Views Standard: Supine AP and Latero-lateral (LL) views – thoracic or lumbar Thoracic: Lateral (Fulcrum) bending views: to determine the flexibility of curves in scoliosis Lumbar: De Seze view (Lumbopelvic view): Standing AP and LL – shows T11 to head of femur Dynamic lateral (flexion-extension) views: for instability Oblique views…
Tag: Orthopedics
Section Editor: Dr. Sulabh Kumar Shrestha, MBBS, PGY1 Orthopedics
Clinical Skills and Approaches 
Thoracolumbar Metastases Management : Mnemonic Approach
The primary malignancies that commonly metastasize to the spine can be recalled using the mnemonic: PB KTL (or “Lead Kettle”. Prostate Breast Kidney Thyroid Lungs In women, 80% metastases are from lung and breast and in men, 80% are from lung and prostate. LMNOP approach A. Location/Level 80% involve well-vascularized…
Surgical Skills 
Techniques of Securing Surgical Drain to Skin (Drain Fixation)
Choice of Suture: Non-absorbable (braided suture provides slightly superior grip on tubing than monofilament sutures) Technique 1: Create a series of knots around the drain. The long end of the thread (attached to the needle) is passed through the skin directly next to the drain exit site, to create a…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
THA dislocation : WHAT mnemonic
The incidence of THA dislocation is: Primary THA: 1-2% Revision THA: 5-7% Mnemonic: WHAT caused the total hip arthroplasty dislocation? Wear Types: Volumetric wear: proportional to r2 (diameter of head) Linear wear (related to penetration of femoral head into liner): smaller heads have higher linear wear Adhesive wear (most important):…
Surgical Skills 
Zancolli-Lasso Procedure
Based on the preoperative clinical examination, the decision on which donor superficialis (FDS) tendon to use is made (commonly FDS middle finger is used). Transverse incision is made at the level of the distal palmer crease. Care should be taken to avoid the neurovascular bundles and the flexor tendons must…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Scaphoid Fractures : Rule of 70s
70% of blood supply of scaphoid is by dorsal branch of radial artery 70% of scaphoid bones have arterial foramina through out their length 70% of carpal fractures are scaphoid fractures 70% of scaphoid fractures occur through the waist 70% of scaphoid fractures are detected on initial radiographs 70% proximal…
Blog 
L-PRF for Chronic Wounds
L-PRF (Leukocyte-platelet rich fibrin) is a second generation platelet reach concentrate where autologous platelets and leukocytes are present in a 3D fibrin mesh which is used as a scaffold by surrounding host cells and which slowly releases growth factors and glycoproteins (≥ 7 days). It is processed without the anticoagulant,…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Diagnosis of Spinal Instability (White & Panjabi) : Mnemonic
Mnemonic: Remember 4 D common to all + 3 D for C-spine and 1 D for L-spine Diagnosis requires: Score >4 Denis column disruption: Anterior column destroyed or unable to function (2 points) Posterior column destroyed or unable to function (2 points) Deformity: Will have a maximum score of 4…