Author: Dr. Tushar Mehta
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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…
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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…
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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…
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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…
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Dupuytren’s Contracture
Dupuytren’s Contracture — — It’s a proliferative proliferation of Palmar Tissue and fascia along with palmo digital extension. This results in formation of modules and cords which further develop in secondary flexion deformities of fingers. — Male : Female = 10:1 — Risk Factors = Diabetes , Alcohol , Epilepsy , Liver Disease , cigarette…
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Steenbeek Foot Abduction Brace
#SteenbeekFootAbductionBrace ( SFAB ) – The SFAB is a device to maintain the extreme foot abduction (70 degrees) in children with treated clubfeet. – The SFAB forms an integral part of the Ponseti Method of Clubfoot Treatment, which targets new born babies with clubfeet. – Correction of the clubfoot is achieved by applying serial casts of…
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Adamantinoma
#MedEd Adamantinoma is a rare malignant bone tumor with a propensity for late metastasis. It has a high incidence of local recurrence unless resected with a wide margin. Chemotherapy and radiation therapy are not helpful in the treatment of this disease. Amputation generally is not necessary because a diaphyseal resection is usually possible
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AIIMS Nov. 2017 De-Coded !
Ossification Centres of Carpal Bones : Capitate: 1-3 months Hamate: 2-4 months Triquetrum: 2-3 years Lunate: 2-4 years Scaphoid: 4-6 years Trapezium: 4-6 years Trapezoid: 4-6 years Pisiform: 8-12 years Capitate is the first one and Pisiform is the last one to ossify. Ball & Socket Joints : (Mnemonic –> THIS) T –> TaloCalcaneoNavicular Joint…
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Pellegrini Steida Disease
Avulsion fracture of the medial distal femur at the origin of the medial collateral ligament is known as a Stieda fracture and may later develop into a Pelligrini-Stieda lesion.