Coronal curve >10° with rotation Affects 1% to 3% of children, female to male ratio for curves > 30° is 9:1 Amount of skeletal growth remaining determines the curve magnitude Etiology is thought to be autosomal dominant, however its still unclear Presents with limb leng discrepancy, shoulder and pelvis asymmetry, rib hump Cobbs angle >100 on an x ray is diagnostic …
Lauge Hansen classified ankle fractures based on position of foot and direction of force into Supination adduction, pronation abduction, supination external rotation and pronation external rotation types Newer addition to this classification include vertical compression and unclassified types Indications for surgery include displaced fractures, unstable mortise with bi/tri malleolar fractures Outcomes associated with the use of a biodegradable plate and…
Both mechanical (anterior and inversion laxity) and functional (strength, dynamic balance) insufficiencies significantly contribute Treatment consists of Functional rehabilitation and Neuromuscular training Brostrom procedure vs modified brostrom procedure : no difference Open vs arthroscopic brostrom procedure : No significant differences at 1 year followup After surgery early functional rehabilitation appears to be superior to six weeks immobilisation in restoring early…
Systemic chronic autoimmune spondyloarthropathy Primarily affect axial spine HLA-B27 histocompatibility complex positive (90%) Entheses inflammation leads to bony erosion, surrounding soft-tissue ossification, and eventually joint ankylosis Presents with Bilateral sacroiliitis and Progressive spinal kyphotic deformity Lumbosacral pain and stiffnessworse in morning Shortness of breath caused by costovertebral joint involvement, leading to reduced chest expansion X ray shows Bamboo spine appearance …
Arthritis = inflammation of the joints. About 30% of adults have arthritis Obesity: increases the mechanical stress in a weight-bearing joints and is strongly linked to OA of the knees Treatment options : Exercise, Weight control, Rest and joint care, Pain relief techniques, Medicines, Alternative therapies, Education, Surgery Avoid squatting, sitting crossed leg, low beds, chairs, and toilets, elevate them…
Moderate to high-energy trauma 8% to 43% of these are open fractures and Ligament disruption seen in 43% to 80% CT scan is done to assess the articular collapse and fracture comminution Schatzker classification is commonly used Treatment is often aimed at restoring the articular congruity, coronal alignment and angular stability Open reduction and internal fixation is the traditional means…
