Imperial College London

Mr(Dr) Chinmay Gupte

Faculty of MedicineDepartment of Surgery & Cancer

Reader in Orthopaedics
 
 
 
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Contact

 

+44 (0)20 8846 1234 ext 15215c.gupte00 Website

 
 
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Location

 

Charing Cross Hospital 7 East wingCharing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Publication Type
Year
to

119 results found

Amadi HO, Gupte CM, Lie DTT, McDermott ID, Amis AA, Bull AMJet al., 2008, A biomechanical study of the meniscofemoral ligaments and their contribution to contact pressure reduction in the knee, Knee Surgery Sports Traumatology Arthroscopy, Vol: 16, Pages: 1004-1008, ISSN: 0942-2056

The aim of this study was to test the hypothesis that the meniscofemoral ligaments (MFLs) of the human knee assist the lateral meniscal function in reducing tibiofemoral contact pressure. Five human cadaveric knee joints were loaded in axial compression in extension using a 4-degree of freedom rig in a universal materials testing machine. Contact pressures pre- and post-sectioning of the MFLs were measured using pressure sensitive film. Sectioning the MFLs increased the contact pressure significantly in the joints for two of the four measures. In addition to their known function in assisting the posterior cruciate ligament (PCL) to resist tibiofemoral posterior drawer, the MFLs also have a significant role in reducing contact stresses in the lateral compartment. Their retention in PCL and meniscal surgery is therefore to be advised.

Journal article

Gupte C, Butt SH, Tirabosco R, Saifuddin Aet al., 2008, Angioleiomyoma: magnetic resonance imaging features in ten cases, SKELETAL RADIOLOGY, Vol: 37, Pages: 1003-1009, ISSN: 0364-2348

Journal article

Atrey A, Leslie I, Carvell J, Gupte C, Shepperd JAN, Powell J, Gibb PAet al., 2008, Standardised consent forms on the website of the British Orthopaedic Association, JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, Vol: 90B, Pages: 422-423, ISSN: 0301-620X

Journal article

Gupte CM, Bull AMJ, 2008, Gupte/Bull shoulder brace, EP 1928370 A2

A joint brace, for example a shoulder brace, includes one or more straps (2) attached across the joint in question such that rotation of the joint is controlled. The joint brace includes a flexion limiting brace (6) worn, for the shoulder example, at the elbow. The flexion limiting brace provides a point of attachment (60) for the strap or straps.

Patent

Gray H, Standring S, 2008, Gray's anatomy, Publisher: Churchill Livingstone

Gray and Carter belonged to a generation of anatomists ready to infuse the study of human anatomy with a new, and respectable, scientifkity. Disreputable aspects of the profession's history, acquired during the days of bodysnatching, ...

Book

Opara TN, Gupte CM, Liyanage SH, Poole S, Beverly MCet al., 2007, Tuberculous arthritis of the knee with Staphylococcus superinfection., J Bone Joint Surg Br, Vol: 89, Pages: 664-666, ISSN: 0301-620X

We describe a case of septic arthritis of the knee in which the diagnosis of tuberculosis was masked by an initial culture growth of Staphylococcus aureus. This led to a delay in diagnosis and an adverse outcome. In the appropriate clinical setting, we suggest that the index of suspicion for skeletal tuberculosis be raised in developed countries in order to avoid diagnostic delay, by requesting cultures for acid-fast bacilli and synovial biopsies at arthroscopy. Moreover, antituberculosis therapy should be started whilst awaiting the results of culture if the clinical history and biopsies are strongly suggestive of the diagnosis.

Journal article

Gupte CM, Bull AMJ, Atkinson HD, Thomas RD, Strachan RK, Amis AAet al., 2007, Arthroscopic appearances of the meniscofemoral ligaments: introducing the ‘‘meniscal tug test’’, . Knee Surg. Sports Traumatol. Arthrosc., Vol: 14, Pages: 1259-1265

Journal article

Gupte CM, Bull AMJ, Murray R, 2007, Comparative anatomy of the meniscofemoral ligament in humans and some domestic mammals., Anatomia, Histologia, Embryologia: journal of veterinary medicine series C, Pages: 47-52

Journal article

Gupte CM, Bull AMJ, Atkinson HD, Thomas RD, Strachan RK, Amis AAet al., 2006, Arthroscopic appearances of the meniscofemoral ligaments: introducing the "meniscal tug test", KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, Vol: 14, Pages: 1259-1265, ISSN: 0942-2056

