More common in females (6:1), first born, left hip (60%) more than right, and Bilateral in 20% Presentation depends on the age of baby Barlow and ortalani test sensitive upto to 95% in first 6 weeks and there after sensitivity decreases USG scan investigation of choice in suspected new born cases Radiographs useful after 6 months of age As the child grows, following…
Most often affecting the extensor carpi radialis brevis (ECRB) origin and Flexor carpi radialis/pronator teres origin on the medial side Overuse leads to tendon disrepair with abnormalities of tendon collagen and degenerative features Non operative management includes Physical therapy, Bracing/splinting,Corticosteroid injections, platelet-rich plasma (PRP) injections Open surgical method : Release and debridement of the ECRB origin with or without re-attachment…
It is a systemic manifestation of fat emboli in the circulation seen mostly after long bone fractures Triad of findings: hypoxia, confusion, and petechia. Young obese males more affected especially following femur shaft fracture The fat cells exhibit inflammatory properties that leads to ARDS Gurds and Wilsons criteria is used to diagnose FES Chest X ray reveals snow storm appearance …
Pre-injury mobility is the most significant determinant for post-operative survival Radiographs sufficient THA demonstrated superior clinical and functional outcomes Lower revision rates for primary total hip arthroplasty (THA) when compared to primary internal fixation Cemented femoral stem resulted in better quality of life and hip function Anterolateral surgical approach results in a lower risk of prosthetic dislocation Secondary THR after…
Stabilize the patient before you investigate Operative options include intramedullary nailing, ex-fix and plating Indications for retrograde nailing are: ipsilateral acetabular/neck fracture, floating knee, distal end fracture, morbid obesity etc Platting indications: deformed femur, neck fracture, pregnancy, narrow canal, impending FES Reaming not an issue in trauma patients without chest injuries who have been well resuscitated Benefits of reaming include…
Traumatic condition classified by the zone of injury Tendon healing occurs via intrinsic and extrinsic pathways 5 annular pulleys (A1 to A5), A2 and A4 arise from the periosteum, A1, A3, and A5 arise from the volar plate and 3 cruciate pulleys Thumb contains 2 annular pulleys and 1 interposed oblique pulley Zone I – distal to FDS insertion, Zone II – FDS insertion…
