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