Indications Cavus, Adductus and Varus are fully corrected but ankle dorsiflexion remains <10 degrees above neutral Adequate abduction: Best sign: Ability to palpate anterior process of the calcaneus as it abducts out from beneath the talus Abduction of approximately 60 degrees Neutral or slight valgus of os calcis Technique 1….
Tag: Orthopedics
Section Editor: Dr. Sulabh Kumar Shrestha, MBBS, PGY1 Orthopedics
Clinical Skills and Approaches 
Heel Pain : Mnemonic
Mnemonic: HEEL PAINS 1. Heel pad syndrome 2. Enthesopathy 3. Entrapment 4. Ligaments 5. Plantar fasciitis 6. Posterior tibial tendinopathy/tenosynovitis 7. Peroneal tendinopathy/tenosynovitis 8. Arthritis 9. Impingement 10. Neuroma 11. Spurs 12. Stress fracture 13. Sinus tarsi syndrome 14. Sever’s disease 15. S1 radiculopathy Condition Description Site of heel pain…
Surgical Skills 
Hip Spica Cast
Acceptable angulation in Femoral Shaft Fractures Age Varus/Valgus (degrees) Anterior/Posterior (degrees) Shortening (mm) <2 yr 30 30 15 2-5 yr 15 20 20 6-10 yr 10 15 15 >10 yr 5 10 10 Reference: Rockwood and Wilkin’s Fractures in Children – Leg position for Hip Spica Application in Femur Shaft…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
CTEV Made Easy
CAVE deformities Mnemonic Deformity Site Components C Cavus Midfoot Plantar flexed 1st metatarsal A Adductus Forefoot (Tarsometatarsal joint) Medial displacement of navicular and cuboid along with talar neck and head; Calcaneus and distal calcaneal articulating surfaces adducted along V Varus Hindfoot (Subtalar joint) Calcaneum is adducted, plantar flexed and inverted…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Compartments, Muscles and Fasciotomy of the leg
Muscle Origin Insertion Action Innervation Anterior compartment 1. Tibialis anterior (TA) Superior 2/3 lateral surface of tibia Medial cuneiform, 1st metatarsal Dorsiflexion, foot inversion Deep peroneal nerve (L5) 2. Extensor digitorum longus (EDL) Superior 2/3 of fibula and interosseous membrane Middle and distal phalanx, lateral 4 toes Dorsiflexion, toe extension…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Arthrodesis Positions
Arthrodesis is the surgical fusion of a diseased joint for the purposes of obtaining pain relief and stability. The bones are fused in a position permitting most useful function but lose their natural motion. Shoulder Flexion: 30° Abduction: 20° Internal rotation: 40° Elbow One side: 90° Both side: One in…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Paget’s Disease of bone : Mnemonic
Synonyms: Osteitis deformans Collage of matrix madness Mnemonic: Sixteen “P”s 1. Paramyxovirus infection and inclusions in osteocalsts 2. Pain (most common symptom – localized fractures or nerve compressions) 3. Pelvis (most common site) 4. Polyostotic (more common; 85%) 5. Phases: Active (lytic, mixed, sclerotic) and Inactive 6. Plasma volume expansion…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Osteopetrosis : Mnemonic
Synonyms: Marble bone disease Albers-Schonberg disease (Autosomal dominant form) Mnemonic: OSTEOPETROSIS Osteoclast dysfunction (Carbonic anhydrase II gene mutation or chloride channel dysfunction) Symmetric skeletal sclerosis Thickened cortex with loss of medullary canal diameter (bone in bone appearance) Extramedullary hematopoiesis (aplastic anemia and hepatosplenomegaly) Overgrowth of skull foramina (cranial nerve palsies)…