Indications: Diagnostic and therapeutic purposes of – Syringe preparation: Position: Comfortably seated with the arm at the side and the hands resting on the lap. Posterior approach: Lateral approach:
Tag: Orthopedics
Section Editor: Dr. Sulabh Kumar Shrestha, MBBS, PGY1 Orthopedics
Surgical Skills 
Aberdeen Knot
To end continuous suture, either a square knot, surgeon’s knot or an Aberdeen knot is required. The Aberdeen knot has been shown to be superior to a surgeon’s knot. Recommendations on number of throws: Technique/Steps:
Surgical Skills 
Running subcuticular suturing
1. Start with a buried knot at distal apex of the wound. 2. Take a bite deep to the epidermis that should curve parallel to the skin surface and exit in the same plane approximately 5-10mm along the wound, taking care to stay at the same level. 3. Continue step…
Clinical Skills and Approaches 
Injection technique for De Quervain’s Tenosynovitis
Syringe Preparation: Position: Comfortably seated with neutral forearm rotation with radial styloid facing upwards – position the wrist in slight ulnar deviation. Technique:
PGMEE, MRCS, USMLE, MBBS, MD/MS 
SCFE : Mnemonic Approach
Approach to a limping child General points Classification Management depends on 4 factors which can be remembered using the mnemonic SCFE. Stability and Severity a. Loder classification: b. Severity: Severity Southwick angle on frog-leg lateral view (Difference of head-shaft angle from normal side) Wilson slip % on AP or frog-leg…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Talus Anatomy : Mnemonic
Mnemonic: 0, 1, 2, 3, 4, 5 0 : Attachments of muscles and tendons 1 : Sinus and Canal 2 : Processes and Tubercles 3 : Parts 4 : Blood vessels: 5 : Articulating surfaces
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Management of Skeletal Tuberculosis – Principles
Classification Stage/Type Pott’s spine (Kumar’s) Pott’s paraplegia (Tuli) Hip and Knee Hip (Shanmugasundaram) I Predestructive (Straightening, spasm, hyperemia) Negligible (Objective plantar extensor response or ankle clonus) Synovitis (ROM 75-100%/Haziness, rarefaction)– Hip: FAbER, Apparent lengthening Normal (C) II Early destructive (Diminished space, paradiscal erosion, K<10) Mild (Subjective neuro-deficit but walks with…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Clavicle Fractures : Last Minute Revision
1. 80-85% are mid-shaft fractures (other 10-15% are lateral 3rd and 5% are medial 3rd fractures) because of: 2. Deforming forces: 3. X-ray views: 4. Allman classification: Dameron and Rockwood classification for lateral 1/3 pediatric fractures: Type I: Mild strains of ligaments or periosteal tears Type II: Complete disruption of…