Journal article

Gupte CM, Atkinson HD, Bull AMJ, Thomas RD, Strachan RK, Amis AAet al., 2006, Arthroscopic appearances of the meniscofemoral ligaments. Introducing the “meniscal tug test”., Knee Surgery Sports Traumatology Arthroscopy

Journal article

Amis AA, Gupte CM, Bull AMJ, 2006, Anatomy of the posterior cruciate ligament and the meniscofemoral ligaments, Knee Surg. Sports Traumatol. Arthrosc., Vol: 14, Pages: 250-256

Journal article

Cheung YM, Gupte CM, Beverly MJ, 2004, Iliopsoas bursitis following total hip replacement., Arch Orthop Trauma Surg, Vol: 124, Pages: 720-723, ISSN: 0936-8051

We report the imaging features of a 52-year-old man presenting with a groin mass and gross lower limb oedema secondary to venous occlusion by massive cystic enlargement of the iliopsoas bursa 4 years after uncemented primary total hip replacement. Ultrasonography of the groin mass demonstrated a large cystic lesion extending into the pelvis. CT showed displacement of the external iliac vessels with venous compression. Bursography showed the bursa's margins and no communication with the hip joint. Diagnostic aspiration excluded infection, but fluid recollection occurred subsequently. Complete resolution of symptoms, including limb swelling, followed surgical excision with no recurrence at the 5-year follow-up. We believe iliopsoas bursitis occurred as a tissue response to polyethylene wear within the prosthetic hip and occurred even in the absence of loosening or a direct communication between bursa and joint.

Journal article

Wallace AL, Alexander S, Gupte CM, 2004, The unstable shoulder., Pages: 648-651, ISSN: 1462-3935

Not all unstable shoulders are the same, and careful patient selection ensures proper treatment. Improved understanding of the mechanisms of stability, advances in imaging and arthroscopic technology mean that repeated visits to the emergency department with a painful dislocated shoulder should be a thing of the past.

Conference paper

McDermott ID, Sharifi F, Bull AMJ, Gupte CM, Thomas RW, Amis AAet al., 2004, An anatomical study of meniscal allograft sizing, KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, Vol: 12, Pages: 130-135, ISSN: 0942-2056

Journal article

Liyanage SH, Gupte CM, Cobb ARM, 2003, Skeletal tuberculosis., J R Soc Med, Vol: 96, ISSN: 0141-0768

Journal article

Amis AA, Bull AMJ, Gupte CM, Hijazi I, Race A, Robinson JRet al., 2003, Biomechanics of the PCL and related structures: posterolateral, posteromedial and meniscofemoral ligaments, KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, Vol: 11, Pages: 271-281, ISSN: 0942-2056

Journal article

Gupte CM, Bull AMJ, Thomas RD, Amis AAet al., 2003, The meniscofemoral ligaments: secondary restraints to the posterior drawer - Analysis of anteroposterior and rotary laxity in the intact and posterior-cruciate-deficient knee, JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, Vol: 85B, Pages: 765-773, ISSN: 0301-620X

Journal article

Gough MD, Stoddard CJ, Ackroyd R, 2003, The Internet--friend or foe? A questionnaire study of orthopaedic out-patients., Ann R Coll Surg Engl, Vol: 85, ISSN: 0035-8843

Journal article

Gupte CM, Bull AMJ, Thomas RD, Amis AAet al., 2003, A review of the function and biomechanics of the meniscofemoral ligaments, ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, Vol: 19, Pages: 161-171, ISSN: 0749-8063

Journal article

Gupte CM, Bull AMJ, Thomas RD, Amis AAet al., 2003, Gupte CM, Bull AMJ, Thomas RD, Amis AA (2003) A review of the function and biomechanics of the meniscofemoral ligaments. Arthroscopy 19;(2):161–171., Arthroscopy: The Journal of Arthroscopy and Related Surgery

Journal article

Gupte CM, Dasgupta R, Beverly MC, 2003, The transfibular approach for distal tibial osteochondroma: an alternative technique for excision., J Foot Ankle Surg, Vol: 42, Pages: 95-98, ISSN: 1067-2516

Surgical excision of osteochondromata occurring at the lateral aspect of the distal tibia is hampered by the difficult access to this area. Current techniques use an anterior approach, but this makes access to the posterior aspect of the tibia difficult. The authors report on 2 cases in which removal, and subsequent replacement of distal fibula and fixation with a semitubular plate, allowed complete excision of a distal tibial osteochondroma and satisfactory outcomes. This procedure provides an alternative technique to the anterior approach previously described. The literature appears to contain no similar previous reports.

