Median nerve, Ulnar nerve and Radial nerve are the 3 major nerves of the upper limb originating from the brachial plexus. Some important neuroanatomic relationships in the forearm are: 1. Medial nerve: Crossed by brachial artery from lateral to medial just above the elbow to lie medial to brachial artery…
Tag: Orthopedics
Section Editor: Dr. Sulabh Kumar Shrestha, MBBS, PGY1 Orthopedics
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Foot Drop : Differentials
Foot drop can result from: L5 radiculopathy Lumbar plexopathy Sciatic neuropathy Peroneal neuropathy Causes Disc herniation, Spinal canal stenosis Pelvic surgery, hematoma, prolonged labor Hip surgery, Injection injury Compression/trauma Motor Weakness includes muscles and hip abductors Weakness includes hip abductors and anal sphincter Weakness includes tibial and hamstring muscles Weakness…
Clinical Skills and Approaches 
Orthopedic Examination Made Easy
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…
Emergency Medicine 
Hematoma Block
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…
Emergency Medicine 
Circumferential Periosteal Block (CPB)
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…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Facet Joint Orientation : Mnemonic
Mnemonic: BUM BUL BUM The superior articular process faces: 1. Cervical vertebra: BUM 2. Thoracic vertebra: BUL 3. Lumbar vertebra: BUM
Surgical Skills 
Anteromedial Ankle Hematoma Block
Mechanism of action of Hematoma Block Indications of Anteromedial Portal Injection Landmarks Technique
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Radiological Approach to Arthritis : Mnemonic
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…