Mnemonic: NISA 10-50-90-100 Type I – Non-displaced Neck fracture (upto 10% risk of AVN) 1 blood vessel damaged (entering talar neck) Management: 8 weeks in cast and 4 weeks in CAM cast Type II – Type I + Inferior (subtalar) subluxation/dislocation (upto 50% risk of AVN) 2 blood vessels damaged…
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. He is currently pursuing Fellowship in Hip, Pelvi-acetabulum and Arthroplasty at B&B Hospital.
Clinical Skills and Approaches
Child with a limp : Mnemonic Approach
HISTORY AND EXAMINATION Mnemonic: LIMPINGS 1. Limping definition and onset Any deviation in walking pattern away from the expected normal pattern for the child’s age Limping is never normal Acute Acute infections Trauma Leukemia Unstable SCFE Epidural abscess Chronic SCFE DDH Neoplasm Child abuse Neuromuscular conditions Leukemia 2. Injury Mnemonic:…
Clinical Skills and Approaches
Mortarmen’s knee
Synonym: Adult onset tibial tubercle exostoses History: Pain over anterior surface of upper tibia Pain during running, jumping, squatting, kneeling and descending stairs Usually no history of trauma, anterior knee pain or Osgood-Schlatter disease Physical examination: Tenderness over hypertrophic tibial tubercle Quadriceps tightness (Ely’s test) X-rays: AP, lateral and tangential…
Clinical Skills and Approaches
Modified Ashworth Scale for Spasticity : Mnemonic
Ashworth scale tests resistance to passive motion about a joint with varying degrees of velocity. Modified Ashworth Scale (Bohannon and Smith, 1987) has 1+ grading between grades 1 and 2. Modified Ashworth Scale (Ansari et.al., 2006) has been described here. Mnemonic: Ashworth is a juggling clown 0 : 0 is…
Surgical Skills
DIY Vac Dressing for Wounds
Pre-requisites for Vac Dressing Components of Vac Dressing 1. Pump for Negative Pressure: In a study, 3 closed suction drainage systems were studied – Davol Reliavac 400 Evacuator, Jackson-Pratt Closed Wound Suction Drainage System, and Snyder Hemovac 400. In all three systems, maximal negative pressures (-71 to -175 mm Hg)…
Blog
Demonic Possession From The Eyes of Science
Several cultures and religions round the globe carry a belief that the humans are capable of being possessed or inhabited by spirits and even the goddess. The ministry of different religions have formulated a set of procedures called exorcism for casting or expelling out the spirit. It comprises of but…
Surgical Skills
Orthopedic Screw Insertion Mnemonic
Don’t Marry Too Soon DRILL Choose the correct drill bit Insert the drill bit correctly in the chuck Tighten the chuck sufficiently Start the drill home perpendicular to the surface Maintain adequate pressure Maintain the proper direction Irrigation with normal saline should be commenced simultaneously with drilling Keep the drill…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Pedicle Screw Insertion Simplified
Anatomy of Vertebral Pedicle Width (narrowest transverse diameter): Narrowest at T4-T5 (4-5 mm) Above and below this level, the width gradually increases to almost double at T1 and T11 (8 mm) Narrowest for lumbar at L2 (two for tiny; 2 X 3 = 6 mm) Increases gradually to L5 (5…