developing ‘Erb’s Palsy’, A condition in which some of the nerves and muscles of the arm are paralysed. Depending upon the degree of involvement, the child can have complete or partial paralysis of the shoulder, elbow, wrist and hand. This problem is variously called ‘Erb’s Palsy’ or ‘Birth Palsy’. If recognized at birth, these children should be followed very closely, to monitor their progress. The condition may improve by itself, but if it does not, surgery on the nerves within the first few months can greatly improve the result.
Unfortunately this child was not operated at the correct age, so he developed many of the characteristic late deformities of the limb. The left arm is shorter, thinner and weaker than the right( picture 1 and2). Picture 2 and video 4 show that the weakness is mainly involving the shoulder joint. Even in these neglected cases, a lot of improvement is possible by appropriate surgery. This patient underwent an operation called “mod. Quad.” operation. In this operation some of the tight, contracted muscles around the shoulder are released and readjusted. Picture 3 and video 5 shows the extent of improvement in his shoulder function. Luckily this boy’s elbow and hand function was not affected much, so he has regained a pretty useful hand. |
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As luck had it
Patient: Sahadath
Age: 18 years
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18 year old Sahadath, a native of Assam came to Bangalore in search of a job eight months back. Being the 3rd son of a poor vegetable vendor, needed a job desperately to help his family. He had joined a construction company in Bangalore and was able to send some money back to his parents. He was happy with his work.
But on that fateful day of 2nd June 2008, at around 9.30am he slipped and fell from the 11th floor but has luck had it, he fell onto the scaffolding rod on the 9th floor. The 6 feet rod pierced his chest from behind on the left side and came out of the chest in the front. His co-workers lifted him off the rod and got him out onto a wooden plank and was shifted to the hospital immediately.
At SPARSH Hospital he was revived by Dr. Prashant who was for a moment was stunned to look at the beating heart through the wound. He was resuscitated and was immediately taken to the operation theater for surgery. He was operated by a team of doctors headed by Dr. Srikrishna. Sahadath was very lucky as he had miraculously escaped, with the rod just missing the heart and tearing a portion of his left lung. Four ribs in the front and back were broken and the chest wall muscles were torn. He made a remarkable recovery and was walking on the 5th post operative day and was ready to go home by 7th day.
Click Here To View More images And Video
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Medical miracle at Sparsh Hospital
Patient: Maneesh
Age: 18 years
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On 13th February 2007, what was supposed to be a routine bus journey turned out
to be a life changing situation for the people on that ill fated bus! Manish
Raj Purohit a 17 year old boy was also involved in this accident in Andhra Pradesh.
He was rushed to Kuppam medical college alive, but with a rod measuring about
four feet long and one inch thick that had entered the front of his head and
traveled the entire length of the skull as it emerged from the back of his neck.
After the initial
first – aid the emergency care team under the guidance of their Medical
Superintendent Dr.L.Krishna communicated the situation to critical care team
at Sparsh Hospital, Narayana Health City. The transfer took about three hours,
during this period the team at Sparsh Hospital was completely prepared to receive
the patient. On his arrival the critical care team headed by Dr.Yohannan John
resuscitated him and after the preliminary investigations and imaging shifted
him to the operation theatre. Here a team of eight super-specialist lead by
Dr.Thimappa Hegde operated for over a period of three hours and successfully
removed this rod. Ill fated as he was he still had the grace of the almighty
as the rod had passed through his skull so precisely avoiding every possible
vital structure which could have easily killed him or at least disabled him
in a dramatic way for the rest of his life.
His
father Mr.Mangilal has a tired but peaceful look on his face as he expresses
his gratitude to Dr.Sharan Patil the chairman, for all the care given at Sparsh
Hospital. Manish is currently at Sparsh Hospital I.C.U hoping to get back to
his life as normal as before this ill fated journey but lucky enough to do so
unlike some of the other travelers who didn’t make it.
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