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Orthopedics

Section Editor: Dr. Sulabh Kumar Shrestha, MBBS, PGY1 Orthopedics

Surgical Skills

Krackow Suture Technique

Epomedicine Apr 9, 2022 No Comments Orthopedics

The Krackow technique is a continuous locking loop suture technique commonly used in tendon repair. The classic Krackow stitch involves 3 or more locking loops…

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Surgical Skills

DIY Vac Dressing for Wounds

Dr. Sulabh Kumar Shrestha , PGY3 Orthopedics Feb 22, 2022 No Comments OrthopedicsSurgerySurgical skills

Pre-requisites for Vac Dressing Thorough debridement Adequate hemostasis Components of Vac Dressing 1. Pump for Negative Pressure: A wall suction or a portable suction unit…

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knee pain
Clinical Skills and Approaches

Mnemonic Based Approach to Joint Pain

Epomedicine Feb 19, 2022 No Comments Clinical examinationOrthopedicsRheumatology

Step 1: Arthralgia vs Arthritis Arthralgia Arthritis Symptom Diagnosis Joint pain without inflammation Joint pain with inflammation (swelling, redness, tenderness) Articular or Non-articular Articular Articular…

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Clinical Skills and Approaches

Hip Examination

Dr. Sulabh Kumar Shrestha , PGY3 Orthopedics Jan 27, 2022 No Comments Clinical examinationMusculoskeletal systemOrthopedics

Always start your examination with WIPER Standing 1. Note general point of pain: Can help direct the examination 2. Gait (Watch 6-8 stride lengths): Pelvic…

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Clinical Skills and Approaches

Ely’s test

Epomedicine Jan 17, 2022 No Comments Clinical examinationMusculoskeletal systemOrthopedics

Rectus femoris is the only Quadriceps muscle that cross the hip joint and act as a hip flexor and knee extensor. When the rectus femoris…

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Emergency Medicine Surgical Skills

Bier Block

Epomedicine Jan 11, 2022 No Comments AnesthesiaOrthopedics

Named after: German Surgeon August Bier (first introduced the block in 1908) Definition: It is a peripheral intravenous local anesthetic block (IVRA; Intravenous Regional Anesthesia)…

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Surgical Skills

Orthopedic Screw Insertion Mnemonic

Dr. Sulabh Kumar Shrestha , PGY3 Orthopedics Dec 18, 2021 No Comments Orthopedics

Don’t Marry Too Soon DRILL Choose the correct drill bit Insert the drill bit correctly in the chuck Tighten the chuck sufficiently Start the drill…

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USMLE, PGMEE, MBBS, MD/MS

Pedicle Screw Insertion Simplified

Dr. Sulabh Kumar Shrestha , PGY3 Orthopedics Oct 30, 2021 No Comments Orthopedics

Anatomy of Vertebral Pedicle Width (narrowest transverse diameter): Narrowest at T4-T5 (4-5 mm) Above and below this level, the width gradually increases to almost double…

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