Year: 2017

  • Surgery – Peaceful Job or a ghastly act !

    #RobertListon A surgeon to be remembered not for very good reasons ! Liston’s most famous case Amputated the leg in under 2​1⁄2 minutes (the patient died afterwards in the ward from hospital gangrene; they usually did in those pre-Listerian days). He amputated in addition the fingers of his young assistant (who died afterwards in the…

  • Notalgia paresthetica (NP)

    #tusharmehta #Orthopaedicsplus #MedEd Notalgia paresthetica (NP) is a sensory neuropathic syndrome of the midback skin, classically described as the unilateral infrascapular area. Notalgia paresthetica is primarily a localized pruritus and dysesthesia syndrome, and it may present with episodic itching or pain on a small patch of the mid back, usually an area of skin.

  • Avascular necrosis

    The Xray here shows – Avascular necrosis of the femoral head with segmental collapse. Osteonecrosis (avascular necrosis/aseptic necrosis) occurs within the bone following loss of osseous blood supply. All cells within the area of affected bone die away; initially the organic and inorganic matrix are unaffected. It commonly affects patients in the third, fourth, or fifth decades…

  • Tennis for PG Entrance Exam

    #MedEd #Sync #Tennis in #Examinations #PathologyBytes • Tennis racket appearance is seen on Electron microscopy and they are Birbeck granules within Langerhans cells cytoplasm in Langerhans cell histiocytosis. • Tennis racket cells are seen on Light microscopy and are found in Sarcoma Botryoides. #OrthopaedicsBytes • Tennis Leg – Rupture of Medial Head of Gastrocnemius •…

  • Caffey’s Disease ( Infantile Cortical Hyperostosis )

    Caffey’s Disease — – Self limiting disorder – Most commonly involves Mandible – Mainly seen in Infants – Hyperostosis + Diffuse Diaphyseal Periostitis ( Doubling of width of the bone ) + Soft Tissue Nodules – Triad –> Cortical Bone Thickening + Painful Soft Tissue Swelling + Systemic features ( Fever ) – Usually mimics…

  • Idiopathic Scoliosis

          This is idiopathic scoliosis. It is commonest in girls and often presents around adolescence. The thoracic curve is usually right sided.The prevalence is around 3% of the population, although less than 10% of curves need treatment.  What factors affect progression of the deformity? -The future growth potential of the patient, i.e. the level of skeletal maturity…

  • Osteochondroma – Details !!

    These AP and lateral radiographs show sessile lesions arising from the metaphyseal region of the distal femur. The lesions are well defined and appear to be growing away from the metaphysis. The matrix of the lesions is in continuity with the surrounding normal bone. The cortex of the normal bone appears to be in continuity with the lesions. The…

  • Approach to Case of Developmental Dysplasia of HIP

    Teaching Points :  — > This is an AP pelvic radiograph showing a dislocated left hip and dysplastic acetabulum. — Shenton’s line is broken and the femoral head lies lateral and superior to the inferiomedial quadrant (made by the intersection of Perkin’s and Hilgenreiner’s lines). –> How would you proceed in you management from here? ** I would…

  • Crushing Injury to Nail

    This is a Crushing Injury to the Fingertip injuring the Nail Tip and Bed. A relevant history is required including: handedness; occupation; mechanism of injury; and co-morbidities. After History we should provide tetanus prophylaxis (if indicated) and antiseptic (betadine) dressing. Then we should obtain radiographs to exclude an underlying fracture. As defnitive management, I would…