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Author: Dr. Sulabh Kumar Shrestha, MS Orthopedics

He is the section editor of Orthopedics in Epomedicine. He searches for and share simpler ways to make complicated medical topics simple. He also loves writing poetry, listening and playing music.
PGMEE, MBBS, MD/MS

SCFE : Mnemonic Approach

Dr. Sulabh Kumar Shrestha, MS Orthopedics Jan 5, 2023 No Comments Musculoskeletal systemOrthopedicsPediatrics

Approach to a limping child General points Classification Management depends on 4 factors which can be remembered using the mnemonic SCFE. Stability and Severity a.…

Explore more SCFE : Mnemonic Approach
PGMEE, MBBS, MD/MS

Management of Skeletal Tuberculosis – Principles

Dr. Sulabh Kumar Shrestha, MS Orthopedics Dec 20, 2022 No Comments Musculoskeletal systemOrthopedics

Classification Stage/Type Pott’s spine (Kumar’s) Pott’s paraplegia (Tuli) Hip and Knee Hip (Shanmugasundaram) I Predestructive (Straightening, spasm, hyperemia) Negligible (Objective plantar extensor response or ankle…

Explore more Management of Skeletal Tuberculosis – Principles
PGMEE, MBBS, MD/MS

Clavicle Fractures : Last Minute Revision

Dr. Sulabh Kumar Shrestha, MS Orthopedics Dec 17, 2022 No Comments Musculoskeletal systemOrthopedics

1. 80-85% are mid-shaft fractures (other 10-15% are lateral 3rd and 5% are medial 3rd fractures) because of: 2. Deforming forces: 3. X-ray views: 4.…

Explore more Clavicle Fractures : Last Minute Revision
PGMEE, MBBS, MD/MS

Perkin’s Timetable for Fracture Healing

Dr. Sulabh Kumar Shrestha, MS Orthopedics Oct 19, 2022 No Comments Musculoskeletal systemOrthopedics

One needs to understand the difference between bone union and consolidation first Union Consolidation Definition Partial/Incomplete repair Full/Complete repair Callus Calcified Ossified Attempted angulation Painful…

Explore more Perkin’s Timetable for Fracture Healing
PGMEE, MBBS, MD/MS

Osteochondroma : Mnemonics

Dr. Sulabh Kumar Shrestha, MS Orthopedics Oct 5, 2022 No Comments Musculoskeletal systemOncologyOrthopedics

Features of Osteochondroma Mnemonic: Six “C” Commonest benign bone tumor Continue to grow until Closure of physis Cartilage cap (appears larger clinically than in X-ray)…

Explore more Osteochondroma : Mnemonics
PGMEE, MBBS, MD/MS

Gout : Mnemonics

Dr. Sulabh Kumar Shrestha, MS Orthopedics Sep 20, 2022 No Comments OrthopedicsRheumatology

Urate Lowering Therapy (ULT) Mnemonic: 1, 2, 3, 4, 5, 6 Start Urate Lowering Therapy if: ≥1 subcutaneous tophi ≥2 flares per year ≥3 stage…

Explore more Gout : Mnemonics
Surgical Skills

Percutaneous Achilles Tenotomy for CTEV

Dr. Sulabh Kumar Shrestha, MS Orthopedics Aug 29, 2022 No Comments OrthopedicsPediatricsSurgical skills

Indications Cavus, Adductus and Varus are fully corrected but ankle dorsiflexion remains <10 degrees above neutral Adequate abduction: Best sign: Ability to palpate anterior process…

Explore more Percutaneous Achilles Tenotomy for CTEV
Surgical Skills

Hip Spica Cast

Dr. Sulabh Kumar Shrestha, MS Orthopedics Aug 7, 2022 No Comments Emergency medicineOrthopedicsSurgical skills

Acceptable angulation in Femoral Shaft Fractures Age Varus/Valgus (degrees) Anterior/Posterior (degrees) Shortening (mm) <2 yr 30 30 15 2-5 yr 15 20 20 6-10 yr…

Explore more Hip Spica Cast

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