Arthroscopic superior capsule reconstruction was not indicated for patients with deltoid muscle dysfunction, but it remained a viable option if the palsy was considered reversible and it could be performed effectively after palsy was been relieved.
Dr. Ashok Shyam,
Sancheti Institute for Orthopaedics and Rehabiltiation Pune, India.
Email: drashokshyam@yahoo.co.uk
hanks Dr Balachandar for his letter on the topic of research and medical education in India. As rightly pointed the problem is multifactorial and most assessment of the situation will be incomplete as many are based on impirical experiences rather than data. In this sense too both our assessments are purely based on our personal experiences and opinions of the ground reality rather than actual ground reality. Most of what I wrote was out of my own experience in residency and my experience in my current institute. I am sure many more issues plague the students all across the country and many more reasons for their lack of direction in research and publication are yet to be explored
Possibly a survey in all first year residents can be performed to assess this situation and find some concrete data which will enable us to act or at least plan to act.
Sincerely ,
Dr. Ashok Shyam
D.Orth, DNB Orth, Ch.M Tr & Orth (Edin)
Orthopaedic Surgeon
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