| Type | Description | Treatment |
| 1 | Boutonniere (most common) | Synovectomy with extensor hood reconstruction; MCP fusion or arthroplasty |
| 2 | Boutonniere with CMC subluxation (uncommon; Type 1 + Type 3) | Same as type 1 and type 3 |
| 3 | Swan neck deformity (2nd most common) | Splinting vs CMC arthroplasty; MCP fusion |
| 4 | Gamekeeper deformity | Synovectomy/UCL reconstruction or Fusion |
| 5 | Swan neck with MCP disease | Fusion of MCPJ |
| 6 | Arthritis mutilans | Arthrodesis |
HISTORY Mnemonic: 4D-3E-2Fg-2H 1. Define “Dizziness”: Room is spinning/rocking/somersaulting – Vertigo Feel like “going to faint” – Near-syncope “Going to fall” or “Unsteady on feet” – Disequilibrium Feel like they’ve or are “left their body” or “floating/swimming” – Psychophysiologic dizziness 2. Duration of each episode: Seconds: BPPV Minutes: TIA or…
Diagnosis and management of a case of parotid enlargement requires systematic approach. Here, I have tried to present a simplified approach to parotid enlargement. A) DIFFERENTIAL DIAGNOSES OF PAROTID ENLARGEMENT: 1. Infectious: Child: Mumps, Coxsackie Adult: S.aureus 2. Non-infectious benign: Epithelial: Pleomorphic adenoma, Warthin tumor, Oncocytoma, Monomorphic adenoma Non-epithelial: Lymph…
Structure of Thalamus A vertical “Y” shaped white mater – internal medullary lamina divides thalamus into: In anatomical position: Pulvinar = Posterior end or posterior pole of thalamus Thalamic Connections Picture mnemonic Remember the schematic diagram drawn below showing important parts of thalamus in an anticlockwise fashion: Now, we assign…