Compressive neuropathy of the interdigital nerve Most commonly involves the 2nd and 3rd interdigital nerve between the metatarsal heads Presents with pain worse with weight-bearing or wearing narrow toe box shoes Nonoperative treaments consists of shoe modification or orthotics, Soft metatarsal pad placed in the shoe etc No benefit to the steroid injections with regard to pain and function If symptoms persist after…
Majority of the blood supply is from metaphysis to epiphysis, hence fracture neck femur has higher incidence of AVN. Since the neck is intracapsular – the synovial fluid and lack of periosteum interferes with fracture healing Anatomical, Pauwels, Gardens and AO classification are commonly used to classify neck fractures Treatment depends on age, duration and type of fracture Whitman and…
Fall on an outstretched arm or direct trauma to the shoulder Neer Classification and AO classification used to classify Usually treated non operatively Operative indications are Open fractures, Displaced fracture with skin tenting, Subclavian artery or vein injury, Floating shoulder (clavicle and scapular neck fracture), Symptomatic nonunion and malunion Displaced lateral-end fractures have a higher risk of nonunion after nonoperative treatment…
Benign but locally aggressive tumour derived from stromal cells with accompanying giant cells Metaphyseal regions of long bones distal femur (most common), proximal tibia, distal radius X ray- Eccentric lytic metaphyseal lesion, Characteristic soap bubble appearance Treatment : Curettage or marginal excision with bone grafting or Bone cementing Joint replacement in locally advanced cases
Hallux rigidus refers to arthritis of the great toe metatarsophalangeal (MTP) joint Joint-sparing (cheilectomy, interpositional arthroplasty, metallic arthroplasty, and synthetic implants) Joint-sacrificing (arthrodesis) procedures Interpositional arthroplasty group had significantly higher postoperative patient-reported scores, greater range-of-motion, and significantly less plantar pressure under the great toe patients who underwent arthrodesis experienced less pain and were more satisfied compared to those who had…
Biological joint-preserving surgery for Medial compartment OA knee Coventry – 1969 popularized it The basis of realignment osteotomy about the knee is to transfer weight bearing forces from the arthritic portion of the knee to a healthier location of the knee joint Patient under 60 years with unicompartment OA knee without any deformity or ligament laxity is an ideal candidate…
