Posterior wall of the acetabulum – most common Indications for operative intervention are Hip instability demonstrated on EUA, Hip incongruency due to intra-articular fragments, Fractures involving >50% of the posterior wall Dynamic fluoroscopic stress testing under general anaesthesia should be the preferred method for the determination of hip stability status after posterior wall fractures of the acetabulum Kocher Langenbock Approach…
Diarthrodial joint, AP stability is provided by acromioclavicular ligaments and coronal plane stability by trapezoid and conoid coracoclavicular ligaments Mechanism of injury is by fall onto the lateral aspect of the shoulder Rockwoods classification is used for AC joint injuries Types I to III are treated nonoperatively Types IV to VI require surgical management
Lisfranc injury is a tarsometatarsal fracture dislocation characterized by traumatic disruption between the articulation of the medial cuneiform and base of the second metatarsal Easily missed on radiographs May take form of purely ligamentous injuries or fracture-dislocations Hardcastle & Myerson classification For stable injuries treat non operatively with POP Operative management : closed reduction and percutaneous pinning or open reduction…
Acute inflammation of single joint, less than 2 weeks of duration Common causes include infectious arthritis, crystal diseases, AVN, infectious mononucleosis etc Establishing chronology of events is important in narrowing down diagnosis Physical examination of joint gives great insight about the nature of the problem whether is it intra-articular or extra-articular disease CBC, ESR, CRP, Uric acid can give us…
Most acute thoracolumbar spinal fractures are located at the thoracolumbar junction (T10-L2). Plain radiographs in combination with computed tomography allow proper classification in the majority of fractures Denis three column system Conservative management in patients with intact neurological status and mechanically stable fracture Unstable injuries with failure of all elements leading to dislocation, translation, or displacement in any plane, disruption of PLC…
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 …
