Most common – dorsal dislocation of the PIP joint, associated fracture of the volar articular surface of the middle phalanx. Most stable when reduced in a flexed position. Dislocations with fractures of <30% of the joint surface that prove stable after closed reduction are buddy-taped to an adjacent finger Extension block pinning is indicated for treating unstable dorsal PIP fracture-dislocation…
The radial head is an important stabilizer for valgus, axial, and posterolateral rotational forces Mason classification Conservative management for Isolated stable Mason type-1 or type-2 fracture of the radial head or neck Indications for operative management are crepitus on movement bone block Surgical exposure: kocher’s approach Low profile plate and headless screws used Protect PIN Radial head excision typically not…
Dorsal carpal branch of radial artery is major source of blood supply 15% of acute wrist injuries, 60% of all carpal fracture Herbert and Fisher Classification Problematic fracture due to risk of AVN and Non union X ray to be repeated after 2 weeks in suspected cases, till then apply cast MRI and CT to be considered if x rays are…
Present with varying degrees of shoulder pain, loss of motion, weakness, and scapular deformity Electromyography (EMG) is the definitive study to evaluate for scapular winging originating from muscular or neurologic abnormalities Primary winging : medial(long thoracic nerve injury) or lateral(spinal accessory nerve injury) secondary winging : intrinsic glenohumeral conditions (e.g., rotator cuff pathology and glenohumeral instability) that disrupt scapular motion…
Present with neurogenic claudication Conservative management : 85% of patient remained symptomatic over 4 years Epidural injections are frequently used as a first approach Spine (Phila Pa 1976), June 15, 2010: Surgically treated – greater improvement N Engl J Med, April 24, 2016 : No benefit of fusion JBJS-Am, November 16, 2016 : Instrumentation –no use Complications following surgery are…
Spinal involvement starts at the thoracolumbar spine and finally involves whole spine Leads to progressive kyphosis of thoracic spine and loss of lordosis of cervical and lumbar spines and compensatory flexion deformity of hips and knees Costovertebral joints affected which leads to restrictive lung capacities Sacroiliitis occurs early in the course of ankylosing spondylitis and is regarded as a hallmark…
