Osteochondroma / Exostosis

Osteochondroma / Exostosis It is not a true bone tumor and always a benign one. But it can turn Malignant and we need to be careful regarding that. The features associated with sarcomatous transformation can be remembered by the mnemonic ” GLAD PAST ” growth after skeletal maturity lucency (new) additional scintigraphic activity destruction (cortical) […]

Blount’s Disease

#tusharmehta #orthopaedicsplus Blount disease refers to a local disturbance of growth of the medial aspect of the proximal tibial metaphysis and/or epiphysis that results in tibia vara. The condition is commonly bilateral. There are infantile, juvenile and adolescent forms. The infantile type is 5x more frequent than the others and is seen particularly in early […]

Toulouse-Lautrec syndrome / Pyknodysostosis

#orthopaedicsplus Pyknodysostosis, also known as osteopetrosis acro-osteolytica or Toulouse-Lautrec syndrome, is a rare autosomal recessive bone dysplasia, characterised by osteosclerosis and short stature. Patients present in early childhood with: – short stature, particularly limbs – delayed closure of cranial sutures – frontal and occipital bossing – short broad hands and hypoplasia of nails – multiple […]

Diaphyseal Aclasis

  Diaphyseal Aclasis is also known as: 1. External Chondromatosis Syndrome 2. Multiple Cartilaginous Exostoses 3. Multiple Exostoses 4. Multiple Exostoses Syndrome 5. Multiple Osteochondromatosis Diaphyseal Aclasis is a relatively rare abnormal condition that affects the skeletal system. Characterized by multiple exostoses or bony protrusions, it is inherited as a dominant trait. Approximately half of […]

Q Angle and Patellar Instability

Epidemiology of Patellar Instability :  Most commonly occurs in 2nd-3rd decades of life Risk factors include Ligamentous laxity (Ehlers-Danlos syndrome) Dysplastic vastus medialis oblique (VMO) muscle Lateral displacement of patella Patella alta causes patella to not articulate with sulcus, losing its constraint effects Trochlear dysplasia Excessive lateral patellar tilt (measured in extension) Lateral femoral condyle […]

History of Total Hip Prosthesis

History of Total Hip Prosthesis : 1891 Dr. Gluck performs first reported attempt at a hip replacement with ivory used to replace the femoral head 1940 Austin Moore performs first metallic hip replacement surgery (hemiarthroplasty) with a proximal femoral replacement bolted to the femur 1952 Austin Moore prosthesis developed  1960s Sir John Charnley introduces concept […]

Bulbocavernosus reflex

  #‎orthopaedics‬ ‪#‎tusharmehta‬ Bulbocavernosus reflex —  The bulbocavernosus reflex (BCR) or “Osinski reflex” is a polysynaptic reflex that is useful in testing for spinal shock and gaining information about the state of spinal cord injuries (SCI). Bulbocavernosus is an older term for bulbospongiosus, thus this reflex may also be referred to as the bulbospongiosus reflex. […]