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Mnemonics, Simplified Concepts & Thoughts

Tag: Orthopedics

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

Clinical Skills and Approaches

Orthopedic Examination Made Easy

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Jun 4, 2023Jun 23, 2024

Orthopedic examination is a fundamental aspect of assessing musculoskeletal conditions, injuries, and disorders. This comprehensive guide aims to provide healthcare professionals, students, and practitioners with a thorough understanding of the principles, techniques, and best practices involved in conducting orthopedic examinations. By examining the mechanics behind the tests, readers will gain…

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Emergency Medicine

Hematoma Block

Epomedicine, May 31, 2023May 31, 2023

Hematoma block is a technique in which a local anesthetic agent is injected directly into the hematoma surrounding the fracture, the location of which is confirmed by aspirating blood into the syringe. Indications of Hematoma Block Contraindications of Hematoma Block Hematoma blocks typically are ineffective in open fractures. Mechanism of…

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Emergency Medicine

Circumferential Periosteal Block (CPB)

Dr. Sulabh Kumar Shrestha, MS Orthopedics, May 28, 2023May 28, 2023

Use: Alternative to hematoma block in reduction of distal radius and ulna fractures Advantage: Providing distance from the fracture hematoma (no theoretical risk of converting closed fracture into open fracture) Disadvantage: Risk of neurovascular injury on volar surface of forearm Local anesthetic and volume: 10–15 ml of 1 % plain lidocaine…

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PGMEE, MRCS, USMLE, MBBS, MD/MS

Facet Joint Orientation : Mnemonic

Epomedicine, May 25, 2023May 25, 2023

Mnemonic: BUM BUL BUM The superior articular process faces: 1. Cervical vertebra: BUM 2. Thoracic vertebra: BUL 3. Lumbar vertebra: BUM

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Surgical Skills

Anteromedial Ankle Hematoma Block

Epomedicine, May 24, 2023May 24, 2023

Mechanism of action of Hematoma Block Indications of Anteromedial Portal Injection Landmarks Technique

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PGMEE, MRCS, USMLE, MBBS, MD/MS

Radiological Approach to Arthritis : Mnemonic

Epomedicine, May 7, 2023May 7, 2023

Mnemonic: ABCDES Alignment Bone – mineralization Bone – production Cartilage (Joint space) Calcification Distribution Erosions Soft tissues ABCDES of Arthritis of Wrist and Hand Features RA PsA OA EOA CPPD Gout Alignment (subluxation) Ulnar Multidirection Lateral Lateral None None Bone mineralization Osteopenia Normal Normal Normal Normal Normal Bone production None…

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PGMEE, MRCS, USMLE, MBBS, MD/MS

Extremity Amputations – Review

Epomedicine, Apr 29, 2023Apr 29, 2023

Indications Mnemonic: three Ds 1. Dead (or dying): Peripheral vascular disease (most common indication for amputation), Severe trauma (leading indication for amputation in younger patients), Burns, Frostbite 2. Dangerous (or deadly): Malignant tumors, Potentially lethal sepsis, Crush injury 3. Damned nuisance: Gross deformity, Recurrent sepsis, Sever loss of function Increase…

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PGMEE, MRCS, USMLE, MBBS, MD/MS

Z-effect and Reverse Z-effect in PFN

Epomedicine, Apr 27, 2023Jan 20, 2024

‘Z-effect’ and ‘Reverse Z-effect’ are complications relating to differential migration of screws that arise from fixation of unstable proximal femoral fractures with Proximal Femoral Nail (PFN) having 2 interlocking head screws. The 4 patterns of unstable intertrochanteric fracture hip are: Z-effect: The Z-effect involves the lateral migration of the lag…

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