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…
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…
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…
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…
Nonsurgical management of hindfoot arthritis includes oral anti-inflammatories, steroid injections, and bracing Progressive condition, hindfoot arthritis typically requires arthrodesis Patient with prior calcaneum fracture need special attention while doing subtalar arthrodesis Maintain height subtalar joint area with graft Isolated talonavicular arthritis typically occurs in the setting of rheumatoid arthritis or Mueller-Weiss disease Subtalar and talonavicular arthrodeses typically done for adult-acquired…
