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
Clinical Features Mnemonic: FIBRO 1. Fatigue: 80-90% 2. Fibrofog: Dyscognition or Cognitive impairment e.g. trouble concentrating, forgetfulness, and disorganized or slow thinking 3. Insomnia: 90% 4. Blues: Depression and anxiety 5. Rigidity: Prolonged early morning stiffness not relieved by exercise and absence of synovitis 6. Ow!: Pain (the predominant symptom)…
Relations Anterior: 3 “M” Posterior: Mastoid and attachments Medial (Parotid bed): VANS Structures traversing the parotid gland Mnemonic: FACER Parotid gland innervation 1. Parasympathetic: Secretomotor (from Otic ganglion) – Serous, water rich saliva Mnemonic: PAR–O–T–Id G–L–And PARotid gland ← Auriculotemporal nerve ← Otic ganglion ← Lesser petrosal nerve ← Tympanic…
Orexigenic (Appetite stimulant) peptides Mnemonic: When you see MANGOEs, you feel like eating. MCH (Melanocyte Conentrating Hormone) AGRP (Agouti Related Peptide) NPY (Neuropeptide Y), Noradrenaline GnRH, GABA, Galanin, Ghrelin Orexins A and B Endorphins, Endocannabinoids Anti-orexigenic (Appetite supressant) peptides Mnemonic: NO BLACk PIGS Neurotensin Oxytocin, Oxyntomodulin Bombesin Leptin Alpha-MSH (POMC derivative), Amylin,…