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 …
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 …
