Position: Elbow flexed 90 degree and forearm in mid-prone Landmarks: Skin incision: Centered over fracture in a straight imaginary line joining lateral epicondyle of humerus and tip of radial styloid Superficial dissection: Subcutaneous tissue and deep fascia are incised along the line of skin incision Deep dissection: Interval is developed…
Tag: Orthopedics
Section Editor: Dr. Sulabh Kumar Shrestha, MBBS, PGY1 Orthopedics
PGMEE, MRCS, USMLE, MBBS, MD/MS
Iliac Cortical Density (ICD)
Synonym: Iliac Cortical Line Iliac cortical densities (ICD) are the overlap of the true pelvis posterior to the acetabulum which is used as a proxy for the slope of the sacral ala. Importance: The entry point should be anterior in S1 and inferior to the iliac cortical density (ICD), which…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Crowe Classification in Adult Hip Dysplasia
Crowe Classification Crowe classification (1979) is based on 3 easily identifiable anatomic landmarks: Reference line: drawn joining the inferior margins of each tear drop Degree of dysplasia: distance from reference line to medial head–neck junction The normal ratio of vertical diameter of the femoral head to the height of the…
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…