Crowe Classification Class I: <50% subluxation or proximal displacement <10% of pelvic height Class II: 50-75% subluxation or proximal displacement 10-15% of pelvic height Class III: 75-100% subluxation or proximal displacement 15-20% of pelvic height Class IV: >100% subluxation or proximal displacement >10% of pelvic height and deficient true acetabulum…
Tag: Orthopedics
Section Editor: Dr. Sulabh Kumar Shrestha, MBBS, PGY1 Orthopedics
PGMEE, MRCS, USMLE, MBBS, MD/MS
Coccyx Types
Postacchini and Massobrio Classification (Nathan Modification) Can be classified into 6 types: Type I (slight curve): Curved slightly forward with apex pointing caudally (>50% incidence) Type II (forward curve): More prominent ventral curvature with coccyx apex pointing anteriorly (8-32% incidence) Type III (sharp angle): Acute anterior angulation of coccyx but…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Morel Lavallee Lesion
Definition: Post-traumatic closed degloving injury, in which the skin and subcutaneous tissue is detached from the underlying fascia by a shearing force which can disrupt perforating vessels and nerves, creating a potential space that fills with blood, lymph, debris and fat (necrotic and/or viable). Clinical features: The diagnosis can be…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Corona Mortis
Synonym: Crown of Death Definition: Retropubic vascular anastomoses between the obturator and external iliac systems Location: Behind the superior pubic ramus at varying distance from the symphysis pubis (range 40-96 mm) Morphologies: a. Arterial corona mortis (8-65% incidence): b. Venous corona mortis (40-96% incidence): c. Combined arterial and venous corona…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Frozen Shoulder : Mnemonics
Synonym: Adhesive capsulitis of shoulder Features: Mnemonic: ICE CAPS Sequence for Manipulation under anesthesia (MUA): Mnemonic: FEAR
PGMEE, MRCS, USMLE, MBBS, MD/MS
Ivory Vertebra : Mnemonic
Ivory vertebra refers to diffuse and homogenous increase in opacity of a vertebral body that retains size and contour with no change is size and opacity of adjacent intervertebral discs. Mnemonic: PH FILMS 1. Paget disease of bone 2. Hemangioma 3. Fluorosis 4. Infection (tubercular spondylitis) 5. Lymphoma (usually Hodgkin’s…
Surgical Skills
Intramedullary Nail Dynamization
Dynamization of intramedullary nail is the process of converting a static interlocking nail (provides better fixation & rotational control) to a dynamic locking nail (allows axial loading of fracture to stimulate bone healing). Dynamization converts a bridging mode of fixation to the splinting mode. Timing of Dynamization: Dynamization should be…
Surgical Skills
Eponychial Marsupialization for Chronic Paronychia
Chronic paronychia is an inflammatory recalcitrant disorder affecting the nail folds. It can be defined as an inflammation lasting for more than 6 weeks and involving one or more of the three nail folds (one proximal and two lateral). Surgical management is only indicated in cases of chronic paronychia, which…