Journal article

Gupte CM, Jeevan D, Bull AMJ, Amis AAet al., 2003, The meniscofemoral ligament - Effect on cranio-caudal and rotatory laxity in the ovine stifle, VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY, Vol: 16, Pages: 26-31, ISSN: 0932-0814

Journal article

Gupte CM, Bull AMJ, Thomas RD, Amis AAet al., 2003, The meniscofemoral ligaments: secondary restraints to posterior drawer.

Journal article

Gupte CM, Smith A, Jamieson N, Bull AMJ, Thomas RD, Amis AAet al., 2002, Meniscofemoral ligaments-structural and material properties, JOURNAL OF BIOMECHANICS, Vol: 35, Pages: 1623-1629, ISSN: 0021-9290

Journal article

Gupte CM, Smith A, McDermott ID, Bull AMJ, Thomas RD, Amis AAet al., 2002, Meniscofemoral ligaments revisited - Anatomical study, age correlation and clinical implications, JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, Vol: 84B, Pages: 846-851, ISSN: 0301-620X

Journal article

Gupte CM, Hassan ANA, McDermott ID, Thomas RDet al., 2002, The internet--friend or foe? A questionnaire study of orthopaedic out-patients., Ann R Coll Surg Engl, Vol: 84, Pages: 187-192, ISSN: 0035-8843

OBJECTIVE: To examine patients' use of the Internet to obtain medical information, their opinions on the quality of medical Web sites, and their attitudes towards Internet-based consultations. DESIGN: Questionnaire study. PARTICIPANTS AND SETTING: 398 patients, aged 10-95 years, visiting the orthopaedic outpatient clinics of a London district general hospital over a 2-week period. MAIN OUTCOME MEASURES: (i) The rate of Internet use by patients; (ii) the perception of the quality of medical web sites; (iii) future intentions and attitudes towards Internet-based consultations; and (iv) concurrence between information obtained from Web sites and advice given by the orthopaedic surgeon in the clinic. RESULTS: From 369 respondents (response rate 93%), 55.3% of patients had accessed the Internet. Of these, 52.0% had obtained medical information from this source. Access was linearly correlated with age (r2 = 0.975, P < 0.01) and was also related to social status. Of the 12.3% of patients who had researched their particular orthopaedic condition, 20% reported that the advice received from the surgeon in the clinic contradicted that obtained from the Internet. A total of 35.7% of patients would undergo an Internet-based consultation, whilst a further 25.5% would consider this, depending on the medical condition in question. CONCLUSIONS: Over half of the patients studied were willing to access the Internet for medical information, with younger patients more likely to undertake this activity. Moreover, a significant proportion of respondents were willing to undergo an Internet-based consultation. The increased use of medical Web sites by patients raises important issues regarding the need for quality control, and impacts significantly upon the surgeon-patient relationship.

Journal article

Gupte CM, Smith A, McDermott ID, Bull AMJ, Thomas RD, Amis AAet al., 2002, Meniscofemoral ligaments revisited, Journal of Bone and Joint Surgery - Series B, Vol: 84, Pages: 846-851, ISSN: 0301-620X

The meniscofemoral ligaments were studied in 84 fresh-frozen knees from 49 cadavers. Combined anterior and posterior approaches were used to identify the ligaments. In total, 78 specimens (93%) contained at least one meniscofemoral ligament. The anterior meniscofemoral ligament (aMFL) was present in 62 specimens (74%), and the posterior meniscofemoral ligament (pMFL) in 58 (69%). The 42 specimens (50%) in which both ligaments were present were from a significantly younger population than that with one MFL or none (p < 0.05). Several anatomical variations were identified, including oblique fibres of the posterior cruciate ligament (PCL), which were seen in 16 specimens (19%). These were termed the 'false pMFL'. The high incidence of MFLs and their anatomical variations should be borne in mind during arthroscopic and radiological examination of the PCL. It is important to recognise the oblique fibres of the PCL on MRI in order to avoid wrongly identifying them as either a pMFL or a tear of the lateral meniscus. The increased incidence of MFLs in younger donors suggests that they degenerate with age.

Journal article

Gupte CM, Smith A, Bull AMJ, Thomas RD, Amis AAet al., 2002, Gupte CM, Smith A, Jamieson N, Bull AMJ, Thomas RD, Amis AA (2002) Meniscofemoral ligaments. Structural and material properties. Journal of Biomechanics 35:1623-1629, Journal of Biomechanics

Journal article

Gupte CM, 2001, Reserve thy judgment, BMJ, Vol: 323, ISSN: 0959-8138

Journal article

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