Triple deformity of knee consists of 3 components:
1. Flexion deformity at knee
2. Posterolateral subluxation of tibia
3. External rotation of tibia over femoral condyle
Mechanism behind triple deformity of knee:
Causes of Triple deformity of knee:
Mnemonic: TRIPLE
1. Tuberculosis (TB) knee – commonest cause
2. Rheumatoid arthritis
3. ITB contracture
4. Polio
5. Low clotting capacity/
6. Excessive bleeding i.e. hemophilia
Propensity Stages and Management Stages Hip (modified Ficat-Arlet) Shoulder (Cruess) Lunate (Lichtman) Knee (Koshino) Scaphoid (Herbert and Lanzetta) Management 0 – Silent + NWB joints – Immobilization, NSAIDs WB joints – a. Realignment osteotomyb. Core decompression +/- bone grafting or MSC therapy I – Suggestive clinically and MRI + +…
Sacrospinous ligament converts greater sciatic notch into greater sciatic foramen. Sacrotuberous ligament and sacrospinous ligament converts lesser sciatic notch into lesser sciatic foramen. Pudendal canal is a fascial canal formed by splitting of the obturator fascia and is located on the lateral wall of ischiorectal fossa. Structures passing thorugh greater…
Superficial cervical fascia Contents: Deep cervical fascia or Fascia colli 1. Investing layer 2. Pretracheal layer 3. Carotid sheath: Formed anteriorly by pretracheal fascia and posteriorly by prevertebral fascia Encloses: Relations: 4. Pharyngobasilar fascia (deep to pharynx): lines the inner surface of pharyngeal muscles 5. Prevertebral layer Spread of Infections…