Bone remodeling involves the removal of mineralized bone by osteoclasts followed by the formation of bone matrix through the osteoblasts that subsequently become mineralized. There are 2 prominent concepts of bone remodelling: 1. Hueter-Volkmann law or Delpech’s law: It states that bone growth in the skeletally immature is inhibited in…
Tag: Musculoskeletal system
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Avascular Necrosis (Osteonecrosis) of Various Bones : Stages and Management
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 + +…
Blog 
Comparing Spinal Adjustments, Shockwave Therapy, And the Graston Technique for Tendonitis Management
Tendonitis, characterized by the inflammation and irritation of tendons, can cause significant pain and impede daily activities. Effective management of tendonitis is for restoring mobility and reducing discomfort. Recent studies by the Mayo Clinic, the Journal of Experimental Orthopaedics, and Current Physical Medicine and Rehabilitation Reports have explored various treatment…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Kienbock’s Disease : Mnemonic Approach
Etiology Mnemonic: RSTUV Lichtman Classification and Management Stage Description Treatment Mnemonic: ABCD Mnemonic: ABCD I Abnormal MRI (decreased T1 intensity; variable T2 intensity) or scintigraphy Analgesics + immobilization II Bone sclerosis ± Bone breaks (fracture lines) Bony procedures:1. Negative or Neutral ulnar variance: Joint levelling procedure (Radius shortening osteotomy; Ulnar…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Zero Position of Saha
Zero Position Zero position is the position during elevation in coronal or sagittal plane or in any plane where: Zero position of shoulder The humerus is elevated to about 165° with individual variations and is in the newly acquired scapular plane (around 45° anterior to the coronal plane). The humeral…
Surgical Skills 
Swashbuckler (Modified Anterolateral) Approach to Distal Femur
Advantages: Patient position: Supine with a roll under the knee to allow knee flexion Tourniquet: Not used unless required Incision: Superficial dissection: 1. Fascia is incised in line of incision & sharply dissected off the vastus lateralis muscle laterally to its inclusion with the iliotibial band, to expose the quadriceps…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Cervical Vertebrae Anatomy
Osteology Vertebra Body Spinous process Transverse process Typical (C3-6) Relatively small; oval; uncinate process superiorly Bifid Has foramen transversarium, Has anterior and posterior tubercle separated by groove for spinal nerve (large anterior tubercle in C6 called Carotid/Chassaignac tubercle) Atlas (C1) None; Ring (2 lateral masses connected by anterior & posterior…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Enchondroma vs Chondrosarcoma (low grade) : Mnemonic
Among cartilaginous tumors, 2 pathologies can be misleading when trying to reach a correct diagnosis: enchondroma (E), a benign tumor, and low-grade chondrosarcoma (LGC), which is a low-aggressivity malignancy. This can be a problem when deciding treatment because E only requires regular follow-up, but LGC needs surgical treatment. Mnemonic: ABCDE…